Spoken Language Change in Children on the Autism Spectrum Receiving Community-Based Interventions

J Autism Dev Disord. 2023 Jun;53(6):2232-2245. doi: 10.1007/s10803-022-05511-4. Epub 2022 Mar 24.

Abstract

We assessed the spoken language of 73 preschool aged children on the autism spectrum receiving community-based early intervention at two time points, approximately 7 months apart. Using the Spoken Language Benchmarks, there was a small non-significant change in the proportion of children transitioning from below, to at or above, Phase 3 (word combinations). Using binomial regression, a model comprising seven of nine clinician-proposed child-related predictors explained 64% of the variance. None of the predictors were individually significant, although a large effect size (OR = 16.71) was observed for children's baseline rate of communicative acts. The findings point to substantial unmet clinical need in children with minimal verbal language, but also the relevance of clinician-proposed predictors of their spoken language outcomes.

Keywords: Autism; Communication; Intervention; Language; Minimally verbal; Preschool.

MeSH terms

  • Autism Spectrum Disorder* / therapy
  • Autistic Disorder*
  • Child
  • Child Development Disorders, Pervasive*
  • Child, Preschool
  • Communication
  • Humans
  • Language Development Disorders*