Autism & Developmental

A longitudinal study of the teacch program in different settings: the potential benefits of low intensity intervention in preschool children with autism spectrum disorder.

D'Elia et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

Six hours a week of TEACCH visuals at home and preschool eases autism symptoms and parent stress.

✓ Read this if BCBAs consulting in inclusive preschools or Head Start classrooms.
✗ Skip if Clinicians serving only older students or home-based ABA teams already at 20+ hrs/week.

01Research in Context

01

What this study did

The team followed the preschoolers with autism for one school year.

Half got the low-intensity TEACCH program at home and preschool. The other half kept their usual services.

Parents and teachers used visual schedules, work systems, and clear physical boundaries. Kids got only 6 hours of TEACCH help each week.

02

What they found

Children in TEACCH showed fewer autism symptoms and less problem behavior.

Their parents also felt less stress and more confident by the end of the year.

The control group stayed about the same on all measures.

03

How this fits with other research

Solares et al. (2019) moved parent coaching online and still saw kids ask for more items. Lidia et al. show you can get gains with even lighter touch—no webcam needed.

Tavassoli et al. (2012) used a token board in Head Start and saw handwriting and social skills jump. Lidia’s TEACCH setup used visual cues instead of tokens, yet both improved communication and play.

Dirks et al. (2016) found no extra stress in parents of toddlers with hearing loss. Lidia’s autism group did feel relief after TEACCH, hinting that targeted help, not diagnosis alone, lowers strain.

04

Why it matters

You don’t need 30 hours a week to move the needle. Six hours of structured TEACCH strategies, slipped into home and preschool routines, can cut irritable behavior and give parents breathing room. Start with a visual schedule at circle time and a clear work system at the table. Track stress with a quick parent rating every month—if it drops, you’re on the right track.

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→ Action — try this Monday

Tape a two-step visual work system to the child’s desk and teach the teacher to point to each step before the child begins.

02At a glance

Intervention
comprehensive aba program
Design
quasi experimental
Sample size
30
Population
autism spectrum disorder
Finding
positive

03Original abstract

We conducted a longitudinal study of 30 preschool children with autism spectrum disorders (ASDs) to evaluate the potential benefits of the Treatment and Education of Autistic and related Communication Handicapped Children (TEACCH). Fifteen children following a low intensity TEACCH program were assessed four times for autism severity, adaptive functioning, language skills, maladaptive behaviors and parental stress and compared with a control group of 15 children following a non-specific approach. Findings suggest that a low intensity home and school TEACCH program may provide benefits for children with ASD by reducing autistic symptoms and maladaptive behaviors. Furthermore, a decrease in parental stress indicates that parents' involvement in the rehabilitation program is a crucial factor and contributes greatly to treatment efficacy.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-013-1911-y