Autism & Developmental

Improving Functional Language and Social Motivation with a Parent-Mediated Intervention for Toddlers with Autism Spectrum Disorder.

Bradshaw et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Six one-hour parent PRT sessions lifted both words and untrained social bids in 15- to 21-month-olds showing early ASD.

✓ Read this if BCBAs running early-intervention or Part C programs for toddlers with ASD red flags.
✗ Skip if Clinicians whose caseload is entirely verbal school-age learners.

01Research in Context

01

What this study did

Researchers taught 12 parents of 15- to 21-month-old toddlers with early ASD signs how to use PRT at home. Each family got six one-hour coaching sessions spread over six weeks. The team tracked the children’s new words and social bids during play with mom or dad.

02

What they found

All the toddlers gained new words. Most also started looking at parents, sharing toys, and imitating without being asked. These social gains showed up even though the coaches never trained those skills directly.

03

How this fits with other research

Ouyang et al. (2024) pooled 32 trials and found parent PRT works best after families master simpler programs like ImPACT. The brief format here matches their ‘step-two’ slot.

Higgins et al. (2021) ran a similar 12-week parent PRT plan with preschoolers who had delays but no ASD label. Both studies saw the same jump in expressive language, showing the method crosses diagnostic lines.

Stewart et al. (2018) moved PRT from living rooms to school playgrounds. Staff coached classmates to give the same pivotal opportunities; autistic students doubled their recess interaction. Together the three studies trace a clear line: PRT can travel from parent-toddler to peer-schoolyard with steady social gains.

04

Why it matters

You can start PRT with families as soon as red flags appear. Six short sessions fit busy schedules and still boot-strap both words and social interest. Use the Ouyang roadmap: begin with an easy parent program for fidelity, then layer in these brief PRT lessons to widen language and play circles before age two.

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Pick one toddler on your list, teach parents the PRT ‘model and wait’ loop, and count new words plus shared looks during a five-minute play clip.

02At a glance

Intervention
pivotal response treatment
Design
multiple baseline across participants
Population
autism spectrum disorder
Finding
positive

03Original abstract

Recent research suggests that children with autism spectrum disorder (ASD) may now be reliably identified in later infancy, highlighting the need for empirically-validated interventions for infants and toddlers with early symptoms of ASD. Using a multiple baseline design across 15- to 21-month-old toddlers, this study implemented a brief, parent-mediated, Pivotal Response Treatment program, focusing on improving expressive communication. The results indicated that verbal communication improved as a consequence of the intervention, with concomitant improvements in untreated areas for all participants. Following the intervention, symptoms of autism decreased and parents reported satisfaction with the program's ease of implementation and observed child gains. The results are discussed in terms of developing very early interventions to improve developmental trajectories for infants and toddlers.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3155-8