Skip to main content

Advertisement

Log in

Effects of Social Stories on Increasing Social Interaction and Engagement of Deaf and Hard of Hearing Students with Autism Spectrum Disorder in Inclusive Settings

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

d/Deaf or hard of hearing (d/Dhh) students with autism spectrum disorder (ASD) may require specific approaches to promote social inclusion. The purpose of this study was to investigate the effects of reading social stories with American Sign Language vocabulary to students who are d/Dhh with ASD (d/Dhh-ASD) and their peers in inclusive settings, using a non-concurrent multiple baseline design across participants. To examine the effectiveness of the intervention, the frequency of four communicative social behaviors and the duration of social engagement with peers were recorded for each participant during lunchtime and recess. The results did not show an immediate effect across all participants. Implications for promoting social inclusion for students who are d/Dhh-ASD in general education classrooms are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

  • Anderson, K. (1989). SIFTER: Screening instrument for targeting educational risk in children identified by hearing screening or who have known hearing loss. The Educational Audiology Association.

  • Antia, S. D., Kreimeyer, K. H., & Eldredge, N. (1993). Promoting social interaction between young children with hearing impairments and their peers. Exceptional Children, 60(3), 262–275. https://doi.org/10.1177/001440299406000307

    Article  Google Scholar 

  • Antia, S. D., Stinson, M. S., & Gaustad, M. G. (2002). Developing membership in the education of deaf and hard-of-hearing students in inclusive settings. Journal of Deaf Studies and Deaf Education, 7(3), 214–229.

    Article  PubMed  Google Scholar 

  • Barlow, D. H., Hayes, S. C., & Nelson, R. O. (1984). The scientist practitioner: Research accountability in clinical and educational settings. Pergamon Press.

  • Bat-Chava, Y., & Deignan, E. (2001). Peer relationships of children with cochlear implants. Journal of Deaf Studies and Deaf Education, 6(3), 186–199. http://www.jstor.org/stable/42658585

  • Beh-Pajooh, A., Ahmadi, A., Shokoohi-Yekta, M., & Asgary, A. (2011). The effect of Social Stories on reduction of challenging behaviours in autistic children. Procedia - Social and Behavioral Sciences, 15, 351–355. https://doi.org/10.1016/J.SBSPRO.2011.03.100

    Article  Google Scholar 

  • Bobzien, J., Richels, C., Raver, S. A., Hester, P., Browning, E., & Morin, L. (2013). An observational study of social communication skills in eight preschoolers with and without hearing loss during cooperative play. Early Childhood Education Journal, 41(5), 339–346. https://doi.org/10.1007/s10643-012-0561-6

    Article  Google Scholar 

  • Borders, C. M., Jones Bock, S., & Probst, K. M. (2016). A Review of educational practices for deaf/hard of hearing students with comorbid autism. Deafness & Education International, 18(4), 189–205. https://doi.org/10.1080/14643154.2016.1255416

    Article  Google Scholar 

  • Borders, C. M., Probst, K. M., & Bock, S. J. (2022). Learners who are deaf or hard of hearing with autism spectrum disorders. In C. Guardino, J. E. Cannon, & P. Paul (Eds.), Deaf and hard of hearing learners with disabilities: Foundations, strategies, and resources. Routledge.

  • Bruce, S. M., & Borders, C. (2015). Communication and language in earners who are deaf and hard of hearing with disabilities: Theories, research, and practice. American Annals of the Deaf, 160(4), 368–384. https://doi.org/10.1353/aad.2015.0035

    Article  PubMed  Google Scholar 

  • Bullis, M., & Anderson, G. (1986). Single-subject research methodology: An underutilized tool in the field of deafness. American Annals of the Deaf, 131, 344–348.

    Article  PubMed  Google Scholar 

  • Cannon, J. E., Guardino, C., Antia, S. D., & Luckner, J. L. (2016). Single-case design research: Building the evidence-base in the field of education of deaf and hard of hearing students. American Annals of the Deaf, 160(5), 440–452. https://doi.org/10.1353/aad.2016.0007

    Article  PubMed  Google Scholar 

  • Chan, J. M., & O’Reilly, M. F. (2008). A Social Stories intervention package for students with autism in inclusive classroom settings. Journal of Applied Behavior Analysis, 41(3), 405–409. https://doi.org/10.1901/JABA.2008.41-405

    Article  PubMed  PubMed Central  Google Scholar 

  • Crozier, S., & Tincani, M. (2007). Effects of Social Stories on prosocial behavior of preschool children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37, 1803–1814. https://doi.org/10.1007/s10803-006-0315-7

