Skip to main content
Top
Published in: Trials 1/2013

Open Access 01-12-2013 | Study protocol

The group-based social skills training SOSTA-FRA in children and adolescents with high functioning autism spectrum disorder - study protocol of the randomised, multi-centre controlled SOSTA - net trial

Authors: Christine M Freitag, Hannah Cholemkery, Leyla Elsuni, Anne K Kroeger, Stephan Bender, Cornelia Ursula Kunz, Meinhard Kieser

Published in: Trials | Issue 1/2013

Login to get access

Abstract

Background

Group-based social skills training (SST) has repeatedly been recommended as treatment of choice in high-functioning autism spectrum disorder (HFASD). To date, no sufficiently powered randomised controlled trial has been performed to establish efficacy and safety of SST in children and adolescents with HFASD. In this randomised, multi-centre, controlled trial with 220 children and adolescents with HFASD it is hypothesized, that add-on group-based SST using the 12 weeks manualised SOSTA–FRA program will result in improved social responsiveness (measured by the parent rated social responsiveness scale, SRS) compared to treatment as usual (TAU). It is further expected, that parent and self reported anxiety and depressive symptoms will decline and pro-social behaviour will increase in the treatment group. A neurophysiological study in the Frankfurt HFASD subgroup will be performed pre- and post treatment to assess changes in neural function induced by SST versus TAU.

Methods/design

The SOSTA – net trial is designed as a prospective, randomised, multi-centre, controlled trial with two parallel groups. The primary outcome is change in SRS score directly after the intervention and at 3 months follow-up. Several secondary outcome measures are also obtained. The target sample consists of 220 individuals with ASD, included at the six study centres.

Discussion

This study is currently one of the largest trials on SST in children and adolescents with HFASD worldwide. Compared to recent randomised controlled studies, our study shows several advantages with regard to in- and exclusion criteria, study methods, and the therapeutic approach chosen, which can be easily implemented in non-university-based clinical settings.

