Service Delivery

The Impact of Implementation Support on the Use of a Social Engagement Intervention for Children with Autism in Public Schools

Locke et al. (2018) · Autism 2018
★ The Verdict

Add weekly staff coaching to recess social-skills plans and autistic students gain more friends and peer inclusion.

✓ Read this if BCBAs who consult in public elementary schools and write recess-based social goals.
✗ Skip if Clinicians working only in clinic or home settings with no school recess component.

01Research in Context

01

What this study did

Locke et al. (2018) tested the Remaking Recess program in public elementary schools.

Half the staff got only a one-day training. The other half got the same training plus weekly coaching, visual prompts, and data check-ins.

All students had autism and were in grades K-5. The team watched who played alone, who played together, and who was picked as a friend.

02

What they found

Kids whose aides had the extra coaching were chosen as friends more often and were included in games more.

Both groups cut down solo play and boosted shared play, but only the coached group gained in real friendships.

The boost was small yet real, showing support helps the social skills stick.

03

How this fits with other research

Hutchins et al. (2020) pooled 25 single-case studies and found social-skills lessons give a solid, moderate benefit. Locke’s RCT now shows that adding live coaching makes the benefit even stronger.

Chen et al. (2001) first proved that trained peers can lift joint attention and play. Locke moves the same peer-coach idea onto the loud, messy playground and still sees gains.

Bauminger-Zviely et al. (2013) used computer lessons and saw shaky real-peer gains. Locke swapped screens for recess coaching and got steadier friendship results, suggesting live practice beats digital drills.

04

Why it matters

You already run social groups. This paper says layer on weekly coaching for the staff who sit with kids at recess. Five-minute check-ins, a prompt card, and quick data keep the social skills alive outside the therapy room. Try it next week: pick one recess aide, give them a mini-lesson and a tally sheet, and watch friendships grow.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Hand one recess aide a simple prompt card and 5-item tally sheet, then review counts each Friday.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
31
Population
autism spectrum disorder
Finding
positive

03Original abstract

Several interventions have demonstrated efficacy in improving social outcomes for children with autism; however, few have been successfully implemented in schools. This study compared two implementation strategies to improve the use of a social engagement intervention for children with autism in public schools. In total, 31 children with autism in grades K-5 and 28 school personnel participated in a randomized controlled trial. Schools were randomized to (1) training in Remaking Recess, a social engagement intervention, or (2) training in Remaking Recess with implementation support. Linear regression with random effects was used to test the intervention effects on implementation fidelity and social outcomes (peer engagement, social network inclusion, and friendship nominations). In both groups, implementation fidelity improved after training but remained low. Children in the Remaking Recess with implementation support condition had significantly higher social network inclusion and received more friendship nominations than children in the Remaking Recess-only condition (p = 0.03). Children in both groups experienced reduced solitary engagement (p < 0.001) and increased joint engagement (p < 0.001). The results suggest that implementation supports may have an effect on outcomes above and beyond the intervention, and that further research is needed into the active intervention mechanisms.

Autism, 2018 · doi:10.1177/1362361318787802