{"id":817,"date":"2022-01-11T13:51:30","date_gmt":"2022-01-11T10:51:30","guid":{"rendered":"https:\/\/mhfhijab.com\/?p=817"},"modified":"2022-01-11T14:08:28","modified_gmt":"2022-01-11T11:08:28","slug":"a-multimodal-messaging-app-maan-for-adults-with-autism-spectrum-disorder-mixed-methods-evaluation-study","status":"publish","type":"post","link":"https:\/\/mhfhijab.com\/?p=817","title":{"rendered":"A Multimodal Messaging App (MAAN) for Adults With Autism Spectrum Disorder: Mixed Methods Evaluation Study"},"content":{"rendered":"\n<p class=\"has-text-align-right\"><em><span style=\"text-decoration: underline;\">Publication Date:<\/span> <em>December 7, 2021<\/em><\/em><\/p>\n\n\n\n<p><em>By: Mohamad Hassan Fadi Hijab<\/em> ; <em>Dena Al-Thani<\/em> ; <em>Bilikis Banire<\/em><\/p>\n\n\n<div class=\"taxonomy-post_tag has-text-align-right wp-block-post-terms\"><a href=\"https:\/\/mhfhijab.com\/?tag=2021-publications\" rel=\"tag\">2021 publications<\/a><span class=\"wp-block-post-terms__separator\">, <\/span><a href=\"https:\/\/mhfhijab.com\/?tag=journal-paper\" rel=\"tag\">Journal Paper<\/a><\/div>\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/mhfhijab.com\/wp-content\/uploads\/2021\/12\/5bd2c7b38fb5ed846548f17a45df3860-1-1024x768.png\" alt=\"\" class=\"wp-image-687\" width=\"512\" height=\"384\" srcset=\"https:\/\/mhfhijab.com\/wp-content\/uploads\/2021\/12\/5bd2c7b38fb5ed846548f17a45df3860-1-1024x768.png 1024w, https:\/\/mhfhijab.com\/wp-content\/uploads\/2021\/12\/5bd2c7b38fb5ed846548f17a45df3860-1-300x225.png 300w, https:\/\/mhfhijab.com\/wp-content\/uploads\/2021\/12\/5bd2c7b38fb5ed846548f17a45df3860-1-768x576.png 768w, https:\/\/mhfhijab.com\/wp-content\/uploads\/2021\/12\/5bd2c7b38fb5ed846548f17a45df3860-1.png 1200w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><\/figure><\/div>\n\n\n\n<p><span style=\"text-decoration: underline;\">Background:<\/span>\u00a0Individuals with autism spectrum disorder (ASD) often exhibit difficulties in social and communication skills. For more than 30 years, specialists, parents, and caregivers have used techniques, such as applied behavioral analysis, augmentative and alternative communication, and the picture exchange communication system to support the social and communication skills of people with ASD. Even though there are many techniques devised to enhance communication, these techniques are not considered in existing social media apps for people with ASD.<br><br><span style=\"text-decoration: underline;\">Objective:<\/span>\u00a0This study aimed to investigate the effect of adding accessibility features, such as text-to-speech (TTS), speech-to-text (STT), and communication symbols (CS), to a messaging app (MAAN). We hypothesized that these accessibility features can enhance the social and communication skills of adults with ASD. We also hypothesized that usage of this app can reduce social loneliness in adults with ASD.<br><br><span style=\"text-decoration: underline;\">Methods:\u00a0<\/span>Semistructured interviews were conducted with 5 experts working in fields related to ASD to help design the app. Seven adults with ASD participated in the study for a period of 10 to 16 weeks. Data logs of participants\u2019 interactions with the app were collected. Additionally, 6 participants\u2019 parents and 1 caregiver were asked to complete a short version of the Social and Emotional Loneliness Scale for Adults (SELSA-S) questionnaire to compare pre-post study results. The Mobile Application Rating Scale: user version questionnaire was also used to evaluate the app\u2019s usability. Following the study, interviews were conducted with participants to discuss their experiences with the app.<br><br><span style=\"text-decoration: underline;\">Results:\u00a0<\/span>The SELSA-S questionnaire results showed no change in the family subscale; however, the social loneliness subscale showed a difference between prestudy and poststudy. The Wilcoxon signed-rank test indicated that poststudy SELSA-S results were statistically significantly higher than prestudy results (z=\u22122.047;\u00a0P=.04). Point-biserial correlation indicated that the SELSA-S rate of change was strongly related to usage of the TTS feature (r=0.708;\u00a0P=.04) and CS feature (r=\u22120.917;\u00a0P=.002), and moderately related to usage of the STT feature (r=0.428;\u00a0P=.17). Lastly, we adopted grounded theory to analyze the interview data, and the following 5 categories emerged: app support, feature relevance, user interface design, overall feedback, and recommendations.<br><br><span style=\"text-decoration: underline;\">Conclusions:\u00a0<\/span>This study discusses the potential for improving the communication skills of adults with ASD through special features in mobile messaging apps. The developed app aims to support the inclusion and independent life of adults with ASD. The study results showed the importance of using TTS, STT, and CS features to enhance social and communication skills, as well as reduce social loneliness in adults with ASD.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p>You can read the full text <strong><a href=\"https:\/\/formative.jmir.org\/2021\/12\/e33123\/\">here<\/a><\/strong>.<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">Citation:<\/span><\/strong><em> <\/em><br><em>Hijab MHF,\u00a0Al-Thani D,\u00a0Banire B<br>A Multimodal Messaging App (MAAN) for Adults With Autism Spectrum Disorder: Mixed Methods Evaluation Study<br>JMIR Form Res 2021;5(12):e33123<br>doi:\u00a0<a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.2196\/33123\" target=\"_blank\">10.2196\/33123\u00a0<\/a>PMID:\u00a0<a rel=\"noreferrer noopener\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/34878998\" target=\"_blank\">34878998<\/a><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Publication Date: December 7, 2021 By: Mohamad Hassan Fadi Hijab ; Dena Al-Thani ; Bilikis Banire Background:\u00a0Individuals with autism spectrum disorder (ASD) often exhibit difficulties in social and communication skills. For more than 30 years, specialists, parents, and caregivers have used techniques, such as applied behavioral analysis, augmentative and alternative communication, and the picture exchange [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":687,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[20],"tags":[23,22],"class_list":["post-817","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publications","tag-2021-publications","tag-journal-paper"],"_links":{"self":[{"href":"https:\/\/mhfhijab.com\/index.php?rest_route=\/wp\/v2\/posts\/817","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mhfhijab.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mhfhijab.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mhfhijab.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mhfhijab.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=817"}],"version-history":[{"count":4,"href":"https:\/\/mhfhijab.com\/index.php?rest_route=\/wp\/v2\/posts\/817\/revisions"}],"predecessor-version":[{"id":822,"href":"https:\/\/mhfhijab.com\/index.php?rest_route=\/wp\/v2\/posts\/817\/revisions\/822"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mhfhijab.com\/index.php?rest_route=\/wp\/v2\/media\/687"}],"wp:attachment":[{"href":"https:\/\/mhfhijab.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=817"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mhfhijab.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=817"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mhfhijab.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=817"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}