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This project aims to encourage a sense of belonging, community, and emotional support for parents of autistic children through a group drumming (music therapy) intervention.
This pilot one-group pretest-posttest study will investigate the limited efficacy and acceptability of an 8-week drumming group on immediate stress (pre-post session) as measured by the STAI-S Short Form scale (Spielberger, 1977); on anxiety and depressive symptoms, as measured by the K-10 scale (Kessler et al., 2002) before and after the 8-week program, and group cohesion and acceptability as measured by the Group Therapy Experience Scale (GTES, Marziliano et al., 2018) after the program. As a group setting, this program does not substitute clinical treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Parents will participate in drumming sessions that teach stress management techniques, sense of belonging, and coping skills for depression and anxiety. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group Drumming | Behavioral | This Drumming program is based on HealthRhythms®, a drumming protocol that has been used extensively in clinical and community populations and has research support (e.g., Grab et al., 2023; Stevens & Fowl, 2024; Wachi et al., 2007). Adaptations will be derived from the PI's clinical and research experience with parents of autistic children. Each drumming session will have the following structure: introduction to the program, light movement & music, icebreakers with small percussions, technique pointers for percussion instruments, rhythmic introductions (sharing names with a percussive rhythm), free group drumming, soundscapes (creating visualizations with drumming), verbal processing, closing drumming exercise. The soundscapes are creative outlets to "paint a picture" with music. These exercises promote community, engagement, emotional expression, and creative thinking, which reduce stress. Specific strategies will include reflecting, mirroring, validating, and solution reframing. |
| Measure | Description | Time Frame |
|---|---|---|
| K-10 | Anxiety and depressive symptoms, as measured by the K-10 scale (Kessler et al., 2002). Maximum score is 50, with each of the 10 items scored 1 to 5. Higher scores indicate higher distress. Optimal cutoff scores for clinically significant nonspecific psychological distress and need for treatment: total score =12, Depression = 7, and Anxiety = 3/4 (Lace et al., 2019). | Pretest at the beginning of the first weekly session, and posttest at the end of the 8th weekly session. |
| STAI-S | Measures of state anxiety as measured by the State Trait Anxiety Inventory for Adults- Short Form Y1 (STAIAD-S Y1) scale (Spielberger, 1977). Maximum score is 40, with each of the 10 items scored 1 to 4, and four reverse-coded items. Higher scores indicate less anxiety (more wellbeing). | Pretest at the beginning of the first weekly session, and posttest at the end of the 8th weekly session. |
| GTES | Group cohesion and acceptability as measured by the Group Therapy Experience Scale (GTES, Marziliano et al., 2018). Maximum score is 80 with each of the 16 items scored from 1 to 5. Higher scores indicate better group experience. | Posttest at the end of the 8th weekly session. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eugenia Hernandez Ruiz, PhD | Arizona State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gateway Building, Room 361 & 363, Arizona State University | Tempe | Arizona | 85287 | United States |
Researchers will make the data available upon written request
January 2027 -December 2031
Investigators with a minimum of a PhD education and institutional affiliation may request aggregated, anonymized data. Raw, anonymized data would be available to researchers in reputable research organizations if an approved study protocol for secondary data analysis is shared with the PI.
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001321 | Autistic Disorder |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D000067877 | Autism Spectrum Disorder |
| D002659 | Child Development Disorders, Pervasive |
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| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |