The impact of EC+ as a multimodal support in intervention for children with autism spectrum disorder: a technological alternative.

Purpose: This study aims to evaluate the effectiveness of Enhancing Communication Plus (EC+), an augmentative and alternative communication (AAC) technological support system, in improving communication, social interaction, and behavior in children with Level 3 autism spectrum disorder (ASD) and com...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 20; no. 8; pp. 3027 - 3044
Autores principales: Zurita Díaz, Antonio Javier, Calleja Reina, Marina
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Taylor & Francis Ltd Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 20
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17483107.2025.2520881
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        atl: The impact of EC+ as a multimodal support in intervention for children with autism spectrum disorder: a technological alternative.
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        au:
          Zurita Díaz, Antonio Javier
          Calleja Reina, Marina
        affil: Facultad de Psicología y Logopedia, Universidad de Málaga, Málaga, España
      sug:
        subj:
          Alternative and Augmentative Communication Methods
          Mobile Applications
          Autism Spectrum Disorder Rehabilitation
          Interpersonal Relations
          Child Behavior
          Treatment Outcomes
          Funding Source
          Spain
          Human
          Quasi-Experimental Studies
          Randomized Controlled Trials
          Random Assignment
          Child
          Adult
          Male
          Female
          Communication Skills
          Social Skills
          Data Analysis Software
          Repeated Measures
          Analysis of Variance
          Scales
          Disruptive Behavior
          Purposive Sample
          DSM
          Descriptive Statistics
          Intelligence Tests
          Comparative Studies
          Confidence Intervals
          Child: 6-12 years
          Adult: 19-44 years
          Male
          Female
      ab: Purpose: This study aims to evaluate the effectiveness of Enhancing Communication Plus (EC+), an augmentative and alternative communication (AAC) technological support system, in improving communication, social interaction, and behavior in children with Level 3 autism spectrum disorder (ASD) and complex communication needs. The intervention combines EC+ with aided augmented input to enhance expressive and receptive communication. Methods: A quasi-experimental design was conducted over 16 weeks with 18 children aged 6 to 12 diagnosed with Level 3 ASD. Participants engaged in therapy sessions using EC+ within a structured intervention framework. Communication, social skills, and behavioral outcomes were assessed at three evaluation moments using the Vineland-3 scale. Data analysis was performed using SPSS, with statistical tests including repeated-measures ANOVA. Results: Significant improvements were observed across all measured domains. Participants demonstrated enhanced communicative abilities, increased social interaction, and a reduction in disruptive behaviors. The multimodal features of EC+ contributed to engagement and learning, making communication more accessible and intuitive. Conclusion: The findings highlight the potential of EC+ as an effective AAC tool for children with Level 3 ASD. Its multimodal features offer a structured and engaging approach that enhances communication, socialization, and behavior. Future research should explore its comparative effectiveness with other AAC supports and ICT-based tools. IMPLICATIONS FOR REHABILITATION: EC+ is an innovative AAC technological support developed at the University of Málaga, offering multimodal functions for the entire vocabulary, making it highly beneficial for intervention. The integration of EC+ with aided augmented input provides an effective strategy for improving expressive and receptive communication in children with Level 3 ASD and complex communication needs. The multimodal features of EC+ facilitate greater engagement and interaction, supporting the development of social skills in therapeutic settings. By offering structured and intuitive communication support, EC+ helps decrease disruptive behaviors-related behaviors, promoting more adaptive responses.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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