Abstract
From infancy, children who later receive a diagnosis of autism spectrum disorder (ASD) show impairments in eye gaze within both joint attention and requesting contexts and, most notably, when initiating interactions. These impairments correlate with later social, communication, and play development. To adequately address the social-communication impairments that characterize ASD, early intervention must address each of these areas. We examined a brief social-communication intervention teaching eye gaze in select social-communication contexts while examining generalization to initiating joint attention and interactions with participants’ mothers. Three toddlers with ASD participated in intervention involving prompting, prompt fading, and reinforcement. Two toddlers showed generalization from requesting to joint attention with the interventionist; all three showed generalization to interactions with their mothers in a semi-structured play interaction. Findings are discussed in terms of generalization and efficiency of intervention.
Similar content being viewed by others
References
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders. (TR-IV). Washington, DC: Author.
Buffington, D. M., Krantz, P. J., McClannahan, L. E., & Poulson, C. L. (1998). Procedures for teaching appropriate gestural communication skills to children with autism. Journal of Autism and Developmental Disorders, 28, 535–545. doi:10.1023/A:1026056229214.
Butterworth, G., & Cochran, E. (1980). Towards a mechanism of joint visual attention in human infancy. International Journal of Behavioral Development, 3(3), 253–272.
Carroll, R. J., & Hesse, B. E. (1987). The effects of alternating mand and tact training on the acquisition of tacts. The Analysis of Verbal Behavior, 5, 55–65.
Charlop-Christy, M. H., Carpenter, M., Le, L., LeBlanc, L. A., & Kellet, K. (2002). Using the picture exchange communication system (PECS) with children with autism: assessment of PECS acquisition, speech, social-communicative behavior, and problem behavior. Journal of Applied Behavior Analysis, 35(3), 213–231. doi:10.1091/jaba.2002.35-213.
Charman, T., Drew, A., Baird, C., & Baird, G. (2003). Measuring early language development in preschool children with autism spectrum disorder using the MacArthur communicative development inventory (Infant Form). Journal of Child Language, 30(1), 213–236. doi:10.1017/S0305000902005482.
Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: the early start Denver model. Pediatrics, 125(1), 17–23. doi:10.1542/peds.2009-0958.
DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29(4), 519–533. doi:10.1901/jaba.1996.29-519.
Eaves, L. C., & Ho, H. H. (2004). The very early identification of autism: outcome to age 4.5–5. Journal of Autism and Developmental Disorders, 34(4), 367–378. doi:10.1023/B:JADD.0000037414.33270.a8.
Greenberg, J. H., Tsang, W., & Yip, T. (2014). The effects of intensive tact instruction with young children having speech delays on pure tacts and mands in non-instructional settings: a partial replication. Behavioral Development Bulletin, 19(1), 35–39. doi:10.1037/h0100572.
Hall, G., & Sundberg, M. L. (1987). Teaching mands by manipulating conditioned establishing operations. The Analysis of Verbal Behavior, 5, 41–53.
Ibañez, L. V., Grantz, C. J., & Messinger, D. S. (2013). The development of referential communication and autism symptomatology in high-risk infants. Infancy, 18(5), 687–707. doi:10.1111/j.1532-7078.2012.00142.x.
Isaksen, J., & Holth, P. (2009). An operant approach to teaching joint attention skills to children with autism. Behavioral Interventions, 24(4), 215–236. doi:10.1002/bin.292.
Jennett, H. K., Harris, S. L., & Delmolino, L. (2008). Discrete trial instruction vs. mand training for teaching children with autism to make requests. The Analysis of Verbal Behavior, 24(1), 69–85.
Jones, E. A. (2009). Establishing response and stimulus classes for initiating joint attention in children with autism. Research in Autism Spectrum Disorders, 3, 375–389. doi:10.1016/j.rasd.2008.08.004.
Kasari, C., Paparella, T., Freeman, S., & Jahromi, L. B. (2008). Language outcomes in autism: randomized comparison of joint attention and play interventions. Journal of Consulting and Clinical Psychology, 76(1), 125–137. doi:10.1037/0022-006X.76.1.125.
Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40(9), 1045–1056. doi:10.1007/s10803-010-0955-5.
