We conducted a systematic review and summarized the outcomes of single-case research design studies conducted in the last decade that have implemented peer-mediated interventions (PMI) to address the social competence needs of children with autism spectrum disorder (ASD) younger than 8 years of age. Eighteen studies with 53 children with ASD were included. Data from those studies were extracted independently by two coders and coded for characteristics of children with ASD, characteristics of peers, characteristics of the intervention, risk of bias, and success estimate. Findings suggest that PMI are effective for increasing interactions between children with ASD and peers but may not be as effective for increasing initiations made by children with ASD or increasing responses made by children with ASD to peers’ initiations. Researchers should prioritize conducting studies that seek to promote positive interactions initiated by children with ASD, possibly by modifying PMI to include preferred stimuli identified through systematic assessments.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
2.
*BandaD. R.HartS. L. (2010). Increasing peer-to-peer social skills through direct instruction of two elementary school girls with autism. Journal of Research in Special Educational Needs, 10, 124–132. doi:10.1111/j.1471-3802.2010.01149.x
3.
*BandaD. R.HartS. L.Liu-GitzL. (2010). Impact of training peers and children with autism on social skills during center time activities in inclusive classrooms. Research in Autism Spectrum Disorders, 4, 619–625. doi:10.1016/j.rasd.2009.12.005
4.
*BarberA. B.SaffoR. W.GilpinA. T.CraftL. D.GoldsteinH. (2016). Peers as clinicians: Examining the impact of Stay Play Talk on social communication in young preschoolers with autism. Journal of Communication Disorders, 59, 1–15. doi:10.1016/j.jcomdis.2015.06.009
5.
BartonE. E.MeadanH.FettigA. (2019). Comparison of visual analysis, non-overlap methods, and effect sizes in the evaluation of parent implemented functional assessment based interventions. Research in Developmental Disabilities, 85, 31–41. doi:10.1016/j.ridd.2018.11.001
6.
BillingsleyF. F.WhiteO. R.MunsonR. (1980). Procedural reliability: A rationale and an example. Behavioral Assessment, 2, 229–241.
7.
BrownW. H.ConroyM. A. (2011). Social-emotional competence in young children with developmental delays: Our reflection and vision for the future. Journal of Early Intervention, 33, 310–320. doi:10.1177/1053815111429969
8.
ChanJ. M.LangR.RispoliM.O’ReillyM.SigafoosJ.ColeH. (2009). Use of peer-mediated interventions in the treatment of autism spectrum disorders: A systematic review. Research in Autism Spectrum Disorders, 3, 876–889. doi:10.1016/j.rasd.2009.04.003
9.
DiSalvoC. A.OswaldD. P. (2002). Peer-mediated interventions to increase the social interaction of children with autism: Consideration of peer expectancies. Focus on Autism and Other Developmental Disabilities, 17, 198–207. doi:10.1177/10883576020170040201
10.
Division for Early Childhood. (2014). DEC recommended practices in early intervention/early childhood special education 2014. Retrieved from http://www.dec-sped.org/recommendedpractices
11.
*GanzJ. B.FloresM. M. (2008). Effects of the use of visual strategies in play groups for children with autism spectrum disorders and their peers. Journal of Autism and Developmental Disorders, 38, 926–940. doi:10.1007/s10803-007-0463-4
12.
Garrison-HarrellL.KampsD.KravitsT. (1997). The effects of peer networks on social-communicative behaviors for students with autism. Focus on Autism and Other Developmental Disabilities, 12, 241–256. doi:10.1177/108835769701200406
13.
GoldsteinH.KaczmarekL.PenningtonR.ShaferK. (1992). Peer-mediated intervention: Attending to, commenting on, and acknowledging the behavior of preschoolers with autism. Journal of Applied Behavior Analysis, 25, 289–305. doi:10.1901/jaba.1992.25-289
14.
GoldsteinH.LackeyK. C.SchneiderN. J. (2014). A new framework for systematic reviews: Application to social skills interventions for preschoolers with autism. Exceptional Children, 80, 262–286.
15.
GuralnickM. J. (1992). A hierarchical model for understanding children’s peer-related social competence. In OdomS. L.McConnellS. R.McEvoyM. A. (Eds.), Social competence of young children with disabilities: Issues and strategies for intervention (pp. 37–64). Baltimore, MD: Brookes.
16.
GuralnickM. J. (2010). Early intervention approaches to enhance the peer-related social competence of young children with developmental delays. Infants & Young Children, 23, 73–83. doi:10.1097/iyc.0b013e3181d22e14
17.
