Table 5.
Quality, design, eligibility criteria, setting, dosage and duration, stakeholders and costs of studies (k = 18) evaluating the efficacy of a social skills group training program for autistic youth via an RCT design
First author (year)/country | Design | Quality | Eligibility | Setting characteristics | Dosage, duration | Stakeholders, n per group (characteristic) | Cost of attendance/incentives |
---|---|---|---|---|---|---|---|
Afsharnejad et al. (2021a, 2021b) Australia |
Two armed parallel RCT SS calculated based on previous studies of the program (N = 90) Exp: KONTAKT® (n = 46) Con: Active control cooking group (n = 44) |
MQa = 96% PFb = 0.92 CONSORT diagram available- |
Inclusion: Age: 12–17 years old (M/F = 65/25) IQ > 70 (WASI-II) Diagnosis: Autism, AS, Atypical autism, PDD-NOS (based on DSM-IV/5) confirmed by ADOS Exclusion: Insufficient English language skills, low expressed intrinsic motivation to attend, evidence of rule-breaking and/or aggressive behaviours (confirmed by CBCL), a self-reported history of severe clinically assessed self-injury, conduct disorder, antisocial personality disorder, borderline personality disorder, or any form of schizophrenia or related psychotic disorder |
4 centres from the Autism Association of Western Australia |
16 weekly sessions 90 min (AA) 3 × 90-min concurrent PAA sessions |
4–8 (AA) 19 (trained and supervised Occupational therapist [n = 12], psychologist [n = 2], educators [n = 3], social workers [n = 1], and speech therapists [n = 1]) |
Free/No |
Choque Olsson et al. (2017) Sweden |
Two armed parallel RCT SS calculated based on a pilot study (N = 296) Exp: KONTAKT® (n = 150) Con: Usual care (n = 146) |
MQa = 88% PFb = 0.76 CONSORT diagram available |
Inclusion: Age: 7–17 years old (M/F = 208/88) IQ > 70 (WISC-IV) Diagnosis: Autism, AS, Atypical autism, PDD-NOS (based on ICD-10) confirmed by ADOS Motivation to participate Exclusion: Clinically assessed self-injury, conduct disorder, anti-social personality disorder, borderline personality disorder, and any psychotic disorder, Insufficient Swedish language skills |
12 Outpatient units and one academic clinical outpatient unit |
12 weekly sessions 90 min (AA) /60 min (AC) 3 × 90-min concurrent PAA sessions |
4–8 (AA/AC) 2 (trained and supervised psychologists [n = 39], social workers [n = 5], nurses [n = 5], special educators [n = 2] and speech therapists [n = 1]) |
NR /$12 Voucher |
Corbett et al. (2016) USA |
Two armed parallel RCT SS not calculated (N = 30) Exp: SENSE Theatre® (n = 14) Con: Waitlist (n = 16) |
MQa = 81% PFb = 0.54 CONSORT diagram available |
Inclusion: Age: 8–14 years old (M/F = 24/6) IQ > 70 (WASI) Diagnosis: ASD (based on DSM-5) confirmed by ADOS |
University School of Nashville |
10 weekly sessions 240 min |
NR (AA/AC) NR (trained and supervised staff [n = NR]) 12 (trained and supervised NTA, Mage = 15.33 years old, SD = 1.12, [n = NR]) |
Free/NR |
Corbett et al. (2019) USA |
Two armed parallel RCT SS not calculated (N = 77) Exp: SENSE Theatre® (n = 44) Con: Waitlist (n = 33) |
MQa = 81% PFb = 0.62 No CONSORT diagram |
Inclusion: Age: 8–16 years old (M/F = 59/18) IQ > 70 (WASI) Diagnosis: ASD (based on DSM-5) confirmed by ADOS Exclusion: Aggressive behaviours (verbal or physical threats of harming other |
A School auditorium |
10 weekly sessions 240 min |
NR (AA/AC) NR (trained and supervised staff [n = NR]) 12 (trained and supervised USN Theatre Guild members [n = NR]) |
Free/NR |
Freitag et al. (2016) Germany |
Two armed parallel RCT SS calculated based on a pilot study (N = 209) Exp: SOSTA-FRA (n = 107) Con: Usual care (n = 102) |
MQa = 81% PFb = 0.51 No CONSORT diagram |
