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Comparative effectiveness of an individualized goal-directed approach and nongoal-directed approach for social outcomes in adolescents with autism spectrum disorder

M. Elizabeth Kemeny, PhD, CTRS, Deborah Hutchins, EdD, FDRT, CTRS, Courtney Gramlich, CTRS, Shannon Russell, CTRS, Rachel Kerr, CTRS


A paucity of research exists with regard to the comparative benefits of individualized goal-directed recreational therapy process and a naturalistic peer-mediated approach for social skill outcomes for youth with autism spectrum disorders. Delivered in four sessions with the same type of recreational modalities with peer mentors, one group (n = 7) received an individualized goal-directed recreational therapy program while the other (n = 7) received a social group program. Measures included parent report of social skills, self-report of self-efficacy for physical activity, and real-time observation of discrete social skills. Based on the outcomes, individualized goal-directed recreational therapy using peer mentors appears to be more effective in targeting social skills and self-efficacy for physical activity than a nonindividualized naturalistic program. Recreational therapy may impact outcomes through more intentional targeting of individual goals to aid social competence and self-efficacy for physical activity.


autism spectrum disorders, adolescent, social skills, self-efficacy for physical activity, recreational therapy

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Burke SM, Shapcott KM, Carron AV, et al.: Group goal setting and group performance in a physical activity setting. Int J Sport Exerc Psychol. 2010; 8: 245-261.

Dattillo J, Rusch F: Teaching problem solving to promote self-determined leisure engagement. Ther Recreation J. 2012; 46 (2): 91-105.

Dekker V, Nauta MH, Mulder EJ, et al.: A fresh pair of eyes: A blind observation method for evaluating social skills of children with ASD in a naturalistic peer situation. J Autism Dev Disord. 2016; 46(9): 2890-2904.

Bishop-Fitzpatrick L, Hong J, Smith LE, et al.: Characterizing objective quality of life and normative outcomes in adults with autism spectrum disorder: An exploratory latent class analysis. J Autism Dev Disord. 2016; 46(8): 2707-2719.

Lorenz T, Frischling C, Cuadros R, et al.: Autism and overcoming job barriers: Comparing job-related barriers and possible solutions in and outside of autism-specific employment. PLoS ONE. 2016; 11(1): e0147040.

Obrusnikova I, Miccinello DL: Parent perceptions of factors influencing after-school physical activity of children with autism spectrum disorders. Adapt Phys Activ Q. 2012; 29: 63-80.

Orsmond GI, Wyngaarden KM, Mailick SM: Peer relationships and social and recreational activities among adolescents and adults with autism. J Autism Dev Disord. 2004; 34(4): 245-256.

Agency for Healthcare Quality Research: Interventions for adolescents and young adults with autism spectrum disorders. Com Effect Rev. 2012; 65: 1-20.

Cimera RE, Cowan RJ: The costs of services and employment outcomes achieved by adults with autism in the United States. Autism. 2009; 13(3): 285-302.

Reichow B, Volkmar F: Social skills interventions for individuals with autism: Evaluation for best-practices within a best evidence synthesis framework. J Autism Dev Disord. 2010; 40: 149-166.

Amendah D, Grosse SD, Peacock G, et al.: The economic costs of autism: A review. In: Amaral D, Dawson G, Geschwind D, ed. Autism spectrum disorders. New York: Oxford University Press. 2011, 1343-1360.

Lavelle TA, Weinstein MC, Newhouse JP, et al.: Economic burden of childhood autism spectrum disorders. Peds. 2014; 133(3): E520-E529.

Wong C, Odom SL, Hume K, et al.: Evidence-based practices for children, youth, and young adults with Autism Spectrum Disorder. Chapel Hill: The University of North Carolina, Frank Porter Graham Child Development Institute, Autism Evidence-Based Practice Review Group, 2014.

Tucker AR: Adventure-based group therapy to promote social skills in adolescents. Social Work with Groups, 2009; 32(1): 315-329.

Garcia-Villamiser DA, Dattillo J: Effects of a leisure programme on quality of life and stress of individuals with ASD. J Intellect Disabil Res. 2010; 54(7): 611-619.

Gaskell J, Janssen M: Benefits of a structured swim program for children diagnosed with autism spectrum disorder. Am J Recreat Ther. 2014; 13(1): 9-16.

Townsend J, Van Puymbroeck M: Development and evaluation of a family recreation intervention for families with an adolescent with autism spectrum disorders. Am J Recreat Ther. 2011; 11(4): 27-37.

Merrell KM: Home and Community Social Behavior Scales. Baltimore, MD: Paul H. Brookes Publishing, 2011.

Dishman R, Motl R, Sallis J et al.: Self-management strategies mediate self-efficacy and physical activity. Am J Prev Med. 2005; 29(1): 10-18.

Pan Z, Gabriels R, Dechant B, et al.: Individual differences in HPA Axis activity in youth with Autism Spectrum Disorder: Relationship to stress, anxiety, social responsiveness and adaptive skills. International Meeting of Autism Research Abstracts, Baltimore, MD, 2016.

Pisula E, Danielewicz D, Kawa R, et al.: Autism spectrum quotient, coping with stress and quality of life in a nonclinical sample. Health Qual Life Outcomes. 2015; 13: 173-184.

Plessow F, Fischer R, Kirschbaum C, et al.: Inflexibly focused under stress: Acute psychosocial stress increases shielding of action goals at the expense of reduced cognitive flexibility with increasing time lag to the stressor. J Cogn Neurosci. 2011; 23(11): 3218-3227.

Kemeny ME, Hutchins D, Cooke C: Current status of assessment in recreational therapy practice. Am J Recreat Ther. 2016; 15(4): 11-21.

Witman J, Ligon M: The status of assessment in recreation therapy: A data-based quiz. Am Ther Recreat Assoc News. 2011; 27(1): 1-4.



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