Autism & Developmental

Development and evaluation of a speech-generating AAC mobile app for minimally verbal children with autism spectrum disorder in Mainland China

An et al. (2017) · Molecular Autism 2017
★ The Verdict

A free Chinese AAC phone app taught ten minimally verbal kids with autism to ask for things after brief parent-led lessons.

✓ Read this if BCBAs serving Chinese-speaking, minimally verbal children with autism at home or in clinic.
✗ Skip if Practitioners who already have robust high-tech AAC systems or work with fluent speakers.

01Research in Context

01

What this study did

The team built a free Chinese AAC app called Yuudee. It lives on Android phones and uses picture symbols plus speech output.

Ten minimally verbal kids with autism in Beijing used the app at home. Parents gave short PECS-style lessons. The study tracked how fast each child learned to tap pictures to ask for things.

02

What they found

Every child learned to request with the app. Most hit at least half correct taps in two of the five lesson steps.

Kids kept the skill after the teaching stopped. Parents said the app was easy and they liked the Chinese voice.

03

How this fits with other research

Sawyer et al. (2014) also gave parents an iOS app for home use. Their app cut stereotypy, while Yuudee built requests. Same mobile-plus-parent setup, different target skills.

Matson et al. (2013) tried to spark real speech with operant drills. Yuudee sidesteps the speech problem by giving symbols and voice output. Both help non-verbal kids talk, one through voice, one through tech.

Xu et al. (2026) later mapped Chinese digital tools for families. They include Yuudee as an example, showing the app is still seen as useful nine years on.

04

Why it matters

If you work with Chinese-speaking children who have no words, Yuudee is free, small, and ready to download. You can teach requesting in short table-top sessions the same way you teach PECS phases. No extra device, no cost, and parents can run it at home while you track progress. Try it next time a family needs a quick AAC option.

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Download Yuudee, load pictures of the child’s top five snacks, and run one 10-trial requesting session using PECS phase 1 prompting.

02At a glance

Intervention
augmentative alternative communication
Design
single case other
Sample size
10
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Mobile touchscreen devices are currently being used as speech-generating devices (SGDs) and have been shown to promote the communication skills, particularly the requesting skills of children with autism spectrum disorders (ASD) who have limited spoken language. However, no augmentative and alternative communication (AAC) mobile app has been developed and evaluated in the Chinese language in Mainland China. We developed an AAC mobile app, which is the first in Mainland China, to our knowledge, named Yuudee (Chinese name 小雨滴 (xiaoyudi)). Yuudee was developed using the Objective-C and Java programming languages. A five-phase training protocol for making requests using Yuudee was developed based on the Picture Exchange Communication System. We trained ten minimally verbal children with ASD to make requests using Yuudee and evaluated the effectiveness of the training. Yuudee has a built-in library of over 400 pictures with corresponding spoken phrases that are divided into 39 categories ranging from making simple requests to expressing emotions. An additional important feature of Yuudee is its customization functions that allow a parent or trainer to easily select pictures and phrases to display, create new pictures and phrases, and change the layouts and orders of the pictures to fit the personal needs of each child. Yuudee is freely available in an iOS version from the iTunes App Store (https://itunes.apple.com/cn/app/xiao-yu-di/id794832934?mt=8) and in an Android version from Google Play (https://play.google.com/store/apps/details?id=com.supersuperstar.yuudee.vue) and domestic Chinese Android App stores. Three consecutive unprompted successful responses, which were defined as an initial training success, were achieved in at least three of the five phases for all ten of the evaluated children. The accuracy rate of a given phase was calculated for each child who achieved three consecutive unprompted successful responses in the phase. Seven children achieved at least 50% accuracy in at least two of the five phases. The other three children achieved at least 50% accuracy in only one phase. Two children achieved at least 50% accuracy in all of the phases in which they were trained. Our data suggest that Yuudee is a useful tool for helping minimally verbal children with ASD make requests. The online version of this article (10.1186/s13229-017-0165-5) contains supplementary material, which is available to authorized users.

Molecular Autism, 2017 · doi:10.1186/s13229-017-0165-5