{"id":2627,"date":"2021-08-19T12:20:35","date_gmt":"2021-08-19T16:20:35","guid":{"rendered":"https:\/\/www.med.unc.edu\/healthsciences\/asap\/?page_id=2627"},"modified":"2022-06-14T14:20:18","modified_gmt":"2022-06-14T18:20:18","slug":"redesign","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/healthsciences\/asap\/","title":{"rendered":"Advancing Social-Communication and Play: An Intervention Program for Autistic Preschoolers"},"content":{"rendered":"<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-12 col-md-12 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<h2>Why is the ASAP Intervention Important for Autistic Preschoolers?<\/h2>\n<p>Autistic children are diagnosed because of challenges with social and communication interactions, as well as a tendency to engage in repetitive behaviors and to have a limited range of interests. Almost all autistic preschool-aged children have difficulty with joint attention and symbolic play.<\/p>\n<p>When researchers have looked at what preschool skills are most predictive of how an autistic person will function when s\/he is older, language skills are among the most important abilities. Children who have acquired the ability to use spoken language in order to communicate with others by the end of preschool face fewer academic challenges than children who are still nonverbal. Further, research tells us that if we teach joint attention and symbolic play skills to autistic children, they will develop better language and communication abilities. Alternatively, if we do not specifically teach joint attention and symbolic play skills, they will be unlikely to learn the skills, and their language development will not progress as well. So, joint attention and symbolic play are key skills that should be addressed for all autistic preschool-aged children.<\/p>\n<p>Of course, preschool-aged autistic children generally have many needs, and a comprehensive intervention program that helps them develop in many areas is essential. The ASAP intervention is intended for use in preschool programs that are providing comprehensive educational services for autistic children.<\/div>\n<\/div>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<span class=\"collapseomatic \" id=\"id69dbf3405fe6a\"  tabindex=\"0\" title=\"What is Joint Attention?\"    >What is Joint Attention?<\/span><div id=\"target-id69dbf3405fe6a\" class=\"collapseomatic_content \">\n<p>The term \u201cjoint attention\u201d describes what happens when two people pay attention to the same thing on purpose. Imagine, for example, that a teacher points to a picture book and says to a child, \u201cLook at this book.\u201d The child looks where the teacher is pointing, and they look at the book together. In this situation, the teacher and the child have engaged in joint attention. Children can also initiate joint attention. Imagine that you are out with your child and your child sees a dog. Your child might look up at you to see whether you also see the dog, and then look back at the dog again. This would also be joint attention \u2013 sharing attention to the dog on purpose.<\/p>\n<\/div>\n<figure class=\"photograph\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbnail photograph alignnone wp-image-2664 size-full\" src=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-b.jpg\" alt=\"Two preschool-aged children passing a red ball. One is on an adult's lap and the adult is helping her catch the ball\" width=\"768\" height=\"507\" srcset=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-b.jpg 768w, https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-b-300x198.jpg 300w, https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-b-600x396.jpg 600w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n<\/div>\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<span class=\"collapseomatic \" id=\"id69dbf340600c0\"  tabindex=\"0\" title=\"What is Symbolic Play?\"    >What is Symbolic Play?<\/span><div id=\"target-id69dbf340600c0\" class=\"collapseomatic_content \">\n<p>Symbolic play involves pretending or using imagination. At a simple level, when a toddler pretends to stir in a bowl that is actually empty, she is pretending that there is something in the bowl. Or when a preschooler picks up a cardboard tube and swings it in front of him like a sword, he is pretending that the cardboard tube is something different from what it actually is. A kindergartner who swoops around pretending to be a superhero defeating the bad guys is also showing symbolic play skills.