A Preliminary Study on Effectiveness of a Standardized Multi-Robot Therapy for Improvement in Collaborative Multi-Human Interaction of Children With ASD

This research article presents a preliminary longitudinal study to check the improvement in multi-human communication of children with Autism Spectrum Disorder (ASD) using a standardized multi-robot therapy. The research is based on a 3 step framework: 1) Human-Human Interaction, Stage-1 (HHI-S1), 2) Human-Robot Interaction, Stage-2 (HRI-S2), and 3) Human-Human Interaction, Stage-3 (HHI-S3). All three stages of the therapy consist of two command sets: 1) Controls commands and 2) Evaluation commands (auditory commands, visual commands, and combination of both). The concept of multiple robots is introduced to help multi-human communication and discourage isolation in ASD children. The joint attention of an ASD child is improved by the robotic therapy in stage 2 considering it as a key parameter for a multi-human communication scenario. The improvement in joint attention results in better command following in a triad multi-human communication scenario in stage 3 as compared to stage 1. The proposed intervention has been tested on 8 ASD subjects with 10 sessions over a period of two and a half months (10 weeks). Each session of human-human interaction (stage 1 and 3) consisted of 14 cues whereas 18 cues were presented by each robot for human-robot interaction (stage 2). The results indicate an overall 86% improvement in the social communication skills of ASD children in case of a multi-human scenario. Validation of results and effectiveness of the therapy has been further accomplished through the use of the Childhood Autism Rating Scale (CARS) score.

[1]  Daniel B. Legoff,et al.  Use of LEGO© as a Therapeutic Medium for Improving Social Competence , 2004, Journal of autism and developmental disorders.

[2]  B. Ingersoll,et al.  Evaluation of a Sibling-Mediated Imitation Intervention for Young Children With Autism , 2012, Journal of positive behavior interventions.

[3]  Lauren M. Schmitt,et al.  The Clinical Use of Robots for Individuals with Autism Spectrum Disorders: A Critical Review. , 2012, Research in autism spectrum disorders.

[4]  T. Lourens,et al.  Improving Collaborative Play Between Children with Autism Spectrum Disorders and Their Siblings: The Effectiveness of a Robot-Mediated Intervention Based on Lego® Therapy , 2014, Journal of Autism and Developmental Disorders.

[5]  Ling-Ling Tsao,et al.  Sibling-Mediated Social Interaction Intervention for Young Children With Autism , 2006 .

[6]  Chun-Ho Cheng,et al.  A Robot-Based Play-Drama Intervention May Improve the Joint Attention and Functional Play Behaviors of Chinese-Speaking Preschoolers with Autism Spectrum Disorder: A Pilot Study , 2019, Journal of Autism and Developmental Disorders.

[7]  B. Scassellati,et al.  Robots for use in autism research. , 2012, Annual review of biomedical engineering.

[8]  Emilia I. Barakova,et al.  Long‐term LEGO therapy with humanoid robot for children with ASD , 2015, Expert Syst. J. Knowl. Eng..

[9]  Kerstin Dautenhahn,et al.  Using the Humanoid Robot KASPAR to Autonomously Play Triadic Games and Facilitate Collaborative Play Among Children With Autism , 2014, IEEE Transactions on Autonomous Mental Development.

[10]  Daria Majchrowicz,et al.  Support for Employees with ASD in the Workplace Using a Bluetooth Skin Resistance Sensor–A Preliminary Study , 2018, Sensors.

[11]  Sandra L. Harris,et al.  Benefits of Including Siblings in the Treatment of Autism Spectrum Disorders , 2012 .

[12]  Michael A. Goodrich,et al.  A case for low-dose robotics in autism therapy , 2011, 2011 6th ACM/IEEE International Conference on Human-Robot Interaction (HRI).

[13]  Muhammad Jawad Khan,et al.  An Adaptive Multi-Robot Therapy for Improving Joint Attention and Imitation of ASD Children , 2019, IEEE Access.

[14]  Yasar Ayaz,et al.  Comparing the Effectiveness of Different Reinforcement Stimuli in a Robotic Therapy for Children With ASD , 2020, IEEE Access.

[15]  Tohru Matsumoto,et al.  Mimicking and Evaluating Human Motion to Improve the Imitation Skill of Children with Autism Through a Robot , 2011, Int. J. Soc. Robotics.

[16]  Nikolaos Fachantidis,et al.  Beneficial effects of robot-mediated class activities on a child with ASD and his typical classmates , 2019, International journal of developmental disabilities.

[17]  Hammad Afzal,et al.  A Framework to Estimate the Nutritional Value of Food in Real Time Using Deep Learning Techniques , 2019, IEEE Access.

[18]  Elizabeth S. Kim,et al.  Social Robots as Embedded Reinforcers of Social Behavior in Children with Autism , 2012, Journal of Autism and Developmental Disorders.

[19]  G. Dawson,et al.  Early Predictors of Communication Development in Young Children with Autism Spectrum Disorder: Joint Attention, Imitation, and Toy Play , 2006, Journal of autism and developmental disorders.

[20]  E. Barakova,et al.  Promoting question-asking in school-aged children with autism spectrum disorders: Effectiveness of a robot intervention compared to a human-trainer intervention , 2013, Developmental neurorehabilitation.

[21]  M. J. Baker,et al.  Incorporating the Thematic Ritualistic Behaviors of Children with Autism into Games , 2000 .

[22]  Laurent Mottron,et al.  The autistic spectrum. , 2013, Handbook of clinical neurology.