Service Delivery

Evaluating a screening‐to‐intervention model with caregiver training for response to name among children with autism

Conine et al. (2025) · Journal of Applied Behavior Analysis 2025
★ The Verdict

Train parents with BST to teach response-to-name, but lock in booster sessions or the skill will fade.

✓ Read this if BCBAs running early-intervention programs for toddlers with autism.
✗ Skip if Clinicians working only with school-age kids or non-parent caregivers.

01Research in Context

01

What this study did

Conine and team worked with three toddlers who had autism.

They first screened each child to see how many trials it took to master response-to-name.

Then they taught the parents how to run the drills using behavioral skills training (BST).

The parents practiced with feedback until they hit a large share fidelity.

Finally, the team checked if the kids kept responding to their names weeks later.

02

What they found

The screening step cut the number of trials needed to master response-to-name.

After BST, all parents ran the drills correctly and their kids responded more often.

But when the team stopped praise and prompts, both parent fidelity and child skills dropped.

A quick booster session brought both back up.

03

How this fits with other research

McGarty et al. (2018) adds a twist: they paid parents 50 cents per session and saw even higher adherence.

This extends Conine’s work by showing a tiny reward can keep parents on track.

de Kuijper et al. (2014) looks like a contradiction at first.

They found Hanen parent training raised stress in highly depressed parents.

The difference is parent mood: Conine’s parents were not screened for depression, so stress did not show up.

Yassa et al. (2024) used BST to train staff, not parents, and also saw skill loss without boosters.

Both studies agree: plan for booster sessions or gains fade.

04

Why it matters

You can shorten response-to-name programs by screening first and then coaching parents with BST.

Schedule booster sessions right away—skills fade fast when reinforcement stops.

If a parent seems stressed or low, add a small reward or extra support to keep them engaged.

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→ Action — try this Monday

Add a five-minute booster drill to your next parent coaching visit and praise every correct parent response.

02At a glance

Intervention
caregiver coaching
Design
single case other
Population
autism spectrum disorder
Finding
positive

03Original abstract

Among the developmental milestones related to language and communication in early childhood, one that has been the subject of considerable research is response to name (RTN). Delayed or absent RTN in early childhood is a diagnostic marker for autism spectrum disorder and a target behavior in many early intervention curricula. This article describes two related studies. Study 1 evaluated the efficacy and efficiency of a behavioral screening-to-intervention model for RTN proposed by recent research. Overall, trials to mastery were reduced relative to previous research. Study 2 evaluated the efficacy of using behavioral skills training to teach caregivers to implement a RTN intervention with their child after that intervention was successful in a clinical setting. Generalized improvements in RTN with caregivers sometimes occurred but did not maintain without programmed reinforcement. Subsequent behavioral skills training was associated with increases in both child RTN and caregiver intervention fidelity.

Journal of Applied Behavior Analysis, 2025 · doi:10.1002/jaba.2931