MULTIPLE PEER USE OF PIVOTAL RESPONSE TRAINING TO INCREASE SOCIAL BEHAVIORS OF CLASSMATES WITH AUTISM: RESULTS FROM TRAINED AND UNTRAINED PEERS

Two children with autism and 8 typical peers participated in a study designed to replicate an earlier finding of successful social-skills intervention for children with autism using peer-implemented pivotal response training (PRT) and to assess the effects of using multiple peer trainers on generalization of treatment effects. During training, peers were taught PRT strategies using didactic instruction, modeling, role playing, and feedback. After treatment, children with autism engaged in increased levels of social behavior.     

INCREASING COMPLEX SOCIAL BEHAVIORS IN CHILDREN WITH AUTISM: EFFECTS OF PEER-IMPLEMENTED PIVOTAL RESPONSE TRAINING

Two children with autism were taught to engage in a variety of complex social behaviors using peer-implemented pivotal response training (PRT), a set of procedures designed to increase motivation and promote generalization. Typical peers were taught to implement PRT strategies by modeling, role playing, and didactic instruction. After training, peers implemented the procedures in the absence of direct supervision in a classroom environment. After the intervention, both children with autism maintained prolonged interactions with the peer, initiated play and conversations, and increased engagement in language and joint attention behaviors. In addition, teachers reported positive changes in social behavior, with the largest increases in peer-preferred social behavior. Further, these effects showed generality and maintenance. Implications of these findings are discussed.     

TRAINING PROSOCIAL BEHAVIORS TO YOUNG CHILDREN: AN ANALYSIS OF RECIPROCITY WITH UNTRAINED PEERS

We examined the effects of a social skills training package on the play behaviors of three young girls. Two children were taught to invite their peers to play and to use social amenities during their conversations with other children. A combined reversal and multiple baseline across responses design demonstrated that both children directed more social behaviors to their classroom peers after training and that these two children's play invitations were maintained in the later absence of experimental contingencies. In addition, both target children received a greater number of play invitations from their peers during the free play periods. In contrast, a third child's play invitations were not reciprocated by peers; her invitations subsequently decreased in rate after training was discontinued. An interdependent group contingency produced a reciprocal exchange of invitations between this child and her classroom peers. A reversal design demonstrated partial maintenance of subject-peer exchanges after the group intervention was discontinued. The results obtained with the three target children suggest that peer reciprocity may facilitate the maintenance of children's play invitations over time.     

Effects of Cross-Age Peer Tutoring Networks Among Students with Autism and General Education Students

In this investigation peer networks were formed consisting of students with autism and fourth grade peers. They were trained to tutor first grade students in sight word recognition. The purpose of the study was to determine if the target students could be trained effectively as tutors, to determine outcomes for the first graders, and to determine effects on social integration of network students. Effects were measured for implementation of tutoring steps, increases in sight words learned on a weekly basis for the tutees, and social interactions among network students during free time activities. Using a reversal design, with a multiple baseline component, results demonstrated higher gains on weekly pre- and posttests for first graders than control students who received classroom instruction only, successful implementation of peer tutoring steps by the network participants, and increased duration of social interaction time for the target students with autism and network companions. These findings were replicated in the following year. The peer network system for students with autism, thus not only increased their time and social engagement with typical peers but also provided a productive, socially acceptable activity for increasing academic performance for first graders exhibiting delays.     

CLASSWIDE PEER TUTORING: AN INTEGRATION STRATEGY TO IMPROVE READING SKILLS AND PROMOTE PEER INTERACTIONS AMONG STUDENTS WITH AUTISM AND GENERAL EDUCATION PEERS

A multiple baseline design across subjects with a reversal was used to examine the effects of classwide peer tutoring relative to traditional reading instruction on reading skills and social interaction time for 3 high-functioning students with autism and their typical peers in integrated, general education classrooms. Traditional reading instruction consisted largely of teacher-led instruction with individual student participation and seat work. Classwide peer tutoring consisted of 25 to 30 min of well-specified instruction in which tutor—learner pairs worked together on a classwide basis on reading fluency and comprehension skills. All students participated in 15- to 20-min unstructured free-time activities immediately following reading instruction. Results of reading assessments demonstrated that classwide peer tutoring increased reading fluency and correct responses to reading comprehension questions for students with autism and their peers. The procedure further increased the total duration of free-time social interactions for students with autism and typical peers, with individual variation in performance.     

