Measuring treatment fidelity is an essential step in research designed to increase the use of evidence-based practices. For parent-implemented communication interventions, measuring the implementation of the teaching and coaching provided to the parents is as critical as measuring the parents' delivery of the intervention to the child. Both levels…

Purpose: In this study, the authors examined the effects of the Teach-Model-Coach-Review instructional approach on caregivers' use of four enhanced milieu teaching (EMT) language support strategies and on their children's use of expressive language. Method: Four caregiver-child dyads participated in a single-subject, multiple-baseline study.…

The purpose of this study was to determine if an intervention consisting of contingently imitating play, modeling expansions of play actions, and describing play actions increased the diversity of object play in young children with disabilities. The multicomponent intervention was introduced in a multiple-probe design across three young children…

This study examined effects of Enhanced Milieu Teaching on the social communications skills of four preschool children with autism when delivered by trained interventionists. Observational data indicated that all children showed positive increases for specific target language use at the end of 24 intervention sessions, and these results were…

Three teachers were trained in environmental strategies and milieu teaching procedures to use in interactions with preschool children using augmented communication systems. All three teachers learned the procedures and generalized and maintained their use. The three target children showed increases in total communication and use of targets.…

Three older siblings were taught to use two milieu teaching procedures, modeling and mand modeling, with young children who exhibited language delays. Older siblings applied the techniques while playing, and subjects learned to use the targeted utterances both as responses and spontaneously. Additionally, interactions became more positive.…

The primary and generalized effects of Enhanced Milieu Training were examined with six preschool children with significant language delays. Children systematically increased their use of target language skills during the intervention sessions, and these changes were maintained when treatment was discontinued. Some generalization to untrained…

This study of 12 parents of preschool children with disabilities trained parents to implement responsive interaction and examined the effects on their child's language and communication skills. Findings indicated an improvement in and maintenance of communication and language skills of the children. Parents were satisfied with their participation…