Research Article
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Augmented Reality in Auditory-visual Conditional Discrimination Training for Children with Autism

Year 2025, Erken Görünüm, 1 - 15
https://doi.org/10.21565/ozelegitimdergisi.1606043

Abstract

Introduction: Auditory-visual conditional discrimination is essential in developing functional skills, such as self-care and cognitive, social, and academic skills. Despite the availability of various effective methods, some children continue to face challenges in acquiring this form of discrimination.
Method: This study compared the effectiveness and efficiency of using picture cards versus augmented reality as learning material for auditory-visual conditional discrimination in children with autism spectrum disorder (ASD). Three boys aged 3 to 6, all diagnosed with ASD, participated in this study. Instruction and data collection took place in the participants’ homes. A single-subject research design was used, an adapted alternating treatment design embedded in multiple probes across participants.
Findings: Results showed that all participants successfully acquired the skill under augmented reality conditions, generalized their learning to different instructional sets, and retained their skills for two and five weeks after instruction. Conversely, only one participant successfully acquired, generalized, and maintained the skill in picture card condition.
Discussion: The findings suggest that augmented reality-based teaching methods can enhance the acquisition of auditory-visual conditional discrimination for children with ASD, particularly those who struggle to learn with traditional picture cards for various reasons. Social validity assessments suggest that augmented reality learning materials provide a stronger perceived validity compared to picture cards.

