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SKOLKONTAKT - Social Skills Training in a School Setting

Not Applicable
Completed
Conditions
Anxiety
Depression
Attention Deficit Hyperactivity Disorder
Autism Spectrum Disorder
Interventions
Behavioral: Social activity group
Behavioral: SKOLKONTAKT
Registration Number
NCT04302818
Lead Sponsor
Karolinska Institutet
Brief Summary

The study investigates the behavioral effects of an adapted manual-based social skills training program (SKOLKONTAKT) for the mainstream education plan delivered by school personnel, with pupils (15-20 years) with social-communication needs; either formally diagnosed (i.e. autism spectrum disorders or ADHD) or teacher-reported subclinical difficulties. N=40 are recruited from a community school in the Stockholm area (Sweden).

Detailed Description

So far, research has failed to consider the effectiveness of social skills training in school settings, and has instead focused on clinical or laboratory settings. This approach presents an interesting paradox given that the primary goal of social skills training is to affect change in the child's behavior in everyday life including school. Research undertaken in authentic everyday environments is not only more likely to result in real world outcomes for children and adolescents with ASD and ADHD, but greater utility in guiding models of service delivery. The objective of the current line of research is to adapt and evaluate methods originally designed to support children and adolescents with ASD and ADHD in clinical settings ("KONTAKT"), to be feasible and effective in school settings, that can be conducted by school personnel, and are are applicable to children with autistic and inattentive, hyperactive-impulsive disorders, as well as other less defined special social needs ("SKOLKONTAKT").

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
33
Inclusion Criteria
  • Formally diagnosed autism spectrum disorder
  • Formally diagnosed attention deficit hyperactivity disorder
  • Teacher-reported subclinical social-communication special needs
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Exclusion Criteria
  • Severe psychiatric comorbidity that challenges administration of the group-intervention, including but not limited to severe oppositional defiant disorder
  • Severe psychiatric comorbidity that makes the participant to vulnerable to participate in the group-intervention, including but not limited to suicidality, severe depression
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Active control comparison groupSocial activity groupSocial activities in a group setting.
Social skills group training SKOLKONTAKTSKOLKONTAKTManualised social skills group training.
Primary Outcome Measures
NameTimeMethod
Social Skills Group Questionnaire (SSGQ)Change in score from baseline after 12 weeks of social skills training and at 3 months follow-up. Total time frame 6 months.

Social skills (parent-, self- and (blinded) teacher-reported), higher score indicating improvement in skills

Secondary Outcome Measures
NameTimeMethod
Social Responsiveness Scale-2 (SRS-ll)Change in score from baseline immediately after the intervention (12-13 weeks after baseline) and at 3 months follow-up (24-25 weeks after baseline). Total time frame 6 months.

Autistic symptoms (parent-reported), decrease in scores indicating less clinical symptoms.

Conners 3-FChange in score from baseline immediately after the intervention (12-13 weeks after baseline) and at 3 months follow-up (24-25 weeks after baseline). Total time frame 6 months.

ADHD-related symptoms (parent-reported), decrease in scores indicating less clinical symptoms.

Negative Effects Questionnaire (NEQ)Change from baseline immediately after the intervention. Total time frame 3 months.

Record of adverse events during intervention (parent-reported).

KIDSCREEN-27 (short version)Change in score from baseline immediately after the intervention (12-13 weeks after baseline) and at 3 months follow-up (24-25 weeks after baseline).Total time frame 6 months.

Health-related Quality of Life (self-reported).

Worlds Health Organisation Disability Assessment Schedule 2.0 (WHODAS 2.0)Change in score from baseline immediately after the intervention (12-13 weeks after baseline) and at 3 months follow-up (24-25 weeks after baseline). Total time frame 6 months.

Daily functioning as affected by functional disability (parent-reported).

Goal Attainment Scaling (GAS)Change in score from baseline immediately after the intervention (12-13 weeks after baseline). Total time frame 3 months.

Personalised goal-setting (self-reported). Goal attaingment reported on a five-point scale, where higher score indicates better outcome.

Trial Locations

Locations (1)

CAP Research Center, Center of Neurodevelopmental disorders at Karolinska Institutet (KIND)

🇸🇪

Stockholm, Sweden

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