<\/p>\n<\/div>\n<figure class=\"photograph\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbnail photograph alignnone wp-image-2663 size-full\" src=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-a.jpg\" alt=\"Teacher and two preschool-aged boys in a kitchen center in a preschool classroom. One boy is dressed as a chef with a white hat and is cutting a pretend pizza while the adult holds a plate\" width=\"768\" height=\"507\" srcset=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-a.jpg 768w, https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-a-300x198.jpg 300w, https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2021\/08\/home-a-600x396.jpg 600w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n<\/div>\n<\/div>\n<form autocomplete=\"off\" action=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/materials\/\" method=\"get\" class=\"wpv-filter-form js-wpv-filter-form js-wpv-filter-form-2631 js-wpv-form-only js-wpv-dps-enabled\" data-viewnumber=\"2631\" data-targetid=\"2781\" data-viewid=\"2631\" data-viewhash=\"eyJuYW1lIjoiYXNhcC1zZWFyY2giLCJ0YXJnZXRfaWQiOiIyNzgxIiwiY2FjaGVkIjoib2ZmIn0=\" data-viewwidgetid=\"0\" data-orderby=\"\" 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#000;color: #fff !important;\">ASAP Activity Search<\/h2>\n<p class=\"lead\">Use the search to find activities that match your interests<\/p>\n&nbsp;\n\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-4 col-md-4 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<div class=\"form-group\">\n\t<label for=\"wpv-domain\">Search by Domain:<\/label>\n\t<select name=\"wpv-domain\" class=\"js-wpv-filter-trigger form-control\"><option selected='selected' value=\"0\">Show All<\/option><option value=\"play\">Play<\/option><option value=\"social-communication\">Social Communication<\/option><\/select>\n<\/div>\n<\/div>\n<div class=\"col-lg-4 col-md-4 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<div class=\"form-group\">\n\t<label for=\"wpv-category-option\">by Category:<\/label>\n\t<select name=\"wpv-category-option\" class=\"js-wpv-filter-trigger form-control\"><option selected='selected' value=\"0\">Show All<\/option><option 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data-permalink=\"\/healthsciences\/asap\/wp-json\/wp\/v2\/pages\/2627\/?wpv_view_count=2863\">\n\n\t\n\t\n\t<div class=\"wc-cards\" style=\"margin-bottom:1em\">\n\t\n\t\t<article class=\"wc-card wc-card--3x2 wc-card--zoom\" aria-labelledby=\"2751-article\"><a id=\"2751-article\" class=\"wc-card__link-wrap\" href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/asap-activity\/r3\/\">\n  <div class=\"wc-card__image\">\n    \n<img decoding=\"async\" src=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2018\/02\/R3-e1632251554820-600x657.jpg\" alt=\"Illustration of Goal R3\"\/>\n\n  <\/div>\n<div class=\"wc-card__header\">  \n<h2 class=\"wc-card__title wc-card__title--all\">R3. Child puts several toys together in specific ways.<\/h2>\n     <div class=\"wc-card__content\">\n       <p class=\"wc-card__excerpt wc-card__excerpt--4\">This occurs when the child puts pieces of a toy or multiple toys together in more perceptually complex ways, such as sorting or putting an object into something that requires a specific orientation. Putting toys together in more complex ways shows that the child is furthering his\/her understanding of important perceptual features and how objects relate to each other.\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Domain:<\/strong> Play\n       <p class=\"wc-card__excerpt\"style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Category:<\/strong> Relational\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Context:<\/strong> Focused\/1:1, Generalized\/Group\n  <\/div>\n  <\/div>\n<\/a><\/article>\n\t\n\t\t<article class=\"wc-card wc-card--3x2 wc-card--zoom\" aria-labelledby=\"2744-article\"><a id=\"2744-article\" class=\"wc-card__link-wrap\" href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/asap-activity\/rq4a\/\">\n  <div class=\"wc-card__image\">\n    \n<img decoding=\"async\" src=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2018\/02\/RQ4a.jpg\" alt=\"Illustration of Goal RQ4a\"\/>\n\n  <\/div>\n<div class=\"wc-card__header\">  \n<h2 class=\"wc-card__title wc-card__title--all\">RQ4a. Child looks at nearby objects when another person points to the objects as a request.