Effects of smart watch-delivered text messaging on social initiations of adolescents with autism spectrum disorder

Children with autism spectrum disorder (ASD) experience challenges with social skills when interacting with peers, which can affect their ability to form friendships and participate in inclusive settings. This study evaluated text messaging prompts and prompt fading delivered by a smart watch to increase social initiations of three adolescent students with ASD and their peers without ASD. We used a single-case, multiple probe across participants design to assess participants' level of and type of independent and prompted appropriate social initiations without and with the intervention. Textual prompts substantially increased each participant's social initiations compared to baseline. Two participants remained reliant on textual prompts to make initiations, whereas the third was less reliant on prompts and continued to make independent initiations after prompts were completely faded. Participants' social skills gains maintained up to 3 weeks following intervention and participants and parents reported agreement with the goals, procedures, and outcomes of the strategy.