Feasibility and cross-cultural validation of an adapted social skills group training programme (KONTAKT TM CHILD) for Chinese autistic children: a waitlist RCT protocol

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Lao, U., Zhu, H., Liang, F., Bai, W., Yin, P., Huang, X., Girdler, S., Bölte, S., & Zou, X. (2024). Feasibility and cross-cultural validation of an adapted social skills group training programme (KONTAKT TM CHILD) for Chinese autistic children: a waitlist RCT protocol. BMJ Open, 14(11), e081827. https://doi.org/10.1136/bmjopen-2023-081827

Publication date: 1 Nov 2024 Added to AutiHub: 22 Sep 2026 Type: Article Article language: English
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Authors

Publication authors
9
Publication authors identified as autistic
1 / 9 (11.1%)
  1. Uchong Lao *
  2. Huilin Zhu
  3. Fengjing Liang
  4. Wuxia Bai
  5. Peipei Yin
  1. Xiaoqian Huang
  2. Sonya Girdler
  3. Sven Bölte
  4. Xiaobing Zou

Abstract

Introduction School-age autistic children commonly experience social communication and interaction challenges in their everyday lives. While international evidence suggests that social skills group training (SSGT) programmes can support autistic children, improving their psychosocial functioning, to date there is no standardised evidence-based SSGT tailored towards the needs of autistic children aged 8–12 years living in the Chinese Mainland. Therefore, the primary objective of this study will be to evaluate the feasibility and acceptability of a culturally adapted 16-session version of the social skills programme KONTAKT in Chinese autistic children. Additionally, preliminary efficacy and cost-effectiveness will be assessed to inform a future definitive trial. Methods and analysis This study will employ a randomised, single-blinded, waitlist-controlled feasibility design with 36 Chinese autistic children aged 8–12 years with IQ over 70 referred to the Child Development and Behavior Center in Guangzhou, China. Participants will be randomly assigned to either the immediate training group or the delayed training group stratified by sex. Feasibility will be assessed using quantitative and qualitative data obtained from the KONTAKT CHILD participants, their parents and facilitators of the programme. Preliminary efficacy and cost-effectiveness are assessed via quantitative data obtained at five time points. The primary efficacy outcome is participants’ improvement in social skills as measured by the Contextual Assessment of Social Skills. Other outcomes include parents and teachers’ reports of participants’ autistic traits and adaptive functioning, participants’ self-report and projective tests for self-assertiveness and psychosocial functioning, and parent reports on parental reflective functioning and perceived school support. Common process factors and their effects on outcomes will also be explored. Cost-effectiveness will consider from both societal and healthcare perspectives. Ethics and dissemination The current study protocol has been reviewed and ethics approval has been obtained from the Ethical Board Committee at the Third Affiliated Hospital of Sun Yat-sen University (II2023-119-01). The trial was pre-registered in Chinese Clinical Trials (ChiCTR2300072136) on 5 June 2023. The results of this trial will be actively disseminated through peer-reviewed publications and conference presentations. Any identifiable personal information will be anonymised to protect confidentiality. Protocol version 2.0, 31 July 2024. Trial registration number ChiCTR2300072136.

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Cited references
95
With a DOI
79
Without a DOI, from raw bibliography text
14
6 / 95 (6.3%) cited references include at least one author identified as autistic.
References with data to complete
14 / 95 (14.7%)
References with detected author names
81 / 95 (85.3%)
Without detected author names
14
Without a structured title
14
Without a stable identifier
14
References with raw author names still to review
12
References with external metadata lookup issues
2
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
491
From DOI or external metadata
491
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
22
139 / 491 (28.3%) names are linked to an author already present in AutiHub. 352 / 491 (71.7%) names are not yet linked.
Names linked to a person identified as autistic
12 / 491 (2.4%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 12 / 139 (8.6%). Distinct people identified as autistic: 10 / 416 (2.4%).
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