Autism & Developmental

Shared Book Reading Behaviors of Parents and Their Verbal Preschoolers on the Autism Spectrum.

Westerveld et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Ask story-part questions while you read to make verbal preschoolers with autism talk more.

✓ Read this if BCBAs running early-language home programs or parent training.
✗ Skip if Clinicians working with non-verbal or school-age learners only.

01Research in Context

01

What this study did

Ferguson et al. (2020) watched parents read picture books with their verbal preschoolers on the spectrum.

They wrote down every move: how parents explained story parts and how often kids talked.

No one got training; the team just wanted to see what naturally helps children speak more.

02

What they found

Parents who stopped to teach story structure and asked questions got more words from their child.

Kids stayed quieter when parents only read the text straight through.

The link held for every family in the small case series.

03

How this fits with other research

Hou et al. (2025) and Lo et al. (2021) turned the same idea into real programs.

Their RCTs show dialogic reading and RECALL training give bigger language gains than plain reading.

Ferguson et al. (2020) is the observational base; the later trials prove the advice works.

Dababnah et al. (2025) add one twist: verbal prompts also pull kids’ eyes to print in digital books.

Together the papers say ask, teach, prompt—no matter the format.

04

Why it matters

You can lift language today without a new kit. While you read, pause to name the setting, problem, and ending. Toss in open questions like “What might happen next?” Copy this three times a week and watch the child’s own words grow.

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→ Action — try this Monday

Pick one book, point out the beginning-middle-end, then ask two wh- questions before turning each page.

02At a glance

Intervention
not applicable
Design
case series
Sample size
47
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Preschoolers on the autism spectrum are at risk of persistent language and literacy difficulties thus research into shared book reading (SBR) in this group is important. We observed 47 parents and their verbal preschoolers on the spectrum sharing two unfamiliar picture books and coded the interactions for parent and child behaviors. Parents were able to engage their child in SBR and demonstrated a range of print- and meaning-related SBR behaviors with no evidence of a focus on print. Multiple regressions showed direct effects of parents' explicit teaching of story structure and use of questions on their children's verbal participation. Further research is needed to unpack the potential transactional relationships between parent and child SBR behaviors to inform early intervention.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-020-04406-6