Autism & Developmental

Individualizing Intervention to Teach Joint Attention, Requesting, and Social Referencing to Children with Autism

Weisberg et al. (2019) · Behavior Analysis in Practice 2019
★ The Verdict

Prompting and praise work for joint attention, requesting, and social referencing, yet each child will need at least one quick tweak to reach mastery.

✓ Read this if BCBAs running naturalistic language programs for young children with autism in clinic or home settings.
✗ Skip if Practitioners looking for a rigid, one-size-fits-all joint-attention protocol.

01Research in Context

01

What this study did

Weisberg et al. (2019) worked one-on-one with children with autism. They used simple prompts and praise to teach three skills at once: pointing to share interest, asking for things, and looking at an adult for cues.

The team changed the prompt type, how fast they faded help, and the toys used until each child hit the mastery goal. No single recipe worked for every learner.

02

What they found

Most kids learned all three skills, but each child needed at least one custom tweak. One child, for example, only mastered pointing after the teacher switched to cause-and-effect toys.

The takeaway: prompting plus reinforcement works, yet you must stay ready to adjust on the spot.

03

How this fits with other research

Porter et al. (2008) showed that prompting alone can teach joint attention, but they had to add extra steps for kids to start bids on their own. Weisberg’s team builds on this by mixing in requesting and social referencing at the same time.

Patton et al. (2020) used script fading and multiple toys to make joint-attention initiations stick across new places. Their large, lasting gains suggest that the individualized tweaks Weisberg needed might be prevented with more exemplars up front.

Hansen et al. (2018) got big joint-attention jumps in living-room sessions run by parents. The positive results line up with Weisberg, but show you can hand the protocol to caregivers and still win.

04

Why it matters

You now have proof that a single script won’t cover every child. Start with basic prompting and praise, then track data after each change. If mastery stalls, swap toys, pace, or prompt level instead of blaming the learner. This mindset keeps therapy efficient and saves hours of drift.

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Run your first trial with standard prompts and praise, but decide in advance which element you will change—toy, prompt type, or pace—if the data flat-line across two sessions.

02At a glance

Intervention
natural environment teaching
Design
single case other
Population
autism spectrum disorder
Finding
positive

03Original abstract

Social communication skills such as joint attention (JA), requesting, and social referencing (SR) are deficits in children with autism spectrum disorder (ASD). Shifting gaze is a common response across these skills. In many studies, children respond variably to intervention, resulting in modifications to planned intervention procedures. In this study, we attempted to replicate the procedures of Krstovska-Guerrero and Jones (Journal of Developmental and Physical Disabilities 28; 289–316, 2016) and Muzammal and Jones (Journal of Developmental and Physical Disabilities 29; 203–221, 2017) to teach JA, requesting, and SR. In general, intervention procedures consisting of prompting and reinforcement were effective in teaching requesting, SR, and JA skills to children with ASD. However, not all children acquired each skill, and all children required individualized procedures to acquire some skills. We report the process of deciding how to modify intervention and discuss considerations for practitioners when planning intervention that may improve children’s performance.

Behavior Analysis in Practice, 2019 · doi:10.1007/s40617-018-0265-5