A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot Study

This work introduces a new socially assistive robot termed MARIA T21 (meaning “Mobile Autonomous Robot for Interaction with Autistics”, with the addition of the acronym T21, meaning “Trisomy 21”, which is used to designate individuals with Down syndrome). This new robot is used in psychomotor therap...

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Main Authors: João Antonio Campos Panceri, Éberte Freitas, Josiany Carlos de Souza, Sheila da Luz Schreider, Eliete Caldeira, Teodiano Freire Bastos
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/21/24/8414
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author João Antonio Campos Panceri
Éberte Freitas
Josiany Carlos de Souza
Sheila da Luz Schreider
Eliete Caldeira
Teodiano Freire Bastos
author_facet João Antonio Campos Panceri
Éberte Freitas
Josiany Carlos de Souza
Sheila da Luz Schreider
Eliete Caldeira
Teodiano Freire Bastos
author_sort João Antonio Campos Panceri
collection DOAJ
description This work introduces a new socially assistive robot termed MARIA T21 (meaning “Mobile Autonomous Robot for Interaction with Autistics”, with the addition of the acronym T21, meaning “Trisomy 21”, which is used to designate individuals with Down syndrome). This new robot is used in psychomotor therapies for children with Down syndrome (contributing to improve their proprioception, postural balance, and gait) as well as in psychosocial and cognitive therapies for children with autism spectrum disorder. The robot uses, as a novelty, an embedded mini-video projector able to project Serious Games on the floor or tables to make already-established therapies funnier to these children, thus creating a motivating and facilitating effect for both children and therapists. The Serious Games were developed in Python through the library Pygame, considering theoretical bases of behavioral psychology for these children, which are integrated into the robot through the robot operating system (ROS). Encouraging results from the child–robot interaction are shown, according to outcomes obtained from the application of the Goal Attainment Scale. Regarding the Serious Games, they were considered suitable based on both the “Guidelines for Game Design of Serious Games for Children” and the “Evaluation of the Psychological Bases” used during the games’ development. Thus, this pilot study seeks to demonstrate that the use of a robot as a therapeutic tool together with the concept of Serious Games is an innovative and promising tool to help health professionals in conducting therapies with children with autistic spectrum disorder and Down syndrome. Due to health issues imposed by the COVID-19 pandemic, the sample of children was limited to eight children (one child with typical development, one with Trisomy 21, both female, and six children with ASD, one girl and five boys), from 4 to 9 years of age. For the non-typically developing children, the inclusion criterion was the existence of a conclusive diagnosis and fulfillment of at least 1 year of therapy. The protocol was carried out in an infant psychotherapy room with three video cameras, supervised by a group of researchers and a therapist. The experiments were separated into four steps: The first stage was composed of a robot introduction followed by an approximation between robot and child to establish eye contact and assess proxemics and interaction between child/robot. In the second stage, the robot projected Serious Games on the floor, and emitted verbal commands, seeking to evaluate the child’s susceptibility to perform the proposed tasks. In the third stage, the games were performed for a certain time, with the robot sending messages of positive reinforcement to encourage the child to accomplish the game. Finally, in the fourth stage, the robot finished the games and said goodbye to the child, using messages aiming to build a closer relationship with the child.
