Brief Report: Caregiver Strategy Implementation—Advancing Spoken Communication in Children Who are Minimally Verbal

S.I. : Parenting Children with ASD

Abstract

Research has demonstrated that caregivers’ use of intervention strategies can support their children’s social engagement and communication. However, it is not clear to what degree caregivers must master the strategies to effectively support gains in social communication, specifically, core challenges such as joint attention language (comments). Twenty-two minimally verbal school-age children with autism received a social communication intervention with caregiver coaching. Through 10 min caregiver–child play interactions at eight time points, significant increase were found in children’s spontaneous language. Further, children’s spontaneous language was associated with caregivers’ implementation. Minimum benchmarks for caregivers’ total intervention implementation are discussed.

Keywords

Caregivers Social communication Intervention Minimally verbal School-age JASPER 

Notes

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 of Health Research. Thank you to the children and families who participated in this study, the interventionists, and to Alison Holbrook for assisting with coding and transcription.

Author Contributions

SYS drafted the manuscript and conceived of the study; WS performed the statistical analyses and provided edits to the manuscript; CK was the principal investigator of the larger RCT, participated in the development of the current study, and provided edits to the manuscript. All authors read and approved the final manuscript.

Compliance with Ethical Standards

Conflict of interest

Authors Shire, Shih, and Kasari have no conflicts of interest to declare.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional review committee (UCLA) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Almirall, D., DiStefano, C., Chang, Y. C., Shire, S., Kaiser, A., Lu, X., … Kasari, C. (2016) Longitudinal effects of adaptive interventions with a speech-generating device in minimally verbal children with ASD. Journal of Clinical Child & Adolescent Psychology, 45(4), 442–456.CrossRefGoogle Scholar
  2. Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., … Barrett, B. (2010). Parentmediated communication-focused treatment in children with autism (PACT): A randomised controlled trial. The Lancet, 375(9732), 2152–2160.Google Scholar
  3. Hresko, W. P., Reid, D. K., & Hammill, D. D. (1999). Test of early language development (TELD) Third Edition. Austin, TX: Pro-Ed.Google Scholar
  4. Jones, E. A., & Carr, E. G. (2004). Joint attention in children with autism: Theory and intervention. Focus on Autism and Other Developmental Disabilities, 19(1), 13–26.CrossRefGoogle Scholar
  5. Kaiser, A. P., Hancock, T. B., & Nietfeld, J. P. (2000). The effects of parent-implemented enhanced milieu teaching on the social communication of children who have autism. Early Education and Development, 11(4), 423–446.CrossRefGoogle Scholar
  6. Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40(9), 1045–1056.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Kasari, C., Kaiser, A., Goods, K., Nietfeld, J., Mathy, P., Landa, R., … Almirall, D. (2014a). Communication interventions for minimally verbal children with autism: A sequential multiple assignment randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53(6), 635–646.CrossRefGoogle Scholar
  8. Kasari, C., Lawton, K., Shih, W., Barker, T. V., Landa, R., Lord, C., … Senturk, D. (2014b). Caregiver-mediated intervention for low-resourced preschoolers with autism: An RCT. Pediatrics, 134(1), e72–e79.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., … Rutter, M. (2000). The Autism Diagnostic Observation Schedule—Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.CrossRefPubMedGoogle Scholar
  10. Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: The contribution of non-verbal communication measures. Journal of Child Psychology and Psychiatry, 27(5), 657–669.CrossRefPubMedGoogle Scholar
  11. Mundy, P., Sigman, M., Ungerer, J., & Sherman, T. (1987). Nonverbal communication and play correlates of language development in autistic children. Journal of Autism and Developmental Disorders, 17(3), 349–364.CrossRefPubMedGoogle Scholar
  12. Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., … Dawson, G. (2012). Effects of a brief Early Start Denver Model (ESDM)–based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51(10), 1052–1065.CrossRefGoogle Scholar
  13. Roid, G. H., & Miller, L. J. (2011). Leiter International Performance Scale-Revised (Leiter-R). Madrid: Psymtec.Google Scholar
  14. Shire, S. Y., Goods, K., Shih, W., DiStefano, C., Kaiser, A., Wright, C., Mathy, P., Landa, B., & Kasari, C. (2015). Parents’ adoption of social communication intervention strategies: Families including children with autism spectrum disorder who are minimally verbal. Journal of Autism and Developmental Disabilities, 45, 1712–1724.CrossRefGoogle Scholar
  15. Stahmer, A. C., & Pellecchia, M. (2015). Moving towards a more ecologically valid model of parent-implemented interventions in autism, 259–261Google Scholar
  16. Tager-Flusberg, H., & Kasari, C. (2013). Minimally verbal school-aged children with autism spectrum disorder: the neglected end of the spectrum. Autism Research, 6(6), 468–478.CrossRefPubMedGoogle Scholar
  17. Wilczynski, S., & Christina, C. (2008). The National Standards Project: promoting evidence-based practices in autism spectrum disorders. In J. Luiselli, D. Russo & V. Christian (Eds.), Effective Practices for Children with Autism: Education and Behavioral Support Interventions that Work (pp. 37–60). New York: Oxford University Press.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Stephanie Y. Shire
    • 1
  • Wendy Shih
    • 2
  • Connie Kasari
    • 2
  1. 1.Special Education and Clinical SciencesUniversity of OregonEugeneUSA
  2. 2.Center for Autism Research and TreatmentUniversity of California Los AngelesLos AngelesUSA

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