How to Implement Robots in Interventions for Children with Autism? A Co-creation Study Involving People with Autism, Parents and Professionals

The aim of this study was to gain insight into how robots can be practically implemented into current education and therapy interventions for children with autism spectrum disorder (ASD). This qualitative study included focus groups and co-creation sessions. 73 Participants (professionals and adults with ASD) took part in 13 focus groups to elicit requirements for robot assisted interventions. Additionally, 22 participants (professionals, parents of children with ASD and adults with ASD) generated ideas for interventions using robot KASPAR in three co-creation sessions. This study resulted in: an overview of requirements concerning the robot, end-user, environment and practical implementation; a template to systematically describe robot interventions in general and for KASPAR in particular; and finally new interventions

As aplicações de TLBL podem melhorar os aspectos do TEA relacionados a distúrbios no microbioma intestinal, atividade mitocondrial e função da rede neural

Autism Spectrum Disorder constitutes a complex, elaborate, and diverse condition at a developmental, biological, and neurophysiological level. It is recognized primarily by the behavioral manifestations of the individual in communication, social interaction, and by extension in his cognitive development and adaptation to society as a whole. A wide range of studies have linked the pathophysiology of autism to dysfunctional elements in the development and function of mitochondria, cells, neurons, and the gastrointestinal microbiome. Low Light Laser Therapy (LLLT) is an innovative, emerging, non-invasive treatment method. It utilizes low levels of red light/near-infrared light positively affecting biological and pathological processes of the body by enhancing cellular, mitochondrial stimulation, neurogenesis, synaptogenesis, and immune system development, regulating the gut microbiome's function. The retrospective literature review focuses on the possibility of effective use of the method in autism. According to the literature, LLLT does not have many applications in patients with ASD and is still in the early stages of its use in the disorder. However, the results of the studies highlight its therapeutic effect in several areas related to the disease, pointing out that it is a promising therapeutic approach for the evolution of autism in the future.El Trastorno del Espectro Autista constituye una condición compleja, elaborada y diversa a nivel del desarrollo, biológico y neurofisiológico. Se reconoce principalmente por las manifestaciones conductuales del individuo en la comunicación, la interacción social y por extensión en su desarrollo cognitivo y adaptación a la sociedad en su conjunto. Una amplia gama de estudios ha relacionado la fisiopatología del autismo con elementos disfuncionales en el desarrollo y función de las mitocondrias, las células, las neuronas y el microbioma gastrointestinal. La terapia con láser con poca luz (LLLT) es un método de tratamiento innovador, emergente y no invasivo. Utiliza niveles bajos de luz roja/luz infrarroja cercana que afectan positivamente los procesos biológicos y patológicos del cuerpo al mejorar la estimulación celular, mitocondrial, la neurogénesis, la sinaptogénesis y el desarrollo del sistema inmunológico, regulando la función del microbioma intestinal. La revisión retrospectiva de la literatura se centra en la posibilidad de un uso eficaz del método en el autismo. Según la literatura, la LLLT no tiene muchas aplicaciones en pacientes con TEA y aún se encuentra en las primeras etapas de su uso en el trastorno. Sin embargo, los resultados de los estudios destacan su efecto terapéutico en varias áreas relacionadas con la enfermedad, señalando que es un enfoque terapéutico prometedor para la evolución del autismo en el futuro.O Transtorno do Espectro Autista constitui uma condição complexa, elaborada e diversificada em nível de desenvolvimento, biológico e neurofisiológico. É reconhecida principalmente pelas manifestações comportamentais do indivíduo na comunicação, interação social e, por extensão, em seu desenvolvimento cognitivo e adaptação à sociedade como um todo. Uma ampla gama de estudos ligou a fisiopatologia do autismo a elementos disfuncionais no desenvolvimento e função das mitocôndrias, células, neurônios e do microbioma gastrointestinal. Terapia a laser de baixa luminosidade (TLBL) é um método de tratamento inovador, emergente e não invasivo. Ele utiliza baixos níveis de luz vermelha/luz quase infravermelha (NIR) afetando positivamente os processos biológicos e patológicos do corpo, melhorando a estimulação celular, mitocondrial, neurogênese, sinaptogênese e desenvolvimento do sistema imunológico, regulando a função do microbioma intestinal. A revisão retrospectiva da literatura enfoca a possibilidade de uso efetivo do método no autismo. De acordo com a literatura, a TLBL não tem muitas aplicações em pacientes com TEA e ainda está em estágios iniciais de seu uso no transtorno. No entanto, os resultados dos estudos destacam seu efeito terapêutico em diversas áreas relacionadas à doença, apontando que é uma abordagem terapêutica promissora para a evolução do autismo no futuro

Social Robots to enhance therapy and interaction for children: From the design to the implementation "in the wild"