References

  • Akin, N. T. A., & Gokturk, M. (2019). Comparison of the theory of mind tests on the paper, 2D touch screen and augmented reality environments on the students with neurodevelopmental disorders. IEEE Access, 7, 52390-52404. https://doi.org/10.1109/ACCESS.2019.2902836
  • Aksoy, V., & Diken, İ. H. (2016). Identification of psychometric characteristics of sample of vocal behaviour and interaction assessment record forms. International Journal of Early Childhood Special Education, 8(2), 165-183. https://doi.org/10.20489/intjecse.284660
  • Aydin, O., & Tanious, R. (2022). Performance criteria-based effect size (PCES) measurement of single-case experimental designs: A real-world data study. Journal of Applied Behavior Analysis, 55(3), 891-918. https://doi.org/10.1002/jaba.928
  • Azuma, R., Baillot, Y., Behringer, R., Feiner, S., Julier, S., & MacIntyre, B. (2001). Recent advances in augmented reality. IEEE Computer Graphics and Applications, 21(6), 34-47. https://doi.org/10.1109/38.963459
  • Berenguer, C., Baixauli, I., Gómez, S., Andrés, M. de E. P., & De Stasio, S. (2020). Exploring the impact of augmented reality in children and adolescents with autism spectrum disorder: A systematic review. International Journal of Environmental Research and Public Health, 17(17), 1-15. https://doi.org/10.3390/ijerph17176143
  • Breeman, S. L., Vladescu, J. C., DeBar, R. M., Grow, L. L., & Marano, K. E. (2020). The effects of procedural integrity errors during auditory–visual conditional discrimination training: A preliminary investigation. Behavioral Interventions, 35(2), 203-216. https://doi.org/10.1002/bin.1710
  • Carp, C. L., Peterson, S. P., Arkel, A. J., Petursdottir, A. I., & Ingvarsson, E. T. (2012). A further evaluation of picture prompts during auditory-visual conditional discrimination training. Journal of Applied Behavior Analysis, 45(4), 737-751. https://doi.org/10.1901/jaba.2012.45-737
  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. https://doi.org/10.1037/0033-2909. 112.1.155
  • Cubicciotti, J. E., Vladescu, J. C., Reeve, K. F., Carroll, R. A., & Schnell, L. K. (2019). Effects of stimulus presentation order during auditory–visual conditional discrimination training for children with autism spectrum disorder. Journal of Applied Behavior Analysis, 52(2), 541-556. https://doi.org/10.1002/jaba.530
  • DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29(4), 519-533. https://doi.org/10.1901/jaba.1996.29-519
  • Denizli-Gulboy, H., Genc-Tosun, D., & Gulboy, E. (2023). Evaluating augmented reality as evidence-based practice for individuals with autism spectrum disorder: A meta-analysis of single-case design studies. International Journal of Developmental Disabilities, 69(4), 472-486. https://doi.org/10.1080/20473869.2021.1972741
  • DiSanti, B. M., Eikeseth, S., Eldevik, S., Conrad, J. M., & Cotter-Fisher, K. L. (2020). Comparing structured mix and random rotation procedures to teach receptive labeling to children with autism. Behavioral Interventions, 35(1), 38-56. https://doi.org/10.1002/bin.1694
  • Dogan, O. S., & Tekin-Iftar, E. (2002). The effects of simultaneous prompting on teaching receptively identifying occupations from picture cards. Research in Developmental Disabilities, 23(4), 237-252. https://doi.org/10.1016/S0891-4222(02)00122-1
  • Eadon, C. (2017). An evaluation of the acquisition of receptive labels using traditional materials versus the iPad [Master’s thesis, St. Cloud State University]. Repository at St. Cloud State University. https://repository.stcloudstate.edu/cpcf_etds/34/
  • Eldevik, S., Aarlie, H., Titlestad, K. B., Kazemi, E., & Elsky, G. (2020). Effects of functional discrimination training on initial receptive language in individuals with autism spectrum disorder. Behavior Modification, 44(5), 670-697. https://doi.org/10.1177/0145445519841052
  • Fisher, W. W., Retzlaff, B. J., Akers, J. S., DeSouza, A. A., Kaminski, A. J., & Machado, M. A. (2019). Establishing initial auditory-visual conditional discriminations and emergence of initial tacts in young children with autism spectrum disorder. Journal of Applied Behavior Analysis, 52(4), 1089-1106. https://doi.org/10.1002/jaba.586
  • Green, G. (2001). Behavior analytic instruction for learners with autism: Advances in stimulus control technology. Focus on Autism and Other Developmental Disabilities, 16(2), 72-85. https://doi.org/10.1177/108835760101600203
