FAR: End-to-End Vibrotactile Distributed System Designed to Facilitate Affect Regulation in Children Diagnosed with Autism Spectrum Disorder Through Slow Breathing

This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.

About the autistic author marker

Miri, P., Arora, M., Malhotra, A., Flory, R., Hu, S., Lowber, A., Goyal, I., Nguyen, J., Hegarty, J. P., Kohn, M. D., Schneider, D., Culbertson, H., Yamins, D. L. K., Fung, L., Hardan, A., Gross, J. J., & Marzullo, K. (2022). FAR: End-to-End Vibrotactile Distributed System Designed to Facilitate Affect Regulation in Children Diagnosed with Autism Spectrum Disorder Through Slow Breathing. CHI Conference on Human Factors in Computing Systems, 1-20. https://doi.org/10.1145/3491102.3517619

Publication date: 28 Apr 2022 Added to AutiHub: 22 Oct 2026 Type: Other Article language: English

This publication is integrated into AutiHub through:

Authors

Publication authors
17
Publication authors identified as autistic
1 / 17 (5.9%)

Abstract

To address difficulties with affect dysregulation in youth diagnosed with autism spectrum disorder (ASD), we designed and developed an end-to-end vibrotactile breathing pacer system and evaluated its usability. In this paper we describe the system architecture and the features we deployed for this system based on expert advice and reviews. Through piloting this system with one child diagnosed with ASD, we learned that our system was used in ways we did and did not anticipate. For example, the paced-breathing personalization procedure did not meet the attention span of the pilot participant but two instead of one pacer devices encouraged caregiver’s involvement. This paper details our learnings and concludes with a list of system design guidelines at the system architecture level. To the best of our knowledge, this is the first fully functional vibrotactile system designed for ASD children that withstood usability testing in vitro for two weeks.

Bibliography cited by this reference

Cited references are imported from external metadata sources when they are available. The list may be partial.

Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 23 Oct 2026 01:01.

