ASHA journals
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Efficacy of SC and SR intervention (Nowell et al., 2019)

journal contribution
posted on 2019-07-09, 18:49 authored by Sallie W. Nowell, Linda R. Watson, Brian Boyd, Laura G. Klinger
Purpose: This study aimed to examine the initial efficacy of a parent-assisted blended intervention combining components of Structured TEACCHing and Social Thinking, designed to increase social communication and self-regulation concept knowledge in 1st and 2nd graders (n = 17) diagnosed with autism spectrum disorder (ASD) and their parents.
Method: A randomized delayed treatment control group design with pre- and postintervention assessments of both parents and children was implemented within a community practice setting. Two follow-up assessments at 3 and 6 months postintervention were also completed.
Results: Overall, results indicate that the intervention is efficacious in teaching social communication and self-regulation concept knowledge to children with ASD and their parents. Both parents and children demonstrated an increase in social communication and self-regulation knowledge after participating in the Growing, Learning, and Living With Autism Group as compared to a delayed treatment control group. The effects of the intervention did not extend to parent–child interactions coded from video recordings. Child treatment effects were maintained at the 3- and 6-month follow-up assessments.
Conclusions: Preliminary efficacy of the Growing, Learning, and Living With Autism Group was established. Based on parent report at the conclusion of the intervention, this is a socially valid intervention for teaching social communication and self-regulation skills to school-age children with ASD.

Supplemental Material S1. The Growing Living and Learning with Autism (GoriLLA) Child Observation Protocol (COP).

Supplemental Material S2. The Gorilla Group Parent Report of Group Outcomes (PROGO).

Supplemental Material S3. GoriLLA Group treatment fidelity sample.

Supplemental Material S4. GoriLLA Group clinician quality and behavior management fidelity ratings.

Nowell, S. W., Watson, L. R., Boyd, B., & Klinger, L. G. (2019). Efficacy study of a social communication and self-regulation intervention for school-age children with autism spectrum disorder: A randomized controlled trial. Language, Speech, and Hearing Services in Schools, 50, 416–433.


This study was funded by a University of North Carolina Chapel Hill Community Engagement Fellowship awarded to Sallie Nowell. The work reported here was partially supported by the Institute of Education Sciences, U.S. Department of Education (Grants R324A100305 and R324B160038 awarded to The University of North Carolina at Chapel Hill).