Efficacy of a Remote Play-Based Intervention for Children With Prader-Willi Syndrome.
Eight weekly Zoom pretend-play sessions tightened up imaginative play in 6- to 9-year-olds with Prader-Willi syndrome.
01Research in Context
What this study did
Dimitropoulos et al. (2024) tested an 8-week pretend-play program delivered through a computer to kids with Prader-Willi syndrome. The kids played make-believe games with a therapist on Zoom while mom or dad sat nearby. A second group of kids stayed on a wait-list and played as usual.
All children were 6 to 9 years old and lived at home. The team then scored how organized and creative each child’s play was from recorded Zoom calls.
What they found
Kids who got the remote play sessions showed clearer, more step-by-step pretend play than the wait-list kids. The gains showed up right after the eight weeks ended. Parents did not report extra stress from running the sessions at home.
How this fits with other research
Zohrabi et al. (2025) and Chovet Santa Cruz et al. (2024) also used Zoom to teach kids new skills. Their studies, like this one, found large, quick gains, proving telehealth works for school-age children with developmental disabilities.
Reus et al. (2013) took a different road. They gave infants with PWS growth hormone plus motor training and saw faster motor growth. Anastasia’s team shows you can help older PWS kids without medication—just structured play on a screen.
Boydston et al. (2023) trained parents through telehealth, while Anastasia worked directly with the child. Both got strong results, so you can choose parent-coaching or child-coaching routes depending on family needs.
Why it matters
You now have a ready-made 8-week pretend-play package that needs only a laptop and household toys. Use it to build flexible play in elementary-age clients with PWS before food-related rigidity sets in. The remote format cuts travel time for rural families and keeps your caseload moving when clinic slots are full.
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02At a glance
03Original abstract
The current study examines the efficacy of an 8-week pretend play intervention targeting social-cognitive abilities in children with Prader-Willi syndrome (PWS), ages 6-9. PWS is a rare disorder associated with various social, emotional, and cognitive challenges linked to pretend play impairments, and for which interventions are sparse. Nineteen children were quasi-randomized to receive the intervention or be part of a waitlist control group. Participants who received the intervention (n = 10) demonstrated significant improvements in various components of pretend play, most notably in organization of play, which may generalize to broader social-cognitive gains. These findings provide evidence of the intervention's efficacy in enhancing pretend play skills and related social-cognitive abilities during this critical period of development for children with PWS.
American journal on intellectual and developmental disabilities, 2024 · doi:10.1352/1944-7558-129.4.279