Autism & Developmental

Brief report: longitudinal improvements in the quality of joint attention in preschool children with autism.

Lawton et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

Short joint-attention or symbolic-play games in natural play spots lift shared smiles and words for preschoolers with autism, and the gains stick.

✓ Read this if BCBAs running early-intervention or preschool classrooms for children with ASD.
✗ Skip if BCBAs who only serve verbal teens or adults.

01Research in Context

01

What this study did

Lawton et al. (2012) ran a randomized trial with preschoolers with autism. Half got joint-attention or symbolic-play lessons. Half stayed on the wait list. Trainers worked with kids in everyday play spots. They filmed sessions and later counted shared smiles, eye shifts, and words during joint looks.

02

What they found

Both lesson groups beat the wait list later. Kids showed more shared happy faces and talked more while looking at the same toy. Gains held after the sessions ended. Quality of joint attention, not just the number of looks, went up.

03

How this fits with other research

Chou et al. (2007) tried the same joint-attention program five years earlier. They saw quicker looks at new toys right after treatment. Lawton et al. (2012) now shows those gains can last.

Ingersoll (2012) ran a similar trial the same year. Instead of joint-attention drills, kids copied simple actions. Both studies found better joint-attention starts later. Different roads reached the same spot.

Freeman et al. (2015) followed children longer. Kids with stronger joint attention at age three had closer friendships at age eight. Kathy’s brief lessons may seed social pay-offs years down the line.

04

Why it matters

You can fold joint-attention or symbolic-play targets into circle-time or free-play today. No extra table needed. Watch for shared smiles and words, not just eye-gaze. These tiny moments forecast later friendship quality, so tracking them is worth your session time.

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→ Action — try this Monday

Pick one play routine, set a 5-minute timer, and reinforce every coordinated look plus word or smile you see.

02At a glance

Intervention
natural environment teaching
Design
randomized controlled trial
Population
autism spectrum disorder
Finding
positive

03Original abstract

Children with autism exhibit deficits in their quantity and quality of joint attention. Early autism intervention studies rarely document improvement in joint attention quality. The purpose of this study was to determine whether there was a change in joint attention quality for preschoolers with autism who were randomized to a joint attention intervention, symbolic play intervention, or a control group. Quality was defined as shared positive affect during joint attention as well as shared positive affect and utterances during joint attention. Interactions of group and time were found for both types of joint attention quality. During the follow up visits, the joint attention and symbolic play intervention groups produced more of these two types of joint attention quality than the control group.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1231-z