Abstract
Notably absent from the intervention literature are parent training programs targeting school-aged children with autism who have limited communication skills (Tager-Flusberg and Kasari in Autism Res 6:468–478, 2013). Sixty-one children with autism age 5–8 with minimal spontaneous communication received a 6-month social communication intervention including parent training. Parent–child play interactions were coded for parents’ strategy implementation and children’s time jointly engaged (Adamson et al. in J Autism Dev Disord 39:84–96, 2009). Parents mastered an average of 70 % of the strategies. Further analyses indicated some gains in implementation occurred from mere observation of sessions, while the greatest gains occurred in the first month of active coaching and workshops. Children’s joint engagement was associated with parents’ implementation success across time demonstrating parents’ implementation was relevant to children’s social engagement.
Similar content being viewed by others
References
Adamson, L. B., Bakeman, R., Deckner, F., & Romski, M. (2009). Joint engagement and the emergence of language in children with autism and down syndrome. Journal of Autism and Developmental Disorders, 39, 84–96.
Adamson, L., McArthur, D., Markov, Y., Dunbar, B., & Bakeman, R. (2001). Autism and joint attention: Young children’s responses to maternal bids. Applied Developmental Psychology, 22, 439–453.
Adamson, L. B., Romski, M., Bakeman, R., & Sevcik, R. A. (2011). Augmented language intervention and the emergence of symbol infused joint engagement. Journal of Speech, Language, and Hearing Research, 53, 1769–1773.
Anderson, D. K., Lord, C., Risi, S., DiLavore, P. S., Shulman, C., Thurm, A., & Pickles, A. (2007). Growth in verbal abilities among children with autism spectrum disorder. Journal of Consulting and Clinical Psychology, 75, 594–604.
Brady, N. C., Herynk, J. W., & Fleming, K. (2010). Communication input matters: Lessons from Prelinguistic Children leaning to use AAC in preschool environments. Early Childhood Services, 4, 141–154.
Brady, N. C., Marquis, J., Fleming, K., & McLean, L. (2004). Prelinguistic predictors of language growth in children with developmental disabilities. Journal of Speech, Language, and Hearing Research, 47, 663–677.
Coolican, J., Smith, I. M., & Byrson, S. E. (2010). Brief parent training in pivotal response treatment for preschoolers with autism. Journal of Child Psychology and Psychiatry, 51, 1232–1330.
Dunn, L. M., & Dunn, L. M. (1997). Peabody picture vocabulary test (4th ed.). Circle Pines, MN: American Guidance Service.
Durlack, J. A., & DuPre, E. P. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41, 327–350.
Hresko, W. P., Reid, D. K., & Hamill, D. D. (1981). Test of early language development. Los Angeles, CA: Western Psychological Services.
Kaiser, A. P., & Hancock, T. B. (2003). Teaching parent new skills to support their young children’s development. Infants and Young Children, 16, 9–21.
Kasari, C., Freeman, S., Paparella, T., & Jahromi, L. (2008). Language outcomes in autism: Randomized comparison of joint attention and play interventions. Journal of Consulting and Clinical Psychology, 76, 125–137.
Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). A randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40, 1045–1056.
Kasari, C., Kaiser, A., Goods, K., Nietfeld, J., Mathy, P., Landa, R., & Almirall, D. (2014). Communication interventions for minimally verbal children with autism: Sequential multiple assignment randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 53, 635–646.
Kirk, R. E. (1996). Practical significance: A concept whose time has come. Educational and Psychological Measurement, 56, 746–759.
Lifter, K., Sulzer-Azaroff, B., Anderson, S. R., & Edwards Cowdery, G. (1993). Teaching play activities to children with disabilities: The importance of developmental considerations. Journal of Early Intervention, 17, 139–159.
Lord, C., Rutter, M. L., DiLavore, P., & Risi, S. (1999). Autism diagnostic observation schedule. Los Angeles, CA: Western Psychological Services.
Lord, C., Wagner, A., Rogers, S., Szatmari, P., Aman, M., Charman, T., & Yoder, P. (2005). Challenges in evaluating psychosocial intervention for autism spectrum disorders. Journal of Autism and Developmental Disabilities, 35, 695–708.
