Social Stories in mainstream schools for children with autism spectrum disorder: a feasibility randomised controlled trial

David Marshall; Barry Wright; Victoria Allgar; Joy Adamson; Christine Williams; Hannah Ainsworth; Liz Cook; Danielle Varley; Lisa Hackney; Paul Dempster; Shehzad Ali; Dominic Trepel; Moore D Collingridge; Elizabeth Littlewood; Dean McMillan

doi:10.1136/bmjopen-2016-011748

Social Stories in mainstream schools for children with autism spectrum disorder: a feasibility randomised controlled trial

David Marshall^*, Barry Wright, Victoria Allgar, Joy Adamson, Christine Williams, Hannah Ainsworth, Liz Cook, Danielle Varley, Lisa Hackney, Paul Dempster, Shehzad Ali, Dominic Trepel, Moore D Collingridge, Elizabeth Littlewood, Dean McMillan

^*Corresponding author for this work

Peninsula Medical School

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Abstract

ObjectivesTo assess the feasibility of recruitment, retention, outcome measures and intervention training/delivery among teachers, parents and children. To calculate a sample size estimation for full trial.DesignA single-centre, unblinded, cluster feasibility randomised controlled trial examining Social Stories delivered within a school environment compared with an attentional control.Setting37 primary schools in York, UK.Participants50 participants were recruited and a cluster randomisation approach by school was examined. Participants were randomised into the treatment group (n=23) or a waiting list control group (n=27).Outcome measuresAcceptability and feasibility of the trial, intervention and of measurements required to assess outcomes in a definitive trial.ResultsAn assessment of the questionnaire completion rates indicated teachers would be most appropriate to complete the primary outcome measure. 2 outcome measures: the Social Responsiveness Scale (SRS)-2 and a goal-based measure showed both the highest levels of completion rates (above 80%) at the primary follow-up point (6 weeks postintervention) and captured relevant social and behaviour outcomes. Power calculations were based on these 2 outcome measures leading to a total proposed sample size of 180 participant groups.ConclusionsResults suggest that a future trial would be feasible to conduct and could inform the policy and practice of using Social Stories in mainstream schools.Trial registration numberISRCTN96286707; Results.

Original language	English
Pages (from-to)	e011748-e011748
Number of pages	0
Journal	BMJ Open
Volume	6
Issue number	8
Early online date	11 Aug 2016
DOIs	https://doi.org/10.1136/bmjopen-2016-011748
Publication status	Published - Aug 2016

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10.1136/bmjopen-2016-011748

Social Stories in mainstream schools for children with autism spectrum disorder a feasibility randomised controlled trial

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Marshall, D., Wright, B., Allgar, V., Adamson, J., Williams, C., Ainsworth, H., Cook, L., Varley, D., Hackney, L., Dempster, P., Ali, S., Trepel, D., Collingridge, M. D., Littlewood, E., & McMillan, D. (2016). Social Stories in mainstream schools for children with autism spectrum disorder: a feasibility randomised controlled trial. BMJ Open, 6(8), e011748-e011748. https://doi.org/10.1136/bmjopen-2016-011748

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title = "Social Stories in mainstream schools for children with autism spectrum disorder: a feasibility randomised controlled trial",

abstract = "ObjectivesTo assess the feasibility of recruitment, retention, outcome measures and intervention training/delivery among teachers, parents and children. To calculate a sample size estimation for full trial.DesignA single-centre, unblinded, cluster feasibility randomised controlled trial examining Social Stories delivered within a school environment compared with an attentional control.Setting37 primary schools in York, UK.Participants50 participants were recruited and a cluster randomisation approach by school was examined. Participants were randomised into the treatment group (n=23) or a waiting list control group (n=27).Outcome measuresAcceptability and feasibility of the trial, intervention and of measurements required to assess outcomes in a definitive trial.ResultsAn assessment of the questionnaire completion rates indicated teachers would be most appropriate to complete the primary outcome measure. 2 outcome measures: the Social Responsiveness Scale (SRS)-2 and a goal-based measure showed both the highest levels of completion rates (above 80%) at the primary follow-up point (6 weeks postintervention) and captured relevant social and behaviour outcomes. Power calculations were based on these 2 outcome measures leading to a total proposed sample size of 180 participant groups.ConclusionsResults suggest that a future trial would be feasible to conduct and could inform the policy and practice of using Social Stories in mainstream schools.Trial registration numberISRCTN96286707; Results.",

author = "David Marshall and Barry Wright and Victoria Allgar and Joy Adamson and Christine Williams and Hannah Ainsworth and Liz Cook and Danielle Varley and Lisa Hackney and Paul Dempster and Shehzad Ali and Dominic Trepel and Collingridge, {Moore D} and Elizabeth Littlewood and Dean McMillan",

year = "2016",

month = aug,

doi = "10.1136/bmjopen-2016-011748",

language = "English",

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publisher = "BMJ Publishing Group",

