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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Peers, play, and performance to build social salience in autistic youth: A multisite randomized clinical trial
Journal of consulting and clinical psychology, v 91(7), pp 411-425
01 Jul 2023
PMID: 37199977
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Individuals with autism spectrum disorder (ASD) have significant impairment in social competence and reduced social salience. SENSE Theatre, a peer-mediated, theater-based intervention has demonstrated posttreatment gains in face memory and social communication. The multisite randomized clinical trial compared the Experimental (EXP; SENSE Theatre) to an Active Control Condition (ACC; Tackling Teenage Training, TTT) at pretest, posttest, and follow-up. It was hypothesized that the EXP group would demonstrate greater incidental face memory (IFM) and better social behavior (interaction with novel peers) and social functioning (social engagement in daily life) than the ACC group, and posttest IFM would mediate the treatment effect on follow-up social behavior and functioning.
Two hundred ninety participants were randomized to EXP (
= 144) or ACC (
= 146). Per protocol sample (≥ 7/10 sessions) resulted in 207 autistic children 10-16 years. Event-related potentials measured IFM. Naive examiners measured social behavior (Vocal Expressiveness, Quality of Rapport, Social Anxiety) and functioning (Social Communication). Structural equation modeling was used to assess treatment effects.
SENSE Theatre participants showed significantly better IFM (
= .874,
= .039) at posttest, and significant indirect effects on follow-up Vocal Expressiveness
×
= .064, with 90% CI [.014, .118] and Quality of Rapport
×
= .032, with 90% CI [.002, .087] through posttest IFM.
SENSE Theatre increases social salience as reflected by IFM, which in turn affected Vocal Expressiveness and Quality of Rapport. Results indicate that a neural mechanism supporting social cognition and driven by social salience is engaged by the treatment and has a generalized, indirect effect on clinically meaningful functional outcomes related to core symptoms of autism. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Details
- Title
- Peers, play, and performance to build social salience in autistic youth: A multisite randomized clinical trial
- Creators
- Blythe A Corbett - Vanderbilt University Medical CenterSusan White - University of AlabamaMatthew Lerner - Stony Brook UniversityKristopher J Preacher - Vanderbilt UniversityMark E Klemencic - Vanderbilt University Medical CenterGrace Lee Simmons - University of AlabamaJennifer Pilkington - Vanderbilt University Medical CenterPhilip Gable - University of DelawareAyla Gioia - Stony Brook UniversityAlexandra P Key - Vanderbilt University Medical Center
- Publication Details
- Journal of consulting and clinical psychology, v 91(7), pp 411-425
- Publisher
- American Psychological Association
- Grant note
- UL1 TR000445 / NCATS NIH HHS P50 HD103537 / NICHD NIH HHS R01 MH114906 / NIMH NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000990895500001
- Scopus ID
- 2-s2.0-85163922900
- Other Identifier
- 991021862272004721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical