Although studies exist measuring the effectiveness of writing interventions for students with autism spectrum disorder (ASD), research assessing the writing skills for this group is sparse. The present study identified differences in the written expression of individuals with ASD compared to typically developing (TD) peers, using variables selected from 13 different studies. Using Pearson Product Moment-correlation the relationship between the quality of research studies and the magnitude of the effect sizes was examined. Findings indicate significant differences in the following components of written expression; length, legibility, handwriting size, speed, spelling, and overall structure, highlighting the need for future research to determine if the characteristics of written expression in individuals with ASD are similar to other struggling writers.
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Alaniz, M. L., Galit, E., Necesito, C. I., & Rosario, E. R. (2015). Hand strength, handwriting, and functional skills in children with autism. American Journal of Occupational Therapy, 69(4), 1–9. https://doi.org/10.5014/ajot.2015.016022.
Altemeier, L. E., Abbott, R. D., & Berninger, V. W. (2008). Executive functions for reading and writing in typical literacy development and dyslexia. Journal of Clinical and Experimental Neuropsychology, 30(5), 588–606. https://doi.org/10.1080/13803390701562818.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Arlington, VA: American Psychiatric Publishing.
Asaro-Saddler, K. (2016). Writing instruction and self-regulation for students with autism spectrum disorders: A systematic review of the literature. Topics in Language Disorders, 36(3), 266–283. https://doi.org/10.1097/TLD.0000000000000093.
Asberg, J., Kopp, S., Berg-Kelly, K., & Gillberg, C. (2010). Reading comprehension, word decoding and spelling in girls with autism spectrum disorders (ASD) or attention-deficit/hyperactivity disorder (AD/HD): Performance and predictors. International Journal of Language and Communication Disorders, 45(1), 61–71. https://doi.org/10.3109/13682820902745438.
Barnhill, E., Hagiwara, T., Myles, B. S., & Simpson, R. L. (2000). Asperger syndrome: A study of the cognitive profiles of 37 children and adolescents. Focus on Autism and Other Developmental Disabilities, 15(3), 147–153. https://doi.org/10.1177/108835760001500303.
Baron-Cohen, S., Leslie, A., & Frith, U. (1985). Does the autistic child have “theory of mind”? Cognition, 21(1), 31–46. https://doi.org/10.1016/0010-0277(85)90022-8.
Beers, S. F., & Nagy, W. E. (2011). Writing development in four genres from grades three to seven: Syntactic complexity and genre differentiation. Reading and Writing, 24(2), 183–202. https://doi.org/10.1007/s11145-010-9264-9.
Berninger, V. W. (1999). Coordinating transcription and text generation in working memory during composing: Automatic and constructive processes. Learning Disability Quarterly, 22(2), 99–112. Retrieved from http://www.jstor.org/stable/1511269.
Berninger, V. W., Abbott, R. D., Swanson, H. L., Lovitt, D., Trivedi, P., Lin, S. J. C., … & Amtmann, D. (2010). Relationship of word-and sentence-level working memory to reading and writing in second, fourth, and sixth grade. Language, Speech, and Hearing Services in Schools, 41(2), 179–193. https://doi.org/10.1044/0161-1461(2009/08-0002).
Berninger, V. W., Fuller, F., & Whitaker, D. (1996). A process model of writing development across the life span. Educational Psychology Review, 8(3), 193–218. https://doi.org/10.1007/BF01464073.
Berninger, V. W., Vaughan, K. B., Abbott, R. D., Abbott, S. P., Rogan, L. W., Brooks, A., … & Graham, S. (1997). Treatment of handwriting problems in beginning writers: Transfer from handwriting to composition. Journal of Educational Psychology, 89(4), 652. https://doi.org/10.1037/0022-0618.104.22.1682.
Beversdorf, D. Q., Anderson, J. M., Manning, S. E., Anderson, S. L., Nordgren, R. E., Felopulos, G. J., & Bauman, M. L. (2001). Brief report: Macrographia in high-functioning adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 31(1), 97–101. https://doi.org/10.1023/A:1005622031943.
Borenstein, M., Hedges, L., Higgins, J., Rothstein, H. (2005). Comprehensive meta-analysis version 2. Englewood, NJ: Biostat.
Bourassa, D. C., & Treiman, R. (2001). Spelling development and disability: The importance of linguistic factors. Language, Speech, and Hearing Services in Schools, 32(3), 172–181. https://doi.org/10.1044/0161-1461(2001/016).
Browder, D., Gibbs, S., Ahlgrim-Delzell, L., Courtade, G. R., Mraz, M., & Flowers, C. (2009). Literacy for students with severe developmental disabilities: What should we teach and what should we hope to achieve? Remedial and Special Education, 30(5), 269–282. https://doi.org/10.1177/0741932508315054.