    Article  PubMed  Google Scholar 

  • Davis, M. T., Langone, J., & Malone, D. M. (1996). Promoting prosocial behaviours among preschool children with and without disabilities. International Journal of Disability, Development and Education, 43(3), 219–246. https://doi.org/10.1080/0156655960430304

    Article  Google Scholar 

  • Davis, T. N., Barnard-Brak, L., Dacus, S., & Pond, A. (2010). Aided AAC systems among individuals with hearing loss and disabilities. Journal of Developmental and Physical Disabilities, 22(3), 241–256. https://doi.org/10.1007/s10882-009-9180-6

    Article  Google Scholar 

  • 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, 29–42. https://doi.org/10.1177/10983007060080010501

    Article  Google Scholar 

  • DeLuzio, J., & Girolametto, L. (2011). Peer interactions of preschool children with and without hearing loss. Journal of Speech Language and Hearing Research, 54(4), 1197. https://doi.org/10.1044/1092-4388(2010/10-0099)

    Article  Google Scholar 

  • Fees, B. S., Kaff, M., Holmberg, T., Teagarden, J., & Delreal, D. (2014). Children’s responses to a Social Story song in three inclusive preschool classrooms: A pilot study. Music Therapy Perspectives, 32(1), 71–77. https://doi.org/10.1093/mtp/miu007

    Article  Google Scholar 

  • Gallaudet Research Institute. (2013). Regional and national summary report of data from the 2011–2012 Annual Survey of Dear and Hard of Hearing Children and Youth. Gallaudet University.

  • Gray, C. (2004). Social StoriesTM 10.0: The new defining criteria and guidelines. Jenison Autism Journal, 15, 1–26.

    Google Scholar 

  • Gray, C., & Garand, J. D. (1993). Social Stories: Improving responses of students with autism with accurate social information. Focus on Autistic Behavior, 8(1), 1–10. https://doi.org/10.1177/108835769300800101

    Article  Google Scholar 

  • Giangreco, M. F., Carter, E. W., Doyle, M. B., & Suter, J. C. (2010). Supporting students with disabilities in inclusive classrooms: Personnel and peers. In R. Rose (Ed), Confronting obstacles to inclusion: International responses to developing inclusive education. (pp. 265–282). Routledge. https://doi.org/10.4324/9780203846780-29

  • Guardino, C., & Antia, S. (2012). Modifying the classroom environment to increase engagement and decrease disruption with Students who are deaf or hard of hearing. Journal of Deaf Studies and Deaf Education, 17(4), 518–533. https://doi.org/10.1093/deafed/ens026

    Article  PubMed  Google Scholar 

  • Harvey, M. T., May, M. E., & Kennedy, C. H. (2004). Nonconcurrent multiple baseline designs and the evaluation of educational systems. Journal of Behavioral Education, 13(4), 267–276.

    Article  Google Scholar 

  • Hyde, M., & Power, D. (2004). Inclusion of deaf students: An examination of definitions of inclusion in relation to findings of a recent Australian study of deaf students in regular classes. Deafness & Education International, 6(2), 82–99. https://doi.org/10.1002/dei.169

    Article  Google Scholar 

  • Kabashi, L., & Kaczmarek, L. A. (2017). Evaluating the efficacy of video-based Instruction on improving social initiation skills of children with autism spectrum disorder: A review of literature. Review Journal of Autism Developmental Disorders, 4(1), 61–81. https://doi.org/10.1007/s40489-016-0098-5

    Article  Google Scholar 

  • Kalyva, E., & Avramidis, E. (2005). Improving communication between children with autism and their peers through the ‘Circle of Friends’: A small-scale intervention study. Journal of Applied Research in Intellectual Disabilities, 18, 253–261. https://doi.org/10.1111/j.1468-3148.2005.00232.x

    Article  Google Scholar 

  • Kazdin, A. E. (2011). Single-case research designs: Methods for clinical and applied settings (2nd ed.). Oxford University Press.

