Autism & Developmental

A Personal Narrative Intervention for Adults With Autism and Intellectual Disability.

Birri et al. (2023) · American journal on intellectual and developmental disabilities 2023
★ The Verdict

A short picture-based macrostructure lesson quickly improves personal-story coherence in adults with both autism and ID.

✓ Read this if BCBAs running adult day programs or group homes.
✗ Skip if Clinicians who only treat preschool language.

01Research in Context

01

What this study did

Howard et al. (2023) worked with adults who have both autism and intellectual disability.

They taught each adult to build better personal stories. The coach used pictures and asked about who, what, where, and when.

The study ran an ABAB design: baseline, teach, stop, teach again. This showed clear cause and effect.

02

What they found

During every teaching phase the adults told longer, clearer stories.

Their stories had a real beginning, middle, and end. When teaching stopped, the stories got shorter again.

03

How this fits with other research

Kim et al. (2018) did something similar with elementary students. They read books together and asked story questions. Both studies show narrative training works across ages.

Rumpf et al. (2012) looked at kids with Asperger and found short, jumbled stories. That sounds opposite, but it is not. Kids naturally tell shorter tales; adults can grow with help. The new study shows what good teaching can do later in life.

Anonymous (2017) used visual supports for girls with Down syndrome. The small gains they saw match the adult gains here. Visual cues seem to help many disabilities tell their own stories.

04

Why it matters

If you serve adults with ASD and ID, you now have a quick script: pictures, wh- prompts, and a chance to retell. You can run it in day-hab, job coaching, or social groups. Better personal stories help adults share needs, build friendships, and advocate for themselves. Try one five-minute story drill this week and watch the plot grow.

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Pick one personal photo, ask the adult to name who, what, where, when, and have them retell the story twice.

02At a glance

Intervention
other
Design
reversal abab
Population
autism spectrum disorder, intellectual disability
Finding
positive

03Original abstract

Due to the unique social cognitive profiles of individuals with autism spectrum disorder (ASD) with and without intellectual disability (ID) sharing coherent and complex personal narratives can be challenging. To address these challenges research has focused on teaching macrostructure components using visual supports and repeated opportunities to practice. Despite success by young children with ASD and ID, the application of this instruction for adults with ASD with and without ID is still largely unknown. An ABAB single case withdrawal design was used to determine the effects of a personal narrative intervention to teach macrostructure within participant-generated personal narratives. Results indicate all participants demonstrated more coherent and complex personal narratives with the intervention. The results and implications for practice are discussed.

American journal on intellectual and developmental disabilities, 2023 · doi:10.1352/1944-7558-128.1.21