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document
A randomized controlled trial of the Korean version of the PEERS ( ® ) parent-assisted social skills training program for teens with ASD . Impaired social functioning is a hallmark feature of autism spectrum disorder ( ASD ) , often requiring treatment throughout the life span . PEERS ( ® ) ( Program for the Education and Enrichment of Relational Skills ) is a parent-assisted social skills training for teens with ASD . Although PEERS ( ® ) has an established evidence base in improving the social skills of adolescents and young adults with ASD in North America , the efficacy of this treatment has yet to be established in cross-cultural validation trials . The objective of this study is to examine the feasibility and treatment efficacy of a Korean version of PEERS ( ® ) for enhancing social skills through a randomized controlled trial ( RCT ) .The English version of the PEERS ( ® ) Treatment Manual ( Laugeson & Frankel , 2010 ) was translated into Korean and reviewed by 21 child mental health professionals . Items identified as culturally sensitive were surveyed by 447 middle school students , and material was modified accordingly . Participants included 47 teens between 12 and 18 years of age with a diagnosis of ASD and a verbal intelligence quotient ( IQ ) ≥ 65 . Eligible teens were randomly assigned to a treatment group ( TG ) or delayed treatment control group ( CG ) . Primary outcome measures included questionnaires and direct observations quantifying social ability and problems directly related to ASD . Secondary outcome measures included scales for depressive symptoms , anxiety , and other behavioral problems . Rating scales for parental depressive symptoms and anxiety were examined to detect changes in parental psychosocial functioning throughout the PEERS ( ® ) treatment . Independent samples t-tests revealed no significant differences at baseline across the TG and CG conditions with regard to age ( 14.04 ± 1.64 and 13.54 ± 1.50 years ) , IQ ( 99.39 ± 18.09 & 100.67 ± 16.97 ) , parental education , socioeconomic status , or ASD symptoms ( p < 0.05 ) , respectively . Results for treatment outcome suggest that the TG showed significant improvement in communication and social interaction domain scores on the Autism Diagnostic Observation Schedule , interpersonal relationship and play/leisure time on the subdomain scores of the Korean version of the Vineland Adaptive Behavior Scale ( p 's < 0.01 ) , social skills knowledge total scores on the Test of Adolescent Social Skills Knowledge-Revised ( p < 0.01 ) , and decreased depressive symptoms on the Child Depression Inventory following treatment ( p < 0.05 ) . Analyses of parental outcome reveal a significant decrease in maternal state anxiety in the TG after controlling for potential confounding variables ( p < 0.05 ) . Despite cultural and linguistic differences , the PEERS ( ® ) social skills intervention appears to be efficacious for teens with ASD in Korea with modest cultural adjustment . In an RCT , participants receiving the PEERS ( ® ) treatment showed significant improvement in social skills knowledge , interpersonal skills , and play/leisure skills , as well as a decrease in depressive symptoms and ASD symptoms . This study represents one of only a few cross-cultural validation trials of an established evidence-based treatment for adolescents with ASD .
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Intervention_Pharmacological
Korean version of the PEERS ( ® )
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Intervention_Educational
parent-assisted social skills training program
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Intervention_Pharmacological
.
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Intervention_Educational
PEERS ( ® ) ( Program for the Education and Enrichment of Relational Skills )
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Intervention_Pharmacological
of a Korean version of PEERS ( ® )
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Intervention_Pharmacological
the PEERS ( ® )
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Intervention_Educational
( TG )
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Intervention_Pharmacological
or
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Intervention_Control
delayed treatment control