The Effectiveness of Peer-Mediated Lego-Based Intervention to Improve the Social Skills of Primary School Students with ASD
DOI:
https://doi.org/10.37134/bitara.vol18.sp.8.2025Keywords:
peer-mediated, LEGO-based intervention, Autism Spectrum Disorder, integrated school, social skillsAbstract
Peer-mediated LEGO-based interventions have been a promising intervention to enhance the social skills of primary school students with ASD. This study examines the effectiveness of peer-mediated LEGO-based intervention in improving the social skills of primary school students in an integrated government school, looking into the findings, challenges, and recommendations. This LEGO-based intervention is a structured activity focusing on social initiations and responses. A total of 30 students, 10 students with ASD and 20 typically developing students, participated in a seven-week intervention that psychology students facilitated. These students were organized into ten groups, each consisting of two typically developing children and one child diagnosed with ASD. The findings showed a significant improvement in social skills regarding social responses and social initiations from the third week onwards. In addition, there was a slight decrease in the peer prompts by typically developing children post-intervention, which indicates that there are great opportunities for individuals with ASD to develop their independence. However, there are challenges faced during the intervention, which include limited resources, an unconducive environment, and time constraints. Regardless of the challenges, the findings showed a significant increase in social skills among primary school students with ASD. The results have implications that notify important authorities, such as educators and practitioners, to advocate for having a structured social skill intervention accommodated in government schools. Increasing the funds for necessary resources, such as intervention materials and teacher training, helps create an inclusive environment and support the social development of children with ASD.
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References
Aldabas, R. (2019). Effectiveness of peer-mediated interventions (PMIs) on children with autism spectrum disorder (ASD): a systematic review. Early Child Development and Care, 190(10), 1586–1603. https://doi.org/10.1080/03004430.2019.1580275
American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders, (5th ed). Arlington, VA: American Psychiatric Publishing.
Angelis, L. O., Orsati, F. T., & Teixeira, M. C. T. V. (2024). LEGO®-Based Therapy in School Settings for Social Behavior Stimulation in Children with Autism Spectrum Disorder: Comparing Peer-Mediated and Expert Intervention. Brain Sciences, 14(11), 1114. https://doi.org/10.3390/brainsci14111114
Ashori, M., & Jalil-Abkenar, S. S. (2019). The Effectiveness of Video Modeling on Social Skills of Children with Autism Spectrum Disorder. Practice in Clinical Psychology, 159–166. https://doi.org/10.32598/jpcp.7.3.159
Bambara, L. M., Cole, C. L., Telesford, A., Bauer, K., Bilgili-Karabacak, I., Weir, A., & Thomas, A. (2021). Using peer supports to encourage adolescents with autism spectrum disorder to show interest in their conversation partners. Journal of Speech Language and Hearing Research, 64(12), 4845–4860. https://doi.org/10.1044/2021_jslhr-21-00150
Bauminger, N. (2002). The facilitation of social-emotional understanding and social interaction in high-functioning children with autism: Intervention outcomes. Journal of Autism and Developmental Disorders, 32(4), 283-298.
Durlak, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3-4), 327-350. https://doi.org/10.3389/fpsyt.2022.1008485
Edelson, S. M. (2022). Understanding Challenging Behaviors in Autism Spectrum Disorder: A Multi-Component, Interdisciplinary Model. Journal of Personalized Medicine, 12(7), 1127. https://doi.org/10.3390/jpm12071127
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146
Gilliam, J. E. (2013). Gilliam Autism Rating Scale (3rd ed.) Austin, TX: Pro-Ed.
Gresham, F. M., & Elliott, S. N. (1990). Social skills rating system manual. Circle Pines, MN: American Guidance Service.
Hu, X., Zheng, Q., & Lee, G. T. (2018). Using Peer-Mediated LEGO® Play Intervention to Improve Social Interactions for Chinese Children with Autism in an Inclusive Setting. Journal of autism and developmental disorders, 48(7), 2444–2457. https://doi.org/10.1007/s10803-018-3502-4
Levy, J., & Dunsmuir, S. (2020). Lego Therapy: Building social skills for adolescents with an autism spectrum disorder. Educational and Child Psychology, 37(1), 58–83. https://doi.org/10.53841/bpsecp.2020.37.1.58
Liu, X. (2023). The social interaction deficits in autism spectrum disorder and relevant interventions. Lecture Notes in Education Psychology and Public Media, 3(1), 174–179. https://doi.org/10.54254/2753-7048/3/2022500
Lorenzo, G., Gómez-Puerta, M., Arráez-Vera, G., & Lorenzo-Lledó, A. (2018). Preliminary study of augmented reality as an instrument for improvement of social skills in children with autism spectrum disorder. Education and Information Technologies, 24(1), 181–204.https://doi.org/10.1007/s10639-018-9768-5
Narzisi, A., Sesso, G., Berloffa, S., Fantozzi, P., Muccio, R., Valente, E., Viglione, V., Villafranca, A., Milone, A., & Masi, G. (2021). Could you give me the blue brick? LEGO®- based therapy as a social development program for children with autism spectrum disorder: A systematic review. Brain Sciences, 11(6), Article 702.
