Efficacité d'une intervention psychologique assistée par robot pour les enfants avec un diagnostic de troubles du spectre de l'autisme

Aperçu: G.M.

Les difficultés d'interaction sociale caractérisent les enfants avec un diagnostic de "troubles du spectre de l'autisme" (dTSA) et ont un impact négatif sur leur vie quotidienne. L'intégration d'un robot social-humanoïde dans le traitement clinique standard s'est avérée prometteuse.
L'objectif principal de cette étude contrôlée randomisée était d'évaluer l'efficacité d'une intervention psychosociale assistée par robot et l'objectif secondaire était d'étudier les différences potentielles entre un groupe d'intervention assistée par robot et un groupe témoin recevant une intervention humaine uniquement.
L'analyse des résultats a montré que l'intervention assistée par robot pouvait être bénéfique en améliorant les compétences psychosociales des enfants. Cette amélioration a été mise en évidence par les tests neuropsychologiques et les rapports des parents.
La comparaison des groupes n'a présenté que des différences statistiquement significatives minimes. L'étude souligne le potentiel des interventions assistées par robot pour augmenter les soins standard.

. 2022 Nov 4.

doi: 10.1007/s10803-022-05796-5. Online ahead of print.

Effectiveness of a Robot-Assisted Psychological Intervention for Children with Autism Spectrum Disorder

Vasiliki Holeva  ¹ , V A Nikopoulou  ² , C Lytridis  ³ , C Bazinas  ³ , P Kechayas  ² , G Sidiropoulos  ³ , M Papadopoulou  ⁴ , M D Kerasidou  ² , C Karatsioras  ⁵ , N Geronikola  ⁶ , G A Papakostas  ³ , V G Kaburlasos  ³ , A Evangeliou  ⁴

Affiliations

• PMID: 36331688
• DOI: 10.1007/s10803-022-05796-5

Abstract

Difficulties with social interaction characterise children with Autism Spectrum Disorders and have a negative impact in their everyday life. Integrating a social-humanoid robot within the standard clinical treatment has been proven promising. The main aim of this randomised controlled study was to evaluate the effectiveness of a robot-assisted psychosocial intervention and the secondary aim was to investigate potential differences between a robot-assisted intervention group and a control group receiving intervention by humans only. The analysis of the results showed that robot-assisted intervention could be beneficial by improving children's psychosocial skills. This improvement was highlighted by neuropsychological testing and parent reporting. Group comparison only presented minimal statistically significant differences. The study underpins the potential of robot-assisted interventions to augment standard care.

Keywords: Autism spectrum disorders; Human–robot interaction; Psychological intervention; Randomised controlled trial; Robot-assisted therapy.

© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Aromathérapie à la bergamote pour l'anxiété provoquée par le cabinet médical chez les enfants avec un diagnostic de "trouble du spectre de l'autisme": essai clinique randomisé, contrôlé et en aveugle

Aperçu: G.M.

Cet essai clinique randomisé à l'aveugle a évalué les effets de l'aromathérapie sur l'anxiété provoquée par le cabinet médical chez les enfants avec un diagnostic de "trouble du spectre de l'autisme" . Les patients en attente de visites au cabinet ont été randomisés dans un groupe d'aromathérapie et un groupe témoin. 

Après ajustement pour les scores de base, il n'y avait pas de différence significative entre les 2 groupes.

Holist Nurs Pract. 2019 Sep/Oct;33(5):285-294. doi: 10.1097/HNP.0000000000000341.

Bergamot Aromatherapy for Medical Office-Induced Anxiety Among Children With an Autism Spectrum Disorder: A Randomized, Controlled, Blinded Clinical Trial

Hawkins JR¹, Weatherby N, Wrye B, Ujcich Ward K.

Author information

1

Franklin Institute of Wellness, Franklin, Tennessee (Dr Hawkins); and Middle Tennessee State University, Murfreesboro (Drs Weatherby, Wrye, and Ujcich Ward).

Abstract

This randomized, blinded clinical trial evaluated the effects of aromatherapy on medical office-induced anxiety in children with an autism spectrum disorder. Patients awaiting office visits were randomized into an aromatherapy group and a control group. After adjusting for baseline scores, there was no significant difference between the 2 groups.

PMID:31415008

DOI:10.1097/HNP.0000000000000341

Améliorer les interactions au cours des routines quotidiennes: Un essai contrôlé randomisé d'un tutoriel en ligne pour les parents de jeunes enfants avec un diagnostic de TSA

Aperçu: G.M.

Ce tutoriel en ligne a aidé les parents d'enfants avec un diagnostic de TSA à utiliser des stratégies éprouvées pour améliorer la participation de leur enfant à la routine quotidienne à la maison. Les parents qui ont utilisé le didacticiel ont signalé moins de stress parental, se sentaient mieux à propos de leurs compétences parentales et ont signalé de meilleures interactions sociales de l'enfant par rapport aux parents qui n'ont pas utilisé le tutoriel. Ce tutoriel peut être particulièrement utile pour les familles qui ont un accès limité aux services, car il peut être réalisé à domicile.

Autism Res. 2018 Jan 7. doi: 10.1002/aur.1919.

