SLPSystematic ReviewJournal of autism and developmental disorders2020

Definitions of Nonverbal and Minimally Verbal in Research for Autism: A Systematic Review of the Literature.

Lynn Kern Koegel, Katherine M Bryan, Pumpki L Su and 2 others

PMID 32056115

WHAT IT FOUND

Definitions of nonverbal and minimally verbal autism varied widely across intervention studies, often without clear measures.

The reviewed studies were too inconsistent to combine.

Key findings

01The review analyzed 31 studies that together included 650 unique participants.

02Definitions and measures of nonverbal or minimally verbal status varied widely across the studies and were often unclear.

03The differences across studies made it difficult to aggregate numbers for a meta-analysis.

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 combine outcomes because the studies used very different definitions and measures, so it cannot tell which intervention helps which child. Many included studies were small, lacked clear descriptions of participants, and did not replicate the finding. The review excluded studies that used AAC only, so it does not address augmentative and alternative communication treatments. Some relevant studies may have been missed because the search words did not include all terms used to describe this population. The review did not test whether interventions improved verbal communication; it focused on how studies defined nonverbal and minimally verbal status.

Declared interests

The authors report no conflicts of interest. The paper states that no ethics review was needed because no human subjects participated.

The easy way to misread this

Do not read this review as evidence that any treatment works for nonverbal or minimally verbal people with autism. It describes how inconsistently studies defined and measured those labels, and it could not combine outcomes across studies.

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