School & Classroom

Exploration of strategies for facilitating the reading comprehension of high-functioning students with autism spectrum disorders.

O'Connor et al. (2004) · Journal of autism and developmental disorders 2004
★ The Verdict

Prompting students to link pronouns to their nouns while they read lifts comprehension more than prereading questions or cloze fill-ins.

✓ Read this if BCBAs and teachers running literacy groups for verbal students with autism in grades 6-12.
✗ Skip if Teams working with non-readers or preschoolers.

01Research in Context

01

What this study did

The team worked with high-school students who have autism.

They tested three ways to help the teens understand what they read.

One way was anaphoric cuing: the adult asked, "Who is ‘he’ in this line?" so the student had to look back and link the pronoun to its noun.

The other ways were prereading questions and fill-in-the-blank sheets.

Each student tried all three methods in turn while the teachers tracked quiz scores.

02

What they found

Anaphoric cuing beat the other two methods.

When students had to name the antecedent for each pronoun, their quiz scores rose by a clear, medium-sized margin.

The gains showed up right away and stayed while the cueing continued.

03

How this fits with other research

El Zein et al. (2014) looked at every reading study for students with autism and listed anaphoric cuing as one promising tool.

Whalon et al. (2019) asked younger kids to match pictures to story parts during listening, not reading.

Both papers found that pointing students back to the text helps, even when the cue changes from pronouns to pictures or from reading to listening.

Nicolosi et al. (2024) took the idea the other direction: they taught a non-speaking teen phonics for two years and saw early comprehension emerge.

Together the four studies form a staircase: cues for fluent readers, visual story maps for listeners, and basic phonics for emergent readers.

04

Why it matters

You can add anaphoric cuing to any reading lesson in minutes.

While the student reads, stop at each pronoun and ask, "Who is this word talking about?"

Have the student point back to the name.

This quick habit raised comprehension in high-functioning teens and fits naturally into middle- and high-school English classes.

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→ Action — try this Monday

Place a sticky note next to every pronoun in the day’s passage; ask the student to name the noun it stands for before moving on.

02At a glance

Intervention
other
Design
single case other
Sample size
20
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Many students with autism spectrum disorders show good decoding combined with poor comprehension. Twenty adolescent students with autism spectrum disorders participated in a study concerning the effects of three kinds of facilitation on reading comprehension. In a within-subjects design, each students read passages under four conditions: answering prereading questions, completing cloze sentences embedded in the text, resolving anaphora by identifying relevant antecedents, and control (reading only). A repeated measures analysis of variance indicated that conditions differed significantly in their effects on reading comprehension. Post hoc contrasts showed that the effects of anaphoric cuing were statistically significant and medium in size; the effects of prereading questions and cloze completion were small and not statistically significant. Instructional implications for text preparation, remedial instruction, and the design of educational software are discussed.

Journal of autism and developmental disorders, 2004 · doi:10.1023/b:jadd.0000022603.44077.6b