You are on page 1of 8

Focus on Autism and Other

Developmental Disabilities http://foa.sagepub.com/

Using Social Stories to Teach Choice and Play Skills to Children With Autism
Leasha M. Barry and Suzanne B. Burlew
Focus Autism Other Dev Disabl 2004 19: 45
DOI: 10.1177/10883576040190010601

The online version of this article can be found at:


http://foa.sagepub.com/content/19/1/45

Published by:
Hammill Institute on Disabilities

and

http://www.sagepublications.com

Additional services and information for Focus on Autism and Other Developmental Disabilities can be found at:

Email Alerts: http://foa.sagepub.com/cgi/alerts

Subscriptions: http://foa.sagepub.com/subscriptions

Reprints: http://www.sagepub.com/journalsReprints.nav

Permissions: http://www.sagepub.com/journalsPermissions.nav

>> Version of Record - Jan 1, 2004

What is This?

Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014
Using Social Stories to Teach
Choice and Play Skills to Children
with Autism

Leasha M. Barry and Suzanne B. Burlew

Social stories have become increasingly popular for teaching appropriate behavioral Gray, 1995; Gray & Garand, 1993;
skills to children with autism, yet current literature warns that little empirical evidence is Rogers & Myles, 2001). A benefit of
available that documents the effects of this intervention. Research that does exist tar- using written text as a model for teach-
gets participants with mild to moderate disabilities. In this study, a special education ing social skills is that other people’s per-
teacher used social stories in her classroom to teach 2 children with severe autism how spectives, thoughts, and feelings can be
to make activity choices, play appropriately with materials chosen, and play appropri-
included (Cartledge & Kiarie, 2001;
ately with peers in an Exceptional Student Education (ESE) classroom. The classroom
Gray, 1995).
teacher and a teacher’s aide measured student abilities in choice-making and time
spent playing appropriately during a free-play setting. The researchers found support Using task analyses to break down be-
for the use of social stories to teach choice-making and play skills to children with havioral goals into discrete component
autism. skills, the social story describes the indi-
vidual steps of the social situation. Lan-
guage used in social stories includes the
following:

A
popular trend in special educa- Considering this caveat, there are
tion is the use of social stories or good reasons to believe that social stories 1. descriptions of environmental, social,
scripts to teach appropriate so- benefit children with autism. After de- and/or behavioral cues that a stu-
cial skills and behaviors to children with constructing social stories and examining dent can learn to identify and dis-
autism (Krantz & McClannahan, 1998; their components, it becomes evident criminate from other stimuli;
Rowe, 1999; Schuler & Wolfberg, 2000). that the strategy incorporates instruc- 2. directive statements that tell the stu-
Social stories were originally developed tional tools that are empirically based dent how to respond to the cues
to teach children with autism how to play practices in the field of special education described;
games while increasing their ability to in- and in treatment of autism specifically. 3. statements that describe other peo-
teract socially with others (Gray, 1995). These practices include social modeling ple’s thoughts, feelings, and behav-
Since their inception, social stories have (Bandura, 1971), task analysis (Engle- iors; and
been applied to several situations to teach mann & Carnine, 1982), visual aides 4. descriptions of the setting and typical
children with mild to moderate autism (Dettmer, Simpson, Myles, & Ganz, behaviors in that setting that may
and Asperger syndrome the cues and be- 2000), practice with corrective feedback help the individual recognize the
haviors they need to know to interact (Bandura, 1971), and priming (Schreib- context of the social story (Gray,
with others in a socially appropriate man- man, Whalen, & Stahmer, 2000; Wilde, 1995).
ner (Kuttler, Myles, & Carlson, 1998; Koegel, & Koegel, 1992).
Norris & Dattilo, 1999; Swaggart et al., Functioning as a social model, the so- Social stories may help children with
1995). Current literature on social sto- cial story depicts the targeted child or a autism learn behavioral goals by teaching
ries describes the potential benefits but character that the child may identify with specific component skills that can be
cautions that there is little empirical evi- and then describes that character’s be- chained together to accomplish a larger
dence demonstrating the effects of the haviors, thoughts, and feelings as he or task. Social stories code this information
strategy for children with autism (Elder, she accomplishes the behavioral goals in both words and images (Gray, 1995).
2002; Yarnall, 2000). outlined in the story (Feinberg, 2002; Combining visual cues with verbal cues

