Assessment & Research

Developmental relationship between language and joint attention in late talkers.

Vuksanovic et al. (2013) · Research in developmental disabilities 2013
★ The Verdict

In late talkers, joint attention and language grow on separate paths, unlike kids with autism or Down syndrome.

✓ Read this if BCBAs doing early-language assessments in birth-to-three or preschool settings.
✗ Skip if Clinicians who only serve children with confirmed autism or Down syndrome; other studies already show JA-language links there.

01Research in Context

01

What this study did

Vuksanovic et al. (2013) watched late-talking toddlers during play. They counted how often each child pointed, showed toys, or looked back to share a moment.

They also tested each child’s language: how many words the child understood and how many the child said. Then they asked, “Do kids who share more also talk more?”

02

What they found

The late talkers pointed and shared just as much as younger kids who already talked on time. But those sharing acts did not line up with their own word counts or word understanding.

In plain words, a child could share tons of eye contact yet still speak only a handful of words. Joint attention and language were traveling on separate tracks.

03

How this fits with other research

Myers et al. (2018) saw the opposite pattern in toddlers with Down syndrome. When those kids responded to a point or gaze, stronger responses forecast bigger language gains.

Iao et al. (2024) found the same link in Taiwanese toddlers with autism. Better responding to joint attention predicted more words 18 months later.

Weiss et al. (2021) muddies the picture further. They showed toddlers with autism actually produce fewer joint-attention bids than late talkers. So the lack of connection seen here seems tied to the “late-talker” label itself, not to autism or Down syndrome.

04

Why it matters

If you serve late talkers without an autism or Down syndrome diagnosis, do not bank on joint-attention scores to forecast language growth. Screen language directly and often. Use the data to pick language goals, not social goals, for these kids.

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 a quick language sample or parent word list to your intake; do not rely on joint-attention scores alone to set language targets for late talkers.

02At a glance

Intervention
not applicable
Design
other
Sample size
50
Population
developmental delay
Finding
inconclusive

03Original abstract

The article examines the relationship between expressive and receptive language and joint attention (JA) bids during language acquisition in late-talking children. The research was designed to be a longitudinal study with a first test followed by two retests every five months for a period of 10 months, in which we compared late-talking (LT) children aged 26 months (N=25) to a group of five-month-younger typically developing (TD) children (N=25). The results showed that LT children did not differ from TD children in frequency of JA bids at any time point. However, in contrast to TD children, in which a positive relationship between JA bids of high levels and language function was found, in the LT group, JA bids were not related to language comprehension and production. These data indicate that TD children use nonverbal and verbal means jointly for communication purposes, whereas LT children switch between nonverbal and verbal means in concrete communicational acts. The results are discussed within the development of language as a semiotic functional framework.

Research in developmental disabilities, 2013 · doi:10.1016/j.ridd.2013.04.017