Autism Spectrum Social Stories in Schools Trial 2 (ASSSIST-2): a pragmatic randomised controlled trial of the Social Stories™ intervention to address the social and emotional health of autistic children in UK primary schools

IF 6.8 3区医学 Q1 PEDIATRICS

Child and Adolescent Mental Health Pub Date : 2024-12-17 DOI:10.1111/camh.12740

Barry Wright, Jane E. Blackwell, Kerry J. Bell, Catarina Teige, Laura Mandefield, Han-I Wang, Charlie Welch, Arabella Scantlebury, Judith Watson, Dean McMillan, Emma Standley, Leah Attwell, Hayley Carrick, Amelia Taylor, Olivia Taylor, Rachel Hodkinson, Hannah Edwards, Hannah Pearson, Steve Parrott, David Marshall, Danielle Varley, Rebecca Hargate, Anne Mclaren, Catherine Hewitt

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引用次数: 0

Abstract

Background

Autistic children can experience mental health, social and emotional difficulties. Carol Gray's Social Stories™ are a highly personalised intervention that provide social information in a short individually tailored story.

Methods

A multi-site pragmatic cluster randomised controlled trial to evaluate the clinical and cost-effectiveness of Social Stories™ alongside care as usual in autistic children aged 4–11 years. The primary outcome was the Social Responsiveness Scale-2 completed by teachers 6 months post-randomisation, analysed on an intention-to-treat basis. Trial Registration: ISRCTN11634810.

Results

Eighty-seven schools, including 249 children, were randomised (intervention 44 schools with 129 children, and usual care 43 schools with 120 children). After 6 months, a reduction of 1.61 points was found on the Social Responsiveness Scale-2 in the intervention group (95% CI −4.18 to 0.96, p = .220) and for those who attended at least six sessions a reduction of 3.37 points (CACE 95% CI −6.65 to −0.10, p = .043). Children in the intervention group met their individual socio-emotional goal more frequently than children receiving usual care alone and this was statistically significant. No statistically significant differences were found in other secondary outcomes including anxiety, depression, general health or parental stress.

Conclusions

Social Stories™ represent a low-cost, low-burden intervention. Benefits are seen in individual socio-emotional goals but without clinically evident impact on social responsiveness, anxiety, depression, parental stress or general health.

Abstract Image

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学校自闭症谱系社交故事试验 2 (ASSSIST-2)：社交故事™干预的实用随机对照试验，旨在解决英国小学自闭症儿童的社交和情感健康问题。

背景：自闭症儿童可能会经历心理健康、社交和情感方面的困难。卡罗尔·格雷的社会故事™是一个高度个性化的干预，提供社会信息在一个简短的个人量身定制的故事。方法：一项多站点实用聚类随机对照试验，评估4-11岁自闭症儿童的临床和成本效益。主要结果是教师在随机化6个月后完成的社会反应性量表-2，以意向治疗为基础进行分析。试验注册：ISRCTN11634810。结果：87所学校随机纳入249名儿童（干预44所学校129名儿童，常规护理43所学校120名儿童）。6个月后，干预组的社会反应性量表-2降低了1.61分（95% CI -4.18至0.96,p = 0.220），而那些至少参加了6次会议的人降低了3.37分（CACE 95% CI -6.65至-0.10,p = 0.043）。干预组的儿童比单独接受常规护理的儿童更频繁地达到他们的个人社会情感目标，这在统计学上是显著的。在其他次要结果，包括焦虑、抑郁、一般健康或父母压力方面，没有发现统计学上的显著差异。结论：Social Stories™是一种低成本、低负担的干预措施。在个人社会情感目标方面可以看到益处，但在社会反应、焦虑、抑郁、父母压力或总体健康方面没有临床明显的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child and Adolescent Mental Health PEDIATRICS-PSYCHIATRY

CiteScore

8.30

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Child and Adolescent Mental Health (CAMH) publishes high quality, peer-reviewed child and adolescent mental health services research of relevance to academics, clinicians and commissioners internationally. The journal''s principal aim is to foster evidence-based clinical practice and clinically orientated research among clinicians and health services researchers working with children and adolescents, parents and their families in relation to or with a particular interest in mental health. CAMH publishes reviews, original articles, and pilot reports of innovative approaches, interventions, clinical methods and service developments. The journal has regular sections on Measurement Issues, Innovations in Practice, Global Child Mental Health and Humanities. All published papers should be of direct relevance to mental health practitioners and clearly draw out clinical implications for the field.