Stability of Vocal Variables Measured During the Early Communication Indicator for Children With Autism Spectrum Disorder.
Two to three 6-minute ECI play samples give steady vocal data for toddlers with autism.
01Research in Context
What this study did
The team asked: how many 6-minute Early Communication Indicator (ECI) sessions do we need to get a steady picture of a toddler’s vocal skills?
They watched toddlers with autism during brief play samples and tracked when the child babbled, said words, or made other sounds.
The goal was to see if two or three short clips give the same numbers as longer testing.
What they found
Two or three 6-minute play samples were enough. The vocal scores stayed the same across sessions.
This means you can trust quick ECI probes to track early talking skills without long testing days.
How this fits with other research
Bak et al. (2019) looked at minimally verbal school-age kids for a whole school year and saw no growth in sounds or adult chats. The difference is age: toddlers are just starting to talk, while older, minimally verbal children may need targeted language teaching to move forward.
Ohan et al. (2015) followed toddlers with autism up to age 9 and found big gains in language for many. McDaniel et al. (2021) shows we can spot those early vocal signs quickly, giving us a clear starting point for the long run.
Mason et al. (2025) found that toddlers who already mand, play with sounds, and copy motor actions are more likely to echo words. Pair their checklist with a short ECI probe: if the child shows the green-light skills and ECI numbers are steady, you’re ready to start echoic training.
Why it matters
You now have a fast, reliable way to measure early vocal skills. Use 2–3 six-minute ECI samples to set a baseline, then watch for the echoic green lights Mason et al. (2025) describe. If the child isn’t moving forward after several probes, add focused language intervention instead of waiting—Bak et al. (2019) shows spontaneous growth is unlikely in older, minimally verbal children.
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02At a glance
03Original abstract
The Early Communication Indicator (ECI) was designed to measure expressive communication progress in young children. We evaluated using the 6-min ECI procedure for a new purpose-a sampling context for stable measures of vocal development of young children with autism spectrum disorder (ASD). We evaluated how many ECI sessions were required to adequately stabilize estimates of volubility, communicative use, and phonological complexity of vocalizations at two periods (average of 10 months apart). Participants included 83 young children with ASD (M age = 23.33 months). At study initiation, two phonological complexity variables required two sessions; other variables required three. At study endpoint, all variables required fewer sessions. Findings support the feasibility and stability of using the ECI for the new purpose.
American journal on intellectual and developmental disabilities, 2021 · doi:10.1352/1944-7558-126.2.142