LEGO® therapy and the Social Use of Language Programme (SULP) were evaluated as social skills interventions for 6–11 year olds with high functioning autism and Asperger Syndrome. Children were matched on CA, IQ, and autistic symptoms before being randomly assigned to LEGO or SULP. Therapy occurred for 1 h/week over 18 weeks. A no-intervention control group was also assessed. Results showed that the LEGO therapy group improved more than the other groups on autism-specific social interaction scores (Gilliam Autism Rating Scale). Maladaptive behaviour decreased significantly more in the LEGO and SULP groups compared to the control group. There was a non-significant trend for SULP and LEGO groups to improve more than the no-intervention group in communication and socialisation skills.
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Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth and Families.
APA. (1994). DSM-IV diagnostic and statistical manual of mental disorders (4th edn ed.). Washington DC: American Psychiatric Association.
Attwood, A. J. (1998). Asperger’s syndrome: A guide for parents and professionals. London, UK: Jessica Kingsley.
Baker, M. J., Koegel, R. L., & Koegel, L. K. (1998). Increasing the social behavior of young children with autism using their obsessive behaviors. The Journal of the Association for Persons with Severe Handicaps, 23, 300–308.
Baron-Cohen, S. (1995). Mindblindness: an essay on autism and theory of mind. Boston: MIT Press/Bradford Books.
Baron-Cohen, S. (2002). The extreme male brain theory of autism. Trends in Cognitive Sciences, 6(6), 248–254.
Baron-Cohen, S. (2006). Two new theories of autism: hyper-systemising and assortative mating. Archives of Disease in Childhood, 91, 2–5.
Baron-Cohen, S., Richler, J., Bisarya, D., Gurunathan, N., & Wheelwright, S. (2003). The Systemising Quotient (SQ): An investigation of adults with Asperger Syndrome or High Functioning Autism and normal sex differences. Philosophical Transactions of the Royal Society, Series B. Special issue on. “Autism: Mind and Brain”, 358, 361–374.
Barry, T. D., Klinger, L., Lee, J. M., Palardy, N., Gilmore, T., & Bodin, S. D. (2003). Examining the effectiveness of an outpatient clinic-based social skills group for high-functioning children with autism. Journal of Autism and Developmental Disorders, 33(6), 685–701.
Conners, K. C. (2001). Conner’s Rating Scales-Revised (CSR-R). North Tonawanda, NY: MHS.
de Bildt, A., Kraijer, D., Sytema, S., & Minderaa, R. (2005). The psychometric properties of the Vineland Adaptive Behavior Scales in children and adolescents with mental retardation. Journal of Autism and Developmental Disorders, 35(1), 53–62.
Delano, M., & Snell, M. E. (2006). The effects of social stories on the social engagement of children with autism. Journal of Positive Behavior Interventions, 8(1), 29–42.
Delprato, D. J. (2001). Comparisons of discrete-trial and normalized behavioral language intervention for young children with autism. Journal of Autism and Developmental Disorders, 31(3), 315–325.
Dewey, D., Lord, C., & Magill, J. (1988). Qualitative assessment of the effect of play materials in dyadic peer interactions of children with autism. Canadian Journal of Psychology, 42, 242–260.
Gilliam, J. E. (1995). Gilliam Autism Rating Scale (GARS). Austin, TX: Pro-Ed.
Golan, O., & Baron-Cohen, S. (2006). Systemizing empathy: Teaching adults with Asperger Syndrome and High Functioning Autism to recognize complex emotions using interactive multimedia. Development and Psychopathology, 18(2), 591–617.
Gray, C. A. (1998). Social stories and comic strip conversations with students with Asperger syndrome and high-functioning autism. In E. Schopler & G. B. Mesibov (Eds.), Asperger syndrome or high-functioning autism? Current issues in autism (pp. 167–198). New York, NY: Plenum Press.
Gray, C. A., & Garand, J. D. (1993). Social stories: improving responses of students with autism with accurate social information. Focus on Autistic Behavior, 8, 1–10.
Hobson, R. P. (1993). Autism and the development of mind. Mahwah, NJ: Lawrence Erlbaum Associates.
Kamps, D. M., Leonard, B. R., Vernon, S., Dugan, E. P., Delquadri, J. C., Gershon, B., et al. (1992). Teaching social skills to students with autism to increase peer interactions in an integrated first-grade classroom. Journal of Applied Behavior Analysis, 25, 281–288.
Koegel, L. K. (1995). Communication and language intervention. In R. L. Koegel & L. K. Koegel (Eds.), Teaching children with autism: Strategies for initiating positive interactions and improving learning opportunities (pp. 17–32). Baltimore, MD: Brookes Publishing.
Koegel, R. L., & Frea, W. D. (1993). Treatment of social behavior in autism through the modification of pivotal social skills. Journal of Applied Behavior Analysis, 26, 369–377.
Kohler, F. W., Strain, P. S., Hoyson, M., & Jamieson, B. (1997). Merging naturalistic teaching and peer-based strategies to address the IEP objectives of preschoolers with autism: an examination of structural and child behavior outcomes. Focus on Autism and Other Developmental Disabilities, 12(4), 196–206.
Lecavalier, L. (2005). An evaluation of the Gilliam Autism Rating Scale. Journal of Autism and Developmental Disorders, 35(6), 795–805.
LeGoff, D. B. (2004). Use of LEGO as a therapeutic medium for improving social cCompetence. Journal of Autism and Developmental Disorders, 34(5), 557–571.
LeGoff, D. B., & Sherman, M. (2006). Long-term outcome of social skills intervention based on interactive LEGO© play. Autism, 10(4), 317–329.
