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<p>Digital technology promises to improve the process of identifying autism spectrum disorder (ASD). Specifically, an automated digital screening tool with avatar-based interaction may be appropriate for children to differentiate between typically developing children and those at risk for ASD. The first challenge is to verify media equation: children with ASD need to interact in a digital environment as they would in a face-to-face situation. Therefore, a warm-up/conversation situation was analyzed within five conditions representing a hierarchy of successive mediation: (a) face-to-face, (b) facetime, (c) avatar real-time, (d) video pre-recorded, (e) avatar pre-recorded. Data from 20 boys with ASD were analyzed in a within-subject design using an equivalence test. Approximate equivalence was found between all five conditions. The median across all conditions is 5 (verbal response related to the conversation). Most importantly, children with ASD behave similarly in the digital environment with an avatar as they do in a real-life situation with a human experimenter. We discussed implications for clinical practice.</p>

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Media Equation of the Interaction of Children with Autism Spectrum Disorder: A Proof-of-Concept Approach Using an Equivalence Test in a Within-Subject Design

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年6月27日

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  • Larissa Pliska,
  • Isabel Neitzel,
  • Ute Ritterfeld

摘要

Digital technology promises to improve the process of identifying autism spectrum disorder (ASD). Specifically, an automated digital screening tool with avatar-based interaction may be appropriate for children to differentiate between typically developing children and those at risk for ASD. The first challenge is to verify media equation: children with ASD need to interact in a digital environment as they would in a face-to-face situation. Therefore, a warm-up/conversation situation was analyzed within five conditions representing a hierarchy of successive mediation: (a) face-to-face, (b) facetime, (c) avatar real-time, (d) video pre-recorded, (e) avatar pre-recorded. Data from 20 boys with ASD were analyzed in a within-subject design using an equivalence test. Approximate equivalence was found between all five conditions. The median across all conditions is 5 (verbal response related to the conversation). Most importantly, children with ASD behave similarly in the digital environment with an avatar as they do in a real-life situation with a human experimenter. We discussed implications for clinical practice.