  • Grow, L. L., Carr, J. E., Kodak, T. M., Jostad, C. M., & Kisamore, A. N. (2011). A comparison of methods for teaching receptive labeling to children with autism spectrum disorders. Journal of Applied Behavior Analysis, 44(3), 475-498. https://doi.org/10.1901/jaba.2011.44-475
  • Grubert, J., Langlotz, T., Zollmann, S., & Regenbrecht, H. (2017). Towards pervasive augmented reality: Context-awareness in augmented reality. IEEE Transactions on Visualization and Computer Graphics, 23(6), 1706-1724. https://doi.org/10.1109/TVCG.2016.2543720
  • Gutierrez Jr, A., Hale, M. N., O’Brien, H. A., Fischer, A. J., Durocher, J. S., & Alessandri, M. (2009). Evaluating the effectiveness of two commonly used discrete trial procedures for teaching receptive discrimination to young children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(3), 630-638. https://doi.org/10.1016/j.rasd.2008.12.005
  • Halbur, M., Kodak, T., Williams, X., Reidy, J., & Halbur, C. (2021). Comparison of sounds and words as sample stimuli for discrimination training. Journal of Applied Behavior Analysis, 54(3), 1126-1138. https://doi.org/10.1002/jaba.830
  • İnce, G., Köse, H., & Güner, N. (2024). OSB olan bireylere işitsel-görsel koşullu ayırt etme öğretimine ilişkin karşılaştırma araştırmalarının incelenmesi. Journal of Uludag University Faculty of Education, 37(3), 923-948. https://doi.org/10.19171/uefad.1451424
  • Kodak, T., Clements, A., & LeBlanc, B. (2013). A rapid assessment of instructional strategies to teach auditory-visual conditional discriminations to children with autism. Research in Autism Spectrum Disorders, 7(6), 801-807. https://doi.org/10.1016/j.rasd.2013.02.007
  • Köse, H., & Güner-Yildiz, N. (2021). Augmented reality (AR) as a learning material in special needs education. Education and Information Technologies, 26(2), 1921-1936. https://doi.org/10.1007/s10639-020-10326-w
  • LaMarca, V., & LaMarca, J. (2018). Designing receptive language programs: Pushing the boundaries of research and practice. Behavior Analysis in Practice, 11(4), 479-495. https://doi.org/10.1007/s40617-018-0208-1
  • Leaf, J. B., Cihon, J. H., Ferguson, J. L., McEachin, J., Leaf, R., & Taubman, M. (2018). Evaluating three methods of stimulus rotation when teaching receptive labels. Behavior Analysis in Practice, 11(4), 334-349. https://doi.org/10.1007/s40617-018-0249-5
  • Leon, Y., Campos, C., Suarez, A., Salama, J., Balsimo, K., & Gokey, K. (2021). Further examination of the effects of order of stimulus presentation on receptive discrimination. Behavioral Interventions, 36(2), 422-433. https://doi.org/10.1002/bin.1773
  • Lin, F. Y., & Zhu, J. (2020). Comparison of two discrimination methods in teaching Chinese children with autism. Journal of Applied Behavior Analysis, 53(2), 1145-1152. https://doi.org/10.1002/jaba.652
  • McMahon, D., Cihak, D. F., & Wright, R. (2015). Augmented reality as a navigation tool to employment opportunities for postsecondary education students with intellectual disabilities and autism. Journal of Research on Technology in Education, 47(3), 157-172. https://doi.org/10.1080/15391523.2015.1047698
  • Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single- case research: Tau- U. Behavior Therapy, 42(2), 284-299. https://doi.org/10.1016/j. beth.2010.08.006
  • Pellegrino, A. J., Higbee, T. S., Becerra, L. A., & Gerencser, K. R. (2020). Comparing stimuli delivered via tablet versus flashcards on receptive labeling in children with autism spectrum disorder. Journal of Behavioral Education, 29(3), 606-618. https://doi.org/10.1007/s10864-019-09329-6
  • Schnell, L. K., Vladescu, J. C., Kisamore, A. N., DeBar, R. M., Kahng, S., & Marano, K. (2020). Assessment to identify learner-specific prompt and prompt-fading procedures for children with autism spectrum disorder. Journal of Applied Behavior Analysis, 53(2), 1111-1129. https://doi.org/10.1002/jaba.623
  • Ulzii, D., Kabot, S., & Reeve, C. (2022). A comparison of iPad-assisted and flash card-assisted instruction for learners with autism. Journal of Special Education Technology, 37(2), 203-214. https://doi.org/10.1177/0162643420979935
  • Vannest, K. J., & Ninci, J. (2015). Evaluating intervention effects in single-case research designs. Journal of Counseling & Development, 93(4), 403-411. https://doi.org/10.1002/jcad.12038
  • Wolery, M., Gast, D. L., & Ledford, J. R. (2018). Comparative designs. In J. R. Ledford & D. L. Gast (Eds.), Single case research methodology (pp. 428-497). Routledge.

