Effect of Learning Types of Social Skills from a Board Game on the Non-Emotional Expression of the Learned Skills Among Students with Autism Spectrum Disorder at Autistic Research Center Khon Kaen University

Main Article Content

Piyawan Srisuruk
Nittianate Kasicha
Korrawan Mongput
Suchat Paholpak

Abstract

Objective: This study aimed to develop and evaluate the effectiveness of utilizing a board game for instructing 3 specific social skills (waiting, sharing, and emotional self-control (WSE) in kindergarten children with autism spectrum disorder (KwASD). The research also assessed the weekly frequency of the acquired WSE skills being expressed in daily life without accompanying irritability.


Methods: Conducted between May 1 and August 31, 2021, the research employed a purposive sampling approach, A - B model, within a single-subject design, involving 5 cases. Participants were KwASD aged 5 - 7 years from the Khon Kaen University Autistic Center. Ethical approval was obtained from the Human Research Ethics Committee at Khon Kaen University (HE643074). Research instruments included 1) a board game developed by the authors, emphasis on learning through social and experiential learning theory to impart each of WSE skills, underwent evaluation and approval by 3 experts in teaching and nursing KwASD and resulted in an item objective congruence (IOC) ranging from 0.67 to 1 for each assessment item; 2) An assessment form to appraise the weekly frequency of expression of the learned WSE without irritability, and underwent evaluation by the same expert panel, yielding IOC from 0.67 to 1 for each assessment item; and 3) a demographic data collection form. Statistical analysis involved enumerating item numbers, analyzing raw data changes, and creating single-subject design and baseline trend graphs using Microsoft Excel.


Results: Following structured teaching sessions with the board game, centered around events requiring WSE expression, all KwASD participants demonstrated increased expression of WSE in daily life, with reduced irritability compared to pre-learning levels. Subsequent teaching sessions consistently elevated all WSE scores above the baseline trend.


Conclusion: The findings suggested that a board game can effectively serve as a tool for instructing KwASD in acquiring and applying social skills, specifically focusing on waiting, sharing, and emotional self-control.

Article Details

How to Cite
Srisuruk, P., Kasicha, N. ., Mongput, K. . ., & Paholpak, S. . (2024). Effect of Learning Types of Social Skills from a Board Game on the Non-Emotional Expression of the Learned Skills Among Students with Autism Spectrum Disorder at Autistic Research Center Khon Kaen University. Journal of the Psychiatric Association of Thailand, 69(2), 96–107. Retrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/267031
Section
Original Articles

References

American Psychiatric Association. Autism spectrum disorder. In: American Psychiatric Association, editor. Diagnostic and statistical manual of mental disorders. 5th ed. Text revision. Washington, D.C.: American Psychiatric Association; 2022. p.56-67.

Groden J, Cautela J. Procedures to increase social interaction among adolescents with autism: a multiple baseline analysis. J Behav Ther Exp Psychiatry 1988; 19: 87-93.

Romanczyk RG, White S, Gillis JM. Social skills versus skilled social behavior: a problematic distinction in autism spectrum disorders. Journal of Early and Intensive Behavior Intervention 2005; 2: 177–93.

Bandura A. Social learning theory. NY: Prentice-Hall; 1977.

Osei A. Application of theoretical and experiential Learning. In: Osei A. Beginning with Brandon's Interest. Leiden: Brill; 2010: p.89–98.

Gates JA, McNair ML, Richards JK, Lerner MD. Social knowledge & performance in autism: a critical review & recommendations. Clin Child Fam Psychol Rev 2023; 26: 665-89.

Lindsay S, Hounsell KG, Cassiani C. A scoping review of the role of LEGO® therapy for improving inclusion and social skills among children and youth with autism. Disabil Health J 2017; 10: 173-82.

Mathrick R, Meagher T, Norbury CF. Evaluation of an interview skills training package for adolescents with speech, language and communication needs. Int J Lang Commun Disord 2017; 52: 786-99.

