SLPOtherAutism : the international journal of research and practice2026

Applying the World Health Organization's International Classification of Functioning, Disability and Health to speech-language pathology social communication interventions for autistic children and youth: A scoping review.

Maya Albin, Michelle Phoenix, Peter Rosenbaum

PMID 41246839

WHAT IT FOUND

Across 21 SLP social communication studies for autistic children, interventions mapped to ICF participation and environmental factors, but none cited the ICF, none included participants over 12, and the review reports content, not effects.

Key findings

01Of 21 included SLP social communication intervention studies, none explicitly referenced the ICF.

02All included studies had participation components, and all discussed environmental factors.

03No included study had participants older than 12 years.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The review did not check whether the included studies were high quality or likely to be biased. No included study had participants older than 12 years, even though the search aimed to include youth, so the findings do not cover adolescents. None of the included studies explicitly referenced the ICF, so the ICF mapping was made by the reviewers from intervention descriptions. Intervention descriptions varied in detail, and nine studies did not define any social communication terms, so what was targeted may not be fully known. The authorship team did not include autistic researchers or people with lived experience, and the authors are Canadian, cisgender, neurotypical healthcare providers. The review included only studies with speech-language pathology involvement, so social communication interventions delivered by other disciplines were outside its scope. The included studies came from seven countries, with the United States and Canada being the most frequent locations, so cultural and service-system context may not generalise widely.

Declared interests

The first author was funded by a Social Sciences and Humanities Research Council Canada Graduate Scholarship Doctoral Award. The authors declared no potential conflicts of interest for the research, authorship or publication.

The easy way to misread this

Do not read this as evidence that the reviewed interventions improve social communication. The paper's stated objective was to describe how speech-language pathology social communication interventions map onto the ICF, and it did not check whether the included studies were high quality or likely to be biased.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →