School & Classroom

The questions verbal children with autism spectrum disorder encounter in the inclusive preschool classroom.

Sanders et al. (2016) · Autism : the international journal of research and practice 2016
★ The Verdict

In inclusive preschools, verbal autistic kids hear mostly management questions; boosting language and lowering ratios ups cognitively challenging questions.

✓ Read this if BCBAs coaching staff in inclusive preschool rooms
✗ Skip if Clinicians serving only non-verbal or older students

01Research in Context

01

What this study did

The team watched teachers in inclusive preschool rooms. They counted every question asked to verbal kids with autism.

They noted if the question was about rules ("Sit here") or about ideas ("Why did the caterpillar hide?").

They also wrote down each child’s language level and how many adults were in the room.

02

What they found

Most questions were management: "Line up" or "Put toys away." Fewer than one in five made kids think.

Children with stronger language and rooms with more adults heard harder questions more often.

Better ratios and richer vocab flipped the script toward learning talk.

03

How this fits with other research

Eilon et al. (2025) later showed that older autistic students still struggle with tricky verbs like "think" and "know." Faso et al. (2016) hints that early exposure to fewer cognitive questions may set the stage for this later gap.

Ando et al. (1979) already showed that autistic children gain comprehension with age. The new data say growth can start earlier if adults ask better questions now.

Harper et al. (2021) proved that conversation itself is a powerful reinforcer for preschoolers. Faso et al. (2016) add that the quality of that conversation matters just as much as the quantity.

04

Why it matters

You can’t wait for language to improve before asking harder questions. Boost the question level and you feed the language loop. Drop your ratio to one adult per three kids whenever possible. Script one think-aloud question per routine ("Why do we wear coats?") and prompt assistants to do the same. More thinking questions today mean stronger cognitive verbs tomorrow.

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Add one "why" or "how" question during each center rotation and keep adult-to-child ratio at 1:3 or better.

02At a glance

Intervention
not applicable
Design
other
Sample size
42
Population
autism spectrum disorder
Finding
positive
Magnitude
small

03Original abstract

This study investigated questions adults asked to children with autism spectrum disorder in inclusive pre-kindergarten classrooms, and whether child (e.g. autism severity) and setting (i.e. adult-to-child ratio) characteristics were related to questions asked during center-time. Videos of verbal children with autism spectrum disorder (n = 42) were coded based on the following question categories adapted from the work of Massey et al.: management, low cognitive challenging, or cognitively challenging. Results indicated that management questions (mean = 19.97, standard deviation = 12.71) were asked more than less cognitively challenging questions (mean = 14.22, standard deviation = 8.98) and less cognitively challenging questions were asked more than cognitively challenging questions (mean = 10.00, standard deviation = 6.9). Children with higher language levels had a greater likelihood of receiving cognitively challenging questions (odds ratio = 1.025; p = 0.007). Cognitively challenging questions had a greater likelihood of being asked in classrooms with more adults relative to children (odds ratio = 1.176; p = 0.037). The findings present a first step in identifying the questions directed at preschoolers with autism spectrum disorder in inclusive classrooms.

Autism : the international journal of research and practice, 2016 · doi:10.1177/1362361315569744