{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T01:46:04Z","timestamp":1791423964934,"version":"4.3.3"},"reference-count":129,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by difficulties in social communication. Autistic individuals who are verbally fluent, often show difficulties in pragmatic ability, i.e. the capacity to use language and other expressive means, as gestures or the tone of the voice, to convey meaning in a given context. During the COVID-19 pandemic, the use of various technologies such as videoconferencing and internet for the delivery of healthcare services, i.e. telehealth, has proven to be effective, accessible and safe tools for remote healthcare. However, there are few tools to assess pragmatic skills in telehealth. This study investigates the effectiveness of the telehealth-adapted Assessment Battery for Communication (e-ABaCo), a clinical tool previously validated for in-person assessments, to evaluate pragmatic abilities in autistic individuals. We expect a substantial equivalence in performance for the administration of the adapted version of e-ABaCo compared to the face-to-face one.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We compared the performance of 30 autistic adolescents, of which 15 assessed via telehealth (ASD TH) and 15 assessed face-to-face (ASD FtF), with that of 15 adolescents with typical development (face-to-face assessment). The groups were matched for age, sex, and intellectual quotient. E-ABaCo was used to assess both comprehension and production of communicative ability realized through different expressive means, i.e. linguistic, extralinguistic and paralinguistic, as well as social appropriateness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In line with the expectation, the pragmatic performance of autistic adolescents showed a substantial equivalence when comparing the assessments conducted via telehealth and face-to-face modality. Moreover, in line with the relevant literature, there was a significant difference between the ASD groups\u2019 performance (both FtF and TH) and the control group of the adolescents with typical development (CG FtF) in all pragmatic aspects assessed, i.e. the Pragmatic total score, comprehension and production abilities, and all the expressive means investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>These results confirm the potential usefulness of telehealth assessment procedures, and demonstrate the sensitivity and validity of e-ABaCo for conducting an effective assessment of pragmatic skills in on-line modality in autistic adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1568108","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T01:31:23Z","timestamp":1745803883000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":7,"title":["Assessing communicative-pragmatic ability in telehealth: e-ABaCo in autistic individuals"],"prefix":"10.3389","volume":"16","author":[{"given":"Ilaria","family":"Traetta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Gabbatore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Aimar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe Maurizio","family":"Arduino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca M.","family":"Bosco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"B1","article-title":"Cognitive pragmatics: The mental processes of communication","volume-title":"Intercultural Pragmatics","author":"Bara","year":"2010"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tics.2019.05.006","article-title":"Multimodal language processing in human communication","volume":"23","author":"Holler","year":"2019","journal-title":"Trends Cogn Sci"},{"key":"B3","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511813313","volume-title":"Pragmatics","author":"Levinson","year":"1983"},{"key":"B4","doi-asserted-by":"publisher","article-title":"Diagnostic and statistical manual of mental disorders","year":"2022","DOI":"10.1176\/APPI.BOOKS.9780890425787"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1136\/ARCHDISCHILD-2014-306944","article-title":"Social (pragmatic) communication disorders and autism spectrum disorder","volume":"101","author":"Baird","year":"2016","journal-title":"Arch Dis Childhood"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.4324\/9781351060912-6","article-title":"Pragmatic reasoning in autism","author":"Geurts","year":"2019","journal-title":"Thinking Reasoning Decision Making Autism"},{"key":"B7","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1007\/978-3-030-74985-9_3","article-title":"Autism spectrum disorder.","volume-title":"Handbook of pragmatic language disorders: complex and underserved Populations","author":"Loukusa","year":"2021"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1007\/S10803-020-04425-3","article-title":"It defines who I am\u201d or \u201cIt\u2019s something I have\u201d: what language do [Autistic] Australian adults [on the autism spectrum] prefer","volume":"53","author":"Bury","year":"2023","journal-title":"J Autism Dev Disord"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1177\/1362361315588200","article-title":"Which terms should be used to describe autism? 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