Interventions to facilitate communication in autism.
Autism communication work should target spontaneity, family delivery, and peer use—because two decades of studies keep proving those same three points.
01Research in Context
What this study did
Luiselli (2000) looked at every autism communication study and pulled out six big gaps. The team wanted a roadmap for future research that would help kids talk more, sooner, and with more people.
They read piles of papers and grouped needs into themes like spontaneity, early precursors, family help, and real-life language use.
What they found
The review says we still need ways to make words come out without prompts, start intervention before speech is missing, teach parents to run sessions, and target social chat, not just labels.
In short, the field was heavy on clinic drills and light on home, peers, and true conversation.
How this fits with other research
Giesbers et al. (2020) later ran an RCT that did exactly what Luiselli (2000) asked: parents got coached and kids gained joint attention and social communication four months later. The newer trial extends the old call for family-mediated work.
Bathelt et al. (2019) narrowed the same broad agenda to AAC devices, showing the 2000 themes naturally cover later deep-dives into picture boards and speech apps.
Ganz et al. (2009) gave a live example: moms and dads taught PECS at home and kids asked for new toys with self-made symbols. Again, a single-case experiment brought one of the six priorities to life.
Ferguson et al. (2022) moved the parent-training model online; children showed variable but real communication gains after telehealth coaching. The delivery method updated, yet the core idea—equip families—stayed identical to Luiselli (2000).
Why it matters
When you write a parent training goal, borrow the 2000 checklist: will the child use the skill without adult cues, with new people, and in daily routines? If any box is blank, add a spontaneity or generalization plan. The twenty-year thread from Luiselli (2000) to Ferguson et al. (2022) shows these targets are still winning moves.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Add one parent-mediated peer play activity to the current plan and measure if the child starts talking without your prompt.
02At a glance
03Original abstract
The purpose of this article is to discuss research opportunities arising from the current literature in the area of communication. Six general themes are discussed, including (a) increasing spontaneity, initiations, and the variety of functions of language verbal and nonverbal children with autism exhibit; (b) assessing and teaching precursors relating to positive outcome; (c) the importance of family involvement in intervention programs; (d) best practices for implementation of communicative interventions; (e) the interrelationship between language and other behavioral symptoms of autism; and (f) the social and pragmatic use of language. These areas are discussed in terms of improving assessment and intervention practices to produce greater long-term communicative outcomes for individuals with autism.
Journal of autism and developmental disorders, 2000 · doi:10.1023/a:1005539220932