Sharon A. Gutman, Emily I. Raphael-Greenfield, Ashwini K. Rao; Effect of a Motor-Based Role-Play Intervention on the Social Behaviors of Adolescents With High-Functioning Autism: Multiple-Baseline Single-Subject Design. Am J Occup Ther 2012;66(5):529-537. doi: 10.5014/ajot.2012.003756.
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© 2019 American Occupational Therapy Association
OBJECTIVE. We examined the effect of a motor-based role-play intervention on the social skills of adolescents with high-functioning autism.
METHOD. An ABA multiple-baseline design with three 3-mo phases occurring over 12 mo was used with 7 participants. Frequency of targeted verbal and nonverbal behaviors was tallied in each phase. Frequency data were analyzed using repeated-measures analyses of variance with post hoc comparisons to examine differences in targeted behaviors over the three phases.
RESULTS. Three participants completed all three study phases, 2 completed Phase 2, and 2 completed Phase 1. All participants (N = 7) demonstrated improved social skill use in Phase 1. Participants completing Phase 2 (n = 5) further improved social skill use. Additional improvements were observed among participants (n = 3) who completed Phase 3.
CONCLUSION. The intervention helped participants improve targeted social skill use. Further testing with larger samples and intervention modifications is warranted.
A motor-based role-playing program that helps clients sequence motoric skills with social behaviors may uniquely enhance social skill use in adolescents with HFA.
Pairing of participants should be based on similar functional social skills at baseline.
Because a higher amount of learning appears to occur in the first phase, future programs should be designed to provide a greater number of intervention sessions in the first 3 mo. Later intervention phases could be delivered as shorter booster sessions to enhance cost and time efficiency.
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