Cited by 953Autism Spectrum Disorder ResearchChild and Animal Learning DevelopmentBehavioral and Psychological Studies

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Joint attention and symbolic play in young children with autism: a randomized controlled intervention study

Kasari, Connie, Freeman, Stephanny, Paparella, Tanya·2006·Journal of Child Psychology and Psychiatry

DOI 10.1111/j.1469-7610.2005.01567.x

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Abstract

Background: Delays and deficits in joint attention and symbolic play constitute two important developmental problems in young children with autism. These areas of deficit have been well studied in autism but have rarely been the focus of treatment efforts (see ). In this study, we examine the efficacy of targeted interventions of joint attention and symbolic play. Methods: Participants were 58 children with autism aged 3 and 4 years (46 boys). Children were randomized to a joint attention intervention, a symbolic play intervention, or control group. Interventions were conducted 30 minutes daily for 5–6 weeks. Both structured assessments of joint attention and play skills and mother–child interactions were collected pre and post intervention by independent assessors. Results: Results indicate that both intervention groups improved significantly over the control group on certain behaviors. Children in the joint attention intervention initiated significantly more showing and responsiveness to joint attention on the structured joint attention assessment and more child‐initiated joint attention in the mother–child interaction. The children in the play group showed more diverse types of symbolic play in interaction with their mothers and higher play levels on both the play assessment and in interaction with their mothers. Conclusions: This randomized controlled trial provides promising data on the specificity and generalizability of joint attention and play interventions for young children with autism. Future studies need to examine the long‐term effects of these early interventions on children's development.

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Authors: Kasari, C., Freeman, S., & Paparella, T.
Affiliations: University of California, Los Angeles (US)
Corresponding author: Kasari, Connie
ORCID: Kasari, Connie
Freeman, Stephanny
Venue: Journal of Child Psychology and Psychiatry
Publisher: Wiley
Published: 2006-04-26
Volume: 47
Issue: 6
Pages: 611-620
ISSN: 0021-9630 (ISSN-L)
1469-7610
DOI: 10.1111/j.1469-7610.2005.01567.x
OpenAlex: W2143287186
Cited by: 951
References: 39
Citations by year: 2026: 37 · 2025: 38 · 2024: 42 · 2023: 42 · 2022: 50 · 2021: 71 · 2020: 64 · 2019: 68 · 2018: 53 · 2017: 43 · 2016: 58 · 2015: 51 · 2014: 55 · 2013: 57 · 2012: 51
FWCI: 7.78
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Child Psychology and Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD035470)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords: autism spectrum disorder, joint attention, pretend play, early intervention, young children, mother-child interaction, play skills, intervention efficacy
MeSH terms: Adult, Attention, Autistic Disorder, Child, Child, Preschool, Communication, Female, Humans, Interpersonal Relations, Male, Play and Playthings, Social Behavior, Symbolism, Caregivers

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Joint attention and symbolic play in young children with autism: a randomized controlled intervention study

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