Technology-enhanced ABA intervention in children with autism: a pilot study

AbstractThis study investigates whether ICT technology can enhance applied behavior analysis (ABA) rehabilitation therapy for children with autism. A technology-enhanced rehabilitation system to support the daily work of ABA tutors, parents and teachers was created, involving ABA experts and parents of autistic children in the entire design phase, in order to better understand the system’s functional requirements and enhance its usability. Thus, combining the ABA programs with a learning analytics tool, an open-source Web application , ABCD SW, was implemented for teaching and monitoring learning in low-functioning autistic children. In a small pilot study the system was tested on seven children with autism enrolled in an intensive intervention lasting 9 months. The children were assessed before and after the pilot test, using Vineland Adaptive Behavior Scales to measure their personal and social skills. Test participants showed improved communication, especially in the expressive category (p < 0.05). Subjective feedback from the ABA team involved in the user test confirmed the children’s improvement in socialization, communication and behavior. ABCD SW expedites the intervention (thus increasing its efficiency) and makes it more pleasant for the children. Furthermore, ABCD SW enables caregivers to easily conduct and personalize the intervention, reducing its cost. The study seems to suggest that ABCD SW, and ICT technology in general, can enhance ABA rehabilitation therapy for children with autism, encouraging further investigation of this promising research field.

[1]  Mary Beth Walsh,et al.  The Top 10 Reasons Children With Autism Deserve ABA , 2011, Behavior analysis in practice.

[2]  Gondy Leroy,et al.  Smartphones to facilitate communication and improve social skills of children with severe autism spectrum disorder: special education teachers as proxies , 2008, IDC.

[3]  B. Vandermeer,et al.  Behavioural and Developmental Interventions for Autism Spectrum Disorder: A Clinical Systematic Review , 2008, PloS one.

[4]  高橋 栄 Diagnostic and Statistical Manual of Mental Disorders(DSM)-5による分類と診断 (特集 周産期メンタルヘルス : 妊婦の不安とどう立ち向かうか) , 2014 .

[5]  Michael Murias,et al.  Early behavioral intervention is associated with normalized brain activity in young children with autism. , 2012, Journal of the American Academy of Child and Adolescent Psychiatry.

[6]  Andrew J. Gerber,et al.  The Role of Adaptive Behavior in Autism Spectrum Disorders: Implications for Functional Outcome , 2011, Journal of autism and developmental disorders.

[7]  Karrie Karahalios,et al.  A3: HCI Coding Guideline for Research Using Video Annotation to Assess Behavior of Nonverbal Subjects with Computer-Based Intervention , 2009, TACC.

[8]  O. I. Lovaas,et al.  Behavioral treatment and normal educational and intellectual functioning in young autistic children. , 1987, Journal of consulting and clinical psychology.

[9]  M. Wolery,et al.  Comprehensive Synthesis of Early Intensive Behavioral Interventions for Young Children with Autism Based on the UCLA Young Autism Project Model , 2009, Journal of autism and developmental disorders.

[10]  Peter J. Alter,et al.  A Comparison of Functional Behavior Assessment Methodologies with Young Children: Descriptive Methods and Functional Analysis , 2008 .

[11]  Phil Reed,et al.  A Meta-Analytic Review of the Effectiveness of Behavioural Early Intervention Programs for Children with Autistic Spectrum Disorders. , 2010 .

[12]  Geraldine Dawson,et al.  Early intervention and brain plasticity in autism. , 2008, Novartis Foundation symposium.

[13]  Gillian R. Hayes,et al.  vSked: evaluation of a system to support classroom activities for children with autism , 2010, CHI.

[14]  Mickey Keenan,et al.  ABA-Based Programs for Children Diagnosed With Autism Spectrum Disorder: Parental and Professional Experiences at School and at Home , 2012 .

[15]  P. J. Krantz,et al.  Age at intervention and treatment outcome for autistic children in a comprehensive intervention program , 1985 .

[16]  B. Wright,et al.  Do Children with Autism Learn to Read more Readily by Computer Assisted Instruction or Traditional Book Methods? , 2002, Autism : the international journal of research and practice.

[17]  C. Johnson,et al.  Management of Children With Autism Spectrum Disorders , 2007, Pediatrics.

[18]  John McEachin,et al.  A Work in Progress: Behavior Management Strategies and a Curriculum for Intensive Behavioral Treatment of Autism , 1999 .

[19]  S. Rogers,et al.  Autism Treatment in the First Year of Life: A Pilot Study of Infant Start, a Parent-Implemented Intervention for Symptomatic Infants , 2014, Journal of Autism and Developmental Disorders.

[20]  C. Drew Vineland Adaptive Behavior Scales , 2010 .

[21]  E. Schopler,et al.  Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS) , 1980, Journal of autism and developmental disorders.

[22]  Gillian R. Hayes,et al.  Mocotos: mobile communications tools for children with special needs , 2008, IDC.

[23]  Shaila Rao,et al.  Learning through Seeing and Doing , 2006 .

[24]  C. Corsello,et al.  Early Intervention in Autism , 2005 .

