Writing Interventions for Individuals with Autism Spectrum Disorder: A Research Synthesis

Abstract

Building on previous research in the area of written expression for individuals with ASD a research synthesis was conducted to identify (1) writing interventions that have been studied and their effect in improving writing skills of individuals with ASD, (2) intervention features that influence the writing skills of learners with ASD, and (3) the quality of the research. A total of 62 participants were represented across the 24 single case design studies meeting inclusion criteria. Nine interventions emerged with a majority focused on self-regulated strategy development. Effective interventions (PND above 70%) are reported, along with the emergent feature of “packages” using co-occurring combinations of visual, motivational, choice, technology, behavioral, peer, auditory, and tactile supports in conjunction with writing interventions.

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References

References marked with an asterisk indicate studies included in the research synthesis

  1. * Asaro-Saddler, K. (2014). Self-regulated strategy development: Effects on writers with autism spectrum disorders. Education and Training in Autism and Developmental Disabilities, 78–91. Retrieved from http://www.jstor.org/stable/23880656.

  2. Asaro-Saddler, K. (2016). Writing instruction and self-regulation for students with autism spectrum disorders: A systematic review of the literature. Topics in Language Disorders, 36(3), 266–283. https://doi.org/10.1097/TLD.0000000000000093.

    Article  Google Scholar 

  3. * Asaro-Saddler, K., & Bak, N. (2012). Teaching children with high-functioning autism spectrum disorders to write persuasive essays. Topics in Language Disorders, 32(4), 361–378. https://doi.org/10.1097/TLD.0b013e318271813f.

    Article  Google Scholar 

  4. * Asaro-Saddler, K., & Bak, N. (2014). Persuasive writing and self-regulation training for writers with autism spectrum disorders. The Journal of Special Education, 48(2), 92–105.

  5. Asaro-Saddler, K., Knox, H. M., Meredith, H., & Akmedjanova, D. (2015). Using technology to support students with autism spectrum disorders in the writing process: A pilot study. Insights into Learning Disabilities, 12(2), 103–119.

    Google Scholar 

  6. Asaro, K., & Saddler, B. (2009). Effects of planning instruction in a young writer with Asperger syndrome. Intervention in School and Clinic, 44(5), 268–275. https://doi.org/10.1177/1053451208330895.

    Article  Google Scholar 

  7. * Asaro-Saddler, K., & Saddler, B. (2010). Planning instruction and self-regulation training: Effects on writers with autism spectrum disorders. Exceptional Children, 77(1), 107–124.

  8. Accardo, A. L. (2015). Research synthesis: Effective practices for improving the reading. comprehension of students with autism spectrum disorder. DADD Online Journal, 2(1), 7–20.

    Google Scholar 

  9. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th edn.). Arlington: American Psychiatric Publishing.

    Google Scholar 

  10. Ashburner, J., Ziviani, J., & Pennington, A. (2012). The introduction of keyboarding to children with autism spectrum disorders with handwriting difficulties: A help or a hindrance? Australasian Journal of Special Education, 36(1), 32–61. https://doi.org/10.1017/jse.2012.6.

    Article  Google Scholar 

  11. Bedrosian, J., Lasker, J., Speidel, K., & Politsch, A. (2003). Enhancing the written narrative skills of an AAC student with autism: Evidence-based research issues. Topics in Language Disorders, 23(4), 305–324.

    Article  Google Scholar 

  12. * Bishop, A. E., Sawyer, M., Alber-Morgan, S. R., & Boggs, M. (2015). Effects of a graphic organizer training package on the persuasive writing of middle school students with autism. Education and Training in Autism and Developmental Disabilities, 290–302. Stable Retrieved from http://www.jstor.org/stable/24827511.

  13. Brown, H. M., & Klein, P. D. (2011). Writing, Asperger syndrome and theory of mind. Journal of Autism and Developmental Disorders, 41(11), 1464–1474. https://doi.org/10.1007/s10803-010-1168-7.

    Article  PubMed  Google Scholar 

  14. Brown, H. M., Oram-Cardy, J., & Johnson, A. (2013). A meta-analysis of the reading comprehension skills of individuals on the autism spectrum. The Journal of Autism and Developmental Disorders. 43, 932–935.

    Article  Google Scholar 

  15. Campbell, J. M. (2004). Statistical comparison of four effect sizes for single-subject designs. Behavior Modification, 28(2), 234–246. https://doi.org/10.1177/0145445503259264.

