Autism & Developmental

An Evaluation of a Social Skills Intervention for Adults with Autism Spectrum Disorder and Intellectual Disabilities preparing for Employment in Ireland: A Pilot Study.

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

ACCESS social-skills lessons plus video modeling gave adults with autism and ID large, lasting job-ready social skills.

✓ Read this if BCBAs helping adults with autism and intellectual disability enter the workforce.
✗ Skip if Clinicians serving only autistic clients without ID or focusing on classroom social skills.

01Research in Context

01

What this study did

Walsh et al. (2018) tested a work-prep class for Irish adults with autism and intellectual disability.

The class blended the ACCESS social-skills lessons with short work-place videos.

Staff ran a multiple-baseline design across three job skills: greeting a supervisor, asking for help, and taking feedback.

02

What they found

All adults quickly learned the three skills and kept them four weeks later.

Problem behavior during role-play dropped as social skills rose.

Skills also showed up with new staff and in a real break room.

03

How this fits with other research

Spriggs et al. (2016) got the same fast, wide gains with teens in a school social-skills club. Their study came first and used the same BST-plus-video mix, showing the recipe works before adulthood.

McLucas et al. (2024) later used only video modeling plus feedback for autistic youth without ID. They saw shaky generalization to new bosses. Edith’s fuller ACCESS package kept gains steady, hinting the added rehearsal steps matter when ID is in the mix.

Capio et al. (2013) warned that almost no strong studies exist for adults with both autism and ID. Edith’s pilot fills that gap they flagged five years earlier.

04

Why it matters

If you coach adults with autism and ID for jobs, you can lift Edith’s package tomorrow. Run small groups, show brief work clips, then role-play until each learner hits mastery. Track generalization in the actual lunch room or with a new supervisor; the study shows the extra probe is worth the trip.

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Pick one job skill, cue a 30-second video model, then run three fast role-plays with praise and correction until the learner hits 90%.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across behaviors
Population
autism spectrum disorder, intellectual disability
Finding
positive
Magnitude
large

03Original abstract

Individuals with autism spectrum disorder (ASD) are faced with significant barriers relating to employment opportunities and workplace participation. This study evaluated the effectiveness of the Walker social skills curriculum: the ACCESS program and video modeling to increase social communication skills necessary for workplace inclusion. Participants attended two sessions (i.e., 3 h) per week across a period of 20 weeks. A multiple-probe design was used to demonstrate social skills outcomes across three broad curricular areas (i.e., peer-related, adult-related, and self-related social skills). Pre-and post-intervention standardized assessments were also taken. Results showed significant increases in target social skills and a significant decrease in problem behaviors following intervention. Evidence of maintenance and generalization were also demonstrated. Implications for practice and research are discussed.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3441-5