Effects of Coaching and Peer Utilization Procedures on the Withdrawn Behavior of Preschoolers

The effects of a modified coaching and peer practice procedure on the social behavior of five withdrawn preschool children were investigated. Multiple criteria were employed in the selection of subjects (3 females, 2 males). Social initiations, peer responses, and sustained interaction were recorded sequentially during pre- and post- free paly sessions in the classroom and intervention setting on both the withdrawn children and a normative comparison group. A multiple baseline across subjects and behaviors design demonstrated that the intervention was effective in increasing subject's positive verbalizations to peer as well as inviting and joining behavior. These effects were maintained in the presence of new peers, Classroom observations revealed a significant decease in subjects' rejecting peer initiations and a trend toward increased sustained interaction. The withdrawn children did not differ from the comparison group on any classroom measure at posttreatment. Observation of the withdrawn children as a group with no additional peers revealed posttreatment increases in on-task behavior only. The results suggest that, with developmentally appropriate modifications, the coaching procedure can be used effectively with preschoolers. Also, highly structured social routines appear to be a useful generalization- promoting technique for this population. Finally, preschool peers may be capable of a more extensive involvement in social skills training programs than previously recognized.     

Variation in Social Facilitation of Eating Behavior in Puppies

Observations of the play behavior of same-sex, same-age dyads of preschool children were made during 10-minute play sessions. Each of the 48 children participated both with a familiar peer and with an unfamiliar peer. The hypothesis that both boys and girls would show more interaction with familiar peers than unfamiliar peers was supported for younger girls and older boys. Younger boys seemed little influenced by the familiarity of their play companion, while older girls showed more social interaction with unfamiliar peers. Results were compared with studies that used projective techniques, and it was suggested that the effects of peer familiarity may appear earlier in actual behavior than through these techniques.     

Effects of Video Modeling and Feedback on Mothers' Implementation of Peer‐to‐Peer Manding

Children with autism spectrum disorder (ASD) exhibit deficits in appropriate requesting such as manding to peers. Experiment 1 used feedback and modeling to train three mothers to increase manding between three children with ASD and their typical siblings or peers. Video modeling and feedback increased the mother's correct implementation of the treatment but a causal relation was not established over the children's manding. Experiment 2 aimed to address the lack of functional control observed in the children's data using a partial component analysis. For one of the children there was a functional relation between the materials' location, which appeared to act as a motivating operation. When Sam's mother positioned the materials correctly his manding increased. These data indicated that a simple training protocol could be used to train caregivers to implement a complex social skill such as peer‐to‐peer interaction. Copyright © 2015 John Wiley & Sons, Ltd.     

An interest‐based intervention package to increase peer social interaction in young children with autism spectrum disorder

The literature suggests that children with autism spectrum disorder (ASD) educated in inclusive settings generally do not interact with typically developing classmates during social activities. This study assessed whether an intervention package consisting of interest‐based structured play activities involving adult instruction, modeling, and response to child questions would result in an increase in social interaction with typically developing peers. A multiple baseline design across four participants with an embedded reversal was used to demonstrate the effects of the intervention on social interaction during structured play sessions. Initiations, responses, and interactive play increased for all participants. Generalization to novel peers was observed, and treatment gains were maintained during 6‐week follow‐up sessions. Recommendations for practitioners working with children with ASD in inclusive settings and potential areas of future research are discussed.     

PROMOTING RECIPROCAL INTERACTIONS VIA PEER INCIDENTAL TEACHING

This study evaluated peer incidental teaching as a strategy for increasing reciprocal peer interactions by children with autism. Three typical preschoolers were trained as peer tutors for 3 young children with autism. During a classroom free-play session, peer tutors used incidental teaching to obtain verbal labels of preferred toys by children with autism. A multiple baseline across the 3 target children showed replicated positive effects of the intervention. Adult supervision and assistance were then faded systematically, with resulting maintenance of increased reciprocal interactions. Multiple measures of the extent and limits of generalization suggested that 1 child increased interactions in free-play periods throughout the day, but none of the children showed increases at lunch. Teacher and peer ratings supported the social validity of positive findings.     

