Autism & Developmental

Early Word Reading of Preschoolers with ASD, Both With and Without Hyperlexia, Compared to Typically Developing Preschoolers.

Macdonald et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Hyperlexic preschoolers with ASD read words without the usual sound skills, so teach meaning through print while filling the phonology gap.

✓ Read this if BCBAs running early-literacy or verbal behavior programs for preschoolers with ASD.
✗ Skip if Practitioners who only serve school-age or non-autistic populations.

01Research in Context

01

What this study did

Macdonald et al. (2021) compared early reading skills in preschoolers with ASD. Some kids had hyperlexia, some did not. They also tested typically developing peers. The team looked at word reading, letter naming, phonological awareness, letter-sound links, and language level.

02

What they found

Kids with ASD plus hyperlexia could read words and name letters better than both other groups. Yet they fell behind on phonological awareness, knowing letter sounds, and overall language. Preschoolers with ASD but no hyperlexia scored lowest on every skill.

03

How this fits with other research

Plant et al. (2007) first showed that older ASD hyperlexic readers decode well but understand little. Dianne’s team now proves this gap starts before kindergarten. Fleury et al. (2018) tracked school-aged ASD students for thirty months and found comprehension stays behind even when growth rate looks normal. The preschool data explain why: weak phonology and language begin early. Eussen et al. (2016) saw that ASD preschoolers learn letters at the same pace as peers but stay behind on print concepts. Dianne adds that hyperlexic children skip ahead in word reading while still missing those same building blocks.

04

Why it matters

Do not wait for phonological awareness to emerge before you teach word reading to a hyperlexic preschooler. They can already read, so use their strength as a teaching route. Pair written words with pictures, objects, or actions to build meaning. At the same time, run short, playful games that tie sounds to letters and words. For ASD children without hyperlexia, start sound-letter work early and keep language goals in every lesson. Tailor groups by reading profile, not just ASD label.

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Place a favorite written word card on the table, say the word, have the child match it to a toy, then clap the syllables together.

02At a glance

Intervention
not applicable
Design
quasi experimental
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

A portion of children with Autism Spectrum Disorder (ASD) exhibit a strength in early word reading referred to as hyperlexia (HPL), yet it remains unclear what mechanisms underlie this strength. Typically developing children (TD) acquire phonological awareness, alphabet knowledge and language skills as precursors to word reading. We compared these skills across English-speaking preschoolers with ASD, both with and without hyperlexia, and TD preschoolers. Findings indicated that the group with both ASD and HPL (ASD + HPL) exhibited advanced word reading and letter naming skills as compared to the other two groups, but did not demonstrate commensurate phonological awareness, letter-sound correspondence, or language skills. Findings support an alternative, non-phonological approach to early word reading in preschoolers with ASD and hyperlexia.

Journal of autism and developmental disorders, 2021 · doi:10.1016/j.jneuroling.2018.08.001