Automatic assessment of problem behavior in individuals with developmental disabilities

Severe behavior problems of children with developmental disabilities often require intervention by specialists. These specialists rely on direct observation of the behavior, usually in a controlled clinical environment. In this paper, we present a technique for using on-body accelerometers to assist in automated classification of problem behavior during such direct observation. Using simulated data of episodes of severe behavior acted out by trained specialists, we demonstrate how machine learning techniques can be used to segment relevant behavioral episodes from a continuous sensor stream and to classify them into distinct categories of severe behavior (aggression, disruption, and self-injury). We further validate our approach by demonstrating it produces no false positives when applied to a publicly accessible dataset of activities of daily living. Finally, we show promising classification results when our sensing and analysis system is applied to data from a real assessment session conducted with a child exhibiting problem behaviors.

[1]  Johnny L. Matson,et al.  A Review of Behavioral Treatments for Self-Injurious Behaviors of Persons With Autism Spectrum Disorders , 2008, Behavior modification.

[2]  M. Rutter,et al.  Adult outcome for children with autism. , 2004, Journal of child psychology and psychiatry, and allied disciplines.

[3]  Patrick Olivier,et al.  Feature Learning for Activity Recognition in Ubiquitous Computing , 2011, IJCAI.

[4]  Katherine E Henson,et al.  Risk of Suicide After Cancer Diagnosis in England , 2018, JAMA psychiatry.

[5]  Shigeo Abe DrEng Pattern Classification , 2001, Springer London.

[6]  R. G. Smith,et al.  Antecedent influences on behavior disorders. , 1997, Journal of applied behavior analysis.

[7]  Brian A. Iwata,et al.  Implications of Functional Analysis Methodology for the Design of Intervention Programs , 2005 .

[8]  R. Mccoy,et al.  Prevalence and risk factors of maladaptive behaviour in young children with Autistic Disorder. , 2008, Journal of intellectual disability research : JIDR.

[9]  Ahmed H. Tewfik,et al.  Novel pattern detection in children with Autism Spectrum Disorder using Iterative Subspace Identification , 2010, 2010 IEEE International Conference on Acoustics, Speech and Signal Processing.

[10]  Matthew S. Goodwin,et al.  Recognizing stereotypical motor movements in the laboratory and classroom: a case study with children on the autism spectrum , 2009, UbiComp.

[11]  David G. Stork,et al.  Pattern Classification , 1973 .

[12]  M. Aman,et al.  Psychometric characteristics of the aberrant behavior checklist. , 1985, American journal of mental deficiency.

[13]  Ahmed H. Tewfik,et al.  Automatic characterization and detection of behavioral patterns using linear predictive coding of accelerometer sensor data , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[14]  Matthew S. Goodwin,et al.  Automated Detection of Stereotypical Motor Movements , 2011, Journal of autism and developmental disorders.

[15]  Paul Lukowicz,et al.  Collecting complex activity datasets in highly rich networked sensor environments , 2010, 2010 Seventh International Conference on Networked Sensing Systems (INSS).

[16]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[17]  Bernhard Schölkopf,et al.  Learning with Kernels: Support Vector Machines, Regularization, Optimization, and Beyond , 2005, IEEE Transactions on Neural Networks.

[18]  Robert H. Horner,et al.  Problem Behavior Interventions for Young Children with Autism: A Research Synthesis , 2002, Journal of autism and developmental disorders.

[19]  David G. Stork,et al.  Pattern classification, 2nd Edition , 2000 .

[20]  J. Blacher,et al.  Preschool children with intellectual disability: syndrome specificity, behaviour problems, and maternal well-being. , 2005, Journal of intellectual disability research : JIDR.

[21]  Mark F. O’Reilly,et al.  A review of interventions to reduce challenging behavior in school settings for students with autism spectrum disorders , 2007 .

[22]  T. Achenbach Manual for the ASEBA preschool forms & profiles : an integrated system of multi-informant assessment , 2000 .

[23]  Gregory D. Abowd,et al.  Recognizing mimicked autistic self-stimulatory behaviors using HMMs , 2005, Ninth IEEE International Symposium on Wearable Computers (ISWC'05).

[24]  Guang-Zhong Yang,et al.  Sensor Positioning for Activity Recognition Using Wearable Accelerometers , 2011, IEEE Transactions on Biomedical Circuits and Systems.

[25]  Frank M. Gresham,et al.  Functional Behavioral Assessment: Principles, Procedures, and Future Directions , 2001 .

[26]  J Rojahn,et al.  The Behavior Problems Inventory: An Instrument for the Assessment of Self-Injury, Stereotyped Behavior, and Aggression/Destruction in Individuals with Developmental Disabilities , 2001, Journal of autism and developmental disorders.

[27]  L. Lecavalier,et al.  The impact of behaviour problems on caregiver stress in young people with autism spectrum disorders. , 2006, Journal of intellectual disability research : JIDR.

[28]  Gernot A. Fink,et al.  Markov Models for Pattern Recognition: From Theory to Applications , 2007 .

[29]  P. Cochat,et al.  Et al , 2008, Archives de pediatrie : organe officiel de la Societe francaise de pediatrie.

[30]  J. E. Carr,et al.  Functional analysis of aberrant behavior maintained by automatic reinforcement: assessments of specific sensory reinforcers. , 2000, Research in developmental disabilities.

[31]  B. Tonge,et al.  Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: associations with parental mental health and family functioning. , 2006, Journal of intellectual disability research : JIDR.

[32]  Brian A Iwata,et al.  Functional analysis of problem behavior: a review. , 2003, Journal of applied behavior analysis.