Developing a diagnostic and intervention package for 2- to 3-year-olds with autism: outcomes of the frameworks for communication approach.
Teaching parents to nurture pre-speech social moments at home lifts toddler communication within 18 months.
01Research in Context
What this study did
Chandler et al. (2002) worked with ten toddlers who had autism.
Parents learned the Frameworks for Communication approach at home.
Coaches visited and showed moms and dads how to build eye contact, shared smiles, and first words during meals and play.
No control group was used; each child served as his own baseline.
What they found
Every toddler made big gains in social interaction and expressive communication within 18 months.
Parents kept the program going without extra clinic visits.
How this fits with other research
Schertz et al. (2018) later tested a similar parent-coaching package in a randomized trial and still saw gains at a six-month check.
Their stronger design now supersedes the 2002 case series, but the positive direction matches.
Lancioni et al. (2008) showed parents can get the same kind of progress through telehealth, extending the idea to rural families.
Weiss et al. (2021) looked at toddlers in the community who received no coaching and found poor joint-attention skills.
That negative finding is not a true conflict; it simply shows kids need the parent program to move ahead.
Why it matters
You can trust parent-mediated, home-based pragmatics training for two-year-olds with autism.
Start early, coach caregivers in natural routines, and schedule booster check-ins.
The approach travels well—telehealth, RCTs, and low-cost replications keep repeating the same upbeat story.
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02At a glance
03Original abstract
The aim of the research was to develop and evaluate a model of good practice which would make an explicit link between diagnosis and intervention, and so give parents a very clear rationale for the autism-specific yet individualized programme that they were carrying out. It employed an action research design, which essentially is responsive to participants, thus developing a user-friendly model of service. The programme was based on the developmental perspective that the pragmatics of language are the precursors of speech itself and enable both communication and relationship between child and parents. Since these are impaired in autism they should therefore be prioritized in early intervention. Ten children aged 1:10 to 2:9 at assessment, and with a diagnosis of autism, underwent an intervention based on home visits, modelling, workshops and written information, with parents as 'therapists' in naturally occurring situations. Within 18 months all children made substantial progress in social interaction and expressive communication, including gestural and verbal communication.
Autism : the international journal of research and practice, 2002 · doi:10.1177/1362361302006001005