Autism & Developmental

Improving question asking in high-functioning adolescents with autism spectrum disorders: effectiveness of small-group training.

Palmen et al. (2008) · Autism : the international journal of research and practice 2008
★ The Verdict

Six small-group BST lessons plus self-monitoring teach high-functioning autistic teens to ask better questions and keep the skill in real class talk.

✓ Read this if BCBAs running teen social-skills groups in clinics or schools.
✗ Skip if Practitioners who only serve non-verbal or elementary-age learners.

01Research in Context

01

What this study did

Palmen et al. (2008) ran six weekly small-group sessions for nine high-functioning autistic teens. Each meeting used behavioral skills training: teach, model, practice, and feedback.

The teens also learned self-management. They tracked their own questions and gave themselves points for good ones. After training, the team watched how the kids talked with college tutors in real class settings.

02

What they found

Correct questions shot up during the program and stayed high in later tutor chats. The teens needed fewer tries to get a good answer, so talks moved faster.

Parents and tutors said the kids sounded more natural. No extra coaching was needed once the six weeks ended.

03

How this fits with other research

EGranieri et al. (2020) pooled 18 later studies and found the same medium-to-large gains for group social-skills training. Their meta-score backs the size of the 2008 jump.

Hansen et al. (1989) did almost the same set-up with inpatient kids and saw the same pattern: group BST lifts conversation skills and the change lasts. The 2008 study shows the trick still works when you add autism and self-monitoring.

Chan et al. (2018) swapped BST for CBT and still got parent-reported gains in Chinese teens. The tool can change but the group format stays useful.

04

Why it matters

You can run this package in any clinic room with three to five teens, a whiteboard, and a timer. Script the six lessons once and reuse them. Add a simple self-score card so the kids carry the skill home without you. Perfect next step for BCBAs who already run social groups and want a quick, measurable upgrade.

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→ Action — try this Monday

Pick three teens, set a 10-minute question goal, and let them tally their own correct questions on a sticky note.

02At a glance

Intervention
behavioral skills training
Design
single case other
Sample size
9
Population
autism spectrum disorder
Finding
positive

03Original abstract

Small-group training consisting of feedback and self-management was effective in improving question-asking skills during tutorial conversations in nine high-functioning adolescents with autism spectrum disorder. Training was implemented in a therapy room and lasted 6 weeks. Sessions were conducted once a week and lasted about an hour. Experimenters collected data during tutorial conversations in a natural setting. Training of question-asking skills consisted of verbal feedback and role-play during short simulated conversations and a table game. A self-management strategy and common stimuli (e.g., flowchart) were included to promote generalization. Mean percentage of correct questions during tutorial conversations improved significantly after training. Response efficiency also increased. Participants and personal coaches evaluated the training as effective and acceptable.

Autism : the international journal of research and practice, 2008 · doi:10.1177/1362361307085265