The Effect of Augmented Reality in Enhancing Basic Communication Skills in Children with Autism Spectrum Disorder

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by challenges in social communication and repetitive behaviors. The Picture Exchange Communication System (PECS) has been widely utilized to support communication in children with ASD by using picture cards to convey needs and responses. However, traditional PECS can be limited by its static nature and lack of immediate feedback. Recent technological advances, particularly Augmented Reality (AR), offer new avenues for enhancing these communication strategies. This study explores the integration of AR into PECS and its impact on improving basic communication skills, specifically answering questions and commenting, in children with ASD. The research involved a multiple baseline design with four participants aged 7-12 years, recruited from autism centers in Melaka, Malaysia. Results showed significant improvements in both the frequency and accuracy of responses and relevant commenting skills after the AR-based intervention. Answering skills improved by 83%, and commenting skills increased by 122%, with the average number of relevant comments rising from 3 (SD = 0.89) to 6.67 (SD = 2.25). Statistical analysis (paired t-test) revealed a significant effect (p = 0.00272). Compared to traditional methods, AR-based PECS accelerated the achievement of target communication skills. Future research should focus on larger sample sizes and explore long-term impacts to solidify these promising outcomes.