Abstract

The vast majority of joint attention interventions for children with autism spectrum disorder (ASD) are geared toward toddlers and preschoolers as it is an early developmental skill. However, many of the youngsters do not acquire joint attention despite these early interventions and subsequently do not exhibit joint attention later in life. In the current study, we used a multiple baseline design across three school-aged, non-verbal children with ASD, to assess the efficacy of a functional play intervention to increase joint attention. During baseline, all three children demonstrated minimal joint attention and appropriate play. Following baseline, the functional play intervention was presented, which consisted of teaching functional play through modeling. Post-intervention probes demonstrated gains in both joint attention and functional play. Furthermore, these behaviors generalized across person, setting, and stimuli. The results of this study provide evidence that functional play interventions may be a promising approach to teach and promote joint attention for older, school-aged children with ASD.

Highlights

  • Children with autism spectrum disorder (ASD) typically have underdeveloped joint attention skills

  • Kevin demonstrated a significant increase in joint attention in both the functional play intervention sessions and more importantly in subsequent play probes

  • The present study supports the efficacy of a functional play intervention for increasing joint attention and, expectedly, functional toy play for children with ASD

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Summary

Introduction

Children with autism spectrum disorder (ASD) typically have underdeveloped joint attention skills. Joint attention interventions range from 70 to 90 sessions, including baseline and generalization probe measurements Many of these interventions reported increases in ancillary measures of other social behaviors such as spontaneous speech, expressive language, socialcommunicative behaviors, and play (Jones et al, 2006; Kasari et al, 2008; Miendl & Cannella-Malone, 2011; Whalen & Schreibman, 2003; White et al, 2011). Several expansions to the literature were made in the present research including: (1) the participation of school-aged, non-verbal children with ASD, (2) the participation of various ethnicities, (3) assessment of generalization of training across person, setting, and stimuli, and (4) inclusion of measures of both functional play and joint attention

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