Autism & Developmental

A pilot study on the efficacy of melodic based communication therapy for eliciting speech in nonverbal children with autism.

Sandiford et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Singing therapy sparks more sound copying and parent-noticed words, yet total vocabulary matches regular speech therapy.

✓ Read this if BCBAs working with nonverbal preschoolers in clinic or home programs.
✗ Skip if Teams serving only fluent speakers or older clients.

01Research in Context

01

What this study did

Researchers tested Melodic Based Communication Therapy (MBCT) against regular speech therapy.

Kids with autism who had no words were split into two groups.

Both groups got daily sessions for several weeks while parents watched.

02

What they found

Both groups gained words, but MBCT kids tried to copy sounds more often.

Parents also reported more new words at home with MBCT.

On clinic tests, both groups looked the same.

03

How this fits with other research

Romanowich et al. (2013) ran a similar 2013 trial. They also saw equal word gains when they compared discrete-trial and naturalistic styles.

Lincoln et al. (1988) showed that adding spoken models to sign training helps. MBCT keeps the spoken model but wraps it in song.

Slater et al. (2020) later found that 25 hours a week only helps toddlers with mild autism. MBCT did not test hours, so we still do not know if more singing sessions would matter for severe cases.

04

Why it matters

If a child is silent, try short MBCT songs during natural play. The child may start copying sounds faster, and parents will hear new words at home sooner. Track imitative tries as an early win while you wait for full vocabulary growth.

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

Open a session with a two-note sung model of a target word and immediately reinforce any vocal attempt.

02At a glance

Intervention
verbal behavior intervention
Design
randomized controlled trial
Sample size
12
Population
autism spectrum disorder
Finding
positive

03Original abstract

The purpose of this study was to compare the efficacy of melodic based communication therapy (MBCT) to traditional speech and language therapy for eliciting speech in nonverbal children with autism. Participants were 12 nonverbal children with autism ages 5 through 7 randomly assigned to either treatment group. Both groups made significant progress after treatment. The MBCT group progressed significantly in number of verbal attempts after weeks 1 through 4 and number of correct words after weeks 1 and 3, while the traditional group progressed significantly after weeks 4 and 5. No significant differences in number of verbal attempts or number of correct words were noted between groups following treatment. A significant number of new words were heard in the home environment for the MBCT group (p = .04). Participants in the MBCT group had more imitative attempts (p = .03). MBCT appears to be a valid form of intervention for children with autism.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1672-z