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. 2023 Mar 29;27(8):2281–2294. doi: 10.1177/13623613231159699

Table 1.

Outcome measures.

Participant type Measure – PRIMARY Timepoint (baseline, 20, and 52 weeks)
Associated teacher/TA Social Skills Improvement System (SSIS) (Gresham & Elliott, 2008) scales:
Social skills scale (PRIMARY OUTCOME MEASURE). 46 items, higher scores indicate greater social competence. Social skills including social communication, co-operation, social engagement, empathy, assertion, responsibility and self-control are measured.
20 weeks
Participant type Measure – SECONDARY Timepoint (baseline, 20, and 52 weeks)
Associated teacher/TA Social Skills Improvement System (SSIS) (Gresham & Elliott, 2008) scales:
1. Social skills scale. 46 items, higher scores indicate greater social competence. Social skills including social communication, co-operation, social engagement, empathy, assertion, responsibility and self-control are measured.
2. Problem behaviours scale. 30 items, higher scores indicate fewer problem behaviours.
Academic competence scale. 7 items, higher scores indicate higher academic competence.
All (social skills scale at 20 weeks is primary outcome)
Strengths and Difficulties Questionnaire (SDQ) (Goodman, 1997). 25 items, higher scores indicate a higher chance of developing a mental health disorder. All
Bespoke resource use questionnaires capturing resource implications of ‘usual support’ received by ACYP in both arms of the study. *Specific questions were included at 20 weeks to assess any adverse events All
*20 weeks only
Facilitator teacher/TA
(intervention arm only)
Bespoke demographic information form collecting demographic information and training and experience of the facilitator teacher/TA. Baseline only
Bespoke resource use questionnaire capturing resource implications of running the LEGO® based therapy sessions at school. *Specific questions were included in the session resource use questionnaire to assess any adverse events potentially attributable to the intervention. After each session
A fidelity checklist based on the existing treatment manual (LeGoff et al., 2014). 17 items, higher scores indicate higher treatment fidelity. After each session
A bespoke questionnaire to assess acceptability of the intervention structured around the Theoretical Framework of Acceptability (Sekhon et al., 2017). 11 items, higher scores indicate greater acceptability. 20 weeks only
Autistic child/young person Multidimensional Scale of Perceived Social Support (Zimet et al., 1988). 12 items, higher scores indicate a higher degree of perceived social support. All
Asher Loneliness Scale (Asher et al., 1984). 24 items, higher scores indicate lower levels of loneliness and social dissatisfaction. All
Child Health Utility 9D (CHU-9D) (Stevens, 2011). 9 items, higher scores indicate higher health utility. All
Parent/guardian The Social Communication Questionnaire (SCQ) (Rutter et al., 2003). 40 items, higher scores indicate more social communication difficulties. Baseline only
SSIS (Gresham & Elliott, 2008) scales:
1. Social skills scale. 46 items, higher scores indicate greater social competence.
Problem behaviours scale. 33 items, higher scores indicate fewer problem behaviours.
All
SDQ (Goodman, 1997). 25 items, higher scores indicate a higher chance of developing a mental health disorder. All
EQ-5D-Y (3 L proxy version) (The EuroQol Group, 1990). 5 items, higher scores indicate higher health utility. All
Bespoke resource use questionnaires to capture healthcare and non-health resource implications attributable to the ACYP’s autism.
*Specific questions were included in resource use form at 20 weeks to assess any adverse events – 20weeks only.
All
*20 weeks only
Bespoke questionnaire to assess acceptability of the intervention structured around the Theoretical Framework of Acceptability (Sekhon et al., 2017). 11 items, higher scores indicate greater acceptability. Intervention arm and 20 weeks only.
Bespoke demographic information form collecting demographic information pertaining to the ACYP and the parent/guardian. Baseline only

SSIS: social skills improvement system; SDQ: Strengths and Difficulties Questionnaire; CHU-9D: Child health utility 9D; SCQ: Social Communication Questionnaire; ACYP: Autistic children and young people.