Teaching children with autism to respond to and initiate bids for joint attention

A multiple baseline design across 3 children with autism was used to assess the effects of prompting and social reinforcement to teach participants to respond to an adult's bid for joint attention and to initiate bids for joint attention. Participants were taught to respond to an adult's bid for joint attention by looking in the direction of an object at which the adult pointed, by making a comment about the object, and by looking back at the adult. Additional training and reinforcement were needed to teach the participants to initiate bids for joint attention. Findings are discussed in terms of the social relevance of teaching children with autism to respond to and initiate bids for joint attention.     

Analysis of Live Modeling Plus Prompting and Video Modeling for Teaching Imitation to Children with Autism

Previous researchers have demonstrated that training in imitation can significantly improve the learning capabilities of children diagnosed with autism spectrum disorder (ASD) and that children within this population show a preference for video presentations. Video‐based instruction has been used to teach a variety of behaviors to individuals with ASD. However, only a small number of studies have examined the use of video modeling to teach initial imitation. Furthermore, there are limited and conflicting data on the effectiveness of a video modeling procedure that does not incorporate prompting when used to teach imitation to young children with ASD. Thus, the purpose of this study was to evaluate a video‐modeling‐alone procedure and a live‐modeling‐with‐prompting procedure for teaching imitation to young children with ASD. The results suggest that the live modeling with prompting procedure was more effective, and implications related to this finding are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

Teaching and Generalizing Pretend Play in Children with Autism Using Video Modeling and Matrix Training

Children with autism spectrum disorder often lack play skills. Video modeling has been effective in producing play; however, this play is often lacking in novelty. The purpose of the present study was to combine video modeling and matrix training to teach children with autism to engage in sequences of play with 30 vocalizations and 40 actions. Matrix training was used in an attempt to enhance generalization, specifically in recombining elements of play across play scenarios. Three participants were trained on three play scenarios for three play sets and materials using video modeling. Play scenarios were arranged in a 3‐dimensional matrix, which also depicted the possible recombined sequences that could emerge. Probes were then conducted to determine whether different combinations of play would occur. Results for all participants showed that after training on three video modeling play scenarios, learned vocalizations and actions were recombined across previously unlearned combinations of play sets and materials. Results also showed that after video modeling began, novel play that was not seen in baseline sessions emerged for all participants. Copyright © 2015 John Wiley & Sons, Ltd.     

Success at Catching and Keeping Toddler's Attention: An Examination of Joint Attention Among Low-Income Mothers and Their 2-Year-Olds

Recent research suggests that competent caregiving by low-income parents may serve to buffer young children from some of the deleterious consequences of economic hardship. As one means of exploring competent caregiving in the context of poverty, this study examined the structuring of joint attention among 47 low-income mothers and their 24-month-old toddlers. Findings revealed that, on the whole, dyads spent approximately half of a 10-minute play period in bouts of collaborative joint attention. While mothers made social overtures, or bids, more frequently than children, children played a significant role in initiating bouts of joint attention. Highly engaged dyads generated significantly higher numbers of reciprocal maternal bids and fewer reciprocal child bids overall than did disengaged dyads. Sequential analyses suggested that reciprocal bids initiated by children were likely to lead to periods of collaborative joint attention among engaged dyads, but not among disengaged dyads. © 1996 John Wiley & Sons, Ltd.     

Effectiveness of video modeling in teaching earthquake and postearthquake evacuation safety skills for children with autism

The purpose of the present study was to investigate the effectiveness of video modeling to teach safety skills during earthquakes and postearthquake evacuation to children with autism. Three male children with autism, aged 9–10 years, participated in the study. The results indicate that video modeling was effective at promoting the acquisition of “drop, cover, and hold on” and evacuation skills for all three students. Furthermore, the skills generalized to a new setting for all three participants and maintained up to 4 weeks after video modeling for the two participants for whom maintenance was evaluated. Social-validity data were also collected from participants, their parents, and a teacher, and the findings were positive overall. Implications for instruction and future research are discussed based on the results of the study.     

A Brief Group Intervention Using Video Games to Teach Sportsmanship Skills to Children With Autism Spectrum Disorders

Impaired social skills represent a fundamental deficit for children with Autism Spectrum Disorders (ASD). Despite the potential importance of “good sportsmanship,” this social skill has received relatively little attention in the literature. The current study utilized a Behavioral Skills Training (BST) approach to teach three sportsmanship skills (i.e., complimenting, turn taking, and being a good sport) during video game play (Wii Sports). Six children with ASD completed this study. Findings suggest BST can be used effectively to teach sportsmanship skills to children with ASD. The use of video-game technology as part of social skills intervention programs is also discussed.     

