Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial

Social skills group training (SSGT) is widely used for intellectually able children and adolescents with autism spectrum disorder (ASD). Previous studies indicate small to moderate effects on social communication capacities. The duration of most available programs is relatively short, and extended t...

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Main Authors: Jonsson, U., Olsson, N., Coco, C., Görling, A., Flygare, O., Råde, A., Chen, Q., Berggren, S., Tammimies, K., Bolte, Sven
Format: Journal Article
Published: Springer Medizin 2018
Online Access:http://hdl.handle.net/20.500.11937/69551
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author Jonsson, U.
Olsson, N.
Coco, C.
Görling, A.
Flygare, O.
Råde, A.
Chen, Q.
Berggren, S.
Tammimies, K.
Bolte, Sven
author_facet Jonsson, U.
Olsson, N.
Coco, C.
Görling, A.
Flygare, O.
Råde, A.
Chen, Q.
Berggren, S.
Tammimies, K.
Bolte, Sven
author_sort Jonsson, U.
building Curtin Institutional Repository
collection Online Access
description Social skills group training (SSGT) is widely used for intellectually able children and adolescents with autism spectrum disorder (ASD). Previous studies indicate small to moderate effects on social communication capacities. The duration of most available programs is relatively short, and extended training might lead to further improvement. This randomized controlled trial compared an extended 24-week version of the SSGT program KONTAKT with standard care. The weekly sessions gradually shifted in content from acquisition of new skills to real-world application of the acquired skills. A total of 50 participants with ASD (15 females; 35 males) aged 8–17 years were included. The study was conducted at two child and adolescent psychiatry outpatient units in Sweden. The primary outcome was the Social Responsiveness Scale–Second Edition (SRS-2) rated by parents and blinded teachers. Secondary outcomes included parent- and teacher-rated adaptive behaviors, trainer-rated global functioning and clinical severity, and self-reported child and caregiver stress. Assessments were made at baseline, posttreatment, and at 3-months follow-up. Parent-rated SRS-2 scores indicated large effects posttreatment [- 19.2; 95% CI - 29.9 to - 8.5; p < .001, effect size (ES) = 0.76], which were maintained at follow-up (- 20.7; 95% CI - 31.7 to - 9.7; p < .0001, ES = 0.82). These estimates indicate substantially larger improvement than previously reported for shorter SSGT. However, the effects on teacher-rated SRS-2 and most secondary outcomes did not reach statistical significance. Our results suggest added benefits of extended SSGT training, implying that service providers might reach better results by optimizing the delivery of SSGT.
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spelling curtin-20.500.11937-695512019-03-05T03:48:08Z Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial Jonsson, U. Olsson, N. Coco, C. Görling, A. Flygare, O. Råde, A. Chen, Q. Berggren, S. Tammimies, K. Bolte, Sven Social skills group training (SSGT) is widely used for intellectually able children and adolescents with autism spectrum disorder (ASD). Previous studies indicate small to moderate effects on social communication capacities. The duration of most available programs is relatively short, and extended training might lead to further improvement. This randomized controlled trial compared an extended 24-week version of the SSGT program KONTAKT with standard care. The weekly sessions gradually shifted in content from acquisition of new skills to real-world application of the acquired skills. A total of 50 participants with ASD (15 females; 35 males) aged 8–17 years were included. The study was conducted at two child and adolescent psychiatry outpatient units in Sweden. The primary outcome was the Social Responsiveness Scale–Second Edition (SRS-2) rated by parents and blinded teachers. Secondary outcomes included parent- and teacher-rated adaptive behaviors, trainer-rated global functioning and clinical severity, and self-reported child and caregiver stress. Assessments were made at baseline, posttreatment, and at 3-months follow-up. Parent-rated SRS-2 scores indicated large effects posttreatment [- 19.2; 95% CI - 29.9 to - 8.5; p < .001, effect size (ES) = 0.76], which were maintained at follow-up (- 20.7; 95% CI - 31.7 to - 9.7; p < .0001, ES = 0.82). These estimates indicate substantially larger improvement than previously reported for shorter SSGT. However, the effects on teacher-rated SRS-2 and most secondary outcomes did not reach statistical significance. Our results suggest added benefits of extended SSGT training, implying that service providers might reach better results by optimizing the delivery of SSGT. 2018 Journal Article http://hdl.handle.net/20.500.11937/69551 10.1007/s00787-018-1161-9 http://creativecommons.org/licenses/by/4.0/ Springer Medizin fulltext
spellingShingle Jonsson, U.
Olsson, N.
Coco, C.
Görling, A.
Flygare, O.
Råde, A.
Chen, Q.
Berggren, S.
Tammimies, K.
Bolte, Sven
Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial
title Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial
title_full Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial
title_fullStr Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial
title_full_unstemmed Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial
title_short Long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial
title_sort long-term social skills group training for children and adolescents with autism spectrum disorder: a randomized controlled trial
url http://hdl.handle.net/20.500.11937/69551