Cited references
63
With a DOI
40
Without a DOI, from raw bibliography text
23
1 / 63 (1.6%) cited references include at least one author identified as autistic.
References with data to complete
15 / 63 (23.8%)
References with detected author names
48 / 63 (76.2%)
Without detected author names
15
Without a structured title
15
Without a stable identifier
23
References with raw author names still to review
13
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
195
From DOI or external metadata
195
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
13
38 / 195 (19.5%) names are linked to an author already present in AutiHub. 157 / 195 (80.5%) names are not yet linked.
Names linked to a person identified as autistic
1 / 195 (0.5%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 1 / 38 (2.6%). Distinct people identified as autistic: 1 / 159 (0.6%).
  1. Kamran Khowaja , Siti Salwah Salim (2015). Heuristics to Evaluate Interactive Systems for Children with Autism Spectrum Disorder (ASD) . PLOS ONE, 10(7), e0132187. Public Library of Science (PLoS).
    Crossref OpenAlex OpenCitations
  2. (n.d.). [n.d.]. autism-products.com. https://www.autism-products.com/product-category/compression-vests/ . [n.d.]. autism-products.com. https://www.autism-products.com/product-category/compression-vests/ .
    Type: Other
    Crossref
  3. Cati Vaucelle , Leonardo Bonanni , Hiroshi Ishii (2009). Design of haptic interfaces for therapy . Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 467-470. ACM.
    Crossref OpenAlex OpenCitations
  4. Andrea C. Samson , Jennifer M. Phillips , Karen J. Parker , Shweta Shah , James J. Gross , Antonio Hardan (2014). Emotion Dysregulation and the Core Features of Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 44(7), 1766-1772. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  5. (n.d.). [n.d.]. EAIINFO C-2 tactor. https://www.eaiinfo.com/tactor-info/ . Accessed 6/7/2019. [n.d.]. EAIINFO C-2 tactor. https://www.eaiinfo.com/tactor-info/ . Accessed 6/7/2019.
    Type: Other
    Crossref
  6. Lawrence Fung , Rajneesh Mahajan , Alixandra Nozzolillo , Pilar Bernal , Aaron Krasner , Booil Jo et al. (2016). Pharmacologic Treatment of Severe Irritability and Problem Behaviors in Autism: A Systematic Review and Meta-analysis . Pediatrics, 137(Supplement_2), S124-S135. American Academy of Pediatrics (AAP).
    Crossref OpenAlex OpenCitations
  7. Fei Tang , Ryan P. McMahan , Tandra T. Allen (2014). Development of a low-cost tactile sleeve for autism intervention . 2014 IEEE International Symposium on Haptic, Audio and Visual Environments and Games (HAVE) Proceedings, 35-40. IEEE.
    Crossref OpenAlex OpenCitations
  8. (n.d.). [n.d.]. LUMO Lift. http://tactilelabs.com/products/haptics/mmxc/ . Accessed 6/7/2019. [n.d.]. LUMO Lift. http://tactilelabs.com/products/haptics/mmxc/ . Accessed 6/7/2019.
    Type: Other
    Crossref
  9. LouAnne Boyd , Alejandro Rangel , Helen Tomimbang , Andrea Conejo-Toledo , Kanika Patel , Monica Tentori et al. (2016). SayWAT . Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems, 4872-4883. ACM.
    Crossref OpenAlex OpenCitations
  10. Jennifer A MacMullin , Yona Lunsky , Jonathan Weiss (2016). Plugged in: Electronics use in youth and young adults with autism spectrum disorder . Autism, 20(1), 45-54. SAGE Publications.
    Crossref OpenAlex OpenCitations
  11. Deysi Helen Ortega , Franceli Linney Cibrian , Mónica Tentori (2015). BendableSound . Proceedings of the 17th International ACM SIGACCESS Conference on Computers & Accessibility - ASSETS '15, 315-316. ACM Press.
    Crossref OpenAlex OpenCitations
  12. Heather A. Taylor , Dori Sullivan , Cydney Mullen , Constance M. Johnson (2011). Implementation of a user-centered framework in the development of a web-based health information database and call center . Journal of Biomedical Informatics, 44(5), 897-908. Elsevier BV.
    Crossref OpenAlex OpenCitations
  13. (n.d.). [n.d.]. Solidworks. https://www.solidworks.com/ . [n.d.]. Solidworks. https://www.solidworks.com/ .
    Type: Other
    Crossref
  14. Cara Wilson , Margot Brereton , Bernd Ploderer , Laurianne Sitbon (2019). Co-Design Beyond Words . Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems, 1-15. ACM.
    Crossref OpenAlex OpenCitations
