Autism & Developmental

Data analysis of response interruption and redirection as a treatment for vocal stereotypy.

Wunderlich et al. (2015) · Journal of applied behavior analysis 2015
★ The Verdict

Quick tact lessons can stamp out delayed echolalia and build useful labels that last at least seven weeks.

✓ Read this if BCBAs treating vocal stereotypy or delayed echolalia in young children with autism.
✗ Skip if Practitioners working on non-vocal or advanced intraverbal goals only.

01Research in Context

01

What this study did

Ohan et al. (2015) taught three children with autism to name, or "tact," items instead of repeating old phrases. The team used a multiple-baseline design across kids. Sessions kept going until each child used new tacts and dropped delayed echolalia.

02

What they found

Tact training cut delayed echolalia for all three children. It also lifted correct tacts. Gains stayed strong seven weeks later with no extra teaching.

03

How this fits with other research

Gibney et al. (2020) ran a near copy of this work and saw the same drop in vocal stereotypy. Their classroom setting shows the effect travels beyond clinic rooms.

Bergmann et al. (2023) and Hanney et al. (2019) also used tact drills, but for naming sounds. All studies show positive gains, giving you a menu of tact targets: echolalia, sounds, or even textures as in Ruffo et al. (2025).

Pierce et al. (1983) taught echolalic children with signs plus words. Their total-communication win came first, yet L et al. prove vocal-only tact drills still work. The two papers differ in method, not in aim.

04

Why it matters

If a child keeps quoting old lines, try brief tact lessons on favorite toys or snacks. The study says you can swap delayed echoes for real labels in weeks, and the skill sticks. Start small, track daily, and watch functional language grow.

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Pick three reinforcers, run five tact trials each, and score if the child names instead of echoes.

02At a glance

Intervention
verbal behavior intervention
Design
multiple baseline across participants
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

Echolalia can negatively impact multiple skill areas in children diagnosed with autism spectrum disorder (ASD), including skills related to academic and social performance. The purpose of this study was to employ a multiple probe across participants design to evaluate the effects of tact training on delayed echolalia in three children in China diagnosed with ASD. The results of this study indicated that tact training was effective in decreasing echolalia and increasing appropriate tacts for all three children. The effects were maintained 7 weeks following the completion of training.

Journal of applied behavior analysis, 2015 · doi:10.1002/jaba.227