Promoting positive relationships with peers is an important support for children who exhibit social withdrawal. Children who show extreme shyness or are identified as self-isolating are at risk for developing internalizing conditions, which can also lead to poor social and academic outcomes. These children may benefit from targeted support to develop relationships with peers. Identifying effective social interventions that support children who exhibit internalizing behaviors such as social withdrawal in preschool classrooms is a critical need. A nonconcurrent multiple baseline across three focal U.S. children design was used to test the effects of an adapted version of Stay, Play, Talk (SPT) that included peer choice on the estimated duration of social play for young children who were socially withdrawn. A functional relation was found between the implementation of SPT with peer choice and focal children’s social play. This study demonstrates that SPT with peer choice may be an effective and socially valid intervention for increasing the social play of preschoolers who are socially withdrawn in classrooms. More research is needed to better understand to what extent this adapted SPT intervention impacts children’s social networks, broader social-emotional development, and specific internalizing behaviors when implemented over a longer period.
AnticichS. A.BarrettP. M.SilvermanW.LacherezP.GilliesR. (2013). The prevention of childhood anxiety and promotion of resilience among preschool-aged children: A universal school based trial. Advances in School Mental Health Promotion, 6(2), 93–121. https://doi.org/10.1080/1754730X.2013.784616
2.
BartonE. E.LloydB. P.SpriggsA. D.GastD. L. (2018). Visual analysis of graphic data. In GastD. L.LedfordJ. R. (Eds.), Single case research methodology (pp. 179–214). Routledge.
3.
BarzevaS. A.RichardsJ. S.MeeusW. H.OldehinkelA. J. (2020). The social withdrawal and social anxiety feedback loop and the role of peer victimization and acceptance in the pathways. Development and Psychopathology, 32(4), 1402–1417. https://doi.org/10.1017/S0954579419001354
4.
BlairK. S. C.FoxL.LentiniR. (2010). Use of positive behavior support to address the challenging behavior of young children within a community early childhood program. Topics in Early Childhood Special Education, 30(2), 68–79. https://doi.org/10.1177/0271121410372676
5.
BrunettiM.SetteS.LongobardiE.LaghiF.CoplanR. J. (2023). Loneliness and aloneliness as mediators of the associations between social withdrawal and internalizing problems in late childhood and early adolescence. The Journal of Early Adolescence, 44(6), 790–814. https://doi.org/10.1177/02724316231207282
6.
ChowJ. C.BrodaM. D.GrangerK. L.Washington-NorteyM.SayersR.DunnD. (2023). A sociometric approach to understanding characteristics of same-and other-gender friendships in young children. Early Childhood Research Quarterly, 62, 385–393. https://doi.org/10.1016/j.ecresq.2022.09.009
7.
CillessenA. H. N.BellmoreA. (2022). Social competence in interactions with peers. In SmithP. K.HartC. H. (Eds.), The Wiley-Blackwell handbook of childhood social development (3rd ed., pp. 520–537). Wiley.
8.
CoyleS.ClarkK. (2022). Adolescent internalizing problems and social support: Contextual compensation between sources and settings. School Mental Health, 14(2), 294–305. https://doi.org/10.1007/s12310-022-09509-2
DriscollK. C.PiantaR. C. (2010). Banking time in head start: Early efficacy of an intervention designed to promote supportive teacher–child relationships. Early Education and Development, 21(1), 38–64. https://doi.org/10.1080/10409280802657449
12.
EisenbergS. A.ShenB. J.SchwarzE. R.MallonS. (2012). Avoidant coping moderates the association between anxiety and patient-rated physical functioning in heart failure patients. Journal of Behavioral Medicine, 35, 253–261.
13.
EnglishK.GoldsteinH.ShaferK.KaczmarekL. (1997). Promoting interactions among preschoolers with and without disabilities: Effects of a buddy skills-training program. Exceptional Children, 63(2), 229–243. https://doi.org/10.1177/001440299706300206
14.