    Article  PubMed  Google Scholar 

  16. Carr, M. E., Moore, D. W., & Anderson, A. (2014). Self-management interventions on students with autism: A meta-analysis of single subject research. Exceptional Children, 8(1), 28–44.

    Article  Google Scholar 

  17. * Carlson, B., McLaughlin, T. F., Derby, K. M., & Blecher, J. (2009). Teaching preschool children with autism and developmental delays to write. Electronic Journal of Research in Educational Psychology, 17(7), 225–238.

  18. Cooper, H. (2010). Research synthesis and meta-analysis: A step-by-step approach (4th edn.). Los Angeles: Sage Publications.

    Google Scholar 

  19. * Cramer, A. M., & Mason, L. H. (2014). The effects of strategy instruction for writing and revising persuasive quick writes for middle school students with emotional and behavioral disorders. Behavioral Disorders, 40(1), 37–51.

  20. Cuenca-Carlino, Y., Mustian, A. L., Allen, R. D., & Gilbert, J. (2016). I have a voice and can speak up for myself through writing! Intervention in School and Clinic, 51(4), 220–228. https://doi.org/10.1177/1053451215589180.

    Article  Google Scholar 

  21. * Delano, M. E. (2007a). Use of strategy instruction to improve the story writing skills of a student with Asperger syndrome. Focus on Autism and Other Developmental Disabilities, 22(4), 252–258 https://doi.org/10.1177/10883576070220040701.

    Article  Google Scholar 

  22. Delano, M. E. (2007b). Improving written language performance of adolescents with Asperger syndrome. Journal of Applied Behavior Analysis, 40(2), 345–351. https://doi.org/10.1901/jaba.2007.50-06.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Dunn, M., Barrio, B., & Hsiao, Y. J. (2016). Do iPAD application help students with developmental disabilities improve life-readiness skills? The Canadian Journal of Action Research, 17(1), 51–75.

    Google Scholar 

  24. * Evmenova, A. S., Regan, K., Boykin, A., Good, K., Hughes, M., MacVittie, N., Sacco, D., Ahn, S. Y., & Chirinos, D. (2016). Emphasizing planning for essay writing with a computer-based graphic organizer. Exceptional Children, 82(2), 170–191. https://doi.org/10.1177/0014402915591697.

    Article  Google Scholar 

  25. Finnegan, E., & Accardo, A. L. (2018). Written expression in Individuals with Autism Spectrum Disorder: A meta-analysis. Journal of Autism and Developmental Disorders, 48(3), 868–882. https://doi.org/10.1007/s10803-017-3385-9.

    Article  PubMed  Google Scholar 

  26. Graham, S., Collins, A. A., & Rigby-Wills, H. (2017). Writing characteristics of students with learning disabilities and typically achieving peers: A meta-analysis. Exceptional Children, 83(2), 199–218. https://doi.org/10.1177/0014402916664070.

    Article  Google Scholar 

  27. Graham, S., & Perin, D. (2007). A meta-analysis of writing instruction for adolescent students. Journal of Educational Psychology, 99(3), 445–476. https://doi.org/10.1037/0022-0663.99.3.445.

    Article  Google Scholar 

  28. * Hauth, C., Mastropieri, M., Scruggs, T., & Regan, K. (2013). Can students with emotional and/or behavioral disabilities improve on planning and writing in the content areas of civics and mathematics?. Behavioral Disorders, 38(3), 154–170. https://doi.org/10.1177/019874291303800304.

    Article  Google Scholar 

  29. Horner, R. H., Carr, E. G., Halle, J., McGee, G., Odom, S., & Wolery, M. (2005). The use of single-subject research to identify evidence-based practice in special education. Exceptional Children, 71(2), 165–179. https://doi.org/10.1177/001440290507100203.

    Article  Google Scholar 

  30. Institute of Education Sciences. (May, 2016). What Works Clearinghouse Study Review Guide Instructions for Reviewing Single-Case Designs Studies. Retrieved from https://ies.ed.gov/ncee/wwc/Docs/ReferenceResources/wwc_srg_scd_instructions_s3_v2.pdf.

  31. * Jackson, L. G., Duffy, M. L., Brady, M. P., & McCormick, J. (2017). Effects of learning strategy training on the writing performance of college students with asperger’s syndrome. Journal of Autism and Developmental Disorders, 48(3), 708–721. https://doi.org/10.1007/s10803-017-3170-9.

    Article  Google Scholar 

  32. * Kagohara, D. M., Sigafoos, J., Achmadi, D., O’Reilly, M., & Lancioni, G. (2012). Teaching children with autism spectrum disorders to check the spelling of words. Research in Autism Spectrum Disorders, 6(1), 304–310. https://doi.org/10.1016/j.rasd.2011.05.012.

