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Objectives  Adolescents with autism spectrum disorder (ASD) display a variety of verbally aggressive, physically aggressive, and destructive behaviors.  Meditation on the Soles of the Feet  ( SoF ) as an informal mindfulness-based practice has been effective in managing aggressive behaviors in adolescents with ASD. The aim of this study was to assess its effectiveness and social validity in a Chinese context.    Methods  Mothers of three Chinese adolescents with ASD were taught a basic foundational meditation practice, followed by instructions in the SoF practice. Once proficient in these two practices, the mothers taught their adolescents with ASD to use SoF for triggers of their aggressive and destructive behaviors. The mothers rated the social validity of the SoF practice.    Results  Visual analysis and weighted average Tau-U scores across participants showed that the SoF practice had a very strong effect on reducing the verbally aggressive, physically aggressive, and destructive behaviors of the three adolescents.    Conclusions  Data regarding effectiveness and social validity indicated that the SoF practice was effective and socially valid as a self-management practice for aggressive and destructive behavior of adolescents with ASD. Further studies of the SoF practice are needed to validate its effectiveness for Chinese children with ASD.

Effects of Meditation on the Soles of the Feet on the Aggressive and Destructive Behaviors of Chinese Adolescents with Autism Spectrum Disorders