From chat to change: a neuroinclusive framework for cognitive empowerment and daily living skills in autism

Conversational technologies are increasingly investigated as supportive tools for autistic individuals; however, existing approaches remain largely application-driven and conceptually fragmented, with limited integration between conversational design and the cognitive foundations of daily living skills. To date, no unified framework explicitly conceptualizes chatbot-based interaction as a structured environment supporting functional autonomy in autism. This Perspective article introduces the Neuroinclusive Conversational Framework (NCF), a theoretical model that reframes chatbots as cognitive scaffolds designed to support everyday functioning in addition to social simulation. Drawing on cognitive psychology, executive functioning research, mediated learning theory, and neuroinclusive design principles, the NCF conceptualizes conversational interaction as a structured learning environment capable of supporting planning, sequencing, task initiation, and self-monitoring within daily routines. The framework is articulated along three interrelated dimensions-cognitive-functional, structural-adaptive, and contextual-ecological-each addressing mechanisms relevant to cognitive accessibility, adaptability, and ecological transfer. By synthesizing evidence across diverse conversational technologies and identifying recurring design principles such as predictability, low social pressure, and adaptive structure, the NCF provides a coherent lens for interpreting existing systems and guiding future design. The article further discusses emerging directions, including biofeedback-informed adaptivity, perceptually accessible interface design, and context-sensitive interaction, emphasizing the importance of ecological validity and integration with human guidance. Overall, the NCF offers a theoretical foundation to support systematic research and development of conversational technologies aimed at strengthening daily living skills and functional autonomy in autistic individuals.

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Publication Details

Journal
Frontiers in Child and Adolescent Psychiatry
Published
2026-03-31
DOI
https://doi.org/10.3389/frcha.2026.1769862
Primary Topic
Autism Spectrum Disorder Research
Type
article
Field-Weighted Citation Impact
0.00
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article

From chat to change: a neuroinclusive framework for cognitive empowerment and daily living skills in autism

Chiara Failla, Flavia Marino, Ileana Scarcella, Paola Chilà et al.
Frontiers in Child and Adolescent Psychiatry
Autism Spectrum Disorder Research
article

From chat to change: a neuroinclusive framework for cognitive empowerment and daily living skills in autism

Chiara Failla, Flavia Marino, Ileana Scarcella, Paola Chilà, Giovanni Pioggia, Germana Doria, Chiara Marraffa, Anna Meduri, Gaia Roccaforte, Roberta Minutoli
article en

Abstract

Conversational technologies are increasingly investigated as supportive tools for autistic individuals; however, existing approaches remain largely application-driven and conceptually fragmented, with limited integration between conversational design and the cognitive foundations of daily living skills. To date, no unified framework explicitly conceptualizes chatbot-based interaction as a structured environment supporting functional autonomy in autism. This Perspective article introduces the Neuroinclusive Conversational Framework (NCF), a theoretical model that reframes chatbots as cognitive scaffolds designed to support everyday functioning in addition to social simulation. Drawing on cognitive psychology, executive functioning research, mediated learning theory, and neuroinclusive design principles, the NCF conceptualizes conversational interaction as a structured learning environment capable of supporting planning, sequencing, task initiation, and self-monitoring within daily routines. The framework is articulated along three interrelated dimensions-cognitive-functional, structural-adaptive, and contextual-ecological-each addressing mechanisms relevant to cognitive accessibility, adaptability, and ecological transfer. By synthesizing evidence across diverse conversational technologies and identifying recurring design principles such as predictability, low social pressure, and adaptive structure, the NCF provides a coherent lens for interpreting existing systems and guiding future design. The article further discusses emerging directions, including biofeedback-informed adaptivity, perceptually accessible interface design, and context-sensitive interaction, emphasizing the importance of ecological validity and integration with human guidance. Overall, the NCF offers a theoretical foundation to support systematic research and development of conversational technologies aimed at strengthening daily living skills and functional autonomy in autistic individuals.

Frontiers in Child and Adolescent PsychiatryVol. 5
University of Messina (IT), Uninett (Norway) (NO), Morpho (United States) (US), Institute for Biomedical Research and Innovation (IT), National Research Council (IT), Hologic (Germany) (DE)
Quality Education
Openalex Percentile: Top 37%
Autism Spectrum Disorder Research
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