Inclusion: Age: 8–19 years old (M/F = 186/15) IQ > 70 (WISC/WAIS) Diagnosis: Autism, AS, Atypical autism (based on ICD-10) confirmed by ADOS/ADI-R Fluency in German Exclusion: Schizophrenia, bipolar disorder, social phobia, OCD, MDD with suicidal thoughts, psychiatric disorders, aggressive behaviour, neurological disorders (except well-treated epilepsy), medical conditions interfering with therapy, exposure to SSGPs (< 6 months) |
Six German University Departments and an outpatient clinic |
12 weekly sessions 90 min (AA) /60 min (AC) 3 × 90-min concurrent PAA session |
4–5 (AA/AC) 2 (CBT-trained therapists [n = NR], supervision NR) |
NR/NR |
Jonsson et al. (2018) Sweden |
Two armed parallel RCT SS not calculated (N = 50) Exp: KONTAKT® (n = 23) Con: Usual care (n = 27) |
MQa = 96% PFb = 0.82 CONSORT diagram available |
Inclusion: Age: 7–17 years old (M/F = 35/15) IQ > 70 (WISC-III/IV) Diagnosis: ASD (based on ICD-10) confirmed by ADOS Motivation to participate Exclusion: Clinically assessed self-injury, conduct disorder, anti-social borderline personality disorder, psychotic disorders, Insufficient Swedish language skills |
psychiatry outpatient unit and an academic clinical outpatient unit |
24 weekly sessions 90 min (AA) /60 min (AC) 3 × 90-min concurrent parent session |
4–8 (AA/AC) 2–3 (trained and supervised Psychologists [n = 7]) |
NR/€11 Voucher |
Ko et al. (2019) USA |
Two armed parallel RCT SS not calculated (N = 40) Exp: PEERS® (n = 20) Con: Waitlist (n = 20) |
MQa = 96% PFb = 0.56 No CONSORT diagram |
Inclusion: Age: 12–17 years old (M/F = 24/11) IQ > 70 (KBIT) Diagnosis: ASD (based on DSM-5) diagnosis not confirmed Communicate/comprehend full sentences; mild/severe autism characteristics |
NR |
20 weekly sessions 90 min (AA) 5–10 min (PAA) |
4–6 (AA) NR (trained and supervised undergraduate research assistants [n = 4]) NR (trained and supervised NTA volunteers) |
NR/NR |
Laugeson et al. (2009) USA |
Two armed parallel RCT SS not calculated (N = 33) Exp: PEERS® (n = 17) Con: Waitlist (n = 16) |
MQa = 77% PFb = 0.43 No CONSORT diagram |
Inclusion: Age: 13–17 years old (M/F = 28/5) IQ > 70 (K-BIT) Diagnosis: High functioning autism, AS, PDD-NOS (based on ICD-10) diagnosis not confirmed Fluency in English No history of major mental illness (e.g., bipolar disorder, schizophrenia, or psychosis), hearing, visual, or physical impairments |
NR |
12 weekly sessions 90 min (AA/PAA) |
7 (AA) NR (trained and supervised psychologists [n = NR]) 1 (trained and supervised coaches, Psychology postgraduate student Research assistant [n = NR]) |
NR/Paid parking, brief evaluation summary, weekly light meal with beverages |
Lerner et al. (2012) USA |
Two armed parallel RCT SS not calculated (N = 13) Exp: SDARI (n = 7) Con: Active control (Skill streaming; n = 6) |
MQa = 77% PFb = 0.53 No CONSORT diagram |
Inclusion: Age: NR (M/F = 13/0) IQ: NR Diagnosis: Autism, AS, PDD-NOS (based on ICD-10) confirmed by SCQ & SRS |
NR |
4 weekly sessions 90 min |
7 (AA) NR (trained and supervised staff [n = 3]) |
NR/NR |
Matthews et al. (2018) USA |
Three armed parallel RCT SS not calculated (N = 34) Exp: PEERS® with peers (n = 12) Con 1: Active control (traditional PEERS®, n = 10) Con 2: Waitlist (n = 12) |
MQa = 85% PFb = 0.52 No CONSORT diagram |
Inclusion: Age: 13–17 years old (M/F = 28/6) Verbal IQ > 70 (K-BIT) Diagnosis: Autism, ASD (based on DSM-IV/5) confirmed by ADOS > 80% education in the general education setting, difficulty making friends according to parent report, parent willingness to be involved Exclusion: Home-schooled or online students |
A community-based non-profit autism centre |
14 weekly sessions 90 min (AA/PAA) |
