Behavioral and neurobiological evidence for the effects of reading interventions on autistic children: A systematic review

This study systematically reviewed the literature on reading interventions for autistic children . Peer-reviewed articles that reported behavioral and/or neurobiological effects of reading intervention were identified in five online databases. After screening, 15 studies met the inclusion criteria for this review. These studies focus on interventions targeted towards improving specific reading skills: comprehension, vocabulary, fluency, and phonological awareness. Studied interventions included interactive and shared reading, visualization strategies, vocabulary and main idea instruction, video modeling, and interventions supported by tablet-based technology. Overall, the studies identified in this review reported improvements to each of the targeted reading skills and changes to neural activation and connectivity. In addition, changes at the brain level were associated with improvements in reading. Specifically, frontal, temporal, and occipital regions associated with visual and language processing showed increased activation and functional connectivity following intervention. This review provides important insights into the landscape of reading intervention studies in autism and into the neurobiological underpinnings of reading skills and how interventions affect those processes. • Studies report that interventions improve the reading skills of autistic children. • Reading comprehension, vocabulary, fluency, and phonological awareness improved. • Neuroimaging studies showed increased cortical activation and connectivity. • Brain changes directly related to improvement in reading comprehension.