Autism & Developmental

The Impact of Prior Activity History on the Influence of Restricted Repetitive Behaviors on Socialization for Children With High-Functioning Autism.

Koegel et al. (2018) · Behavior modification 2018
★ The Verdict

Restricted interests boost recess socialization only when the game already feels safe and fun to the child.

✓ Read this if BCBAs running social-skills groups in elementary schools or community playgrounds.
✗ Skip if Clinicians focused on desk-top DTT or home-based verbal behavior programs.

01Research in Context

01

What this study did

The team watched kids with high-functioning autism during recess. They swapped in two kinds of games that used the child’s favorite restricted topic, like trains or dinosaurs.

Some games had a happy history — the child had played them happily before. Other games had a bad history — the child had failed or been teased during them earlier.

02

What they found

Social talking and sharing jumped above baseline only when the game had a good past. When the game felt bad before, adding the special interest changed nothing — kids still stayed quiet and alone.

03

How this fits with other research

Iversen et al. (2021) show that kids with more repetitive behaviors also score lower on executive-function tests. Stephens et al. (2018) turn that link into action: they prove the social payoff of RRBs depends on the activity’s emotional track record.

Burrows et al. (2018) found you can widen leisure choices by briefly blocking the old favorite. Together these papers say: use the restricted interest, but only inside activities the child already trusts.

Uljarević et al. (2017) link higher fear to more RRBs. The recess study adds a flip side — positive feelings toward an activity let RRBs work as social glue instead of isolation.

04

Why it matters

Before you weave a child’s special topic into recess, ask teachers and the child which games feel safe and fun. Start there. Skip games tied to past failure or bullying. One quick check of “good history versus bad history” can save weeks of stalled social-skills programming.

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→ Action — try this Monday

List each recess game the child likes; mark happy-face or sad-face, then embed the special interest only in happy-face games.

02At a glance

Intervention
other
Design
alternating treatments
Population
autism spectrum disorder
Finding
positive

03Original abstract

Research has demonstrated that incorporating restricted interests of an individual with autism into recess activities is effective at increasing socialization with typically developing peers. However, certain activity contexts may alter the reinforcing influence of the restricted repetitive behaviors (RRBs) depending on an individual's history in that activity. Using an alternating treatment design, this study examined whether an individual's history with an activity affected socialization. RRBs were embedded into activities with a reported positive history (i.e., prior history of positive experiences) and activities with a reported negative history (i.e., prior history of aversive experiences) for participants. Data indicated that socialization increased and remained above baseline levels when RRBs were introduced during activities with a positive history, whereas socialization was minimal when RRBs were introduced in activities with a negative history. Social significance and implications for designing activities that incorporate a child's RRBs are discussed.

Behavior modification, 2018 · doi:10.1177/0145445517706346