Sociopsychological and physiological effects of a robot-assisted therapy for children with autism

This article reports our findings from a robot-assisted therapeutic study conducted over 49 days to investigate the sociopsychological and physiological effects in children with autism spectrum disorder using a parrot-inspired robot, KiliRo, that we developed to help in therapeutic settings. We investigated the frequency of participants’ interactions among each other and assessed any changes in interaction using social network analysis. Interactions were assessed through manual observation before and after exposure to the robot. Urinary and salivary tests were performed to obtain protein and α-amylase levels, respectively, to report the physiological changes in participating children with autism spectrum disorder before and after interacting with the robot. This is a pioneering human–robot interaction study to investigate changes in stress levels using salivary samples. Systolic and diastolic blood pressure, heart rate, and arterial oxygen saturation level in blood were also monitored to investigate the physiological changes in participating children before, during, and after interacting with our parrot-inspired robot, KiliRo. The results show that the robot can help increase social interaction among children with autism spectrum disorder and assist in learning tasks. Furthermore, the clinical biochemistry test report using urinary and salivary samples indicates that the stress levels of children with autism reduced notably after interacting with the robot. Nevertheless, blood pressure, heart rate, and oxygen levels in blood did not show positive change in all participants.

[1]  N. Richeson,et al.  Effects of animal-assisted therapy on agitated behaviors and social interactions of older adults with dementia , 2003, American journal of Alzheimer's disease and other dementias.

[2]  Irene M. Pepperberg,et al.  Robust representation of shape in a Grey parrot (Psittacus erithacus) , 2016, Cognition.

[3]  Maja J. Mataric,et al.  Graded cueing feedback in robot-mediated imitation practice for children with autism spectrum disorders , 2014, The 23rd IEEE International Symposium on Robot and Human Interactive Communication.

[4]  A. Tapus,et al.  Children with Autism Social Engagement in Interaction with Nao, an Imitative Robot - A Series of Single Case Experiments , 2012 .

[5]  Rajesh Elara Mohan,et al.  Robot-Assisted Therapy for Learning and Social Interaction of Children with Autism Spectrum Disorder , 2017, Robotics.

[6]  William A Banks,et al.  The effects of animal-assisted therapy on loneliness in an elderly population in long-term care facilities. , 2002, The journals of gerontology. Series A, Biological sciences and medical sciences.

[7]  Kerstin Dautenhahn,et al.  Therapeutic and educational objectives in robot assisted play for children with autism , 2009, RO-MAN 2009 - The 18th IEEE International Symposium on Robot and Human Interactive Communication.

[8]  Mohan Rajesh Elara,et al.  Virtual game approach for rehabilitation in autistic children , 2011, 2011 8th International Conference on Information, Communications & Signal Processing.

[9]  Luthffi Idzhar Ismail,et al.  Initial Response in HRI- a Case Study on Evaluation of Child with Autism Spectrum Disorders Interacting with a Humanoid Robot NAO , 2012 .

[10]  Peter H. Kahn,et al.  Robotic animals might aid in the social development of children with autism , 2008, 2008 3rd ACM/IEEE International Conference on Human-Robot Interaction (HRI).

[11]  Francie R. Murry,et al.  Positive Behavioral Impact of Reptile-Assisted Support on the Internalizing and Externalizing Behaviors of Female Children with Emotional Disturbance , 2012 .

[12]  R. Wootton,et al.  Posters - , 1992 .

[13]  W. Groen,et al.  Gender and Age Differences in the Core Triad of Impairments in Autism Spectrum Disorders: A Systematic Review and Meta-analysis , 2013, Journal of Autism and Developmental Disorders.

[14]  C. Kirschbaum,et al.  Psychosocial Stress‐Induced Activation of Salivary Alpha‐Amylase: An Indicator of Sympathetic Activity? , 2004, Annals of the New York Academy of Sciences.

[15]  Hanafiah Yussof,et al.  Humanoid robot NAO: Review of control and motion exploration , 2011, 2011 IEEE International Conference on Control System, Computing and Engineering.

[16]  Hiroki Okubo,et al.  Robot therapy as for recreation for elderly people with dementia - Game recreation using a pet-type robot - , 2008, RO-MAN 2008 - The 17th IEEE International Symposium on Robot and Human Interactive Communication.

