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Wright B, Marshall D, Adamson J, et al. Social Stories™ to alleviate challenging behaviour and social difficulties exhibited by children with autism spectrum disorder in mainstream schools: design of a manualised training toolkit and feasibility study for a cluster randomised controlled trial with nested qualitative and cost-effectiveness components. Southampton (UK): NIHR Journals Library; 2016 Jan. (Health Technology Assessment, No. 20.6.)
Introduction
The protocol suggests that the overall aim of the focus groups is to ‘gather information relating to the optimum design and use of Social Stories in children and young people with autism spectrum disorders’.
The focus group aims include checking that the ‘intervention can feasibly be delivered in this particular context and to ensure the intervention is acceptable to users and providers’ so the following factors will be taken into consideration:
- the helpful and unhelpful parts of the social story intervention
- the characteristics of individuals best placed to deliver the intervention
- determining which professional groups are best equipped to deliver and or support this package
- mode of delivery including the role of parents or carers
- the style and content of the manual
- the construction of the social stories (for example the ratio of directive to descriptive sentences in the story, the use of pictures, etc.)
- teaching in the social story theory, and dissemination.
Further, the writing group want qualitative information which will enable them to make informed decisions about what to include in the manual.
An initial focus group will cover eight main sections based on the factors highlighted above. The amount of attendees has meant that the questions have needed consolidating. I have taken on board the landscape interviews and further suggestions of colleagues and the writing group and have created a final synthesis. There is further space in the second focus group to pick up issues that arise in the first. Questions for the second round will be written in light of analysis and discussion with the team and writing group.
The format for the focus group will be mainly discussion but I have decided to include two Post-it® (Evernote Corporation 3M, Maplewood, MN, USA) exercises. The requirements for the focus groups will be name tags for participants, pens and post it notes. A board or wall space on which to put the top three behaviours will also be required. Table 52 shows the overall questions which may be asked of teacher/clinician focus groups. Text displayed in bold are prompts.
Tables
TABLE 52
Task | Teachers and clinicians | Time |
---|---|---|
| Shall we start with some introductions? | 8 |
Can I have your full name, job title and organisation? | ||
Clarify teacher or clinician? | ||
If I say your name after any comments that you make this is for taping purposes | ||
| What are the most important behaviours for autistic children to address within school? | 3 |
How would you define social stories? | 7 | |
How do you use social stories (in your work)? | 7 | |
Does anyone do it in a different way? | ||
| The trial will look at the success of using a manual for developing social stories within schools | 7 |
Which of the behaviours already identified do you think may be suited to use in social stories within school? | ||
Why? | 6 | |
Why do social stories work well with these behaviours? | ||
Which behaviours are least suited and why? | 2 | |
Total | 15 | |
| What characteristics do you need to have when delivering social stories? | 3 |
| Who would be best placed to write and develop social stories in schools? | 3 |
Does that ring true of the schools you are involved in? | ||
Who is best placed to deliver/read them? Why? | 3 | |
What different ways have you delivered social stories in the past? | 5 | |
I.e. has it always been in picture book format/read? | ||
Have you tried other formats? | ||
How can parents support social stories that are being used in school? | 6 | |
Where is the best location to deliver social stories within a school? | 3 | |
Total | 20 | |
| We want to produce a manual about writing and delivering social stories in schools | 20 |
What should the manual contain (and anything to avoid)? | ||
Use top example from earlier | ||
How much theory should the manual contain? Is it how to do it . . . do you want the theory or just how to . . . | ||
How much about autism? | ||
Checklists for behaviours | ||
In terms of presentation what style should the manual take that would best suit schools? | 5 | |
DVD, written, how long, length, lists of links websites e.g. clip art, etc. | ||
Total | 25 | |
| What are the different components you use when putting together a social story? | 5 |
E.g. pictures, descriptive text, text which instructs the child | ||
What rules of thumb do you use? | ||
Do you find some components work better than others? | 5 | |
How do you know if a social story works? Which components? Why do they work better? Is there a ratio? | ||
What tools do you use to help write social stories? | 5 | |
Do you use the manual (Carol Gray’s)? | ||
What other resources do you use? Websites, other books, etc. | ||
Total | 15 | |
| If you have been on any training sessions on social stories, what did you find useful? | 10 |
What would you like future social story training to cover? | 5 | |
In what format would you prefer the training?a | 5 | |
Workbooks, workshops, scenarios, role-playing, case studies or vignettes | ||
How long would you like the training to be?a | 4 | |
E.g. half day/day | ||
Is there a time and day that would be better for you?a | 3 | |
Friday mornings? | ||
Where is the best location for training?a | 3 | |
Total | 30 |
- a
Add as questions to a handout for filling in.
Text displayed in bold are prompts.