Pivotal Response Training
Pivotal response training (PRT) is an intervention designed for children with Autism Spectrum Disorders. This practice focuses on pivotal (core) areas affected by autism, such as communication and responding to environmental stimuli. PRT sessions typically begin with a parent or teacher providing clear instructions to a child, having the child help choose a stimulus (such as a toy), and focusing the child’s attention. The parent or teacher then encourages the desired behavior (for example, asking for the toy or choosing “toy” from a list of words) by providing rewards if the child implements or attempts to implement the desired behavior. Parents and teachers often model the appropriate behavior or use the stimulus with the child. Activities that maintain existing behaviors are interspersed with activities eliciting new behaviors. The complexity of the required responses increases as training progresses. Parents, teachers, and peers collaboratively implement the practice at school, at home, and in the community. PRT can be used with autistic children aged 2–18. PRT is also known as Pivotal Response Therapy, Pivotal Response Treatment®, or Natural Language Paradigm.
Reviewed Research
Children and Students with an Autism Spectrum Disorder
|
Outcome domain |
Effectiveness rating |
Studies meeting standards |
Grades examined |
Students |
Improvement index |
|---|---|---|---|---|---|
| Communication/ Language |
|
2 studies meet standards | PK | 85 | -- |
| Hardan, A. Y., Gengoux, G. W., Berquist, K. L., Libove, R. A., Adrel, C. M., Phillips, J., … Minjarez, M. B. (2015) | PK | 47 |
|
||
| Schreibman, Laura; Stahmer, Aubyn C. (2014) | PK | 38 |
|
A group of closely related outcomes.
A summary of the effectiveness of an intervention in an outcome domain, based on the quality of research, the statistical significance of findings, the magnitude of findings, and the consistency of findings across studies.
 Positive: strong evidence that intervention had a positive effect on outcomes. |
 Potentially Positive: evidence that intervention had a positive effect on outcomes with no overriding contrary evidence. |
 Mixed: evidence that intervention’s effect on outcomes is inconsistent. |
 No Discernible: no evidence that intervention had an effect on outcomes. |
 Potentially Negative: evidence that intervention had a negative effect on outcomes with no overriding contrary evidence. |
 Negative: strong evidence that intervention had a negative effect on outcomes. |
For more, please see the WWC Glossary entry for rating of effectiveness.
The number of studies that met WWC design standards and provide evidence of effectiveness. Selecting an item below will display all studies that met WWC design studies in the domain. Selecting a study citation will take you to more information on that study and its findings.
For more, please see the WWC Glossary entry for study rating.
Grades of the students examined in the studies that met WWC design standards, which may not reflect the full range of grades for which the intervention may be used.
The number of students included in the studies that met WWC design standards.
The sample size for the studies that met WWC design standards.
An indicator of the effect of the intervention, the improvement index can be interpreted as the expected change in percentile rank for an average comparison group student if that student had received the intervention.
For more, please see the WWC Glossary entry for improvement index.
The indicator represents the highest level of similarity found between your students and each of the high-quality studies of the intervention. Three filled in ovals indicates that at least one study that met standards was conducted on students very similar to yours. Clicking on the indicator for a study will provide information on the similarity for each of the characteristics you selected.