Autism & Developmental

Brief report: increasing communication skills for an elementary-aged student with autism using the Picture Exchange Communication System.

Kravits et al. (2002) · Journal of autism and developmental disorders 2002
★ The Verdict

PECS quickly boosted spontaneous requests and comments for a 6-year-old with autism in both home and school.

✓ Read this if BCBAs working with early-elementary students who have few spoken words.
✗ Skip if Clinicians already fluent in PECS and looking for advanced phases or descriptor training.

01Research in Context

01

What this study did

Staddon et al. (2002) taught PECS to one six-year-old boy with autism. Sessions happened at home and at school.

The team tracked how often the boy asked for things or made comments without being told. They also counted clear spoken words.

02

What they found

Spontaneous requests and comments rose in both places. Clear words also went up in two of three settings.

In one school area, the boy started talking more with classmates too.

03

How this fits with other research

Carr et al. (2007) saw the same jump in initiations after only 15 hours of PECS with preschoolers. The age and setting differ, but the gain looks the same.

ADiemer et al. (2023) pushed older kids through PECS phases in a clinic. Most reached phase IV, showing the method keeps working past first grade.

Galuska et al. (2006) added a twist: they taught preschoolers to describe items when the exact picture was missing. That study extends the basic PECS used here and shows the system can grow with the child.

04

Why it matters

You can start PECS on Monday with almost any young child who has autism. One binder, some Velcro, and 10-15 minute trials are enough to see new requests by Friday. Use the same pictures at home and school so the skill travels with the kid.

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→ Action — try this Monday

Place three highly preferred snack pictures on the front of a binder and teach the child to pick one and hand it to you before each bite.

02At a glance

Intervention
picture exchange communication system
Design
single case other
Sample size
1
Population
autism spectrum disorder
Finding
positive

03Original abstract

The purpose of this study was to examine the effects of the Picture Exchange Communication System (PECS) on the spontaneous communication skills of a 6-year-old girl with autism across her home and school environments. The effects of the PECS were also examined for social interaction. Results indicated increases in spontaneous language (i.e., requests and comments) including use of the icons and verbalizations across those settings in which PECS was implemented. Intelligible verbalizations increased in two of three settings, and changes in peer social interaction were noted in one of the two school settings.

Journal of autism and developmental disorders, 2002 · doi:10.1023/a:1015457931788