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Marshall, D, Wright, B, Allgar, V, Adamson, J, Williams, C, Ainsworth, H, Cook, L, Varley, D, Hackney, L, Dempster, P, Ali, S, Trepel, D, Collingridge, MD, Littlewood, E & McMillan, D 2016, 'Social Stories in mainstream schools for children with autism spectrum disorder: a feasibility randomised controlled trial', BMJ Open, vol. 6, no. 8, pp. e011748-e011748. https://doi.org/10.1136/bmjopen-2016-011748

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T1 - Social Stories in mainstream schools for children with autism spectrum disorder: a feasibility randomised controlled trial

AU - Marshall, David

AU - Wright, Barry

AU - Allgar, Victoria

AU - Adamson, Joy

AU - Williams, Christine

AU - Ainsworth, Hannah

AU - Cook, Liz

AU - Varley, Danielle

AU - Hackney, Lisa

AU - Dempster, Paul

AU - Ali, Shehzad

AU - Trepel, Dominic

AU - Collingridge, Moore D

AU - Littlewood, Elizabeth

AU - McMillan, Dean

PY - 2016/8

Y1 - 2016/8

N2 - ObjectivesTo assess the feasibility of recruitment, retention, outcome measures and intervention training/delivery among teachers, parents and children. To calculate a sample size estimation for full trial.DesignA single-centre, unblinded, cluster feasibility randomised controlled trial examining Social Stories delivered within a school environment compared with an attentional control.Setting37 primary schools in York, UK.Participants50 participants were recruited and a cluster randomisation approach by school was examined. Participants were randomised into the treatment group (n=23) or a waiting list control group (n=27).Outcome measuresAcceptability and feasibility of the trial, intervention and of measurements required to assess outcomes in a definitive trial.ResultsAn assessment of the questionnaire completion rates indicated teachers would be most appropriate to complete the primary outcome measure. 2 outcome measures: the Social Responsiveness Scale (SRS)-2 and a goal-based measure showed both the highest levels of completion rates (above 80%) at the primary follow-up point (6 weeks postintervention) and captured relevant social and behaviour outcomes. Power calculations were based on these 2 outcome measures leading to a total proposed sample size of 180 participant groups.ConclusionsResults suggest that a future trial would be feasible to conduct and could inform the policy and practice of using Social Stories in mainstream schools.Trial registration numberISRCTN96286707; Results.

AB - ObjectivesTo assess the feasibility of recruitment, retention, outcome measures and intervention training/delivery among teachers, parents and children. To calculate a sample size estimation for full trial.DesignA single-centre, unblinded, cluster feasibility randomised controlled trial examining Social Stories delivered within a school environment compared with an attentional control.Setting37 primary schools in York, UK.Participants50 participants were recruited and a cluster randomisation approach by school was examined. Participants were randomised into the treatment group (n=23) or a waiting list control group (n=27).Outcome measuresAcceptability and feasibility of the trial, intervention and of measurements required to assess outcomes in a definitive trial.ResultsAn assessment of the questionnaire completion rates indicated teachers would be most appropriate to complete the primary outcome measure. 2 outcome measures: the Social Responsiveness Scale (SRS)-2 and a goal-based measure showed both the highest levels of completion rates (above 80%) at the primary follow-up point (6 weeks postintervention) and captured relevant social and behaviour outcomes. Power calculations were based on these 2 outcome measures leading to a total proposed sample size of 180 participant groups.ConclusionsResults suggest that a future trial would be feasible to conduct and could inform the policy and practice of using Social Stories in mainstream schools.Trial registration numberISRCTN96286707; Results.

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DO - 10.1136/bmjopen-2016-011748

M3 - Article

SN - 2044-6055

VL - 6

SP - e011748-e011748

JO - BMJ Open

JF - BMJ Open

IS - 8

ER -

Social Stories in mainstream schools for children with autism spectrum disorder: a feasibility randomised controlled trial

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