A Pilot Trial of Mindfulness Based Intervention Program for People With Intellectual Disabilities in a Low Income Setting
Condition: Intellectual Disability
MeSH terms: Intellectual Disability
Study type: Interventional

Summary: 
      The proposed study is a pre-post intervention study to investigate the acceptability and
      feasibility of a mindfulness based program for people with intellectual disabilities and
      their caregivers in a low income setting in Pakistan.
    

Detailed description: 
      In Pakistan, prevalence of intellectual disability is 19.1/1000 severe intellectual
      disability and 65/1000 for mild level of intellectual disability. Disability not only affects
      the individual but also the family in general and caretaker specifically.

      Several researches proved that parents of children with disabilities experience number of
      problems related to parenting stress. There is a dire need to develop feasible,
      cost-effective, community level interventions, that would augment existing healthcare
      systems.

      Mindfulness as a relatively new therapeutic strategy, has not been practiced as far as
      individuals with intellectual disability are concerned. This study aims to explore the
      feasibility and acceptability of mindfulness-based strategies for individuals with
      intellectual disability and their care takers in improving their well-being. A sample of 12
      participants will be recruited from rehabilitation centers. The study will be conducted in
      Karachi. The group intervention will consist of twelve sessions; approx. 90-minutes per
      session weekly. therapy logswill be used to measure feasibility and acceptability of the
      intervention and the full Psychological Therapies Outcome Scale - intellectual disabilities
      (PTOS)-ID (psychological distress and positive well-being scales) will be used as secondary
      outcome measure. In addition, the positive well-being section of the PTOS-ID will also be
      administered at session 3 and 6 as an interim measure of well-being.

      Baseline assessment will be done following the consent. Post assessments will be conducted at
      the end of intervention (at 3 months).
    

Intervention name(s): Mindfulness
Intervention type(s): Behavioral
Intervention description(s): A mindfulness program based on mindfulness-based principles developed by colleagues in Manchester will be adapted to be accessible for people with intellectual disabilities (ID) in Pakistan. This intervention will be translated into Urdu afterwards focus group will be conducted to get the views from people with ID, thei care takers and other stake holders to adapt and culturally modify the program. It will include some mindfulness based exercises i.e.welcome & introduction, exploring senses, its all in the mind, Mindful eating, breathing, soles of the feet, body scan, guided meditation, mindful stretching and walking.
Intervention model: Single Group Assignment
Intervention model description: Mindfulness based intervention
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Care givers; Adults; Intellectual Disability; Mindfulness