Abstract
This study investigated whether a brief parent-mediated intervention would increase the frequency of question asking in children with ASD. Mothers participated in a 3-week training consisting of 2-h sessions twice weekly. Data were collected in the context of concurrent multiple baseline design. Results demonstrate all three children increased frequency of question asking with two children maintaining gains. All three children demonstrated generalization of question asking to novel items, family members, and/or settings. Affect improved for two of the three children. Overall, mothers were able to reach Fidelity of Implementation during most sessions and rated the intervention as highly acceptable. Results are discussed in regard to the feasibility of providing a short-term parent-implemented intervention to increase social initiations through question asking.
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing Inc.
Baker, M. J., Koegel, R. L., & Koegel, L. K. (1998). Increasing the social behavior of young children with autism using their obsessive behaviors. Journal of the Association for Persons with Severe Handicaps, 23, 300–308.
Bearss, K., Burrell, L., Stewart, L., & Scahill, L. (2015). Parent training in autism spectrum disorder: What’s in a Name? Clinical Child and Family Psychology Review, 18(2), 170–182. https://doi.org/10.1007/s10567-015-0179-5.
Bradshaw, J. L., Koegel, L. K., & Koegel, R. L. (2017). Improving functional language and social motivation with a parent-mediated intervention for toddlers with autism spectrum disorder. Journal of Autism and Developmental Disorders, 47, 2443–2458.
Carter, S. L. (2010). The social validity manual. London: Elsevier.
Chouinard, M. M., Harris, P. L., & Maratsos, M. P. (2007). Children’s questions: A mechanism for cognitive development. Monographs of the Society for Research in Child Development, 72, 1–129.
Coolican, J., Smith, I. M., & Bryson, S. E. (2010). Brief parent training in pivotal response treatment for preschoolers with autism. Journal of Child Psychology and Psychiatry, 51(12), 1321–1330.
Csanady, A. (2015). Over 16,000 children on Ontario wait lists for autism services: More kids are waiting than are getting support. National Post. Retrieved from https://news.nationalpost.com/news/canada/canadian-politics/over-16000-children-on-ontario-wait-lists-for-autism-services-some-families-are-waiting-years-for-help.
Dyches, T. T., Wilder, L. K., Sudweeks, R. R., Obiakor, F. E., & Algozzine, B. (2004). Multicultural issues in autism. Journal of Autism and Developmental Disorders, 34(2), 211–222.
Esbenshade, P. H., & Rosales-Ruiz, J. (2001). Programming common stimuli to promote generalized question-asking. Journal of Positive Behavior Interventions, 3, 199–210.
Fenson, L., Pethick, S., Renda, C., Cox, J. L., Dale, P. S., & Reznick, S. J. (2000). Short-form versions of the MacArthur communicative development inventories. Applied Psycholinguistics, 21, 95–116.
Fossum, K. L., Williams, L., Garon, N., Bryson, S. E., & Smith, I. M. (2018). Pivotal response treatment for preschoolers with autism spectrum disorder: Defining a predictor profile. Autism Research, 11(1), 153–165.
Gengoux, G. W., Berquist, K. L., Salzman, E., Schapp, S., Phillips, J. M., Frazier, T. W., et al. (2015). Pivotal response treatment parent training for autism: Findings from a 3-month follow-up evaluation. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-015-2452-3.
Gordon, A. (2015). Chronic wait times persist for families coping with autism. Retrieved from https://www.thestar.com/life/2015/04/17/chronic-wait-times-persist-for-families-coping-with-autism.html?referrer=http%3A%2F%2Fm.facebook.com.
Guivarch, J., Murdymootoo, V., Elissalde, S. N., Salle-Collemiche, X., Tardieu, S., Jouve, E., et al. (2017). Impact of an implicit social skills training group in children with autism spectrum disorder without intellectual disability: A before-and-after study. PLoS ONE, 12(7), e0181159.
Hume, K., Bellini, S., & Pratt, C. (2005). The usage and perceived outcomes of early intervention and early childhood programs for young children with autism spectrum disorder. Topics in Early Childhood Special Education, 25(4), 195–207. https://doi.org/10.1177/02711214050250040101.
Hung, D. W. (1977). Generalization of ‘curiosity’ questioning behavior in autistic children. Journal of Behavior Therapy and Experimental Psychiatry, 8, 237–245.
Jones, A. (2019). Ontario overhauls autism program to attempt to eliminate wait list. City News. Retrieved from https://toronto.citynews.ca/2019/02/06/ontario-autism-funding/.
Koegel, L. K. (2014a). Pivotal response treatment: Using motivation as a pivotal response. Santa Barbara, CA: Koegel Autism Consultants.
Koegel, L. K. (2014b). Teaching the pivotal behavior of initiations to children with autism. Santa Barbara, CA: Koegel Autism Consultants.
Koegel, L. K. (2014c). Using pivotal response treatment to teach first words to children with autism. Santa Barbara, CA: Koegel Autism Consultants.
Koegel, L. K., Camarata, S. M., Valdez-Menchaca, M., & Koegel, R. L. (1998). Setting generalization of question-asking by children with autism. American Journal on Mental Retardation, 102(4), 346–357.
Koegel, L. K., Carter, C. M., & Koegel, R. L. (2003). Teaching children with autism self-initiations as a pivotal response. Topics in Language Disorders, 23(2), 134–145.
Koegel, L. K., & Koegel, R. L. (2006). Pivotal response treatments for autism: Communication, social & academic development. Baltimore, Maryland: Paul H. Brookes Publishing Co.
