GOLIAH: A gaming platform for home-based intervention in autism - principles and design

Valentina Bono, Antonio Narzisi, Anne Lise Jouen, Elodie Tilmont, Stephane Hommel, Wasifa Jamal, Jean Xavier, Lucia Billeci, Koushik Maharatna, Mike Wald, Mohamed Chetouani, David Cohen, Filippo Muratori, Silvio Bonfiglio, Fabio Apicella, Federico Sicca, Giovanni Pioggia, Federico Cruciani, Cristiano Paggetti, Angele GiulianoMaryrose Francisa, Saptarshi Das, Leo Galway, Mark Donnelly

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Children with Autism need intensive intervention and this is challenging in terms of manpower, costs, and time. Advances in Information Communication Technology and computer gaming may help in this respect by creating a nomadically deployable closed-loop intervention system involving the child and active participation of parents and therapists. An automated serious gaming platform enabling intensive intervention in nomadic settings has been developed by mapping two pivotal skills in autism spectrum disorder: Imitation and Joint Attention (JA). Eleven games - seven Imitations and four JA - were derived from the Early Start Denver Model. The games involved application of visual and audio stimuli with multiple difficulty levels and a wide variety of tasks and actions pertaining to the Imitation and JA. The platform runs on mobile devices and allows the therapist to (1) characterize the child's initial difficulties/strengths, ensuring tailored and adapted intervention by choosing appropriate games and (2) investigate and track the temporal evolution of the child's progress through a set of automatically extracted quantitative performance metrics. The platform allows the therapist to change the game or its difficulty levels during the intervention depending on the child's progress. Performance of the platform was assessed in a 3-month open trial with 10 children with autism (Trial ID: NCT02560415, Clinicaltrials.gov). The children and the parents participated in 80% of the sessions both at home (77.5%) and at the hospital (90%). All children went through all the games but, given the diversity of the games and the heterogeneity of children profiles and abilities, for a given game the number of sessions dedicated to the game varied and could be tailored through automatic scoring. Parents (N = 10) highlighted enhancement in the child's concentration, flexibility, and self-esteem in 78, 89, and 44% of the cases, respectively, and 56% observed an enhanced parents-child relationship. This pilot study shows the feasibility of using the developed gaming platform for home-based intensive intervention. However, the overall capability of the platform in delivering intervention needs to be assessed in a bigger open trial.

Original languageEnglish
Article number70
JournalFrontiers in Psychiatry
Volume7
Issue numberAPR
DOIs
Publication statusPublished - Apr 28 2016

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Autistic Disorder
Parents
Parent-Child Relations
Aptitude
Self Concept
Communication
Technology
Costs and Cost Analysis
Equipment and Supplies

Keywords

  • Autism spectrum disorder
  • Early Start Denver Model
  • Imitation
  • Intensive intervention
  • Joint Attention
  • Nomadic settings
  • Serious game

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Bono, V., Narzisi, A., Jouen, A. L., Tilmont, E., Hommel, S., Jamal, W., ... Donnelly, M. (2016). GOLIAH: A gaming platform for home-based intervention in autism - principles and design. Frontiers in Psychiatry, 7(APR), [70]. https://doi.org/10.3389/fpsyt.2016.00070

GOLIAH : A gaming platform for home-based intervention in autism - principles and design. / Bono, Valentina; Narzisi, Antonio; Jouen, Anne Lise; Tilmont, Elodie; Hommel, Stephane; Jamal, Wasifa; Xavier, Jean; Billeci, Lucia; Maharatna, Koushik; Wald, Mike; Chetouani, Mohamed; Cohen, David; Muratori, Filippo; Bonfiglio, Silvio; Apicella, Fabio; Sicca, Federico; Pioggia, Giovanni; Cruciani, Federico; Paggetti, Cristiano; Giuliano, Angele; Francisa, Maryrose; Das, Saptarshi; Galway, Leo; Donnelly, Mark.

In: Frontiers in Psychiatry, Vol. 7, No. APR, 70, 28.04.2016.

Research output: Contribution to journalArticle

Bono, V, Narzisi, A, Jouen, AL, Tilmont, E, Hommel, S, Jamal, W, Xavier, J, Billeci, L, Maharatna, K, Wald, M, Chetouani, M, Cohen, D, Muratori, F, Bonfiglio, S, Apicella, F, Sicca, F, Pioggia, G, Cruciani, F, Paggetti, C, Giuliano, A, Francisa, M, Das, S, Galway, L & Donnelly, M 2016, 'GOLIAH: A gaming platform for home-based intervention in autism - principles and design', Frontiers in Psychiatry, vol. 7, no. APR, 70. https://doi.org/10.3389/fpsyt.2016.00070
Bono, Valentina ; Narzisi, Antonio ; Jouen, Anne Lise ; Tilmont, Elodie ; Hommel, Stephane ; Jamal, Wasifa ; Xavier, Jean ; Billeci, Lucia ; Maharatna, Koushik ; Wald, Mike ; Chetouani, Mohamed ; Cohen, David ; Muratori, Filippo ; Bonfiglio, Silvio ; Apicella, Fabio ; Sicca, Federico ; Pioggia, Giovanni ; Cruciani, Federico ; Paggetti, Cristiano ; Giuliano, Angele ; Francisa, Maryrose ; Das, Saptarshi ; Galway, Leo ; Donnelly, Mark. / GOLIAH : A gaming platform for home-based intervention in autism - principles and design. In: Frontiers in Psychiatry. 2016 ; Vol. 7, No. APR.
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