NCT05880498

Brief Summary

Individuals diagnosed with autism are also often diagnosed with anxiety disorders. Therefore, having useful strategies to manage stress and anxiety may be particularly helpful for autistic individuals. Mindfulness-based interventions, delivered in-person as well as those offered remotely online, have been found to lower stress and anxiety. Although in-person mindfulness training has been found to be helpful for autistic individuals, there is little research that has studied remote app-based mindfulness training in autistic adults. This study examines whether a six-week structured intervention, using a mindfulness app, lowers anxiety and stress in autistic adults. Participants were randomly assigned either to an intervention group, which started the intervention immediately, or a wait-list control group, which participated in the same intervention program six-weeks later. Findings will provide important information about the potential for remote app-based mindfulness training to lower stress and anxiety in adults diagnosed with autism.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
89

participants targeted

Target at P50-P75 for not_applicable anxiety

Timeline
Completed

Started Jan 2022

Typical duration for not_applicable anxiety

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 30, 2022

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 17, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 17, 2023

Completed
18 days until next milestone

First Submitted

Initial submission to the registry

May 5, 2023

Completed
25 days until next milestone

First Posted

Study publicly available on registry

May 30, 2023

Completed
Last Updated

May 30, 2023

Status Verified

May 1, 2023

Enrollment Period

1.2 years

First QC Date

May 5, 2023

Last Update Submit

May 19, 2023

Conditions

Keywords

AutismMindfulness

Outcome Measures

Primary Outcomes (2)

  • State-Trait Anxiety Inventory for Adults

    40-item self-report assessing both state anxiety (20 items) and trait anxiety (20 items) on a 4-point Likert scale. Total trait anxiety scores range from 20 to 80. Total state anxiety scores range from 20 to 80. Higher scores are indicative of a greater level of anxiety.

    6 Weeks

  • Patient-Reported Outcomes Measurement Information System [PROMIS] Anxiety Short Form

    8-item self-report measure of anxiety, on a 5-point Likert scale. Raw scores range from 8 to 40, with higher scores indicating more anxiety.

    6 weeks

Secondary Outcomes (6)

  • State-Trait Anxiety Inventory for Adults

    12 Weeks

  • Patient-Reported Outcomes Measurement Information System [PROMIS] Anxiety Short Form

    12 weeks

  • Perceived Stress Scale

    6 weeks

  • Perceived Stress Scale

    12 weeks

  • Positive and Negative Affect Schedule, Short Form

    6 weeks

  • +1 more secondary outcomes

Other Outcomes (10)

  • Mindfulness Attention Awareness Scale

    3 weeks

  • Mindfulness Attention Awareness Scale

    6 weeks

  • Mindfulness Attention Awareness Scale

    12 weeks

  • +7 more other outcomes

Study Arms (2)

Mindfulness Intervention

EXPERIMENTAL

6 week smartphone-based self-guided mindfulness training using a customized version of the Healthy Minds app. Participants were instructed to listen to at least one activity per day for 5 days per week, for 6 weeks. Activities that were part of the structured curriculum consisted of alternating mindfulness didactic 'lessons' (each up to 7 minutes in length) and mindfulness 'practices' (either 10 minutes or 15 minutes in length- as chosen by the participant).

Behavioral: Mindfulness Intervention

Wait-List Control (WLC)

NO INTERVENTION

No intervention was administered during the 6-week wait list control period.

Interventions

Self-guided mindfulness training using a customized version of the Healthy Minds app

Mindfulness Intervention

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Daily access to smartphone
  • Professional diagnosis of autism spectrum disorder

You may not qualify if:

  • Non-corrected hearing impairment (if it impacts their ability to listen to the app)
  • Far below average nonverbal intellectual ability: 2 standard deviations below the mean on the Test My Brain, matrix reasoning subtest (a validated and normed proxy for nonverbal IQ)
  • Listening comprehension skills that may compromise one's ability to understand the lessons and practices in the app: Below 60% correct on the Listening Comprehension measure (created for this study, based on language used in the Healthy Minds app)
  • Ever taken part in a meditation retreat
  • Engaged in meditation practice at least once per week over the past year
  • Used Healthy Minds app ever
  • Prior training with a meditation teacher (other than an introductory course)
  • Practiced meditation daily for the past 6 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts Institute of Technology

Cambridge, Massachusetts, 02139, United States

Location

MeSH Terms

Conditions

Anxiety DisordersAutistic Disorder

Condition Hierarchy (Ancestors)

Mental DisordersAutism Spectrum DisorderChild Development Disorders, PervasiveNeurodevelopmental Disorders

Study Officials

  • John DE Gabrieli, PhD

    Massachusetts Institute of Technology

    PRINCIPAL INVESTIGATOR
  • Liron Rozenkrantz, PhD

    Massachusetts Institute of Technology

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 5, 2023

First Posted

May 30, 2023

Study Start

January 30, 2022

Primary Completion

April 17, 2023

Study Completion

April 17, 2023

Last Updated

May 30, 2023

Record last verified: 2023-05

Data Sharing

IPD Sharing
Will share

De-identified individual participant data (IPD) related to results in a publication will be available upon request to approved researchers.

Shared Documents
STUDY PROTOCOL
Time Frame
De-identified data will be available upon request starting 6 months after publication and will remain available for 3 years.
Access Criteria
Data requests should be submitted to Cindy Li at cindyeli@mit.edu including a description of study aims as well as how the data will be utilized. Requests will be reviewed by the team and secure access to the requested data will be provided in the form of downloadable materials.

Locations