Autism & Developmental

Increasing pretend toy play of toddlers with disabilities in an inclusive setting.

DiCarlo et al. (2004) · Journal of applied behavior analysis 2004
★ The Verdict

Toy centers plus small prompts lift pretend play in toddlers with delays toward typical peer levels.

✓ Read this if BCBAs in inclusive toddler rooms or early-intervention classrooms.
✗ Skip if Clinicians serving only older verbal students with no play goals.

01Research in Context

01

What this study did

Five toddlers with developmental delays were in an inclusive classroom. Staff set up toy centers and gave prompts plus praise to spark pretend play.

The team tracked how often each child played with toys in make-believe ways during regular free-play times.

02

What they found

Every toddler started using pretend play more often after the centers opened and staff gave cues.

Their play rates moved closer to the typical peers sharing the room.

03

How this fits with other research

Sherratt (2002) tried a longer, step-by-step prompt fade with slightly older preschoolers who had autism. Both studies show you can grow symbolic play with simple adult help.

Springer et al. (1981) saw weak pretend play in older autistic kids matched for mental age. That lab picture looks opposite, but the kids were older and tested without toys or peers. The new study shows inclusive centers plus prompts can flip the deficit.

Kok et al. (2002) compared structured versus loose play for preschoolers with autism. Both styles helped, echoing the idea that playful setups plus light adult input work.

04

Why it matters

You can boost pretend play fast by setting out themed toy centers and giving quick prompts and praise. No extra pull-out sessions, no fancy materials. Try it during free play in any inclusive toddler room. Watch if play keeps climbing, then fade your cues.

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→ Action — try this Monday

Open a kitchen or doctor kit center, stay close, give one play prompt and praise every minute—count five pretend acts before lunch.

02At a glance

Intervention
natural environment teaching
Design
single case other
Sample size
5
Population
developmental delay
Finding
positive
Magnitude
large

03Original abstract

UNLABELLED: We evaluated a program for increasing pretend toy play of 2-year-old children with disabilities in an inclusive classroom. Classroom personnel implemented the program, which involved choices of classroom centers containing toys that tend to occasion pretend play in toddlers without disabilities, along with prompting and praise. Increases occurred in independent pretend-play rates among all 5 participating toddlers. Results are discussed regarding the importance of promoting toy play of very young children with disabilities that is similar to the type of play of their nondisabled peers, and the need to identify critical program components that are applicable in inclusive settings. DESCRIPTORS: pretend play, young children with disabilities

Journal of applied behavior analysis, 2004 · doi:10.1901/jaba.2004.37-197