Brown, H. M., Johnson, A. M., Smyth, R. E., & Oram-Cardy, J. (2014). Exploring the persuasive writing skills of students with high-functioning autism spectrum disorder. Research in Autism Spectrum Disorders, 8(11), 1482–1499. https://doi.org/10.1016/j.rasd.2014.07.017.
Brown, H. M., & Klein, P. D. (2011). Writing, Asperger syndrome and theory of mind. Journal of Autism and Developmental Disorders, 41(11), 1464–1474. https://doi.org/10.1007/s10803-010-1168-7.
Brown, H. M., Oram-Cardy, J., & Johnson, A. (2013). A meta-analysis of the reading comprehension skills of individuals on the autism spectrum. Journal of Autism and Developmental Disorders, 43(4), 932–955. https://doi.org/10.1007/s10803-012-1638-1.
Cartmill, L., Rodger, S., & Ziviani, J. (2009). Handwriting of eight-year-old children with autistic spectrum disorder: An exploration. Journal of Occupational Therapy, Schools, and Early Intervention, 2(2), 103–118. https://doi.org/10.1007/s10803-011-1206-0.
Centers for Disease Control and Prevention (2014). Prevalence of autism spectrum disorders among children aged 8 years- Autism and developmental disabilities monitoring network, eleven sites, United States, 2010. Morbidity and Mortality Weekly Report. 63(2), pp. 1–24.
Chen, S. F., Chien, Y. L., Wu, C. T., Shang, C. Y., Wu, Y. Y., & Gau, S. S. (2016). Deficits in executive functions among youths with autism spectrum disorders: An age-stratified analysis. Psychological Medicine, 46(08), 1625–1638. https://doi.org/10.1017/S0033291715002238.
Cooper, H. (2016). Research synthesis and meta-analysis: A step-by-step approach (Vol. 2). Thousand Oaks: Sage Publications.
Dockrell, J. E., & Connelly, V. (2015). The role of oral language in underpinning the text generation difficulties in children with specific language impairments. Journal of Research in Reading, 38(1), 18–34. https://doi.org/10.1111/j.1467-9817.2012.01550.x.
Dockrell, J. E., Ricketts, J., Charman, T., & Lindsay, G. (2014). Exploring writing products in students with language impairments and autism spectrum disorder. Learning and Instruction, 32, 81–90. https://doi.org/10.1016/j.learninstruc.2014.01.008.
Dynia, J. M., Lawton, K., Logan, J. A., & Justice, L. M. (2014). Comparing emergent-literacy skills and home-literacy environment of children with autism and their peers. Topics in Early Childhood Special Education, 34(3), 142–153. https://doi.org/10.1177/0271121414536784.
Feder, K. P., & Majnemer, A. (2007). Handwriting development, competency, and intervention. Developmental Medicine and Child Neurology, 49(4), 312–317. https://doi.org/10.1111/j.1469-8749.2007.00312.x.
Fuentes, C. T., Mostofsky, S. H., & Bastian, A. J. (2009). Children with autism show specific handwriting impairments. Neurology, 73(19), 1532–1537. https://doi.org/10.1212/WNL.0b013e3181c0d48c.
Fuentes, C. T., Mostofsky, S. H., & Bastian, A. J. (2010). Perceptual reasoning predicts handwriting impairments in adolescents with autism. Neurology, 75(20), 1825–1829. https://doi.org/10.1212/WNL.0b013e3181fd633d.
Gabig, C. S. (2008). Verbal working memory and story retelling in school-age children with autism. Language, Speech, and Hearing Services in Schools, 39(4), 498–511. https://doi.org/10.1044/0161-1461(2008/07-0023).
Garcia, N. P., Abbott, R. D., & Berninger, V. W. (2010). Predicting poor, average, and superior spellers in grades 1 to 6 from phonological, orthographic, and morphological, spelling, or reading composites. Written Language and Literacy, 13(1), 61–98. https://doi.org/10.1075/wll.13.1.03gar.
Gersten, R., Fuchs, L. S., Compton, D., Coyne, M., Greenwood, C., & Innocenti, M. S. (2005). Quality indicators for group experimental and quasi-experimental research in special education. Exceptional Children, 71(2), 149–164. https://doi.org/10.1177/001440290507100202.
Goldman, S. (2008). Brief report: Narratives of personal events in children with autism and developmental language disorders: Unshared memories. Journal of Autism and Developmental Disorders, 38(10), 1982–1988. https://doi.org/10.1007/s10803-008-0588-0.
Graham, S., Berninger, V., Weintraub, N., & Schafer, W. (1998). Development of handwriting speed and legibility in grades 1–9. The Journal of Educational Research, 92(1), 42–52. https://doi.org/10.1080/00220679809597574.
