Abstract
The purpose of this study was to examine play and joint attention in children with autism (n=27) as compared to children with other developmental delays (n=28) in public preschool special education classrooms. The participants were observed in their classroom environment for 2 h over 3 separate days. Results show that children with autism spent more of their time unengaged and less time engaged in symbolic play and joint attention behaviors as compared to children with other developmental delays. Additionally, teachers seldom focused directly on symbolic play and joint attention in their teaching. These findings suggest the importance of educating teachers to target play and joint attention skills in their preschool special education classes, specifically for children with autism.
Similar content being viewed by others
References
Adamson, L. B., Bakeman, R., & Deckner, D. F. (2004). The development of symbol-infused joint engagement. Child Development, 75, 1171–1187.
Atlas, J. A. (1990). Play in assessment and intervention in the childhood psychoses. Child Psychiatry and Human Development, 21, 119–133.
Bakeman, R., & Adamson, L. B. (1984). Coordinating attention to people and objects in mother-infant and peer-infant interaction. Child Development, 55, 1278–1289.
Baron-Cohen, S. (1987). Autism and symbolic play. British Journal of Developmental Psychology, 5, 129–148.
Brunner, D. L., & Seung, H. (2009). Evaluation of the efficacy of communication-based treatments for autism spectrum disorders: a literature review. Communication Disorders Quarterly, 31, 15–40.
Charman, T., Baron-Cohen, S., Sweetenham, J., Baird, G., Drew, A., & Cox, A. (2003). Predicting language outcome in infants with autism and pervasive developmental disorder. International Journal of Language & Communication Disorders, 38, 265–285.
Closs, S., & Lewin, B. (1998). Perceived barriers to research utilization: A survey of four therapies. International Journal of Therapy and Rehabilitation, 5, 151–155.
Dawson, G., Rogers, S. J., Munson, J., Smith, M., Winter, J., Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125, e17–23.
Fleming, L. A., Wolery, M., Weinzierl, C., Venn, M. L., & Shroeder, C. (1991). Model for assessing and adapting teachers’ roles in mainstreamed preschool settings. Topics in Early Childhood Special Education, 11, 85–98.
Green, J., Charman, T., McConachie, H., Aldred, C., Slonims, V., Howlin, P., et al. (2010). Parent-mediated communication-focused treatment in children with autism (PACT): A randomized controlled trial. The Lancet, 375, 2152–2160.
Hobson, R. P. (1989). Beyond cognition: A theory of autism. In G. Dawson (Ed.), Autism: Nature, diagnosis, and treatment (pp. 22–48). New York, NY: Guilford Press.
Holmes, E., & Willoughby, T. (2005). Play behaviour of children with autism spectrum disorders. Journal of Intellectual and Developmental Disability, 30, 156–164.
Jarrold, C., Boucher, J., & Smith, P. (1993). Symbolic play in autism: A review. Journal of Autism and Developmental Disorders, 23, 281–307.
Johnson Martin, N. M., Hacker, B., & Attermeier, S. M. (2004). Carolina curriculum for preschoolers with special needs (2nd ed.). Baltimore, MD: Paul H. Brookes Publishing Co., Inc.
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.
Kasari, C., Freeman, S. F., & 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., 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, 1045–1056.
Kasari, C., Paparella, T., Freeman, S. F., & Jahromi, L. B. (2008). Language outcome in autism: Randomized comparison of joint attention and play interventions. Journal of Consulting and Clinical Psychology, 76, 125–137.
Keen, D., Sigafoos, J., & Woodyatt, G. (2005). Teacher responses to the communicative attempts of children with autism. Journal of Developmental and Physical Disabilities, 17, 19–33.
Keen, D., Woodyatt, G., & Sigafoos, J. (2002). Verifying teacher perceptions of the potential communicative acts of children with autism. Communication Disorders Quarterly, 23, 133–142.
Landa, R. J., Holman, K. C., O’Neill, A. H., & Stuart, E. A. (2011). Intervention targeting development of socially synchronous engagement in toddlers with autism spectrum disorders: A randomized controlled trial. Journal of Child Psychology and Psychiatry, 52, 13–21.
Lang, R., O’Reilly, M., Rispoli, M., Shogren, K., Machalicek, W., Sigafoos, J., et al. (2009). Review of interventions to increase functional and symbolic play in children with autism. Education and Training in Developmental Disabilities, 44, 481–492.
Libby, S., Powell, S., Messer, D., & Jordan, R. (1998). Spontaneous play in children with autism: A reappraisal. Journal of Autism and Developmental Disorders, 28, 487–497.
Lifter, K., Sulzer-Azaroff, B., Anderson, S., & Cowdery, G. E. (1993). Teaching play activities to preschool children with disabilities: The importance of developmental considerations. Journal of Early Intervention, 17, 139–159.
Loveland, K. A., & Landry, S. H. (1986). Joint attention and language in autism and developmental language delay. Journal of Autism and Developmental Disorders, 16, 335–349.
