SLPCohortAutism : the international journal of research and practice2025

The long-lasting benefits of pre-kindergarten education on autistic children's working memory development.

Sohyun An Kim

PMID 39056340

WHAT IT FOUND

Autistic children who attended pre-K showed higher auditory working memory scores from spring of first grade through spring of third grade.

In all children, pre-K was linked to higher scores at kindergarten entry and spring of first grade, but not later.

Key findings

01Pre-K attendance was linked to higher auditory working memory scores at kindergarten entry and spring of first grade for all children, but not after spring of first grade.

02For autistic children, the link between pre-K attendance and higher working memory scores appeared in spring of first grade and remained through spring of third grade.

03Having autism was associated with lower working memory scores at every measured time point.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Missingness in the autism sample was 21% to 38%, compared with approximately 10% in the full sample, and some missing data may have been due to a child's Individualized Education Plan preventing the assessment, so the autism findings may not represent all autistic children. This was observational secondary data, not a trial, so it cannot show that pre-K caused working memory gains. The study did not measure what kind of pre-K program children attended, whether it was inclusive or specialized, how much instruction they received, or what skills were taught. Autism status was based on parent report or special education service report, not confirmed medical diagnosis or severity. The working memory measure was auditory and language-loaded, so it may not capture early gains in autistic children with language delays. The children attended pre-K in 2010-2011, and early childhood education has changed since then. The study looked only at working memory, not literacy, math, social-emotional readiness, other executive functions, or transfer to school outcomes.

Declared interests

The authors declared no potential conflicts of interest. The analysis used data sponsored by the National Center for Education Statistics within the Institute of Education Sciences of the U.S. Department of Education.

The easy way to misread this

Do not read this as proof that pre-K causes lasting working memory gains. It is a secondary analysis of observational data; pre-K attendance was parent-reported, program type and dosage were not measured, and the association faded for the full sample after spring of first grade. The autism sample also had higher missing data.

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