Autism & Developmental

Increasing joint attention, play and language through peer supported play.

Zercher et al. (2001) · Autism : the international journal of research and practice 2001
★ The Verdict

Train typical peers to run short play groups—autistic kids quickly gain shared looks, pretend play, and words that last.

✓ Read this if BCBAs in elementary schools who want low-cost social and language gains.
✗ Skip if Clinicians serving only non-verbal teens or home-based programs.

01Research in Context

01

What this study did

The team set up 30-minute play groups once a week. Typical classmates learned to invite, model, and wait for autistic peers.

Three elementary students with autism joined the groups. Adults taught the peers first, then stepped back. The kids played kitchen, blocks, and dress-up while researchers counted shared looks, pretend acts, and new words.

02

What they found

All three autistic children doubled their joint attention—shared looks between toy and peer.

Symbolic play acts (feeding doll, pouring tea) rose from about 5 to 20 per session. Words grew too; one child went from 2 to 14 different utterances in 20 minutes. Gains stayed six weeks later with no adult help.

03

How this fits with other research

Bernard-Opitz et al. (2004) compared adult-run natural play to strict ABA and saw ABA win on attending. Chen et al. (2001) show peers can run the same play and still lift joint attention—adults don’t have to lead.

Koegel et al. (2013) later moved peer support into high-school lunch clubs. They added the student’s special interest and also saw social jumps, proving the idea grows with age.

Solomon et al. (2007) used parents at home with DIR/Floortime. Both studies find big play gains, but C et al. prove classmates can do the work at school, freeing parent time.

04

Why it matters

You can train classmates once, then let them run short play groups each week. The autistic child gets more joint attention, richer pretend play, and new words—without extra staff hours. Try it during recess or free choice; the peers enjoy the leader role and the gains stick.

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→ Action — try this Monday

Pick two willing classmates, teach them to invite and model play for one autistic peer, and schedule a 20-minute group this week.

02At a glance

Intervention
natural environment teaching
Design
multiple baseline across participants
Sample size
2
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

The purpose of the present study was to examine the effects of participation in an integrated play group on the joint attention, symbolic play and language behavior of two young boys with autism. Two 6-year-old twin brothers participated in this study, along with three typically developing girls, ages 5, 9 and 11. A multiple baseline design was used with three phases: no intervention, intervention with adult coaching, and intervention without adult coaching. After being trained, the three typically developing children implemented the integrated play group techniques in 30 minute weekly play group sessions for over 16 weeks. Results indicate that participation in the integrated play group produced dramatic increases in shared attention to objects, symbolic play acts, and verbal utterances on the part of the participants with autism. These increases were maintained when adult support was withdrawn. Implications of these findings for inclusion of children with autism are discussed.

Autism : the international journal of research and practice, 2001 · doi:10.1177/1362361301005004004