Abstract
Deficits in social skills are common in children with Autism Spectrum Disorder (ASD), and there is an urgent need for effective social skills interventions, especially for improving interactions with typically developing peers. This study examined the effects of a naturalistic behavioral social skills intervention in improving social initiations to peers through a randomized controlled trial. Analyses of multimethod, multi-informant measures indicated that children in the active group (SIMI) demonstrated greater improvement in the types of initiations which were systematically prompted and reinforced during treatment (i.e., behavior regulation). Generalization to joint attention and social interaction initiation types, as well as collateral gains in broader social functioning on clinician- and parent-rated standardized measures were also observed.
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Acknowledgements
This project was funded by a grant from the Stanford Maternal & Child Health Research Institute and the Lucile Packard Foundation for Children’s Health. This work was also supported in part by The Teresa and Charles Michael Fund for Autism Research and by the Stanford Clinical and Translational Science Award (CTSA) to Spectrum (UL1 TR001085). The CTSA program is led by the National Center for Advancing Translational Sciences (NCATS) at the National Institutes of Health (NIH). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
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Drs. Gengoux and Hardan conceptualized and designed the study, supervised data collection, and reviewed and revised the manuscript; Dr. Gengoux supervised treatment implementation; Dr. Schwartzman assisted in the collection, analysis, and interpretation of data and drafted the initial manuscript; Ms. Millan and Ms. Schuck coordinated treatment implementation and data acquisition and reviewed and revised the manuscript. Dr. Ruiz and Dr. Schwartzman completed analyses of the Peer Play Observations and contributed to data acquisition and interpretation; Ms. Weng and Dr. Long provided statistical expertise to aid in the study design, analysis and interpretation of data, and description of results. All authors critically reviewed the manuscript for important intellectual content, approved the final manuscript as submitted, and agree to be accountable for all aspects of the work.
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Gengoux, G.W., Schwartzman, J.M., Millan, M.E. et al. Enhancing Social Initiations Using Naturalistic Behavioral Intervention: Outcomes from a Randomized Controlled Trial for Children with Autism. J Autism Dev Disord 51, 3547–3563 (2021). https://doi.org/10.1007/s10803-020-04787-8
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DOI: https://doi.org/10.1007/s10803-020-04787-8