TREATMENT OF SOCIAL BEHAVIOR IN AUTISM THROUGH THE MODIFICATION OF PIVOTAL SOCIAL SKILLS

We examined acquisition of individual social communicative behaviors and generalization across other social behaviors in 2 children with autism. The results of a multiple baseline design showed that the children's treated social behaviors improved rapidly and that there were generalized changes in untreated social behaviors. These improvements were accompanied by increases in subjective ratings of the overall appropriateness of the children's social interactions. The results suggest the possibility of identifying pivotal response classes of social communicative behavior that may facilitate the understanding of social behavior in autism as well as improve peer interactions, social integration, and social development.     

Behavioral Confirmation in Children's Interactions with Peers

This study explored the hypothesis that behavioral confirmation can occur in peer interaction as a result of children's stereotype-based expectancies about non-agemate peers. Pairs of second and fourth-grade children played a decision-making game. Before the game, one child was led to believe that his or her partner was either 2 years younger or 2 years older than himself or herself. All children varied their behavior as a function of their partners. When girls interacted with a "younger" peer they controlled the interaction, but exerted little control when interacting with an "older" peer. Boys varied their behavior as a function of their partner's label, but not in the same manner as did girls. Following the interaction, children chose easier games to play than girls who were labelled as older, suggesting that the expectations of the other child was internalized. Results are discussed in terms of the influence that expectations have on children's interactions with peers.     

TRAINING INTERACTIONAL BEHAVIORS OF ADULTS WITH DEVELOPMENTAL DISABILITIES: A SYSTEMATIC REPLICATION AND EXTENSION

This study was a replication and extension of research by Foxx, McMorrow, Bittle, and Ness (1986) that assessed generalization effects of a social skills training program on the interactional behavior of adults with developmental disabilities. Target skills were a verbal action or reaction in six skill areas that specifically addressed the participants' skill deficits. In the present study, we trained 5 adult residents of a group home across these six skill areas using the “Sorry” game format and the scoring criteria described by Foxx et al. We extended the results of Foxx et al. by (a) using pretreatment assessment procedures to identify participants' specific skill deficits, (b) training all residents in the natural environment, (c) training participant—participant interactions, (d) training participants to respond to four of the six skill areas through the use of a role-play procedure, and (e) omitting rewards, criterion levels, and self-monitoring. Additionally, the trainer in the present study modeled correct responses only as an error correction procedure during training. Similar to those of Foxx et al., our results indicated that all participants increased their use of the trained interactional behaviors during the generalization assessments in the presence of other trained peers.     

Teaching social skills to isolated children

The effects of a social skill training program on socially isolated children are reported. The training program was derived from the results of a previous study of the specific social skills that discriminated popular from unpopular children. Training effects in the present investigation were assessed on sociometric position, and on the quality, frequency, and distribution of social interaction to peers. Time-series analyses were performed on the frequency and distribution of peer interaction. Two isolated children received social skill training with an adult coach, and two isolated children spent an equivalent amount of time with an adult. Results indicated that socially isolated children in the treatment group changed significantly in sociometric position on a follow-up assessment 9 weeks after the end of the intervention, did not change in the total frequency of peer social interaction, but did redistribute their interaction to peers. The two isolated children who did not receive the treatment program did not change significantly on the total frequency of peer interaction, and tended to withdraw from peers rather than redistribute their interaction. The insensitivity of total peer interaction frequency as a measure of outcome was discussed.     

Teaching children with autism to engage in peer-directed mands using a picture exchange communication system

We evaluated differential reinforcement of alternative behavior (DRA) plus prompting to increase peer-directed mands for preferred items using a picture exchange communication system (PECS). Two nonvocal individuals with autism participated. Independent mands with a peer increased with the implementation of DRA plus prompting for both participants. In addition, peers engaged in brief social interactions following the majority of mands for leisure items. These results suggest that teaching children to use PECS with peers may be one way to increase manding and social interactions in individuals with limited or no vocal repertoire.