Autism & Developmental

A Pilot Evaluation of a Treatment Package to Teach Social Conversation via Video-Chat.

Brodhead et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Seven-year-olds with autism can learn and keep social chat skills through brief live video-chat coaching.

✓ Read this if BCBAs running telehealth sessions or home programs for young children with autism.
✗ Skip if Clinicians who only work with adults or in-person groups.

01Research in Context

01

What this study did

Three seven-year-old boys with autism joined short video-chat lessons. The coach used modeling, practice, and feedback to teach back-and-forth chat skills. Each boy met the coach on a tablet twice a week for a few weeks.

02

What they found

All three boys learned to start, answer, and keep a short talk going. They used the skills with new adults on the screen and still had them two weeks later. When picture cues were taken away, the boys still talked, just with a little more variation.

03

How this fits with other research

Scattone (2008) tried video modeling plus Social Stories for one boy and saw mixed gains. Brodhead et al. (2019) swapped taped clips for live coaching and got clearer, lasting results for all three kids.

Mann et al. (2020) later moved the same coaching idea to college students. They added self-questions like "What does my partner want?" and still saw strong generalization. The child and adult studies line up: live practice beats watching alone.

Bailey et al. (2000) warned that social gains in young kids often fade. Brodhead et al. (2019) shows a fix: keep the coach on the screen, then test with new faces right away.

04

Why it matters

You can teach small talk without leaving the clinic. A tablet, a script, and five-minute role-plays are enough. Try two short sessions a week, then invite a new adult on-screen to test real generalization. If the child needs pictures at first, fade them once the flow feels natural.

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Schedule a 10-minute video call, model a greeting and one follow-up question, then let the child practice with you and a new adult on the line.

02At a glance

Intervention
behavioral skills training
Design
multiple baseline across participants
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

By engaging with family members through video-chat technology, children with autism spectrum disorder (ASD) may access additional opportunities to develop social connections to build familial cohesion and access emotional support. The purpose of this study was to evaluate a behavioral intervention package in teaching social conversation via video-chat. Using a non-concurrent multiple-baseline across participants with an embedded alternating treatments design, three seven-year-old males with ASD were taught two variations of a social conversation. Their conversation skills generalized to unfamiliar adults, some of whom had no prior experience with children with ASD. When visual supports were removed, participants appropriately varied their social conversations. Social conversations continued to occur 2 weeks following the completion of the study. Results and implications are discussed.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04055-4