Autism & Developmental

Can I Learn to Play? Randomized Control Trial to Assess Effectiveness of a Peer-Mediated Intervention to Improve Play in Children with Autism Spectrum Disorder.

Kent et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Peer-mediated PLF intervention produces moderate, durable gains in play for elementary students with ASD.

✓ Read this if BCBAs running social-skills groups in public elementary schools
✗ Skip if Clinicians serving only non-verbal preschoolers or high-school students

01Research in Context

01

What this study did

Cally and her team ran a randomized trial with elementary students who have autism. Half the kids got the PLF play program. The other half kept their usual school routine.

Typical classmates learned to invite, share, and stay in play. Kids with autism practiced with these peers during recess and free-choice time.

02

What they found

The PLF group showed moderate gains in play skills right away. Three months later the boost was still there and parents saw the same progress at home.

Interactive play rose and solo play dropped. The size of the change was medium, not huge, but it held without extra coaching.

03

How this fits with other research

Laermans et al. (2025) got even bigger gains with preschoolers. They added teacher-led BST and saw play double. Younger kids and adult help may juice the effect.

Zhang et al. (2022) conceptually copied the idea in academics. They paired peers for PRT during iPad work and also found medium social gains. Peer-mediated NET works in both play and class tasks.

Castells et al. (1979) looks like a contradiction at first. Their peer prompts raised social acts during sessions but vanished after. The key difference: PLF trains peers to keep natural play going, while the 1979 study stopped prompts once sessions ended.

04

Why it matters

You can hand the teaching to typical peers and still see real, lasting play growth. Use the PLF script or fold its steps into recess BST. Train three to four peers, run short practice rounds, then let them play. Check back at three months—you may still see the gains without extra staff time.

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Pick two typical peers, give them a 10-minute BST on invite-and-stay prompts, and rehearse during recess with one student with ASD.

02At a glance

Intervention
natural environment teaching
Design
randomized controlled trial
Sample size
136
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Play is often used in interventions to improve social outcomes for children with autism spectrum disorders (ASD). Play is a primary occupation of childhood and, therefore, an important outcome of intervention. The Ultimate Guide to Play, Language and Friendship (PLF) is a peer-mediated intervention for 6-11-year-old children with ASD. A total of 68 dyads were randomized to either a 10-week treatment first or waitlist control group. Results revealed a significant moderate intervention effect from pre- to post-intervention, which was maintained to the 3-month follow-up clinic session and generalized to the home environment. The findings support that the PLF intervention can be used to positively improve play in 6-11-year-old children with ASD.Australian New Zealand Clinical Trials Registry, https://www.anzctr.org.au/ (ACTRN12615000008527; Universal Trial Number: U1111-1165-2708).

Journal of autism and developmental disorders, 2021 · doi:10.1007/s10803-015-2575-6