This study was an experimental early language intervention with a 4-year-old girl with Down syndrome, teaching her vocabulary, grammar, and communication skills in the context of a joint action routine: making toast. Toast-making consisted of six situations: explaining the routine, toasting a slice of bread, cutting the toast, spreading jam on the toast, accepting instructions from her mother, and eating the toast. Using this routine, words, two-word sentences, and communication skills were taught. In addition to the subject, a 5-year-old boy with Down syndrome and 2 therapists participated in the routine. The results were as follows: In the first part of the experiment, the girl acquired 11 of 12 targeted words. It took her longer to learn verbs than nouns. In the latter part of the experiment, she also acquired all 4 two-word [object+action] sentences. She gradually initiated communication during toast-making, but it was difficult for her to initiate communication in the situation in which the materials were being prepared for making toast. In the first part of the experiment, communication between the two children occurred when the boy with Down syndrome received obscure communicative acts from the girl. But in the latter part, the rate of the girl's declarative speech acts and the frequency of interaction increased.
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