[17]  I. Pepperberg The Alex Studies: Cognitive and Communicative Abilities of Grey Parrots , 2000 .

[18]  Kerstin Dautenhahn,et al.  Can Social Interaction Skills Be Taught by a Social Agent? The Role of a Robotic Mediator in Autism Therapy , 2001, Cognitive Technology.

[19]  Judith Gould,et al.  Autism spectrum disorders in the DSM-V: better or worse than the DSM-IV? , 2011, Research in developmental disabilities.

[20]  Kathleen A. Smith,et al.  Compendium of measures to control Chlamydophila psittaci (formerly Chlamydia psittaci) infection among humans (psittacosis) and pet birds, 2005. , 2005, Journal of the American Veterinary Medical Association.

[21]  D. Lefeber,et al.  Using the social robot probo as a social story telling agent for children with ASD , 2012 .

[22]  M. Franceschini,et al.  Robot therapy for functional recovery of the upper limbs: a pilot study on patients after stroke. , 2009, Journal of rehabilitation medicine.

[23]  Festus E. Obiakor,et al.  Autism and Developmental Disabilities: Current Practices and Issues , 2008 .

[24]  Cory D. Kidd,et al.  A sociable robot to encourage social interaction among the elderly , 2006, Proceedings 2006 IEEE International Conference on Robotics and Automation, 2006. ICRA 2006..

[25]  Lucia Olexová,et al.  Guinea pigs—The “Small Great” Therapist for Autistic Children, or: Do Guinea Pigs Have Positive Effects on Autistic Child Social Behavior? , 2010 .

[26]  R. Barker,et al.  Research on benefits of canine-assisted therapy for adults in nonmilitary settings. , 2012, U.S. Army Medical Department journal.

[27]  Nicolas Rohleder,et al.  Salivary alpha amylase as marker for adrenergic activity during stress: Effect of betablockade , 2006, Psychoneuroendocrinology.

[28]  Jaishankar Bharatharaj,et al.  Considerations in Autism therapy using robotics , 2013, 2013 Fourth International Conference on Computing, Communications and Networking Technologies (ICCCNT).

[29]  Aude Billard,et al.  Robotic assistants in therapy and education of children with autism: can a small humanoid robot help encourage social interaction skills? , 2005, Universal Access in the Information Society.

[30]  Loulin Huang,et al.  Bio-inspired therapeutic pet robots: Review and future direction , 2015, 2015 10th International Conference on Information, Communications and Signal Processing (ICICS).

[31]  S. Shamsuddin,et al.  Initial response of autistic children in human-robot interaction therapy with humanoid robot NAO , 2012, 2012 IEEE 8th International Colloquium on Signal Processing and its Applications.

[32]  R. E. Mohan,et al.  Easiness of acceptance metric for effective human robot interactions in therapeutic pet robots , 2012, 2012 7th IEEE Conference on Industrial Electronics and Applications (ICIEA).

[33]  Yang Hao,et al.  Detecting Vital Signs with Wearable Wireless Sensors , 2010, Sensors.

[34]  Boris M. Levinson,et al.  Human/companion animal therapy , 1984, Journal of Contemporary Psychotherapy.

[35]  Jacquie Rand,et al.  Dog‐assisted therapy for older people with dementia: A review , 2008, Australasian journal on ageing.

[36]  Takanori Shibata,et al.  Living With Seal Robots—Its Sociopsychological and Physiological Influences on the Elderly at a Care House , 2007, IEEE Transactions on Robotics.

[37]  Irene M. Pepperberg,et al.  Functional Vocalizations by an African Grey Parrot (Psittacus erithacus) , 2010 .

[38]  Andrew N. Rowan,et al.  Ethical Issues in Animal-Assisted Therapy Programs , 1991 .

[39]  A. Fine Handbook on animal-assisted therapy. Theoretical foundations and guidelines for practice , 2010 .

[40]  H. Kozima,et al.  Children-robot interaction: a pilot study in autism therapy. , 2007, Progress in brain research.

[41]  Irene M. Pepperberg,et al.  Acquisition of the same/different concept by an African Grey parrot (Psittacus erithacus): Learning with respect to categories of color, shape, and material , 1987 .

[42]  Takanori Shibata,et al.  Effects of robot-assisted activity for elderly people and nurses at a day service center , 2004, Proceedings of the IEEE.