Lord, C., & Magill-Evans, J. (1995). Peer interactions of autistic children and adolescents. Development and Psychopathology, 7, 611–626.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.
Lorimer, P. A., Simpson, R. L., Myles, B. S., & Ganz, J. (2002). The use of social stories as a preventative behavioral intervention in a home setting with a child with autism. Journal of Positive Behavior Interventions, 4(1), 53–60.
Macaskill, M. (2004). Evaluation of the Social Use of Language Programme. The National Autistic Society. Retrieved from: http://www.autism.org.uk/nas
Martin, N., Oliver, C., & Hall, S. (2000). ObsWin: Observational data collection and analysis. London, UK: Anatam Ltd.
Matson, J. L., Fee, V. E., Coe, D. A., & Smith, D. (1991). A social skills program for developmentally delayed preschoolers. Journal of Clinical Child Psychology, 20, 428–433.
McConnell, S. R. (2002). Interventions to facilitate social interaction for young children with autism: Review of available research and recommendations for educational intervention and future research. Journal of Autism and Developmental Disorders, 32(5), 351–372.
McGee, G. G., Feldman, R. S., & Morrier, M. J. (1997). Benchmarks of social treatment for children with autism. Journal of Autism and Developmental Disorders, 27, 353–364.
National Research Council. (2001). Educating children with autism: Committee on educational interventions for children with autism. Division of behavioural and social sciences and education. Washington DC: National Academy Press.
Owens, G., Gordon, K., & Baron-Cohen, S. (2008). Treating autism spectrum conditions. In J. Trafton & W. Gordon (Eds.), Best practices in the behavioral management of health from preconception to adolescence (Vol. 3). Los Altos, CA: Institute for Brain Potential.
Ozonoff, S., & Miller, J. N. (1995). Teaching theory of mind: A new approach to social skills training for individuals with autism. Journal of Autism and Developmental Disorders, 25, 415–434.
Perry, A., & Factor, D. C. (1989). Psychometric validity and clinical usefulness of the Vineland Adaptive Behavior Scales and the AAMD Adaptive Behavior Scale for an autistic sample. Journal of Autism and Developmental Disorders, 19(1), 41–55.
Plaisted, K. C. (2001). Reduced generalization in autism: An alternative to weak central coherence. In J. A. Burack (Ed.), The development of autism: Perspectives from theory and research. Mahwah, NJ: Erlbaum.
Reynhout, G., & Carter, M. (2006). Social stories for children with disabilities. Journal of Autism and Developmental Disorders, 36(4), 445–469.
Rimland, B. (1965). Infantile autism: The syndrome and its implications for a neural theory of behaviour. London, UK: Methuen.
Rinaldi, W. (2004). Social Use of Language Programme. Infant and primary school teaching pack. Cranleigh: Wendy Rinaldi.
Rogers, S. J. (2000). Interventions that facilitate socialization in children with autism. Journal of Autism and Developmental Disorders, 30(5), 399–409.
Rutter, M., Bailey, A., & Lord, C. (2003). The social communication questionnaire. Los Angeles: Western Psychological Services.
Shafer, M. S., Egel, A. L., & Neef, N. A. (1984). Training mildly handicapped peers to facilitate changes in the social interaction skills of autistic children. Journal of Applied Behavior Analysis, 17, 461–476.
Sigman, M. (1994). What are the core deficits in autism? In S. H. Broman & J. Grafman (Eds.), Atypical cognitive deficits in developmental disorders: Implications for brain function (pp. 139–157). Hillsdale, NJ: Lawrence Erlbaum Assocaites, Inc.
Sigman, M., & Ruskin, E. (1999). Continuity and change in the social competence of children with autism, down syndrome and developmental delays. Monographs of the Society for Research in Child Development, 64, 1–130.
Solomon, M., Goodlin-Jones, B. L., & Anders, T. F. (2004). A social adjustment enhancement intervention for high functioning autism, Asperger Syndrome and pervasive developmental disorder. Journal of Autism and Developmental Disorders, 34(6), 649–668.
Sparrow, S., Balla, D. A., & Cicchetti, D. V. (1984). Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.
Spence, S. H. (2000). Spence children’s anxiety scale (parent version). Brisbane: University of Queensland.
Strain, P., Kerr, M., & Ragland, E. (1979). Effects of peer mediated social initiations and prompting/reinforcement procedures on the social behavior of autistic children. Journal of Autism and Developmental Disorders, 9, 41–54.
Swaggart, B. L., Gagnon, E., Bock, S. J., Earles, T. L., Quinn, C., Myles, B. S., et al. (1995). Using social stories to teach social and behavioral skills to children with autism. Focus on Autistic Behavior, 10(1), 1–16.
Wechsler, D. (1999). San Antonio TX Patent No. The Psychological Corporation.
Georgina Owens was supported by a studentship from the Medical Research Council. LEGO® Ltd supplied materials free of charge for use in this study. We are grateful to Umbrella Autism, the Cambridge Asperger Outreach team and the local schools who advertised for volunteers. We also thank Neil Martin for his donation of ObsWin software, to Alex Pollitt, Michelle Beeson, Alex Hunter and the undergraduates who helped run the groups, and to Sarah Vowler at Cambridge Medical Statistics.
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Owens, G., Granader, Y., Humphrey, A. et al. LEGO® Therapy and the Social Use of Language Programme: An Evaluation of Two Social Skills Interventions for Children with High Functioning Autism and Asperger Syndrome. J Autism Dev Disord 38, 1944 (2008). https://doi.org/10.1007/s10803-008-0590-6
- LEGO® therapy
- Social skills
- High functioning autism
- Asperger syndrome