Assessment & Research

Assessing and Improving Early Social Engagement in Infants.

Koegel et al. (2014) · Journal of positive behavior interventions 2014
★ The Verdict

Watching high-risk babies needs strict rules from the first diaper change.

✓ Read this if BCBAs who run or advise infant-sibling projects in university or clinic settings.
✗ Skip if Clinicians only treating verbal school-age kids.

01Research in Context

01

What this study did

Waterhouse et al. (2014) wrote a how-to guide for scientists who watch babies grow.

They listed the traps that ruin infant-sibling studies: small samples, shaky measures, no plan for sick kids.

The paper tells teams to pick a comparison group early and to have a clinic ready before the first baby walks in.

02

What they found

The team did not run a new experiment.

Instead they showed that most past studies broke basic rules, so their results may be false alarms.

Clear rules—like using the same coder for every video—can fix the mess.

03

How this fits with other research

Vanvuchelen et al. (2011) proved a five-minute imitation test spots autism in preschoolers. Lynn says add that test to infant visits so you have a cheap, solid marker from day one.

Uljarević et al. (2017) linked late sitting and toe-walking to worse repetitive behaviors later. Lynn urged teams to log motor milestones; Mirko shows why that data matters.

Yu et al. (2022) re-checked antibiotic studies and found risks vanish when siblings are compared. Lynn warned that failing to control family genetics can fake risk factors—Hai-Ying’s numbers back her up.

04

Why it matters

If you screen babies who have an older sibling with autism, copy Lynn’s checklist. Build a control group of low-risk infants, film every visit, and decide now which clinic gets the red-flag cases. These steps turn a shaky pilot into solid data you can trust—and help families faster.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Add one low-cost imitation probe and a motor-milestone checklist to your intake packet for babies under 12 months.

02At a glance

Intervention
not applicable
Design
theoretical
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Detecting early signs of autism is essential for timely diagnosis and initiation of effective interventions. Several research groups have initiated prospective studies of high-risk populations including infant siblings, to systematically collect data on early signs within a longitudinal design. Despite the potential advantages of prospective studies of young children at high-risk for autism, there are also significant methodological, ethical and practical challenges. This paper outlines several of these challenges, including those related to sampling (e.g., defining appropriate comparison groups), measurement and clinical implications (e.g., addressing the needs of infants suspected of having early signs). We suggest possible design and implementation strategies to address these various challenges, based on current research efforts in the field and previous studies involving high-risk populations.

Journal of positive behavior interventions, 2014 · doi:10.1007/s10803-006-0179-x