<\/h2>\n     <div class=\"wc-card__content\">\n       <p class=\"wc-card__excerpt wc-card__excerpt--4\">This occurs when another person points to a nearby object to request that object and the child looks at that object. Nearby is defined as being within reach. Responding to another person&#8217;s point by looking at a nearby object shows that the child is beginning to understand that pointing is a form of communication that references a nearby item.\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Domain:<\/strong> Social Communication\n       <p class=\"wc-card__excerpt\"style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Category:<\/strong> Requesting\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Context:<\/strong> Focused\/1:1, Generalized\/Group\n  <\/div>\n  <\/div>\n<\/a><\/article>\n\t\n\t\t<article class=\"wc-card wc-card--3x2 wc-card--zoom\" aria-labelledby=\"2740-article\"><a id=\"2740-article\" class=\"wc-card__link-wrap\" href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/asap-activity\/rq1\/\">\n  <div class=\"wc-card__image\">\n    \n<img decoding=\"async\" src=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2018\/02\/RQ1.jpg\" alt=\"Illustration of Goal RQ1\"\/>\n\n  <\/div>\n<div class=\"wc-card__header\">  \n<h2 class=\"wc-card__title wc-card__title--all\">RQ1. Child reaches for out of reach object to show wanting the object.<\/h2>\n     <div class=\"wc-card__content\">\n       <p class=\"wc-card__excerpt wc-card__excerpt--4\">This occurs when an object is far enough away that the child cannot touch it, and the child reaches towards the object. This is often an open hand reach, but could also be an action in which the child opens and close his\/her hand repetitively. Reaching towards an out of reach object shows that the child wants the object and is beginning to understand that reaching will communicate to another person that s\/he wants that object.\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Domain:<\/strong> Social Communication\n       <p class=\"wc-card__excerpt\"style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Category:<\/strong> Requesting\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Context:<\/strong> Focused\/1:1, Generalized\/Group\n  <\/div>\n  <\/div>\n<\/a><\/article>\n\t\n\t\t<article class=\"wc-card wc-card--3x2 wc-card--zoom\" aria-labelledby=\"2758-article\"><a id=\"2758-article\" class=\"wc-card__link-wrap\" href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/asap-activity\/f5\/\">\n  <div class=\"wc-card__image\">\n    \n<img decoding=\"async\" src=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/wp-content\/uploads\/sites\/443\/2019\/01\/F5.jpg\" alt=\"Illustration of goal F5\"\/>\n\n  <\/div>\n<div class=\"wc-card__header\">  \n<h2 class=\"wc-card__title wc-card__title--all\">F5. Child uses the same action in simple pretend play with two different people or dolls\/figures.<\/h2>\n     <div class=\"wc-card__content\">\n       <p class=\"wc-card__excerpt wc-card__excerpt--4\">This occurs when the child uses a toy to act on two different people\/dolls in sequence, which may or may not include acting on his\/herself. Using the same act on two different people\/dolls shows the child is expanding his\/her play routines to include more participants.\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Domain:<\/strong> Play\n       <p class=\"wc-card__excerpt\"style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Category:<\/strong> Functional\n       <p class=\"wc-card__excerpt\" style=\"font-size: small; border-bottom: 1px solid #e1e1e1;margin: 7px 7px 0 7px;padding-left: 7px;\"><strong>Context:<\/strong> Focused\/1:1, Generalized\/Group\n  <\/div>\n  <\/div>\n<\/a><\/article>\n\t\n\t<\/div>\n\t\n\t\n\t\n<\/div>\n\n<hr \/>\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-6 col-md-6 col-xs-12 col-sm-12 oscitas-bootstrap-container\">\n<h2>In the News<\/h2>\n\n<ul class=\"media alt-media\">\n        \n                            <li class=\"media-listitem titles-only-media-listitem\">\n                    <h4 class=\"media-heading titles-only-media-heading\">\n                        <a href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/2021\/01\/jasp-development-grant-social-communication-and-symbolic-play-intervention-for-preschoolers-with-autism\/\" rel=\"bookmark\" title=\"JASP Development grant &#8211; Social Communication and Symbolic Play Intervention for Preschoolers with Autism &#8211; Funded by the National Center for Special Education Research; Institute for Education Sciences: R324B070056 Award Period: 07\/01\/2007-06\/30\/2011\">\n                            JASP Development grant &#8211; Social Communication and Symbolic Play Intervention for Preschoolers with Autism &#8211; Funded by the National Center for Special Education Research; Institute for Education Sciences: R324B070056 Award Period: 07\/01\/2007-06\/30\/2011                        <\/a>\n                    <\/h4>\n                <\/li>\n                                \n                            <li class=\"media-listitem titles-only-media-listitem\">\n                    <h4 class=\"media-heading titles-only-media-heading\">\n                        <a href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/2020\/11\/pd-asap-development-grant-making-professional-development-work-for-preschool-classroom-teams-serving-students-with-asd-adapting-a-pd-model-using-normalization-process-theory-funded-by-the\/\" rel=\"bookmark\" title=\"PD-ASAP Development grant \u2013 Making Professional Development Work for Preschool Classroom Teams Serving Students with ASD: Adapting a PD Model Using Normalization Process Theory &#8211; Funded by the National Center for Special Education Research; Institute for Education Sciences: R324A200188 Award Period: 07\/01\/2020-06\/30\/2024\">\n                            PD-ASAP Development grant \u2013 Making Professional Development Work for Preschool Classroom Teams Serving Students with ASD: Adapting a PD Model Using Normalization Process Theory &#8211; Funded by the National Center for Special Education Research; Institute for Education Sciences: R324A200188 Award Period: 07\/01\/2020-06\/30\/2024                        <\/a>\n                    <\/h4>\n                <\/li>\n                                \n                            <li class=\"media-listitem titles-only-media-listitem\">\n                    <h4 class=\"media-heading titles-only-media-heading\">\n                        <a href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/2020\/11\/pact-development-grant-promoting-asap-collaboration-through-technology-pact-an-intervention-modification-to-enhance-home-school-collaboration-funded-by-the-national-center-for-special-education\/\" rel=\"bookmark\" title=\"PACT Development grant &#8211; Promoting ASAP Collaboration through Technology (PACT): An Intervention Modification to Enhance Home-School Collaboration &#8211; Funded by the National Center for Special Education Research; Institute for Education Sciences: R324A170151 Award Period: 07\/01\/2016-06\/30\/2020\">\n                            PACT Development grant &#8211; Promoting ASAP Collaboration through Technology (PACT): An Intervention Modification to Enhance Home-School Collaboration &#8211; Funded by the National Center for Special Education Research; Institute for Education Sciences: R324A170151 Award Period: 07\/01\/2016-06\/30\/2020                        <\/a>\n                    <\/h4>\n                <\/li>\n                                \n                            <li class=\"media-listitem titles-only-media-listitem\">\n                    <h4 class=\"media-heading titles-only-media-heading\">\n                        <a href=\"https:\/\/www.med.unc.edu\/healthsciences\/asap\/2020\/11\/asap-efficacy-study-grant-advancing-social-communication-and-play-asap-an-intervention-program-for-preschoolers-with-autism-funded-by-the-national-center-for-special-education-research\/\" rel=\"bookmark\" title=\"ASAP Efficacy Study grant &#8211; Advancing Social-communication And Play (ASAP): An Intervention Program for Preschoolers with Autism \u2013 Funded by the National Center for Special Education Research; Institute for Education Sciences: R324A110256 Award Period: 07\/01\/2011-06\/30\/2015\">\n                            ASAP Efficacy Study grant &#8211; Advancing Social-communication And Play (ASAP): An Intervention Program for Preschoolers with Autism \u2013 Funded by the National Center for Special Education Research; Institute for Education Sciences: R324A110256 Award Period: 07\/01\/2011-06\/30\/2015                        <\/a>\n                    <\/h4>\n                <\/li>\n                           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