Abstract
Joint attention (JA) and peer interactions are significantly impaired in children with autism spectrum disorder (ASD). Empirically demonstrated interventions exist to address JA with adults, but few with peers. Training peers through instructions, modeling (both live and video models), role play, and feedback may help facilitate JA in children with ASD. We examined the effects of peer training with live and video models on typically developing (TD) peer strategies to facilitate JA and JA behavior in children with ASD. TD peers showed some improvement in prompting and reinforcing JA. Children with ASD showed overall increases in JA with trained and novel peers that were also observed by parents, professionals, and peers. Findings are discussed with respect to variables to consider when teaching JA to children with ASD and their peers as well as the need to further examine the relationship between peer training and JA in children with autism.
Similar content being viewed by others
References
Adamson, L., Bakeman, R., Deckner, D., & Romski, M. (2009). Joint engagement and the emergence of language in children with autism and Down syndrome. Journal of Autism and Developmental Disorders, 39(1), 84–96.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Bakeman, R., & Adamson, L. B. (1984). Coordinating attention to people and objects in mother-infant and peer-infant interaction. Child Development, 55(4), 1278–1289.
Barbaro, J., & Dissanayake, C. (2012). Early markers of autism spectrum disorders in infants and toddlers prospectively identified in the social attention and communication study. Autism, 17(1), 64–86.
Bates, E. (1979). The emergence of symbols: cognition and communication in infancy. New York: Academic.
Benzies, K., Magill-Evans, M., Kurilova, J., Nettel-Aguirre, A., Blahitka, L., & Lacaze-Masmonteil, T. (2013). Effects of video modeling on the interaction skills of first-time fathers of late pre-term infants. Infants and Young Children, 26(4), 333–348.
Buggey, T., & Ogle, L. (2012). Video self-modeling. Psychology in the Schools, 49(1), 52–70. https://doi.org/10.1002/pits.20618.
Catania, C., Almeida, D., Liu-Constant, B., & Digennaro Reed, F. (2009). Video modeling to train staff to implement discreet trial instruction. Journal of Applied Behavior Analysis, 42(2), 387–392.
Chan, J. M., Lang, R., Rispoli, M., O’Reilly, M., Sigafoos, J., & Cole, H. (2009). Use of peer-mediated interventions in the treatment of autism spectrum disorders: a systematic review. Research in Autism Spectrum Disorders, 3, 876–889.
Chang, Y. C., & Locke, J. (2016). Research in autism spectrum disorders: a systematic review of the effects of choice on academic outcomes for students with autism spectrum disorder. Research in Autism Spectrum Disorders, 27, 1–16. https://doi.org/10.1016/j.rasd.2015.08.002.
English, K., Goldstein, H., Shafer, K., & Kaczmarek, L. (1997). Promoting interactions among preschoolers with and without disabilities; effects of a buddy skills-training program. Exceptional Children, 63(2), 229–244.
Ferraioli, S. J., & Harris, S. L. (2011). Teaching joint attention to children with autism through a sibling-mediated behavioral intervention. Behavior Interventions, 26, 261–281.
Jones, E. A., & Feeley, K. M. (2007). Parent implemented joint attention intervention for preschoolers with autism. Journal of Speech-Language Pathology and Applied Behavior Analysis, 2(3), 253–268.
Jones, E. A., Carr, E. G., & Feeley, K. M. (2006). Multiple effects of joint attention intervention for children with autism. Behavior Modification, 30, 782–834.
Kamps, D. M., Kravits, T., Gonzalez Lopez, A., Kemmerer, K., Potucek, J., & Garrison Harrel, L. (1998). What do you the peers think? Social validity of peer-mediated programs. Education and Treatment of Children, 21(2), 107–134.
Kasari, C., Freeman, S., & Paparella, T. (2006). Joint attention and symbolic play in young children with autism: a randomized controlled intervention study. Journal of Child Psychology and Psychiatry, 47, 611–620.
Kasari, C., Gulsrud, A. C., Wong, C., Kwon, S., & Locke, J. (2010). Randomized controlled caregiver mediated joint engagement intervention for toddlers with autism. Journal of Autism and Developmental Disorders, 40(9), 1045–1056. https://doi.org/10.1007/s10803-010-0955-5.