Noda S, Shirotsuki K, Nakao M. The effectiveness of intervention with board games: a systematic review. Biopsychosoc Med 2019; 21: 13-22.

Oppenheim-Leaf ML, Leaf JB, Call NA. Teaching board games to two children with an autism spectrum disorder. J Dev Phys Disabil 2012; 24: 347–58.

Hsu HT, Lee IJ. Using augmented reality technology with serial learning framework to develop a serial social story situation board game system for children with autism to improve social situation understanding and social reciprocity skills. Proceeding of the Universal Access in Human-Computer Interaction. Applications and Practice: 14th International Conference, UAHCI 2020. Gewerbestrasse: Springer International Publishing; 2020.

Hromek R, Roffey S. Promoting social and emotional learning with games: it’s fun and we learn things. Simulation & Gaming 2009, 40: 626-44.

Turner RC, Mulvenon SW, Thomas SP, Balkin RS. Computing indices of item congruence for test development validity assessments. Proceeding of the 27th Annual SAS Users’ Group Inter-National Conference. Miami: SAS Institute Inc; 2002.

Johnson MB, Ottenbacher KJ. Trend line influence on visual analysis of single-subject data in rehabilitation research. Int Disabil Stud 1991; 13: 55-9.

Katz AL, Webb SA, Committee on bioethics. Informed consent in decision-making in pediatric practice. Pediatrics 2016; 138(2): e20161485.

McCarton C, Weiss MJ, Feldman I, Hickie J, The McCarton Foundation. Improving the generalization of skills in learners with autism. Autism Spectrum News. MA: David Minot. [updated 2009 Jul 1; cited 2023 Oct 10] Available from: https://autismspectrumnews.org/improving-the-generalization-of-skills-in-learners-with-autism/

Donato KM. Generalization: help your child apply new skills to new situations. [homepage on the Internet] [updated 2018 June 3; cited 2023 Oct 10]. Available from: https://www.discover-autism-help.com/generalization.html.

Morrier MJ, Ziegler SMT. I wanna play too: factors related to changes in social behavior for children with and without autism spectrum disorder after implementation of a structured outdoor play curriculum. J Autism Dev Disord 2018 ;48: 2530–41.

Seselja E, Leake J. Can kids with autism and ADHD learn more effectively by playing tabletop games? Sydney: ABC [updated 2021 Apr 15; cited 2023 Oct 10]. Available from: https://www.abc.net.au/news/2021-04-15/tabletop-games-transform-learning-for-kids-with-autism-/100058168

Department of Education. The learning environment. Queensland Government: Autism Hub [updated 2020 Sep 04; cited 2023 Oct 10]. Available from: The learning environment (education.qld.gov.au).

Yilmaz RM. Educational magic toys developed with augmented reality technology for early childhood education. Comput Hum Behav 2016; 54: 240-8.

Francis K. Autism interventions: a critical update. Dev Med Child Neurol 2005; 47: 493-9.

Tachibana Y, Miyazaki C, Ota E, Mori R, Hwang Y, Kobayashi E, et al. A systematic review and meta-analysis of comprehensive interventions for pre-school children with autism spectrum disorder (ASD). PLoS One 2017; 12: 1-8.

Hariton E, Locascio JJ. Randomised controlled trials - the gold standard for effectiveness research. BJOG 2018; 125: 1716.

Gresham FM. Assessment of social skills in children and adolescents. In: Andrews JJW, Saklofske DH, Janzen HL. Editors. Handbook of psychoeducational assessment: Ability, achievement, and behavior in children. UT: Academic Press; 2001. pp. 325–55.

Gresham FM, Cook CR, Collins T, Dart E, Rasetshwane K, Truelson E, et al. Developing a Change-Sensitive Brief Behavior Rating Scale as a progress monitoring tool for social behavior: An example using the Social Skills Rating System—Teacher Form. School Psychology Review 2010; 39: 364-79.

Souza AC, Alexandre NMC, Guirardello EB. Psychometric properties in instruments evaluation of reliability and validity. Epidemiol Serv Saude 2017; 26: 649-59.