Author:
Jouen Anne-Lise,Narzisi Antonio,Xavier Jean,Tilmont Elodie,Bodeau Nicolas,Bono Valentina,Ketem-Premel Nabila,Anzalone Salvatore,Maharatna Koushik,Chetouani Mohamed,Muratori Filippo,Cohen David,Bonfiglio Silvio,Apicella Fabio,Sicca Federico,Billeci Lucia,Pioggia Giovanni,Cruciani Federico,Paggetti Cristiano,Giuliano Angele,Francisa Maryrose,Das Saptarshi,Jamal Wasifa,Galway Leo,Donnelly Mark,
Abstract
Abstract
Background
To meet the required hours of intensive intervention for treating children with autism spectrum disorder (ASD), we developed an automated serious gaming platform (11 games) to deliver intervention at home (GOLIAH) by mapping the imitation and joint attention (JA) subset of age-adapted stimuli from the Early Start Denver Model (ESDM) intervention. Here, we report the results of a 6-month matched controlled exploratory study.
Methods
From two specialized clinics, we included 14 children (age range 5–8 years) with ASD and 10 controls matched for gender, age, sites, and treatment as usual (TAU). Participants from the experimental group received in addition to TAU
four 30-min sessions with GOLIAH per week at home and one at hospital for 6 months. Statistics were performed using Linear Mixed Models.
Results
Children and parents participated in 40% of the planned sessions. They were able to use the 11 games, and participants trained with GOLIAH improved time to perform the task in most JA games and imitation scores in most imitation games. GOLIAH intervention did not affect Parental Stress Index scores. At end-point, we found in both groups a significant improvement for Autism Diagnostic Observation Schedule scores, Vineland socialization score, Parental Stress Index total score, and Child Behavior Checklist internalizing, externalizing and total problems. However, we found no significant change for by time × group interaction.
Conclusions
Despite the lack of superiority of TAU + GOLIAH versus TAU, the results are interesting both in terms of changes by using the gaming platform and lack of parental stress increase. A large randomized controlled trial with younger participants (who are the core target of ESDM model) is now discussed. This should be facilitated by computing GOLIAH for a web platform.
Trial registration Clinicaltrials.gov NCT02560415
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Pediatrics, Perinatology, and Child Health
Cited by
25 articles.
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