Autism & Developmental

Fostering a social child with autism: a moment-by-moment sequential analysis of an early social engagement intervention.

Vernon (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

Drop adult eye contact, smiles, and a quick reinforcer inside the child’s play and social bids jump right away.

✓ Read this if BCBAs teaching toddlers or preschoolers with autism in home or clinic.
✗ Skip if Teams already using the stronger six-step L et al. (2017) protocol.

01Research in Context

01

What this study did

The team watched one preschooler with autism play with a parent.

They coded every second to see who looked, smiled, or talked first.

In one session the parent hid tiny reinforcers inside toys and added eye contact and smiles.

In another session the parent only commented on the toys.

02

What they found

When the parent mixed social bids with small treats, the child immediately gave more eye contact, smiles, and words.

The same child did not do this in the toy-only session.

Each parent move raised the odds of a child move, and vice versa, second by second.

03

How this fits with other research

Bassett-Gunter et al. (2017) later built a six-step eye-contact package that worked for 20 of 21 preschoolers.

Their larger study shows the 2014 proof-of-concept can be turned into a full protocol you can copy.

Day et al. (2021) moved the same embedded-bid idea into parent-run playdates and saw joint engagement rise for two of three children.

That extends the 2014 finding from living-room play to peer playdates.

04

Why it matters

You do not need extra drills to spark early social turns.

Just weave your eyes, smile, and a tiny treat into the child’s chosen play.

The child’s own move then invites you back, creating a social loop you can stretch and shape.

Try it for two minutes next session and watch the data climb.

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During free play, give one eye contact plus one mini-marshmallow each time the child stacks a block; tally if the child looks back within three seconds.

02At a glance

Intervention
natural environment teaching
Design
single case other
Population
autism spectrum disorder
Finding
positive

03Original abstract

Young children with autism often experience limited social motivation and responsiveness that restricts establishment of crucial social momentum. These characteristics can lead to decreased opportunities for parental engagement and the social learning associated with these moments. Early social interventions that capitalize on pre-existing interests may be able to re-establish this developmentally critical feedback loop, in which both child and parent social behaviors simultaneously increase and influence one another. This investigation examined the moment-by-moment, micro-transactional relationship between parent and child social behavior gains observed in an early intervention study. Time-window sequential analyses revealed the presence of clinically and statistically significant sequential associations between parent and child social behaviors during an embedded social interaction intervention, but not in a comparable motivational intervention that utilized highly preferred toys and objects. Specifically, the onset of parent eye contact, directed positive affect, or offer of a reinforcing incentive predicted the immediate occurrence of child eye contact and positive affect in the experimental social intervention condition. Additionally, child verbal initiations, positive affect, and eye contact immediately predicted the onset of parent positive affect during this social intervention paradigm. Theoretical implications for the social developmental trajectory of autism are discussed.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-014-2173-z