Soles of the Feet Meditation Intervention for People with Intellectual Disability and Problems with Anger and Aggression—a Feasibility Study

• Published in: Mindfulness Vol. 11; no. 10; pp. 2371 - 2385
• Main Authors: Roberts, Judith L., Williams, Jonathan, Griffith, Gemma Maria, Jones, Robert S. P., Hastings, Richard P., Crane, Rebecca, Bryning, Lucy, Hoare, Zoe, Edwards, Rhiannon Tudor
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.10.2020; Springer Nature B.V
• Subjects: Aggressiveness; Anger; Behavior disorders; Behavior modification; Behavioral Science and Psychology; Caregivers; Child and School Psychology; Cognition & reasoning; Cognitive Psychology; Cost control; Handicapped accessibility; Informed consent; Intellectual disabilities; Intervention; Mindfulness; Original Paper; Pediatrics; Psychology; Public Health; Questionnaires; Social Sciences; United Kingdom > UK; United States > US; Costs; Intellectual disability; Aggressive behavior; Feasibility study; Mindfulness
• ISSN: 1868-8527; 1868-8535
• DOI: 10.1007/s12671-020-01454-y

Objectives Mindfulness-based programs (MBPs) such as the ‘Soles of the Feet’ (SoF) meditation have been shown to be effective for reducing aggressive behavior in people with intellectual disabilities (ID). Research on SoF has shown promising results in the USA but there is an absence of evidence for the approach in the United Kingdom (UK). The aim of this research was to adapt SoF for the UK and to assess the feasibility and cost of implementing the SoF intervention in a UK healthcare setting (UK SoF). Methods The UK SoF intervention consisted of a manualized protocol delivered over a six-week period by National Health Service staff to people with ID and their carers. This was a single-arm study with three measurement time points (baseline and 2- and 6-month follow-ups). Results The UK SoF intervention was shown to be feasible, with recruitment, retention, and adherence figures exceeding the minimum cut-off of 50%. Costs were £2426 per participant, or £2766 when including set-up costs such as therapist training. Although not a primary aim, data suggest that at 6-month follow-up, there was a reduction in scores for anger and aggressive behavior, and depression and anxiety showed improvement. In addition, people with ID were able to self-report on their health-related quality of life. Conclusions This study has indicated areas where the protocol could be further improved, and it is recommended that the research should move to a pilot trial before the development of a full randomized control trial.