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Journal of autism and developmental disorders
Jun, 2022;52 (6): 2598-2609.

The Effect of Teaching Initiations on the Communication of Children with Autism Spectrum Disorder: A Randomized Clinical Trial.

Fereshteh Mohammadzaheri, Lynn Kern Koegel, Enayatollah Bakhshi, Reza Khosrowabadi, Zahra Soleymani
Author Information
  1. Fereshteh Mohammadzaheri: Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
  2. Lynn Kern Koegel: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
  3. Enayatollah Bakhshi: Department of Biostatistics and Epidemiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
  4. Reza Khosrowabadi: Institute for Cognitive and Brain Sciences, Shahid Beheshti University GC, Tehran, Iran.
  5. Zahra Soleymani: Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. soleymaniz@sina.tums.ac.ir. ORCID
PMID: 34296374 DOI: 10.1007/s10803-021-05153-y

Abstract

This study examined the effect of Pivotal response treatment (PRT) to improve verbal initiations in children with Autism Spectrum Disorder, age 6-12 years old, using a Randomized Clinical Trial design. Intervention was conducted three times a week for 2 months, for a total of 24 one-hour sessions. The PRT intervention taught a variety of questions and attention/assistance-seeking initiations. The treatment as usual (TAU) group received standard language intervention. Results showed that the PRT group made significant improvements in their number of verbal initiations as well as collateral gains in general communicative skills and mean length of utterance (MLU) compared to the TAU group. Theoretical implications of including motivational approaches to develop social initiations are reviewed.

Keywords

Autism spectrum disorder Communication Expressive communication Initiations Pivotal response treatment

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MeSH Term

Autism Spectrum Disorder
Child
Cognition
Communication
Humans
Language
Motivation
Social Interaction
Journal Article Randomized Controlled Trial
Article has an altmetric score of 1

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