Evaluating Therapist-in-the-Loop NLP in Comprehension Rehabilitation for Children with SEND

Martina Galletti, Caterina Marchesi, Eleonora Pasqua


Abstract
Personalized rehabilitation can improve educational and clinical outcomes for children with special educational needs and disabilities (SEND), but creating individualized reading exercises, comprehension questions, lexical supports, and progress reports remains time-consuming for clinicians. We present ARTIS, a therapist-in-the-loop and natural-language-processing (NLP)-assisted platform that supports reading-comprehension rehabilitation while preserving expert oversight, and evaluate its deployment in a real clinical setting. We report a ten-session intervention involving ten children aged 9–11 years at a speech and language rehabilitation centre. Across the intervention, platform comprehension accuracy remained relatively stable, while pre/post analyses showed stronger gains in vocabulary knowledge and lexical competence than in standardized reading-comprehension scores. Changes in platform accuracy were positively associated with changes in standardized comprehension outcomes, although these exploratory results should be interpreted cautiously. Overall, the study demonstrates the feasibility of integrating therapist-supervised NLP into a real rehabilitation workflow and highlights its potential to facilitate personalized material preparation while maintaining clinician oversight.
Anthology ID:
2026.nlp4pi-1.16
Volume:
Proceedings of the Fifth Workshop on NLP for Positive Impact (NLP4PI)
Month:
October
Year:
2026
Address:
Budapest, Hungary
Editors:
Katherine Atwell, Angana Borah, Daryna Dementieva, Elisa Kreiss, Neema Kotonya, Jiarui Liu, Liz Olson, Ruyuan Wan, Jieyu Zhao
Venues:
NLP4PI | WS
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Publisher:
Association for Computational Linguistics
Note:
Pages:
175–187
Language:
URL:
https://aclanthology.org/2026.nlp4pi-1.16/
DOI:
Bibkey:
Cite (ACL):
Martina Galletti, Caterina Marchesi, and Eleonora Pasqua. 2026. Evaluating Therapist-in-the-Loop NLP in Comprehension Rehabilitation for Children with SEND. In Proceedings of the Fifth Workshop on NLP for Positive Impact (NLP4PI), pages 175–187, Budapest, Hungary. Association for Computational Linguistics.
Cite (Informal):
Evaluating Therapist-in-the-Loop NLP in Comprehension Rehabilitation for Children with SEND (Galletti et al., NLP4PI 2026)
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https://aclanthology.org/2026.nlp4pi-1.16.pdf