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

IF 1.5
Frontiers in child and adolescent psychiatry Pub Date : 2026-03-31 eCollection Date: 2026-01-01 DOI:10.3389/frcha.2026.1769862
Anna Meduri, Chiara Marraffa, Gaia Roccaforte, Chiara Failla, Germana Doria, Ileana Scarcella, Paola Chilà, Roberta Minutoli, Giovanni Pioggia, Flavia Marino
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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.

从聊天到改变:自闭症患者认知赋权和日常生活技能的神经包容性框架。
越来越多的人研究会话技术作为自闭症患者的辅助工具;然而,现有的方法在很大程度上仍然是应用驱动的,概念上是碎片化的,会话设计和日常生活技能的认知基础之间的整合有限。迄今为止,还没有统一的框架明确地将基于聊天机器人的交互概念化为支持自闭症功能自主的结构化环境。这篇透视文章介绍了神经包容性对话框架(NCF),这是一个理论模型,它将聊天机器人重新构建为认知支架,旨在支持日常功能以及社交模拟。利用认知心理学、执行功能研究、中介学习理论和神经包容性设计原则,NCF将会话交互概念化为一种结构化的学习环境,能够支持日常生活中的计划、排序、任务发起和自我监控。该框架沿着三个相互关联的维度——认知功能、结构适应性和环境生态——进行阐述,每个维度都涉及与认知可及性、适应性和生态迁移相关的机制。通过综合各种对话技术的证据,识别可预测性、低社会压力和适应性结构等反复出现的设计原则,NCF为解释现有系统和指导未来设计提供了连贯的视角。文章进一步讨论了新兴方向,包括生物反馈的适应性、感知可访问的界面设计和上下文敏感的交互,强调了生态有效性和与人类指导相结合的重要性。总的来说,NCF为支持对话技术的系统研究和开发提供了理论基础,旨在加强自闭症患者的日常生活技能和功能自主性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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