thesis

Teaching Paraprofessionals to Implement a Social Communication Intervention for Young Children with ASD

Abstract

Children diagnosed with Autism Spectrum Disorder (ASD) frequently lack social communication skills and researchers have developed evidence-based practices to address these deficits. More recently, researchers are examining paraprofessional use of these interventions when working directly with children with ASD. The author completed a review examining studies in which paraprofessionals were taught to implement a social communication intervention with young children with ASD. Researchers in the review studied paraprofessional use of naturalistic behavioral interventions with studies reporting an increase in paraprofessional treatment fidelity for the chosen intervention, and most reporting corresponding improved child outcomes. From this review, the author designed and completed research examining adult behavioral skills training for paraprofessionals in a manualized, naturalistic behavioral social pragmatic intervention from Project ImPACT (Ingersoll & Dvortcsak, 2010). Three Therapeutic Support Staff (TSS) were taught with online modules, in-vivo training and ongoing feedback to use interactive strategies to a predetermined frequency criterion with young children with ASD in the child’s home setting to improve child spontaneous communication. The TSS increased strategy use to criterion quickly with accuracy and generalized the strategies to snack time or the playground. The TSS also sharply decreased their use of questions and demands during playtime. Strategy use continued after intervention. Child spontaneous communication increased in frequency and moved from mostly eye gaze and gestures to eye gaze, vocalizations and a few words. The results indicate that a package combining online modules, in-vivo training plus ongoing feedback is effective in teaching TSS to use social communication strategies during playtime. This study furthers the concept of a target frequency for each strategy within a play session

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