Autism & Developmental

"Bill is now singing": joint engagement and the emergence of social communication of three young children with autism.

Vaiouli et al. (2015) · Autism : the international journal of research and practice 2015
★ The Verdict

Preschoolers with autism quickly boost joint attention when you follow their lead in improvised classroom music.

✓ Read this if BCBAs working with non-verbal or low-joint-attention preschoolers in inclusive or special-ed classrooms.
✗ Skip if Clinicians serving only older students or home-based programs without group settings.

01Research in Context

01

What this study did

Three preschoolers with autism received child-centered improvisational music therapy in their regular kindergarten classroom.

The therapist followed each child's lead, making up songs and rhythms together. Researchers tracked joint attention and social engagement before, during, and after the sessions.

02

What they found

All three children showed more joint attention and social engagement after music therapy. One child began singing with classmates for the first time.

The gains appeared quickly and stayed after the sessions ended.

03

How this fits with other research

Durbin et al. (2019) extends these results to older kids. They mixed autistic and neurotypical 8- to 11-year-olds in regular music class and saw prosocial feelings rise and bullying drop. Together the two studies show music helps across age groups, both one-on-one and in mixed peer groups.

Ingersoll et al. (2006) used a similar design with preschoolers but taught object imitation instead of music. Both studies found the same collateral gains in joint attention, suggesting the medium matters less than child-led, naturalistic teaching.

Jahr et al. (2007) sounds negative at first: autistic kindergarteners initiate far less than peers. Yet that gap is exactly what Vaiouli et al. (2015) started to close through music. The papers fit like puzzle pieces—one shows the problem, the other a workable fix.

04

Why it matters

You can bring a guitar, drum, or tambourine into circle time and follow each child's sounds. No extra staff, no separate room—just embed short musical back-and-forth during free play. The child sets the tempo, you echo and add words. Expect to see more eye contact, pointing, and spontaneous chat within a few weeks.

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Start a five-minute musical echo game: imitate the child's sounds on a simple instrument and wait for them to respond.

02At a glance

Intervention
other
Design
multiple baseline across participants
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

Young children with autism spectrum disorder meet significant challenges in joint attention skills and in social communication. A child-centered, improvisational, music therapy intervention model was implemented to promote engagement in three young children with autism in a kindergarten classroom. A multiple baseline design compared the children's performance through three phases of intervention: focus on faces, response to joint attention, and initiation of joint attention. A complimentary qualitative analysis of teacher and parent experiences allowed for an in-depth understanding of the role of social environment in supporting emerging social communication skills among three children. As all children showed improvement in joint attention and actions of social engagement, this study bears evidence on the potential of music therapy as a promising intervention for promoting social skills of young children with autism spectrum disorder.

Autism : the international journal of research and practice, 2015 · doi:10.1177/1362361313511709