[25]  Svein Eikeseth,et al.  Cognitive and Adaptive Behavior Outcomes of Behavioral Intervention for Young Children With Intellectual Disability , 2010, Behavior modification.

[26]  Maria Claudia Buzzi,et al.  Technology-enhanced discriminative programs for children with autism , 2014, PervasiveHealth.

[27]  O. I. Lovaas,et al.  Teaching Developmentally Disabled Children: The Me Book , 1981 .

[28]  Dinah K.C. Murray,et al.  Autism and information technology: therapy with computers , 2011 .

[29]  Z. Warren,et al.  Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014 , 2018, Morbidity and mortality weekly report. Surveillance summaries.

[30]  S. Axelrod,et al.  The Contributions of Applied Behavior Analysis to the Education of People with Autism , 2001, Behavior modification.

[31]  F. Volkmar,et al.  Development of low- and high-functioning autistic children. , 1992, Journal of child psychology and psychiatry, and allied disciplines.

[32]  Maria Claudia Buzzi,et al.  Accessible Education for Autistic Children: ABA-Based Didactic Software , 2011, HCI.

[33]  Matthew S. Goodwin,et al.  Enhancing and Accelerating the Pace of Autism Research and Treatment , 2008 .

[34]  O. Hetzroni,et al.  Effects of a Computer-Based Intervention Program on the Communicative Functions of Children with Autism , 2004, Journal of autism and developmental disorders.

[35]  Matthew S. Goodwin,et al.  iSET: interactive social-emotional toolkit for autism spectrum disorder , 2008, IDC.

[36]  Cynthia Putnam,et al.  Software and technologies designed for people with autism: what do users want? , 2008, Assets '08.

[37]  R. Tuchman,et al.  [Management of children with autism spectrum disorders]. , 2017, Revista de neurologia.

[38]  L. Koegel,et al.  Variables Related to Differences in Standardized Test Outcomes for Children with Autism , 1997, Journal of autism and developmental disorders.

[39]  Brian Reichow,et al.  Overview of Meta-Analyses on Early Intensive Behavioral Intervention for Young Children with Autism Spectrum Disorders , 2011, Journal of Autism and Developmental Disorders.

[40]  P. Bolton,et al.  Prevalence of autism-spectrum conditions: UK school-based population study , 2009, British Journal of Psychiatry.

[41]  Bipin Indurkhya,et al.  Assistive systems for children with dyslexia and autism , 2010, ASAC.

[42]  S. Rogers,et al.  Brief report: Early intervention in autism , 1996, Journal of autism and developmental disorders.

[43]  James A. Mulick,et al.  ABA and the computer: a review of the Discrete Trial Trainer , 2001 .

[44]  Richard P. Hastings,et al.  Meta-Analysis of Early Intensive Behavioral Intervention for Children With Autism , 2009, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[45]  Christopher Gillberg,et al.  Early intervention in 208 Swedish preschoolers with autism spectrum disorder. A prospective naturalistic study. , 2011, Research in developmental disabilities.

[46]  Mary Jane Weiss,et al.  Expanding ABA Intervention in Intensive Programs for Children with Autism: The Inclusion of Natural Environment Training and Fluency Based Instruction , 2001 .

[47]  Sally J. Rogers,et al.  The Early Start Denver Model , 2008 .

[48]  Alexandros Pino,et al.  ITHACA: An Open Source Framework for Building Component-Based Augmentative and Alternative Communication Applications , 2010, TACC.

[49]  J. Virués-Ortega,et al.  Applied behavior analytic intervention for autism in early childhood: meta-analysis, meta-regression and dose-response meta-analysis of multiple outcomes. , 2010, Clinical psychology review.

[50]  Doreen Granpeesheh,et al.  Applied behavior analytic interventions for children with autism: a description and review of treatment research. , 2009, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[51]  Mohammed Habash Assistive Technology Utilization for Autism An Outline of Technology Awareness in Special Needs Therapy , 2005 .

[52]  Z. Warren,et al.  Prevalence of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 sites, United States, 2010. , 2014, Morbidity and mortality weekly report. Surveillance summaries.

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

[54]  Rosalind W. Picard,et al.  Affective Computing and Autism , 2006, Annals of the New York Academy of Sciences.

[55]  Michael J. Muller,et al.  Participatory design: the third space in HCI , 2002 .

[56]  Stephen R. Anderson,et al.  Early Intervention for Young Children with Autism: Continuum-Based Behavioral Models , 1999 .

[57]  Tristram Smith,et al.  Discrete Trial Training in the Treatment of Autism , 2001 .

[58]  Tony Charman Autism: Neural Basis and Treatment Possibilities , 2003 .

[59]  Sharon C. Lyter,et al.  Diagnostic and Statistical Manual of Mental Disorders: Making it Work for Social Work , 2012 .

[60]  Gillian R. Hayes,et al.  Interactive visual supports for children with autism , 2010, Personal and Ubiquitous Computing.

[61]  S. Rogers,et al.  Behavioral treatments in autism spectrum disorder: what do we know? , 2010, Annual review of clinical psychology.

[62]  Gregory D. Abowd,et al.  Pervasive Computing and Autism: Assisting Caregivers of Children with Special Needs , 2007, IEEE Pervasive Computing.