Joint Engagement Is A Potential Mechanism Leading To Increased Initiations of Joint Attention and Downstream Effects On Language: JASPER Early Intervention For Children With ASD
6 I. An Introduction to Project ImPACT empirical foundations.
We first discuss the core social
communication skills addressed by the program and the importance of teaching them to children with social communication challenges. We then highlight the specific evidence-based intervention strategies that parents are taught to use with their children. Next, we discuss the strategies that coaches use to teach parents. We then discuss the key aspects of this program that can support its use in a variety of community settings. This includes the option of providing coaching in either an individual or group model, and we provide more detailed descriptions of these models. We end with a brief summary of the research supporting the effectiveness of Project ImPACT to date. Table I.1.2 lists the key components of Project ImPACT. Core Social Communication Skills A number of early social communication skills are foundational to the development of complex social, language, and cognitive skills in typically developing children. These skills include joint attention and engagement (Bates, Benigni, Bretherton, Camaioni, & Volterra, 1979), gesture use (Özçalskan & Goldin-Meadow, 2005), imitation (Uzgiris, 1981), and symbolic play (Shore, O’Connell, & Bates, 1984). These skills are significantly delayed in children with ASD and related social communication challenges, leading to significant impairments in social-cognitive development (Ingersoll, 2011). Research indicates that all children, regardless of their ability, learn social communication skills in a similar developmental sequence (Gerber, 2003). Indeed, children with social communication delays are able to learn skills that are appropriate for their developmental level more quickly than skills that are above their developmental level (Lifter, Sulzer-Azaroff, Anderson, & Cowdery, 1993). Furthermore, teaching early social communication skills can lead to increased development of more complex communication skills in children with ASD and related disorders (Ingersoll & Schreibman, 2006; Kasari, Gulsrud, Freeman, Paparella, & Hellemann, 2012; Kasari, Paparella, Freeman, & Jahromi, 2008; Whalen, Schreibman, & Ingersoll, 2006). Based on this research, Project ImPACT targets four core sets of social communication skills within a developmental framework: social engagement, communication, imitation, and play. Below, we describe these skills and their developmental significance. SOCIAL ENGAGEMENT Social engagement involves the ability to maintain interactions by responding to and initiating social bids with others. Children with social communication delays usually have significant difficulty maintaining interactions with others (Schreibman, 1988). A key aspect of social engagement is the use of joint attention. Joint attention is the ability to coordinate attention between an object and another person for social purposes and includes showing, sharing, and pointing. Joint attention is a particularly important skill because it is believed to be involved in the development of language skills (Bates et al., 1979). Children with social communication challenges have difficulty both initiating and responding to joint attention bids from others, and it is thought that these deficits may lead to impaired language learning (Loveland & Landry, 1986). The starting point of this program is to teach the parent to increase her child’s social engagement, as it underlies all other social communication skills. Furthermore, all children are more likely to learn when they are actively engaged. In addition, increasing joint attention and engageTHE PROJECT ImPACT GUIDE
Ingersoll, Brooke. Teaching Social Communication to Children with Autism and Other Developmental Delays (2-book set), Second Edition (p. 25). Guilford Publications. Edición de Kindle.
Joint Engagement Is A Potential Mechanism Leading To Increased Initiations of Joint Attention and Downstream Effects On Language: JASPER Early Intervention For Children With ASD