Socio-Communicative Behaviors Involving Minimally Speaking Autistic Preschoolers and Their Typically Developing Peers: Effects of an Augmentative and Alternative Communication Intervention Package

J Speech Lang Hear Res. 2024 Nov 7;67(11):4466-4486. doi: 10.1044/2024_JSLHR-24-00210. Epub 2024 Oct 4.

Abstract

Purpose: The purpose of this study was to examine the effectiveness of an augmentative and alternative communication (AAC) intervention package consisting of systematic instruction and aided AAC modeling with speech-output technology on the acquisition, maintenance, and generalization of socio-communicative behaviors in four minimally speaking, preschool-aged, autistic children.

Method: A multiple-probe design across behaviors (i.e., initiating a request for a turn, answering questions, and commenting) replicated across participants was implemented to evaluate the effects of the intervention package on socio-communicative behaviors. Furthermore, a pretreatment and posttreatment multiple-generalization-probe design was used to assess generalization across typically developing peers who were not a part of the intervention. Maintenance data were collected 3 weeks post intervention.

Results: Visual analysis, corroborated by nonoverlapping of all pairs statistics, established a strong functional relationship between the AAC intervention package and all targeted socio-communicative outcomes for two participants. For the other two participants, inconsistent intervention effects were observed. In terms of generalization from interacting with the researcher to typically developing peers, a functional relationship between the intervention and generalization outcomes for all targeted behaviors was established for only one participant (i.e., Aiden).

Conclusion: The outcomes of this study suggest that aided AAC modeling and systematic instruction using a speech-output technology may lead to gains in socio-communicative behaviors in some minimally speaking, preschool-aged, autistic children.

Supplemental material: https://doi.org/10.23641/asha.27091879.

MeSH terms

  • Autism Spectrum Disorder / psychology
  • Autism Spectrum Disorder / therapy
  • Autistic Disorder / psychology
  • Autistic Disorder / therapy
  • Child, Preschool
  • Communication
  • Communication Aids for Disabled*
  • Communication Disorders / psychology
  • Communication Disorders / rehabilitation
  • Communication Disorders / therapy
  • Female
  • Humans
  • Male
  • Peer Group*
  • Social Behavior
  • Treatment Outcome