Stay-play-talk (SPT) is a peer-mediated intervention that involves training peer implementers to stay in proximity to, play with, and talk to a focal child who has disabilities or lower social competence. This systematic review and meta-analysis investigated the contexts in which SPT interventions have been conducted, the methodological adequacy of the research assessing its effects, and the outcomes for both peer implementers and focal children. Studies have primarily occurred in inclusive preschool settings during free play activities, with researchers serving as facilitators. Average effects were positive and substantial for both peer implementers and focal children, although considerable heterogeneity across studies was observed. Additional research is needed to determine what peer implementer and focal child characteristics moderate intervention success, what modifications are needed for children who have complex communication needs, and optimal procedural variations (e.g., group size, training time).
*BaldwinB. (2013). Peer-mediated intervention and technology: Mobile device application use in implementation of peer buddy training [Unpublished dissertation]. Florida State University, Tallahassee.
2.
*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.
3.
BiggsE. E.CarterE. W.GilsonC. B. (2018). Systematic review of interventions involving aided AAC modeling for children with complex communication needs. American Journal on Intellectual and Developmental Disabilities, 123, 443–473.
4.
BorensteinM.HigginsJ. P.HedgesL. V.RothsteinH. (2017). Basics of meta-analysis: I2 is not an absolute measure of heterogeneity. Research Synthesis Methods, 8, 5–18.
5.
ChanJ. M.LangR.RispoliM.O’ReillyM.SigafoosJ.ColeH. (2009). Use of peer-mediated interventions in the treatment of autism spectrum disorders: A review. Research in Autism Spectrum Disorders, 3, 876–889.
6.
ChapinS.McNaughtonD.BoyleS.BabbS. (2018). Effects of peer support interventions on the communication of preschoolers with autism spectrum disorder: A systematic review. Seminars in Speech and Language, 39, 443–457.
*EnglishK.GoldsteinH.ShaferK.KaczmarekL. (1997). Promoting interactions among preschoolers with and without disabilities: Effects of a buddy skills-training program. Exceptional Children, 63, 229–243.
9.
*GoldsteinH.EnglishK.ShaferK.KaczmarekL. (1997). Interaction among preschoolers with and without disabilities: Effects of across-the-day intervention. Journal of Speech, Language, and Hearing Research, 40, 33–48.
10.
GoldsteinH.SchneiderN.ThiemannK. (2007). Peer-mediated social communication intervention: When clinical expertise informs treatment development and evaluation. Topics in Language Disorders, 27, 182–199.
11.
IrvinD. W.BoydB. A.OdomS. L. (2015). Adult talk in the inclusive classroom and the socially competent behavior of preschoolers with autism spectrum disorder. Focus on Autism and Other Developmental Disabilities, 30, 131–142.
12.
JonesD. E.GreenbergM.CrowleyM. (2015). Early social-emotional functioning and public health: The relationship between kindergarten social competence and future wellness. American Journal of Public Health, 11, 2283–2290.
13.
*KimT. (2010). Sibling-implemented intervention for improving social interaction skills of young children who have difficulties with socialization [Unpublished dissertation]. University of Kansas, Lawrence.
14.
*LausheyK. M.HeflinL. J. (2000). Enhancing social skills of kindergarten children with autism through the training of multiple peers. Journal of Autism and Developmental Disorders, 30, 183–193.
15.
LedfordJ. R.GastD. L. (2018). Single case research methodology. Routledge.
16.
LedfordJ. R.LaneJ. D.ZimmermanK. N.ChazinK. T.AyresK. A. (2016, April). Single case analysis and review framework (SCARF). http://ebip.vkcsites.org/scarf/
17.
*MilamM. E. (2018). Stay-play-talk with preschoolers: Programming for generalization [Unpublished dissertation]. Vanderbilt University, Nashville, TN.
18.
OdomS. L.McConnellS. R.BrownW. H. (2008). Social competence of young children: Conceptualization, assessment, and influences. In BrownW. H.OdomS. L.McConnellS. R. (Eds.), Social competence of young children: Risk, disability, and intervention (pp. 3–29). Paul H. Brookes.
19.
OdomS. L.StrainP. S. (1984). Peer-mediated approaches to promoting children’s social interaction: A review. American Journal of Orthopsychiatry, 54, 544–557.
20.
OsborneK.LedfordJ. R.MartinJ.ThorneK. (2019). Component analysis of stay, play, talk interventions with and without self-monitored group contingencies. Topics in Early Childhood Special Education, 39, 5–18.
21.
PustejovskyJ. E. (2018). Using response ratios for meta-analyzing single-case designs with behavioral outcomes. Journal of School Psychology, 68, 99–112.
PustejovskyJ. E. (2019b). Procedural sensitivities of effect sizes for single-case designs with directly observed behavioral outcome measures. Psychological Methods, 24, 217–235.
24.
PustejovskyJ. E.SwanD. M. (2018). SingleCaseES: A calculator for single-case effect size indices [R package version 0.4.0.9999]. https://github.com/jepusto/SingleCaseES
25.
R Core Team (2018). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. http://www.R-project.org/
26.
*SeveriniK. E.LedfordJ. R.BartonE. E.OsborneK. (2019). Implementing stay-play-talk with children who use AAC. Topics in Early Childhood Special Education, 38, 220–233.
27.
ShadishW. R.ZelinskyN. A.VeveaJ. L.KratowchillT. R. (2016). A survey of publication practices of single-case design researchers when treatments have small or large effects. Journal of Applied Behavior Analysis, 49, 656–673.
28.
SpivakA.FarranD. (2016). Predicting first graders’ social competence from their preschool classroom interpersonal context. Early Education and Development, 6, 735–750.
29.
TincaniM.TraversJ. (2018). Publishing single-case research design studies that do not demonstrate experimental control. Remedial and Special Education, 39, 118–128.
30.
*TsaoL.OdomS. L. (2006). Sibling-mediated social interaction intervention for young children with autism. Topics in Early Childhood Special Education, 26, 106–123.
ViechtbauerW. (2010). Conducting meta-analyses in R with the metafor package. Journal of Statistical Software, 36(3), 1–48.
33.
WatkinsL.O’ReillyM.KuhnM.GevarterC.LancioniG. E.. . . LangR. (2015). A review of peer-mediated social interventions for students with autism in inclusive settings. Journal of Autism and Developmental Disorders, 45, 1070–1083.
ZimmermanK. N.LedfordJ. R. (2017). Beyond ASD: Evidence for the effectiveness of social narratives. Journal of Early Intervention, 39, 199–217.
36.
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.
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