Trial registration

ISRCTN94863788 – SOSTA – net: Group-based social skills training in children and adolescents with high functioning autism spectrum disorder.
Appendix
Available only for authorised users
Literature
1.
go back to reference Baird G, Simonoff E, Pickles A, Chandler S, Loucas T, Meldrum D, Charman T: Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). Lancet. 2006, 368: 210-215. 10.1016/S0140-6736(06)69041-7.CrossRefPubMed Baird G, Simonoff E, Pickles A, Chandler S, Loucas T, Meldrum D, Charman T: Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). Lancet. 2006, 368: 210-215. 10.1016/S0140-6736(06)69041-7.CrossRefPubMed
2.
go back to reference Baron-Cohen S, Scott FJ, Allison C, Williams J, Bolton P, Matthews FE, Brayne C: Prevalence of autism-spectrum conditions: UK school-based population study. Br J Psychiatry. 2009, 194: 500-509. 10.1192/bjp.bp.108.059345.CrossRefPubMed Baron-Cohen S, Scott FJ, Allison C, Williams J, Bolton P, Matthews FE, Brayne C: Prevalence of autism-spectrum conditions: UK school-based population study. Br J Psychiatry. 2009, 194: 500-509. 10.1192/bjp.bp.108.059345.CrossRefPubMed
3.
go back to reference Leyfer OT, Folstein SE, Bacalman S, Davis NO, Dinh E, Morgan J, Tager-Flusberg H, Lainhart JE: Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. J Autism Dev Disord. 2006, 36: 849-861. 10.1007/s10803-006-0123-0.CrossRefPubMed Leyfer OT, Folstein SE, Bacalman S, Davis NO, Dinh E, Morgan J, Tager-Flusberg H, Lainhart JE: Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. J Autism Dev Disord. 2006, 36: 849-861. 10.1007/s10803-006-0123-0.CrossRefPubMed
4.
go back to reference Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G: Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatry. 2008, 47: 921-929. 10.1097/CHI.0b013e318179964f.CrossRefPubMed Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G: Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatry. 2008, 47: 921-929. 10.1097/CHI.0b013e318179964f.CrossRefPubMed
5.
go back to reference Williams White SW, Koenig K, Scahill L: Social skills development in children with autism spectrum disorders: a review of the intervention research. J Autism Dev Disord. 2007, 37: 1858-1868. 10.1007/s10803-006-0320-x.CrossRefPubMed Williams White SW, Koenig K, Scahill L: Social skills development in children with autism spectrum disorders: a review of the intervention research. J Autism Dev Disord. 2007, 37: 1858-1868. 10.1007/s10803-006-0320-x.CrossRefPubMed
6.
go back to reference Rao PA, Beidel DC, Murray MJ: Social skills interventions for children with Asperger's syndrome or high-functioning autism: a review and recommendations. J Autism Dev Disord. 2008, 38: 353-361. 10.1007/s10803-007-0402-4.CrossRefPubMed Rao PA, Beidel DC, Murray MJ: Social skills interventions for children with Asperger's syndrome or high-functioning autism: a review and recommendations. J Autism Dev Disord. 2008, 38: 353-361. 10.1007/s10803-007-0402-4.CrossRefPubMed
7.
go back to reference Solomon M, Goodlin-Jones BL, Anders TF: A social adjustment enhancement intervention for high functioning autism, Asperger's syndrome, and pervasive developmental disorder NOS. J Autism Dev Disord. 2004, 34: 649-668. 10.1007/s10803-004-5286-y.CrossRefPubMed Solomon M, Goodlin-Jones BL, Anders TF: A social adjustment enhancement intervention for high functioning autism, Asperger's syndrome, and pervasive developmental disorder NOS. J Autism Dev Disord. 2004, 34: 649-668. 10.1007/s10803-004-5286-y.CrossRefPubMed
8.
go back to reference Beaumont R, Sofronoff K: A multi-component social skills intervention for children with Asperger syndrome: the Junior Detective Training Program. J Child Psychol Psychiatry. 2008, 49: 743-753. 10.1111/j.1469-7610.2008.01920.x.CrossRefPubMed Beaumont R, Sofronoff K: A multi-component social skills intervention for children with Asperger syndrome: the Junior Detective Training Program. J Child Psychol Psychiatry. 2008, 49: 743-753. 10.1111/j.1469-7610.2008.01920.x.CrossRefPubMed
9.