    Article  Google Scholar 

  33. Konrad, M., Clark, K. A., & Test, D. W. (2017). Effects of GO 4 IT… NOW! Strategy instruction on the written IEP goal articulation and paragraph-writing skills of middle school students with disabilities. Remedial and Special Education, 28(5), 277–291. https://doi.org/10.1007/s10803-017-3170-9.

    Article  Google Scholar 

  34. Kratochwill, T. R., Hitchcock, J. H., Horner, R. H., Levin, J. R., Odom, S. L., Rindsopf, D. M., & Shadish, W. R. (2013). Single-case intervention research design standards. Remedial and Special Education, 34, 26–38. https://doi.org/10.1177/0741932512452794.

    Article  Google Scholar 

  35. Kuo, M. H., Orsmond, G. I., Coster, W. J., & Cohn, E. S. (2014). Media use among adolescents with autism spectrum disorder. Autism, 18(8), 914–923. https://doi.org/10.1177/1362361313497832.

    Article  PubMed  Google Scholar 

  36. Kushki, A., Chau, T., & Anagnostou, E. (2011). Handwriting difficulties in children with autism spectrum disorders: A scoping review. Journal of Autism and Developmental Disorders, 41(12), 1706–1716. https://doi.org/10.1007/s10803-011-1206-0.

    Article  PubMed  Google Scholar 

  37. Lanter, E., Watson, L. R., Erickson, K. A., & Freeman, D. (2012). Emergent literacy in children with autism: An exploration of developmental and contextual dynamic processes. Language, Speech, and Hearing Services in Schools, 43(3), 308–324. https://doi.org/10.1044/0161-1461(2012/10-0083).

    Article  PubMed  Google Scholar 

  38. * Lee, A., Hawley, K., Browder, D. M., Flowers, C., & Wakeman, S. (2016). Teaching writing in response to text to students with developmental disabilities who participate in alternate assessments. Education and Training in Autism and Developmental Disabilities, 51(3), 238.

  39. * Mason, L. H., Kubina, R. M. Jr., Valasa, L. L., & Cramer, A. M. (2010). Evaluating effective writing instruction for adolescent students in an emotional and behavior support setting. Behavioral Disorders, 140–156. Retrieved from https://www.jstor.org/stable/43153813.

  40. Matthews, N. L., Smith, C. J., Pollard, E., Ober-Reynolds, S., Kirwan, J., & Malligo, A. (2015). Adaptive functioning in autism spectrum disorder during the transition to adulthood. Journal of Autism and Developmental Disorders, 45(8), 2349–2360. https://doi.org/10.1007/s10803-015-2400-2.

    Article  PubMed  Google Scholar 

  41. Mayes, S. D., & Calhoun, S. L. (2003). Analysis of WISC-III, Stanford-Binet: IV, and academic achievement test scores in children with autism. Journal of Autism and Developmental Disorders, 33(3), 329–341.

    Article  Google Scholar 

  42. National Commission on Writing. (2003, April). The neglected R: The need for a writing revolution. Retrieved from http://www.collegeboard.com.

  43. National Commission on Writing. (2004, September). Writing: A ticket to work... or a ticket out: A survey of business leaders. Retrieved from http://www.collegeboard.com.

  44. National Council of English Teachers (NCTE) (2016) NCTE Beliefs about StudentsRight to Write. Retrieved from http://www.ncte.org/positions/statements/students-right-to-write.

  45. * Pennington, R. C., Ault, M. J., Schuster, J. W., & Sanders, A. (2010). Using simultaneous prompting and computer-assisted instruction to teach story writing to students with autism. Assistive Technology Outcomes and Benefits, 7(1), 24–38.

  46. * Pennington, R. C., Collins, B. C., Stenhoff, D. M., Turner, K., & Gunselman, K. (2014). Using simultaneous prompting and computer-assisted instruction to teach narrative writing skills to students with autism. Education and Training in Autism and Developmental Disabilities, 396–414. Stable URL: http://www.jstor.org/stable/23881260.

  47. Pennington, R. C., & Delano, M. E. (2012). Writing instruction for students with autism spectrum disorders: A review of literature. Focus on Autism and Other Developmental Disabilities, 27(3), 158–167. https://doi.org/10.1177/1088357612451318.

    Article  Google Scholar 

  48. * Pennington, R. C., Foreman, L. H., & Gurney, B. N. (2017). An evaluation of procedures for teaching students with moderate to severe disabilities to write sentences. Remedial and Special Education, 39(1), 27–38. https://doi.org/10.1177/0741932517708428.