An operant approach to teaching joint attention skills to children with autism

A lack of joint attention skills may constitute a core impairment in autism. In the present study, a training protocol was developed, based on the literature on joint attention and on behavioral interventions. The training was organized into a sequence of three main parts respectively aimed at establishing each of the following skills: (1) responding to joint attention bids, (2) engaging in turn‐taking activities based on joint attention skills, and (3) initiating joint attention. Two novel components were incorporated in the training: (a) a discrimination training procedure aimed at establishing the adult's nods as conditioned reinforcers and (b) tasks based on turn‐taking, where joint attention skills were targeted and reinforced. The study was conducted according to a single‐subject experimental design, in which joint attention skills were measured before and after intervention, using the “behavioral assessment of joint attention.” Four 3.5–5.5 year‐old children diagnosed with autism participated in the study. All four children completed the training successfully and made significant progress in engaging in joint attention and in initiating joint attention skills. Following the completion of training and at 1 month follow‐up, parents reported that their children used their skills in different settings. Moreover, at follow‐up, all four children were reported to engage in joint attention behaviors and to enjoy doing so. Copyright © 2009 John Wiley & Sons, Ltd.     

Using the teaching interaction procedure to train interventionists to implement the Cool versus Not CoolTM procedure

The teaching interaction procedure is a behavior analytic procedure that has been used to target the development of social skills. The teaching interaction procedure consists of labeling the target skill, providing a meaningful rationale, describing the steps of the target skill, modeling the skill, role‐play, and providing feedback throughout the interaction. Although the teaching interaction procedure has been used to teach a variety of social skills for individuals diagnosed with autism spectrum disorder (ASD), it has only been used to train staff in two studies. The purpose of this study was to evaluate the use of the teaching interaction procedure to teach three interventionists to implement the Cool versus Not Cool? procedure to target the development of social skills for children diagnosed with ASD. The results of a multiple baseline design demonstrated that the teaching interaction procedure was effective for all three interventionists. Results of the child participants' skill acquisition are also provided.     

Modeling longitudinal change in the language abilities of children with autism: parent behaviors and child characteristics as predictors of change

The objective of the current study was to evaluate the patterns of longitudinal change in the language abilities of 28 children with autism during early and middle childhood. Results from fitting a series of multilevel models showed that children's rate of language growth was independently predicted by (a) children's responsiveness to others' bids for joint attention and (b) parents' responsiveness to their children's attention and activity during play. Both predictive relations could not be explained by initial variation in global developmental characteristics, such as IQ, mental age, or language abilities. These findings support a social?pragmatic view on language acquisition, which emphasizes the collaborative process through which children and their parents negotiate shared meaning.     

Caregiver‐mediated joint attention intervention

Joint attention is a pivotal social communication skill often absent or impaired in young children with autism spectrum disorder. Joint attention is the shared and alternating attention of two individuals on an object or event, and has implications for later communication and social communication skills. This study used a concurrent multiple‐baseline design across 3 caregiver–child dyads to train caregivers to teach response to joint attention behaviors to their 3–6 years old children with moderate to severe autism spectrum disorder. Caregivers were trained on strategies including prompting, time delay, and elements of naturalistic teaching and implemented the intervention in brief 10‐min sessions 2–3 times per week. Results indicate parent mastery of intervention and substantial increase in child response to joint attention behaviors both prompted and independent. Implications for practice and areas for future research are discussed.     

A COMPARISON OF PEER VIDEO MODELING AND SELF VIDEO MODELING TO TEACH TEXTUAL RESPONSES IN CHILDREN WITH AUTISM

Peer video modeling was compared to self video modeling to teach 3 children with autism to respond appropriately to (i.e., identify or label) novel letters. A combination multiple baseline and multielement design was used to compare the two procedures. Results showed that all 3 participants met the mastery criterion in the self‐modeling condition, whereas only 1 of the participants met the mastery criterion in the peer‐modeling condition. In addition, the participant who met the mastery criterion in both conditions reached the criterion more quickly in the self‐modeling condition. Results are discussed in terms of their implications for teaching new skills to children with autism.     

拟社会互动在年幼儿童视频学习中的作用

本研究采用表征理解任务和规则学习任务,通过比较真人互动、视频拟互动和视频非互动三种条件下年幼儿童的学习效果,考察拟互动在2-5岁儿童视频学习中的作用。结果表明,2岁儿童的视频学习存在视频缺陷现象,2.5岁到5岁儿童的拟社会互动视频学习效果明显,优于非互动视频学习,与真人互动学习相当。2.5岁至4.5岁是拟互动视频学习的最佳年龄。     

Using video modeling to teach siblings of children with autism how to prompt and reinforce appropriate play

This study investigated the use of video models to teach typically developing children how to prompt and reinforce appropriate play behavior during games with their sibling with autism. With 3 sibling dyads, we extended research on cooperative sibling play by examining video modeling as the sole intervention to facilitate appropriate play between siblings in the absence of specific reinforcement for skills learned in the video model. Video models included brief clips of adults playing games with the child with autism and demonstrating how to prompt and reinforce play behavior. Results indicated that for 2 of the 3 sibling dyads video modeling alone was sufficient to teach prompts and appropriate delivery of reinforcement. An increase in on‐task activity engagement was also observed for both siblings with autism across all 3 dyads.     