go back to reference DeRosier ME, Swick DC, Davis NO, McMillen JS, Matthews R: The efficacy of a Social Skills Group Intervention for improving social behaviors in children with High Functioning Autism Spectrum disorders. J Autism Dev Disord. 2011, 41: 1033-1043. 10.1007/s10803-010-1128-2.CrossRefPubMed DeRosier ME, Swick DC, Davis NO, McMillen JS, Matthews R: The efficacy of a Social Skills Group Intervention for improving social behaviors in children with High Functioning Autism Spectrum disorders. J Autism Dev Disord. 2011, 41: 1033-1043. 10.1007/s10803-010-1128-2.CrossRefPubMed
10.
go back to reference Frankel F, Myatt R, Sugar C, Whitham C, Gorospe CM, Laugeson E: A randomized controlled study of parent-assisted Children's Friendship Training with children having autism spectrum disorders. J Autism Dev Disord. 2010, 40: 827-842. 10.1007/s10803-009-0932-z.CrossRefPubMedPubMedCentral Frankel F, Myatt R, Sugar C, Whitham C, Gorospe CM, Laugeson E: A randomized controlled study of parent-assisted Children's Friendship Training with children having autism spectrum disorders. J Autism Dev Disord. 2010, 40: 827-842. 10.1007/s10803-009-0932-z.CrossRefPubMedPubMedCentral
11.
go back to reference Koenig K, White SW, Pachler M, Lau M, Lewis M, Klin A, Scahill L: Promoting social skill development in children with pervasive developmental disorders: a feasibility and efficacy study. J Autism Dev Disord. 2010, 40: 1209-1218. 10.1007/s10803-010-0979-x.CrossRefPubMed Koenig K, White SW, Pachler M, Lau M, Lewis M, Klin A, Scahill L: Promoting social skill development in children with pervasive developmental disorders: a feasibility and efficacy study. J Autism Dev Disord. 2010, 40: 1209-1218. 10.1007/s10803-010-0979-x.CrossRefPubMed
12.
go back to reference Lopata C, Thomeer ML, Volker MA, Toomey JA, Nida RE, Lee GK, Smerbeck AM, Rodgers JD: RCT of a manualized social treatment for high-functioning autism spectrum disorders. J Autism Dev Disord. 2010, 40: 1297-1310. 10.1007/s10803-010-0989-8.CrossRefPubMed Lopata C, Thomeer ML, Volker MA, Toomey JA, Nida RE, Lee GK, Smerbeck AM, Rodgers JD: RCT of a manualized social treatment for high-functioning autism spectrum disorders. J Autism Dev Disord. 2010, 40: 1297-1310. 10.1007/s10803-010-0989-8.CrossRefPubMed
13.
go back to reference Herbrecht E, Poustka F, Birnkammer S, Duketis E, Schlitt S, Schmotzer G, Bolte S: Pilot evaluation of the Frankfurt Social Skills Training for children and adolescents with autism spectrum disorder. Eur Child Adolesc Psychiatry. 2009, 18: 327-335. 10.1007/s00787-008-0734-4.CrossRefPubMed Herbrecht E, Poustka F, Birnkammer S, Duketis E, Schlitt S, Schmotzer G, Bolte S: Pilot evaluation of the Frankfurt Social Skills Training for children and adolescents with autism spectrum disorder. Eur Child Adolesc Psychiatry. 2009, 18: 327-335. 10.1007/s00787-008-0734-4.CrossRefPubMed
14.
go back to reference Tse J, Strulovitch J, Tagalakis V, Meng L, Fombonne E: Social skills training for adolescents with Asperger syndrome and high-functioning autism. J Autism Dev Disord. 2007, 37: 1960-1968. 10.1007/s10803-006-0343-3.CrossRefPubMed Tse J, Strulovitch J, Tagalakis V, Meng L, Fombonne E: Social skills training for adolescents with Asperger syndrome and high-functioning autism. J Autism Dev Disord. 2007, 37: 1960-1968. 10.1007/s10803-006-0343-3.CrossRefPubMed
15.
go back to reference Unnewehr S, Schneider S, Margraf J: Kinder-DIPS - Diagnostisches Interview bei psychischen Störungen im Kindes- und Jugendalter. 2009, Berlin: Springer Unnewehr S, Schneider S, Margraf J: Kinder-DIPS - Diagnostisches Interview bei psychischen Störungen im Kindes- und Jugendalter. 2009, Berlin: Springer
16.
go back to reference Constantino JN, Davis SA, Todd RD, Schindler MK, Gross MM, Brophy SL, Metzger LM, Shoushtari CS, Splinter R, Reich W: Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. J Autism Dev Disord. 2003, 33: 427-433. 10.1023/A:1025014929212.CrossRefPubMed Constantino JN, Davis SA, Todd RD, Schindler MK, Gross MM, Brophy SL, Metzger LM, Shoushtari CS, Splinter R, Reich W: Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. J Autism Dev Disord. 2003, 33: 427-433. 10.1023/A:1025014929212.CrossRefPubMed
17.
go back to reference Bölte S, Poustka F: Skala zur Erfassung sozialer Reaktivität. 2008, BernHuber Bölte S, Poustka F: Skala zur Erfassung sozialer Reaktivität. 2008, BernHuber
18.