  15. Andrea C. Samson , Whitney M. Wells , Jennifer M. Phillips , Antonio Hardan , James J. Gross (2015). Emotion regulation in autism spectrum disorder: evidence from parent interviews and children's daily diaries . Journal of Child Psychology and Psychiatry, 56(8), 903-913. Wiley.
    Crossref OpenAlex OpenCitations
  16. (n.d.). [n.d.]. Touchpoint. https://thetouchpointsolution.com . Accessed 8/31/2019. [n.d.]. Touchpoint. https://thetouchpointsolution.com . Accessed 8/31/2019.
    Type: Other
    Crossref
  17. Franceli L. Cibrian , Oscar Peña , Deysi Ortega , Monica Tentori (2017). BendableSound: An elastic multisensory surface using touch-based interactions to assist children with severe autism during music therapy . International Journal of Human-Computer Studies, 107, 22-37. Elsevier BV.
    Crossref OpenAlex OpenCitations
  18. Will Simm , Maria Angela Ferrario , Adrian Gradinar , Jon Whittle (2014). Prototyping 'clasp' . Proceedings of the 2014 conference on Designing interactive systems, 345-354. ACM.
    Crossref OpenAlex OpenCitations
  19. (n.d.). [n.d.]. Un-tethered wireless audio system. https://patents.google.com/patent/US8768252B2/en . [n.d.]. Un-tethered wireless audio system. https://patents.google.com/patent/US8768252B2/en .
    Type: Other
    Crossref
  20. Lizbeth Escobedo , David H. Nguyen , LouAnne Boyd , Sen Hirano , Alejandro Rangel , Daniel Garcia-Rosas et al. (2012). MOSOCO . Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, 2589-2598. ACM.
    Crossref OpenAlex OpenCitations
  21. Wei Chen , Sidarto Bambang Oetomo , Daniel Tetteroo , Frank Versteegh , Thelxi Mamagkaki , Mariana Serras Pereira et al. (2015). Mimo Pillow—An Intelligent Cushion Designed With Maternal Heart Beat Vibrations for Comforting Newborn Infants . IEEE Journal of Biomedical and Health Informatics, 19(3), 979-985. Institute of Electrical and Electronics Engineers (IEEE).
    Crossref OpenAlex
  22. (n.d.). 2018. Lief Patch. https://www.youtube.com/watch?v=aclzen-GGTE . Accessed 8/31/2019. 2018. Lief Patch. https://www.youtube.com/watch?v=aclzen-GGTE . Accessed 8/31/2019.
    Type: Other
    Crossref
  23. Jakob Nielsen (1994). Usability inspection methods . Conference companion on Human factors in computing systems - CHI '94, 413-414. ACM Press.
    Crossref OpenAlex OpenCitations
  24. Peter Francis , Sandrine Balbo , Lucy Firth (2009). Towards co-design with users who have autism spectrum disorders . Universal Access in the Information Society, 8(3), 123-135. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  25. (n.d.). 2018. Lief Therapeutics. https://getlief.com . Accessed 8/31/2019. 2018. Lief Therapeutics. https://getlief.com . Accessed 8/31/2019.
    Type: Other
    Crossref
  26. James J. Gross , Helen Uusberg , Andero Uusberg (2019). Mental illness and well‐being: an affect regulation perspective . World Psychiatry, 18(2), 130-139. Wiley.
    Crossref OpenAlex OpenCitations
  27. Sara Bernardini , Kaśka Porayska-Pomsta , Tim J. Smith (2014). ECHOES: An intelligent serious game for fostering social communication in children with autism . Information Sciences, 264, 41-60. Elsevier BV.
    Crossref OpenAlex OpenCitations
  28. (n.d.). 2018. Spire Stone. https://spire.io/pages/stone . Accessed 8/31/2019. 2018. Spire Stone. https://spire.io/pages/stone . Accessed 8/31/2019.
    Type: Other
    Crossref
  29. Catalin Voss , Jessey Schwartz , Jena Daniels , Aaron Kline , Nick Haber , Peter Washington et al. (2019). Effect of Wearable Digital Intervention for Improving Socialization in Children With Autism Spectrum Disorder . JAMA Pediatrics, 173(5), 446. American Medical Association (AMA).
    Crossref OpenAlex OpenCitations
  30. Jiajie Zhang , Todd R Johnson , Vimla L Patel , Danielle L Paige , Tate Kubose (2003). Using usability heuristics to evaluate patient safety of medical devices . Journal of Biomedical Informatics, 36(1-2), 23-30. Elsevier BV.
    Crossref OpenAlex OpenCitations
  31. (n.d.). 2018. Vitali Sports Bra. https://vitaliwear.com . Accessed 8/31/2019. 2018. Vitali Sports Bra. https://vitaliwear.com . Accessed 8/31/2019.
    Type: Other
    Crossref
  32. Jean Costa , Alexander T. Adams , Malte F. Jung , François Guimbretière , Tanzeem Choudhury (2016). EmotionCheck . Proceedings of the 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing, 758-769. ACM.
    Crossref OpenAlex OpenCitations
