Effectiveness of peer-mediated intervention on social skills for children with autism spectrum disorder: a randomized controlled trial

Zhang, Beihua; Liang, Shuquan; Chen, Jingze; Chen, Lin; Chen, Weimin; Tu, Shunshun; Hu, Liang; Jiang, Huimin; Chu, Lixi

doi:10.21037/tp-22-110

Cited by 5 publications

(6 citation statements)

References 40 publications

(37 reference statements)

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“…In a recent study, Zhang et al (2022) confirmed the effectiveness of PMI on social skills of children with mild-to-moderate ASD. Conversely, those with lower cognitive functioning could not participate well in the social games proposed.…”

Section: Motor Imitation Impairments and Peer-mediated Interventions ...mentioning

confidence: 69%

From child-peer similarity in imitative behavior to matched peer-mediated interventions in autism

2023

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Self-consciousness develops through a long process, from pre-reflexive consciousness relying on body perception, to “meta” self-awareness. It emerges from the imitative experience between children and their peers. This experience linked to the capacity to test structural similarities between oneself and others, is addressed according to the concept of interpersonal affordance. We hypothesize that the opportunity for co-actors to engage in a process of interpersonal coordination is underlined by their similarity in terms of morphological, behavioral and motor features. This experience can sustain the emergence of new affordances for objects for each co-actor, as well as new affordances in terms of joint actions. We apply this idea in the context of peer-mediated interventions (PMI) in autism spectrum disorder (ASD). We argue that, in PMI, an encounter between children with autism and similar peers would foster the opportunity to engage in a spontaneous process of interpersonal coordination. This process would enable the development of self-consciousness and the emergence of perception of interpersonal, self and other’s affordances for children with autism. We conclude that metrics to assess morphological, behavioral and motor similarity should then be defined and used in future studies to test our hypothesis in children with autism versus TD children or between children with autism.

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Section: Motor Imitation Impairments and Peer-mediated Interventions ...mentioning

confidence: 69%

From child-peer similarity in imitative behavior to matched peer-mediated interventions in autism

2023

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“…Only one study included in this review was peer mediated. This study was completed in China with autistic children ages 4–12, matched to neurotypical peers trained to support social skill development over 2 months ( Zhang et al, 2022 ). Importantly, while results indicated a significant improvement in social skills, the authors noted that peer interventionists did not work well with ‘severely autistic children’( Zhang et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

“…This study was completed in China with autistic children ages 4–12, matched to neurotypical peers trained to support social skill development over 2 months ( Zhang et al, 2022 ). Importantly, while results indicated a significant improvement in social skills, the authors noted that peer interventionists did not work well with ‘severely autistic children’( Zhang et al, 2022 ). In high-income countries, peer-mediated intervention approaches for ASC have shown similar positive effect on acquisition of social skills ( DiSalvo and Oswald, 2002 ; Bass and Mulick, 2007 ).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial interventions for autistic children and adolescents delivered by non-specialists in low- and middle-income countries: a scoping review

Cherewick,

Daniel,

Shrestha

et al. 2023

Front. Psychol.

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BackgroundMost autistic individuals reside in low- and middle-income countries (LMIC) and have limited access to medical providers and specialists. Support for delivery of psychosocial interventions by non-specialists is growing to address this mental health care gap. This scoping review involved a systematic analysis of studies of non-specialist delivered psychosocial interventions for children and adolescents diagnosed with autism and living in low- and middle-income countries.MethodsThe primary objective of this review was to identify psychosocial interventions for autistic children and adolescents in LMIC delivered by non-specialists (parent, teacher, peer, community, multi-level) and to summarize resulting effects on targeted outcomes. The search strategy was completed in four databases with predetermined inclusion and exclusion criteria. The systematic search generated 3,601 articles. A total of 18 studies met inclusion/exclusion criteria. Data extraction was completed, and results summarized by; (1) participant sample; (2) intervention procedures; (3) implementation by non-specialists; (4) effect on evaluated outcomes; and (5) assessment of risk of bias. Studies examined a range of child and adolescent outcomes including assessment of communication skills, social skills, motor skills, functional and adaptive behaviors, emotional regulation, attention and engagement, sensory challenges, depression, anxiety, and quality of life. Several studies also evaluated intervention effects on family relationships, parent/caregiver stress and parent/caregiver mental health.ResultsCollectively, the 18 studies included a total of 952 ASC participants ranging in age from 2 to 16 years. Of the included studies, 8 studies were parent/caregiver-mediated, 1 study was peer-mediated, 2 studies were teacher-mediated, and 7 studies included multi-level non-specialist mediated components. Effects on evaluated outcomes are reported.ConclusionNon-specialist delivered interventions for autistic children and adolescents are effective for an array of outcomes and are particularly well suited for low- and middle-income countries. Implications for future research are discussed.

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“…Due to the complex problems faced by people with ASD, it is important to conduct further research on this subject. However, despite the considerable progress made in the field of knowledge about therapy in ASD, there are still many systemic and organizational problems that need to be solved in order to improve the diagnosis and therapy of autism (43,44).…”

Section: Discussionmentioning

confidence: 99%

Selected Methods of Therapeutic Interactions With People With Mild Symptoms of Autism Spectrum Disorder

et al. 2022

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In this review we present the behavioral aspects of interaction in people with autism spectrum disorders (ASD), taking into account some aspects of pharmacotherapy. In the treatment of people with ASD, an individual approach to emotional, social and cognitive functioning is very important. The specificity of symptoms and their severity in people with ASD results from deficits/disfunction of various areas of the brain and is associated with different levels of intelligence. This manuscript considers selected methods of interaction with ASD patients with normal IQ. Due to the different ways of functioning, these people often find it difficult to adapt to social expectations. The most important thing is to understand their perception of themselves and the world around them in order to support them in coping with the daily challenges. Due to the increasing problem, more and more attention is being focused on early detection of ASD, what allows to intervene as fast as possible and in consequence affect the quality of life of people with this dysfunctions. However, participants with mild autism symptoms are still difficult to diagnose in the practice. The effectiveness of the therapy depends largely on the cooperation of educational institutions. It is also necessary to contact specialist clinics, including a mental health counseling center. However, in the case of children and adolescents, the cooperation between the therapist and their parents is the basis. Systemic family therapy is also important in adults with ASD. An overview of the methods of therapeutic interactions in ASD, what may be helpful in diagnosing of mild ASD, were presented in our manuscript.

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Effectiveness of peer-mediated intervention on social skills for children with autism spectrum disorder: a randomized controlled trial

Cited by 5 publications

References 40 publications

From child-peer similarity in imitative behavior to matched peer-mediated interventions in autism

From child-peer similarity in imitative behavior to matched peer-mediated interventions in autism

Psychosocial interventions for autistic children and adolescents delivered by non-specialists in low- and middle-income countries: a scoping review

Selected Methods of Therapeutic Interactions With People With Mild Symptoms of Autism Spectrum Disorder

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