A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)

Abstract Background This study examines the effectiveness of the culturally adapted Dutch version of The Program for the Education and Enrichment of Relational Skills (PEERS®), utilizing a randomized control trial (RCT) with an active treatment control condition. Methods 106 adolescents with ASD, ag...

Full description

Bibliographic Details
Main Authors: Sakinah Idris, Bjorn Jaime van Pelt, Gabrine Jagersma, Jorieke Duvekot, Athanasios Maras, Jan van der Ende, Neeltje van Haren, Kirstin Greaves-Lord
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-022-03913-3
_version_ 1828400008713469952
author Sakinah Idris
Bjorn Jaime van Pelt
Gabrine Jagersma
Jorieke Duvekot
Athanasios Maras
Jan van der Ende
Neeltje van Haren
Kirstin Greaves-Lord
author_facet Sakinah Idris
Bjorn Jaime van Pelt
Gabrine Jagersma
Jorieke Duvekot
Athanasios Maras
Jan van der Ende
Neeltje van Haren
Kirstin Greaves-Lord
author_sort Sakinah Idris
collection DOAJ
description Abstract Background This study examines the effectiveness of the culturally adapted Dutch version of The Program for the Education and Enrichment of Relational Skills (PEERS®), utilizing a randomized control trial (RCT) with an active treatment control condition. Methods 106 adolescents with ASD, aged 12–18 years, were randomly assigned to one of two group interventions: the experimental condition (PEERS®; n = 54) or the active treatment control condition (Regulation, Organization and Autonomy Didactics; ROAD; n = 52). Effects of interventions on social skills were primarily assessed using an observational measure (CASS – Contextual Assessment Social Skills). Secondary indices of social skills were self, parent and teacher reported questionnaire data (i.e., Social Responsiveness Scale; SRS, and Social Skills Improvement System; SSIS). Treatment satisfaction was also obtained from adolescents and their parents. Results Results on the observational measure of social skills revealed improvements in positive affect, overall quality of rapport, as well as starting and ending a conversation, irrespective of condition. Compared to ROAD, PEERS® participants showed increased overall self-reported social skills (SSIS). Parent reports showed decreased overall social skill impairment (SRS) as well as improved social communication (SSIS subscale), with significantly more progress in the PEERS® group. Furthermore, parents of adolescents in the PEERS® group were significantly more satisfied with the intervention (M = 8.20, SD = 1.46) than parents of adolescents in the ROAD group (M = 7.52, SD = 1.45). The self-reported treatment satisfaction of adolescents did not differ between conditions. Teacher data showed decreased social skill impairment as measured with the SRS, irrespective of condition. Conclusions This study reveals promising indications that the Dutch version of PEERS® enhances social skills in adolescents with ASD. Yet, further research is needed into how effectiveness can be optimized. Trial registration Dutch trail register NTR6255 (NL6117) 08/02/2017 https://www.trialregister.nl/trial/6117
first_indexed 2024-12-10T09:24:59Z
format Article
id doaj.art-bd193f7b848d4ad8a2d99533ecfc9bc9
institution Directory Open Access Journal
issn 1471-244X
language English
last_indexed 2024-12-10T09:24:59Z
publishDate 2022-04-01
publisher BMC
record_format Article
series BMC Psychiatry
spelling doaj.art-bd193f7b848d4ad8a2d99533ecfc9bc92022-12-22T01:54:34ZengBMCBMC Psychiatry1471-244X2022-04-0122111610.1186/s12888-022-03913-3A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)Sakinah Idris0Bjorn Jaime van Pelt1Gabrine Jagersma2Jorieke Duvekot3Athanasios Maras4Jan van der Ende5Neeltje van Haren6Kirstin Greaves-Lord7Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children’s HospitalDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children’s HospitalGGZ Rivierduinen Children and Youth, Institute for Mental HealthDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children’s HospitalYulius Organization for Mental HealthDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children’s HospitalDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children’s HospitalDepartment of Child and Adolescent Psychiatry/Psychology, Erasmus MC-Sophia Children’s HospitalAbstract Background This study examines the effectiveness of the culturally adapted Dutch version of The Program for the Education and Enrichment of Relational Skills (PEERS®), utilizing a randomized control trial (RCT) with an active treatment control condition. Methods 106 adolescents with ASD, aged 12–18 years, were randomly assigned to one of two group interventions: the experimental condition (PEERS®; n = 54) or the active treatment control condition (Regulation, Organization and Autonomy Didactics; ROAD; n = 52). Effects of interventions on social skills were primarily assessed using an observational measure (CASS – Contextual Assessment Social Skills). Secondary indices of social skills were self, parent and teacher reported questionnaire data (i.e., Social Responsiveness Scale; SRS, and Social Skills Improvement System; SSIS). Treatment satisfaction was also obtained from adolescents and their parents. Results Results on the observational measure of social skills revealed improvements in positive affect, overall quality of rapport, as well as starting and ending a conversation, irrespective of condition. Compared to ROAD, PEERS® participants showed increased overall self-reported social skills (SSIS). Parent reports showed decreased overall social skill impairment (SRS) as well as improved social communication (SSIS subscale), with significantly more progress in the PEERS® group. Furthermore, parents of adolescents in the PEERS® group were significantly more satisfied with the intervention (M = 8.20, SD = 1.46) than parents of adolescents in the ROAD group (M = 7.52, SD = 1.45). The self-reported treatment satisfaction of adolescents did not differ between conditions. Teacher data showed decreased social skill impairment as measured with the SRS, irrespective of condition. Conclusions This study reveals promising indications that the Dutch version of PEERS® enhances social skills in adolescents with ASD. Yet, further research is needed into how effectiveness can be optimized. Trial registration Dutch trail register NTR6255 (NL6117) 08/02/2017 https://www.trialregister.nl/trial/6117https://doi.org/10.1186/s12888-022-03913-3Autism Spectrum DisorderAdolescencePEERS®Social skills interventionBehavioral observation
spellingShingle Sakinah Idris
Bjorn Jaime van Pelt
Gabrine Jagersma
Jorieke Duvekot
Athanasios Maras
Jan van der Ende
Neeltje van Haren
Kirstin Greaves-Lord
A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)
BMC Psychiatry
Autism Spectrum Disorder
Adolescence
PEERS®
Social skills intervention
Behavioral observation
title A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)
title_full A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)
title_fullStr A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)
title_full_unstemmed A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)
title_short A randomized controlled trial to examine the effectiveness of the Dutch version of the Program for the Education and Enrichment of Relational Skills (PEERS®)
title_sort randomized controlled trial to examine the effectiveness of the dutch version of the program for the education and enrichment of relational skills peers r
topic Autism Spectrum Disorder
Adolescence
PEERS®
Social skills intervention
Behavioral observation
url https://doi.org/10.1186/s12888-022-03913-3
work_keys_str_mv AT sakinahidris arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT bjornjaimevanpelt arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT gabrinejagersma arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT joriekeduvekot arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT athanasiosmaras arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT janvanderende arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT neeltjevanharen arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT kirstingreaveslord arandomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT sakinahidris randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT bjornjaimevanpelt randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT gabrinejagersma randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT joriekeduvekot randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT athanasiosmaras randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT janvanderende randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT neeltjevanharen randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers
AT kirstingreaveslord randomizedcontrolledtrialtoexaminetheeffectivenessofthedutchversionoftheprogramfortheeducationandenrichmentofrelationalskillspeers