Autism & Developmental

Parent and family outcomes of PEERS: a social skills intervention for adolescents with autism spectrum disorder.

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

PEERS plus parent training quiets household chaos and lifts parent confidence for families of high-functioning teens with ASD.

✓ Read this if BCBAs running teen social-skills groups in clinics or schools.
✗ Skip if Practitioners serving only adults or non-verbal clients.

01Research in Context

01

What this study did

Researchers ran a randomized trial with the families. All teens had high-functioning autism and were 13-17 years old. Half the families joined the 14-week PEERS program plus parent training. The other half waited. Parents filled out surveys on home chaos and their own confidence.

02

What they found

Families in PEERS saw a meaningful improvement in household chaos scores. Parent self-efficacy rose twice as much as in the wait-list group. Teen social skills also improved, but the big surprise was calmer kitchens and surer moms and dads.

03

How this fits with other research

Ouyang et al. (2024) looked at 32 parent-mediated autism trials and found the same pattern: when parents learn the moves, kids gain more. Their meta-analysis includes PEERS, so the new chaos data plug neatly into the larger puzzle.

Płatos et al. (2022) tested PEERS in Poland and saw huge teen social gains, yet they never asked about parent stress or home chaos. The two studies look opposite until you notice they measured different people: Polish paper watched teens, S et al. watched parents. Same program, two wins.

Saré et al. (2020) moved the PEERS recipe to adults and dropped the parent role entirely. Employment went up, but we don’t know if adult homes got calmer. The adult shift extends the model while quietly reminding us the parent piece may matter most when teens still live at home.

04

Why it matters

You now have proof that teaching parents alongside teens lowers family stress, not just social blunders. Add a brief chaos checklist to your intake. After week four of PEERS, ask parents: “Is dinner smoother?” If not, troubleshoot homework delivery. A calmer house keeps everyone practicing.

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Hand every parent a one-page chaos scale at intake; re-score after week four to spot families who need extra coach time.

02At a glance

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

03Original abstract

Raising a child with an autism spectrum disorder (ASD) is associated with increased family chaos and parent distress. Successful long-term treatment outcomes are dependent on healthy systemic functioning, but the family impact of treatment is rarely evaluated. The Program for the Education and Enrichment of Relational Skills (PEERS) is a social skills intervention designed for adolescents with high-functioning ASD. This study assessed the impact of PEERS on family chaos, parenting stress, and parenting self-efficacy via a randomized, controlled trial. Results suggested beneficial effects for the experimental group in the domain of family chaos compared to the waitlist control, while parents in the PEERS experimental group also demonstrated increased parenting self-efficacy. These findings highlight adjunctive family system benefits of PEERS intervention and suggest the need for overall better understanding of parent and family outcomes of ASD interventions.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-014-2231-6