Autism & Developmental

Teaching joint attention skills to adolescents and young adults with autism using multiple exemplars and script‐fading procedures

Rozenblat et al. (2019) · Behavioral Interventions 2019
★ The Verdict

Script-fading plus lots of examples teaches adolescents and young adults with autism to start joint attention bids and the skill spreads to new items.

✓ Read this if BCBAs running social-skills groups for teens or adults with autism in clinics, schools, or day programs.
✗ Skip if Practitioners focused only on early-intervention preschool cases—see R et al. (2020) instead.

01Research in Context

01

What this study did

Rozenblat et al. (2019) worked with four teens and young adults with autism. The team wanted them to start joint attention bids—pointing, showing, or looking back and forth to share interest.

They used written prompts plus short audio scripts. After each learner used the script, the teacher slowly faded the words away. They practiced with many toys and photos so the skill would travel.

02

What they found

All four learners began to point and comment on their own during teaching sessions. Three of them also did it with brand-new items they had never seen before.

The skill stuck without the scripts, showing the fading worked.

03

How this fits with other research

Patton et al. (2020) ran almost the same script-fading plan with preschoolers and got the same good results. Together the two studies show the method works from early childhood into adulthood.

Falcomata et al. (2012) did an earlier small study like this with children. Rozenblat’s team widened the age range and added written cues, building on that groundwork.

Wichnick-Gillis et al. (2019) showed script-fading can jump from school to home with siblings. Rozenblat did not test home use, so pairing the two papers gives you a full picture: teach at school, then let siblings run it at home.

04

Why it matters

If you work with teens or adults who still rarely point or show items, this package is ready to use. Start with short audio scripts and a stack of varied photos or YouTube clips. Fade the voice prompt once they initiate, and keep rotating materials so the skill generalizes. You can finish sessions in under ten minutes and see gains within a week.

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Pick three fun photos, record a two-word script like “Look here,” play it as the learner touches the picture, then drop the volume each trial until the voice is gone.

02At a glance

Intervention
prompting and fading
Design
multiple baseline across participants
Sample size
4
Population
autism spectrum disorder
Finding
positive

03Original abstract

The purpose of the current study was to teach four adolescents and young adults with autism to initiate bids for joint attention using multiple exemplar training, textual prompts, audio scripts, and script‐fading procedures. A multiple‐probe across‐participants design was used. Three training categories and one generalization probe category of stimuli were assigned to each participant. The results demonstrated that all four participants learned to initiate bids for joint attention under training conditions, although using scripted, previously scripted, and generative language. Responding generalized to the nontraining stimuli within the training categories. Three of the four participants also demonstrated generalized responding across stimuli from the probe category. Acquisition of such responses may help increase positive social interactions for adolescents and young adults with autism in the future.

Behavioral Interventions, 2019 · doi:10.1002/bin.1682