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Role-play-based hug-robot-mediated communication in promoting friendship among individuals with autism spectrum disorders.

Asian journal of psychiatry2025

Kumazaki Hirokazu, Ohnishi Yuya, Sumioka Hidenobu, Shiomi Masahiro

What this study means for families

Researchers tested a special hugging robot called Moffuly-MS with 24 people with autism over 6 days. Participants took turns controlling the robot to give hugs and receiving hugs from others. After using the robot, participants knew more about their partners and felt more connected to them. They also felt more relaxed when receiving robot hugs compared to no hugs. This suggests robot-assisted interactions might help people with autism build better friendships, though more research is needed.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study evaluated Moffuly-MS, a tele-operated hugging robot designed to promote friendship among individuals with autism spectrum disorder (ASD). Twenty-four participants (20 males, 4 females) engaged in bidirectional haptic interactions over 6 consecutive days, alternating between operating the robot to deliver hugs and receiving them. Results showed significant improvements in knowledge of partner (p = .005) and sense of oneness (p = .013) compared to baseline. Participants also reported significantly higher perceived relaxation in the hug condition versus without-hug condition (p = 0.017).

The intervention demonstrated potential for enhancing social connectedness in individuals with ASD, though the researchers acknowledge the need for larger, more diverse samples and longitudinal designs to confirm these preliminary findings.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Significant improvement in knowledge of partner following robot-mediated hug intervention (p = .005, effect size r = .64)

    Confidence: moderateRelevance: Suggests robot-mediated interactions may enhance social understanding between individuals with ASD
  • 2

    Significant increase in sense of oneness after intervention (p = .013, effect size r = .57)

    Confidence: moderateRelevance: Indicates potential for robot-assisted interventions to promote social connectedness and relationship quality
  • 3

    Higher perceived relaxation in hug condition compared to without-hug condition (p = 0.017, effect size r = 0.49)

    Confidence: moderateRelevance: Demonstrates physiological benefits of haptic robot interaction for stress reduction

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Robot-mediated haptic interactions show promise for addressing social challenges in ASD by improving partner understanding and social connectedness. The bidirectional nature of the intervention may be particularly valuable for mutual relationship building. However, larger controlled trials are needed before clinical implementation can be recommended.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Small sample size (n=24) with male predominance (83%). Short intervention period (6 days) without long-term follow-up. Lack of control group comparison and unclear randomization procedures. Authors acknowledge need for larger, more diverse samples and longitudinal designs to confirm findings.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Individuals with autism spectrum disorder (ASD) often experience challenges in building friendships across the lifespan. To address the limitations of existing hug-based interventions, we developed Moffuly-MS, a tele-operated interactive hugging robot. In this study, participants were paired and alternated roles using Moffuly-MS; one person operated the robot to deliver a hug, while the other received it, and they took turns playing both roles. This study aimed to evaluate whether bidirectional haptic interaction via Moffuly-MS could improve mutual understanding and promote a sense of oneness.

Twenty-four individuals (20 males and four females) participated over 6 consecutive days. In the with-hug condition, post-intervention scores significantly improved from baseline in both knowledge of partner (t (22) = 3.873, p = .005, r = .64) and sense of oneness (t (22) = 3.182, p = .013, r = .57). A Wilcoxon signed-rank test revealed that perceived relaxation in the hug condition was significantly higher than that in the without-hug condition (z = 2.377, p = 0.017, r = 0.49). The results indicated that participants demonstrated enhanced knowledge of their partner and a greater sense of oneness following the intervention.

These findings suggest that our approach may promote social connectedness in individuals with ASD. Future research with larger, more diverse samples and longitudinal designs is needed to confirm and expand upon these results.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Asian journal of psychiatry
Year
2025
PMID
41005065
DOI
10.1016/j.ajp.2025.104704

MeSH Terms

HumansMaleAutism Spectrum DisorderFemaleFriendsAdultRoboticsYoung AdultInterpersonal RelationsRole PlayingSocial InteractionAdolescentCommunication