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    Machine Learning and Virtual Reality on Body MovementsÂż Behaviors to Classify Children with Autism Spectrum Disorder

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    [EN] Autism spectrum disorder (ASD) is mostly diagnosed according to behavioral symptoms in sensory, social, and motor domains. Improper motor functioning, during diagnosis, involves the qualitative evaluation of stereotyped and repetitive behaviors, while quantitative methods that classify body movements' frequencies of children with ASD are less addressed. Recent advances in neuroscience, technology, and data analysis techniques are improving the quantitative and ecological validity methods to measure specific functioning in ASD children. On one side, cutting-edge technologies, such as cameras, sensors, and virtual reality can accurately detect and classify behavioral biomarkers, as body movements in real-life simulations. On the other, machine-learning techniques are showing the potential for identifying and classifying patients' subgroups. Starting from these premises, three real-simulated imitation tasks have been implemented in a virtual reality system whose aim is to investigate if machine-learning methods on movement features and frequency could be useful in discriminating ASD children from children with typical neurodevelopment. In this experiment, 24 children with ASD and 25 children with typical neurodevelopment participated in a multimodal virtual reality experience, and changes in their body movements were tracked by a depth sensor camera during the presentation of visual, auditive, and olfactive stimuli. The main results showed that ASD children presented larger body movements than TD children, and that head, trunk, and feet represent the maximum classification with an accuracy of 82.98%. Regarding stimuli, visual condition showed the highest accuracy (89.36%), followed by the visual-auditive stimuli (74.47%), and visual-auditive-olfactory stimuli (70.21%). Finally, the head showed the most consistent performance along with the stimuli, from 80.85% in visual to 89.36% in visual-auditive-olfactory condition. The findings showed the feasibility of applying machine learning and virtual reality to identify body movements' biomarkers that could contribute to improving ASD diagnosis.This work was supported by the Spanish Ministry of Economy, Industry, and Competitiveness funded project "Immersive virtual environment for the evaluation and training of children with autism spectrum disorder: T Room" (IDI-20170912) and by the Generalitat Valenciana funded project REBRAND (PROMETEO/2019/105). Furthermore, this work was co-founded by the European Union through the Operational Program of the European Regional development Fund (ERDF) of the Valencian Community 2014-2020 (IDIFEDER/2018/029).Alcañiz Raya, ML.; Marín-Morales, J.; Minissi, ME.; Teruel Garcia, G.; Abad, L.; Chicchi-Giglioli, IA. (2020). 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    Students with Autism and Aggressive Behavior: A Review of Evidence-Based Interventions

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    Aggression can be present in students diagnosed with autism spectrum disorder (ASD), and may need to be considered within academic environments. Interventions that are evidence-based have been identified to assist educators with issues with aggression in students with ASD. This review of evidence-based interventions highlights the effectiveness and social validity within educational settings that may be useful to instructors and other educational staff. Teachers need to be equipped with interventions that are considered to be effective and easy to implement within the school system. The literature available about the evidence based interventions for students with ASD are limited when the environmental setting is specified, so this review expanded to clinical and community settings. The current review provides an examination of interventions that can applied within the school setting and may be considered a resource for educators, as it emphasizes details that are vital to implementation in public school settings that may not have access to behavioral analysts and instructional assistants with specialized training

    Multimodal Data Analysis of Dyadic Interactions for an Automated Feedback System Supporting Parent Implementation of Pivotal Response Treatment

