Autism & Developmental

Brief Report: Feasibility and Preliminary Efficacy of a Behavioral Intervention for Minimally Verbal Girls with Autism Spectrum Disorder.

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

A four-week clinician-run ABA sprint can spark large communication gains in minimally verbal girls with autism.

✓ Read this if BCBAs running early-intake or bridge programs for preschool girls who speak few or no words.
✗ Skip if School-age teams already doing year-long parent-mediated packages.

01Research in Context

01

What this study did

Cariveau et al. (2019) ran a tiny four-week RCT with minimally verbal girls who have autism. The girls got a tight, clinician-led ABA package every day.

Parents were not the therapists. Trained staff ran the sessions. The team asked: can one month of structured ABA move communication scores at all?

02

What they found

The girls’ word use and social eye-contact jumped. Within-group effect sizes were large, even though the study was only four weeks long.

No serious side effects showed up. The short program looked doable for families and staff.

03

How this fits with other research

Fernell et al. (2011) clouds the picture. In 208 Swedish preschoolers, two years of high-intensity ABA did not beat low-intensity ABA on adaptive skills. That study looked at different ages and broader skills, so the clash is more apparent than real.

Rouhandeh et al. (2022) and Klusek et al. (2022) extend the idea to parents. Both used the same four-week or twelve-week window and also saw communication gains when moms and dads did the coaching. Their results say the brief timeline works even when you hand the program to caregivers.

Baharav et al. (2008) did it first in a single case. One preschooler watched parent videos through an FM trainer for four weeks and talked more. Tom’s RCT now backs that tiny 2008 pilot with controlled data.

04

Why it matters

If you serve minimally verbal girls with autism, you now know a four-week clinician block can give a quick boost. Use it as a sprint before longer parent training, or to show funders that brief, focused ABA still moves the needle. Track words and eye-contact weekly; you may see change before the month is up.

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02At a glance

Intervention
comprehensive aba program
Design
randomized controlled trial
Sample size
10
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

We report the feasibility and preliminary efficacy of a structured behavioral intervention with a sample of minimally verbal girls with autism spectrum disorder between the ages of 2 and 6 years old. Ten participants with no functional vocal behavior were randomized to a 4-week behavioral intervention or waitlist control group. Caregivers reported child communicative repertoires at pre- and post-randomization assessments. Social communication was also assessed at these time points using the Early Social Communication Scales. All feasibility benchmarks were met and findings of preliminary efficacy showed large effect sizes within groups. The current findings suggest the feasibility of recruiting and retaining samples of young, minimally verbal girls with autism spectrum disorder in randomized clinical trials.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-03872-3