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JSLHR-19-00202bourque_SuppS1.pdf (300.04 kB)

Expanding modalities and functions with peers (Bourque & Goldstein, 2019)

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journal contribution
posted on 2019-12-19, 23:29 authored by Kathy S. Bourque, Howard Goldstein
Purpose: This study reports a secondary analysis of the nature of communicative functions and modalities used in initiations and responses of minimally verbal preschoolers with severe autism spectrum disorder (ASD) from a previously published study (Thiemann-Bourque, Feldmiller, Hoffman, & Johner, 2018). This analysis focused on the final cohort (n = 6) from a group design study (N = 45) that examined a peer mediation and speech-generating device (SGD) intervention compared to an SGD-only condition.
Method: After teaching peers to use an iPad as an SGD within a modified stay-play-talk approach, school staff implemented SGD instruction in child–peer dyads during typical preschool activities. To investigate individual differences among children who demonstrated increased communication acts in the peer + SGD condition, changes in reciprocity, modalities used, and communicative functions were examined using a multiple-baseline design across children. Fidelity of implementation and social validity data were also collected.
Results: Six children with ASD and their peers demonstrated more balanced reciprocity, with individual differences in how and why children communicated during exchanges. That is, all children with ASD increased in SGD use as their primary communication mode; 3 children used different modalities including more speech, and 3 children used primarily gestures and SGD. The most frequent function expressed was requests for objects. More modest increases were observed in comments and requests for actions, with negligible changes in gaining attention. Social validity reports by naïve judges reflected clear improvements in communication interactions.
Conclusion: Findings are promising for a preschool SGD intervention that can expand children’s modalities and communicative functions to engage in balanced exchanges with peer partners.

Figure S1. Total rates of communication acts for children with ASD directed to peer partners across phases.

Figure S2. Total rates of communication acts for peer partners directed to children with ASD.


Bourque, K. S., & Goldstein, H. (2019). Expanding communication modalities and functions for preschoolers with autism spectrum disorder: Secondary analysis of a peer partner speech-generating device intervention. Journal of Speech, Language, and Hearing Research. Advance online publication.


This research was funded by National Institute on Deafness and Other Communication Disorders Grant 1R01DC012530, awarded to Kathy Thiemann-Bourque.