Evidence map›Paper›PMID 41928762›Full record

ArticleFrontiers in human neuroscience2026

Does baseline language ability predict response to early intervention for toddlers with early signs of autism? Evidence from a caregiver-mediated program.

Jessica Ann Brian, Ian Roth, Lonnie Zwaigenbaum, Isabel Smith, Lori-Ann Rosalind Sacrey, Kate Bernardi, Stacey MacWilliam, Sara Daoud, Erin Dowds, Sanne Jilderda and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03215394 (Evaluation of Social ABCs With Attention Training Intervention for Toddlers With Autism), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03215394 nacompletednot on this map

Evaluation of Social ABCs With Attention Training Intervention for Toddlers With Autism

TypeinterventionalSponsorHolland Bloorview Kids Rehabilitation HospitalRan2017 to 2020Enrolled150ConditionsAutism Spectrum DisorderArmsAttention Training Program, Social ABCs, Treatment As Usual, Sham Attention Training
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jessica Ann BrianAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Ian RothAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Lonnie ZwaigenbaumAutism Research Centre, Glenrose Rehabilitation Hospital and University of Alberta, Edmonton, AB, Canada.
Isabel SmithAutism Resarch Centre, IWK Health Centre and Dalhousie University, Halifax, NS, Canada.
Lori-Ann Rosalind SacreyAutism Research Centre, Glenrose Rehabilitation Hospital and University of Alberta, Edmonton, AB, Canada.
Kate BernardiAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Stacey MacWilliamAutism Resarch Centre, IWK Health Centre and Dalhousie University, Halifax, NS, Canada.
Sara DaoudAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Erin DowdsAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Sanne JilderdaAutism Research Centre, Glenrose Rehabilitation Hospital and University of Alberta, Edmonton, AB, Canada.
Samara OstenAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Anna MichelisAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Abbie SolishAutism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Caregiver-mediated interventions (CMIs) for young autistic children are supported by mounting evidence of efficacy. Attempts to identify child-level factors that predict treatment response have yielded inconsistent findings, with very few such studies focused on the toddler age range. Objective: Secondary analysis of data from a randomized control trial (NCT03215394) was conducted to explore predictive relationships between toddlers' communication-related abilities and response to treatment in a CMI program. Participants. Sixty-seven toddler-caregiver dyads (62 mothers, 4 fathers, 1 grandmother) participated across three Canadian sites. Participating toddlers (52 boys, 15 girls) had a diagnosis of autism or early signs thereof and ranged in age from 18 to 32 months ( Methods: All dyads participated in a 12-week CMI (the Social ABCs). Communication-related skills were assessed at baseline using a direct standardized assessment of expressive language, a caregiver interview to capture receptive and expressive communication, and a parent-report inventory to document words used and understood. Analyses. A series of regressions with simple mediation analyses were performed to identify communication-related predictors of intervention change scores for caregiver fidelity and toddler outcomes. In all cases, toddler age was entered as a mediator to explore any influence on these relationships. Results. Toddlers' functional communication inversely predicted their caregivers' mastery of program strategies. Specifically, lower toddler functional receptive and expressive communication predicted larger gains in caregivers' strategy use. Conversely, higher baseline (receptive but not expressive) communication-related skills predicted greater gains in toddlers' responsivity. Trends emerged for prediction of toddler smiling and social orienting. The clinical measure selected for this study did not predict outcomes. Conclusion: Caregiver-reported information about toddler communication-related skills was informative for predicting the primary program outcomes. Findings may be helpful in informing clinical triage decisions and personalizing intervention approaches.

Indexed as

autismcaregiver-mediatedcommunicationearly interventionnaturalisticparent-mediatedtoddler

Identifiers

PMID41928762
PMCPMC13038901

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.