  • Kim, M., Blair, K.-S.C., & Lim, K. (2014). Using tablet assisted Social StoriesTM to improve classroom behavior for adolescents with intellectual disabilities. Research in Developmental Disabilities, 35(9), 2241–2251. https://doi.org/10.1016/j.ridd.2014.05.011

    Article  PubMed  Google Scholar 

  • Koegel, L. K., Vernon, T. W., Koegel, R. L., Koegel, B. L., & Paullin, A. W. (2012). Improving social engagement and initiations between children with autism spectrum disorder and their peers in inclusive Settings. Journal of Positive Behavior Interventions, 14(4), 220–227. https://doi.org/10.1177/1098300712437042

    Article  PubMed  PubMed Central  Google Scholar 

  • Kok, A. J., Kong, T. Y., & Bernard-Opitz, V. (2002). A comparison of the effects of structured play and facilitated play approaches on preschoolers with autism: A case study. Autism, 6, 181–196. https://doi.org/10.1177/1362361302006002005

    Article  PubMed  Google Scholar 

  • Kokina, A., & Kern, L. (2010). Social Story interventions for students with autism spectrum disorders: A meta-analysis. Journal of Autism and Development Disorders, 40, 812–826. https://doi.org/10.1007/s10803-009-0931-0

    Article  Google Scholar 

  • Kratochwill, T. R., Hitchcock, J., Horner, R. H., Levin, J. R., Odom, S. L., Rindskopf, D. M., & Shadish, W. R. (2010). Single-case design technical documentation. Retrieved from What Works Clearinghouse website: http://ies.ed.gov/ncee/wwc/pdf/wwc_scd.pdf

  • Kurth, J. A., Lyon, K. J., & Shogren, K. A. (2015). Supporting students with severe disabilities in inclusive schools: A descriptive account from schools implementing inclusive practices. Research and Practice for Persons with Severe Disabilities, 40(4), 261–274. https://doi.org/10.1177/1540796915594160

    Article  Google Scholar 

  • Leaf, J. B., Cihon, J. H., Ferguson, J. L., Mline, C. M., Leaf, R., & McEachin, J. (2020). Recommendations for behavior analysts regarding the implementation of Social Stories for individuals diagnosed with autism spectrum disorder. Behavioral Interventions, 35, 664–679. https://doi.org/10.1002/bin.1736

    Article  Google Scholar 

  • Leaf, J. B., & Ferguson, J. L. (2017). Social storiesTM: A cautionary tale. In J. B. Leaf (Ed.), Handbook of social skills and autism spectrum disorder: Assessment, curricula, and intervention (pp. 369–385). Springer International Publishing. https://doi.org/10.1007/978-3-319-62995-7_22

  • Ledford, J. R., & Gast, D. L. (Eds.). (2018). Single case research methodology: Applications in special education and behavioral sciences (3rd ed.). Routledge. https://doi.org/10.4324/9781315150666

  • Ledford, J. R., Lane, J. D., Shepley, C., & Kroll, S. M. (2016). Using teacher-implemented playground interventions to increase engagement, social behaviors, and physical activity for young children with autism. Focus on Autism and Other Developmental Disabilities, 31(3), 163–173. https://doi.org/10.1177/1088357614547892

    Article  Google Scholar 

  • Maione, L., & Mirenda, P. (2006). Effects of video modeling and video feedback on peer-directed social language skills of a child with autism. Journal of Positive Behavior Interventions, 8(2), 106–118. https://doi.org/10.1177/10983007060080020201

    Article  Google Scholar 

  • McDonald, M. E., & Hemmes, N. S. (2003). Increases in social initiation toward an adolescent with autism: Reciprocity effects. Research in Developmental Disabilities, 24(6), 453–465. https://doi.org/10.1016/j.ridd.2003.04.001

    Article  PubMed  Google Scholar 

  • More, C. M., Sileo, N. M., Higgins, K., Tandy, R. D., & Tannock, T. (2013). The effects of social story interventions on preschool age children with and without disabilities. Early Child Development and Care, 183(1), 1–16. https://doi.org/10.1080/03004430.2011.651081

    Article  Google Scholar 

  • Odom, S. L. (1988). Research in early childhood special education: Methodologies and paradigm. In S. L. Odom & M. B. Karnes (Eds.), Early intervention for infants and children with handicaps (pp. 1–22). Paul H. Brookes.

  • Owen-Deschryver, J. S., Carr, E. G., & Blakeley-Smith, A. (2008). Promoting social interactions between students with autism spectrum disorders and their peers in inclusive school settings. Focus on Autism and Other Developmental Disabilities, 23(1), 15–28. https://doi.org/10.1177/1088357608314370

    Article  Google Scholar 

  • Parker-McGowan, Q., Chen, M., Reichle, J., Pandit, S., Johnson, L., & Kreibich, S. (2014). Describing treatment intensity in milieu teaching interventions for children with developmental disabilities: A review. Language, Speech, & Hearing Services in Schools, 45(4), 351–364. https://doi.org/10.1044/2014_LSHSS-13-0087

