Skip to main content
Log in

A low-cost socially assistive robot and robot-assisted intervention for children with autism spectrum disorder: field trials and lessons learned

  • Published:
Autonomous Robots Aims and scope Submit manuscript

Abstract

Recent research has employed socially assistive robots as catalysts for social interaction and improved communication in young children with autism spectrum disorder (ASD). Studies describe observed therapeutic outcomes such as increased speech, social interaction, joint and directed attention, but few detail a robot-inclusive protocol which evaluates a set of robot tasks using widely-accepted, clinical assessments to evaluate the efficacy of the approach. In this study, we employed a low-cost, toy-like robot prototype with safety features such as a snap-off head and two snap-off arms, a camera for face, hand detection and session recording, two autonomous games and a teleoperated mode. We then developed and tested a new, robot-assisted intervention. Eight study participants and three controls diagnosed with ASD and a speech deficiency were recruited. The study group received pre-, post-intervention measures with the Vineland Adaptive Behavioral Scale II (VABS-II), mean length spontaneous utterance determination (MLSUD), motor imitation scale (MIS), unstructured imitation assessment (UIA) and Expressive Vocabulary Test 2 (EVT-2) and participated in twelve 30 min interventions. To explore the efficacy of the robot and new robot-assisted intervention we (1) measured improvements in spontaneous speech, communication and social skills using standard measures of performance, (2) compared improvements observed with a study group receiving the robot-assisted intervention with a control group receiving speech therapy but no robot-assisted intervention and, (3) validated a set of robot behaviors that may inform an integrated, cross-platform, approach for incorporating an autonomous, robot-assisted ASD intervention within a clinical methodology. Paired-samples t test results indicate significantly improved adaptive functioning in the VABS-II socialization and communication domains, MLSUD, UIA Social Interaction, UIA Requesting, and UIA Joint Attention domains. Between-group analyses also suggest significant improvement in VABS-II Play and Leisure, Receptive Language subdomains and trends in VABS-II Coping Skills and Interpersonal Scale subdomains.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • Bekele, E. T., Lahiri, U., Swanson, A. R., Crittendon, J. A., Warren, Z. E., & Sarkar, N. (2013). A step towards developing adaptive robot-mediated intervention architecture (aria) for children with autism. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 21(2), 289–299.

    Article  Google Scholar 

  • Boccanfuso, L., & O’Kane, J. M. (2011). CHARLIE: An adaptive robot design with hand and face tracking for use in autism therapy. International Journal of Social Robotics, pp. 1–11.

  • Brown, R. (1973). A first language: The early stages. Cambridge: Harvard University Press.

    Book  Google Scholar 

  • Cabibihan, J. J., Javed, H., Ang, M, Jr., & Aljunied, M. A. (2013). Why robots? a survey on the roles and benefits of social robots for the therapy of children with autism. International Journal of Social Robotics, 5(4), 593–618.

    Article  Google Scholar 

  • Dautenhahn, K. (1999). Robots as social actors: Aurora and the case of autism. In Proceedings of Cognitive Technology Conference (pp. 359–374).

  • Diehl, J. J., Schmitt, L. M., Villano, M., & Crowell, C. R. (2012). The clinical use of robots for individuals with autism spectrum disorders: A critical review. Research in Autism Spectrum Disorders, 6(1), 249–262.

    Article  Google Scholar 

  • Feil-Seifer, D., & Matarić, M. (2008) Robot-assisted therapy for children with autism spectrum disorders. In Proceedings of the 7th international conference on Interaction design and children, IDC ’08 (pp. 49–52). New York, NY, USA: ACM.

  • Grecez, J., Kaszubski, E., Atrash, A., & Matarić, M. J. (2014) Graded cueing feedback in robot-mediated imitation practice for children with autism spectrum disorders. In The 23rd IEEE symposium on robot and human interaction communication (RO-MAN ’14) (pp. 561–566).

  • Gurley, J. (2011). Expressive vocabulary test. In S. Goldstein & J. Naglieri (Eds.), Encyclopedia of child behavior and development (2nd ed., pp. 622–623). New York: Springer.

