Autism & Developmental

Promoting reciprocal conversations in children with autism using text‐message prompting

Canestaro et al. (2021) · Behavioral Interventions 2021
★ The Verdict

Apple Watch text scripts can boost conversation initiations and responses in kids with autism.

✓ Read this if BCBAs teaching conversation skills to verbal children with autism.
✗ Skip if Teams working with non-readers or without smartwatch access.

01Research in Context

01

What this study did

Researchers gave three children with autism an Apple Watch.

The watch sent short text scripts like “Ask what they like to eat.”

Adults then waited to see if the child started or answered a conversation.

They counted how many times each child spoke first or replied.

02

What they found

Two children began way more conversations after the texts popped up.

The third child did not start more talks, but kept back-and-forth going longer.

All three kids had more total exchanges when the watch buzzed with hints.

03

How this fits with other research

Lopez et al. (2020) tried the same watch trick one year earlier.

They only looked at first hellos, not full talks.

Canestaro added the reply part, so the idea now covers whole chats.

Ayvazo et al. (2024) later swapped the watch for a daily selfie video plus self-monitoring.

Their teens also spoke more, showing the goal can be hit with or without a watch.

Ewing et al. (2002) used a vibrating pager instead of a watch.

That old buzzer raised first words too, proving simple tactile cues keep working as tech shrinks.

04

Why it matters

If a child can read, you can load short scripts into any smartwatch today.

Start with one line like “Ask about their favorite game.”

Send it right before recess or snack.

Track who talks first and how long the swap lasts.

No extra staff is needed once the texts are scheduled.

Try it during peer play or sibling time and watch the conversation grow.

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→ Action — try this Monday

Program one watch to buzz “Ask what they did this weekend” before lunch bunch and tally first initiations and replies.

02At a glance

Intervention
verbal behavior intervention
Design
single case other
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

AbstractScript training has been shown to be an effective intervention for enhancing conversation skills in individuals with autism spectrum disorder (ASD). One area to which additional research should be dedicated is the effectiveness of different script delivery modalities. In the current study, we evaluated the use of text‐message prompting via an Apple Watch® to increase appropriate conversations for three children with ASD. Our results suggest that the text‐message prompting was effective in increasing initiations and responses for two participants. Although the results are less clear for the third participant, we did observe an increase in the total number of initiations and responses following the intervention.

Behavioral Interventions, 2021 · doi:10.1002/bin.1822