Otizmli Çocuklara İşitsel-Görsel Koşullu Ayırt Etme Öğretiminde Artırılmış Gerçeklik Kullanımı

Year 2025, Erken Görünüm, 1 - 15
https://doi.org/10.21565/ozelegitimdergisi.1606043

Abstract

Giriş: İşitsel-görsel koşullu ayırt etme, bilişsel, sosyal ve akademik beceriler ile özbakım becerileri gibi işlevsel becerilerin gelişiminde önemli bir rol oynamaktadır. Ancak, etkili öğretim yöntemlerine rağmen, bazı çocuklar bu tür bir ayırt etmeyi öğrenmede güçlük yaşayabilmektedir.
Yöntem: Bu çalışmada, otizm spektrum bozukluğu (OSB) tanısı almış çocuklarda işitsel-görsel koşullu ayırt etmeye yönelik öğrenme materyali olarak resimli kartlar ile artırılmış gerçeklik kullanımının etkililiği ve verimliliği karşılaştırılmıştır. Çalışmaya, yaşları 3 ile 6 arasında değişen OSB tanılı üç erkek çocuk katılmıştır. Uygulama ve veri toplama süreci katılımcıların evlerinde gerçekleştirilmiştir. Araştırmada, tek-denekli araştırma desenlerinden katılımcılar arası çoklu yoklama içine gömülü uyarlanmış dönüşümlü uygulamalar modeli kullanılmıştır.
Bulgular: Bulgular, tüm katılımcıların artırılmış gerçeklik koşullarında hedef beceriyi başarıyla edindiğini, edindiği beceriyi farklı öğretim setlerine genelleyebildiğini ve öğretim sonrasındaki iki ve beşinci haftalarda sürdürebildiğini göstermiştir. Buna karşılık, resimli kartlar koşulunda yalnızca bir katılımcı beceriyi başarıyla edinmiş, genellemiş ve sürdürmüştür.
Tartışma: Sonuçlar, artırılmış gerçeklik tabanlı öğretim materyallerinin, özellikle geleneksel resimli kartlarla çeşitli nedenlerle öğrenme güçlüğü yaşayan OSB olan çocuklar için işitsel-görsel koşullu ayırt etme becerisinin edinimini kolaylaştırabileceğini göstermektedir. Ayrıca, sosyal geçerlik bulguları, artırılmış gerçeklik ile hazırlanan öğrenme materyallerinin resimli kartlara kıyasla daha yüksek düzeyde sosyal geçerlik taşıyabileceğini ortaya koymaktadır.