FrenkelT. I.FoxN. A.PineD. S.WalkerO. L.DegnanK. A.Chronis-TuscanoA. (2015). Early childhood behavioral inhibition, adult psychopathology and the buffering effects of adolescent social networks: A twenty-year prospective study. Journal of Child Psychology and Psychiatry, 56(10), 1065–1073. https://doi.org/10.1111/jcpp.12390
15.
GoldsteinH.EnglishK.ShaferK.KaczmarekL. (1997). Interaction among preschoolers with and without disabilities: Effects of across-the-day peer intervention. Journal of Speech, Language, and Hearing Research, 40(1), 33–48. https://doi.org/10.1044/jslhr.4001.33
16.
GoldsteinH.SchneiderN.ThiemannK. (2007). Peer-mediated social communication intervention: When clinical expertise informs treatment development and evaluation. Topics in Language Disorders, 27(2), 182–199. https://doi.org/10.1097/01.TLD.0000269932.26504.a8
17.
GreshamF. M.KernL. (2004). Internalizing behavior problems in children and adolescents. In RutherfordR. B.QuinnM. M.MathurS. R. (Eds.), Handbook of research in emotional and behavioral disorders (pp. 262–281). The Guilford Press.
18.
GunningC.BreathnachÓ.HollowayJ.McTiernanA.MaloneB. (2019). A systematic review of peer-mediated interventions for preschool children with autism spectrum disorder in inclusive settings. Review Journal of Autism and Developmental Disorders, 6, 40–62. https://doi.org/10.1007/s40489-018-0153-5
19.
HemmeterM. L.FoxL.SnyderP. S. (2014). Teaching Pyramid Observation Tool for preschool classrooms (TPOT™) (Research ed.). Paul H. Brookes.
20.
Kamper-DeMarcoK. E.ShankmanJ.FeareyE.LawrenceH. R.Schwartz-MetteR. A. (2020). Linking social skills and adjustment. In ErdleyC. A.NangleD. W.Schwartz-MetteR. (Eds.), Social skills across the life span (pp. 47–66). Academic Press.
21.
KatzE.GirolamettoL. (2013). Peer-mediated intervention for preschoolers with ASD implemented in early childhood education settings. Topics in Early Childhood Special Education, 33(3), 133–143. https://doi.org/10.1177/0271121413484972
22.
Kopala-SibleyD. C.KleinD. N. (2017). Distinguishing types of social withdrawal in children: Internalizing and externalizing outcomes of conflicted shyness versus social disinterest across childhood. Journal of Research in Personality, 67, 27–35. https://doi.org/10.1016/j.jrp.2016.01.003
23.
LedfordJ. R.PustejovskyJ. E. (2021). Systematic review and meta-analysis of stay-play-talk interventions for improving social behaviors of young children. Journal of Positive Behavior Interventions, 25(1), 65–77. https://doi.org/10.1177/1098300720983521
24.
LedfordJ. R.ZimmermanK. N. (2022). Rethinking rigor in multiple baseline designs across participants. https://osf.io/e98nw/
25.
LiuJ.BowkerJ. C.CoplanR. J.YangP.LiD.ChenX. (2019). Evaluating links among shyness, peer relations, and internalizing problems in Chinese young adolescents. Journal of Research on Adolescence, 29(3), 696–709. https://doi.org/10.1111/jora.12406
26.
LiuJ.CoplanR. J.ChenX.LiD.DingX.ZhouY. (2014). Unsociability and shyness in Chinese children: Concurrent and predictive relations with indices of adjustment. Social Development, 23(1), 119–136. https://doi.org/10.1111/sode.12034
27.
MerrellK. W. (2003). Preschool and Kindergarten Behavior Scales (2nd ed.). PRO·ED.
28.
MilamM. E.HemmeterM. L.BartonE. E. (2021). The effects of systematic instruction on preschoolers’ use of stay-play-talk with their peers with social delays. Journal of Early Intervention, 43(1), 80–96. https://doi.org/10.1177/1053815119900253
29.
MissallK.Artman-MeekerK.RobertsC.LudemanS. (2021). Implementing multitiered systems of support in preschool: Begin with universal screening. Young Exceptional Children, 24(4), 213–224. https://doi.org/10.1177/1096250620931807
30.
