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      Comparing the effectiveness of robot-based to human-based intervention in improving joint attention in autistic children

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          Abstract

          Background

          Children with autism have impairments in initiation of joint attention (IJA) and response to joint attention (RJA).

          Aims

          The present study compared the learning effectiveness of robot-based intervention (RBI) with that of content-matched human-based intervention (HBI) in improving joint attention (JA). We examined whether RBI would enhance RJA, in comparison to HBI. We also examined whether RBI would increase IJA, in comparison to HBI.

          Methods and procedures

          Thirty-eight Chinese-speaking children with autism aged 6 to 9 years were randomly assigned to RBI and HBI groups. Before intervention, their autism severity, cognitive abilities, and language skills were assessed. Each child received six 30-min training sessions over 3 weeks. During training, he/she watched one or two robot/human dramas twice where two robot/human actors demonstrated eye contact and RJA.

          Outcomes and results

          Children in the RBI (but not HBI) group produced more RJA and IJA behaviors in the delayed post-test than in the pre-test. Parents of the RBI children rated the program more positively than those of the HBI children.

          Conclusions and implications

          RBI may be more effective than HBI in promoting JA in autistic children with high support needs. Our findings shed light on the application of robot dramas in enhancing social communication skills.

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          Most cited references63

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          The social motivation theory of autism.

          The idea that social motivation deficits play a central role in Autism Spectrum Disorders (ASD) has recently gained increased interest. This constitutes a shift in autism research, which has traditionally focused more intensely on cognitive impairments, such as theory-of-mind deficits or executive dysfunction, and has granted comparatively less attention to motivational factors. This review delineates the concept of social motivation and capitalizes on recent findings in several research areas to provide an integrated account of social motivation at the behavioral, biological and evolutionary levels. We conclude that ASD can be construed as an extreme case of diminished social motivation and, as such, provides a powerful model to understand humans' intrinsic drive to seek acceptance and avoid rejection. Copyright © 2012 Elsevier Ltd. All rights reserved.
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            Autism: the empathizing-systemizing (E-S) theory.

            The mind-blindness theory of autism spectrum conditions has been successful in explaining the social and communication difficulties that characterize these conditions but cannot explain the nonsocial features (the narrow interests, need for sameness, and attention to detail). A new theory, the empathizing-systemizing (E-S) theory, is summarized, which argues two factors are needed to explain the social and nonsocial features of the condition. This is related to other cognitive theories such as the weak central coherence theory and the executive dysfunction theory. The E-S theory is also extended to the extreme male brain theory as a way of understanding the biased sex ratio in autism. Etiological predictions are discussed, as are the clinical applications arising from the E-S theory.
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              Robots for use in autism research.

              Autism spectrum disorders are a group of lifelong disabilities that affect people's ability to communicate and to understand social cues. Research into applying robots as therapy tools has shown that robots seem to improve engagement and elicit novel social behaviors from people (particularly children and teenagers) with autism. Robot therapy for autism has been explored as one of the first application domains in the field of socially assistive robotics (SAR), which aims to develop robots that assist people with special needs through social interactions. In this review, we discuss the past decade's work in SAR systems designed for autism therapy by analyzing robot design decisions, human-robot interactions, and system evaluations. We conclude by discussing challenges and future trends for this young but rapidly developing research area.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                05 May 2023
                2023
                : 14
                : 1114907
                Affiliations
                Department of Educational Psychology, The Chinese University of Hong Kong , Hong Kong, Hong Kong SAR, China
                Author notes

                Edited by: Davide Ghiglino, Italian Institute of Technology (IIT), Italy

                Reviewed by: Edoardo Datteri, University of Milano-Bicocca, Italy; Lori-Ann Rosalind Sacrey, University of Alberta, Canada

                *Correspondence: Wing-Chee So, wingchee@ 123456cuhk.edu.hk

                Present address: Ka-Yee Lam, Evangelize China Fellowship Holy Word School, China

                Article
                10.3389/fpsyt.2023.1114907
                10196491
                ce8617a2-21ef-4da2-a0ba-05810d7f0b85
                Copyright © 2023 So, Law, Cheng, Lee, Ng, Kwok, Lam and Lam.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 03 December 2022
                : 04 April 2023
                Page count
                Figures: 4, Tables: 2, Equations: 0, References: 67, Pages: 13, Words: 11259
                Categories
                Psychiatry
                Original Research
                Custom metadata
                Autism

                Clinical Psychology & Psychiatry
                social robots,autism,joint attention,intervention,childhood
                Clinical Psychology & Psychiatry
                social robots, autism, joint attention, intervention, childhood

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