ABSTRACT
Oral health care can be a challenging experience for children with autism, for their parents and for dentists. Recently, some technology-enhanced systems have been proposed to help people with autism to cope with distressing situations originated by unknown social-life contexts, such as dental care settings with intense sound-visual stimulations. Results were positive in mitigating anxiety at the dental clinic but seem to fail in supporting proper oral hygiene at home. Thanks to the increasing spread of household Intelligent Personal Assistants (IPA) and Vocal Conversational Agents (VCAs), we envisage new opportunities considering the Voice-enabled IPAs not only as support on daily activities but also to enrich and simplify access to healthcare procedures from home. This work attempts to extend the use of technology-enhanced systems for dental care by exploiting the potential of the Vocal User Interface, Amazon Alexa, as an instructional agent with children on the spectrum. To this purpose, we developed a personalized Alexa Skill with two different functionalities: (i) support the child during the routine transition toward the target activity: move to the bathroom to brush their teeth; (ii) act as a persuader and a timer to guide the child during the procedure observing the proper brushing time. We conducted a three-week preliminary study with three children of different autistic profiles. The goal was to collect opportunities and issues deriving from the device introduction in the home context and test the device usage to favour dental care. Results and feedback were encouraging and gave insights to improve this approach.
- Mohammad Rafayet Ali, Seyedeh Zahra Razavi, Raina Langevin, Abdullah Al Mamun, Benjamin Kane, Reza Rawassizadeh, Lenhart K Schubert, and Ehsan Hoque. 2020. A virtual conversational agent for teens with autism spectrum disorder: Experimental results and design lessons. In Proceedings of the 20th ACM International Conference on Intelligent Virtual Agents. 1–8.Google ScholarDigital Library
- Nuria Aresti-Bartolome and Begonya Garcia-Zapirain. 2014. Technologies as support tools for persons with autistic spectrum disorder: a systematic review. International journal of environmental research and public health 11, 8(2014), 7767–7802.Google Scholar
- American Psychiatric Association. 2013. Diagnostic and Statistical Manual of Mental Disorders. Vol. 5. American Psychiatric Association: Washington, DC, USA.Google Scholar
- Mariasole Bondioli, Susanna Pelagatti, Maria Claudia Buzzi, Marina Buzzi, and Caterina Senette. 2017. ICT to aid dental care of children with autism. In Proceedings of the 19th International ACM SIGACCESS Conference on Computers and Accessibility. 321–322.Google ScholarDigital Library
- Shanna L Burke, Tammy Bresnahan, Tan Li, Katrina Epnere, Albert Rizzo, Mary Partin, Robert M Ahlness, and Matthew Trimmer. 2018. Using virtual interactive training agents (ViTA) with adults with autism and other developmental disabilities. Journal of autism and developmental disorders 48, 3 (2018), 905–912.Google ScholarCross Ref
- M Claudia Buzzi, Marina Buzzi, Davide Gazzé, Caterina Senette, and Maurizio Tesconi. 2012. ABCD SW: Autistic behavior & computer-based didactic software. In Proceedings of the International Cross-Disciplinary Conference on Web Accessibility. 1–2.Google ScholarDigital Library
- Inha Cha, Sung-In Kim, Hwajung Hong, Heejeong Yoo, and Youn-kyung Lim. 2021. Exploring the Use of a Voice-based Conversational Agent to Empower Adolescents with Autism Spectrum Disorder. In Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems. 1–15.Google ScholarDigital Library
- Robert B Cialdini and Robert B Cialdini. 2007. Influence: The psychology of persuasion. Vol. 55. Collins New York.Google Scholar
- Robert B Cialdini and Lloyd James. 2009. Influence: Science and practice. Vol. 4. Pearson education Boston, MA.Google Scholar
- Carole Conyers, Raymond G Miltenberger, Blake Peterson, Amber Gubin, Mandy Jurgens, Andrew Selders, Jessica Dickinson, and Rebecca Barenz. 2004. An evaluation of in vivo desensitization and video modeling to increase compliance with dental procedures in persons with mental retardation. Journal of Applied Behavior Analysis 37, 2 (2004), 233–238.Google ScholarCross Ref
- Patricia D’Ateno, Kathleen Mangiapanello, and Bridget A Taylor. 2003. Using video modeling to teach complex play sequences to a preschooler with autism. Journal of Positive Behavior Interventions 5, 1 (2003), 5–11.Google ScholarCross Ref
- Konstantina Delli, Peter A Reichart, Michael M Bornstein, and Christos Livas. 2013. Management of children with autism spectrum disorder in the dental setting: concerns, behavioural approaches and recommendations. Medicina oral, patologia oral y cirugia bucal 18, 6 (2013), e862.Google Scholar
- Rennan Yanlin Du, Cynthia KY Yiu, and Nigel M King. 2019. Oral health behaviours of preschool children with autism spectrum disorders and their barriers to dental care. Journal of autism and developmental disorders 49, 2 (2019), 453–459.Google ScholarCross Ref
- Roopa P Gandhi and Ulrich Klein. 2014. Autism spectrum disorders: an update on oral health management. Journal of Evidence Based Dental Practice 14 (2014), 115–126.Google ScholarCross Ref
- Emily Kilroy, Lisa Aziz-Zadeh, and Sharon Cermak. 2019. Ayres theories of autism and sensory integration revisited: What contemporary neuroscience has to say. Brain sciences 9, 3 (2019), 68.Google Scholar
- Marissa Milne, Martin H Luerssen, Trent W Lewis, Richard E Leibbrandt, and David MW Powers. 2010. Development of a virtual agent based social tutor for children with autism spectrum disorders. In the 2010 international joint conference on neural networks (IJCNN). IEEE, 1–9.Google Scholar
- Antonio Narzisi, Mariasole Bondioli, Francesca Pardossi, Lucia Billeci, Maria Claudia Buzzi, Marina Buzzi, Martina Pinzino, Caterina Senette, Valentina Semucci, Alessandro Tonacci, 2020. “Mom Let’s Go to the Dentist!” Preliminary Feasibility of a Tailored Dental Intervention for Children with Autism Spectrum Disorder in the Italian Public Health Service. Brain Sciences 10, 7 (2020), 444.Google ScholarCross Ref
- Florence D DiGennaro Reed, Sarah R Hyman, and Jason M Hirst. 2011. Applications of technology to teach social skills to children with autism. Research in Autism Spectrum Disorders 5, 3 (2011), 1003–1010.Google ScholarCross Ref
- Caroline E Robertson and Simon Baron-Cohen. 2017. Sensory perception in autism. Nature Reviews Neuroscience 18, 11 (2017), 671–684.Google ScholarCross Ref
- Hiroki Tanaka, Hideki Negoro, Hidemi Iwasaka, and Satoshi Nakamura. 2017. Embodied conversational agents for multimodal automated social skills training in people with autism spectrum disorders. PloS one 12, 8 (2017), e0182151.Google ScholarCross Ref
- Jinping Wang, Hyun Yang, Ruosi Shao, Saeed Abdullah, and S Shyam Sundar. 2020. Alexa as coach: Leveraging smart speakers to build social agents that reduce public speaking anxiety. In Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. 1–13.Google ScholarDigital Library
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