NeitzelJ.WoleryM. (2009). Steps for implementation: Least-to-most prompts. National Professional Development Center on Autism Spectrum Disorders, Frank Porter Graham Child Development Institute, The University of North Carolina.
31.
OdomS. L.StrainP. S. (1984). Peer-mediated approaches to promoting children’s social interaction: A review. American Journal of Orthopsychiatry, 54(4), 544–557. https://doi.org/10.1111/j.1939-0025.1984.tb01525.x
32.
RaverC. C.JonesS. M.Li-GriningC.ZhaiF.MetzgerM. W.SolomonB. (2009). Targeting children’s behavior problems in preschool classrooms: A cluster-randomized controlled trial. Journal of Consulting and Clinical Psychology, 77(2), 302–316. https://doi.org/10.1037/a0015302
33.
RubinK. H.BegleA. S.McDonaldK. L. (2012). Peer relations and social competence in childhood. In AndersonV.BeauchampM. H. (Eds.), Developmental social neuroscience and childhood brain insult: Theory and practice (pp. 23–44). The Guilford Press.
34.
RudolphK. D.Troop-GordonW.FlynnM. (2009). Relational victimization predicts children’s social-cognitive and self-regulatory responses in a challenging peer context. Developmental Psychology, 45(5), 1444–1454. https://doi.org/10.1037/a0014858
35.
SetteS.ZavaF.BaumgartnerE.LaghiF.CoplanR. J. (2023). Examining links between social withdrawal subtypes and internalizing problems among Italian primary school children. European Journal of Developmental Psychology, 20(2), 268–286. https://doi.org/10.1080/17405629.2022.2086118
36.
SlocumT. A.PinkelmanS. E.JoslynP. R.NicholsB. (2022). Threats to internal validity in multiple-baseline design variations. Perspectives on Behavior Science, 45(3), 619–638. https://doi.org/10.1007/s40614-022-00326-1
37.
SoemarjonoF. (2022). The effects of stay play talk for children who are English language learners [Unpublished Master’s Thesis]. Department of Special Education, Vanderbilt University.
38.
StrainP. S.BoveyE. H.II. (2011). Randomized, controlled trial of the LEAP model of early intervention for young children with autism spectrum disorders. Topics in Early Childhood Special Education, 31(3), 133–154. https://doi.org/10.1177/0271121411408740
39.
SutherlandK. S.ConroyM. A.AlginaJ.LadwigC.JesseeG.GyureM. (2018). Reducing child problem behaviors and improving teacher-child interactions and relationships: A randomized controlled trial of BEST in CLASS. Early Childhood Research Quarterly, 42, 31–43. https://doi.org/10.1016/j.ecresq.2017.08.001
40.
TappJ. (2003). Procoder for digital video: User manual. The John F. Kennedy Center, Vanderbilt University.
41.
TaylorA. L.HemmeterM. L., & Little, T. (2022). A systematic review of interventions for young children’s internalizing behavior [Manuscript in preparation]. Department of Special Education, Vanderbilt University.
42.
TrembathD.BalandinS.TogherL.StancliffeR. J. (2009). Peer-mediated teaching and augmentative and alternative communication for preschool-aged children with autism. Journal of Intellectual Developmental Disabilities, 34(2), 173–186. https://doi.org/10.1080/13668250902845210
43.
Wackerle-HollmanA.SpencerT. D.Artman-MeekerK.KelleyE. S.DuranL.FosterM. E. (2021). Multi-tiered system of supports in early childhood: Identifying gaps, considerations for application, and solutions. Early Childhood Research Quarterly, 56, 201–212. https://doi.org/10.1016/j.ecresq.2021.03.010
44.
WhalonK. J.ConroyM. A.MartinezJ. R.WerchB. L. (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 Developmental Disorders, 45, 1513–1531. https://doi.org/10.1007/s10803-015-2373-1
45.
WoodB. K.Cho BlairK. S.FerroJ. B. (2009). Young children with challenging behavior: Function-based assessment and intervention. Topics in Early Childhood Special Education, 29(2), 68–78. https://doi.org/10.1177/0271121409337951
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