    Article  Google Scholar 

  • Peterson, C. C. (2004). Theory-of-mind development in oral deaf children with cochlear implants or conventional hearing aids. Journal of Child Psychology and Psychiatry, 45(6), 1096–1106. https://doi.org/10.1111/j.1469-7610.2004.t01-1-00302.x

    Article  PubMed  Google Scholar 

  • Pollard, N. L. (1998). Development of social interaction skills in preschool children with autism: A review of the literature. Child and Family Behaviour Therapy, 20(2), 1–16. https://doi.org/10.1300/J019v20n02_01

    Article  Google Scholar 

  • Raver, S. A., Bobzien, J., Richels, C., Hester, P., & Anthony, N. (2014). Using dyad-specific Social Stories to increase communicative and social skills of preschoolers with hearing loss in self-contained and inclusive settings. International Journal of Inclusive Education, 18(1), 18–35. https://doi.org/10.1080/13603116.2012.756543

    Article  Google Scholar 

  • Schneider, N., & Goldstein, H. (2010). Using Social Stories and visual schedules to improve socially appropriate behaviors in children with autism. Journal of Positive Behavior Interventions, 12(3), 149–160. https://doi.org/10.1177/1098300709334198

    Article  Google Scholar 

  • Stinson, M. S., & Antia, S. D. (1999). Introduction: Considerations in educating deaf and hard-of-hearing students in inclusive settings. Journal of Deaf Studies and Deaf Education, 4(3), 163–175. https://doi.org/10.1093/deafed/4.3.163

    Article  PubMed  Google Scholar 

  • Szymanski, C. A., Brice, P. J., Lam, K. H., & Hotto, S. A. (2012). Deaf children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(10), 2027–2037. https://doi.org/10.1007/s10803-012-1452-9

    Article  PubMed  Google Scholar 

  • Tawney, J. W., & Gast, D. L. (1984). Single subject research in special education. Charles E. Merrill.

  • Thiemann, K. S., & Goldstein, H. (2001). Social stories, written text cues, and video feedback: Effects on social communication of children with autism. Journal of Applied Behavior Analysis, 34(4), 425–446. https://doi.org/10.1901/jaba.2001.34-425

    Article  PubMed  PubMed Central  Google Scholar 

  • Tomasini, G. A., Martinex Basurto, L. M., LozadaGarcia, R., & Villegas, G. O. (2015). Social validity by parents of special education programs based on the ecological risk/resilience model. Acta Colombiana de Psicologia, 18(2), 151–161. https://doi.org/10.14718/ACP.2015.18.2.13

    Article  Google Scholar 

  • Vicker, B. (1998). Behavioral issues and the use of social stories. The Reporter, 3(2), 13–14. https://www.iidc.indiana.edu/irca/articles/behavioral-issues-and-the-use-of-social-stories.html

  • Wahman, C. L., Pustejovsky, J. E., Ostrosky, M. M., & Santos, R. M. (2019). Examining the effects of social storiesTM on challenging behavior and prosocial skills in young children: A systematic review and meta-analysis. Topics in Early Childhood Special Education. https://doi.org/10.1177/0271121419855692

    Article  Google Scholar 

  • Weisel, A., Most, T., & Efron, C. (2005). Initiations of social interactions by young hearing impaired preschoolers. Journal of Deaf Studies and Deaf Education, 10(2), 161–170. https://doi.org/10.1093/deafed/eni016

    Article  PubMed  Google Scholar 

  • Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., Brock, M. E., Plavnick, J. B., Fleury, V. P., & Schultz, T. R. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of Autism and Developmental Disorders, 45, 1951–1966. https://doi.org/10.1007/s10803-014-2351-z

    Article  PubMed  Google Scholar 

Download references

Funding

This research was funded by the Social Sciences and Humanities Research Council Explore Grant, an internal competition within the Faculty of Education at the University of British Columbia. Ethical approval was granted by the Behavioural Research Ethics Board of University of British Columbia (No. H19-00004). Relevant documentation and/or data for validity of the results are available upon request.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Eun Young Kwon. The first draft of the manuscript was written by Eun Young Kwon and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Eun Young Kwon.

Ethics declarations

Conflict of interest

We have no known conflict of interest to disclose.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kwon, E.Y., Cannon, J.E., Knight, V.F. et al. Effects of Social Stories on Increasing Social Interaction and Engagement of Deaf and Hard of Hearing Students with Autism Spectrum Disorder in Inclusive Settings. J Autism Dev Disord 53, 1915–1929 (2023). https://doi.org/10.1007/s10803-022-05430-4

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-022-05430-4

Keywords

Navigation