Abstract
Imitation is an early skill thought to play a role in social development, leading some to suggest that teaching imitation to children with autism should lead to improvements in social functioning. This study used a randomized controlled trial to evaluate the effect of a focused imitation intervention on initiation of joint attention and social-emotional functioning in 27 young children with autism. Results indicated the treatment group made significantly more gains in joint attention initiations at post-treatment and follow-up and social-emotional functioning at follow-up than the control group. Although gains in social functioning were associated with treatment, a mediation analysis did not support imitation as the mechanism of action. These findings suggest the intervention improves social functioning in children with ASD.
Notes
Outcome data based on the imitation measures were reported elsewhere (Ingersoll 2010).
Gestures were not targeted for three children due to their low developmental age (<15 months).
Given our small sample size, we also used the bootstrapping multivariate extension of the Sobel test developed by Preacher and Hayes (2004) to test for mediation. The results were unchanged.
References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association. (text revision).
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.
Bayley, N. (2005). Bayley scales of infant and toddler development (3rd ed.). San Antonio, TX: Psychological Corporation.
Dawson, G., & Galpert, L. (1990). Mothers’use of imitative play for facilitating social responsiveness and toy play in young autistic children. Development and Psychopathology, 2(15), 1–162.
Eckerman, C. O., Davis, C. C., & Didow, S. M. (1989). Toddlers’ emerging ways of achieving social coordinations with a peer. Child Development, 60(2), 440–453.
Escalona, A., Field, T., Nadel, J., & Lundy, B. (2002). Brief report: Imitation effects on children with autism. Journal of Autism and Developmental Disorders, 32(2), 141–144.
Greenspan, S. I. (2004). Greenspan social-emotional growth chart: A screening questionnaire for infants and young children. PsychCorp.
Harris, S. L., Handleman, J. S., & Fong, P. L. (1987). Imitation of self-stimulation. Child and Family Behavior Therapy, 9(1), 1–21.
Ingersoll, B. (2008). The social role of imitation in autism: Implications for the treatment of imitation deficits. Infants Young Children, 21(2), 107–119.
Ingersoll, B. (2010). Brief report: Pilot randomized controlled trial of reciprocal imitation training for teaching elicited and spontaneous imitation to children with autism. Journal of Autism and Developmental Disorders, 40, 1154–1160.
Ingersoll, B., & Lalonde, K. (2010). The impact of nonverbal imitation training on language use in children with autism: A comparison of object and gesture imitation training. Journal of Speech, Language and Hearing Research, 53, 1040–1051
Ingersoll, B., Lewis, E., & Kroman, E. (2007). Teaching the imitation and spontaneous use of descriptive gestures in young children with autism using a naturalistic behavioral intervention. Journal of Autism and Developmental Disorders, 37(8), 1446–1456.
Ingersoll, B., & Schreibman, L. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects on language, pretend play, and joint attention. Journal of Autism and Developmental Disorders, 36(4), 487–505.
Kasari, C., Paparella, T., Freeman, S., & Jahromi, L. B. (2008). Language outcome in autism: Randomized comparison of joint attention and play interventions. Journal of Consulting and Clinical Psychology, 76(1), 125–137.
Kazdin, A. E., & Nock, M. K. (2003). Delineating mechanisms of change in child and adolescent therapy: Methodological issues and research recommendations. Journal of Child Psychology and Psychiatry, 44(8), 1116–1129.
Lewy, A. L., & Dawson, G. (1992). Social stimulation and joint attention in young autistic children. Journal of Abnormal Child Psychology, 20(6), 555–566.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (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.
McDuffie, A., Turner, L., Stone, W., Yoder, P., Wolery, M., & Ulman, T. (2007). Developmental correlates of different types of motor imitation in young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(3), 401–412.
Nadel, J. (2002). Imitation and imitation recognition: Functional use in preverbal infants and nonverbal children with autism. In A. N. Meltzoff & W. Prinz (Eds.), The imitative mind: Development, evolution and brain bases (pp. 46–62). Cambridge, UK: Cambridge University Press.
Nadel, J., & Peze, A. (1993). What makes immediate imitation communicative in toddlers and autistic children. In J. Nadel & L. Camaioni (Eds.), New perspectives in early communicative development (pp. 139–156). New York: Routledge.
Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717.
Rogers, S. J. (1999). An examination of the imitation deficit in autism. In J. Nadel & G. Butterworth (Eds.), Imitation in infancy (pp. 254–279). Cambridge: Cambridge University Press.
Rogers, S. J., Hepburn, S. L., Stackhouse, T., & Wehner, E. (2003). Imitation performance in toddlers with autism and those with other developmental disorders. Journal of Child Psychology & Psychiatry & Allied Disciplines, 44(5), 763–781
Rogers, S. J., & Pennington, B. F. (1991). A theoretical approach to the deficits in infantile autism. Development and Psychopathology, 3(2), 137–162.
Seibert, J. M., Hogan, A. E., & Mundy, P. C. (1982). Assessing interactional competencies: The early social-communication scales. Infant Mental Health Journal, 3(4), 244–245.
Smith, I. M., & Bryson, S. E. (1994). Imitation and action in autism: A critical review. Psychological Bulletin, 116, 259–273.
Stone, W. L., Ousley, O. Y., & Littleford, C. D. (1997). Motor imitation in young children with autism: What’s the object? Journal of Abnormal Child Psychology, 25(6), 475–485.
Tiegerman, E., & Primavera, L. H. (1984). Imitating the autistic child: Facilitating communicative gaze behavior. Journal of Autism and Developmental Disorders, 14(1), 27–38.
Uzgiris, I. C. (1981). Two functions of imitation during infancy. International Journal of Behavioral Development, 4(1), 1–12.
Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2002). Preschool language scale (4th ed.). San Antonio, TX: The Psychological Corporation.
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Ingersoll, B. Brief Report: Effect of a Focused Imitation Intervention on Social Functioning in Children with Autism. J Autism Dev Disord 42, 1768–1773 (2012). https://doi.org/10.1007/s10803-011-1423-6
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DOI: https://doi.org/10.1007/s10803-011-1423-6