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Teaching Young Nonverbal Children with Autism Useful Speech: A Pilot Study of the Denver Model and PROMPT Interventions

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Abstract

This single subject design study examined two models of intervention: Denver Model (which merges behavioral, developmental, and relationship-oriented intervention), and PROMPT (a neuro-developmental approach for speech production disorders). Ten young, nonverbal children with autism were matched in pairs and randomized to treatment. They received 12 1-h weekly sessions of therapy and daily 1-h home intervention delivered by parents. Fidelity criteria were maintained throughout. Eight of the ten children used five or more novel, functional words spontaneously and spoke multiple times per hour by the conclusion of treatment. There were no differences in acquired language skills by intervention group. Initial characteristics of the best responders were mild to moderate symptoms of autism, better motor imitation skills, and emerging joint attention skills.

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References

  • Adams, L. (1998). Oral-motor and motor-speech characteristics of children with autism. Focus on Autism and Other Developmental Disabilities, 13, 108–112.

    Google Scholar 

  • Anzalone, M., & Williamson, G. G. (2000). Sensory processing and motor performance in autism. In A. M. Wetherby & B. M. Prizant (Eds.), Autism spectrum disorders: a transactional developmental perspective (pp. 143–166). Baltimore: Brookes.

    Google Scholar 

  • Barlow, D. H., & Hersen, M. (1984). Single case experimental designs; Strategies for studying behavioral change (2 ed.). Boston: Allyn & Bacon.

    Google Scholar 

  • Bates, E. (1976). Language and context: The acquisition of pragmatics. New York: Academic Press.

    Google Scholar 

  • Bennetto, L. (1999). A componential approach to imitation and movement deficits in autism. Dissertation Abstracts international, 60(2-B), 0819.

    Google Scholar 

  • Berument, S. K., Rutter, M., Lord, C., Pickles, A., & Bailey, A. (1999). Autism screening questionnaire: Diagnostic validity. British Journal of Psychiatry, 175, 444–451.

    PubMed  Google Scholar 

  • Bruner, J., (1975). The ontogenesis of speech acts. Journal of Child Language, 2, 1–19.

    Google Scholar 

  • Carpenter, M., & Tomasello, M. (2000). Joint attention, cultural learning, and language acquisition: Implications for children with autism. In A. M. Wetherby & B. M. Prizant (Eds.) Autism spectrum disorders: A transactional developmental perspective (pp. 31–54). Baltimore: Brookes.

    Google Scholar 

  • Charlop, M. H., & Trasowech, J. E. (1991). Increasing autistic children’s daily spontaneous speech. Journal of Applied Behavior Analysis, 24, 747–761.

    Article  PubMed  Google Scholar 

  • Chumpelik, D. (1984). The PROMPT system of therapy: Theoretical framework and applications for developmental apraxia of speech. Seminars in Speech and Language, 5, 139–156. Interventions, 2, 98–112.

  • Chumpelik, D. (1984). The PROMPT system of therapy: Theoretical framework and applications for developmental apraxia of speech. Seminars in Speech and Language, 5, 139–156.

    Google Scholar 

  • Chumpelik (Hayden), D., & Sherman, J. (1980). Using a tactile approach in the acquisition of functional oral communication in a non-verbal, eight year old autistic child: a case study. Unpublished research.

  • Chumpelik (Hayden), D., & Sherman, J. (1983). Treatment comparisons for developmental apraxia of speech. Unpublished research, Thistletown Regional Centre, Toronto, ON.

  • DeMyer, M. K., Alpern, G. D., Barton, S., DeMyer, W. E., Churchill, D. W., Hingtgen, J. N., Bryson, C. Q., Pontius, W., & Kimberlin, C. (1972). Imitation in autistic, early schizophrenic, and nonpsychotic subnormal children. Journal of Autism and Childhood Schizophrenia, 2, 264–287.

    Article  PubMed  Google Scholar 

  • DeMyer, M. K., Hingtgen, J. N., & Jackson, R. K. (1981). Infantile autism reviewed: A decade of research. Schizophrenia Bulletin, 7, 388–451.

