Systematic review of the effectiveness and cultural adaptation of social skills interventions for adolescents with autism spectrum disorders in Asia

Tawankanjanachot, Nadlada; Melville, Craig; Habib, Abdullah; Truesdale, Maria; Kidd, Lisa

doi:10.1016/j.rasd.2023.102163

Cited by 5 publications

(7 citation statements)

References 70 publications

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“…Barrera and Castro (2006) suggest the steps for culturally adapting an intervention in four phases: (1) gathering of information (2) preliminary adaptation design, (3) preliminary adaptation tests, and (4) adaptation/refinement [ 31 ]. The work described in the aforementioned systematic review [ 16 ] and the current qualitative study described here align with the first phase of Barrera and Castro’s (2006) framework (gathering of information). In addition, the EVM framework was used to analyse cultural components in relation to SSIs fitting the needs of Thai adolescents with ASD.…”

Section: Methodsmentioning

confidence: 85%

“…The sampling frame for HPs was grounded in the context of the current staff mix at the hospital and was used to ensure representation from different professional groups within the HPs sample that would have experience or an understanding of SSIs for adolescents with ASD (Table 2 ). The author’s previous systematic review identified that HPs (all career in Table 2 ) were the key people involved in the delivery of SSIs for adolescents with ASD [ 16 ]. Consequently, these staff have experience of implementing SSIs and can give information about what SSIs will look like and any issues relevant to Thai culture that they have experienced previously that might influence the acceptability or effectiveness of these for adolescents with ASD in Thailand [ 40 , 41 ].…”

Section: Methodsmentioning

confidence: 99%

“…Evidence of the effectiveness of SSIs for adolescents with ASD in non-Western countries, however, is more limited. A recent systematic review of SSIs for adolescents with ASD in Asia, conducted by the author [ 16 ], highlighted that although some interventions have been found to be effective, there is a need for further research to explore how interventions align with the cultural norms and expectations of people living in non-Western countries and their subsequent effectiveness in improving outcomes such as social competence [ 4 , 12 ], quality of life and emotion regulation [ 13 ] The review also used the Ecological Validity Model (EVM) [ 17 ], which provides a structure for understanding what can be adapted in the delivery and content of an intervention (details shown in Table 1 ). It served as a framework to investigate the extent to which existing SSIs have been culturally adapted for adolescents with ASD in Asian countries.…”

Section: Introductionmentioning

confidence: 99%

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Social skills interventions for Thai adolescents with Autism Spectrum Disorder (ASD): a qualitative study of the perceptions and experiences of Thai adolescents, their caregivers and healthcare professionals

Tawankanjanachot,

Truesdale,

Orachon

et al. 2024

Int J Ment Health Syst

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Background Social skills interventions (SSIs) are effective for enhancing social skills and decreasing mental health problems in adolescents with autism spectrum disorder (ASD). However, these interventions have been designed and their effectiveness has been established in Western countries. Lack of culturally acceptable SSIs for Asian nations is a possible barrier to implementing effective and tailored interventions that address the unique requirements of ASD individuals across countries and cultures. This study aims to explore the needs and preferences of adolescents with ASD, their caregivers, and healthcare professionals (HPs) in Thailand regarding the components, delivery formats, and cultural adaptation required for an outpatient-based social skills intervention. Methods Qualitative data was collected via three focus groups of HPs (n = 20) and 24 paired interviews with adolescents with ASD and their caregivers from a child psychiatric hospital in Thailand. Purposive sampling was employed, and thematic analysis was used to analyse the data. Results Nine themes emerged from the data generated by HPs, and seven from adolescents with ASD and their caregivers. SSIs for Thai adolescents with ASD and their caregivers should emphasise specific social skills training and assess the abilities of adolescents as required. Incorporating various learning strategies is important. Parental involvement is essential and provides knowledge of an adolescent’s symptoms and coaching skills, which are best used to support their adolescents. Cultural considerations include the need for social knowledge of Thai culture, promoting assertiveness and praising parents’ abilities, implementing a programme in time to not interrupt academic achievement, and renaming a programme from social skills intervention to social communication intervention. Barriers to implementing a programme included HPs’ need for specialised training and education and decreased workload. Also, the caregivers’ and adolescents’ stigma reduced attendance in a programme. Increased extra compensation and relocation days off are provided as policy support for staff who deliver the intervention. Conclusion The results suggest that SSIs for Thai adolescents with ASD should be tailored to meet the needs for specific knowledge, skills, and parental collaboration as coaches for their adolescents. Additionally, it should incorporate Thai culture. It is necessary to consider staff knowledge, workload, and stigma in order to reduce barriers to implementation in practice.

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Section: Methodsmentioning

confidence: 85%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Social skills interventions for Thai adolescents with Autism Spectrum Disorder (ASD): a qualitative study of the perceptions and experiences of Thai adolescents, their caregivers and healthcare professionals

Tawankanjanachot,

Truesdale,

Orachon

et al. 2024

Int J Ment Health Syst

Self Cite

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“…A number of studies have demonstrated that the social skills interventions can improve social competence and quality of life for individuals with ASD [4]. These studies can be divided into three categories.…”

Section: Introductionmentioning

confidence: 99%

“…In the past decade, researchers have confirmed the correlation between ToM and social interaction and considered ToM a vital strategy to enhance social communication and interaction skills [4]. Apperly [21] suggested that superior theory of mind performance benefits social competence over and above any influence of general cognitive factors (e.g., language, executive function).…”

Section: Introductionmentioning

confidence: 99%

Examining the Effects of Theory of Mind and Social Skills Training on Social Competence in Adolescents with Autism

Ma,

Mao,

Xie

et al. 2023

Behavioral Sciences

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Individuals with autism spectrum disorders (ASD) have impairment in interpreting emotional communication and the mental states of others, which limits their social competence. Mounting evidence has suggested that theory of mind (ToM) is a vital strategy to enhance social communication and interaction skills of children with ASD. However, very little research has looked at how ToM and social skills training affect social competence in adolescents with autism. This study examined the effectiveness of an intervention program, ToM-SS, which integrated the ToM and social skills training to improve the social competence of three adolescents with autism. A multiple baseline across behaviors design was adopted to evaluate the participants’ learning outcomes and demonstrated a functional relationship between intervention and skill mastery. Results show that the intervention produced substantial improvements in students’ acquisition of ToM (e.g., seeing leads to knowing and identifying desire-based and context-based emotions) and targeted social skills (e.g., praising others, expressing emotion and seeking help). Feedback and comments from teachers and parents also indicate good social validity of the intervention program.

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Examining the Efficacy of Culturally Responsive Interventions for Autistic Children and Their Families: A Meta-Analysis

Lee,

Kang,

Terol

et al. 2024

J Autism Dev Disord

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Systematic review of the effectiveness and cultural adaptation of social skills interventions for adolescents with autism spectrum disorders in Asia

Cited by 5 publications

References 70 publications

Social skills interventions for Thai adolescents with Autism Spectrum Disorder (ASD): a qualitative study of the perceptions and experiences of Thai adolescents, their caregivers and healthcare professionals

Social skills interventions for Thai adolescents with Autism Spectrum Disorder (ASD): a qualitative study of the perceptions and experiences of Thai adolescents, their caregivers and healthcare professionals

Examining the Effects of Theory of Mind and Social Skills Training on Social Competence in Adolescents with Autism

Examining the Efficacy of Culturally Responsive Interventions for Autistic Children and Their Families: A Meta-Analysis

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