Evidence map›Paper›PMID 27965874›Full record

ArticlePilot and feasibility studies2016

Can a mindfulness-informed intervention reduce aggressive behaviour in people with intellectual disabilities? Protocol for a feasibility study.

Gemma Maria Griffith, Robert Jones, Richard Patrick Hastings, Rebecca S Crane, Judith Roberts, Jonathan Williams, Lucy Bryning, Zoe Hoare, Rhiannon Tudor Edwards

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 16 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Gemma Maria GriffithCentre for Mindfulness Research and Practice (CMRP), Bangor University, Bangor, UK.
Robert JonesSchool of Psychology, Bangor University, Brigantia Building, Penrhalt Road, Bangor, LL57 2AS UK.
Richard Patrick HastingsCentre for Educational Development, Appraisal and Research: (CEDAR) University of Warwick, Coventry, UK.
Rebecca S CraneCentre for Mindfulness Research and Practice (CMRP), Bangor University, Bangor, UK.
Judith RobertsSchool of Psychology, Bangor University, Brigantia Building, Penrhalt Road, Bangor, LL57 2AS UK.
Jonathan WilliamsDenbighshire Complex Disabilities Team, North Wales, North Wales, UK.
Lucy BryningCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, UK.
Zoe HoareNorth Wales Organisation for Randomised Trials in Health (NWORTH), Bangor University, Bangor, UK.
Rhiannon Tudor EdwardsCentre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Bangor, UK.
Bangor University · GBNorth Wales Hospital · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApproximately 10-20 % of adults with intellectual disabilities engage in challenging behaviours such as aggression, destructiveness, and self-injury, which are often accompanied by feelings of anger. The inability to manage anger can reduce quality of life. For example, aggression is a strong predictor of out-of-area placements and is a risk variable for abuse. Recent research suggests that mindfulness-based therapies (specifically, Singh's Soles of the Feet meditation) can help people with intellectual disabilities manage angry emotions, with resultant reductions in challenging behaviour. However, previous research has been single-case design studies, and no group studies have been published with people with intellectual disabilities and aggressive behaviour. METHODS/

designFor this feasibility study, a UK protocol will be developed for use by health professionals within National Health Service (NHS) Intellectual Disability (ID) teams, based upon Singh's Soles of the Feet manual. Twenty adults with intellectual disabilities and identified problems with anger control will be recruited and six sessions will be delivered by a trained ID clinician. The study will monitor participant's aggressive behaviour, health-related quality of life, anxiety, depression, and use of support services (medication, hospital appointments etc.). These will be measured at three time points: (1) Baseline (within 2 weeks prior to the first session of the intervention), (2) 2 months post-baseline, and (3) 6 months post-baseline. Qualitative interviews will be conducted with participants, their carers, and the therapists who delivered the intervention. In order to help design an economic evaluation alongside a future full trial, we will cost the intervention and test the acceptability and validity of health economics measures to record resource use and health-related quality of life outcomes. DISCUSSION: The data from this study will inform the feasibility of the project protocol and intervention, which will help develop future research and to determine whether a larger, randomised controlled trial with concurrent economic evaluation is feasible.

trial registrationUKCERN: 16743.

Indexed as

Aggressive behaviourCostsFeasibility studyIntellectual disabilityMindfulness-basedUMAA-LD

Identifiers

PMID27965874
PMCPMC5154058
OpenAlexW2522343171

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.