NR (AA) 3 (trained and supervised postgraduate counsellors [n = 3] and undergraduate clinicians [n = 1]) NR (trained and supervised NTA peers with no diagnosed disorders [n = 8]) |
NR/$150 Voucher |
Matthews et al. (2020) USA |
Two armed parallel RCT SS not calculated (N = 21) Exp: Accelerated PEERS® (n = 11) Con: Active control (traditional PEERS®; n = 10) |
MQa = 77% PFb = 0.31 No CONSORT diagram |
Inclusion: Age: 13–17 years old (M/F = 17/4) Verbal IQ > 70 (K-BIT) Diagnosis: ASD (based on DSM-IV /5) confirmed by ADOS > 80% in the general education setting, difficulty making friends according to parent report, parent willingness to be involved |
A community-based non-profit autism centre |
14 weekly sessions 90 min (AA/PAA) |
5 (AA) 3 (trained and supervised Master’s and Bachelor’s level practitioners [n = NR]) NR (trained and supervised NTA [n = NR]) |
NR/NR |
Rabin et al. (2018) Israel |
Two armed parallel RCT SS not calculated (N = 41) Exp: PEERS® (n = 20) Con: Waitlist (n = 21) |
MQa = 88% PFb = 0.30 No CONSORT diagram |
Inclusion: Age: 12–17 years old (M/F = 39/2) IQ > 70 (WISC-III/IV) Diagnosis: ASD (based on ICD-10) confirmed by ADOS Motivation to participate Born in Israel & Speak Hebrew No severe behavioural problems; Parents willingness to be a social coach and attend all sessions |
NR |
16 weekly sessions 90 min (AA/PAA) |
NR | NR/Voucher for Parents and teachers (amount NR) |
Schohl et al. (2014) USA |
Two armed parallel RCT SS not calculated (N = 58) Exp: PEERS® (n = 25) Con: Waitlist (n = 33) |
MQa = 81% PFb = 0.36 CONSORT diagram available |
Inclusion: Age: 11–16 years old (M/F = 47/11) Verbal IQ > 70 (K-BIT) Diagnosis: ASD, confirmed by ADOS Motivation to participate Fluency in English No history of major mental illness (e.g., bipolar disorder, schizophrenia, or psychosis), hearing, visual, or physical impairments |
NR |
14 weekly sessions 90 min (AA/PAA) |
≤ 10 (AA) 3 (trained and supervised postgraduate psychology students [n = 5]) 1 (trained and supervised undergraduate research assistants [n = NR]) |
Free/$30 Voucher |
Shum et al. (2019) China |
Two armed parallel RCT SS not calculated (N = 72) Exp: PEERS® (n = 43) Con: Waitlist (n = 29) |
MQa = 85% PFb = 0.35 CONSORT diagram available |
Inclusion: Age: 11–15 years old (M/F = 57/15) Verbal IQ > 70 (WISC-IV) Diagnosis: Autistic disorder, AS, ASD, PDD-NOS (based on ICD-10) confirmed by ADOS Fluency in Cantonese Studying at a high school in Hong Kong Exclusion: Low motivation, ADOS < 5, other medical problems, previous exposure to PEERS® |
At community service centres |
14 weekly sessions 90 min (AA/PAA) |
≤ 10 (AA) 4 (trained and supervised social workers, speech therapists or occupational therapists [n = 18]) NR (trained and supervised Psychology undergraduate student coaches [n = NR]) |
NR/NR |
Van Hecke et al. (2015) USA |
Two armed parallel RCT with case-control SS not calculated (N = 79) Exp: PEERS® (AA, n = 35) Con: Waitlist (AA, n = 31) Case-control (NTA, n = 30) |
MQa = 81% PFb = 0.44 CONSORT diagram available |
Inclusion (AA/NTA): Age: 11–16 years old (M/F = 67/12) Verbal IQ > 70 (WISC-IV) Motivation to make friends Fluency in English No neural, physical, hearing, or visual impairments, bipolar disorder, or schizophrenia co-occurrence; and enrolment in middle/high school or having weekly peers contacts outside of the family, if home-schooled Additional requirements for AA: Diagnosis: Autism, ASD (based on the DSM-IV) confirmed by ADOS Attending at least 12 sessions Additional requirements for NTA: ASSQ < 13 and CBCL < 65 |
NR |
14 weekly sessions 90 min (AA/PAA) |
NR (AA) NR (trained and supervised postgraduate psychology students [n = NR]) NR (trained and supervised Psychology undergraduate student coaches [n = NR]) |