*HarperC. B.SymonJ. B.FreaW. D. (2008). Recess is time-in: Using peers to improve social skills of children with autism. Journal of Autism and Developmental Disorders, 38, 815–826. doi:10.1007/s10803-007-0449-2
18.
HarrowerJ. K.DunlapG. (2001). Including children with autism in general education classrooms. Behavior Modification, 25, 762–784. doi:10.1177/0145445501255006
19.
HigginsJ. P. T.AltmanD. G. (2008). Assessing risk of bias in included studies. In HigginsJ. P. T.GreenS. (Eds.), Cochrane handbook for systematic reviews of interventions (pp. 187–242). Chichester, UK: John Wiley.
20.
*HundertJ.RoweS.HarrisonE. (2014). The combined effects of social script training and peer buddies on generalized peer interaction of children with ASD in inclusive classrooms. Focus on Autism and Other Developmental Disabilities, 29, 206–215. doi:10.1177/1088357614522288
21.
Individuals With Disabilities Education Improvement Act of 2004, Pub. L. No. 108-446, § 118 Stat. 2647 (2004).
22.
JosephJ. D.StrainP.OlszewskiA.GoldsteinH. (2016). A consumer reports-like review of the empirical literature specific to preschool children’s peer-related social skills. In ReichowB.BoydB. A.BartonE. E.OdomS. L. (Eds.), Handbook of early childhood special education (pp. 179–198). Basel, Switzerland: Springer.
23.
*JungS.SainatoD. M.DavisC. A. (2008). Using high-probability request sequences to increase social interactions in young children with autism. Journal of Early Intervention, 30, 163–187. doi:10.1177/1053815108317970
24.
*KampsD.MasonR.Thiemann-BourqueK.FeldmillerS.TurcotteA.MillerT. (2014). The use of peer networks to increase communicative acts of students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 29, 230–245. doi:10.1177/1088357614539832
25.
*KatzE.GirolamettoL. (2013). Peer-mediated intervention for preschoolers with ASD implemented in early childhood education settings. Topics in Early Childhood Special Education, 33, 133–143. doi:10.1177/0271121413484972
26.
*KatzE.GirolamettoL. (2015). Peer-mediated intervention for preschoolers with ASD: Effects on responses and initiations. International Journal of Speech-Language Pathology, 17, 565–576. doi:10.3109/17549507.2015.1024166
27.
KoegelL. K.CarterC. M.KoegelR. L. (2003). Teaching children with autism self-initiations as a pivotal response. Topics in Language Disorders, 23, 134–145. doi:10.1097/00011363-200304000-00006
28.
KoegelL. K.KuriakoseS.SinghA. K.KoegelR. L. (2012). Improving generalization of peer socialization gains in inclusive school settings using initiations training. Behavior Modification, 36, 361–377. doi:10.1177/0145445512445609
29.
*KuhnL. R.BodkinA. E.DevlinS. D.DoggettR. A. (2008). Using pivotal response training with peers in special education to facilitate play in two children with autism. Education and Training in Developmental Disabilities, 43, 37–45.
30.
*LedfordJ. R.WehbyJ. H. (2015). Teaching children with autism in small groups with students who are at-risk for academic problems: Effects on academic and social behaviors. Journal of Autism and Developmental Disorders, 45, 1624–1635. doi:10.1007/s10803-014-2317-1
31.
*LeeS. H.LeeL. W. (2015). Promoting snack time interactions of children with autism in a Malaysian preschool. Topics in Early Childhood Special Education, 35, 89–101. doi:10.1177/0271121415575272
32.
*MasonR.KampsD.TurcotteA.CoxS.FeldmillerS.MillerT. (2014). Peer mediation to increase communication and interaction at recess for students with autism spectrum disorders. Research in Autism Spectrum Disorders, 8, 334–344. doi:10.1016/j.rasd.2013.12.014
33.
McCurdyE. E.ColeC. L. (2014). Use of a peer support intervention for promoting academic engagement of students with autism in general education settings. Journal of Autism and Developmental Disorders, 44, 883–893. doi:10.1007/s10803-013-1941-5
34.
*McFaddenB.KampsD.Heitzman-PowellL. (2014). Social communication effects of peer-mediated recess intervention for children with autism. Research in Autism Spectrum Disorders, 8, 1699–1712. doi:10.1016/j.rasd.2014.08.015
35.
McLeskeyJ.LandersE.WilliamsonP.HoppeyD. (2012). Are we moving toward educating students with disabilities in less restrictive settings?The Journal of Special Education, 46, 131–140. doi:10.1177/0022466910376670
36.