King, M. L., Takeguchi, K., Barry, S. E., Rehfeldt, R. A., Boyer, V. E., & Mathews, T. L. (2014). Evaluation of the iPad in the acquisition of requesting skills for children with autism spectrum disorder. Research in Autism Spectrum Disorders, 8(9), 1107–1120. doi:10.1016/j.rasd.2014.05.011.
Krstovska-Guerrero, I., & Jones, E. A. (2016). Social-communication intervention for toddlers with autism spectrum disorder: eye gaze in the context of requesting and joint attention. Journal of Developmental and Physical Disabilities, 28(2), 289–316. doi:10.1007/s10882-015-9466-9.
Lamarre, J., & Holland, J. G. (1985). The functional independence of mands and tacts. Journal of the Experimental Analysis of Behavior, 43(1), 5–19. doi:10.1901/jeab.1985.43-5.
Landa, R. J., & Kalb, L. G. (2012). Long-term outcomes of toddlers with autism spectrum disorders exposed to short-term intervention. Pediatrics, 130(Suppl 2), S186–S190.
Loveland, K., & Landry, S. (1986). Joint attention and language in autism and developmental language delay. Journal of Autism and Developmental Disorders, 16(3), 335–349. doi:10.1007/BF01531663.
Meindl, J. N., & Cannella-Malone, H. I. (2011). Initiating and responding to joint attention bids in children with autism: a review of the literature. Research in Developmental Disabilities, 32(5), 1441–1454. doi:10.1016/j.ridd.2011.02.013.
Meltzoff, A. N., & Brooks, R. (2008). Self-experience as a mechanism for learning about others: a training study in social cognition. Developmental Psychology, 44(5), 1257–1265. doi:10.1037/a0012888.
Morales, M., Mundy, P., Crowson, M. M., Neal, A. R., & Delgado, C. F. (2005). Individual differences in infant attention skills, joint attention, and emotion regulation behavior. International Journal of Behavioral Development, 29(3), 259–263. doi:10.1080/01650250444000432.
Morisette, P., Ricard, M., & Gouin Décarie, T. (1995). Interactions between shared attention during the preverbal period and the development of verbal references. International Journal of Psychology, 30(4), 481–498. doi:10.1080/00207599508246581.
Mullen, E. M. (1995). Mullen scales of early learning (AGS ed.). Circle Pines: American Guidance Service.
Mundy, P., Sigman, M. D., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: the contribution of non-verbal communication measures. Child Psychology & Psychiatry & Allied Disciplines, 27(5), 657–669. doi:10.1111/j.14697610.1986.tb00190.x.
Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and Developmental Disorders, 20(1), 115–128. doi:10.1007/BF02206861.
Mundy, P., Delgado, C., Block, J., Venezia, M., Hogan, A., & Seibert, J. (2003). A manual for the abridged Early Social-communication Scales (ESCS). Retrieved from http://www.ucdmc.ucdavis.edu/mindinstitute/ourteam/faculty_staff/ESCS.pdf.
Mundy, P., Block, J., Delgado, C., Pomares, Y., Van Hecke, A. V., & Parlade, M. V. (2007). Individual differences and the development of joint attention in infancy. Child Development, 78(3), 938–954. doi:10.1111/j.1467-8624.2007.01042.x.
Paparella, T., Goods, K., Freeman, S., & Kasari, C. (2011). The emergence of non-verbal joint attention and requesting skills in young children with autism. Journal of Communication Disorders, 44(6), 569–583. doi:10.1016/j.jcomdis.2011.08.002.
Parks, S. (1997). Hawaii early learning profile (HELP). Menlo Park: VORT Corporation.
Petursdottir, A. I., Carr, J. E., & Michael, J. (2005). Emergence of mands and tacts of novel objects among preschool children. The Analysis of Verbal Behavior, 21, 59–74.
Plavnick, J. B., & Ferreri, S. J. (2012). Collateral effects of mand training for children with autism. Research in Autism Spectrum Disorders, 6(4), 1366–1376. doi:10.1016/j.rasd.2012.05.008.
Rossetti, L. (2006). The Rossetti infant-toddler language scale. East Moline: LinguiSystems Inc..
