Autism & Developmental

A Randomized Controlled Trial of the Social Tools And Rules for Teens (START) Program: An Immersive Socialization Intervention for Adolescents with Autism Spectrum Disorder.

W Vernon et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

A 20-week experiential teen club lifted social life for every autistic participant in an RCT.

✓ Read this if BCBAs running middle- or high-school social groups.
✗ Skip if Anyone serving only elementary or adult clients.

01Research in Context

01

What this study did

W Vernon et al. (2018) randomly assigned 40 autistic teens to START or a wait-list. The 20-week program mixes games, outings, and coached hang-outs. Groups met after school to practice real-life social rules.

02

What they found

START beat the wait-list. Social skills, get-togethers, and parent ratings all moved up. Gains showed up across the whole group, not just a few stars.

03

How this fits with other research

The result lines up with Płatos et al. (2022). Their Polish PEERS® trial also found big teen social gains, even when half the sessions were on Zoom. Both RCTs say the same thing: group social training works.

Johnson et al. (2009) did something similar but added parent coaching. They saw gains too, so START shows teens can improve without extra parent homework.

Saré et al. (2020) took the same idea to adults. JOBSS used short work-place social drills and still lifted social cognition and job landing. The pattern holds from middle school to the office.

04

Why it matters

You now have three solid RCTs that say group social training is worth the time. START gives you a ready script, no parent classes needed. If you run middle- or high-school groups, plug in the 20-week plan and track get-together counts. The evidence says your students will actually use the skills outside the room.

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→ Action — try this Monday

Schedule one peer outing this week and let the students plan the ride and greeting rules.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
40
Population
autism spectrum disorder
Finding
positive

03Original abstract

Adolescents with ASD face numerous personal and contextual barriers that impede the development of social motivation and core competencies, warranting the need for targeted intervention. A randomized controlled trial was conducted with 40 adolescents to evaluate the merits of a multi-component socialization intervention that places emphasis on experiential learning. This investigation evaluated the impact of the 20-week START program on the social functioning of adolescents with ASD. Significant Group × Time differences between START and waitlist control groups were found across multiple measures. Secondary analyses of the entire program cohort also yielded significant improvement trends across all measures. These findings may be an important step in identifying optimal strategies to target the complex factors limiting optimal social development in ASD.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3380-1