SLPRCTJournal of autism and developmental disorders2024

Fostering Friendship and Dating Skills Among Adults on the Autism Spectrum: A Randomized Controlled Trial of the Polish Version of the PEERS® for Young Adults Curriculum.

Mateusz Płatos, Kinga Wojaczek, Elizabeth A Laugeson

PMID 37043040

WHAT IT FOUND

PEERS workshops increased social-skills knowledge and reduced parent-reported difficulties in young adults on the autism spectrum, some already receiving medication or therapy, but did not clearly improve self-reported socializing or empathy.

Key findings

01In the main comparison, young adults who completed the PEERS workshop increased their social-skills knowledge, while waitlisted young adults did not.

02In the main comparison, parents reported fewer autism-related difficulties and fewer peer-socialization problems after treatment, while waitlisted parents reported no change or more difficulties.

03In the main comparison, the workshop did not show clear gains in self-reported get-togethers or empathy.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The main analysis used only six treated and nine waitlisted young adults, so the results are fragile. There was no blinded, independent observation of social behaviour, so the positive results rely on self-report and parent report. Some participants were also receiving individual or group psychotherapy and psychotropic medication, so the workshop cannot be credited as the only active ingredient. The pandemic changed delivery and social opportunities: seven treatment sessions were online, and restrictions may have limited get-togethers and dating practice. Dating reports were too sparse to analyse, so the study does not show whether dating skills improved. The ASRS had no adult norms, so raw scores were used rather than standardised adult comparisons. At baseline, the social-skills knowledge test did not measure knowledge well, because participants appeared to answer randomly.

The easy way to misread this

Do not conclude that PEERS alone increases real-world socializing or dating. Some participants also received medication or therapy, the treated group did not show clear gains in self-reported get-togethers or empathy, date reports were too sparse to analyse, and pandemic restrictions limited social opportunities.

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