Autism & Developmental

Teaching children with autism to respond to and initiate bids for joint attention.

Taylor et al. (2008) · Journal of applied behavior analysis 2008
★ The Verdict

Prompt and praise teaches kids with autism to share attention, but you will need extra steps for them to show you things on their own.

✓ Read this if BCBAs running early-intervention or preschool sessions.
✗ Skip if Clinicians who already use script-fading with lots of examples.

01Research in Context

01

What this study did

Three preschoolers with autism took part. The team used prompts and praise to teach two skills. First, the child looks when an adult points and says "Look!" Second, the child points to show something cool to the adult.

Sessions happened at a table with toys. Adults gave gentle hints if the child did not respond. When the child got it right, they heard "Nice looking!" or got a small toy. The design checked each child one at a time so the team could see real change.

02

What they found

Every child learned to look when the adult pointed. Learning to point and say "Look!" took longer. After extra teaching rounds, all three kids could do both moves. The skills stayed during later play checks.

03

How this fits with other research

Patton et al. (2020) and Vassos et al. (2023) used the same goal but added many toys and places. Their kids kept the skill with new items and peers. These newer papers update the 2008 work by showing how to get broad use.

Shillingsburg et al. (2022) paired kids together instead of one-to-one. Both children still learned joint attention. This tells us the method works in small groups, not just adult-child tables.

Hansen et al. (2018) moved the teaching to living rooms. Parents gave short lessons and saw big gains. The 2008 study did not test home use, so Hansen extends it to everyday life.

04

Why it matters

You can start joint-attention drills tomorrow with simple pointing and praise. Plan extra trials for the child to show you things. If you want the skill to last, add many toys and places like Patton et al. (2020) did. Try peer pairs or parent coaching for more chances to practice.

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Run five trials where you point to a toy and praise eye contact, then prompt the child to point back and cheer when they do.

02At a glance

Intervention
prompting and fading
Design
multiple baseline across participants
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

A multiple baseline design across 3 children with autism was used to assess the effects of prompting and social reinforcement to teach participants to respond to an adult's bid for joint attention and to initiate bids for joint attention. Participants were taught to respond to an adult's bid for joint attention by looking in the direction of an object at which the adult pointed, by making a comment about the object, and by looking back at the adult. Additional training and reinforcement were needed to teach the participants to initiate bids for joint attention. Findings are discussed in terms of the social relevance of teaching children with autism to respond to and initiate bids for joint attention.

Journal of applied behavior analysis, 2008 · doi:10.1901/jaba.2008.41-377