Martins, M. P., & Harris, S. L. (2006). Teaching children with autism to respond to joint attention initiations. Child & Family Behavior Therapy, 28, 51–68.
Mullen, E. M. (1995). Mullen scales of early leaning. Minnesota: American Guidance Service.
Mundy, P., Gwaltney, M., & Henderson, H. (2010). Self-referenced processing, neurodevelopment and joint attention in autism. Autism, 14, 408–429.
Mundy, P., & Markus, J. (1997). On the nature of communication and language impairment in autism. Mental Retardation & Developmental Disabilities Research Reviews, 3, 343–349.
Mundy, P., Sigman, M., & Kasari, C. (1990). A longitudinal study of joint attention and language development in autistic children. Journal of Autism and Developmental Disorders, 20, 115–128.
Mundy, P., Sigman, M. D., Ungerer, J., & Sherman, T. (1986). Defining the social deficits of autism: The contribution of non-verbal communication measures. Journal of Child Psychology & Psychiatry & Allied Disciplines, 27.
National Research Council (2001). Educating children with autism. Committee on educational interventions for children with autism. In Lord, C., & McGee, J. (Eds.), Division of behavioral and social sciences and education. Washington, DC: National Academy Press.
National Standards Project. (2009). Findings and conclusions: Addressing the need for evidence-based practice guidelines for autism spectrum disorders. Randolph, MA: National Autism Center.
Raudenbush, S., Bryk, T., & Congdon, R. (2005). Hierarchical linear and nonlinear modeling, 6.02. Scientific Software International, Inc.
Rocha, M. L., Schreibman, L., & Stahmer, A. C. (2007). Effectiveness of training parents to teach joint attention in children with autism. Journal of Early Intervention, 29, 154–172.
Sanders, D. (2002). Elan v.2.0.1. http://palmsource.palmgear.com/index.cfm?fuseaction=software.showsoftware&prodid=43494.
Schertz, H. H., & Odom, S. (2007). Promoting joint attention in toddlers with autism: A parent-mediated developmental model. Journal of Autism and Developmental Disorders, 37, 1562–1575.
Sigman, M., & Ruskin, E. (1999). Continuity and change in the social competence of children with autism, down syndrome, and developmental delays. Monographs of the Society for Research in Child Development, 64.
Stahmer, A. C. (1995). Teaching symbolic play skills to children with autism using pivotal response training. Journal of Autism and Developmental Disorders, 25, 123–141.
Stahmer, A. C., & Aarons, G. A. (2009). Attitudes toward adoption of evidence-based practices: A comparison of autism early intervention providers and children’s mental health providers. Psychological Services, 6, 223–234.
Stanley, G. C., & Konstantareas, M. M. (2007). Symbolic play in children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 37, 1215–1223.
Stansberry-Brusnahan, L. L., & Collet-Klingenberg, L. L. (2010). Evidence-based practices for young children with autism spectrum disorders: Guidelines and recommendations from the National Resource Council and National Professional Development Center on Autism Spectrum Disorders. International Journal of Early Childhood Special Education, 2, 45–56.
Ungerer, J. A., & Sigman, M. (1981). Symbolic play and language comprehension in autistic children. American Academy of Child Psychiatry, 20, 318–337.
Van Hecke, A. V., Mundy, P. C., Acra, C. F., Block, J. J., Delgado, C. E. D., Parlade, M. V., et al. (2007). Infant joint attention, temperament, and social competence in preschool children. Child Development, 78, 53–69.
Whalen, C., & Schreibman, L. (2003). Joint attention training for children with autism using behavior modification procedures. Journal of Child Psychology and Psychiatry and Allied Disciplines, 44, 456–468.
Wong, C. S., & Kasari, C. L. (2003). Analysis of early childhood curricula for joint attention and symbolic play skills. Presented at the 19th annual DEC conference on young children with special needs and their families. Washington, DC, 2003.
Wong, C. S., Kasari, C., Freeman, S., & Paparella, T. (2007). The acquisition and generalization of joint attention and symbolic play skills in young children with autism. Research & Practice for Persons with Severe Disabilities, 32, 101–109.
Acknowledgments
The authors thank the children, families, and teachers who participated in this study and the research assistants who helped gather and code these data: Eric Ishijima, Kimberly Ochs, and Alisha Patel. This article is based on a doctoral dissertation submitted by the first author, under supervision of the second author, at the University of California, Los Angeles. This research was supported in part by a training grant from the National Institutes of Health, NIMH grant MH064927(Connie Kasari), and Autism Speaks grant 2373 (Connie Wong).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wong, C., Kasari, C. Play and Joint Attention of Children with Autism in the Preschool Special Education Classroom. J Autism Dev Disord 42, 2152–2161 (2012). https://doi.org/10.1007/s10803-012-1467-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-012-1467-2