This is a systematic review of the impact of communication interventions on the social communication skills of infants and toddlers with or at-risk for autism spectrum disorder (ASD). A priori clinical questions accompanied by specific inclusion and exclusion criteria informed the extensive literature search that was conducted in multiple databases (e.g., PubMed). Twenty-six studies were accepted for this review. Outcomes were reported by social communication category (i.e., joint attention, social reciprocity, and language and related cognitive skills) and communication developmental stage (i.e., prelinguistic, emerging language). Primarily positive treatment effects were revealed in the majority of outcome categories for which social communication data were available. However, the presence of intervention and outcome measure heterogeneity precluded a clear determination of intervention effects. Future research should address these issues while also evaluating multiple outcomes and adding a strong family component designed to enhance child active engagement.
American Speech-Language-Hearing Association. (2006). Guidelines for speech-language pathologists in diagnosis, assessment, and intervention of autism spectrum disorders across the life span (Guidelines). Retrieved from www.asha.org/policy
2.
BorensteinM.HedgesL. V.HigginsJ. P. T.RothsteinH. R. (2009). Introduction to meta-analysis. West Sussex, UK: John Wiley.
3.
*CardonT. A. (2012). Teaching caregivers to implement video modeling imitation training via iPad for their children with autism. Research in Autism Spectrum Disorders, 6, 1389–1400.
4.
*CardonT. A.WilcoxM. J. (2011). Promoting imitation in young children with autism: A comparison of reciprocal imitation training and video modeling. Journal of Autism and Developmental Disorders, 41, 654–666.
5.
*CarterA. S.MessingerD. S.StoneW. L.CelimliS.NahmiasA. S.YoderP. (2011). A randomized controlled trial of Hanen’s “more than words” in toddlers with early autism symptoms. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 52, 741–752.
6.
CherneyL. R.PattersonJ. P.RaymerA.FrymarkT.SchoolingT. (2008). Evidence-based systematic review: Effects of intensity of treatment and constraint-induced language therapy for individuals with stroke-induced aphasia. Journal of Speech, Language, and Hearing Research, 51, 1282–1299.
7.
CohenJ. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
8.
*DawsonG.RogersS.MunsonJ.SmithM.WinterJ.GreensonJ.. . . VarleyJ. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125, e17–e23.
9.
DollaghanC. A. (2007). The handbook for evidence-based practice in communication disorders. Baltimore, MD: Paul H. Brookes.
10.
*GoldsteinH.KaczmarekL.PenningtonR.ShaferK. (1992). Peer-mediated intervention: Attending to, commenting on, and acknowledging the behavior of preschoolers with autism. Journal of Applied Behavior Analysis, 25, 289–305.
11.
GreenJ.CharmanT.McConachieH.AldredC.SlonimsV.HowlinP., . . . PACT Consortium. (2010). Parent-mediated communication-focused intervention in children with autism (PACT): A randomized controlled trial. The Lancet, 375, 2152–2160.
12.
*IngersollB.DvortcsakA.WhalenC.SikoraD. (2005). The effects of a developmental, social-pragmatic language intervention on rate of expressive language production in young children with autistic spectrum disorders. Focus on Autism and Other Developmental Disabilities, 20, 213–222.
13.
*IngersollB.SchreibmanL. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: Effects on language, pretend play, and joint attention. Journal of Autism and Developmental Disorders, 36, 487–505.
14.
*JennettH. K.HarrisS. L.DelmolinoL. (2008). Discrete trial instruction vs. mand training for teaching children with autism to make requests. Analysis of Verbal Behavior, 24, 69–85.
15.
*JonesE. A.CarrE. G.FeeleyK. M. (2006). Multiple effects of joint attention intervention for children with autism. Behavior Modification, 30, 782–834.
16.
*KaiserA. P.HancockT. B.NietfeldJ. P. (2000). The effects of parent-implemented Enhanced Milieu Teaching on the social communication of children who have autism. Early Education and Development, 11, 423–446.
17.
*KashinathS.WoodsJ.GoldsteinH. (2006). Enhancing generalized teaching strategy use in daily routines by parents of children with autism. Journal of Speech, Language, and Hearing Research, 49, 466–485.
18.
*KouriT. A. (1988). Effects of simultaneous communication in a child-directed intervention approach with preschoolers with severe disabilities. Augmentative and Alternative Communication, 4, 222–232.
19.
*Krstovska-GuerreroI.JonesE. A. (2013). Joint attention in autism: Teaching smiling coordinated with gaze to respond to joint attention bids. Research in Autism Spectrum Disorders, 7, 93–108.
20.
*LandaR. J.HolmanK. C.O’NeillA. H.StuartE. A. (2011). Intervention targeting development of socially synchronous engagement in toddlers with autism spectrum disorder: A randomized controlled trial. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 52, 13–21.
21.
LandisJ. R.KochG. G. (1977). The measurement of observer agreement for categorical data. Biometrics, 33, 159–174.