Luyster, R., & Lord, C. (2009). Word learning in children with autism spectrum disorders. Developmental Psychology, 45, 1774–1786.
Mahoney, G., & Perales, F. (2003). Using relationship-focused intervention to enhance the social-emotional functioning of young children with autism spectrum disorders. Topics in Early Childhood Special Education, 23, 74–86.
McConachie, H., & Diggle, T. (2007). Parent implemented early intervention for young children with autism spectrum disorder: A systematic review. Journal of Evaluation in Clinical Practice, 13, 120–129.
Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and Developmental Disorders, 20, 115–128.
Murphy, S. (2005). An experimental design for the development of adaptive treatment strategies. Statistics in Medicine, 24, 1455–1481.
Paul, R., Campbell, D., Gilbert, K., & Tsiouri, I. (2013). Comparing spoken language treatments for minimally verbal preschoolers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43, 418–431.
Patterson, S. Y., Smith, V., & Mirenda, P. (2012). Parent training programs for families of children with autism: A systematic review of single case contributions. Autism: International Journal of Research and Practice, 16, 498–522.
Pickett, E., Pullara, O., O’Grady, J., & Gordon, B. (2009). Speech acquisition in older nonverbal individuals with autism: A review of features, methods and prognosis. Cognitive Behavioural Neurology, 22, 1–21.
Proctor, E., Silmere, H., Raghavan, R., Hovmand, P., Aarons, G., Bunger, A., & Hensley, M. (2011). Outcomes for implementation research: Conceptual directions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38, 65–76.
Roberts, M. Y., & Kaiser, A. (2011). The effectiveness of parent-implemented language interventions: A meta-analysis. American Journal of Speech-Language Pathology, 20, 180–199.
Rogers, S., Esters, A., Lord, C., Vismara, L., Winter, J., Fitzpatrcik, A., & Dawson, G. (2012). Effects of a brief Early Start Denver Model (ESDM)-based intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1052–1065.
Roid, G., & Miller, L. (1997). Leiter international performance scale-revised. Wood Dale, IL: Stoelting.
Romski, M., Sevcik, R. A., Adamson, L. B., Cheslock, M., Smith, A., Barker, R. M., & Bakeman, R. (2011). Randomized comparison of augmented and nonaugmented language interventions for children with developmental delays and their parents. Journal of Speech, Language and Hearing Research, 53, 350–364.
Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., & Wagner, A. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37, 354–366.
Tager-Flusberg, H., & Kasari, C. (2013). Minimally verbal school-age children with autism: The neglected end of the spectrum. Autism Research, 6, 468–478.
Thurnberg, G., Dahlgren Sandberg, A., & Ahlsen, E. (2009). Speech-generating devices used at home by children with autism spectrum disorders: A preliminary assessment. Focus on Autism and Other Developmental Disabilities, 24, 104–114.
Tomasello, M. (2001). Perceiving intention and learning words in the second year of life. In M. Bowerman & S. Levinson (Eds.), Language acquisition and conceptual development (pp. 133–158). New York: Cambridge University Press.
Acknowledgments
We would like to acknowledge funding for the study provided by Autism Speaks (PI Kasari: #5666), Characterizing Cognition in Nonverbal Individuals with Autism. In addition, the first author received a Dennis Weatherstone Pre-Doctoral Fellowship from Autism Speaks (#7036) as well a Doctoral Foreign Study Award from the Canadian Institutes for Health Research. Thank you to the children and families who participated in this study as well as interventionists who provided the services across the three sites. A version of this paper was presented at the 2013 Biennial Meeting of the Society for Research in Child Development in Seattle Washington and was developed from a master’s thesis.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Shire, S.Y., Goods, K., Shih, W. et al. Parents’ Adoption of Social Communication Intervention Strategies: Families Including Children with Autism Spectrum Disorder Who are Minimally Verbal. J Autism Dev Disord 45, 1712–1724 (2015). https://doi.org/10.1007/s10803-014-2329-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-014-2329-x