En les últimes dues dècades els robots socials s'han convertit en un camp emergent en el qual encara hi ha molt per fer. Aquest camp requereix coneixements en mecànica, control, intel·ligència artificial, sistemes, etc., però també en psicologia, disseny, ètica, etc. El nostre grup de recerca de perfil interdisciplinari ha estat treballant en el disseny de robots socials en diferents aplicacions per a nens amb necessitats especials. L'objectiu d'aquesta tesi és investigar diferents escenaris en teràpia o educació on els robots socials podrien ser una eina útil per als nens. Es van realitzar 4 estudis amb diferents propòsits: (1) dissenyar activitats amb robòtica de LEGO per avaluar el comportament social dels nens amb trastorn de l'espectre autista (TEA) (entre companys i amb adults) i analitzar la seva efectivitat, (2) dissenyar un robot social per recuperar les funcionalitats més afectades a causa de traumatismes cranioencefàlics (TCE) en nens i veure l'eficàcia del tractament, (3) proporcionar un robot mascota per alleujar els sentiments d'ansietat, solitud i estrès en nens hospitalitzats, i (4) comprovar com un robot amb comportament social i amb una personalització versus robots sense aquestes característiques mostra diferències en termes d'interacció amb nens i, per tant, pot ajudar en l'efectivitat de diferents tractaments com hem esmentat anteriorment. Els resultats van revelar diferents resultats depenent de l'aplicació: (1) efectivitat amb la plataforma robòtica social que vam dissenyar en el tractament neuropsicològic per a aquells nens afectats per TCE, (2) eficàcia amb les activitats de robòtica de LEGO dissenyades per un grup de terapeutes en termes de millora d'habilitats socials (3) un efecte positiu entre els mediadors i facilitadors de la interacció i les relacions entre els diferents agents involucrats en el procés de la cura: pacients hospitalitzats, familiars, voluntaris i personal clínic, i (4) una interacció diferent, en termes de temps, entre els dos grups durant període de dues setmanes.En las últimas dos décadas los robots sociales se han convertido en un campo emergente en el que todavía hay mucho por hacer. Este campo requiere conocimientos en mecánica, control, inteligencia artificial, sistemas, etc., pero también en psicología, diseño, ética, etc. Nuestro grupo de investigación de perfil interdisciplinar ha estado trabajando en el diseño de robots sociales en diferentes aplicaciones para niños con necesidades especiales. El objetivo de esta tesis es investigar diferentes escenarios en terapia o educación donde los robots sociales podrían ser una herramienta útil para los niños. Se realizaron 4 estudios con diferentes propósitos: (1) diseñar actividades con robótica de LEGO para evaluar el comportamiento social de los niños con trastorno del espectro autista (TEA) (entre compañeros y con adultos) y analizar su efectividad, (2) diseñar un robot social para recuperar las funcionalidades más afectadas a causa de traumatismos craneoencefálicos (TCE) en niños y ver la eficacia del tratamiento, (3) proporcionar un robot mascota para aliviar los sentimientos de ansiedad, soledad y estrés en niños hospitalizados, y (4) comprobar como un robot con comportamiento social y con una personalización versus robots sin esas características muestra diferencias en términos de interacción con niños y, por tanto, puede ayudar en la efectividad de diferentes tratamientos como mencionamos anteriormente. Los resultados revelaron diferentes resultados dependiendo de la aplicación: (1) efectividad con la plataforma robótica social que diseñamos en el tratamiento neuropsicológico para aquellos niños afectadas por TCE, (2) eficacia con las actividades de robótica de LEGO diseñadas por un grupo de terapeutas en términos de mejora de habilidades sociales (3) un efecto positivo entre los mediadores y facilitadores de la interacción y las relaciones entre los diferentes agentes involucrados en el proceso del cuidado: pacientes hospitalizados, familiares, voluntarios y personal clínico, y (4) una interacción diferente, en términos de tiempo, entre ambos grupos en el promedio de un período de dos semanas.Over the past two decades social robots have become an emerging field where there are many things still to work on. This field not only requires knowledge in mechanics, control, artificial intelligence, systems, etc., but also in psychology, design, ethics, etc. Our multidisciplinary research group has been working on designing social robotic platforms in different applications for children with special needs. The aim of this thesis is to investigate different scenarios in therapy or education where social robots could be a useful tool for children. We ran 4 studies with different purposes: (1) to design activities with LEGO robotics to assess children with autism spectrum disorder (ASD) social behaviour (between peers and with adults) and to analyze the effectiveness, (2) to design a social robotic platform to recover the functionalities most affected by traumatic brain injuries (TBI) in children and see the effectiveness of the treatment, (3) to provide a pet robot to alleviate feelings of anxiety, loneliness and stress of long-term children inpatient and their bystanders, and (4) to verify how a robot with social behaviour and personalization verses those robots without, shows differences in terms of interaction with children and thus, helps the effectiveness of different treatments as we mention above. The results revealed different outcomes depending on the application: (1) effectiveness with the social robotic platform that we designed in neuropsychological treatment in those areas affected by TBI, (2) effectiveness with the LEGO robotics activities designed by a group of therapists in terms of improvement of the social skills and engagement, (3) a positive effect within mediators and facilitators of interaction and relationships between the different agents involved in the caring process: in-patients, relatives, volunteers and clinical staff (4) slight evidence towards a different interaction, in terms of time, between both groups in the average of a two-week period