22.
MaglioneM.GansD.DasL.TimbieJ.KasariC. (2012). Nonmedical interventions for children with ASD: Recommended guidelines and further research needs. Pediatrics, 130, S169–S178.
23.
MullenR. (2007, March6). The state of the evidence: ASHA develops levels of evidence for communication sciences and disorders. The ASHA Leader, 12(3), 8–9, 24–25.
24.
National Research Council. (2001). Educating children with autism (Committee on Educational Interventions for Children with Autism, Division of Behavioral and Social Sciences and Education). Washington, DC: National Academy Press.
25.
ParkerR. I.VannestK. (2009). An improved effect size for single-case research: Nonoverlap of all pairs. Behavior Therapy, 40, 357–367.
26.
PrizantB. M.WetherbyA. M.RubinE.LaurentA. C. (2003). The SCERTS model: A transactional, family-centered approach to enhancing communication and socioemotional abilities of children with autism spectrum disorder. Journal of Infants and Young Children, 16, 296–316.
27.
*RochaM. L.SchreibmanL.StahmerA. (2007). Effectiveness of training parents to teach joint attention in children with autism. Journal of Early Intervention, 29, 154–172.
28.
*RogersS. J.EstesA.LordC.VismaraL.WinterJ.FtizpatrickA.DawsonG. (2012). Effects of a Brief Early Start Denver Model (ESDM)—Based parent intervention on toddlers at risk for autism spectrum disorders: A randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51, 1052–1065.
29.
*SchertzH. H.OdomS. L. (2007). Promoting joint attention in toddlers with autism: A parent-mediated developmental model. Journal of Autism and Developmental Disorders, 37, 1562–1575.
30.
*SchertzH. H.OdomS. L.BaggettK. M.SiderisJ. H. (2013). Effects of Joint Attention Mediated Learning for toddlers with autism spectrum disorders: An initial randomized controlled study. Early Childhood Research Quarterly, 28, 249–258.
31.
SchertzH. H.ReichowB.TanP.VaiouliP.YildirimE. (2012). Interventions for toddlers with autism spectrum disorders: An evaluation of research evidence. Journal of Early Intervention, 34, 166–189.
32.
*SchreibmanL.StahmerA. C.Cestone BarlettV.DufekS. (2009). Brief report: Toward refinement of a predictive behavioral profile for intervention outcome in children with autism. Research in Autism Spectrum Disorders, 3, 163–172.
33.
*SmithT.BuchG. A.GambyT. E. (2000). Parent-directed, intensive early intervention for children with pervasive developmental disorder. Research in Developmental Disabilities, 21, 297–309.
34.
SparrowS. S.CicchettiD. V.BallaD. A. (2005). Vineland Adaptive Behavior Scales (2nd ed.). Circle Pines, MN: American Guidance Service.
35.
*SteinerA. M.GengouxG. W.KlinA.ChawarskaK. (2013). Pivotal response treatment for infants at-risk for autism spectrum disorders: A pilot study. Journal of Autism and Developmental Disorders, 43, 91–102.
36.
TateR.McDonaldS.PerdicesM.TogherL.SchultzR.SavageS. (2008). Rating the methodological quality of single-subject designs and n-of-1 trials: Introducing the Single Case Experimental Design (SCED) Scale. Neuropsychological Rehabilitation, 18(4), 385–401.
37.
*VernonT. W.KoegelR. L.DautermanH.StolenK. (2012). An early social engagement intervention for young children with autism and their parents. Journal of Autism and Developmental Disorders, 42, 2702–2717.
38.
*VismaraL. A.ColombiC.RogersS. J. (2009). Can one hour per week of therapy lead to lasting changes in young children with autism?Autism, 13, 93–115.
39.
WallaceK. S.RogersS. J. (2010). Intervening in infancy: Implications for autism spectrum disorders. Journal of Child Psychology and Psychiatry, 51, 1300–1320.
40.
WetherbyA. M.WattN.MorganL.ShumwayS. (2007). Social communication profiles of children with autism spectrum disorders in the second year of life. Journal of Autism and Developmental Disorders, 37, 960–975.
41.
*WilliamsG.Perez-GonzalezL. A.VogtK. (2003). The role of specific consequences in the maintenance of three types of questions. Journal of Applied Behavior Analysis, 36, 285–296.
42.
*WongV. C. N.KwanQ. K. (2010). Randomized controlled trial for early intervention for autism: A pilot study of the Autism 1-2-3 Project. Journal of Autism and Developmental Disorders, 40, 677–688.
43.
WoodsJ.BrownJ. (2011). Integrating family capacity-building and child outcomes to support social communication development in young children with autism spectrum disorders. Topics in Language Disorders, 31, 235–246.
44.
*ZachorD. A.ItzchakE. B. (2010). Intervention approach, autism severity and intervention outcomes in young children. Research in Autism Spectrum Disorders, 4, 425–432.
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