References

  • Akin, N. T. A., & Gokturk, M. (2019). Comparison of the theory of mind tests on the paper, 2D touch screen and augmented reality environments on the students with neurodevelopmental disorders. IEEE Access, 7, 52390-52404. https://doi.org/10.1109/ACCESS.2019.2902836
  • Aksoy, V., & Diken, İ. H. (2016). Identification of psychometric characteristics of sample of vocal behaviour and interaction assessment record forms. International Journal of Early Childhood Special Education, 8(2), 165-183. https://doi.org/10.20489/intjecse.284660
  • Aydin, O., & Tanious, R. (2022). Performance criteria-based effect size (PCES) measurement of single-case experimental designs: A real-world data study. Journal of Applied Behavior Analysis, 55(3), 891-918. https://doi.org/10.1002/jaba.928
  • Azuma, R., Baillot, Y., Behringer, R., Feiner, S., Julier, S., & MacIntyre, B. (2001). Recent advances in augmented reality. IEEE Computer Graphics and Applications, 21(6), 34-47. https://doi.org/10.1109/38.963459
  • Berenguer, C., Baixauli, I., Gómez, S., Andrés, M. de E. P., & De Stasio, S. (2020). Exploring the impact of augmented reality in children and adolescents with autism spectrum disorder: A systematic review. International Journal of Environmental Research and Public Health, 17(17), 1-15. https://doi.org/10.3390/ijerph17176143
  • Breeman, S. L., Vladescu, J. C., DeBar, R. M., Grow, L. L., & Marano, K. E. (2020). The effects of procedural integrity errors during auditory–visual conditional discrimination training: A preliminary investigation. Behavioral Interventions, 35(2), 203-216. https://doi.org/10.1002/bin.1710
  • Carp, C. L., Peterson, S. P., Arkel, A. J., Petursdottir, A. I., & Ingvarsson, E. T. (2012). A further evaluation of picture prompts during auditory-visual conditional discrimination training. Journal of Applied Behavior Analysis, 45(4), 737-751. https://doi.org/10.1901/jaba.2012.45-737
  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. https://doi.org/10.1037/0033-2909. 112.1.155
  • Cubicciotti, J. E., Vladescu, J. C., Reeve, K. F., Carroll, R. A., & Schnell, L. K. (2019). Effects of stimulus presentation order during auditory–visual conditional discrimination training for children with autism spectrum disorder. Journal of Applied Behavior Analysis, 52(2), 541-556. https://doi.org/10.1002/jaba.530
  • DeLeon, I. G., & Iwata, B. A. (1996). Evaluation of a multiple-stimulus presentation format for assessing reinforcer preferences. Journal of Applied Behavior Analysis, 29(4), 519-533. https://doi.org/10.1901/jaba.1996.29-519
  • Denizli-Gulboy, H., Genc-Tosun, D., & Gulboy, E. (2023). Evaluating augmented reality as evidence-based practice for individuals with autism spectrum disorder: A meta-analysis of single-case design studies. International Journal of Developmental Disabilities, 69(4), 472-486. https://doi.org/10.1080/20473869.2021.1972741
  • DiSanti, B. M., Eikeseth, S., Eldevik, S., Conrad, J. M., & Cotter-Fisher, K. L. (2020). Comparing structured mix and random rotation procedures to teach receptive labeling to children with autism. Behavioral Interventions, 35(1), 38-56. https://doi.org/10.1002/bin.1694
  • Dogan, O. S., & Tekin-Iftar, E. (2002). The effects of simultaneous prompting on teaching receptively identifying occupations from picture cards. Research in Developmental Disabilities, 23(4), 237-252. https://doi.org/10.1016/S0891-4222(02)00122-1
  • Eadon, C. (2017). An evaluation of the acquisition of receptive labels using traditional materials versus the iPad [Master’s thesis, St. Cloud State University]. Repository at St. Cloud State University. https://repository.stcloudstate.edu/cpcf_etds/34/
  • Eldevik, S., Aarlie, H., Titlestad, K. B., Kazemi, E., & Elsky, G. (2020). Effects of functional discrimination training on initial receptive language in individuals with autism spectrum disorder. Behavior Modification, 44(5), 670-697. https://doi.org/10.1177/0145445519841052
  • Fisher, W. W., Retzlaff, B. J., Akers, J. S., DeSouza, A. A., Kaminski, A. J., & Machado, M. A. (2019). Establishing initial auditory-visual conditional discriminations and emergence of initial tacts in young children with autism spectrum disorder. Journal of Applied Behavior Analysis, 52(4), 1089-1106. https://doi.org/10.1002/jaba.586
  • Green, G. (2001). Behavior analytic instruction for learners with autism: Advances in stimulus control technology. Focus on Autism and Other Developmental Disabilities, 16(2), 72-85. https://doi.org/10.1177/108835760101600203
  • Grow, L. L., Carr, J. E., Kodak, T. M., Jostad, C. M., & Kisamore, A. N. (2011). A comparison of methods for teaching receptive labeling to children with autism spectrum disorders. Journal of Applied Behavior Analysis, 44(3), 475-498. https://doi.org/10.1901/jaba.2011.44-475
