SLPOtherJournal of autism and developmental disorders2020

Increasing Response Diversity to Intraverbals in Children with Autism Spectrum Disorder.

Gabrielle T Lee, Xiaoyi Hu, Yanhong Liu and 4 others

PMID 31621019

WHAT IT FOUND

Two children with autism learned to give more different answers to trained questions when instructors prompted features, functions, and classes of possible answers.

Gains lasted 8 weeks, but new answers and similar questions did not improve.

Key findings

01Both children increased varied correct answers to the trained questions during training and maintained them at a high level after training.

02Novel responses were few during training.

03Generalization to similar untrained questions did not improve for Tian, and Dede produced no responses to untaught alternate-use questions.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only two children were studied, so this shows what happened for them, not how many children would respond. The children received pre-experimental training on unknown target items and their features, functions, and classes before the main training. Novel responses were few during training and none appeared at follow-up, so the study did not show improved creativity. Generalization to similar untrained questions did not occur, so trained answers may not carry over to new questions. Reinforcement was given during probe trials, so the study cannot rule out that reinforcement alone contributed to some responding. Teachers and parents may have used the prompting strategy during the study, which could have added training outside the experiment. The study did not assess whether the children knew the items or their features for the generalization questions, so poor generalization may partly reflect missing prerequisite skills. Follow-up maintenance was not equal across all questions; Dede's responses to the water-bottle alternate-use question decreased more than his responses to the first two questions. All children came from one inclusive preschool in Beijing and were from middle-class families, so cultural and setting limits apply.

Declared interests

The study was funded by the 2019 Comprehensive Discipline Construction Fund of the Faculty of Education, Beijing Normal University. No other conflicts of interest are reported.

The easy way to misread this

Do not conclude that this prompting method improves creative or flexible conversation for children with autism. It increased only trained answers, novel responses were few, and similar untrained questions did not improve.

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