Lawton, K., & Kasari, C. (2012). Brief report: longitudinal improvements in the quality of joint attention in preschool children with autism. Journal of Autism and Developmental Disorders, 42(2), 307–312. https://doi.org/10.1007/s10803-011-1231-z.
Mason, R. A., Ganz, J. B., Parker, R. I., Bruke, M. D., & Camargo, S. P. (2012). Moderating factors of video-modeling with other as model: a meta-analysis of single-case studies. Research in Developmental Disabilities, 33, 1076–1086.
Mason, R. A., Davis, H. S., Boles, M. B., & Goodwyn, F. (2013). Efficacy of point-of-view video modeling: a meta-analysis. Remedial and Special Education, 34, 333–345.
Meindl, J. N., & Cannella-Malone, H. I. (2011). Initiating and responding to joint attention bids in children with autism. A review of the literature. Research in Developmental Disabilities, 32, 1441–1454.
Mundy, P., & Crowson, M. (1997). Joint attention and early social communication: implications for research on intervention with autism. Journal of Autism and Developmental Disorders, 27(6), 653–676.
Mundy, P., Sigman, M., & Kasari, C. (1994). Joint attention, developmental level, and symptom presentation in autism. Development and Psychopathology, 6, 389–401. https://doi.org/10.1017/S0954579400006003.
Murza, K. A., Schwartz, J. B., Hahs-Vaughn, D. L., & Nye, C. (2016). Joint attention interventions for children with autism spectrum disorder: a systematic review and meta-analysis. International Journal of Language and Communication Disorders, 51(3), 235–251.
Ninio, A., & Bruner, J. (1978). The achievement and antecedents of labeling. Journal of Child Language, 5, 1–16.
Paparella, T., & Freeman, F. N. (2015). Methods to improve joint attention in young children with autism: a review. Pediatric Health, Medicine, Therapeutics, 6, 65–78.
Tomasello, M., & Ferrar, M. J. (1986). Joint attention and early language. Society for Research in Child Development, 57(6), 1454–1463.
Tomeny, T. S., Baker, L. K., Barry, T. D., Eldred, S. W., & Rankin, J. A. (2016). Emotional and behavioral functioning of typically-developing sisters of children with autism spectrum disorder: the roles of ASD severity, parental stress, and marital status. Research in Autism Spectrum Disorders, 32, 130–142. https://doi.org/10.1016/j.rasd.2016.09.008.
Whalen, C., & Schreibman, L. (2003). Joint attention training for children with autism using behavior modification procedures. Journal of Child Psychology and Psychiatry, 44, 456–468.
White, P. J., O’Reilly, M., Streusand, W., Levine, A., Sigafoos, J., Lancioni, G., Fragale, C., Pierce, N., & Aguilar, J. (2011). Best practices for teaching joint attention: a systematic review of the intervention literature. Research in Autism Spectrum Disorders, 5, 1283–1295.
Zhang, J., & Wheeler, J. J. (2011). A meta-analysis of peer-mediated interventions for young children with autism spectrum disorders. Education and Training in Autism and Developmental Disabilities, 46(1), 62–77. https://doi.org/10.1007/s40489-014-0014-9.
Acknowledgements
We would like to thank Alysha Rafeeq and Ridda Sheikh for their assistance with this research.
Funding
This research was conducted by the first author as part of the requirements for her graduate program in Psychology and supported in part by a Doctoral Student Research Grant from the Graduate Center of the City University of New York.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Additional information
• Effective intervention procedures to teach JA to children with autism spectrum disorder (ASD) can be applied to interactions between children with ASD and their typically developing (TD) peers.
• Peer training involving instructions, live and video models, role play, and feedback resulted in some improvement in peer prompting and reinforcing JA and overall increases in JA in children with ASD.
• Future research and clinical application should consider characteristics of the children, strategies to teach TD peers, frequency of sessions, and choice of materials when teaching JA to children with ASD and their peers.
Rights and permissions
About this article
Cite this article
Kourassanis-Velasquez, J., Jones, E.A. Increasing Joint Attention in Children with Autism and Their Peers. Behav Analysis Practice 12, 78–94 (2019). https://doi.org/10.1007/s40617-018-0228-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40617-018-0228-x