Auditory joint attention skills: Development and diagnostic differences during infancy

To date, joint attention skill assessments have focused on children’s responses to multimodal bids (RJA) and their initiation of bids (IJA) to multimodal spectacles. Here we gain a systematic view of auditory joint attention skills using a novel assessment that measures both auditory and multimodal RJA and IJA. In Study 1, 47 typically developing (TD) children were tested 5 times from 12 to 30 months to document auditory joint attention skill development. In Study 2, 113 toddlers (39 TD, 33 autism spectrum disorder [ASD], and 41 non-ASD developmental disorders [DD]; average age 22.4 months) were tested to discern the effects of ASD. Our findings fit well within the established depiction of joint attention skills with one important caveat: auditory items were far more difficult to execute than multimodal ones. By 24 months, TD children passed multimodal RJA items at the near-ceiling level, an accomplishment not reached even by 30 months for auditory RJA items. Intentional communicative IJA bids also emerged more slowly to auditory spectacles than to multimodal spectacles. Toddlers with DD outperformed toddlers with ASD on multimodal RJA items but toddlers in both groups rarely passed any auditory RJA items. Toddlers with ASD often monitored their partner’s attention during IJA items, albeit less often than toddlers with DD and TD toddlers, but they essentially never produced higher-level IJA bids, regardless of modality. Future studies should investigate further how variations in bids and targets affect auditory joint attention skills and probe the relation between these skills and language development.     

Early social attention impairments in autism: social orienting, joint attention, and attention to distress

This study investigated social attention impairments in autism (social orienting, joint attention, and attention to another's distress) and their relations to language ability. Three- to four-year-old children with autism spectrum disorder (ASD; n = 72), 3- to 4-year-old developmentally delayed children (n = 34), and 12- to 46-month-old typically developing children (n = 39), matched on mental age, were compared on measures of social orienting, joint attention, and attention to another's distress. Children with autism performed significantly worse than the comparison groups in all of these domains. Combined impairments in joint attention and social orienting were found to best distinguish young children with ASD from those without ASD. Structural equation modeling indicated that joint attention was the best predictor of concurrent language ability. Social orienting and attention to distress were indirectly related to language through their relations with joint attention. These results help to clarify the nature of social attention impairments in autism, offer clues to developmental mechanisms, and suggest targets for early intervention.     

Mother–Infant Joint Attention and Sharing: Relations to Disorganized Attachment and Maternal Disrupted Communication

The normative development of infant shared attention has been studied extensively, but few studies have examined the impact of disorganized attachment and disturbed maternal caregiving on mother–infant shared attention. The authors examined both maternal initiations of joint attention and infants’ responses to those initiations during the reunion episodes of the Strange Situation Procedure at 12 and 18 months of infant age. The mothers' initiations of joint attention and three forms of infant response, including shunning, simple joint attention, and sharing attention, were examined in relation to infant disorganized attachment and maternal disrupted communication. Mothers who were disrupted in communication with their infants at 18 months initiated fewer bids for joint attention at 12 months, and, at 18 months, mothers of infants classified disorganized initiated fewer bids. However, the infant' responses were unrelated to either the infant' or the mother' disturbed attachment. At both ages, disorganized infants and infants of disrupted mothers were as likely to respond to maternal bids as were their lower risk counterparts. Our results suggest that a disposition to share experiences with others is robust in infancy, even among infants with adverse attachment experiences, but this infant disposition may depend on adult initiation of bids to be realized.     

Behaviorally Based Interventions for Teaching Social Interaction Skills to Children with ASD in Inclusive Settings: A Meta-analysis

Behaviorally based interventions have been demonstrated to be effective to teach social interaction skills for children with autism spectrum disorders in general education. However, the overall and moderating effects of these interventions have not been previously investigated in inclusive settings. The goal of this study was to investigate the overall effectiveness and contextual factors that moderate intervention effectiveness in inclusive settings. Findings showed overall high effect size based on studies previously considered of methodological quality in single-case research. Interventions are demonstrated to be highly effective for children aged 2–10 years. While differences were found according to target social skills and behavioral components used, no differential effects were found regarding intervention implementer and peer training. The findings highlight the practical significance of behavioral interventions and guide educators toward more suitable evidence-based practices in inclusive settings.