Autism & Developmental

Brief Report: Linking Early Joint Attention and Play Abilities to Later Reports of Friendships for Children with ASD.

Freeman et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Stronger joint attention and play at age three forecast closer, less conflicted friendships five years later in kids with ASD.

✓ Read this if BCBAs writing preschool and early-elementary programs for children with autism.
✗ Skip if Clinicians who only serve adolescents or adults.

01Research in Context

01

What this study did

Freeman et al. (2015) watched children with autism who were three years old.

They scored how well each child shared eye-gaze and played with toys.

Five years later they asked the same kids about their school friendships.

02

What they found

Kids who had stronger joint attention at age three felt closer to friends at age eight.

They also said their friendships had less fighting.

Better play skills at three predicted they gave more help to friends later.

03

How this fits with other research

Bottema-Beutel (2016) shows joint attention links tightly to language, not just friends.

Chang et al. (2016) found only one in five preschoolers with autism had a classroom friend, matching the idea that early joint attention is weak.

Petrina et al. (2016) adds that kids with autism and their friends often disagree on how good the friendship is, so check both sides.

Lawton et al. (2012) proved we can teach joint attention and play to preschoolers, giving hope the friendship gap can shrink.

04

Why it matters

You now have a five-year reason to target joint attention and play before kindergarten.

Add brief joint-attention probes to your intake.

If scores are low, fold shared-gaze and turn-taking goals into play routines.

Track progress each quarter; the payoff may show up in lunch-room friendships instead of just vocabulary lists.

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→ Action — try this Monday

Run a five-minute joint-attention assessment during play and note the child’s eye-gaze shifts and toy sharing to set friendship-focused goals.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
positive
Magnitude
small

03Original abstract

This study examined the influence of early joint attention and play in children with autism on child- and parent-reported friendship quality 5 years later. Initially, children participated in developmental, joint attention, and play measures. At follow-up (age 8-9), parents and children completed the Friendship Qualities Scale (Bukowski et al. in J Soc Personal Relatsh 11:471-484, 1994) rating the child's friendship on companionship, help, security, closeness, and conflict. Parents and children described their children's friendships similarly except children's ratings were significantly higher than their parents on companionship. Children with better joint attention at age three reported their friendships to have higher closeness and lower conflict. Children with better initial play reported greater helpfulness. This study provides preliminary evidence linking early core abilities to later friendship qualities.

Journal of autism and developmental disorders, 2015 · doi:10.1007/s10803-015-2369-x