Evidence-based social skills training for individuals with autism spectrum disorder (ASD) is manualized, using multiple strategies, including direct instruction and modeling. Declining effect sizes over time, and measurement limitations, raise questions about the success in transitions from formal training to application of learned skills in naturalistic settings. The objectives of this presentation are to: 1) create online, personalized peer groups for children with ASD to implement acquired social skills; and 2) propose novel methods to measure children's social skills. Twelve participants with ASD completed 4 sessions in 4 weeks. Prior to joining, each participant was prescreened and grouped with others based on similar communication level and interests/hobbies. Participants joined their 60-minute online video group of 5 to 7 typical and ASD youth, led by a moderator trained by a board-certified behavioral analyst. They freely engaged in conversations and activities. Sessions were recorded and individually analyzed to assess social engagement (eg, time in session, percentage of sessions attended, percentage of time speaking), the amount of initiated or sustained conversation (eg, number of times talked, total talk duration), and the overall quality of reciprocity (eg, time vocalizing, wait time before speaking). Youth (median age = 15.9 years, interquartile range [IQR] 14-21; 75% male) participated in the groups. There was a 3.6% increase in the percentage of the session attended (ie, staying on camera), and a 2-minute decrease in total talk duration. An increase in the number of times talked and the percentage of speaking was also observed. Overall, the equity of voice became more evenly distributed, and the number of times a participant reflected before responding increased from 76 to 101 times during a 1-hour session in 1 peer group. Our results suggest that an online peer group provides an opportunity for children with ASD to effectively practice the application of acquired social skills, measured by novel objective tools.
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