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Effects of Using Prompts During Parent-Child Shared Reading on the Language Development of Mildly Autistic Children.

Journal of autism and developmental disorders2026

Dong Yang, Mo Jianhong, Gong Bingqing, Jin Renyi, Zheng Haoyuan, Chow Bonnie Wing-Yin

What this study means for families

This study looked at how different types of questions during shared reading between parents and autistic children affect language development. 187 children participated in a 12-week program where parents used either literal questions (about what happened) or inferential questions (about meaning and connections). Both types of questions helped children's language skills, but literal questions were better for building confidence and enjoyment in reading, while inferential questions improved word reading and understanding.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This randomized controlled trial examined the effects of literal prompts (LPs) and inferential prompts (IPs) during parent-child shared book reading on language development in 187 mildly autistic Chinese children. Participants were randomly assigned to three groups (LP, IP, or control) for a 12-week intervention. Results showed that both prompting strategies had positive effects on language skills and affective factors related to language learning. Specifically, literal prompts were more beneficial for developing affective factors, while inferential prompts were more effective for improving Chinese word reading and listening comprehension skills.

The study demonstrates the potential benefits of structured prompting strategies during shared reading activities for supporting language development in autistic children.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Both literal and inferential prompts during shared book reading had positive effects on language skills in mildly autistic children

    Confidence: moderateRelevance: Provides evidence for structured prompting strategies in parent-child reading interventions
  • 2

    Literal prompts were more beneficial for fostering affective factor development

    Confidence: moderateRelevance: Suggests literal prompts may be preferred for building reading motivation and confidence
  • 3

    Inferential prompts were more effective for improving Chinese word reading and listening comprehension

    Confidence: moderateRelevance: Indicates inferential prompts may target specific language comprehension skills

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Clinicians can recommend structured prompting strategies during parent-child shared reading, tailoring prompt types based on goals: literal prompts for building reading engagement and inferential prompts for comprehension skills. This provides a practical, home-based intervention that parents can implement with professional guidance.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

The study was conducted with Chinese-speaking children, which may limit generalizability to other languages and cultures. The abstract does not provide details about outcome measures, effect sizes, or long-term follow-up. The term 'mildly autistic' lacks precision in current diagnostic frameworks.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

The use of literal prompts (LPs) and inferential prompts (IPs) in shared book reading (SBR) facilitates children's use of language and promotes their thinking and understanding about the stories discussed and beyond. Furthermore, SBR provides a platform for mildly autistic children to have multiple rounds of communication with educators. This study investigated the contribution of LPs and IPs on the language development and affective factors of language learning in mildly autistic children. This study included 187 mildly autistic Chinese children who were stratified by random sampling and assigned into three groups (LP, IP and control).

The mildly autistic children's language skills were tested immediately before and after the 12-week SBR intervention. Their parents were also included in this study. The results indicated that using prompts had positive effects on the mildly autistic children's language skills and on the affective factors central to language development. Moreover, LPs were beneficial in fostering mildly autistic children's affective factor development, whilst IPs fostered their Chinese word reading and listening comprehension skills.

These findings indicated the benefits of using prompts during parent-child SBR, along with the extent to which prompts contribute to different language skills and affective factors central to language development in mildly autistic children.

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Evidence Grade

Emerging

moderate

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Journal of autism and developmental disorders
Year
2026
PMID
39797957
DOI
10.1007/s10803-024-06712-9

MeSH Terms

HumansReadingMaleFemaleParent-Child RelationsLanguage DevelopmentChild, PreschoolChildAutistic DisorderParents