Autism & Developmental

Digitally-Mediated Social Stories Support Children on the Autism Spectrum Adapting to a Change in a ‘Real-World’ Context

Smith et al. (2020) · Journal of Autism and Developmental Disorders 2020
★ The Verdict

A single tablet Social Story the day before camp meaningfully lowers anxiety and raises understanding for autistic children facing a routine change.

✓ Read this if BCBAs planning community outings or camp trips for autistic clients.
✗ Skip if Clinicians working only in clinic settings with no routine changes.

01Research in Context

01

What this study did

Smith et al. (2020) tested a tablet Social Story read the day before summer-camp drop-off.

Teachers rated autistic campers’ understanding, anxiety, and goal closeness before and after the story.

No control group was used; each child served as his or her own baseline.

02

What they found

After one digital story, teachers saw medium-to-large jumps in understanding and calm behavior.

Kids also moved closer to the camp-goal pictured in the story.

The gains showed up in a real, noisy camp setting, not a therapy room.

03

How this fits with other research

Crozier et al. (2007) first showed paper Social Stories help preschoolers share and play; Smith moves the same tool to a tablet and a camp trip.

Polak-Passy et al. (2024) found mixed results with a dog-training program—some social behaviors dropped—while Smith’s story-only group improved across the board. The difference: Smith targeted one clear routine change, not complex animal interaction.

Thompson-Hodgetts et al. (2024) taught peers how to include autistic campers and saw big play gains; Smith prepared the autistic child directly. The two studies complement each other: prime the child, then prime the peers.

04

Why it matters

You can load a short Social Story onto any tablet the night before a field trip, dentist visit, or fire drill. One read-through cut anxiety and boosted understanding in a real camp. Pair this with brief peer education for an even stronger inclusion package.

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→ Action — try this Monday

Film or scan your next outing story into a PDF, hand the tablet to the child the night before, and collect quick pre-post staff ratings.

02At a glance

Intervention
other
Design
pre post no control
Sample size
10
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Social Stories™ (SS) is a widely used intervention for children on the autism spectrum. A preliminary survey of 103 practitioners highlighted that SS are often used to support adapting to a change. This study investigated the use of digitally-mediated SS to support ten children on the autism spectrum attending a school summer camp. Teacher perceptions of anxiety, understanding and closeness to the goal of the SS were assessed before and after the intervention (prior to the event). The pre- post-intervention comparisons highlighted significant improvements in child understanding, anxiety, and closeness to goal with medium-large effect sizes. The child’s understanding and closeness to SS goal post-intervention related to their difficulties with the SS goal and their anxiety during the event.

Journal of Autism and Developmental Disorders, 2020 · doi:10.1007/s10803-020-04558-5