Enhancing interactions during daily routines: A randomized controlled trial of a web-based tutorial for parents of young children with ASD

Ibañez LV¹, Kobak K², Swanson A³, Wallace L³, Warren Z³, Stone WL¹.

Author information

1

Department of Psychology, University of Washington, Seattle, Washington.

2

Center for Psychological Consultation, Madison, Wisconsin.

3

Vanderbilt Kennedy Center Treatment and Research Institute for Autism Spectrum Disorders, (TRIAD), Vanderbilt University Medical Center, Nashville, Tennessee.

Abstract

Children with Autism Spectrum Disorder (ASD) often experience difficulty participating in everyday home routines, such as bed time or bath time. This randomized controlled trial examined the efficacy of an interactive, web-based parenting tutorial for improving children's engagement in daily routines (i.e., proximal outcomes) as well improving children's social communication and parenting efficacy and stress (i.e., broad outcomes). Parents of children with ASD between 18 and 60 months were randomly assigned to the Tutorial group (n = 52) or the Control group (n = 52). All parents completed questionnaires at baseline (T1), 1 month after T1 (T2; post-tutorial completion), and 2 months after T1 (T3). Relative to the Control group, parents in the Tutorial group reported significantly higher use of evidence-based instructional strategies and higher levels of child engagement during routines at T2 and T3. In addition, parents in the Tutorial group reported significantly lower parenting stress and higher parenting efficacy at T3, as well as higher ratings of child social communication at T2 and T3, compared to the Control group. Parents reported being highly satisfied with both the clinical content and technical aspects of the tutorial. These improvements in both proximal and broad parent-child outcomes suggest that this tutorial may be a promising and accessible way for empowering some parents and improving parent-child interactions. Autism Res 2018. © 2018 International Society for Autism Research, Wiley Periodicals, Inc.

LAY SUMMARY:

This web-based tutorial helped parents of children with ASD use proven strategies to improve their child's participation in daily routines at home. Parents who used the tutorial reported less parenting stress, felt better about their parenting skills, and reported better child social interactions compared to parents who did not use the tutorial. This tutorial may be especially helpful for families who have limited access to services, as it can be completed at home.

© 2018 International Society for Autism Research, Wiley Periodicals, Inc.

PMID:29316336

DOI:10.1002/aur.1919

Évaluation du risque de biais dans les essais contrôlés randomisés pour le "trouble du spectre de l'autisme"

Aperçu: G.M.

L'objectif de la recherche était de déterminer les indicateurs de validité et de fiabilité de construction de l'outil Cochrane de risque de biais (RoB) dans le contexte des essais cliniques randomisés (ECR) sur les "troubles du spectre de l'autisme" (TSA).L'analyse factorielle confirmatoire a été utilisée pour évaluer un modèle unidimensionnel composé de 9 indicateurs catégoriels RoB évalués dans 94 ECR traitant des interventions pour les TSA.Seuls cinq des neuf articles originaux de RoB ont renvoyé des indices d'ajustement et ont donc été retenus dans l'analyse. Un seul de ces cinq avait des charges factorielles très élevées. Les quatre indicateurs restants présentaient plus d'erreur de mesure que la variance commune avec le facteur latent RoB. Ensemble, les cinq indicateurs ont montré une fiabilité médiocre (ω = 0,687; IC 95%: 0,613-0,761).Bien que le modèle Cochrane de RoB pour les TSA présentait de bons indices d'ajustement, la majorité des items ont plus de variance résiduelle que la variance commune et, par conséquent, n'ont pas capturé adéquatement le RoB dans les essais d'intervention TSA.

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Front Psychiatry. 2017 Nov 29;8:265. doi: 10.3389/fpsyt.2017.00265. eCollection 2017.

Assessing Risk of Bias in Randomized Controlled Trials for Autism Spectrum Disorder

Okuda PMM¹, Klaiman C^2,3, Bradshaw J^2,3, Reid M², Cogo-Moreira H¹.

Author information

1

Department of Psychiatry, Universidade Federal de São Paulo, São Paulo, Brazil.

2

Marcus Autism Center, Children's Healthcare of Atlanta, Atlanta, GA, United States.

3

School of Medicine, Emory University, Atlanta, GA, United States.

Abstract

Aim:

To determine construct validity and reliability indicators of the Cochrane risk of bias (RoB) tool in the context of randomized clinical trials (RCTs) for autism spectrum disorder (ASD).

Methods:

Confirmatory factor analysis was used to evaluate a unidimensional model consisting of 9 RoB categorical indicators evaluated across 94 RCTs addressing interventions for ASD.

Results:

Only five of the nine original RoB items returned good fit indices and so were retained in the analysis. Only one of this five had very high factor loadings. The remaining four indicators had more measurement error than common variance with the RoB latent factor. Together, the five indicators showed poor reliability (ω = 0.687; 95% CI: 0.613-0.761).

Conclusion:

Although the Cochrane model of RoB for ASD exhibited good fit indices, the majorities of the items have more residual variance than common variance and, therefore, did not adequately capture the RoB in ASD intervention trials.

PMID:29238311

PMCID:PMC5712530

DOI:10.3389/fpsyt.2017.00265