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spelling doaj.art-4fc9f88c692a4a27ba36c3f4f51e93822023-11-23T10:31:15ZengMDPI AGSensors1424-82202021-12-012124841410.3390/s21248414A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot StudyJoão Antonio Campos Panceri0Éberte Freitas1Josiany Carlos de Souza2Sheila da Luz Schreider3Eliete Caldeira4Teodiano Freire Bastos5Postgraduate Program in Electrical Engineering, Federal University of Espirito Santo, Av. Fernando Ferrari, 514, Goiabeiras, Vitoria 29075-910, BrazilPostgraduate Program in Electrical Engineering, Federal University of Espirito Santo, Av. Fernando Ferrari, 514, Goiabeiras, Vitoria 29075-910, BrazilPostgraduate Program in Biotechnology, Health Sciences Center, Federal University of Espirito Santo, Av. Marechal Campos, 1468, Maruipe, Vitoria 29043-900, BrazilPostgraduate Program in Biotechnology, Health Sciences Center, Federal University of Espirito Santo, Av. Marechal Campos, 1468, Maruipe, Vitoria 29043-900, BrazilElectrical Engineering Department, Federal University of Espirito Santo, Av. Fernando Ferrari, 514, Goiabeiras, Vitoria 29075-910, BrazilPostgraduate Program in Electrical Engineering, Federal University of Espirito Santo, Av. Fernando Ferrari, 514, Goiabeiras, Vitoria 29075-910, BrazilThis work introduces a new socially assistive robot termed MARIA T21 (meaning “Mobile Autonomous Robot for Interaction with Autistics”, with the addition of the acronym T21, meaning “Trisomy 21”, which is used to designate individuals with Down syndrome). This new robot is used in psychomotor therapies for children with Down syndrome (contributing to improve their proprioception, postural balance, and gait) as well as in psychosocial and cognitive therapies for children with autism spectrum disorder. The robot uses, as a novelty, an embedded mini-video projector able to project Serious Games on the floor or tables to make already-established therapies funnier to these children, thus creating a motivating and facilitating effect for both children and therapists. The Serious Games were developed in Python through the library Pygame, considering theoretical bases of behavioral psychology for these children, which are integrated into the robot through the robot operating system (ROS). Encouraging results from the child–robot interaction are shown, according to outcomes obtained from the application of the Goal Attainment Scale. Regarding the Serious Games, they were considered suitable based on both the “Guidelines for Game Design of Serious Games for Children” and the “Evaluation of the Psychological Bases” used during the games’ development. Thus, this pilot study seeks to demonstrate that the use of a robot as a therapeutic tool together with the concept of Serious Games is an innovative and promising tool to help health professionals in conducting therapies with children with autistic spectrum disorder and Down syndrome. Due to health issues imposed by the COVID-19 pandemic, the sample of children was limited to eight children (one child with typical development, one with Trisomy 21, both female, and six children with ASD, one girl and five boys), from 4 to 9 years of age. For the non-typically developing children, the inclusion criterion was the existence of a conclusive diagnosis and fulfillment of at least 1 year of therapy. The protocol was carried out in an infant psychotherapy room with three video cameras, supervised by a group of researchers and a therapist. The experiments were separated into four steps: The first stage was composed of a robot introduction followed by an approximation between robot and child to establish eye contact and assess proxemics and interaction between child/robot. In the second stage, the robot projected Serious Games on the floor, and emitted verbal commands, seeking to evaluate the child’s susceptibility to perform the proposed tasks. In the third stage, the games were performed for a certain time, with the robot sending messages of positive reinforcement to encourage the child to accomplish the game. Finally, in the fourth stage, the robot finished the games and said goodbye to the child, using messages aiming to build a closer relationship with the child.https://www.mdpi.com/1424-8220/21/24/8414socially assistive robotautistic spectrum disorderDown syndromeSerious Games
spellingShingle João Antonio Campos Panceri
Éberte Freitas
Josiany Carlos de Souza
Sheila da Luz Schreider
Eliete Caldeira
Teodiano Freire Bastos
A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot Study
Sensors
socially assistive robot
autistic spectrum disorder
Down syndrome
Serious Games
title A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot Study
title_full A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot Study
title_fullStr A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot Study
title_full_unstemmed A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot Study
title_short A New Socially Assistive Robot with Integrated Serious Games for Therapies with Children with Autism Spectrum Disorder and Down Syndrome: A Pilot Study
title_sort new socially assistive robot with integrated serious games for therapies with children with autism spectrum disorder and down syndrome a pilot study
topic socially assistive robot
autistic spectrum disorder
Down syndrome
Serious Games
url https://www.mdpi.com/1424-8220/21/24/8414
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