Autism & Developmental

A randomized controlled study of parent-assisted Children's Friendship Training with children having autism spectrum disorders.

Frankel et al. (2010) · Journal of autism and developmental disorders 2010
★ The Verdict

Parent-assisted Children’s Friendship Training gives clear, lasting gains in social skills and play-date behavior for elementary students with autism.

✓ Read this if BCBAs running social-skills groups for school-age kids with autism and their parents.
✗ Skip if Clinicians serving teens or adults, or teams without parent involvement.

01Research in Context

01

What this study did

The team ran a fair test of Children’s Friendship Training (CFT). Kids with autism were picked at random for two groups. One group started the 12-week parent-and-child program right away. The other group waited and got the same help later.

Parents joined every session. They learned how to coach play dates, share toys, and settle arguments. Kids practiced the same skills with classmates.

02

What they found

Children who got CFT first scored higher on parent and child social-skills checklists. They also had smoother play dates. Most kept the gains three months later. The wait-list group stayed the same until they too received the training.

03

How this fits with other research

Emerson et al. (2007) tested a different parent program called RDI and saw bigger changes—some kids no longer met autism cut-offs. But that study had no control group and lasted much longer. Frankel et al. (2010) used a tighter design and showed smaller, yet solid, gains.

Pilgrim et al. (2000) warned that verbal handouts alone often fail parents. CFT added live coaching and feedback, matching that paper’s fix.

Sivaraman et al. (2021) later showed telehealth BST can work. CFT proves the same coaching model also helps friendship skills, not just mask wearing.

04

Why it matters

You now have a brief, manualized way to boost friendship skills. Use CFT when parents can attend and practice home play dates. Start with the free session scripts, track social checklists weekly, and add live feedback if a parent stalls. The gains hold after the final session, so you can fade visits without losing progress.

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→ Action — try this Monday

Open the CFT manual, invite your next client and parent to a 60-min friendship group, and use the first coaching script to practice sharing toys.

02At a glance

Intervention
behavioral skills training
Design
randomized controlled trial
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

This study evaluated Children's Friendship Training (CFT), a manualized parent-assisted intervention to improve social skills among second to fifth grade children with autism spectrum disorders. Comparison was made with a delayed treatment control group (DTC). Targeted skills included conversational skills, peer entry skills, developing friendship networks, good sportsmanship, good host behavior during play dates, and handling teasing. At post-testing, the CFT group was superior to the DTC group on parent measures of social skill and play date behavior, and child measures of popularity and loneliness, At 3-month follow-up, parent measures showed significant improvement from baseline. Post-hoc analysis indicated more than 87% of children receiving CFT showed reliable change on at least one measure at post-test and 66.7% after 3 months follow-up.

Journal of autism and developmental disorders, 2010 · doi:10.1007/BF01046051