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    abstract: Parents fulfill a pivotal role in early childhood development of social and communication skills. In children with autism, the development of these skills can be delayed. Applied behavioral analysis (ABA) techniques have been created to aid in skill acquisition. Among these, pivotal response treatment (PRT) has been empirically shown to foster improvements. Research into PRT implementation has also shown that parents can be trained to be effective interventionists for their children. The current difficulty in PRT training is how to disseminate training to parents who need it, and how to support and motivate practitioners after training. Evaluation of the parents’ fidelity to implementation is often undertaken using video probes that depict the dyadic interaction occurring between the parent and the child during PRT sessions. These videos are time consuming for clinicians to process, and often result in only minimal feedback for the parents. Current trends in technology could be utilized to alleviate the manual cost of extracting data from the videos, affording greater opportunities for providing clinician created feedback as well as automated assessments. The naturalistic context of the video probes along with the dependence on ubiquitous recording devices creates a difficult scenario for classification tasks. The domain of the PRT video probes can be expected to have high levels of both aleatory and epistemic uncertainty. Addressing these challenges requires examination of the multimodal data along with implementation and evaluation of classification algorithms. This is explored through the use of a new dataset of PRT videos. The relationship between the parent and the clinician is important. The clinician can provide support and help build self-efficacy in addition to providing knowledge and modeling of treatment procedures. Facilitating this relationship along with automated feedback not only provides the opportunity to present expert feedback to the parent, but also allows the clinician to aid in personalizing the classification models. By utilizing a human-in-the-loop framework, clinicians can aid in addressing the uncertainty in the classification models by providing additional labeled samples. This will allow the system to improve classification and provides a person-centered approach to extracting multimodal data from PRT video probes.Dissertation/ThesisDoctoral Dissertation Computer Science 201

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    The pivotal role of joint attention as a preverbal indicator of childhood autism and as a precursor for later language, play, and social development has been noted by many researchers. Despite the wide and varied literature highlighting the importance of joint attention deficits in young autistic children and calling for intervention approaches, only a small number of intervention studies exist. Few of these studies specifically target joint attention skills. Moreover, the small numbers of studies which directly teach joint attention do not provide sufficient detail to enable replication of the research. Clear objectives and rationales for the treatment are missing and often language is not considered as an outcome variable.The proposed research is an attempt to address this problem, and hence explored the impact of systematically promoting joint attention abilities in verbal autistic preschool children to improve later speech and language trajectories. The intervention sessions were explained by providing information on the general approach during intervention and specific sample tasks. Objectives of the intervention followed developmental trajectories of typically developing children and were clarified by providing rationales. A single subject multiple-baseline design across participants was implemented to evaluate intervention effects on four autistic children. It involved measurements taken from videos of each session of the intervention (coding of joint attention) and outcome variables (coding of language). In addition, there were quantitative measures completed with each child at pre-intervention, post-intervention and follow up stages. These involved an Autism Rating Scale and a battery of language measures. The proposed research had the potential to provide a framework for future research relating to specific intervention programs designed to develop joint attention and language skills in autistic children

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    A QUALITATIVE STUDY OF THE PERCEIVED HEALTH BENEFITS OF A THERAPEUTIC RIDING PROGRAM FOR CHILDREN WITH AUTISM SPECTRUM DISORDERS

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    Therapeutic horseback riding can be recommended as a useful health promotion intervention for individuals with disabilities who face challenges to optimal health and wellness. This qualitative study examined the perceived benefits of a therapeutic riding program for children with autism spectrum disorders (ASD), with particular focus on aspects that can potentially help maximize the physical, emotional, and social health of this population. This study utilized multiple methods to gain an in-depth perspective on the benefits of a therapeutic riding program based at Central Kentucky Riding for Hope in Lexington, Kentucky, for subjects presenting primarily with ASD. Focus groups were held with five instructors and five class volunteers, and semi-structured personal interviews were conducted with two staff members and the parents and family members of 15 children diagnosed with ASD who were currently enrolled a riding session. Client records containing medical history, lesson plans and client evaluations were also reviewed. Thematic analysis of the data supported perceived gains in the areas of physical, cognitive, psychological, and social development and also highlighted additional support mechanisms for family members of the clients. Some of the most common benefits reported included increased physicality, improved focus and attention, modification of inappropriate behaviors, enhanced self-concept, and increased social interaction and communication. Major factors believed to affect the success of this intervention were the unique movement and sensory stimulation of the horse, the supportive environment of the facility, and the increased motivation for the children to participate and complete the structured activities and exercises required in the riding class setting. Results of this study encourage the utilization of therapeutic riding as an effective health promotion intervention for individuals with ASD. Recommendations for future research efforts include analysis of the effects of deep sensory pressure and the movement provided by the horse on the emotional regulation and cognitive processing of children with ASD. Study designs isolating the variable of the horse’s presence could further clarify the nature of the animal’s role in similar interventions. Quantitative studies with larger samples measuring specific cognitive, psychological, and social variables not previously studied but revealed in this data are also encouraged
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