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Therapeutic Riding or Mindfulness: Comparative Effectiveness of Two Recreational Therapy Interventions for Adolescents with Autism.

Journal of autism and developmental disorders
June 1, 2022
Betsy Kemeny et al. (4 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effectiveness of Therapeutic Riding (THR) and HeartMath (HM) mindfulness-based interventions in reducing stress in adolescents with autism spectrum disorder.

Results Summary

Both HM and THR reduced cortisol levels immediately after sessions, with HM showing greater impact on heart-rate variability. THR had more effect on decreasing some self-reported stressors, but neither intervention significantly affected follow-up cortisol levels within a week.

Population

Adolescents with autism spectrum disorder (ages 12-21).

Effective Dosage

Not specified (manualized protocols used).

Duration

Three 10-week periods (crossover design).

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Therapeutic riding (THR)
decrease
stress
adolescents with autism spectrum disorder
-
reducing stress
#1
HeartMath (HM) mindfulness-based interventions
decrease
stress
adolescents with autism spectrum disorder
-
reducing stress
#2
HeartMath (HM)
decrease
cortisol levels immediately following a session
participants (12-21 years)
-
equally beneficial in decreasing
#3
Therapeutic riding (THR)
decrease
cortisol levels immediately following a session
participants (12-21 years)
-
equally beneficial in decreasing
#4
HeartMath (HM)
increase
heart-rate variability
participants (12-21 years)
-
had more impact on
#5
HeartMath (HM)
no change
follow-up cortisol levels within a week after
participants (12-21 years)
-
no significant effect on
#6
Therapeutic riding (THR)
no change
follow-up cortisol levels within a week after
participants (12-21 years)
-
no significant effect on
#7
Therapeutic riding (THR)
decrease
some self-reported stressors
participants (12-21 years)
-
had more impact on decreasing
#8
Abstract

Therapeutic riding (THR) and HeartMath (HM) mindfulness-based interventions have promise for reducing stress in adolescents with autism spectrum disorder. In three 10-week periods, this study compared THR, HM, and control on salivary cortisol, self-reported stress, parent-reported social responsiveness, and heart-rate variability. This crossover design included 27 participants (12-21 years) randomly assigned to order of intervention. Findings suggest that HM and THR manualized protocols are equally beneficial in decreasing cortisol levels immediately following a session, but HM sessions had more impact on heart-rate variability. There was no significant effect on follow-up cortisol levels within a week after either intervention, but THR had more impact on decreasing some self-reported stressors.

Medical Subject Headings (MeSH)
AdolescentAutism Spectrum DisorderAutistic DisorderCross-Over StudiesHumansHydrocortisoneMindfulnessRecreation TherapyStress, Psychological
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations8
Citations/Year2.7
Relative Citation Ratio1.89
NIH Percentile72.9%
Research Impact Scores
APT Score0.75
Weight Score2.60
Normalized Score0.66
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