go back to reference Arbeitsgruppe Deutsche Child Behavior Checklist: Deutsche Bearbeitung der Child Behavior Checklist (CBCL/4-18) - Einführung und Anleitung zur Handauswertung, 2. Auflage mit deutschen Normen. Köln: author’s print 1999 Arbeitsgruppe Deutsche Child Behavior Checklist: Deutsche Bearbeitung der Child Behavior Checklist (CBCL/4-18) - Einführung und Anleitung zur Handauswertung, 2. Auflage mit deutschen Normen. Köln: author’s print 1999
19.
go back to reference Rothenberger A, Becker A, Erhart M, Wille N, Ravens-Sieberer U: Psychometric properties of the parent strengths and difficulties questionnaire in the general population of German children and adolescents: results of the BELLA study. Eur Child Adolesc Psychiatry. 2008, 17: 99-105.CrossRefPubMed Rothenberger A, Becker A, Erhart M, Wille N, Ravens-Sieberer U: Psychometric properties of the parent strengths and difficulties questionnaire in the general population of German children and adolescents: results of the BELLA study. Eur Child Adolesc Psychiatry. 2008, 17: 99-105.CrossRefPubMed
20.
go back to reference Stiensmeier-Pelster J, Schürmann M, Duda K: DIKJ - Depressionsinventar für Kinder und Jugendliche. 2000, Göttingen: Hogrefe Stiensmeier-Pelster J, Schürmann M, Duda K: DIKJ - Depressionsinventar für Kinder und Jugendliche. 2000, Göttingen: Hogrefe
21.
go back to reference Elashoff JD: nQuery Advisor Version 7 User's Guide. 2007, Los Angeles: Statistical Solutions Elashoff JD: nQuery Advisor Version 7 User's Guide. 2007, Los Angeles: Statistical Solutions
22.
go back to reference Laugeson EA, Frankel F, Mogil C, Dillon AR: Parent-assisted social skills training to improve friendships in teens with autism spectrum disorders. J Autism Dev Disord. 2009, 39: 596-606. 10.1007/s10803-008-0664-5.CrossRefPubMed Laugeson EA, Frankel F, Mogil C, Dillon AR: Parent-assisted social skills training to improve friendships in teens with autism spectrum disorders. J Autism Dev Disord. 2009, 39: 596-606. 10.1007/s10803-008-0664-5.CrossRefPubMed
23.
go back to reference Maurer M, Hothorn L, Lehmacher W: Multiple comparisons in drug clinical trials and preclinical assays: a priori ordered hypothesis. Biometrie in der chemisch-pharmazeutischen Industrie. Volume 6. Edited by: Stuttgart VJ: Fischer. 1995, 3-12. Maurer M, Hothorn L, Lehmacher W: Multiple comparisons in drug clinical trials and preclinical assays: a priori ordered hypothesis. Biometrie in der chemisch-pharmazeutischen Industrie. Volume 6. Edited by: Stuttgart VJ: Fischer. 1995, 3-12.
24.
go back to reference Mallinckrodt CH, Lane PW, Schnell D, Peng Y, Mancuso JP: Recommendations for the primary analysis of continuous endpoints in longitudinal clinical trials. Drug Inf J. 2008, 42: 303-319. 10.1177/009286150804200402. Mallinckrodt CH, Lane PW, Schnell D, Peng Y, Mancuso JP: Recommendations for the primary analysis of continuous endpoints in longitudinal clinical trials. Drug Inf J. 2008, 42: 303-319. 10.1177/009286150804200402.
25.
go back to reference Lane P: Handling drop-out in longitudinal clinical trials: a comparison of the LOCF and MMRM approaches. Pharm Stat. 2008, 7: 93-106. 10.1002/pst.267.CrossRefPubMed Lane P: Handling drop-out in longitudinal clinical trials: a comparison of the LOCF and MMRM approaches. Pharm Stat. 2008, 7: 93-106. 10.1002/pst.267.CrossRefPubMed
26.
go back to reference Siddiqui O, Hung HM, O'Neill R: MMRM vs. LOCF: a comprehensive comparison based on simulation study and 25 NDA datasets. J Biopharm Stat. 2009, 19: 227-246. 10.1080/10543400802609797.CrossRefPubMed Siddiqui O, Hung HM, O'Neill R: MMRM vs. LOCF: a comprehensive comparison based on simulation study and 25 NDA datasets. J Biopharm Stat. 2009, 19: 227-246. 10.1080/10543400802609797.CrossRefPubMed
Metadata
Title
The group-based social skills training SOSTA-FRA in children and adolescents with high functioning autism spectrum disorder - study protocol of the randomised, multi-centre controlled SOSTA - net trial
Authors
Christine M Freitag
Hannah Cholemkery
Leyla Elsuni
Anne K Kroeger
Stephan Bender
Cornelia Ursula Kunz
Meinhard Kieser
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Trials / Issue 1/2013
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-14-6

Other articles of this Issue 1/2013

Trials 1/2013 Go to the issue