Autism & Developmental

Improving the Social Skills of Children with HFASD: An Intervention Study.

Waugh et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Story-based ToM plus friendship coaching lifts social thinking and real-life interaction in autistic kids.

✓ Read this if BCBAs running social-skills groups for elementary or middle-school students with ASD.
✗ Skip if Clinicians looking for computer-only or teen-only protocols.

01Research in Context

01

What this study did

Waugh et al. (2015) tested a short story-based program called S.S.ToM. It teaches kids with high-functioning autism how peers think and how to make friends.

Kids met in small groups. They used picture stories, role-play, and games. The study used coin-flip randomization to pick who got the lessons first.

02

What they found

The S.S.ToM group gained more Theory-of-Mind and social responsiveness than the wait-list group. The gains stayed three months later.

Parents and teachers noticed the kids were better at reading others and joining play.

03

How this fits with other research

Begeer et al. (2015) ran a similar RCT the same year. They taught only ToM tricks like false-belief tasks. Kids passed tests but did not use the skills at recess.

Peters et al. (2018) later reviewed many studies. They concluded that ToM lessons must be bundled with real social-skills practice. The S.S.ToM package already did this in 2015, so the review backs its approach.

Frazier et al. (2023) extended the idea to teens. They blended ToM and social coaching and saw big gains, showing the combo keeps working as kids age.

04

Why it matters

If you run social groups, pair mind-reading lessons with live friendship practice. Use short visual stories, then have kids try the skill on peers right away. Skip stand-alone false-belief drills—they rarely travel beyond the table.

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Pick one social routine (e.g., joining a game), read a short story about it, then have clients practice with peers and give live feedback.

02At a glance

Intervention
behavioral skills training
Design
randomized controlled trial
Population
autism spectrum disorder
Finding
positive

03Original abstract

The present study examines the efficacy of a social skills and Theory of Mind (S.S.ToM) intervention for children with high-functioning ASD. Children were taught to identify and consider their peer's mental states, e.g., knowledge, emotions, desires, beliefs, intentions, likes and dislikes, while learning friendship-making skills and strategies, through the use of visual scaffolds in story format. Compared to two control groups, S.S.ToM participants demonstrated significantly greater gains on measures of Theory of Mind and social responsiveness. At a 3-month follow-up assessment, improvements appeared to have been maintained and continued gains were observed. These results provide support for the utility of a visually supported Theory of Mind and social skills intervention that may be delivered in community settings.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-015-2459-9