Brief Report: A Randomized Controlled Trial of the Effects of RECALL (Reading to Engage Children with Autism in Language and Learning) for Preschoolers with Autism Spectrum Disorder.
A short parent script that prompts, waits, and praises during story time lifts comprehension and engagement in preschoolers with ASD.
01Research in Context
What this study did
Lo et al. (2021) asked parents to read picture books with their preschoolers who have autism.
Parents followed a simple script: prompt, wait, praise. They did this for six weeks at home.
The team then checked if kids understood stories better and joined reading time more often.
What they found
Kids in the RECALL group scored higher on story questions and emotion naming.
They also sat longer and talked more during book time than kids who got no extra coaching.
Parent-delivered dialogic reading with clear prompts worked.
How this fits with other research
Hou et al. (2025) ran a similar RCT but left out the parent prompts. Their kids still gained language and engagement, showing the core dialogic method is solid.
Shams et al. (2025) stretched the idea further. They mixed story reading with songs and rhymes across the whole day and saw bigger vocabulary jumps.
Dababnah et al. (2025) looked at digital books. They showed that a quick verbal cue like "Look at the word!" pulls autistic preschoolers’ eyes to print. Together these studies say: keep the prompts, but you can deliver them in print, digital, or blended lessons.
Why it matters
You can teach parents the RECALL script in one short meeting. Hand them the prompt cards, model once, and send them home. Expect clearer answers to "How does the boy feel?" and longer book time without fuss.
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02At a glance
03Original abstract
This study investigated the effects of a parent-implemented dialogic reading approach-Reading to Engage Children with Autism in Language and Learning (RECALL)-on the engagement in reading and inference-making ability for preschoolers with autism spectrum disorder (ASD). Thirty-one preschoolers (mean age = 5.90 years, SD = 0.69; 26 boys, 5 girls) were randomly assigned to a treatment or control group. Six weeks of RECALL significantly enhanced story comprehension, emotion knowledge, and reading engagement among preschoolers in the treatment group. This might be the first randomized controlled trial testing the effects of RECALL on children with ASD. Our findings suggest that additional instructional support such as the application of a prompting hierarchy during dialogic reading might help children with ASD reap greater benefits from shared book reading.
Journal of autism and developmental disorders, 2021 · doi:10.1080/00221320903300387