Autism & Developmental

Brief report: effect of a focused imitation intervention on social functioning in children with autism.

Ingersoll (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

Two weeks of copy-cat games lifted joint attention and social mood in preschoolers with autism.

✓ Read this if BCBAs running early-intervention classrooms or clinic sessions for preschoolers with ASD.
✗ Skip if School-age therapists or teams without 1:the adult time.

01Research in Context

01

What this study did

Ingersoll (2012) ran a small RCT with the preschoolers with autism. Half got ten short sessions of adult-led imitation games. The rest kept their usual therapy.

Kids copied silly faces, hand claps, and toy moves. Sessions lasted 15 minutes and happened twice a week for five weeks.

02

What they found

After the short program, the imitation group started more joint-attention bids. They looked, pointed, and showed toys to adults more often.

Six weeks later the gains were still there. Parents also rated their kids as happier and more social than the control group.

03

How this fits with other research

Kourassanis-Velasquez et al. (2019) extend these findings. They show you can get the same jump in joint attention by training peers instead of adults.

Pérez-Fuster et al. (2022) conceptually replicate the result with augmented-reality imitation games. Kids still gained joint attention, but the tool was a screen instead of a person.

Liu et al. (2021) seem to disagree. They found gaze-timing problems remain in older autistic kids. The clash fades when you note age and setting: Brooke worked with 3- to young learners in classrooms; Qinyi tested 5- to young learners in a lab eye-tracking task.

04

Why it matters

You can squeeze a social boost into tiny therapy pockets. Ten short imitation games doubled joint-attention starts and the change lasted over a month. Try opening your next session with two minutes of copy-cat play. Track who starts the next show-and-tell bid.

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Start each session with a 2-minute adult-led imitation warm-up and tally child-initiated joint-attention bids for the next 30 minutes.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
27
Population
autism spectrum disorder
Finding
positive

03Original abstract

Imitation is an early skill thought to play a role in social development, leading some to suggest that teaching imitation to children with autism should lead to improvements in social functioning. This study used a randomized controlled trial to evaluate the effect of a focused imitation intervention on initiation of joint attention and social-emotional functioning in 27 young children with autism. Results indicated the treatment group made significantly more gains in joint attention initiations at post-treatment and follow-up and social-emotional functioning at follow-up than the control group. Although gains in social functioning were associated with treatment, a mediation analysis did not support imitation as the mechanism of action. These findings suggest the intervention improves social functioning in children with ASD.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1423-6