  33. James J. Gross (2002). Emotion regulation: Affective, cognitive, and social consequences . Psychophysiology, 39(3), 281-291. Wiley.
    Crossref OpenAlex OpenCitations
  34. (n.d.). 2021. Pandemic Has Greatly Diminished Services for Kids Adults With Autism. https://www.usnews.com/news/health-news/articles/2021-05-03/pandemic-has-greatly-diminished-services-for-kids-adults-with-autism . 2021. Pandemic Has Greatly Diminished Services for Kids Adults With Autism. https://www.usnews.com/news/health-news/articles/2021-05-03/pandemic-has-greatly-diminished-services-for-kids-adults-with-autism .
    Type: Other
    Crossref
  35. Will Simm , Maria Angela Ferrario , Adrian Gradinar , Marcia Tavares Smith , Stephen Forshaw , Ian Smith et al. (2016). Anxiety and Autism . Proceedings of the 2016 CHI Conference on Human Factors in Computing Systems, 1270-1281. ACM.
    Crossref OpenAlex OpenCitations
  36. Ruben T. Azevedo , Nell Bennett , Andreas Bilicki , Jack Hooper , Fotini Markopoulou , Manos Tsakiris (2017). The calming effect of a new wearable device during the anticipation of public speech . Scientific Reports, 7(1), 2285-2285. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  37. Julie Kientz , Gillian Hayes , Tracy Westeyn , Thad Starner , Gregory Abowd (2007). Pervasive Computing and Autism: Assisting Caregivers of Children with Special Needs . IEEE Pervasive Computing, 6(1), 28-35. Institute of Electrical and Electronics Engineers (IEEE).
    Crossref OpenAlex OpenCitations
  38. Gwénaël Changeon , Delphine Graeff , Margarita Anastassova , José Lozada (2012). Tactile Emotions: A Vibrotactile Tactile Gamepad for Transmitting Emotional Messages to Children with Autism . In Lecture Notes in Computer Science (pp. 79-90). Springer Berlin Heidelberg.
    Crossref OpenAlex OpenCitations
  39. (n.d.). breathe App. [n.d.].. https://support.apple.com/en-us/HT206999 . Accessed 6/7/2019. breathe App. [n.d.].. https://support.apple.com/en-us/HT206999 . Accessed 6/7/2019.
    Type: Other
    Crossref
  40. Kyung Yun Choi , Hiroshi Ishii (2020). ambienBeat . Proceedings of the Fourteenth International Conference on Tangible, Embedded, and Embodied Interaction, 17-30. ACM.
    Crossref OpenAlex OpenCitations
  41. Stephen Edelson , Meredyth Goldberg Edelson , David C. R. Kerr , Temple Grandin *Autistic author. Learn more… (1999). Behavioral and Physiological Effects of Deep Pressure on Children With Autism: A Pilot Study Evaluating the Efficacy of Grandin’s Hug Machine . American Journal of Occupational Therapy, 53(2), 145-152. SAGE Publications.
    Crossref OpenAlex OpenCitations
  42. Brown Hannah (2021). Design and Preliminary Evaluation of the AID Vest: An Automatic Inflatable Wearable Device for Anxiety Reduction. In 2021 IEEE World Haptics Conference (WHC). IEEE, 745–750 . Design and Preliminary Evaluation of the AID Vest: An Automatic Inflatable Wearable Device for Anxiety Reduction. In 2021 IEEE World Haptics Conference (WHC). IEEE, 745–750.
    Type: Other
    Crossref
  43. Andrea C. Samson , Antonio Hardan , Rebecca W. Podell , Jennifer M. Phillips , James J. Gross (2015). Emotion Regulation in Children and Adolescents With Autism Spectrum Disorder . Autism Research, 8(1), 9-18. Wiley.
    Type: Article DOI: 10.1002/aur.1387 OpenAlex: https://openalex.org/W2164761125
    Crossref OpenAlex OpenCitations
  44. Bureš Tomáš (2008). ProCom–the Progress Component Model Reference Manual . ProCom–the Progress Component Model Reference Manual.
    Type: Other
    Crossref
  45. Sheldon Cohen , Tom Kamarck , Robin Mermelstein (2014). Perceived Stress Scale . PsycTESTS Dataset. American Psychological Association (APA).
    Crossref OpenAlex OpenCitations
  46. Antonio Hardan , Lawrence Fung , Bryan King (2016). Anxiety in Individuals With Autism Spectrum Disorder: Clinical Assessment, Biology, and Treatments . Journal of the American Academy of Child & Adolescent Psychiatry, 55(10), S324. Elsevier BV.
    Crossref OpenAlex OpenCitations
  47. Jean Costa , François Guimbretière , Malte F. Jung , Tanzeem Choudhury (2019). BoostMeUp . Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies, 3(2), 1-23. Association for Computing Machinery (ACM).
    Type: Article DOI: 10.1145/3328911 OpenAlex: https://openalex.org/W2954209178
    Crossref OpenAlex OpenCitations