  • Grubert, J., Langlotz, T., Zollmann, S., & Regenbrecht, H. (2017). Towards pervasive augmented reality: Context-awareness in augmented reality. IEEE Transactions on Visualization and Computer Graphics, 23(6), 1706-1724. https://doi.org/10.1109/TVCG.2016.2543720
  • Gutierrez Jr, A., Hale, M. N., O’Brien, H. A., Fischer, A. J., Durocher, J. S., & Alessandri, M. (2009). Evaluating the effectiveness of two commonly used discrete trial procedures for teaching receptive discrimination to young children with autism spectrum disorders. Research in Autism Spectrum Disorders, 3(3), 630-638. https://doi.org/10.1016/j.rasd.2008.12.005
  • Halbur, M., Kodak, T., Williams, X., Reidy, J., & Halbur, C. (2021). Comparison of sounds and words as sample stimuli for discrimination training. Journal of Applied Behavior Analysis, 54(3), 1126-1138. https://doi.org/10.1002/jaba.830
  • İnce, G., Köse, H., & Güner, N. (2024). OSB olan bireylere işitsel-görsel koşullu ayırt etme öğretimine ilişkin karşılaştırma araştırmalarının incelenmesi. Journal of Uludag University Faculty of Education, 37(3), 923-948. https://doi.org/10.19171/uefad.1451424
  • Kodak, T., Clements, A., & LeBlanc, B. (2013). A rapid assessment of instructional strategies to teach auditory-visual conditional discriminations to children with autism. Research in Autism Spectrum Disorders, 7(6), 801-807. https://doi.org/10.1016/j.rasd.2013.02.007
  • Köse, H., & Güner-Yildiz, N. (2021). Augmented reality (AR) as a learning material in special needs education. Education and Information Technologies, 26(2), 1921-1936. https://doi.org/10.1007/s10639-020-10326-w
  • LaMarca, V., & LaMarca, J. (2018). Designing receptive language programs: Pushing the boundaries of research and practice. Behavior Analysis in Practice, 11(4), 479-495. https://doi.org/10.1007/s40617-018-0208-1
  • Leaf, J. B., Cihon, J. H., Ferguson, J. L., McEachin, J., Leaf, R., & Taubman, M. (2018). Evaluating three methods of stimulus rotation when teaching receptive labels. Behavior Analysis in Practice, 11(4), 334-349. https://doi.org/10.1007/s40617-018-0249-5
  • Leon, Y., Campos, C., Suarez, A., Salama, J., Balsimo, K., & Gokey, K. (2021). Further examination of the effects of order of stimulus presentation on receptive discrimination. Behavioral Interventions, 36(2), 422-433. https://doi.org/10.1002/bin.1773
  • Lin, F. Y., & Zhu, J. (2020). Comparison of two discrimination methods in teaching Chinese children with autism. Journal of Applied Behavior Analysis, 53(2), 1145-1152. https://doi.org/10.1002/jaba.652
  • McMahon, D., Cihak, D. F., & Wright, R. (2015). Augmented reality as a navigation tool to employment opportunities for postsecondary education students with intellectual disabilities and autism. Journal of Research on Technology in Education, 47(3), 157-172. https://doi.org/10.1080/15391523.2015.1047698
  • Parker, R. I., Vannest, K. J., Davis, J. L., & Sauber, S. B. (2011). Combining nonoverlap and trend for single- case research: Tau- U. Behavior Therapy, 42(2), 284-299. https://doi.org/10.1016/j. beth.2010.08.006
  • Pellegrino, A. J., Higbee, T. S., Becerra, L. A., & Gerencser, K. R. (2020). Comparing stimuli delivered via tablet versus flashcards on receptive labeling in children with autism spectrum disorder. Journal of Behavioral Education, 29(3), 606-618. https://doi.org/10.1007/s10864-019-09329-6
  • Schnell, L. K., Vladescu, J. C., Kisamore, A. N., DeBar, R. M., Kahng, S., & Marano, K. (2020). Assessment to identify learner-specific prompt and prompt-fading procedures for children with autism spectrum disorder. Journal of Applied Behavior Analysis, 53(2), 1111-1129. https://doi.org/10.1002/jaba.623
  • Ulzii, D., Kabot, S., & Reeve, C. (2022). A comparison of iPad-assisted and flash card-assisted instruction for learners with autism. Journal of Special Education Technology, 37(2), 203-214. https://doi.org/10.1177/0162643420979935
  • Vannest, K. J., & Ninci, J. (2015). Evaluating intervention effects in single-case research designs. Journal of Counseling & Development, 93(4), 403-411. https://doi.org/10.1002/jcad.12038
  • Wolery, M., Gast, D. L., & Ledford, J. R. (2018). Comparative designs. In J. R. Ledford & D. L. Gast (Eds.), Single case research methodology (pp. 428-497). Routledge.
There are 35 citations in total.

Details

Primary Language English
Subjects Autism and Spectrum Disorder Education
Journal Section Articles
Authors

Hasan Köse 0000-0002-0923-3711

Nevin Güner 0000-0002-9135-6429

Early Pub Date August 7, 2025
Publication Date September 30, 2025
Submission Date December 23, 2024
Acceptance Date July 10, 2025
Published in Issue Year 2025 Erken Görünüm

Cite

APA Köse, H., & Güner, N. (2025). Augmented Reality in Auditory-visual Conditional Discrimination Training for Children with Autism. Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi1-15. https://doi.org/10.21565/ozelegitimdergisi.1606043