Service Delivery

Brief Report: Caregiver Strategy Implementation-Advancing Spoken Communication in Children Who are Minimally Verbal.

Shire et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

Hit coaching benchmarks in brief play sessions and minimally verbal kids speak more.

✓ Read this if BCBAs running parent-training with non-speaking or minimally verbal children with autism.
✗ Skip if Clinicians who only work with fully verbal or adult clients.

01Research in Context

01

What this study did

Shire et al. (2018) coached caregivers of 22 minimally verbal children with autism. The team taught parents to use naturalistic play strategies during short 10-minute sessions at home.

Researchers measured how well parents followed the steps and tracked each child's spoken words. They looked at gains from start to finish without a control group.

02

What they found

Kids used more spontaneous language after their caregivers hit the coaching benchmarks. The higher the parent fidelity, the bigger the child gains.

The link was clear: when parents did the steps right, children talked more during play.

03

How this fits with other research

Hong et al. (2018) pooled 67 studies and saw a warning: caregiver coaching helps, but gains often shrink after sessions stop. The meta-analysis says you need a plan to keep skills alive.

Ferguson et al. (2022) and Van der Donck et al. (2023) show the same coaching can work through Zoom. Parents still hit high fidelity and kids still gained words, so distance is no barrier.

Ingersoll et al. (2013) ran a tighter design with Project ImPACT and found the same fidelity-language link years earlier. The new study echoes that pattern, giving more proof the bond is real.

04

Why it matters

If you serve minimally verbal learners, train caregivers to reach set benchmarks in short play bursts. Track parent accuracy each visit; it predicts child progress. Add a maintenance plan from Rea et al. so words stick after coaching ends.

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Score the next 10-minute caregiver play session with a simple fidelity checklist and give live feedback until they hit 80% steps correct.

02At a glance

Intervention
parent training
Design
pre post no control
Sample size
22
Population
autism spectrum disorder
Finding
positive

03Original abstract

Research has demonstrated that caregivers' use of intervention strategies can support their children's social engagement and communication. However, it is not clear to what degree caregivers must master the strategies to effectively support gains in social communication, specifically, core challenges such as joint attention language (comments). Twenty-two minimally verbal school-age children with autism received a social communication intervention with caregiver coaching. Through 10 min caregiver-child play interactions at eight time points, significant increase were found in children's spontaneous language. Further, children's spontaneous language was associated with caregivers' implementation. Minimum benchmarks for caregivers' total intervention implementation are discussed.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3454-0