Outlook Magazine, Winter 2016

https://digitalcommons.wustl.edu/outlook/1200/thumbnail.jp

Applied Behavior Analysis for the Treatment of Autism: A Systematic Review of Assistive Technologies

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that may lead to significant impairment in social communication, repetitive patterns of behavior, and possible fixed and restricted interests. Applied Behavior Analysis (ABA) is a well-supported and evidence-based treatment for the delays attributed to ASD. Assistive technologies, such as gamification, software apps, computer-based training (Web), and robotics; provide a standardized method of implementing ABA techniques. This review provides a synthesis of the main characteristics of these technologies. The assessed proposals focused on technologies such as Distributed Systems, Image Processing, Gamification, and Robotics. The primary objectives of these tools sought to improve social behavior, attention, communication, and reading skills. Some common limitations found in the literature was a failure to accurately define their target audience, and a failure to comply with the dimensions of ABA as defined by Baer, Wolf, and Risley in 1968

Occupational Therapy Interventions Using New Technologies in Children and Adolescents with Autism Spectrum Disorder: A Scoping Review

New technologies (NT) are increasingly used in Occupational Therapy (OT) interventions in people with Autism Spectrum Disorder (ASD). We conducted a scoping review to describe OT interventions investigated in scientific literature which use NT in children and adolescents with ASD. Two authors independently searched the scientific databases PubMed, EMBASE, Scopus and Web of Science, carried out a peer-review screening of articles and extracted data. Twenty studies met the inclusion criteria. OT interventions lasted between 1 week and 12 months, consisted of between 1 session per day and 5 sessions per week, were carried out exclusively by an occupational therapist, and the most used NT was the computer (n = 12). The duration of the interventions and assessment measures used varied greatly between studies

Influence of facial feedback and mind perception during a cooperative human-robot task in schizophrenia

This is the author accepted manuscript. The final version is available from Springer Nature via the DOI in this record.Rapid progress in the area of humanoid robots offers tremendous possibilities for investigating and improving social competences in people with social deficits, but remains yet unexplored in schizophrenia. In this study, we examined the influence of social feedbacks elicited by a humanoid robot on motor coordination during a human-robot interaction. Twenty-two schizophrenia patients and twenty-two matched healthy controls underwent a collaborative motor synchrony task with the iCub humanoid robot. Results revealed that positive social feedback had a facilitatory effect on motor coordination in the control participants compared to non-social positive feedback. This facilitatory effect was not present in schizophrenia patients, whose social-motor coordination was similarly impaired in social and non-social feedback conditions. Furthermore, patients’ cognitive flexibility impairment and antipsychotic dosing were negatively correlated with patients’ ability to synchronize hand movements with iCub. Overall, our findings reveal that patients have marked difficulties to exploit facial social cues elicited by a humanoid robot to modulate their motor coordination during human-robot interaction, partly accounted for by cognitive deficits and medication. This study opens new perspectives for comprehension of social deficits in this mental disorder.This experiment was supported by a grant from the European Union’s Seventh Framework Program (FP7 ICT 2011 Call 9) under grant agreement n FP7-ICT-600610 ALTEREGO

Autism Resources in Rural America

The topic of this final project centers around the lack of services that are available to autistic children and adults in rural America and the steps that should be taken the ensure services are available as the growing population of children grow older and need full-time care. Our modern society as well as the current healthcare system are not prepared for the growing need of an ageing disabled population. Will these disabled children and young adults flood the current long-term care facilities that are already established? Will the already stretched thin Medicare and Medicaid system cover the costs associated with the permanent placement of this growing population? This project will also fully explain and compare the seemingly endless options that are in more urban areas that may or may not have years long waiting lists. This project will also provide an overview of the definitions of autism and the challenges that can present itself with a diagnosis and the overwhelming need for early intervention which is becoming increasingly difficult to obtain with the growing numbers of diagnosis. The present number of children diagnosed in the year 2023 with the same age groups 30 years ago will be compared to highlight the growing number of children and adults being diagnosed with this life altering diagnosis. Many practitioners in a clinic setting are getting limited training on the treatment of autistic patients in their formal education and are ill-equipped to deal with challenging patients, this is even more so attributed to children and adults with an autism diagnosis. After this final project the reader should have a better understanding of the challenges facing the Healthcare system relating to autism