SLPCohortJournal of autism and developmental disorders2019

Children with Autism Spectrum Disorder May Learn from Caregiver Verb Input Better in Certain Engagement States.

Madison Cloud Crandall, Kristen Bottema-Beutel, Jena McDaniel and 2 others

PMID 31073750

WHAT IT FOUND

Caregiver verb talk that followed the child's focus during sustained, reciprocal object play was associated with more later expressive verb vocabulary in 29 young children with ASD.

The finding did not show that the talk caused the gain.

Key findings

01Caregiver verb talk that followed the child's focus during HSJE significantly predicted later child expressive verb vocabulary.

02The prediction remained significant after controlling for earlier child expressive verb vocabulary and after controlling for follow-in verb input in other engagement states.

03Non-verb follow-in utterances in HSJE were not significantly associated with later child expressive verb vocabulary.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only 29 children were included, and the authors say the findings are exploratory because the analyses were post-hoc, so they may not hold in other samples. The study was correlational, so it shows an association over time, not that caregiver verb talk caused verb vocabulary gains. Verb vocabulary was measured by parent report, and parent characteristics such as attentiveness could influence both the play session and the reported vocabulary. Children had to have at least 50 words on a parent report checklist at the final point, so the findings apply to a subgroup with substantial vocabulary, not all children with ASD. The children rarely engaged in coordinated joint engagement, so the study could not test whether verb talk in that state matters. The study measured amount of follow-in verb input but not diversity or grammatical informativeness, so it cannot separate how much talk mattered from what kind of talk mattered.

Declared interests

The authors declared no conflicts of interest. The supplied text does not report a funding source.

The easy way to misread this

Do not read this as proof that caregiver follow-in verb talk causes verb vocabulary growth. The study was correlational, exploratory, and based on 29 children, so it identifies an association over time rather than a tested treatment effect.

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