Autism & Developmental

Joint Engagement in Mother-Child Dyads of Autistic and Non-Autistic Children Among Asian Indian Tamil Speaking Families.

Krupa et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Tamil-speaking autistic preschoolers spend far more time unengaged or object-engaged than peers, even when mothers actively attempt interaction.

✓ Read this if BCBAs working with preschoolers with autism in South Asian families or similar collectivist contexts.
✗ Skip if Clinicians serving only school-age or non-verbal populations.

01Research in Context

01

What this study did

Krupa et al. (2024) watched Tamil-speaking mother-child pairs at home. They compared autistic preschoolers with two groups of non-autistic peers.

Trained coders scored every second of play for joint engagement states. They noted who looked where and who did what.

02

What they found

Autistic children spent far less time in coordinated joint engagement. They looked more at toys than at people.

Even when mothers tried hard, the kids stayed unengaged or object-locked. Mothers used different timing and tone than mothers of non-autistic kids.

03

How this fits with other research

Plant et al. (2007) first saw lower nonverbal reciprocity in lab chats. The Tamil home data echo this, showing the same gap during everyday play.

Ashtari et al. (2021) found Iranian mothers of autistic preschoolers were extra-responsive when children prompted them. Murugesan saw the same maternal boost, proving the pattern crosses cultures.

Saravanaperumal et al. (2025) used the same Tamil sample and showed these kids also tell shorter, simpler stories. Less shared engagement now looks linked to weaker narrative skill.

04

Why it matters

If a child stays object-locked, do not wait for eye contact. Model toy play first, then tap the toy near your face. When the child glances, name the action fast. This tiny loop can build coordinated states minute by minute.

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During play, place the toy between you and the child, wait for any glance toward your face, and immediately label the play—repeat five times per session.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
150
Population
autism spectrum disorder
Finding
negative
Magnitude
large

03Original abstract

This study profiled various levels of engagement and related communication behaviours among 50 Asian Indian Tamil autistic children (AUT) and their mothers. The interaction was compared with two groups of mother-child dyads of non-autistic (NA) children, 50 in each group, matched for chronological age (CA), and for language level (LL). Results indicated that despite mother's efforts to engage with their children, autistic children were often 'engaged with objects' or remained 'unengaged' due to children's preference for solitary play, while NA children were often engaged in 'co-ordinated' and 'people engagement'. Across the three groups, mothers predominantly took the lead and dominated the interaction, irrespective of children's language levels. These initiations by the mothers were often to provide instructions and to ask 'What' questions. Autistic children initiated communication predominantly to ask for an object and responded often in the form of negations and protests with limited verbal output or non-verbally. Most of the communication behaviours of both children and mothers in AUT group was quantitatively and qualitatively different when compared to those in both the NA groups, indicating unique nature of interactions despite matching for CA or LL. The observations from the study highlights the need for considering adult's contingent behaviours also, while assessing communication skills of autistic children in order to provide effective intervention.

Journal of autism and developmental disorders, 2024 · doi:10.1007/s10803-023-06062-y