    Google Scholar 

  • Huskens, B., Verschuur, R., Gillesen, J., Didden, R., & Barakova, E. (2013). Promoting question-asking in school-aged children with autism spectrum disorders: Effectiveness of a robot intervention compared to a human-trainer intervention. Developmental neurorehabilitation, 16(5), 345–356.

    Article  Google Scholar 

  • Ingersoll, B., & Lalonde, K. (2010a). The impact of object and gesture imitation training on language use in children with autism. Journal of Speech, Language, and Hearing Research, 53, 1040–1051.

    Article  Google Scholar 

  • Ingersoll, B. R., & Lalonde, K. (2010b). The impact of object and gesture imitation training on language use in children with autism. Journal of Speech, Language, and Hearing Research, 53, 1040–1051.

    Article  Google Scholar 

  • Kim, E. S., Paul, R., Shic, F., & Scassellati, B. (2012). Bridging the research gap: Making hri useful to individuals with autism. Journal of Human-Robot Interaction, 1(1).

  • Kim, E. S., Berkovits, L. D., Bernier, E. P., Leyzberg, D., Shic, F., Paul, R., et al. (2013). Social robots as embedded reinforcers of social behavior in children with autism. Journal of Autism and Developmental Disorders, 43(5), 1038–1049.

    Article  Google Scholar 

  • Lord, C., Rutter, M., Goode, S., Heemsbergen, J., Jordan, H., Mawhood, L., et al. (1989). Austism diagnostic observation schedule: A standardized observation of communicative and social behavior. Journal of Autism and Developmental Disorders, 19(2), 185–212.

    Article  Google Scholar 

  • Project, A. (2011). Aurora project. http://www.aurora-project.com/.

  • Robins, B., & Dautenhahn, K. (2014). Tactile interactions with a humanoid robot: Novel play scenario implementations with children with autism. International Journal of Social Robotics, 6(3), 397–415.

    Article  Google Scholar 

  • Scassellati, B., Admoni, H., & Mataríc, M. (2012). Robots for use in autism research. Annual Review of Biomedical Engineering, 14, 275–294.

    Article  Google Scholar 

  • Services, W. P. (2013). Social communication questionnaire.

  • Stone, W. L., Ousley, O. Y., & Littleford, C. D. (1997a). Motor imitation in young children with autism: What’s the object? Journal of Abnormal Child Psychology, 25(6), 475–485.

    Article  Google Scholar 

  • Stone, W. L., Ousley, O. Y., & Littleford, C. D. (1997b). Motor imitation in young children with autism: What’s the object? Journal of Abnormal Child Psychology, 25(6), 475–485.

    Article  Google Scholar 

  • Vertue, F. (2007). Vineland adaptive behavior scales. New York: Springer.

    Google Scholar 

  • Warren, Z., Zheng, Z., Das, S., Young, E., Swanson, A., Weitlauf, A., & Sarkar, N. (2014). Brief report: Development of a robotic intervention platform for young children with asd. Journal of Autism and Developmental Disorders, pp. 1–7.

  • Welch, K. C., Lahiri, U., Warren, Z., & Sarkar, N. (2010). An approach to the design of socially acceptable robots for children with autism spectrum disorders. International Journal of Social Robotics, 2, 391–403.

    Article  Google Scholar 

  • Williams, K. T. (1997). AGS Expressive Vocabulary Test, American Guidance Service. Expressive Vocabulary Test.

  • Yun, S. S., Choi, J., & Park, S. K. (2015). An interactive robot facilitating social skills for children. In Proceedings of the tenth annual ACM/IEEE international conference on human-robot interaction extended abstracts, HRI’15 extended abstracts (pp. 95–96).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Laura Boccanfuso.

Additional information

This is one of several papers published in Autonomous Robots comprising the “Special Issue on Assistive and Rehabilitation Robotics”.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (mp4 231397 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Boccanfuso, L., Scarborough, S., Abramson, R.K. et al. A low-cost socially assistive robot and robot-assisted intervention for children with autism spectrum disorder: field trials and lessons learned. Auton Robot 41, 637–655 (2017). https://doi.org/10.1007/s10514-016-9554-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10514-016-9554-4

Keywords

Navigation