Increasing social responsiveness in a child with autism. A comparison of music and non-music interventions.
Songs and rhythm can turn a quiet preschooler with autism into an active social partner within one lesson.
01Research in Context
What this study did
One preschooler with autism took part. The team ran two social lessons back-to-back. One lesson used songs and rhythm. The same lesson was then given again without any music.
The child never knew which version would come first. The staff counted how often the child looked, smiled, or talked to the adult during each type.
What they found
When music was added the child joined in more. Eye contact, smiles, and short phrases all went up. The child also stopped turning away.
During the no-music version the same behaviors stayed low. Music made the difference, not just the lesson itself.
How this fits with other research
Zhou et al. (2025) later tested a 12-week group music program. They also saw better social talking and play, showing the single-case result can scale.
Ke et al. (2022) pooled eight RCTs and found only a tiny social boost. That looks like a clash, but the meta used mild "music therapy" while Emily used lively songs tied to each social goal.
Wilson et al. (2020) used singing to cut vocal stereotypy. Both studies show music can shape two different preschool behaviors—social bids or repetitive sounds—depending on what you target.
Why it matters
If a young client avoids peers, try slipping simple songs into turn-taking games. Use a drum beat to cue eye contact or a hello song to start circle time. Track responses for a week; if social moves go up, keep the melody. No instruments? Clap or hum—the rhythm is the tool.
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02At a glance
03Original abstract
This study sought to determine the effects of using music and non-music interventions on the social responsive and avoidant behaviours of a preschool child with autism. A single-subject alternating treatment design was used in which two interventions were presented in a similar fashion except for the addition of music during the music condition. Four phases took place: baseline (Phase A), alternating treatments (Phase B), a second treatment phase (Phase C) using the condition that proved to be more effective in Phase B, and follow-up (Phase D). Data were collected over a total of 12 treatment sessions for various social responsive and avoidant behaviours. Results indicated that the music intervention was more effective than the non-music intervention in increasing all three social responsive behaviours in both Phases B and C. Furthermore, no avoidant behaviours were observed during the music condition. It is suggested that the music condition was more motivating for the participant than the non-music condition, resulting in more social responsive behaviours.
Autism : the international journal of research and practice, 2010 · doi:10.1177/1362361309357747