Assisted Robots in Therapies for Children with Autism in Early Childhood
Abstract
:1. Introduction
2. Materials and Methods
3. Results
Authors | Type of Study | Sample (Total of Males) and Age | Intervention | Scale and Evaluation Methodology | Result |
---|---|---|---|---|---|
Pop et al. [37] | Case study | N = 20 Ages = 4 to 9 years | Robot Probo. CG (n = 7); G1 computer-presented social stories (n = 6); G2 robot-assisted therapy (n = 7). It was used as a story-telling agent. | Asking questions, eye gaze, asking for help, and greeting | The use of the social robot to implement a social story intervention was more effective in improving the independence to express social skills in participants than the computer screen. |
Wainer et al. [52] | Case study | N = 6 (1 female) Ages = 8.5 ± 0.55 years | Robot KASPAR. Imitative and collaborative games with autistic children accompanied by a partner with and without the presence of the robot. ABAB, ‘A’–interacting with a human. adult, and ‘B’ interacting with the robot KASPAR. 20 sessions. | Promoting to choose, urging to comply, other forms of talking, successful shape selection, pose, gaze, and gaze shift, positive affect | The data did not show that KASPAR increased the persistence of a positive affect in other children, but showed that the duration of positive affect when looking at other children was longer. |
Dehkordi et al. [40] | Case study | ADS: N = 35 Ages = 4.7 ± 2.56 years Normal: N = 16, Ages = 4.5 ± 2.2 years | Parrot robot. The robot was used to talk, sing, move, and react to interactions to capture the children’s attention. The experiment was carried out in two modes: (a) individual interaction mode (this therapy had a duration of 8 to 12 min) and (b) group interaction mode (in group of six children with 20 to 30 min of therapy). | The evaluation was carried out with videos that were observed by an expert. Different parameters were evaluated: eye contact or if the duration was less than 3 s, smile, physical proximity to the robot, gaze or pointing, attention, etc. | The robot could encourage children to interact according to their preferences that match the three functionalities of the robot (verbal, functional, and perceptual). |
Boccanfuso et al. [38] | Pilot study | EG: N = 8 Ages = 3 to 6 years CG: N = 3 aged = 3 to 6 years | Robot Charlie. The robot interacted with the children through various interactive games and activities. The interaction involved the robot responding to the children’s actions, providing positive sensory feedback, and promoting engagement and trust through fun and social exchanges. The intervention divided into three parts: one hour of speech therapy per week for 6 weeks (MLSUD provides a total meaningful spoken language score during the evaluation period of 1.0–1.5 h), two 30-min sessions per week for a total of 6 weeks, or 12 total intervention sessions with the robot. | (1) VABS-II Communication Domain, (2) VABS-II socialisation domain, (3) VABS-II Receptive and Expressive Communication v-scale scores, (4) MLSUD, (5) UIA social imitation, (6) UIA requesting (7) UIA joint attention, (8) MIS and (9) EVT2 | The results within the group showed an increase in social interaction skills, as reported by caregivers on the Vineland II Parent/Caregiver Rating Form. Increases between groups in the Receptive Language and Play and Leisure scales. |
David et al. [53] | Case study | N = 5 (1 female) Ages = 4.68 ± 0.81 years | Robot NAO. The interaction involves giving the child an instruction to pay attention to what the robot is looking at, waiting for the child’s response, and providing feedback based on the child’s answer. 1. Baseline measurements (BM) for six to eight measurements, until a stable baseline level has been established. 2. Robot-enhanced treatment (RET) for 8 sessions. 3. Standard human treatment (SHT) for 8 sessions. 4. RET or SHT, depending on which of the treatments worked best for each child, for 4 sessions. Each session lasted 10 min each day. | Head orientation, pointing, relevant verbalisation (vocal instructions that are in the context of the experiments/tasks being implemented) and delays in performing such behaviours. | Children kept their interest throughout the sessions, showing great adherence to the treatment and improving their joint attention skills. |
So et al. [54] | Case study | N = 45 ADS n = 15 (6 females) Ages= 5.83 ± 0.83 years CG: ADS n = 15 (6 females): Ages = 5.67 ± 0.35 years TD: n = 15 (6 females) Ages = 5.33 ± 0.67 years | Robot NAO. EG: received four 30-min robot-based gestural training sessions. The social robot narrated five stories and gestured. Children with ASD were told to mimic gestures during training. CG and TD: children of the same age received gestural training after the completion of the research. | The patients were diagnosed with ADOS test. PEP3, SCQ, BOT, ANT, and gestural recognition task | Children with ASD in the intervention condition were more likely to produce accurate or appropriate intransitive gestures in training and novel stories than those in the wait list control. Positive learning outcomes were maintained in delayed post-tests. |
