Skip to main content
Log in

Brief Report: Effect of a Focused Imitation Intervention on Social Functioning in Children with Autism

  • Brief Report
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Notes

  1. Outcome data based on the imitation measures were reported elsewhere (Ingersoll 2010).

  2. Gestures were not targeted for three children due to their low developmental age (<15 months).

  3. 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).

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Bayley, N. (2005). Bayley scales of infant and toddler development (3rd ed.). San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Ingersoll, B. (2008). The social role of imitation in autism: Implications for the treatment of imitation deficits. Infants Young Children, 21(2), 107–119.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Lewy, A. L., & Dawson, G. (1992). Social stimulation and joint attention in young autistic children. Journal of Abnormal Child Psychology, 20(6), 555–566.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • 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

    Article  Google Scholar 

  • Rogers, S. J., & Pennington, B. F. (1991). A theoretical approach to the deficits in infantile autism. Development and Psychopathology, 3(2), 137–162.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Smith, I. M., & Bryson, S. E. (1994). Imitation and action in autism: A critical review. Psychological Bulletin, 116, 259–273.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Tiegerman, E., & Primavera, L. H. (1984). Imitating the autistic child: Facilitating communicative gaze behavior. Journal of Autism and Developmental Disorders, 14(1), 27–38.

    Article  PubMed  Google Scholar 

  • Uzgiris, I. C. (1981). Two functions of imitation during infancy. International Journal of Behavioral Development, 4(1), 1–12.

    Google Scholar 

  • Zimmerman, I. L., Steiner, V. G., & Pond, R. E. (2002). Preschool language scale (4th ed.). San Antonio, TX: The Psychological Corporation.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brooke Ingersoll.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-011-1423-6

Keywords

Navigation