    PubMed  Google Scholar 

  • Damasio, A. R., & Maurer, R. G. (1978). A neurological model for childhood autism. Archives of Neurology, 35, 777–786.

    PubMed  Google Scholar 

  • Fenson, L., Dale, P. S., Reznick, J. S., Thal, D., Bates, E., Hartung, J. P., Pethick, S., & Reilly, J. S. (1993). MacArthur communicative development inventories. San Diego, CA: Singular Publishing Group.

    Google Scholar 

  • Goldstein, H. (2002). Communication intervention for children with autism: a review of treatment efficacy. Journal of Autism and Developmental Disorders, 32, 373–396.

    Article  PubMed  Google Scholar 

  • Harris, S. L., Wolchik, S. A., & Weitz, S. (1981). The acquisition of language skills by autistic children: Can parents do the job? Journal of Autism and Developmental Disorders, 11, 373–384.

    Article  PubMed  Google Scholar 

  • Hart, B. M., & Risley, T. R. (1968). Establishing use of descriptive adjectives in the spontaneous speech of disadvantaged preschool children. Journal of Applied Behavior Analysis, 1, 109–120.

    Article  PubMed  Google Scholar 

  • Hayden, D., Wetherby, A., & Prizant, B. M. (1999). Early motor control scales. Chicago: Applied Symbolix.

    Google Scholar 

  • Howlin, P., & Rutter, M. (1989). Mothers’ speech to autistic children: A preliminary causal analysis. Journal of Child Psychology and Psychiatry, 30, 819–843.

    Article  PubMed  Google Scholar 

  • Hughes, C. (1996). Planning problems in autism at the level of motor control. Journal of Autism and Developmental Disorders, 26, 99–109.

    Article  PubMed  Google Scholar 

  • Koegel, L. K. (2000). Interventions to facilitate communication in autism. Journal of Autism and Developmental Disorders, 30, 383–391.

    Article  PubMed  Google Scholar 

  • Koegel, R. L., Koegel, L. K., & Carter, C. M. (1999). Pivotal teaching interactions for children with autism. School Psychology Review, 28, 576–594.

    Google Scholar 

  • Koegel, R. L., O’Dell, M. C., & Koegel, L. K. (1987). A natural language teaching paradigm for nonverbal autistic children. Journal of Autism and Developmental Disorders, 17, 187–199.

    Article  PubMed  Google Scholar 

  • Laski, K. E., Charlop, M. H., & Schreibman, L. (1988). Training parents to use the natural language paradigm to increase their autistic children’s speech. Journal of Applied Behavior Analysis, 21, 391–400.

    Article  PubMed  Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H. Jr., Leventhal, B., DiLavore, P. C., Pickles, A., & 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 Development Disorders, 30, 205–223.

    Article  Google Scholar 

  • Lord, C., Risi, S., & Pickles, A. (2004). Trajectory of language development in autistic spectrum disorders. In M. L. Rice & S. F. Warren (Eds.), Developmental language disorders: From phenotypes to etiologies (pp. 7–30). Mahweh, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism diagnostic observation schedule – WPS Edition. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.

    Article  PubMed  Google Scholar 

  • Lovaas, O. I. (1981). Teaching developmentally disabled children: The Me Book. Baltimore: University Park Press.

    Google Scholar 

  • Lovaas, O. I. (2002). Teaching individuals with developmental delays: Basic intervention techniques. Austin, TX: PRO-ED.

    Google Scholar 

  • Lovaas, O. I., Berberich, J. P., Perloff, B. F., & Schaeffer, B. (1966). Acquisition of imitative speech by schizophrenic children. Science, 151, 705–707.

    Article  PubMed  Google Scholar 

  • McEachin, J. J., Smith, T., & Lovaas, I. O. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal on Mental Retardation, 97, 359–372.

    PubMed  Google Scholar 

  • McGee, G. G., Morrier, M. J., & Daly, T. (1999). An incidental teaching approach to early intervention for toddlers with autism. Journal of the Association for Persons with Severe Handicaps, 24, 133–146.

