Department of Organizational Systems and Adult Health, School of Nursing, University of Baltimore, MD 21201, USA.
Department of Family and Community Health, School of Nursing, University of Baltimore, MD 21201, USA.
Medicina (Kaunas). 2019 Aug 5;55(8):440. doi: 10.3390/medicina55080440.
Children with autism spectrum disorder (ASD) experience challenges with social interactions, a core feature of the disorder. Social skills therapy has been shown to be helpful. Over the past several years, computer-assisted and robot-assisted therapies have been infiltrating the social skills teaching environment. Rapid progress in the field of technology, especially in the robotics area, offers tremendous possibilities for innovation and treatment or even education for individuals with ASD. This paper's purpose is to drive awareness of these innovative interventions in order to support the social lives of children with ASD. The aims of the paper are identifying (1) the types of Information Technology platforms that are being evaluated in computer and robot-assisted therapies for children with ASD; (2) the various disciplines or professions studying and utilizing these computer and robot-assisted social skill therapies; (3) the outcomes being evaluated in each trial; and (4) if results demonstrate benefits to children with autism.
PubMed, CINAHL, Science Direct, and Web of Science databases were searched for clinical trials published over the past five years. Search terms incorporated the subject intersection of autism, and computer or robot-assisted therapy. Results were mined for pediatric populations only and study designs establishing controlled comparisons.
Eighteen unique international studies were identified that utilize robot interventions (11 studies) and serious computer game interventions (seven studies). Most demonstrated promising results in improving outcomes for children with ASD. Study implications reveal a rapidly evolving assistive technology for ASD social skills therapy.
These interventions show considerable promise, but more effectiveness and cost effectiveness research of high quality should be carried out with larger numbers of children. Also, further studies are necessary to evaluate these technologies' effectiveness amongst adults with ASD and within unique subsets of the higher functioning autism population.
自闭症谱系障碍(ASD)儿童在社交互动方面存在困难,这是该障碍的核心特征。社交技能疗法已被证明是有帮助的。在过去的几年中,计算机辅助和机器人辅助疗法已经渗透到社交技能教学环境中。技术领域的快速进步,特别是机器人领域,为创新和治疗甚至为 ASD 个体的教育提供了巨大的可能性。本文的目的是提高对这些创新干预措施的认识,以支持 ASD 儿童的社交生活。本文的目的是确定:(1)在计算机和机器人辅助 ASD 儿童治疗中评估的信息技术平台类型;(2)研究和利用这些计算机和机器人辅助社交技能治疗的各种学科或专业;(3)每个试验中评估的结果;以及(4)如果结果证明对自闭症儿童有益。
在过去五年中,在 PubMed、CINAHL、Science Direct 和 Web of Science 数据库中搜索发表的临床试验。搜索词包括自闭症、计算机或机器人辅助治疗的主题交叉。仅对儿科人群进行结果挖掘,并进行了建立对照比较的研究设计。
确定了 18 项独特的国际研究,这些研究利用机器人干预(11 项研究)和严肃的计算机游戏干预(7 项研究)。大多数研究都表明,这些干预措施在改善 ASD 儿童的结果方面具有很大的前景。研究意义揭示了一种用于 ASD 社交技能治疗的快速发展的辅助技术。
这些干预措施显示出相当大的前景,但应该在更多的儿童中进行更多的高质量的有效性和成本效益研究。此外,还需要进一步的研究来评估这些技术在 ASD 成人中的有效性以及在高功能自闭症人群中的独特亚组中的有效性。