Autism & Developmental

Naturalistic observations of elicited expressive communication of children with autism: an analysis of teacher instructions.

Chiang (2009) · Autism : the international journal of research and practice 2009
★ The Verdict

Modeling plus prompts gives a small boost, but you still need systematic teaching to make communication stick.

✓ Read this if BCBAs and RBTs in preschool or self-contained classrooms with minimally verbal students.
✗ Skip if Clinicians already running full verbal-behavior or SGD interventions.

01Research in Context

01

What this study did

The author watched 12 minimally verbal kids with autism during preschool routines.

She coded every time a teacher used a model, a verbal prompt, or just waited.

She also coded each child’s request, comment, or protest that followed.

02

What they found

Modeling plus a verbal prompt gave the best lift—kids talked or gestured more right after.

Still, the total number of child messages stayed very low, even with these helps.

Most turns were requests; comments and protests were rare.

03

How this fits with other research

Rosenthal et al. (1980) already showed that prompts alone don’t create new mands—you need direct teaching.

Chiang (2009) now echoes that view: teacher modeling helps a bit, but frequency stays flat without formal training.

Carnett et al. (2016) took the next step and paired systematic instruction with an iPad voice output device.

Their kids learned to ask questions, kept the skill, and used it in new places—proof that structured teaching beats simple prompting.

04

Why it matters

If you run classroom routines, don’t expect modeling and prompts to do the heavy lifting. Use them as warm-ups, then add explicit mand training or SGD instruction. Target each request or comment under the real cue you want the child to use later. That combo—prompt now, teach next—turns rare, fragile bids into steady, spontaneous communication.

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→ Action — try this Monday

Pick one routine (snack) and embed a 10-second time delay after your model so the child must mand before getting the item.

02At a glance

Intervention
not applicable
Design
other
Sample size
32
Population
autism spectrum disorder
Finding
not reported

03Original abstract

This study observed expressive communication of 17 Australian and 15 Taiwanese children with autism who were mute or had limited spoken language during 2 hour regular school routines and analyzed teacher instructions associated with elicited expressive communication. Results indicated: (a) the frequency of occurrence of elicited expressive communication was very low; (b) the incidence of elicited expressive communication was negatively correlated with autism severity; (c) verbal prompt and a combination of verbal prompt and modeling were the most common types of teacher instruction and the use of physical prompt was a rate event; (d) modeling and verbal prompt were positively correlated with speech and unaided augmentative and alternative communication (AAC) and a combination of verbal prompt and modeling was positively associated with aided AAC; and (e) modeling, verbal prompt, and a combination of modeling and verbal prompt were positively correlated with requesting function and commenting function was positively correlated with modeling and verbal prompt.

Autism : the international journal of research and practice, 2009 · doi:10.1177/1362361308098513