Abstract

BackgroundPast studies have shown that robot-based intervention was effective in improving gestural use in children with autism spectrum disorders (ASD). The present study examined whether children with ASD could catch up to the level of gestural production found in age-matched children with typical development and whether they showed an increase in verbal imitation after the completion of robot-based training. We also explored the cognitive and motor skills associated with gestural learning.MethodsChildren with ASD were randomly assigned to two groups. Four- to 6-year-old children with ASD in the intervention group (N = 15) received four 30-min robot-based gestural training sessions. In each session, a social robot, NAO, narrated five stories and gestured (e.g., both hands clapping for an awesome expression). Children with ASD were told to imitate the gestures during training. Age-matched children with ASD in the wait-list control group (N = 15) and age-matched children with typical development (N = 15) received the gestural training after the completion of research. Standardized pretests and posttests (both immediate and delayed) were administered to assess the accuracy and appropriateness of gestural production in both training and novel stories. Children’s language and communication abilities, gestural recognition skills, fine motor proficiencies, and attention skills were also examined.ResultsChildren with ASD in the intervention condition were more likely to produce accurate or appropriate intransitive gestures in training and novel stories than those in the wait-list control. The positive learning outcomes were maintained in the delayed posttests. The level of gestural production accuracy in children with ASD in the delayed posttest of novel stories was comparable to that in children with typical development, suggesting that children with ASD could catch up to the level of gestural production found in children with typical development. Children with ASD in the intervention condition were also more likely to produce verbal markers while gesturing than those in the wait-list control. Gestural recognition skills were found to significantly predict the learning of gestural production accuracy in the children with ASD, with such relation partially mediated via spontaneous imitation.ConclusionsRobot-based intervention may reduce the gestural delay in children with ASD in their early childhood.

Highlights

  • Past studies have shown that robot-based intervention was effective in improving gestural use in children with autism spectrum disorders (ASD)

  • All the main and interaction effects were not significant. These results suggested that the robot-based intervention improved the gestural production accuracy and verbal imitation in the participants with ASD in the intervention condition

  • Previous research has shown that gestural imitation training can enhance language use [32]. In line with these findings, our study reported that participants with ASD in the intervention condition were more likely to produce the verbal markers that were co-occurring with the taught gestures in the delayed posttests than in the pretests

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Summary

Introduction

Past studies have shown that robot-based intervention was effective in improving gestural use in children with autism spectrum disorders (ASD). G., a child points to a toy car in order to direct his or her mother’s attention to it) [4, 14, 77, 78] They produce fewer markers (gestures that carry culturally specific meaning for communication, e.g., the raised thumb for hitchhiking) [16, 45, 47, 79] and iconic gestures (gestures that depict the actions or attributes of the entities in question, e.g., both hands flapping for a bird or to indicate flying) than children with typical development [16, 45, 79]. In a study conducted by So et al [73], 6- to 12year-old children with ASD were found to gesture less often and use fewer types of gestures, especially markers, in comparison to their age-matched children with typical development These children were found to have difficulty producing iconic gestures at specified locations to identify entities [69, 73]. The severity of social and communication impairments may influence the production of communicative gestures [71]

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