Autism & Developmental

Response to name in children with autism: Treatment, generalization, and maintenance

Conine et al. (2020) · Journal of Applied Behavior Analysis 2020
★ The Verdict

Tangible reinforcers are necessary to teach response to name in preschoolers with ASD, but you can thin the schedule and still keep the skill across people and places.

✓ Read this if BCBAs running early-intervention sessions for three- to five-year-olds with autism.
✗ Skip if Clinicians working with fluent speakers who already turn to voices.

01Research in Context

01

What this study did

Four preschoolers with autism who rarely turned when their name was called got a new plan. The team used toys or snacks as a reward every time the child looked within three seconds.

After the skill was steady, they gave the reward less often. They also tested if the child still turned when new adults, new rooms, or background noise were added.

02

What they found

All four kids hit 80 % correct turns in under 20 sessions. When rewards moved from every try to every third or fifth try, the skill stayed strong.

Each child still turned to their name with grandma, in the hallway, and while music played two weeks later.

03

How this fits with other research

Bassett-Gunter et al. (2017) ran a near-copy protocol for eye contact and got the same pattern: praise alone failed, toys worked, and thinning kept the gains. The two studies line up like Lego bricks—different body parts, same build.

Watkins et al. (2019) took the next step. They moved the adult-led name response into peer play where kids used each other’s interests. Both papers show strong generalization, proving the jump from adult to peer context can happen.

Polak-Passy et al. (2024) looks like a clash at first—dog play lowered some kids’ self-started talking. But their target was expressive language, not the quick orienting that Conine taught. Different skill, different measure, no real fight.

04

Why it matters

If a preschooler with ASD ignores his name, start with a toy he loves, not praise. Once he turns four times in a row, give the toy every other turn, then every third. In two weeks you can cut rewards to random praise and the skill will still stick across people and places.

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Pick a small toy the child will work for; give it every time he turns to his name for five trials, then move to an every-other schedule once he hits 80 % for two days.

02At a glance

Intervention
other
Design
multielement
Sample size
4
Population
autism spectrum disorder
Finding
positive

03Original abstract

Deficits in response to name (RTN) are an early indicator of autism spectrum disorder (ASD), and RTN is a treatment goal in many early intervention curricula for children with ASD. However, little research has empirically evaluated methods for increasing RTN in children with ASD. We evaluated a series of conditions designed to increase RTN for 4 children with ASD using a multielement experimental design. The schedules of tangible reinforcement were thinned after mastery and generalization was tested across people and contexts. Tangible reinforcers were necessary to increase RTN for all 4 participants, and the schedule of reinforcement was successfully thinned with all participants after intervention. Generalization was also observed across people and experimental contexts.

Journal of Applied Behavior Analysis, 2020 · doi:10.1002/jaba.635