Niza Shair, S. N. S., Zaki, N. R., Mohd, M. A., Mohd Amin, M. N., Zaihan Abidin, A. W., Ahmad, S., & Jamil, N. (2024). Prevalence of autism spectrum disorder among school-age children in Malaysia: analysis by age and states. Malaysian journal of public health medicine. 24(3):71–80.
O’Donoghue, M., Kennedy, N., Forbes, J. F., & Murphy, C. (2023). Stakeholder perceptions of the acceptability of Peer-Mediated Intervention for minimally speaking preschoolers on the autism spectrum. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-023-05928-5
Pedersen, J. A., Worrell, F. C., & French, J. L. (2001). Reliability of the Social Skills Rating System with Rural Appalachian Children from Families with Low Incomes. Journal of Psychoeducational Assessment, 19(1), 45–53. https://doi.org/10.1177/073428290101900103
Radley, K. C., Dart, E. H., Helbig, K. A., Schrieber, S. R., & Ware, M. E. (2020c). Building Social Skills: An investigation of a LEGO-Centered Social Skills intervention. Advances in Neurodevelopmental Disorders, 4(2), 134–145. https://doi.org/10.1007/s41252-020-00149-8
Ramalho, N. C. P., & Sarmento, S. (2019). LEGO® therapy as an intervention in autism spectrum disorders: an integrative literature review. Revista CEFAC (Impresso), 21(2). https://doi.org/10.1590/1982-0216/20192129717
Samadi, S. A., Noori, H., Abdullah, A., Ahmed, L., Abdalla, B., Biçak, C. A., & McConkey, R. (2022). The Psychometric Properties of the Gilliam Autism Rating Scale (GARS-3) with Kurdish Samples of Children with Developmental Disabilities. Children (Basel), 9(3), 434. https://doi.org/10.3390/children9030434
Sperry, L. A., & Mesibov, G. B. (2005). Perceptions of social challenges of adults with autism spectrum disorder. Autism, 9(4), 362-376. https://doi.org/10.1177/1362361305056077
Stagg, S., Tan, L. H., & Kodakkadan, F. (2022). Emotion recognition and context in adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 52(9), 4129-4137. https://doi.org/10.1007/s10803-021-05292-2
Sun, Q., & Winoto, P. (2019). The Design of an Intelligent LEGO Tutoring System for Improving Social Communication Skills Among Children with Autism Spectrum Disorder. In Lecture notes in computer science 172–181. https://doi.org/10.1007/978-3-030-23563-5_15
Varley, D., Wright, B., Cooper, C., Marshall, D., Biggs, K., Ali, S., Chater, T., Coates, E., Gilbody, S., De La Cuesta, G. G., Kingsley, E., Couteur, A. L., McKelvey, A., Shephard, N., & Teare, D. (2019). Investigating Social Competence and Isolation in children with Autism taking part in LEGO-based therapy clubs In School Environments (I-SOCIALISE): study protocol. BMJ Open, 9(5), e030471. https://doi.org/10.1136/bmjopen-2019-030471
Wang, H., Wright, B., Bursnall, M., Cooper, C., Kingsley, E., Couteur, A. L., Teare, M. D., Biggs, K., McKendrick, K., De La Cuesta, G. G., Chater, T., Barr, A., Solaiman, K.,Packham, A., Marshall, D. C., Varley, D., Nekooi, R., Gilbody, S., & Parrott, S. (2022). Cost-utility analysis of LEGO based therapy for school children and young people with autism spectrum disorder: results from a randomised controlled trial. BMJ Open, 12(1), e056347. https://doi.org/10.1136/bmjopen-2021-056347
Watkins, L., Kuhn, M., Ledbetter-Cho, K., Gevarter, C., & O’Reilly, M. (2017). Evidence-based social communication interventions for children with autism spectrum disorder. The Indian Journal of Pediatrics, 84, 68-75. https://doi.org/10.1007/s12098-015-1938-5
World Health Organization. (2023). Autism. https://www.who.int/news-room/fact-sheets/detail/autism-spectrum-disorders
Wright, B., Kingsley, E., Cooper, C., Biggs, K., Bursnall, M., Wang, H., Chater, T., Coates, E., Teare, M. D., McKendrick, K., De La Cuesta, G. G., Barr, A., Solaiman, K., Packham, A., Marshall, D. C., Varley, D., Nekooi, R., Parrott, S., Ali, S., . . . Couteur, A. L. (2023). I- SOCIALISE: Results from a cluster randomised controlled trial investigating the social competence and isolation of children with autism taking part in LEGO® based therapy (Play Brick Therapy’) clubs in school environments. Autism, 136236132311596. https://doi.org/10.1177/13623613231159699
Zhang, B., Liang, S., Chen, J., Chen, L., Chen, W., Tu, S., Hu, L., Jin, H., & Chu, L. (2022). Effectiveness of peer-mediated intervention on social skills for children with autism spectrum disorder: a randomized controlled trial. Translational Pediatrics, 11(5), 663–675. https://doi.org/10.21037/tp-22-110
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