Preschool Peer Social Intervention (PPSI) to Enhance Social Play, Interaction, and Conversation: Study Outcomes.
Mixing preschoolers with autism and typical peers in daily play groups lifts social, play, and daily-living skills without extra parent training.
01Research in Context
What this study did
Bauminger-Zviely et al. (2020) ran a six-month program called Preschool Peer Social Intervention. They mixed preschoolers with high-functioning autism and typical peers in small classroom groups.
The kids met twice a week. Activities taught sharing, pretend play, and back-and-forth talk. Researchers used a randomized design and tracked social, play, and daily-living skills.
What they found
All children in the peer groups got better at the social goals they practiced. They also showed gains in play complexity and everyday adaptive skills.
Children who stayed in regular class without the groups lost ground on some measures. The peer mix helped, not hurt.
How this fits with other research
The results line up with Moya et al. (2022). That team added caregiver coaching to PEERS for Preschoolers and saw social gains too. PPSI shows you can skip the parent class and still win when typical peers are in the room.
Harper et al. (2008) and Ashley et al. (2025) used peers to deliver PRT at recess. They also saw more social bids, but those studies were tiny and run by staff. PPSI moves the peer idea into a full RCT inside preschool centers.
Lancioni et al. (2011) ran an earlier RCT called S.S.GRIN-HFA with older kids. Both trials beat wait-list controls, showing the peer-group recipe works across ages.
Why it matters
You can start peer-based social skills at age four, not eight. Pick two typical classmates, rotate them into play centers, and script simple share-and-talk games. Track one social goal per child and one play level per week. No extra staff or parent nights needed.
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02At a glance
03Original abstract
This RCT study examined efficacy of a preschool peer social intervention (PPSI) in facilitating social engagement of preschoolers with high-functioning ASD (HFASD; N = 65). HFASD participants were randomly assigned by preschool to a 6-month intervention (play, interaction, or conversation) or a waitlisted-treatment-as-usual control group. Trained on-site therapists led the PPSI in preschools, in small (n = 3-4) mixed (HFASD/typical) groups. Results showed that all intervention groups improved over time, each mainly in its own targeted peer-engagement domain, but the control group even deteriorated on some measures. Intervention groups also showed generalization to untrained domains (adaptive skills) and settings (play complexity during preschool activities). It is advised that individualized needs-based holistic peer intervention, comprising all three domains, should be part of early ASD intervention.
Journal of autism and developmental disorders, 2020 · doi:10.1177/2396941518803806