Koegel, L. K., Koegel, R. L., Green-Hopkins, I., & Barnes, C. (2010). Brief report: Question-asking and collateral language acquisition in children with autism. Journal of Autism and Developmental Disorders, 40(4), 509–515. https://doi.org/10.1007/s10803-009-0896-z.
Koegel, L. K., Koegel, R. L., Shoshan, Y., & McNerney, E. K. (1999). Pivotal response intervention II: Preliminary long-term outcome data. Journal of the Association for Persons with Severe Handicaps, 24, 186–198.
Koegel, R. L., Bradshaw, J. L., Ashbaugh, K., & Koegel, L. K. (2014). Improving question-asking initiations in young children with autism using pivotal response treatment. Journal of Autism and Developmental Disorders, 44(4), 816–827. https://doi.org/10.1007/s10803-013-1932-6.
Koegel, R. L., & Koegel, L. K. (2018). Pivotal response treatment for autism spectrum disorders (2ndnd Edition ed.). Baltimore, MD: Brookes Publishing.
Koegel, R. L., O’Dell, M., & Dunlap, G. (1988). Producing speech use in nonverbal autistic children by reinforcing attempts. Journal of Autism and Developmental Disorders, 18(4), 525–538.
Kurkul, K. E., & Corriveau, K. H. (2018). Question, explaination, follow-up: A mechanism for learning from others? Child Development, 89(1), 280–294.
Lord, C., Luyster, R. J., Gotham, K., & Guthrie, W. (2012). Autism diagnostic observation schedule, Second Edition (ADOS-2) manual (Part II): Toddler module. Journal of Psychoeducational Assessment, 32, 88–92.
Marion, C., Martin, G. L., & Yu, C. T. (2011). Teaching children with autism spectrum disorder to mand what is it? Research in Autism Spectrum Disorders, 5, 1584–1597.
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(1), 120–129. https://doi.org/10.1111/j.1365-2753.2006.00674.x.
McConachie, H., Mason, D., Parr, J. R., Garland, D., Wilson, C., & Rodgers, J. (2018). Enhancing the validity of a quality of life measure for autistic people. Journal of Autism and Developmental Disorders, 48(5), 1596–1611.
O'Neill, R. E., McDonnell, J. J., Billingsley, F. F., & Jenson, W. R. (2011). Single case research designs in educational and community settings. Upper Saddle River, NJ: Pearson Education Inc.
Ostryn, C., & Wolfe, P. S. (2011). Teaching preschool children with autism spectrum disorders to expressively discriminate between ‘‘what’s that?’’ and ‘‘where is it?’’. Focus on Autism and Other Developmental Disabilities, 26, 195–205.
Patterson, S. Y., Smith, V., & Mirenda, P. (2012). A systematic review of training programs for parents of children with autism spectrum disorders: Single subject contributions. Autism The International Journal of Research and Practice, 16(5), 498–522.
Plavnick, J. B., & Dueñas, A. D. (2018). Brief report: Effects of video-based group instruction on spontaneous social interaction of adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-018-3481-5.
Raulston, T., Carnett, A., Lang, R., Tostanoski, A., Lee, A., Machalicek, W., et al. (2013). Teaching individuals with autism spectrum disorder to ask questions: A systematic review. Research in Autism Spectrum Disorders, 7, 866–878.
Roy-Wsiaki, G., Marion, C., Martin, G. L., & Yu, C. T. (2010). Teaching a child with autism to request information by asking ‘what?’. Developmental Disabilities Bulletin, 38, 55–77.
Solomon, M., Ono, M., Timmer, S., & Goodlin-Jones, B. (2008). The effectiveness of parent-child interaction therapy for families of children on the autism spectrum. Journal of Autism and Developmental Disorders, 38(9), 1767–1776.
Swerdan, M. G., & Rosales, R. (2017). Comparison of prompting techniques to teach children with autism to ask questions in the context of a conversation. Focus on Autism and Other Developmental Disabilities, 32(2), 93–101.
Taylor, B. A., & Harris, S. L. (1995). Teaching children with autism to seek information: Acquisition and generalization of responding. Journal of Applied Behavior Analysis, 28, 3–14.
Vershuur, R., Didden, R., Lang, R., Sigafoos, J., & Huskens, B. (2014). Pivotal response treatment for children with autism spectrum disorders: A systematic review. Journal of Autism and Developmental Disorders, 1(1), 34–61. https://doi.org/10.1007/s40489-013-0008-z.
Wetherby, A. M., & Prutting, C. A. (1984). Profiles of communicative and cognitive-social abilities in autistic children. Journal of Speech, Language, and Hearing Research, 27(3), 364–377.
Williams, G., Donley, C. R., & Keller, J. W. (2000). Teaching children with autism to ask questions about hidden objects. Journal of Applied Behavior Analysis, 33, 627–630.
Acknowledgments
Lynn Koegel is a partner in the private company Koegel Autism Consultants, LLC. The first author would like to thank all of the families who participated in the research along with the Koegel Autism Consultants, LLC for their endless support during training. The authors do not list any other acknowledgments, have financial information to disclose, or author notes.
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SCP and EMS conceptualized the research query. SCP wrote the initial manuscript draft, participated in the design of the methodology as well as engaged in the analysis and discussion. EMS verified the analysis, edited the manuscript, and participated in writing portions of the discussion. LKK also edited the manuscript and contributed to portions of the methodology and discussion.
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Popovic, S.C., Starr, E.M. & Koegel, L.K. Teaching Initiated Question Asking to Children with Autism Spectrum Disorder Through a Short-Term Parent-Mediated Program. J Autism Dev Disord 50, 3728–3738 (2020). https://doi.org/10.1007/s10803-020-04426-2
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DOI: https://doi.org/10.1007/s10803-020-04426-2