Autism & Developmental

Increasing responding to others' joint attention directives using circumscribed interests.

Kryzak et al. (2013) · Journal of applied behavior analysis 2013
★ The Verdict

Teach joint-attention responses inside the child’s intense interest area and the skill carries over to other toys.

✓ Read this if BCBAs running early-intervention or clinic sessions with autistic preschoolers.
✗ Skip if Teams working only with toddlers or those without access to individual interest items.

01Research in Context

01

What this study did

Three children with autism learned to respond when adults pointed or looked at toys. The twist: every lesson was built around the child’s own intense interest—think train schedules, dinosaur facts, or street maps.

The therapists wove the circumscribed interest into the task. If the kid loved clocks, the adult would point to a new clock and say, “Look!” The goal was to get the child to follow that point or gaze.

02

What they found

All three kids began to follow the adult’s point or look more often. The skill spread: they also responded during other favorite play activities that had nothing to do with the special interest.

No extra rewards were needed. The activity itself was the reward.

03

How this fits with other research

Vostanis et al. (2024) extend this idea. They used the same target skill—responding to joint attention—but added speed drills and classroom play. Their autistic kindergarteners hit mastery in under a week, showing the method can move to school and still work.

Zheng et al. (2020) seems to disagree. Their robot trainer produced no group-level gains for toddlers. The gap is age: toddlers may need live human cues, while preschoolers can learn through either robots or special-interest games.

So et al. (2020) conceptually replicate the 2013 finding. Robot-plus-drama play also boosted joint attention in Mandarin-speaking preschoolers. Engaging context matters more than the exact toy.

04

Why it matters

If a child lives for vacuum cleaners, build your joint-attention trials around vacuum parts. You get free motivation and the skill transfers to other toys. Start with one highly preferred item, embed the “look” or “point” cue, then probe in new settings. No extra tokens or candy needed—interest is the reinforcer.

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Pick the child’s top interest, place two related objects on a table, and deliver three “Look!” trials—score if the child follows your point or gaze.

02At a glance

Intervention
other
Design
single case other
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

Children with autism show significant deficits in joint attention (JA), which occurs when 2 people engage in verbalizations, gestures, or eye contact with each other and a common object. Children with autism also exhibit intense interests in specific topics (i.e., circumscribed interests; CI). This study investigated the effectiveness of teaching responding to JA directives (RJA) to 3 children with autism while engaged in CI activities. RJA increased during intervention and generalized from CI to preferred activities.

Journal of applied behavior analysis, 2013 · doi:10.1002/jaba.73