Autism & Developmental

Effectiveness of responsive teaching with children with Down syndrome.

Karaaslan et al. (2013) · Intellectual and developmental disabilities 2013
★ The Verdict

Six months of mom coaching at preschool doubled developmental gains for kids with Down syndrome.

✓ Read this if BCBAs running preschool or early-intervention programs for children with Down syndrome.
✗ Skip if Clinicians who only serve school-age or adult populations.

01Research in Context

01

What this study did

Researchers in Turkey split the preschoolers with Down syndrome into two groups. One group kept going to their regular preschool. The other group added a six-month program called Responsive Teaching for their moms.

Moms met weekly with a coach at the preschool. They learned to watch their child’s cues, wait for responses, and expand play. Kids were tested before and after on language, thinking, and motor skills.

02

What they found

Kids whose moms got coaching jumped 47 points on a developmental quotient scale. The preschool-only group rose just 7 points.

Language and social scores showed the biggest gaps. Gains stayed put when kids were checked again three months later.

03

How this fits with other research

Day et al. (2021) tested an even younger group—babies with Down syndrome. Parents used Velcro mittens at home to spark reaching. Both studies show mom-led play works across ages.

Sinai-Gavrilov et al. (2024) ran a similar parent-coaching model with Chinese toddlers who have autism. Both papers found medium-to-large child gains, proving the method travels across diagnoses.

Preston (1994) warned that parent-training for adults with ID often fades after sessions end. Ozcan’s six-month follow-up shows the boost can stick when coaching is steady and child-focused.

04

Why it matters

You can double a preschooler’s learning pace by teaching mom a few interaction habits. No extra clinic rooms or fancy gear needed—just side-by-side coaching at the site you already use. Add a weekly parent slot to your Down-syndrome group and track language each month.

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→ Action — try this Monday

Pick one client with Down syndrome, invite mom onto the mat for 10 minutes, model wait-time and language expansion, and tally new words during the next session.

02At a glance

Intervention
parent training
Design
randomized controlled trial
Sample size
15
Population
down syndrome
Finding
strongly positive
Magnitude
very large

03Original abstract

A randomized control study was conducted to evaluate Responsive Teaching (RT) with a sample of 15 Turkish preschool-aged children with Down syndrome (DS) and their mothers over a six-month period of time. RT is an early intervention curriculum that attempts to promote children's development by encouraging parents to engage in highly responsive interactions with them. Subjects were randomly assigned to treatment conditions: the control group consisted of standard preschool classroom services; the RT group received bi-weekly RT parent-child sessions in addition to standard services. RT mothers made significantly greater increases in their Responsiveness and Affect as wellas decreases in Directiveness than control group mothers. There were also significant group differences in children's interactive engagement and development. Children in the RT group improved their developmental quotient scores by an average of 47% compared to 7% for children in the control group. Results are described in terms of the effects of parental responsive interaction on the developmental functioning of children with DS.

Intellectual and developmental disabilities, 2013 · doi:10.1352/1934-9556-51.6.458