McLeskeyJ.RosenbergM. S.WestlingD. L. (2013). Inclusion: Effective practice for all students (2nd ed.). Boston, MA: Pearson.
37.
NeitzelJ. (2008). Overview of peer-mediated instruction and intervention for children and youth with autism spectrum disorders. Chapel Hill: National Professional Development Center on Autism Spectrum Disorders, Frank Porter Graham Child Development Institute, The University of North Carolina.
38.
OdomS. L.CoxA. W.BrockM. E. (2013). Implementation science, professional development, and autism spectrum disorders. Exceptional Children, 79, 233–251. doi:10.1177/001440291307900207
39.
*Owen-DeSchryverJ. S.CarrE. G.CaleS. I.Blakeley-SmithA. (2008). Promoting social interactions between students with autism spectrum disorders and their peers in inclusive school settings. Focus on Autism and Other Developmental Disabilities, 23, 15–28. doi:10.1177/1088357608314370
40.
PustejovskyJ. E. (2018). Procedural sensitivities of effect sizes for single-case designs with directly observed behavioral outcome measures. Psychological Methods. Advance online publication. doi:10.1037/met0000179
41.
ReichowB.BartonE. E.MagginD. M. (2018). Development and applications of the single-case design risk of bias tool for evaluating single-case design research study reports. Research in Developmental Disabilities, 79, 53–64. doi:10.1016/j.ridd.2018.05.008
42.
ReichowB.VolkmarF. R. (2010). Social skills interventions for individuals with autism: Evaluation for evidence-based practices within a best evidence synthesis framework. Journal of Autism and Developmental Disorders, 40, 149–166. doi:10.1007/s10803-009-0842-0
43.
*SimpsonL. A.BuiY. (2016). Effects of a peer-mediated intervention on social interactions of students with low-functioning autism and perceptions of typical peers. Education and Training in Autism and Developmental Disabilities, 51, 162–178.
44.
StrainP. S.ShoresR. E.TimmM. A. (1977). Effects of peer social initiations on the behavior of withdrawn preschool children. Journal of Applied Behavior Analysis, 10, 289–298. doi:10.1901/jaba.1977.10-289
45.
ThiemannK. S.GoldsteinH. (2004). Effects of peer training and written text cueing on social communication of school-age children with pervasive developmental disorder. Journal of Speech, Language, and Hearing Research, 47, 126–144. doi:10.1044/1092-4388(2004/012)
46.
*Thiemann-BourqueK. S.McGuffS.GoldsteinH. (2017). Training peer partners to use a speech-generating device with classmates with autism spectrum disorder: Exploring communication outcomes across preschool contexts. Journal of Speech, Language, and Hearing Research, 60, 2648–2662. doi:10.1044/2017_jslhr-l-17-0049
47.
TimlerG. R.Vogler-EliasD.McGillK. F. (2007). Strategies for promoting generalization of social communication skills in preschoolers and school-aged children. Topics in Language Disorders, 27, 167–181. doi:10.1097/01.tld.0000269931.18881.90
WatkinsL.O’ReillyM.KuhnM.GevarterC.LancioniG. E.SigafoosJ.LangR. (2014). A review of peer-mediated social interaction interventions for students with autism in inclusive settings. Journal of Autism and Developmental Disorders, 45, 1070–1083. doi:10.1007/s10803-014-2264-x
50.
WhalonK.ConroyM.MartinezJ.WerchB. (2015). School-based peer-related social competence interventions for children with autism spectrum disorder: A meta-analysis and descriptive review of single case research design studies. Journal of Autism and Developmental Disorders, 45, 1513–1531. doi:10.1007/s10803-015-2373-1
51.
WoleryM.BusickM.ReichowB.BartonE. E. (2010). Comparison of overlap methods for quantitatively synthesizing single-subject data. The Journal of Special Education, 44, 18–28. doi:10.1177/0022466908328009
52.
ZhangJ.WheelerJ. J. (2011). A meta-analysis of peer-mediated interventions for young children with autism spectrum disorders. Education and Training in Autism and Developmental Disabilities, 46, 62–77.
53.
ZimmermanK. N.PustejovskyJ. E.LedfordJ. R.BartonE. E.SeveriniK. E.LloydB. P. (2018). Single-case synthesis tools II: Comparing quantitative outcome measures. Research in Developmental Disabilities, 79, 65–76. doi:10.1016/j.ridd.2018.02.001
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