Autism & Developmental

Social stories: mechanisms of effectiveness in increasing game play skills in children diagnosed with autism spectrum disorder using a pretest posttest repeated measures randomized control group design.

Quirmbach et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Social stories give a small but lasting boost in game-play social skills for verbal school-age kids with autism who already know the rules.

✓ Read this if BCBAs running social-skills groups in schools or clinics
✗ Skip if Clinicians teaching brand-new social skills from scratch

01Research in Context

01

What this study did

Cramm et al. (2009) tested two kinds of social stories. One was standard. One added direct rules. They wanted to see which helped kids with autism play games better.

They picked 30 verbal kids . All kids already knew the game. They split them into three groups. One group got the standard story. One got the directive story. One got a control story. They read the story twice before play time.

02

What they found

Both social story groups scored higher on game-play skills. They shared toys more. They took turns more. The gains lasted one month later.

There was no big gap between standard and directive stories. Both beat the control story.

03

How this fits with other research

Kassardjian et al. (2014) found teaching interaction worked better than social stories. They used role-play and feedback. Their kids learned faster. This seems like a clash, but the 2009 kids already knew the game. Alyne taught brand-new skills.

Camilleri et al. (2024) looked at the kids using a phone app. They still saw small gains from digital stories. Younger, more verbal kids and girls did best. This updates the 2009 small lab study with real-world data.

Grindle et al. (2012) swapped paper for video stories. They saw better task engagement in middle-school classes. This shows the idea travels across formats and goals.

04

Why it matters

If you run game clubs or recess groups, a quick social story can prime kids for smooth play. Print or digital, standard or directive, pick one and read it twice. Track turns and sharing for five minutes after. If you need faster skill gain or the child is new to the game, switch to teaching interaction with demo and role-play instead.

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Pick a game the child knows, read a short social story twice, then tally turns and sharing for five minutes.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
45
Population
autism spectrum disorder
Finding
positive

03Original abstract

An increasing body of literature has indicated that social stories are an effective way to teach individuals diagnosed with autism appropriate social behavior. This study compared two formats of a social story targeting the improvement of social skills during game play using a pretest posttest repeated measures randomized control group design. A total of 45 children diagnosed with Autism Spectrum Disorder (ASD) ages 7-14 were randomly assigned to standard, directive, or control story conditions. Results demonstrated that the standard and directive story formats were equally as effective in eliciting, generalizing and maintaining the targeted social skills in participants who had prior game play experience and Verbal Comprehension Index (VCI) scores from the WISC-IV intelligence test in the borderline range or above.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-008-0628-9