{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:40:22Z","timestamp":1787013622423,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,3,11]],"date-time":"2018-03-11T00:00:00Z","timestamp":1520726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Australian Government Research Training Program"},{"name":"School of Occupational Therapy, Speech Pathology and Social Work, Curtin University"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/aim<\/jats:title>\n                    <jats:p>\n                      Children with autism spectrum disorder (\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      ) frequently demonstrate impaired play skills and poor quality social interactions compared to typically developing peers. Complex interventions to improve play skills should be investigated with randomised control trials (\n                      <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                      ) where possible to support evidence\u2010based practice for occupational therapists. Prior to a\n                      <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                      , multiple feasibility studies are recommended to identify barriers to the trial. The aim of this study is to adapt a complex intervention to improve play skills in children with\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      and investigate the feasibility of conducting a\n                      <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants were 10 children with\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      paired with typically developing playmates chosen by their families. Pairs attended 10 intervention sessions involving video modelling, therapist\u2010 and peer\u2010mediation and free play. Participant numbers needed for future investigation of effectiveness were calculated and time and cost considerations were reviewed. The Test of Playfulness (ToP) was the primary outcome measure; both parent\u2010 and child\u2010report outcome measures were evaluated for appropriateness.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      To determine effectiveness of the intervention 34 pairs in both control and intervention groups will be needed to conduct a\n                      <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                      over an 18\u2010month timeframe. ToP scores showed a positive, but not statistically significant trend from pre\u2010 to post\u2010intervention. These improvements were maintained at follow\u2010up in both clinic and home environments. The Piers\u2010Harris 2 and the Parent Relationship Questionnaire were identified as appropriate secondary outcome measures; additional parent\u2010 and teacher\u2010report outcome measures are recommended for the\n                      <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      A\n                      <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                      to investigate effectiveness of this intervention for improving play skills of children with\n                      <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\n                      and their playmates are feasible.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.12459","type":"journal-article","created":{"date-parts":[[2018,3,11]],"date-time":"2018-03-11T22:44:40Z","timestamp":1520808280000},"page":"176-186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Peer\u2010mediated intervention to improve play skills in children with autism spectrum disorder: A feasibility study"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4788-5737","authenticated-orcid":false,"given":"Cally","family":"Kent","sequence":"first","affiliation":[{"name":"School of Occupational Therapy and Social Work Curtin University Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9906-5300","authenticated-orcid":false,"given":"Reinie","family":"Cordier","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy and Social Work Curtin University Perth WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4722-1081","authenticated-orcid":false,"given":"Annette","family":"Joosten","sequence":"additional","affiliation":[{"name":"School of Allied Health Australian Catholic University Melbourne Vic. 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