    Article  Google Scholar 

  • Miller, J., & Chapman, R. (1993) SALT: Systematic analysis of language transcripts (computer programs to analyze language samples). Madison, WI: Language Analysis Laboratory, Waisman Center, University of Wisconsin-Madison.

    Google Scholar 

  • Mullen, E. M. (1995). Mullens scales of early learning (AGS Edition ed.). Circle Pines: American Guidance Service, Inc.

  • 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, 657–669.

    Article  PubMed  Google Scholar 

  • Ohta, M. (1987). Cognitive disorders of infantile autism: A study employing the WISC, spatial relationships, conceptualization, and gestural imitation. Journal of Autism and Developmental Disorders, 17, 45–62.

    Article  PubMed  Google Scholar 

  • Page, J., & Boucher, J. (1998). Motor impairments in children with autistic disorder. Child Language Teaching and Therapy, 14, 233–259.

    Article  Google Scholar 

  • Perry, A., Bryson, S., & Bebko, J. (1998). Brief report: Degree of facilitator influence in facilitated communication as a function of facilitator characteristics, attitudes, and beliefs. Journal of Autism and Developmental Disorders, 28, 87–90.

    Article  PubMed  Google Scholar 

  • Prizant, B. M., & Wetherby, A. M. (1998). Understanding the continuum of discrete-trial traditional behavioral to social-pragmatic developmental approaches in communication enhancement for young children with autism/pdd. Seminars in Speech and Language, 19, 329–353.

    Article  PubMed  Google Scholar 

  • Prizant, B. M., Wetherby, A. M., & Rydell, P. (2000). Communication intervention issues for children with autism spectrum disorders. In A. M.Wetherby & B. M. Prizant (Eds.), Autism spectrum disorders; a transactional developmental perspective (pp. 193–224). Baltimore.

  • Rogers, S. J., & Bennetto, L. (2000). Intersubjectivity in autism: Roles of imitation and executive function. In A. M. Wetherby & B. M. Prizant (Eds.), Autism spectrum disorders; A transactional developmental perspective (pp. 79–108). Baltimore: Brookes.

    Google Scholar 

  • Rogers, S. J., Bennetto, L., McEvoy, R., & Pennington, B. F. (1996). Imitation and pantomime in high functioning adolescents with autism spectrum disorders. Child Development, 67, 2060–2073.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., & DiLalla, D. (1991). A comparative study of the effects of a developmentally based instructional model on young children with autism and young children with other disorders of behavior and development. Topics in Early Childhood Special Education, 11, 29–48.

    Google Scholar 

  • Rogers, S. J., Hall, T., Osaki, D., Reaven, J., & Herbison, J. (2000). A comprehensive, integrated, educational approach to young children with autism and their families. In S. L. Harris & J. S. Handleman (Eds.), Preschool education programs for children with autism (2nd ed.). Austin, TX: Pro-Ed.

    Google Scholar 

  • Rogers, S. J., Hepburn, S. L., & Stackhouse, T. (2003). Imitation performance in toddlers with autism and those with other developmental disorders. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 44, 763–781.

    Google Scholar 

  • Rogers, S. J., Herbison, J., Lewis, H., Pantone, J., & Reis, K. (1986). An approach for enhancing the symbolic, communicative, and interpersonal functioning of young children with autism and severe emotional handicaps. Journal of the Division of Early Childhood, 10, 135–148.

    Google Scholar 

  • Rogers, S. J., & Lewis, H. (1989). An effective day treatment model for young children with pervasive developmental disorders. Journal of the American Academy of Child and Adolescent Psychiatry, 28, 207–214.

    Article  PubMed  Google Scholar 

  • Rogers, S. J., Lewis, H. C., & Reis, K. (1987). An effective procedure for training early special education teams to implement a model program. Journal of the Division of Early Childhood, 11, 180–188.

