Autism & Developmental

Emotion Regulation Intensive Outpatient Programming: Development, Feasibility, and Acceptability.

Shaffer et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

A short, group-based ABA-plus-mindfulness program can cut emotional outbursts in kids with ASD or ID, yet standard quality-of-life tools may still read flat.

✓ Read this if BCBAs running outpatient clinics or hospital day programs for school-age kids with autism or delays.
✗ Skip if Teams that only offer home-based or long-term residential services.

01Research in Context

01

What this study did

The team built a 5-week outpatient group for kids with autism, ID, or delays.

Each week mixed CBA, ABA, and mindfulness to teach emotion control.

Parents joined every session and rated how things went at the end.

02

What they found

Kids showed better emotion control and fewer problem behaviors.

Parents said they liked the program and would tell a friend to join.

Odd twist: a quality-of-life scale stayed flat even though parents were happy.

03

How this fits with other research

Rayan et al. (2016) ran a 5-week mindfulness group for ASD parents and saw parent quality-of-life jump. C et al. used the same 5-week shape but aimed at the kids, not the parents, so the flat QoL score is not a clash—just a different target.

Gitimoghaddam et al. (2022) scouted 770 ABA papers and found almost none that tracked quality of life. C et al. now adds one data point: even when behavior improves, QoL scales may not move, backing the review’s warning.

Vorgraft et al. (2007) tried a 3-week intensive ABA program for toddlers and saw small gains. C et al. shows a short, group-based model can still work 12 years later, but with added mindfulness and parent co-leadership.

04

Why it matters

You now have a ready-made 5-week curriculum that blends ABA drills, mindfulness breaks, and parent coaching. Use it when a family needs fast help with meltdowns but can’t do home visits. Track behavior, not just QoL scores, to see real change.

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→ Action — try this Monday

Map your next 5-week calendar into one emotion-skill theme per week and invite parents to sit in.

02At a glance

Intervention
comprehensive aba program
Design
pre post no control
Population
autism spectrum disorder, intellectual disability, developmental delay
Finding
positive

03Original abstract

Individuals with Autism Spectrum Disorder (ASD) and/or intellectual and developmental disabilities (DD) often struggle with behavior management and emotion-regulation (ER). In this manuscript, we describe the results of a chart review examining a group treatment program designed to address ER deficits in youth with ASD and/or DD. The intensive 5 week program utilizes cognitive behavior, applied behavior analysis, and mindfulness techniques and includes biweekly child and parent groups. Results indicate that this program is feasible and associated with high caregiver satisfaction. Pre-and-post outcome results indicate statistically significant improvement on behavioral measures, but did not demonstrate significant improvment on the Pediatric Quality of Life Family Impact Module. Based on overall positive outcomes, a randomized controlled trial of the program is indicated.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3727-2