Alexandria Digital Research Library

An analysis of the efficacy and treatment trajectory of the START social skills group for adolescents with Autism Spectrum Disorder

Author:
Miller, Amber R.
Degree Grantor:
University of California, Santa Barbara. Counseling, Clinical & School Psychology
Degree Supervisor:
Ty Vernon
Place of Publication:
[Santa Barbara, Calif.]
Publisher:
University of California, Santa Barbara
Creation Date:
2016
Issued Date:
2016
Topics:
Clinical psychology
Keywords:
Group
Adolescent
Autism Spectrum Disorder
Randomized Controlled Trial
Intervention
Social Skills
Genres:
Dissertations, Academic and Online resources
Dissertation:
Ph.D.--University of California, Santa Barbara, 2016
Description:

Adolescence can be a time of new and complex social challenges and individuals with Autism Spectrum Disorder (ASD) are in need of evidence-based interventions to bolster their social skills during this critical developmental period. While a number of social skill group interventions have been developed, many of these are in need of further research evidence of their effectiveness. A literature review was conducted and identified a number of strengths and weaknesses in the currently available interventions. The START group was designed to incorporate those strengths and improve upon those weaknesses. A previous pilot study of the START group indicated that it may be an effective intervention for this population. The current study expanded on this pilot study and investigated several important questions about the START group, including its effectiveness when compared to a waitlist control group and the trajectories of improvement of participants.

Nineteen adolescents with ASD participated, and a number of outcome measures were utilized to examine social change, including parent report measures, participant self-report measures, behavioral observations, and subjective ratings. The analysis comparing the treatment and control groups resulted in large effect sizes on both the primary parent and participant measures. Other measures also exhibited small to large effect sizes. These results were not found to be statistically significant, which may be attributed to the small sample size. However, the relatively large effect sizes found indicate the clinical and social significance of this intervention. The analysis of the treatment trajectories of participants indicated that most of the outcome measures exhibited statistically significant improvement after only ten weeks of intervention.

After this initial gain, the primary parent report measure continued to exhibit statistically significant improvement throughout the duration of the treatment. Other measures indicated positive but non-significant trends toward continued improvement. Possible explanations for this treatment trajectory are discussed. The clinical implications of these findings are explored, as are future research directions.

Physical Description:
1 online resource (88 pages)
Format:
Text
Collection(s):
UCSB electronic theses and dissertations
ARK:
ark:/48907/f3w37wgk
ISBN:
9781369339536
Catalog System Number:
990047189670203776
Rights:
Inc.icon only.dark In Copyright
Copyright Holder:
Amber Miller
File Description
Access: Public access
Miller_ucsb_0035D_12976.pdf pdf (Portable Document Format)