FOCUS ON AUTISM AND OTHER DEVELOPMENTAL DISABILITIES


VOLUME 19, NUMBER 1, SPRING 2004
Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014
PAGES 45–51
FOCUS ON AUTISM AND OTHER DEVELOPMENTAL DISABILITIES
46

and directives in a social story likely helps ESE class in a Florida school district. An • a play house setting with a kitchen,
children with autism understand the be- independent physician diagnosed Holly table, and phone;
havioral skills described in language with severe autism. At the initiation of • an animal station with toy animals;
(Dettmer et al., 2000; MacDuff, Krantz, the study, Holly had been in the ESE • a collection of puzzles;
& McClannahan, 1993; McClannahan class for 2 months. Holly lived in a two- • a small library of books with props to
& Krantz, 1999). parent, upper-middle-class household. help tell or retell the story;
Beyond the content of social stories, She was able to repeat any language that • a collection of toy cars; and
the method of teaching is also important. was spoken to her. Holly would follow • toy blocks.
Social stories are taught using repetition, many verbal requests, indicating that she
priming, opportunities to practice, and had receptive language skills, but would During free-play time, students in the
corrective feedback. The stories should not initiate speech, beyond yelling “No” class were asked to select a play center by
be presented to the student on a regular in protest while sticking her fingers in her either stating which center they would
basis and, using priming, should be re- ears. She could count to 100 and could like to go to or by moving a photograph
viewed with the child prior to entering a recognize approximately 100 sight words. of themselves to a photograph of the cen-
situation in which he or she can practice Holly was able to complete visual match- ter they chose. The teacher would then
the skills (Wilde et al., 1992). Prompting ing tasks and responded to visual cues. prompt them to verbally request the cen-
the student to review the social story ter by using language that matched the
when an inappropriate behavior occurs Aaron. Aaron, who lived in a two- photographs. Once their choice was
or when an appropriate behavior is ab- parent, upper-middle-class household, communicated, the students could go to
sent provides corrective feedback (Lori- was an 8-year-old student placed in the that center and play.
mer, Simpson, Myles, & Ganz, 2002). same self-contained ESE class at his par- Social stories were created using paper,
There is a small but growing body of ent’s request for a less restrictive envi- pens, a computer, and photographs. The
literature on social stories that has begun ronment. Aaron had previously been same photographs that were used to
to document benefits of the interven- placed in a self-contained, autism-only, communicate choices were incorporated
tion. This research base has focused on special day classroom. An independent in the social stories to indicate the activ-
teaching skills to children with mild or physician diagnosed Aaron with severe ity choices available to the students.
moderate autism or with Asperger syn- autism. His only documented instances
drome (Lorimer et al., 2002; Rogers & of speech occurred when he repeated
Design
Myles, 2001). The current study extends words or phrases initially spoken to him.
the research base by using social stories Aaron could not recognize any sight An ABCD multiple-baseline design across
with two children who have been diag- words but would respond to picture the two participants was used to assess
nosed with severe autism and have little prompts and was able to complete visual the effects of social story instruction on
expressive language skills beyond echo- matching tasks. Aaron exhibited several each student’s ability to independently
lalia. This study assessed the effects of so- self-stimulating behaviors, including spit- make choices and play appropriately dur-
cial stories on the choice-making skills ting, making vocalizations, and running ing free-play time in the ESE classroom.
and play behaviors of these children in a in circles. The study consisted of a baseline phase
free-play setting in an Exceptional Stu- (A); a teacher-led instructional phase (B)
dent Education (ESE) classroom. Typi- focusing on choice-making and appro-
Setting and Materials priate play with materials; a teacher-led
cally developing peers in the same setting
communicate their choice of materials The study took place in the first-grade instructional phase (C) focusing on play
and then play appropriately with those ESE classroom setting. Nine play centers with peers; and a final phase (D), in
materials and/or with peers for the 30- were established in the classroom at the which the social stories remained avail-
minute play period. The goal of the in- beginning of the school year, 2 months able but all teacher help was removed to
tervention assessed here was to provide a prior to the initiation of the study. The assess gains. The classroom teacher and a
positive behavioral support that would intervention and all observations took teacher aide collected all data for the
enable these children to participate suc- place at these play centers. The centers study, including reliability data.
cessfully in the free-play time in their were used 3 days a week for 30 minutes.
ESE classroom. The following objects or toys were avail-
Dependent Variables
able at a center:
Prompting Needed for Choice-
Method • Lego toys; Making. Prompting needed for choice-
• tape-recorded stories and a head set making was assessed using a 5-point scale
Participants for listening; rating the amount of prompting neces-
Holly. Holly was a 7-year-old first- • paper and utensils for drawing or sary for a choice to be communicated. A
grade student placed in a self-contained writing; rating of 4 was given if the participant did

Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014
VOLUME 19, NUMBER 1, SPRING 2004
47

not respond to all prompting and/or en- rect instruction was discontinued prior to written using descriptions of environ-
gaged in self-stimulatory behaviors rather beginning Phase A. Phases changed mental and behavioral cues; directive
than making a choice. A rating of 3 was when student data in choice-making re- statements; descriptions of other charac-
given if the student would not make a mained stable for two sessions or reached ters’ thoughts, feelings, and reactions,
choice but would follow teacher-led a zero level, but only if more than two where appropriate; and descriptions of
physical prompts guiding him or her to a sessions of data had been collected for the social and environmental settings in
given center. A rating of 2 was given if that phase. which the story took place. The stories
the student would make a choice after included photographs illustrating the
the teacher pointed to the pictures on the Phase A. During Phase A of the component behavioral skills and cues de-
choice board and verbally prompting the study, the classroom teacher and teach- scribed in words. Individual participants
participant to make a choice. A rating of er’s aide observed the participants and were taught using each social story
1 was given if the student made a choice recorded the level of prompting needed through repetition and opportunities for
using the choice board after receiving a to make a choice and the duration of ap- practice with corrective feedback.
direct verbal prompt. A rating of 0 was propriate play. In the classroom setting, The stories were read to the individ-
given if the student independently made the teacher would announce to the class ual participant on a daily basis through-
a choice and went to the chosen center that it was time to choose a center by say- out Phase B. After hearing the story and
without any prompting beyond the ing, “It’s center time.” The participants looking at the illustrations, the classroom
teacher-led verbal prompt given to the were in the ESE classroom environment teacher created opportunities for each
entire class that initiated center time. with peers, but multiple children were al- participant to practice the specific behav-
lowed to choose a specific center so that iors described in each story during cen-
Appropriate Play. Appropriate play choices were not limited. ter time. In this teacher-led phase, the
was defined as interacting with the mate- If a participant did not follow the gen- teacher prompted participants to practice
rials and/or peers at a given center in eral verbal prompt within 5 to 7 seconds, what they had just heard in the social
ways that same-age peers in a general ed- a verbal prompt was given specifically to story. The same prompting hierarchy
ucation classroom would typically exhibit that participant. If the participant did not used in Phase A was used to initiate the
in the same situation. However, the spe- follow that prompt within 5 to 7 sec- children’s behavioral responses. Correc-
cific definition varied with each center. onds, a gesture prompt was used. If tive feedback was used as mistakes were
For instance, appropriate play at the the participant did not follow the ges- made. The participants were asked to
Lego center was defined as manipulating ture prompt within 5 to 7 seconds, the look back at the social story to determine
Lego pieces to create larger objects; us- teacher chose a center she thought the appropriate behavior as they practiced
ing the Lego pieces or larger construc- child would enjoy and added a physical and made errors. Verbal praise was pro-
tions in imaginary play; or sorting them prompt by placing one hand on the stu- vided if the children accomplished the
by color, size, or shape. dent’s back and pointing with the other behavioral skills. The teacher and an as-
Appropriate play was measured using hand in the direction of the center. If the sistant recorded the level of prompting
duration during the 30 minutes of free- student did not follow the physical necessary for each participant to choose
play offered to the class 3 days a week. prompt to go to the center of the teach- a center, as well as his or her duration of
The timing of duration ended if (a) at- er’s choice, the student was physically appropriate play at that center.
tention, defined as looking at or touch- taken to a center.
ing the materials, stopped for longer than Once participants were at a center, the Phase C. In Phase C, we introduced
5 seconds; (b) the child left the learn- teacher and aide observed and recorded a third social story, which described how
ing center; or (c) the child initiated self- the duration of appropriate play exhib- to play with a peer and included sharing
stimulatory behaviors. ited. No intervention was used for inap- materials, taking turns, and talking to
propriate behaviors during Phase A. The a peer. The teacher’s aide read the so-
teacher would have intervened, however, cial story and looked at the illustrations
Procedures
if the participants had engaged in behav- with each participant every day during
Some of the previous interventions that iors that were dangerous to themselves or Phase C. The participants also continued
have been used in the classroom to en- others. to read the social stories initiaated in
courage participants to choose a play ac- Phase B. After hearing the story and
tivity and play appropriately are picture Phase B. In Phase B, we introduced looking at the illustrations, the classroom
schedules, picture menus, and teacher- two social stories that focused on choice- teacher created opportunities for each
led direct instruction of specific skills, in- making and appropriate play with mate- participant to practice the specific behav-
cluding choice-making and specific play rials at each learning center. The social iors described in each story during cen-
skills. The picture schedules and menus stories were illustrated using actual pho- ter time. The teacher and her aide
remained available to the participants tographs of the participants, their class- recorded the level of prompting needed
throughout the study; however, the di- room, and their peers. The stories were to make a choice and the duration of ap-

Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014
FOCUS ON AUTISM AND OTHER DEVELOPMENTAL DISABILITIES
48

propriate play exhibited by each partici- participants were not able to make inde- C were more interactive, involving activ-
pant. pendent choices. With a physical prompt, ities such as housekeeping and story
Holly would go to a center chosen by the telling. The teacher and teacher’s aide
Phase D. In Phase D, the social sto- teacher but would not play in the center. noted that in this phase, Holly began to
ries were made available in the classroom She would then run to her seat and put wait to choose a center until another stu-
and were read in the mornings. All her fingers in her ears. Aaron would not dent, Rebecca, chose her center. Holly
teacher intervention during the center go to a center at all. He engaged in would wait to see what choice Rebecca
time was discontinued. The teacher and self-stimulating behaviors such as making made and would then make the same
aide recorded the level of prompting loud chirping sounds, running in circles, choice. Aaron continued to increase his
needed to make a choice and the dura- and rattling papers. independence by requiring less intrusive
tion of appropriate play exhibited by each In Phase B, Holly was able to consis- prompts to make a choice. He also in-
participant. tently make choices after receiving only a creased his time spent playing appropri-
verbal prompt. Holly was also able to ately at a center, as shown in Figure 2. He
play with the materials she chose for increased his duration of appropriate play
Results increasing amounts of time. Aaron in- from a mean of 1 minute to more than
creased his independence by requiring 8 minutes during the course of the study.
Figure 1 illustrates the choice-making less intrusive prompts to make a choice. Aaron did not interact with peers during
performance of each participant by doc- Aaron began to increase the time he any phase of the study but would toler-
umenting the level of prompting needed spent playing appropriately at the center ate a peer playing at the same center
to make a choice. Figure 2 displays the he chose. as he.
performance of each participant on dura- Throughout Phase C, Holly demon- In Phase D, Holly continued to dem-
tion of appropriate play throughout each strated her ability to make independent onstrate her ability to make independent
phase of the study. During Phase A, the choices. The centers she chose in Phase choices and continued to increase her

FIGURE 1. Level of prompting needed for choice-making.

Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014
VOLUME 19, NUMBER 1, SPRING 2004
49
Duration of Appropriate Play in Minutes

FIGURE 2. Duration of appropriate play at center time in minutes.

time spent playing appropriately at class- playground and in classroom centers. agreement was 100% for choice-making
room centers. Aaron also continued to Aaron continued to work in the ESE and 97% for the duration of appropriate
demonstrate his ability to make choices classroom and participated in the class- play.
after receiving only a verbal prompt. He room learning centers alongside his peers
continued to be able to play at a chosen in the class. Aaron was able to indepen-
center for several minutes when his peers dently select a puzzle, put the pieces on Discussion
were also present, although he would not his desk, work the puzzle, and put the
play with the other children. puzzle away appropriately. Aaron was Both participants demonstrated gains in
also able to turn the pages of a book at ability to make independent choices and
the reading center but required an adult to play appropriately during free-play
Anecdotal Evidence From
to read the story to him. time in the ESE classroom environment.
Classroom Teachers
Holly demonstrated appropriate interac-
After the study ended, Holly was placed tive play with peers and was placed in a
Interobserver Agreement
in a general education classroom with a general education classroom as a result
tutor to assist her. Anecdotal evidence The classroom teacher and the aide col- of her newly acquired play skills. Aaron
from her new teacher was collected. Ac- lected data for both dependent variables demonstrated increased independence
cording to Holly’s general education for 33% of the sessions and then calcu- during free-play time by increasing his
teacher, Holly immediately chose two lated interobserver agreement. Interob- ability to choose a center and play with
girls in the class as friends. Although she server agreement was assessed by divid- the materials at that center appropriately.
did not initiate speech with them, she en- ing the number of agreements by the This study contributes additional em-
gaged in appropriate interaction and play. total number of opportunities to agree pirical evidence for the effectiveness of
Holly played with her new friends on the and multiplying by 100. Interobserver social story interventions for children

Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014
FOCUS ON AUTISM AND OTHER DEVELOPMENTAL DISABILITIES
50

with autism. Previous applications of so- The classroom teacher and aide col- tion, California School of Professional Psy-
cial story interventions have focused on lected reliability data and implemented chology at San Diego, 2002). Dissertation
children with mild to moderate autism. the intervention in this study. This dual Abstracts International, 62, 3797.
This study extends the research base by role is a limitation of the study; however, Gray, C. A. (1995). Teaching children with
applying the intervention with children it is realistic to expect classroom teachers autism to “read” social situations. In K. A.
Quill (Ed.), Teaching children with autism:
who experience severe autism with little and staff members who apply the inter-
Strategies to enhance communication and so-
or no language skills for communication. vention described here to also be in-
cialization (pp. 219–241). Albany, NY:
Further, this study provides an exam- volved in the evaluation of student Delmar.
ple of how a classroom teacher can assess progress in applied settings. Individual Gray, C. A., & Garand, J. D. (1993). Social
the effectiveness of a teaching strategy for evaluation of student progress is an im- stories: Improving responses of students
his or her students. For this teacher and portant component in this intervention. with autism with accurate social informa-
her two students with autism, using so- Additional research suggestions are to tion. Focus on Autistic Behavior, 8, 1–10.
cial stories effectively increased indepen- continue to investigate the benefits of so- Krantz, P. J., & McClannahan, L. E. (1998).
dent choice-making and appropriate play cial stories for children who experience Social interaction skills for children with-
skills. Individual assessment of benefits is various deficits to help discern who may autism: A script-fading procedure for be-
an important tool for special educators to benefit from the intervention and how ginning readers. Journal of Applied Behav-
understand and use in the classroom. individuals benefit differently. ior Analysis, 31, 191–202.
It is not surprising that an intervention Kuttler, L., Myles, B. S., & Carlson, J. K.
(1998). The use of social stories to reduce
that incorporates many empirically based
ABOUT THE AUTHORS precursors to tantrum behavior in a student
practices was effective. The intervention
with autism. Focus on Autistic Behavior, 13,
incorporated task analysis by breaking Leasha M. Barry, PhD, is an assistant profes- 176–182.
down play skills into component skills sor of special eduation at the University of West Lorimer, P. A., Simpson, R. L., Myles, B. S.,
and used priming by providing the social Florida. Her current interests include early in- & Ganz, J. B. (2002). The use of social sto-
stories prior to opportunities for practice tervention and the psychological health of at- ries as a preventative behavioral interven-
in center time. The social story served as risk populations and their families. Suzanne B. tion in a home setting with a child with
a model for appropriate behavior and was Burlew, MEd, is a special education elemen- autism. Journal of Positive Behavior Inter-
used as corrective feedback to teach the tary school teacher in the Pensacola, Florida, ventions, 4, 53–60.
component skills described and illus- area. Her interests include teaching methods MacDuff, G. L., Krantz, P. J., & McClanna-
trated. It is likely that using the combi- and early intervention strategies for children han, L. E. (1993). Teaching children with
with autism. Address: Leasha M. Barry, Uni- autism to use photographic activity sched-
nation of these strategies will help other
versity of West Florida, 11000 University Pkwy, ules: Maintenance and generalization of
children diagnosed with autism learn
Bldg 85-189, Pensacola, FL 32514; e-mail: complex response chains. Journal of Ap-
skills as well. The reported outcomes Lbarry@uwf.edu plied Behavior Analysis, 26, 89–97.
may have been influenced by other fac-
McClannahan, L. E., & Krantz, P. J. (1999).
tors, including cumulative effects of the
Activity schedules for children with autism.
intervention, peer modeling, and other REFERENCES
Bethesda, MD: Woodbine House.
influences present in the classroom set- Norris, C., & Dattilo, J. (1999). Evaluating
ting. These other influences should be Bandura, A. (1971). Social learning theory.
New York: General Learning Press. effects of a social story intervention on a
considered when applying the interven- young girl with autism. Focus on Autism
Cartledge, G., & Kiarie, M. W. (2001).
tion. and Other Developmental Disabilities, 14,
Learning social skills through literature for
This study contributes empirical evi- children and adolescents. Teaching Excep- 180–186.
dence to the benefits of using social sto- tional Children, 34(2), 40–47. Rogers, M. F., & Myles, B. S. (2001). Using
ries in the classroom setting. The study Dettmer, S., Simpson, R. L., Myles, B. S., & social stories and comic strip conversations
is clearly limited because only two stu- Ganz, J. B. (2000). The use of visual sup- to interpret social situations for an adoles-
dents in a single classroom were assessed. ports to facilitate transitions of students cent with Asperger syndrome. Intervention
These two students demonstrated differ- with autism. Focus on Autism and Other De- in School and Clinic, 36, 310–313.
ent levels of behavioral skill throughout velopmental Disabilities, 15, 163–169. Rowe, C. (1999). Do social stories benefit
Elder, J. H. (2002). Current treatment in children with autism in mainstream primary
the study. It is likely that attainment of
autism: Examining scientific evidence and schools? British Journal of Special Educa-
skills will vary greatly between individual
clinical implications. Journal of Neuro- tion, 26(1), 12–15.
students with autism and the severity of Schreibman, L., Whalen, C., & Stahmer, A.
science Nursing, 34(2), 28–40.
autism that they experience. Future re- (2000). The use of video priming to reduce
Englemann, S., & Carnine, D. W. (1982).
search on social stories should include Theory of instruction: Principles and appli- disruptive transition behavior in children
stronger single-case designs involving at cation. New York: Irvington. with autism. Journal of Positive Behavior In-
least three participants or a group design Feinberg, M. J. (2002). Using social stories to terventions, 2, 3–11.
with a large sample to contribute further teach specific social skills to individuals di- Schuler, A. L., & Wolfberg, P. J. (2000). Pro-
evidence of effects. agnosed with autism. (Doctoral disserta- moting peer play and socialization: The art

Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014
VOLUME 19, NUMBER 1, SPRING 2004
51

of scaffolding. In A. M. Wetherby & B. M. son, R. L. (1995). Using social stories to priming: A training manual. Santa Bar-
Prizant (Eds.), Autism spectrum disorders: teach social and behavioral skills to children bara: University of California.
A transactional developmental perspective with autism. Focus on Autistic Behavior, 10, Yarnall, P. A. (2000, November/December).
(pp. 251–277). Baltimore: Brookes. 1–16. Current interventions in autism: A brief
Swaggart, B. L., Gagnon, E., Bock, S. J., Ear- Wilde, L. D., Koegel, L. K., & Koegel, R. L. analysis. Autism Society of America, 27, 26–
les, T. L., Quinn, C., Myles, B. S., & Simp- (1992). Increasing success in school through 27.

Downloaded from foa.sagepub.com at NATIONAL CHUNG HSING UNIV on April 13, 2014

You might also like