Autism & Developmental

Predictors and course of daily living skills development in toddlers with autism spectrum disorders.

Green et al. (2014) · Journal of autism and developmental disorders 2014
★ The Verdict

Teaching daily living skills early lowers parent stress and sets up lifelong gains, especially for toddlers with lower IQ or more autism symptoms.

✓ Read this if BCBAs writing early-start or parent-training programs for toddlers with ASD.
✗ Skip if Clinicians who only serve verbal adults with no adaptive-skill goals.

01Research in Context

01

What this study did

Laugeson et al. (2014) watched toddlers with autism for two years. They tracked daily living skills, IQ, and autism severity. They also asked parents how stressed they felt.

The team wanted to know which kids gain daily living skills fastest. They also asked if skill gains lower parent stress.

02

What they found

Younger age, higher IQ, and milder autism signs predicted faster daily living skill gains. When skills grew, parenting stress dropped.

Kids who started with lower IQ or more severe symptoms still improved, just at a slower pace.

03

How this fits with other research

Clarke et al. (2025) followed the same idea into adulthood. They show that for autistic adults with IQ under 70, childhood personal skills like tooth brushing predict life success. For adults with IQ over 70, community skills like ordering food matter more. Together, the papers say start early, then shift goals as IQ changes.

Hodge et al. (2021) studied preschoolers and also found higher IQ boosts adaptive skills. They added that richer families see even bigger gains. The toddler and preschool data line up: cognition drives daily living skills.

Kilincaslan et al. (2019) looked at older Turkish children with both autism and ID. They found these kids score lower on daily living skills than kids with ID alone. This seems opposite to the toddler study, but the kids were older and IQ-matched. The toddler paper shows growth is possible; the Turkish paper shows gaps widen if we wait.

04

Why it matters

Start daily living skills as soon as you get an autism diagnosis. Kids under three with lower IQ or more severe symptoms still make gains, and every gain cuts parent stress. Build personal care first, then move to community skills when IQ tops 70. Track progress monthly and celebrate small wins with families.

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02At a glance

Intervention
not applicable
Design
other
Sample size
162
Population
autism spectrum disorder
Finding
positive

03Original abstract

Self-sufficiency is central to child and family well-being. This report focuses on predictors of adaptive daily living skills (DLS) development in young children with ASD and whether DLS gains predict decreases in parenting stress. Participants were 162 toddlers with ASD and their parents, assessed at 3 annual timepoints. Hierarchical Linear Models showed that age, DQ, and autism symptom severity uniquely predicted initial DLS and DLS growth. Child problem behaviors predicted initial DLS only. DLS was associated with change in parenting stress above and beyond DQ, autism symptom severity, and problem behaviors. Children with lower IQ and more severe symptoms showed slower DLS gains. Given its relation to parenting stress, DLS are an important intervention target in young children with ASD.

Journal of autism and developmental disorders, 2014 · doi:10.1007/s10803-011-1275-0