Pivotal Response Training (PRT) is an intervention that was originally developed by Koegel & Koegel (2006) that teaches pivotal behaviors to children with Autism Spectrum Disorder (ASD). Research places a significant emphasis on teaching parents and other caregivers to implement these procedures with their children. However, PRT is often implemented and trained with wide variability. The purpose of this literature review was to critically review the literature on parent-implemented PRT and evaluated the issues identified within the literature. A multiple step search procedure is conducted for this literature review and eighteen articles were selected based on the inclusionary criteria. Results of the review identify trends in the current literature of how parents have been trained to implemented PRT. This review also highlights the need for future research on parent implemented PRT to assess parent’s treatment integrity once initial competency with the PRT intervention has been met, and the need for future research to focus on assessing social validity in several ways. / Applied Behavioral Analysis

Children with autism have deficits in social interactions and verbal and nonverbal communication and engagement in rigid and repetitive activities and/or interests (ASA, 2008). A joint attention (JA) repertoire has been identified as a behavioral cusp for later social development and thus, JA deficits serve as an early indicator for diagnosis of autism spectrum disorder (Vismara & Lyons, 2007; Whalen & Schbreibman, 2003). A JA repertoire consists of both responses to- and initiations for-bids for coordinated attention. Previous research has shown teaching strategies such as pivotal response and discrete trial training for joint attention skills to be effective (Vismara & Lyons, 2007; Whalen & Schreibman, 2003). The purpose of the current study was to evaluate a mixture of pivotal response and discrete trial training as an intervention method for training joint attention behaviors with children diagnosed with autism spectrum disorder in a home setting. In addition, this study evaluated the effects of interspersing targets during training and incorporated generalization probes to assess JA initiations in the form of shifting eye gaze and pointing. Lastly this study examined a parent training procedure to determine if it would promote maintenance after skill acquisition. Results show that all targets were acquired when taught simultaneously. The results show that 2 of the 3 participants made JA initiations during probes throughout intervention. Lastly, the results indicated that parent training did not help maintain JA responding for participant one.

The purpose of this study was to implement pivotal response training (PRT) strategies paired with constant time delay (CTD) to teach an individual with autism spectrum disorder (ASD) and intellectual disability (ID) to self-initiate through question asking. A multiple probe across behaviors design was used to evaluate effectiveness of implementation. Results show that this naturalistic intervention is effective for some questions, while other questions need to be taught in more contrived scenarios.

This thesis explores the applications of a drama-based intervention program for very young children with Autism Spectrum Disorder (ASD) and their parents. Drama-based pedagogy and practice is merged with behavioral principles from the world of Applied Behavior Analysis (ABA) to create an interdisciplinary program tailored specifically for the unique learning needs of children with ASD. This document offers a comprehensive overview of the history of diagnosis and treatment of ASD and the many factors that can influence relationships between children with ASD and their parents. A drama-based intervention program was designed specifically to address the communication and social skill deficits in children with ASD. In addition, the drama-based intervention program encouraged parents to use responsive teaching strategies to enhance and extend creative play with their child. The document concludes with recommendations for essential components of a drama-based intervention program for very young children with ASD and their parents. / text