  48. Asma Ghandeharioun , Rosalind Picard (2017). BrightBeat . Proceedings of the 2017 CHI Conference Extended Abstracts on Human Factors in Computing Systems, 1624-1631. ACM.
    Crossref OpenAlex OpenCitations
  49. Doherty Gavin (2010). Design and evaluation guidelines for mental health technologies. Interacting with computers 22, 4 . Design and evaluation guidelines for mental health technologies. Interacting with computers 22, 4.
    Type: Other
    Crossref
  50. Druin Allison (2002). The role of children in the design of new technology. Behaviour and information technology 21, 1 . The role of children in the design of new technology. Behaviour and information technology 21, 1.
    Type: Other
    Crossref
  51. Pablo E. Paredes , Yijun Zhou , Nur Al-Huda Hamdan , Stephanie Balters , Elizabeth Murnane , Wendy Ju et al. (2018). Just Breathe . Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies, 2(1), 1-23. Association for Computing Machinery (ACM).
    Type: Article DOI: 10.1145/3191760 OpenAlex: https://openalex.org/W2794827469
    Crossref OpenAlex OpenCitations
  52. Pardis Miri , Emily Jusuf , Andero Uusberg , Horia Margarit , Robert Flory , Katherine Isbister et al. (2020). Evaluating a Personalizable, Inconspicuous Vibrotactile(PIV) Breathing Pacer for In-the-Moment Affect Regulation . Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems, 1-12. ACM.
    Crossref OpenAlex OpenCitations
  53. Huan Zhao , Zhaobo Zheng , Amy Swanson , Amy Weitlauf , Zachary Warren , Nilanjan Sarkar (2018). Design of a Haptic-Gripper Virtual Reality System (Hg) for Analyzing Fine Motor Behaviors in Children with Autism . ACM Transactions on Accessible Computing, 11(4), 1-21. Association for Computing Machinery (ACM).
    Type: Article DOI: 10.1145/3231938 OpenAlex: https://openalex.org/W2901850177
    Crossref OpenAlex OpenCitations
  54. Ling Zhang , Qiang Fu , Amy Swanson , Amy Weitlauf , Zachary Warren , Nilanjan Sarkar (2018). Design and Evaluation of a Collaborative Virtual Environment (CoMove) for Autism Spectrum Disorder Intervention . ACM Transactions on Accessible Computing, 11(2), 1-22. Association for Computing Machinery (ACM).
    Type: Article DOI: 10.1145/3209687 OpenAlex: https://openalex.org/W2808142977
    Crossref OpenAlex OpenCitations
  55. Fung K (2014). Autism in DSM-5 under the microscope: implications to patients, families, clinicians, and researchers. Asian journal of psychiatry 11 . Autism in DSM-5 under the microscope: implications to patients, families, clinicians, and researchers. Asian journal of psychiatry 11.
    Type: Other
    Crossref
  56. Gross J (1998). The emerging field of emotion regulation: an integrative review.Review of general psychology 2, 3 . The emerging field of emotion regulation: an integrative review.Review of general psychology 2, 3.
    Type: Other
    Crossref
  57. Jelena Obradović , Michael J. Sulik , Emma Armstrong‐Carter (2021). Taking a few deep breaths significantly reduces children's physiological arousal in everyday settings: Results of a preregistered video intervention . Developmental Psychobiology, 63(8), e22214-e22214. Wiley.
    Crossref OpenAlex OpenCitations
  58. Katta Spiel , Christopher Frauenberger , Os Keyes , Geraldine Fitzpatrick (2019). Agency of Autistic Children in Technology Research—A Critical Literature Review . ACM Transactions on Computer-Human Interaction, 26(6), 1-40. Association for Computing Machinery (ACM).
    Type: Article DOI: 10.1145/3344919 OpenAlex: https://openalex.org/W2988620880
    Crossref OpenAlex OpenCitations
  59. Pardis Miri (2019). PIV: Placement, pattern, and personalization of an inconspicuous vibrotactile breathing pacer. PIV: Placement, pattern, and personalization of an inconspicuous vibrotactile breathing pacer..
    Type: Other
    Crossref
  60. Nielsen Jakob (2014). 10 usability heuristics for user interface design . 10 usability heuristics for user interface design.
    Type: Other
    Crossref
  61. Andrea Tartaro and Justine Cassell. 2007. Using virtual peer technology as an intervention for children with autism. Towards universal usability: designing computer interfaces for diverse user populations 231(2007) 62. Andrea Tartaro and Justine Cassell. 2007. Using virtual peer technology as an intervention for children with autism. Towards universal usability: designing computer interfaces for diverse user populations 231(2007) 62.
    Type: Other
    Crossref