Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, 401 Quarry Road, Stanford, CA, 94305-5719, USA.
Vanderbilt University Medical Center, 1501 23rd Avenue South, Nashville, TN, 37209, USA.
J Autism Dev Disord. 2021 Oct;51(10):3547-3563. doi: 10.1007/s10803-020-04787-8. Epub 2021 Jan 2.
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.
自闭症谱系障碍（ASD）儿童普遍存在社交技能缺陷，因此急需有效的社交技能干预措施，尤其是针对改善与普通发展同龄人互动的干预措施。本研究通过随机对照试验，考察了一种自然主义行为社交技能干预对提高与同伴社交发起能力的效果。多方法、多来源测量分析表明，积极组（SIMI）儿童在治疗期间被系统提示和强化的发起类型（即行为调节）上表现出更大的改善。还观察到对共同注意和社交互动发起类型的泛化，以及临床医生和家长评定的标准化测量中更广泛社交功能的附带收益。
