Adherence and acceptability of a robot-assisted Pivotal Response Treatment protocol for children with autism spectrum disorder

Sci Rep. 2020 May 15;10(1):8110. doi: 10.1038/s41598-020-65048-3.

Abstract

The aim of this study is to present a robot-assisted therapy protocol for children with ASD based on the current state-of-the-art in both ASD intervention research and robotics research, and critically evaluate its adherence and acceptability based on child as well as parent ratings. The robot-assisted therapy was designed based on motivational components of Pivotal Response Treatment (PRT), a highly promising and feasible intervention focused at training "pivotal" (key) areas such as motivation for social interaction and self-initiations, with the goal of establishing collateral gains in untargeted areas of functioning and development, affected by autism spectrum disorders. Overall, children (3-8 y) could adhere to the robot-assisted therapy protocol (Mean percentage of treatment adherence 85.5%), showed positive affect ratings after therapy sessions (positive in 86.6% of sessions) and high robot likability scores (high in 79.4% of sessions). Positive likability ratings were mainly given by school-aged children (H(1) = 7.91, p = .005) and related to the movements, speech and game scenarios of the robot. Parent ratings on the added value of the robot were mainly positive (Mean of 84.8 on 0-100 scale), while lower parent ratings were related to inflexibility of robot behaviour.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autism Spectrum Disorder / psychology
  • Autism Spectrum Disorder / therapy*
  • Behavior Therapy*
  • Child
  • Child, Preschool
  • Clinical Protocols / standards*
  • Female
  • Humans
  • Interpersonal Relations*
  • Male
  • Parent-Child Relations
  • Parents / psychology*
  • Robotics / instrumentation*
  • Robotics / methods*
  • Treatment Adherence and Compliance / statistics & numerical data*