    Article  Google Scholar 

  49. * Pennington, R. C., Stenhoff, D. M., Gibson, J., & Ballou, K. (2012). Using simultaneous prompting to teach computer-based story writing to a student with autism. Education and Treatment of Children, 35(3), 389–406.

  50. Reichow, B., Volkmar, F. R., & Cicchetti, D. V. (2008). Development of the evaluative method for evaluating and determining evidence-based practices in autism. Journal of Autism and Developmental Disorders 38(7), 1311–1399. https://doi.org/10.1007/s10803-007-0517-7.

    Article  PubMed  Google Scholar 

  51. Rousseau, M. K., Krantz, P. J., Poulson, C. L., Kitson, M. E., & McClannahan, L. E. (1994). Sentence combining as a technique for increasing adjective use in writing by students with autism. Research in Developmental Disabilities, 15(1), 19–37. https://doi.org/10.1016/0891-4222(94)90036-1.

    Article  PubMed  Google Scholar 

  52. Santangelo, T., & Graham, S. (February, 2012). Spelling instruction for elementary-aged students: A meta-analytic review. Presentation given at the annual Pacific Coast Research Conference, Coronado, CA.

  53. * Schlosser, R. W., & Blischak, D. M. (2004). Effects of speech and print feedback on spelling by children with autism. Journal of Speech, Language, and Hearing Research, 47(4), 848–862. https://doi.org/10.1044/1092-4388(2004/063).

  54. * Schlosser, R. W., Blischak, D. M., Belfiore, P. J., Bartley, C., & Barnett, N. (1998). Effects of synthetic speech output and orthographic feedback on spelling in a student with autism: A preliminary study. Journal of Autism and Developmental Disorders, 28(4), 309–319.

  55. Schlosser, R. W., Lee, D. L., & Wendt, O. (2008). Application of the percentage of non-overlapping data (PND) in systematic reviews and meta-analyses: A systematic review of reporting characteristics. Evidence-Based Communication Assessment and Intervention, 2(3), 163–187. https://doi.org/10.1080/17489530802505412.

    Article  Google Scholar 

  56. * Schneider, A. B., Codding, R. S., & Tryon, G. S. (2013). Comparing and combining accommodation and remediation interventions to improve the written-language performance of children with Asperger syndrome. Focus on Autism and Other Developmental Disabilities, 28(2), 101–114. https://doi.org/10.1177/1088357613475811.

    Article  Google Scholar 

  57. Scruggs, T. E., & Mastropieri, M. A. (2001). How to summarize single-participant research: Ideas and applications. Exceptionality, 9(4), 227–244. https://doi.org/10.1207/S15327035EX0904_5.

    Article  Google Scholar 

  58. Scruggs, T. E., Mastropieri, M. A., & Castro, G. (1998). The quantitative synthesis of single-subject research: Methodology and validation. Remedial and Special Education, 8(2), 24–33. https://doi.org/10.1177/074193258700800206.

    Article  Google Scholar 

  59. Simonsen, B., Myers, D., & DeLuca, C. (2010). Teaching teachers to use prompts, opportunities to respond, and specific praise. Teacher Education and Special Education, 33(4), 300–318. https://doi.org/10.1177/0888406409359905.

    Article  Google Scholar 

  60. Tomlinson, E., & Newman, S. (2017). Valuing writers from a neurodiversity perspective: Integrating new research on Autism Spectrum Disorder into composition pedagogy. Composition Studies, 45(2), 91–112.

    Google Scholar 

  61. Whitby, P. J. S., & Mancil, G. R. (2009). Academic achievement profiles of children with high functioning autism and Asperger syndrome: A review of the literature. Education and Training in Developmental Disabilities, 551–560.

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ALA and EGF conceived of the research synthesis. ALA carried out the synthesis collaboration and drafting of the manuscript. EGF participated in literature review, article review and findings. EMB participated in coding, article review and findings. SJK participated as methodologist taking lead calculating PND. All authors read and approved of the final manuscript.

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Correspondence to Amy L. Accardo.

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Accardo, A.L., Finnegan, E.G., Kuder, S.J. et al. Writing Interventions for Individuals with Autism Spectrum Disorder: A Research Synthesis. J Autism Dev Disord 50, 1988–2006 (2020). https://doi.org/10.1007/s10803-019-03955-9

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Keywords

  • Autism spectrum disorder
  • Writing
  • Instruction
  • Research synthesis
  • Autism