Evidence map›Paper›PMID 39688069›Full record

Trial reportChild and adolescent mental health2025

Autism Spectrum Social Stories in Schools Trial 2 (ASSSIST-2): a pragmatic randomised controlled trial of the Social Stories™ intervention to address the social and emotional health of autistic children in UK primary schools.

Barry Wright, Jane E Blackwell, Kerry J Bell, Catarina Teige, Laura Mandefield, Han-I Wang, Charlie Welch, Arabella Scantlebury, Judith Watson, Dean McMillan and 14 more

Abstract readRandomized Controlled TrialPragmatic Clinical TrialMulticenter Study
In one paragraph

Trial report in Child and adolescent mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Specialists' Perspectives on Social Stories in Managing Individuals With Autism in the Dental Care Setting.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Barry WrightDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0002-8692-6001
Jane E BlackwellDepartment of Health Sciences, University of York, York, UK.
Kerry J BellDepartment of Health Sciences, University of York, York, UK.
Catarina TeigeThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.
Laura MandefieldDepartment of Health Sciences, University of York, York, UK.
Han-I WangDepartment of Health Sciences, University of York, York, UK.
Charlie WelchDepartment of Health Sciences, University of York, York, UK.
Arabella ScantleburyDepartment of Health Sciences, University of York, York, UK.
Judith WatsonDepartment of Health Sciences, University of York, York, UK.
Dean McMillanDepartment of Health Sciences, University of York, York, UK.
Emma StandleyDepartment of Health Sciences, University of York, York, UK.
Leah AttwellThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.
Hayley CarrickThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.
Amelia TaylorThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.
Olivia TaylorDepartment of Health Sciences, University of York, York, UK.ORCID 0000-0001-7043-1795
Rachel HodkinsonThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.
Hannah EdwardsThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.
Hannah PearsonThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.ORCID 0000-0003-0698-9457
Steve ParrottDepartment of Health Sciences, University of York, York, UK.
David MarshallDepartment of Health Sciences, University of York, York, UK.
Danielle VarleyDepartment of Health Sciences, University of York, York, UK.
Rebecca HargateThe Child Oriented Mental health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, UK.
Anne MclarenPatient and public involvement representative.
Catherine HewittDepartment of Health Sciences, University of York, York, UK.

Funding

National Institute for Health and Care Research HTA 16/111/91
6 · The paper itself

Abstract

backgroundAutistic children can experience mental health, social and emotional difficulties. Carol Gray's Social Stories™ are a highly personalised intervention that provide social information in a short individually tailored story.

methodsA multi-site pragmatic cluster randomised controlled trial to evaluate the clinical and cost-effectiveness of Social Stories™ alongside care as usual in autistic children aged 4-11 years. The primary outcome was the Social Responsiveness Scale-2 completed by teachers 6 months post-randomisation, analysed on an intention-to-treat basis.

trial registrationISRCTN11634810.

resultsEighty-seven schools, including 249 children, were randomised (intervention 44 schools with 129 children, and usual care 43 schools with 120 children). After 6 months, a reduction of 1.61 points was found on the Social Responsiveness Scale-2 in the intervention group (95% CI -4.18 to 0.96, p = .220) and for those who attended at least six sessions a reduction of 3.37 points (CACE 95% CI -6.65 to -0.10, p = .043). Children in the intervention group met their individual socio-emotional goal more frequently than children receiving usual care alone and this was statistically significant. No statistically significant differences were found in other secondary outcomes including anxiety, depression, general health or parental stress.

conclusionsSocial Stories™ represent a low-cost, low-burden intervention. Benefits are seen in individual socio-emotional goals but without clinically evident impact on social responsiveness, anxiety, depression, parental stress or general health.

Indexed as

Autism Spectrum DisorderChildChild, PreschoolCost-Benefit AnalysisFemaleHumansMaleMental HealthSchoolsUnited KingdomAutismbehaviourschool childrensocial skillssocial stories

Identifiers

PMID39688069
PMCPMC11754701

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.