RCT of a manualized social treatment for high-functioning autism spectrum disorders.
This RCT examined the efficacy of a manualized social intervention for children with HFASDs. Participants were randomly assigned to treatment or wait-list conditions. Treatment included instruction and therapeutic activities targeting social skills, face-emotion recognition, interest expansion, and interpretation of non-literal language. A response-cost program was applied to reduce problem behaviors and foster skills acquisition. Significant treatment effects were found for five of seven primary outcome measures (parent ratings and direct child measures). Secondary measures based on staff ratings (treatment group only) corroborated gains reported by parents. High levels of parent, child and staff satisfaction were reported, along with high levels of treatment fidelity. Standardized effect size estimates were primarily in the medium and large ranges and favored the treatment group.
Department of Counseling, School and Educational Psychology, University at Buffalo, State University of New York, Buffalo, NY, USA. lopatac@canisius.edu
Christopher
C
Lopata
Marcus L
ML
Thomeer
Martin A
MA
Volker
Jennifer A
JA
Toomey
Robert E
RE
Nida
Gloria K
GK
Lee
Audrey M
AM
Smerbeck
Jonathan D
JD
Rodgers
D001521:Behavior Therapy / Q000379:methods; D002648:Child; D002659:Child Development Disorders, Pervasive / Q000523:psychology* / Q000628:therapy*; D032882:Comprehension; D004644:Emotions; D005149:Facial Expression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008369:Manual Communication; D010290:Parents; D021641:Recognition, Psychology; D012720:Severity of Illness Index; D012919:Social Behavior; D016896:Treatment Outcome