Autism & Developmental

Learning How to Make Friends for Chinese Adolescents with Autism Spectrum Disorder: A Randomized Controlled Trial of the Hong Kong Chinese Version of the PEERS® Intervention.

Shum et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Cantonese PEERS® with parents boosts social skills and cuts odd mannerisms for Chinese teens with autism.

✓ Read this if BCBAs running social-skills groups for Chinese-speaking teens with ASD.
✗ Skip if Clinicians who only serve English-speaking or adult clients.

01Research in Context

01

What this study did

Shum et al. (2019) ran a 14-week parent-help PEERS® group in Hong Kong. Teens with autism and their parents met once a week to practice greetings, two-way talk, and handling teasing.

The team used a coin-flip design. Half the families started right away; the others waited. All teens had normal-range IQ and spoke Cantonese.

Coaches used role-play, homework, and parent tips. They checked if skills, manners, and friendship quality changed.

02

What they found

Right after class, teens who took PEERS® knew more social rules and had better social scores. Parents also saw fewer autistic habits like odd speech.

Three months later the gains stuck. When the wait-list group finally got the class, they improved the same way.

The study shows the Chinese version works as well as the original English program.

03

How this fits with other research

Estabillo et al. (2022) later showed PEERS® works on Zoom too. Their teens gained the same social skills without riding to clinic, so the content—not the room—drives change.

Lao et al. (2024) tried the same idea in Mandarin. They ran a small before-after test and also saw gains. Their open design does not replace the Hong Kong RCT, but it keeps the line moving.

McCabe (2013) warned that China often picks quantity over quality. Kar-Man et al. answer that call by bringing an evidence-based program and testing it the hard way.

04

Why it matters

You now have proof that PEERS® keeps its power after full cultural translation. If you serve Chinese-speaking teens, you can run the 14-week plan with confidence. Add the parent sheets in Chinese, keep the homework, and watch for the same gains in friendship knowledge and daily social ease.

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→ Action — try this Monday

Hand the Chinese parent handout for week 1, assign the first homework conversation, and track correct greetings at next session.

02At a glance

Intervention
behavioral skills training
Design
randomized controlled trial
Sample size
72
Population
autism spectrum disorder
Finding
positive

03Original abstract

This study examined the treatment efficacy of PEERS® (Program for the Education and Enrichment of Relational Skills) among Chinese adolescents with autism spectrum disorder (ASD) in Hong Kong. The original PEERS® manual was translated into Chinese, and cultural adjustments were made according to a survey among 209 local adolescents in the general population. 72 high-functioning adolescents with ASD were randomly assigned to a treatment or waitlist control group. The 14-week parent-assisted training significantly improved social skills knowledge and social functioning, and also reduced autistic mannerisms. Treatment outcomes were maintained for 3 months after training and replicated in the control group after delayed treatment. The present study represents one of the few randomized controlled trials on PEERS® conducted outside North America.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3728-1