The University of Queensland, Queensland Cerebral Palsy and Rehabilitation Research Centre (QCPRRC), Centre for Children's Health Research, Level 6, 62 Graham Street, South Brisbane, Queensland 4101, Australia; Queensland Children's Hospital, 501 Stanley Street, South Brisbane, Queensland 4101, Australia.
School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, Queensland, 4072, Australia.
Res Dev Disabil. 2022 Jun;125:104218. doi: 10.1016/j.ridd.2022.104218. Epub 2022 Mar 17.
Group social skills interventions (GSSIs) are offered to youth with Autism Spectrum Disorder (ASD) to improve social functioning. This systematic review focused on the adolescent population, including a wider range of disabilities.
To evaluate effectiveness of GSSIs at improving social functioning in adolescents with congenital, acquired or developmental disabilities.
Databases, trial registries and dissertations were systematically searched and a meta-analysis of randomized controlled trials conducted. Study screening, risk-of-bias assessment and Grading of Recommendations Assessment, Development and Evaluation were completed.
Sixteen studies (n = 1119), 15 with adolescents with ASD and one with brain tumor survivors, revealed GSSIs reduced social impairment on the Social Responsiveness Scale (mean difference (MD) 9.68, 95% CI 5.63-13.73; P < 0.001), increased social skills on the Social Skill Improvement System Rating Scales (SMD 0.38, 95% CI 0.10-0.65; P = 0.007), and improved adolescent social knowledge on the Test of Adolescent Social Skills (MD 7.43 points, 95% CI 5.36-9.50; P < 0.001).
There is moderate certainty evidence that GSSIs improve social responsiveness, social skills and knowledge, and low certainty of evidence to improve social participation for adolescents with ASD. High quality randomized studies are required to inform clinical practice with adolescents with other disabilities.
Current evidence for group social skills interventions (GSSIs) is for adolescents with autism (ASD). GSSIs likely improve social knowledge and reduce impairments in adolescents with ASD, however the effect of GSSIs on social participation is not well understood. Only one randomized trial investigated GSSIs in another population of adolescents, highlighting the need for more high-quality studies including adolescents with other disabilities.
团体社交技能干预（GSSI）被提供给患有自闭症谱系障碍（ASD）的青少年，以提高社交功能。本系统评价侧重于青少年人群，包括更广泛的残疾类型。
评估 GSSI 对改善先天性、获得性或发育性残疾青少年社交功能的效果。
系统地搜索了数据库、试验登记处和论文，并进行了随机对照试验的荟萃分析。完成了研究筛选、风险偏倚评估和推荐评估、制定和评估分级。
16 项研究（n=1119），包括 15 项针对 ASD 青少年的研究和 1 项针对脑肿瘤幸存者的研究，结果表明 GSSI 可降低社会反应量表上的社交障碍（平均差异（MD）9.68，95%置信区间 5.63-13.73；P<0.001），提高社交技能改善系统评定量表上的社交技能（SMD 0.38，95%置信区间 0.10-0.65；P=0.007），并提高青少年社会技能测试（MD 7.43 分，95%置信区间 5.36-9.50；P<0.001）上的青少年社会知识。
有中等确定性证据表明，GSSI 可改善 ASD 青少年的社交反应、社交技能和知识，并且对改善 ASD 青少年的社交参与的证据确定性较低。需要高质量的随机研究为其他残疾类型的青少年提供临床实践依据。
目前关于团体社交技能干预（GSSI）的证据是针对自闭症（ASD）青少年的。GSSI 可能会提高 ASD 青少年的社会知识并减少其障碍，但 GSSI 对社交参与的影响尚不清楚。只有一项随机试验研究了 GSSI 在另一类青少年中的应用，这突出表明需要更多包括其他残疾青少年的高质量研究。
