Parents’ experiences in using mobile tablets with their child with autism to encourage the development of social communication skills: the development of a parents’ guide

Autism is a lifelong condition that affects how individuals interact with others and make sense of the world around them. The two core difficulties associated with autism are difficulties in social communication and interaction, and the manifestation of restricted, repetitive patterns of behaviour. However, children with autism may also have many talents and special interests among which is their affinity with digital technologies. Despite the increasing use of mobile tablets in schools and homes, and the children’s motivation in using them, there is limited guidance on how to use the tablets to teach children with autism specific skills. This study aims to fill this gap in knowledge by providing guidelines about the ways in which iPads and other tablets can be used by parents/carers and their child at home to support the development of social communication skills. Semi-structured interviews with 10 parents of primary school aged children (4-11 years old) with autism were conducted with the aim to explore their experiences in using mobile devices, such as iPads and android tablets, and social activities with their children to create opportunities for social communication development. The interview involved questions about the parents’ knowledge and experience in autism, their understanding of social communication skills, the use of technology at home, and their links with the child’s school. Qualitative analysis of the interviews showed that parents used a variety of strategies to boost their child’s social communication skills. Among these strategies were: a) the use of communication symbols, b) the use of the child’s special interest as motivator to gain their attention, and c) allowing time to their child to respond. It was also found that parents engaged their child in joint activities such as cooking, role play and creating social stories together on the device. Seven out of ten parents mentioned that the tablet is a motivating tool that can be used to teach social communication skills, nonetheless all parents raised concerns over screen time and their child’s sharing difficulties. The need for training and advice as well as building stronger links with their child’s school was highlighted. In particular, it was mentioned that recommendations would be welcomed about how parents can address their child’s difficulties in initiating or sustaining a conversation, taking turns and sharing, understanding other people’s feelings and facial expressions, and showing interest to other people. This is the first study to date that resulted in the development of a parents’ guide informed by evidence-based practice and the participants’ experiences and concerns. The proposed guidelines aim to urge parents to feel more confident in using the tablet with their child in more collaborative ways. In particular, the guide offers recommendations about how to develop verbal and non-verbal communication, gives examples of tablet based activities to interact and create things together, as well as it offers suggestions on how to provide a worry free tablet experience and how to connect with the school

The Design of Guidelines for Teachers and Parents in the Use of iPads to Support Children with Autism in the Development of Joint Attention Skills

Children with autism have an affinity with technologies, which imposes the need to keep abreast of new digital technologies [1]. The benefits of mobile devices and interactive technologies in providing structure and predictability [2] and the vast variety of apps that can facilitate social communication makes it imperative to effectively incorporate iPads in the teaching of joint attention. Despite the increase use of mobile devices there is a lack of guidance for parents and teachers on how to use these devices in home and school environments for young children with autism. This study fills this gap. This paper reports on one of the final stages of the project, in which focus groups with teachers, parents, academics and children were conducted to discuss the development of guidelines on how to use the iPads with children with autism to improve their joint attention skills

The use of tablets to encourage the development of joint attention skills in children with autism spectrum disorder

The aim of this research was to explore ways in which iPads and other mobile tablets can be used in the classroom and home environment to support children with autism spectrum disorder in the area of joint attention skills. It focused on understanding the nature and importance of these skills in children with autism according to the participants’ experiences and on investigating the use and potential of mobile tablets in contributing to the development of joint attention skills. The research drew upon the transactional model of child development and followed an action research design. Reflection on the initial findings generated plans for change, which then shaped the next stages of the research. Interviews, observations, focus groups studies were carried out to investigate the level of understanding of joint attention skills and how their development is currently supported in the classroom and home environment; and to observe such support in the classroom especially when mediated through iPads. These studies, together with focus groups with key stakeholders led to the development of guidelines on how teachers and parents can use mobile tablets to support the development of joint attention skills in home and primary schools (Reception-Key Stage 2). These were developed and refined in consultation with teachers, parents, children and academics. This was the first study that measured the number of times children initiated and responded to joint attention and the number of times teachers used strategies to gain, sustain and redirect a child’s attention with and without the use of technology in a school setting.The findings showed that children were more times engaged in joint attention when using the iPads than without. The participants were not familiar with the term joint attention but used the term social communication to refer to the child’s ability to share interest, keep eye contact, take turns in an interaction or game, follow gaze and pointing, understand other’s feelings and interact with others by using symbols, speech or gestures. Both parents and teachers used evidence based strategies when interacting with the children but the need for guidance on how to use the mobile tablets was highlighted. The proposed guidelines include evidence based strategies, tablet based activities, and criteria on how to select mobile applications. They aim to help teachers reflect on and improve their teaching practice, as well as urge parents to use the tablet with their child in more collaborative ways. It is suggested that future studies should focus on bridging the gap between theory and practice by investigating the practitioners’ perspectives and experiences in developing joint attention and social communication skills in children with autism with the use of mobile interactive technologies in naturalistic settings