Autism & Developmental

An evaluation of group activity schedules to promote social play in children with autism

Akers et al. (2018) · Journal of Applied Behavior Analysis 2018
★ The Verdict

Picture cards with built-in scripts teach autistic preschoolers to play hide-and-seek with peers, then fade out while the game keeps going.

✓ Read this if BCBAs running social-skills groups for preschoolers with autism.
✗ Skip if Clinicians who only serve older clients or work in 1:1 desk settings.

01Research in Context

01

What this study did

The team made picture cards that showed each step of hide-and-seek. Three preschoolers with autism used the cards while playing with two typical peers.

Adults gave prompts at first, then faded them. The game moved from a small therapy room to the big playground. Two weeks later the kids played again with no cards.

02

What they found

All three children learned the full hide-and-seek routine. They took turns hiding, counting, and seeking with almost no help.

The picture cards were dropped and the kids still played. The fun lasted in a new place and two weeks later.

03

How this fits with other research

Audras-Torrent et al. (2021) got the same play boost without any cards. They let kids touch real cookies and real bells first, then the children could pretend. Both studies show you can teach play with very different tools.

St. Clair et al. (2024) went further. After kids could play hide-and-seek, they taught them to add playful tricks. Their work shows the road does not end with simple games; you can keep building more advanced social fun.

Ladouceur et al. (1997) did the first game-teaching study. They used praise and treats to shape a hiding trick. Akers kept the game focus but swapped shaping for picture schedules, giving us a second, easier path.

04

Why it matters

You now have two proven ways to teach peer play: picture schedules or real-object experience. Pick the one that fits your room and time. Start with schedules if you need quick setup, then move to sensory prep once the kids can follow cards. Either way, plan the next step—tricks, pretend, or perspective taking—so play keeps growing.

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→ Action — try this Monday

Make a five-step picture strip for hide-and-seek, hand it to the child at recess, and drop prompts as soon as the first round runs smooth.

02At a glance

Intervention
prompting and fading
Design
multiple baseline across participants
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

Children with autism spectrum disorder (ASD) often have deficits in social skills and may avoid engaging in play activities with typically developing peers. The purpose of this study was to identify the utility of activity schedules, with embedded scripts, to teach three children with ASD to play a complex social game. Specifically, children with ASD were taught to play hide-and-seek with typically developing peers. Once the activity schedules were introduced, participants began engaging in independent hide-and-seek behaviors. A secondary purpose of this study was to systematically fade the activity schedules to the least intrusive version. We faded all of the scripts and the majority of activity schedule components for the three participants. Participants continued to play hide-and-seek with the faded versions of the schedules in a novel environment and 2 weeks after treatment concluded.

Journal of Applied Behavior Analysis, 2018 · doi:10.1002/jaba.474