Zhang et al. [55] | Pilot study | ADS: N = 20 (2 females) Ages = 6.79 ± 0.93 years | Robot NAO. The therapy lasted 25 min. Each child participated in a series of tasks in the following order: warm-up session, distrust and deception tasks, and a short interview about their anthropomorphic thinking of the robot. | The different groups were studied with Welch’s t-test to compare the distrust and deception tasks, respectively. | This study shows how children with ASD learn to be distrustful. This learning is less than in children with TD. |
Zheng et al. [50] | RCT | N = 20 Ages = 1.64 to 3.14 years | Robot NAO. The child interacts through joint attention games, visual tracking of stimuli, and responses to social cues from the robot. Participants were divided into a waiting list control group (WLC; n = 11) and an immediate robotic intervention group (RI; n = 12). Each group received interventions between 3 and 9 weeks. Duration: 10 min. | After and before intervention measured: prompt level and target hit rate. | Patterns of significant improvement and worsening performance within the system strongly suggest that robotic intervention systems may not be an appropriate additional intervention tool for all young children on the autism spectrum. |
Davide et al. [56] | Case study | N = 24 (5 females) Ages = 5.79 ± 1.02 years | Robot Cozmo. The robot stands between two squares of different colours. The child responds verbally or manually. Depending on the response, the robot changes its expression. There were different phases: initiating, responding, and maintaining social interaction, joint attention, and behavioural request. Each training session: 12 turns of a robot game for ten minutes. | The ADOS test is used to measure social interaction, behaviour request, and joint attention. The ESCS evaluates the child’s ability to communicate efficiently, making requests, and responding to the activities proposed by the adult. The results are then statistically compared. | Iteration-based therapies obtained better results than individual therapies. |
3.1. Methodological Quality
Authors | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | Total Score |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Pop et al. [37] | X | X | X | X | X | X | 6 | |||||
Wainer et al. [52] | X | X | X | X | 4 | |||||||
Dehkordi et al. [40] | X | X | X | X | X | 5 | ||||||
Boccanfuso et al. [38] | X | X | X | X | X | X | 6 | |||||
David et al. [53] | X | X | X | X | X | X | 6 | |||||
So et al. [54] | X | X | X | X | X | X | 6 | |||||
Zhang et al. [55] | X | X | X | X | 4 | |||||||
Zheng et al. [50] | X | X | X | X | X | X | 6 | |||||
Davide et al. [56] | X | X | X | X | X | 5 |
3.2. Assistant Robots
3.2.1. Probo
3.2.2. KASPAR
3.2.3. NAO
3.2.4. RoboParrot
3.2.5. Charlie
3.2.6. Cozmo
3.3. Therapies and Activities
3.3.1. Social Stories
3.3.2. Imitation Gesture
3.3.3. Games Therapies
3.3.4. Joint Attention
3.3.5. Learning Distrust and Deception
4. Discussion
5. Conclusions and Future Work
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Inclusion | Exclusion |
---|---|
The sample contains young children (aged six years or less). | If the sample contains children older than 10 years, even if it contains young children, or does not contain children younger than 6 years. |
Technological tools are used (robots, computers, tablets, etc.) | The sample is not clearly specified: neither the mean age or deviation nor the number of children are shown. |
The type of therapy is specified (time and number of sessions, type, etc.) | The robot used is not specified. |
The study contained samples with five or more children. | If the purpose of the use of the robot is not to perform therapy. |
The methodological quality is lower than 4 points on the PEDRo scale. |
Probo | KASPAR | NAO | RoboParrot | Charlie | Cozmo | |
---|---|---|---|---|---|---|
Touch sensor | X | X | ||||
Image capture | X | X | X | X | X | |
Speaker | X | X | X | X | X | X |
Microphone | X | X | ||||
LEDs | X | X | ||||
Tablet or smart phone | X | X | ||||
Cable connection | X | X | X | X | ||
WiFi connection | X | X | X | X | ||
Joint movement | X | X | X | X | X | X |
Displacement | X | X | ||||
Degrees of freedom | 20 | 14 | 25 | - | - | - |
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Gómez-Espinosa, A.; Moreno, J.C.; Pérez-de la Cruz, S. Assisted Robots in Therapies for Children with Autism in Early Childhood. Sensors 2024, 24, 1503. https://doi.org/10.3390/s24051503
Gómez-Espinosa A, Moreno JC, Pérez-de la Cruz S. Assisted Robots in Therapies for Children with Autism in Early Childhood. Sensors. 2024; 24(5):1503. https://doi.org/10.3390/s24051503
Chicago/Turabian StyleGómez-Espinosa, Ana, José Carlos Moreno, and Sagrario Pérez-de la Cruz. 2024. "Assisted Robots in Therapies for Children with Autism in Early Childhood" Sensors 24, no. 5: 1503. https://doi.org/10.3390/s24051503