    Google Scholar 

  • Roy, E. A., Elliott, D., Dewey, D., & Square-Storer, P. (1990). Impairments to praxis and sequencing in adult and developmental disorders. In C. Bard, M. Fleury, & L. Hay (Eds.), Development of eye-hand coordination across the life span (pp. 358–384). Columbia, SC: University of South Carolina Press.

    Google Scholar 

  • Seal, B. C., & Bonvillian, J. D. (1997). Sign language and motor functioning in students with autistic disorder. Journal of Autism and Developmental Disorders, 27, 437–466.

    Article  PubMed  Google Scholar 

  • Sparrow, S. S., Balla, D. A., & Cicchetti, D. (1984). Vineland adaptive behavior scales. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Square, P. A., Goshulak, D., Bose, A., & Hayden, D. (2000). The Effects of Articulatory Subsystem Treatment for Developmental; Neuromotor Speech Disorders (Rep. No. Tenth Biennial Conference on Motor Speech Disorders and Speech Motor Control). San Antonio, TX.

  • Square-Storer, P., & Hayden, D. (1987). PROMPT treatment. In P. Square-Storer (Ed.), Acquired apraxia of speech in aphasic adults (pp. 190–219). New York: Taylor and Francis.

    Google Scholar 

  • Square-Storer, P., & Hayden, D. (1989). PROMPT treatment. In P. Square-Storer (Eds.), Acquired apraxia of speech in aphasic adults: Theoretical and clinical issues (pp. 190–219). Hillsdale, NJ, England: Lawrence Erlbaum Associates, Inc.

    Google Scholar 

  • Stone, W. L., Ousley, O. Y., Yoder, P. J., Hogan, K. L., & Hepburn, S. L. (1997). Nonverbal communication in two and three-year-old children with autism. Journal of Autism and Developmental Disorders, 27, 677–696.

    Article  PubMed  Google Scholar 

  • Venter, A., Lord, C., & Schopler, E. (1992). A follow-up study of high-functioning autistic children. Journal of Child Psychology and Psychiatry, 33, 489–507.

    Article  PubMed  Google Scholar 

  • Wetherby, A. M., Prizant, B. M., & Schuler, A. L. (2000). Understanding the nature of communication and language impairments. In A. M. Wetherby & B. M. Prizant (Eds.), Autism spectrum disorders: a transactional developmental perspective (pp. 109–142). Baltimore: Brookes.

    Google Scholar 

  • Wetherby, A. M., & Prutting, C. A. (1984). Profiles of communicative and cognitive-social abilities in autistic children. Journal of Speech and Hearing Research, 27, 364–377.

    PubMed  Google Scholar 

  • Wolf, M., Risley, T., & Mees, H. (1964). Application of operant conditioning procedures to the behaviour problems of an autistic child. Behaviour Research and Therapy, 1, 305–312.

    Article  Google Scholar 

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Authors and Affiliations

  1. M.I.N.D. Institute, University California Davis, Sacramento, CA, USA

    Sally J. Rogers

  2. PROMPT Institute, Santa Fe, NM, USA

    Deborah Hayden

  3. University of Colorado Health Sciences Center, Denver, CO, USA

    Susan Hepburn, Renee Charlifue-Smith, Terry Hall & Athena Hayes

Authors
  1. Sally J. Rogers
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  2. Deborah Hayden
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  3. Susan Hepburn
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  4. Renee Charlifue-Smith
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  5. Terry Hall
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  6. Athena Hayes
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Corresponding author

Correspondence to Sally J. Rogers.

Additional information

This research was supported by an award from the National Institute of Deafness and Communication Disorders #R21 DC05574, and by the Coleman Institute of University of Colorado. Dr. Rogers and Dr. Hepburn are also partially supported by the National Institute of Child Health and Human Development HD35468.

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Rogers, S.J., Hayden, D., Hepburn, S. et al. Teaching Young Nonverbal Children with Autism Useful Speech: A Pilot Study of the Denver Model and PROMPT Interventions. J Autism Dev Disord 36, 1007–1024 (2006). https://doi.org/10.1007/s10803-006-0142-x

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