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Mediation analyses with linear mixed models were used to explore the potential mediating effect of joint engagement on IJA. Joint engagement significantly mediated 69% of the intervention effect on young children's IJA and IJA predicted improvements in standardized language scores. Small but sustained changes in child-initiated joint engagement improved IJA, a core challenge in children with ASD, which in turn led to improvements in language. Small but sustained changes in child-initiated joint engagement improved IJA, a core challenge