Rozga, A., Hutman, T., Young, G. S., Rogers, S. J., Ozonoff, S., Dapretto, M., & Sigman, M. (2011). Behavioral profiles of affected and unaffected siblings of children with autism: contribution of measures of mother–infant interaction and nonverbal communication. Journal of Autism and Developmental Disorders, 41(3), 287–301. doi:10.1007/s10803010-1051-6.
Sigafoos, J., Doss, S., & Reichle, J. (1989). Developing mand and tact repertoires with persons with severe developmental disabilities with graphic symbols. Research in Developmental Disabilities, 10(2), 183–200.
Sigafoos, J., Lancioni, G. E., O’Reilly, M. F., Achmadi, D., Stevens, M., Roche, L., et al. (2013). Teaching two boys with autism spectrum disorders to request the continuation of toy play using an iPad®-based speech-generating device. Research in Autism Spectrum Disorders, 7(8), 923–930. doi:10.1016/j.rasd.2013.04.002.
Taylor, B. A., & Hoch, H. (2008). Teaching children with autism to respond to and initiate bids for joint attention. Journal of Applied Behavior Analysis, 41(3), 377–391. doi:10.1901/jaba.2008.41-377.
Thomas, B. R., Lafasakis, M., & Sturmey, P. (2010). The effects of prompting, fading, and differential reinforcement on vocal mands in non-verbal preschool children with autism spectrum disorders. Behavioral Interventions, 25(2), 157–168. doi:10.1002/bin.300.
Voress, J. K., & Maddox, T. (1998). Developmental assessment of young children (DAYC). Austin: Pro-Ed.
Warren, S. F., Yoder, P. J., Gazdag, G. E., Kim, K., & Jones, H. A. (1993). Facilitating prelinguistic communication skills in young children with developmental delay. Journal of Speech and Hearing Research, 36(1), 83–97.
Wert, B., & Neisworth, J. T. (2003). Effects of video self-modeling on spontaneous requesting in children with autism. Journal of Positive Behavior Interventions, 5(1), 30–34. doi:10.1177/10983007030050010501.
White, P. J., O’Reilly, M., Streusand, W., Levine, A., Sigafoos, J., Lancioni, G., et al. (2011). Best practices for teaching joint attention: a systematic review of the intervention literature. Research in Autism Spectrum Disorders, 5(4), 1283–1295. doi:10.1016/j.rasd.2011.02.003.
Yoder, P., & Stone, W. L. (2006). Randomized comparison of two communication interventions for preschoolers with autism spectrum disorders. Journal of Consulting and Clinical Psychology, 74(3), 426–435.
Zimmerman, I. L., Violette, G., Steiner, B. S., & Pond, R. E. (2002). Preschool language scale, fourth edition, (PLS-4). San Antonio: The Psychological Corporation.
Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P. (2005). Behavioral manifestations of autism in the first year of life. International Journal of Developmental Neuroscience, 23(2–3), 143–152. doi:10.1016/j.ijdevneu.2004.05.001.
Zwaigenbaum, L., Bryson, S., & Garon, N. (2013). Early identification of autism spectrum disorders. Behavioural Brain Research, 251, 133–146. doi:10.1016/j.bbr.2013.04.004.
Acknowledgments
We would like to thank Jeovanna Coloma for assisting with data collection. Thank you to the families who committed their time to this research.
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Funding
This study does not have any funding source.
Ethical Approval
All procedures performed in the present study were reviewed and approved by Queens College, CUNY Institutional Review Board for the protection of human subjects in research and research related activities. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from the parents of all the participants included in the study.
Conflict of Interest
Madiha Muzammal declares that she has no conflict of interest. Emily Jones declares that she has no conflict of interest.
Additional information
This research was conducted in partial fulfillment of the requirement for the degree for Masters of Arts and pre-dissertation for Doctorate of Philosophy in Learning Processes and Behavior Analysis.
Rights and permissions
About this article
Cite this article
Muzammal, M.S., Jones, E.A. Social-Communication Intervention for Toddlers with Autism Spectrum Disorder: Effects on Initiating Joint Attention and Interactions with Mother. J Dev Phys Disabil 29, 203–221 (2017). https://doi.org/10.1007/s10882-016-9519-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10882-016-9519-8