Graham, S., Bollinger, A., Olson, C. B., D’Aoust, C., MacArthur, C., McCutchen, D., & Olinghouse, N. (2012). Teaching elementary school students to be effective writers: A practice guide. NCEE 2012–4058. Washington D.C.: What Works Clearinghouse.
Graham, S., & Harris, K. R. (2006). Preventing writing difficulties: Providing additional handwriting and spelling instruction to at-risk children in first grade. Teaching Exceptional Children, 38(5), 64–66. https://doi.org/10.1177/004005990603800509.
Graham, S., Harris, K. R., & Fink, B. (2000). Is handwriting causally related to learning to write? Treatment of handwriting problems in beginning writers. Journal of Educational Psychology, 92(4), 620. https://doi.org/10.1037/0022-0622.214.171.1240.
Graham, S., Morphy, P., Harris, K. R., Fink-Chorzempa, B., Saddler, B., Moran, S., & Mason, L. (2008). Teaching spelling in the primary grades: A national survey of instructional practices and adaptations. American Educational Research Journal, 45(3), 796–825. https://doi.org/10.3102/0002831208319722.
Graham, S., & Santangelo, T. (2014). Does spelling instruction make students better spellers, readers, and writers? A meta-analytic review. Reading and Writing, 27(9), 1703–1743. https://doi.org/10.1007/s11145-014-9517-0.
Graham, S., Struck, M., Santoro, J., & Berninger, V. W. (2006). Dimensions of good and poor handwriting legibility in first and second graders: Motor programs, visual–spatial arrangement, and letter formation parameter setting. Developmental Neuropsychology, 29(1), 43–60. https://doi.org/10.1207/s15326942dn2901_4.
Griswold, D. E., Barnhill, G. P., Myles, B. S., Hagiwara, T., & Simpson, R. L. (2002). Asperger syndrome and academic achievement. Focus on Autism and Other Developmental Disabilities, 17(2), 94–102. https://doi.org/10.1177/10883576020170020401.
Hellinckx, T., Roeyers, H., & Van Waelvelde, H. (2013). Predictors of handwriting in children with autism spectrum disorder. Research in Autism Spectrum Disorders, 7(1), 176–186. https://doi.org/10.1016/j.rasd.2012.08.009.
Huemer, S. V., & Mann, V. (2010). A comprehensive profile of decoding and comprehension in autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(4), 485–493. https://doi.org/10.1007/s10803-009-0892-3.
Kazdin, A. E. (1982). Single-case research designs: Methods for clinical and applied settings. New York: Oxford University Press.
Kenworthy, L., Yerys, B. E., Anthony, L. G., & Wallace, G. L. (2008). Understanding executive control in autism spectrum disorders in the lab and in the real world. Neuropsychology Review, 18(4), 320–338. https://doi.org/10.1007/s11065-008-9077-7.
Kushki, A., Chau, T., & Anagnostou, E. (2011). Handwriting difficulties in children with autism spectrum disorders: A scoping review. Journal of Autism and Developmental Disorders, 41(12), 1706–1716. https://doi.org/10.1007/s10803-011-1206-0.
Lanter, E., Freeman, D., & Dove, S. (2013). Procedural and conceptual print-related achievements in young children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 28(1), 14–25. https://doi.org/10.1177/1088357612459270.
Lanter, E., Watson, L. R., Erickson, K. A., & Freeman, D. (2012). Emergent literacy in children with autism: An exploration of developmental and contextual dynamic processes. Language, Speech, and Hearing Services in Schools, 43(3), 308–324. https://doi.org/10.1044/0161-1461(2012/10-0083).
Losh, M., & Capps, L. (2003). Narrative ability in high-functioning children with autism or Asperger’s syndrome. Journal of Autism and Developmental Disorders, 33(3), 239–251. https://doi.org/10.1023/A:1024446215446.
Maldarelli, J. E., Kahrs, B. A., Hunt, S. C., & Lockman, J. J. (2015). Development of early handwriting: Visual-motor control during letter copying. Developmental Psychology, 51(7), 879–888. https://doi.org/10.1037/a0039424.
Mayes, S. D., & Calhoun, S. L. (2003). Analysis of WISC-III, Stanford-Binet: IV, and academic achievement test scores in children with autism. Journal of Autism and Developmental Disorders, 33(3), 329–341. https://doi.org/10.1023/A:1024462719081.
Mayes, S. D., & Calhoun, S. L. (2006). Frequency of reading, math, and writing disabilities in children with clinical disorders. Learning and Individual Differences, 16(2), 145–157. https://doi.org/10.1016/j.lindif.2005.07.004.
Mayes, S. D., & Calhoun, S. L. (2007). Learning, attention, writing, and processing speed in typical children and children with ADHD, autism, anxiety, depression, and oppositional-defiant disorder. Child Neuropsychology, 13(6), 469–493. https://doi.org/10.1080/09297040601112773.
