Autism & Developmental

Use of a Social Story intervention to improve mealtime skills of an adolescent with Asperger syndrome.

Bledsoe et al. (2003) · Autism : the international journal of research and practice 2003
★ The Verdict

A short Social Story can quickly cut spills and boost neat table manners during school lunch for teens with Asperger syndrome.

✓ Read this if BCBAs helping adolescents with ASD who need fast, narrow mealtime fixes in school cafeterias.
✗ Skip if Clinicians looking for broad social-skill gains or long-term maintenance without extra teaching steps.

01Research in Context

01

What this study did

One teen with Asperger syndrome ate lunch at school every day.

The team wrote a short Social Story about keeping food on the plate and wiping his mouth.

They used an ABAB design: story, no story, story, no story.

They counted spills and wipes across each phase.

02

What they found

When the Social Story was in place, spills dropped and mouth-wipes rose.

The gains flipped on and off with each phase, showing clear control.

Mealtime manners looked better after just a few story readings.

03

How this fits with other research

Kokina et al. (2010) pooled many single-case Social Story studies and found only small, shaky effects.

The same study sits inside that meta-analysis, so the strong single result is part of the weak average.

Leaf et al. (2012) went further and showed that a full teaching-interaction package beat Social Stories hands-down, mastering 18 social skills versus only 4 with stories.

Camilleri et al. (2024) now updates the field with 856 app users, confirming tiny but real benefits for digital Social Stories, especially for girls and gender-diverse youth.

04

Why it matters

You can still use a quick paper Social Story for narrow mealtime goals with older students, but keep hopes modest.

Pair the story with modeling, practice, and feedback if you want strong or lasting change.

Track spills or wipes with simple tally sheets so you can drop the story once skills hold.

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→ Action — try this Monday

Write a three-sentence Social Story that shows the student wiping mouth and keeping food on the plate; read it right before lunch and tally spills for one week.

02At a glance

Intervention
other
Design
reversal abab
Sample size
1
Population
autism spectrum disorder
Finding
positive

03Original abstract

This study assessed the utility of a Social Story intervention to improve the lunchtime eating behaviors of an adolescent diagnosed with Asperger syndrome. Using an ABAB design, the Social Story program appeared to result in a decrease in the number of food and drink spills and an increase in the frequency of appropriate mouth-wiping during lunch at school.

Autism : the international journal of research and practice, 2003 · doi:10.1177/1362361303007003005