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

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  • David Marshall
  • Barry Wright
  • Victoria Allgar
  • Joy Adamson
  • Christine Williams
  • Hannah Ainsworth
  • Liz Cook
  • Danielle Varley
  • Lisa Hackney
  • Paul Dempster
  • Shehzad Ali
  • Dominic Trepel
  • Danielle Collingridge Moore
  • Elizabeth Littlewood
  • Dean McMillan
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Article numbere011748
<mark>Journal publication date</mark>1/08/2016
<mark>Journal</mark>BMJ Open
Issue number8
Volume6
Number of pages10
Publication statusPublished
Original languageEnglish

Abstract

Objectives: To 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. Design: A single-centre, unblinded, cluster feasibility randomised controlled trial examining Social Stories delivered within a school environment compared with an attentional control. Setting: 37 primary schools in York, UK. Participants: 50 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 measures: Acceptability and feasibility of the trial, intervention and of measurements required to assess outcomes in a definitive trial. Results: An 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. Conclusions: Results 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 number: ISRCTN96286707; Results. [ABSTRACT FROM AUTHOR]