Free/$30 Voucher |
Vernon et al. (2018) USA |
Two armed parallel RCT SS not calculated (N = 40) Exp: START (n = 21) Con: Waitlist (n = 19) |
MQa = 85% PFb = 0.44 CONSORT diagram available |
Inclusion: Age: 12–17 years old (M/F = 24/11) Verbal IQ > 70 (K-BIT) Diagnosis: Autism, AS, Atypical autism, PDD-NOS, confirmed by ADI-R Exclusion: Not having an ASD diagnosis |
NR |
20 weekly sessions 90 min (AA) 5–10 min (PAA) |
3–6 (AA) 2–4 (trained and supervised undergraduate research assistants [n = NR]) 1–2 (trained and supervised NTA volunteers [n = NR]) |
NR/NR |
White et al. (2013) USA |
Two armed parallel RCT SS not calculated (N = 30) Exp: MASSI (n = 15) Con: Waitlist (n = 15) |
MQa = 88% PFb = 0.44 CONSORT diagram available |
Inclusion Age: 12–17 years old (M/F = 23/7) Verbal IQ > 70 (measure NR) Diagnosis: Autism, AS, PDD-NOS, confirmed by ADOS Exclusion: Primary diagnosis of OCD, special phobias, panic disorder with/without Agoraphobia, Serious behaviour issues |
NR |
13 (In)/7 (G) weekly sessions 60–75 min |
3 (AA) 1 (trained and supervised psychologists [n = 1] and postgraduate psychology students) NR (trained and supervised NTA volunteers [n = NR]) |
NR/NR |
Yoo et al. (2014) Korea |
Two armed parallel RCT SS not calculated (N = 47) Exp: PEERS® (n = 23) Con: Waitlist (n = 24) |
MQa = 88% PFb = 0.47 No CONSORT diagram |
Inclusion: Age: 12–18 years old (M/F = 44/3) Verbal IQ > 65 (WISC-IV) Diagnosis: Autistic disorder, AS, PDD-NOS, confirmed by ADOS Motivation to participate Fluency in Korean No history of major mental illness, current aggressive behaviour or severe oppositional tendency, and no hearing, visual, physical, or neurological disabilities |
NR |
14 weekly sessions 90 min (AA/PAA) |
6–10 (AA) NR (trained and supervised Psychiatrists, psychologists, special educators [n = 6]) NR (trained and supervised coaches [n = 3]) |
NR/NR |
AA autistic adolescent, AC autistic children, ADI-R Autism Diagnostic Interview-Revised, ADOS Autism Diagnostic Observation Schedule, AS Asperger syndrome, ASD autism spectrum disorder, ASSQ Autism Spectrum Screening Questionnaire, CBCL Child Behaviours Checklist, CBT cognitive behavioural therapy, Con control group, DSM-IV Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition, DSM-5 Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition, Exp experiment group, F female, G group sessions, ICD-10 International Statistical Classification of Diseases and Related Health Problems-10th Edition, PF program fidelity, In Individual sessions, K-BIT Kaufman Brief Intelligence Scale, M male, MASSI Multimodal Anxiety and Social Skill Program, MDD major depression disorder, MQ methodological quality, NR not reported, NTA neurotypical adolescents, OCD obsessive–compulsive disorder, PAA parents of autistic adolescents, PDD-NOS pervasive developmental disorder, PEERS® Program for the Education and Enrichment of Relationship Skills, SCQ Social Communication Questionnaire, SDARI Sociodramatic Affective Relational Program, SS sample size, SSGP social skills group program, START Social Tools and Rules for Teens, USN University School of Nashville, WASI Wechsler Abbreviated Scale of Intelligence, WAIS Wechsler Adult Intelligence Scale, WISC-III Wechsler Intelligence Scale for Children-Third Edition, WISC-IV Wechsler Intelligence Scale for Children-Forth Edition
aAssessed via Kmet Checklist (Kmet et al., 2004) with scores of > 80% demonstrating strong, 70–80% good, 50–70% adequate and < 50% limited methodological quality (Lee et al., 2008)
bAssessed via Treatment Fidelity Assessment and Implementation Plan with higher scores demonstrating higher adherence to the study’s protocol (Borrelli, 2011)