McIntyre, N. S., Solari, E. J., Grimm, R. P., Lerro, L. E., Gonzales, J. E., & Mundy, P. C. (2017). A comprehensive examination of reading heterogeneity in students with high functioning Autism: Distinct reading profiles and their relation to Autism Symptom Severity. Journal of Autism and Developmental Disorders, 47(4), 1086–1101. https://doi.org/10.1007/s10803-017-3029-0.
McNeill, B. C., Westerveld, M., van Bysterveldt, A., Boyd, L., & Gillon, G. (2013). Early name writing and invented-spelling development. New Zealand Journal of Educational Studies, 48(1), 50.
Meyer, J. A. (2002). Cognitive patterns in autism spectrum disorders. Assessment for Effective Intervention, 27(1–2), 27–35. https://doi.org/10.1177/073724770202700105.
Myhill, D. (2009). From talking to writing: Linguistic development in writing. BJEP Monograph Series II, Number 6-teaching and learning writing (Vol. 27, No. 44, pp. 27–44). London: British Psychological Society.
Myles, B. S., Huggins, A., Rome-Lake, M., Hagiwara, T., Barnhill, G. P., & Griswold, D. E. (2003). Written language profile of children and youth with Asperger syndrome: From research to practice. Education and Training in Developmental Disabilities, 38(4), 362–369. Retrieved from https://eric.ed.gov/?id=EJ789134.
Nation, K., Clarke, P., Wright, B., & Williams, C. (2006). Patterns of reading ability in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 36(7), 911–919. https://doi.org/10.1007/s10803-006-0130-1.
National Council of English Teachers (NCTE) (2016) NCTE Beliefs about Students’ Right to Write. Retrieved from http://www.ncte.org/positions/statements/students-right-to-write.
Norbury, C. F., & Bishop, D. V. (2003). Narrative skills of children with communication impairments. International Journal of Language and Communication Disorders, 38(3), 287–313. https://doi.org/10.1080/136820310000108133.
O’Donnell, R. C. (1967). Syntax of Kindergarten and elementary school children: A transformational analysis. (Research Report No. 8) Retrieved from National Council of Teachers of English website http://www.ncte.org/policy-research.
Pennington, R. C., & Delano, M. E. (2012). Writing instruction for students with autism spectrum disorders: A review of literature. Focus on Autism and Other Developmental Disabilities, 27(3), 158–167. https://doi.org/10.1177/1088357612451318.
Saddler, B. (2013). Best practices in sentence construction skills. In S. Graham, C. A. McArthur, & J. Fitzgerald (Eds.), Best practices in writing instruction (238–256). New York: Guildford.
Troyb, E., Orinstein, A., Tyson, K., Helt, M., Eigsti, I. M., Stevens, M., & Fein, D. (2014). Academic abilities in children and adolescents with a history of autism spectrum disorders who have achieved optimal outcomes. Autism: The International Journal of Research and Practice, 18(3), 233–243. https://doi.org/10.1177/1362361312473519.
Tyson, K., Kelley, E., Fein, D., Orinstein, A., Troyb, E., Barton, M., … & Helt, M. (2014). Language and verbal memory in individuals with a history of autism spectrum disorders who have achieved optimal outcomes. Journal of Autism and Developmental Disorders, 44(3), 648–663. https://doi.org/10.1007/s10803-013-1921-9.
U.S. Department of Education, National Center for Educational Statistics. (2013). The condition of education (NCES Publication No. 2013-037). Retrieved from http://nces.ed.gov/pubs2012/2012045_2.pdf.
Wang, S. Y., Parrila, R., & Ying, C. (2013). Meta-analysis of social skills interventions of single-case research for individuals with autism spectrum disorders: results from three-level HLM. Journal of Autism and Developmental Disorders, 43(17), 1701–1716. https://doi.org/10.1007/s10803-012-1726-2.
Westerveld, M. F., Trembath, D., Shellshear, L., & Paynter, J. (2016). A systematic review of the literature on emergent literacy skills of preschool children with Autism Spectrum Disorder. The Journal of Special Education, 50(1), 37–48. https://doi.org/10.1177/0022466915613593.
Whitby, P. J. S., & Mancil, G. R. (2009). Academic achievement profiles of children with high functioning autism and Asperger syndrome: A review of the literature. Education and Training in Developmental Disabilities, 44(4), 551–560. Retrieved from https://eric.ed.gov/?id=EJ883889.
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Finnegan, E., Accardo, A.L. Written Expression in Individuals with Autism Spectrum Disorder: A Meta-Analysis. J Autism Dev Disord 48, 868–882 (2018). https://doi.org/10.1007/s10803-017-3385-9
- Autism spectrum disorder