Doctorate in Educational and Child Psychology Isabella McDonald Case Study 1: An Evidence-Based Practice Review Report Theme: Interventions for children with Special Educational Needs Humans vs. Robots: What is the effectiveness of a robot versus a human-led intervention on the social interaction skills of children with ASD? Summary Autism spectrum disorders (ASD) are psychological conditions associated with impairments in social interaction as a primary characteristic (American Psychiatric Association, 2000). Children with ASD have been shown to have an affinity with computer-based technologies (Hart, 2005). The use of robots in intervention and therapy for children with ASD is in its preliminary and exploratory stage, with many studies exploring the technical possibilities of using robots as a tool for child interaction. This literature review aims to evaluate the effectiveness of robot interventions compared to human-led interventions. The studies in this review aimed to improve a target social behaviour such as shared attention, selfinitiated interaction and imitative behaviours. Five studies met the inclusion criteria for children with ASD or related disorders such as Asperger’s and Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS). The age range was between two and 14 years. Findings show variability in children’s reactions to a robot, with some studies showing a larger effect size when a robot is used compared to a human. 1 Doctorate in Educational and Child Psychology Isabella McDonald Introduction Robot intervention As technology develops ever faster and further, there has been an increasing interest in the application of robots in diagnosis, research and therapy of children with autism spectrum disorders (ASD) and related difficulties. As a result, a number of robots have been designed with children with autism in mind with different capabilities, functions and specifications (Cabibihan, Javed, Ang & Aljunied, 2013). The application of robots in therapy has received considerable media attention, most recently in the UK (Criado, 2014). However, efficacy and effectiveness research on this topic is in its infancy (Diehl, Schmitt, Villano, & Crowell, 2012). Much research has studied the feasibility and functioning of humanoid or non-humanoid robots for use in research and therapy (Rick & Colton, 2010) which becomes clear when searching databases for studies, but as Diehl et al., (2012) states, not as much emphasis has been placed on the clinical application of (social) robots for children with autism. In the Diehl et al. (2012) review of the clinical use of robots, the application of interactive robots is categorised in four ways: responses to robots or robot-like characteristics, eliciting behaviour, modelling, teaching, or practising skills and providing feedback or encouragement. Psychological Basis: Robots and ASD Socially interactive robots are used to communicate, express emotion and maintain social relationships (Fong, Nourbakhsh & Dautenhahn 2003), 2 Doctorate in Educational and Child Psychology Isabella McDonald 2003). These are areas of social and communication that children with ASD find challenging (Figure 1). Figure 1. Triad of impairments in Autism Spectrum Disorder (Adapted from Cabibihan et al., 2013). Social and communication impairments associated with autism are deficits in imitating others (Williams, Whiten & Singh, 2004), self-initiations (Koegel, Camarata, Valdez-Menchaca & Koegel 1998) and reading others’ expressions (Celani, Battacchi, & Arcidiacono, 1999). These social skills require a degree good theory of mind and empathising with others – an ability to 3 Doctorate in Educational and Child Psychology Isabella McDonald imagine other’s thoughts, feelings, and intentions and to try to predict their behaviours (Baron-Cohen, 1995). The mind-blindedness theory proposes that people with autism lack this ability. Further to this, Baron-Cohen (2009) uses the cognitive theory, the systematising-empathising theory to explain the social and communication deficits that children with autism display. This theory recognises the discrepancy between an area of difficulty, the ability to empathise with others, and an area of strength, systematising, found in people with autism (Baron-Cohen, 2002). Baron-Cohen (2009) suggests that this gap determines whether a person is likely to develop autism. Systematising is a drive to analyse a system which is guided by rules. Baron-Cohen (2009) suggests that by doing so people with autism use this superior skill to predict how a system may behave. Evidence for this theory is derived which have used a scale, the Systematising Quotient (SQ) which evaluates a “drive to systematise”. For example, people with autism scored higher on the scale than the general population (Baron-Cohen, Richler, Bisarya, Gurunathan, & Wheelwright, 2003). The systematising-empathising theory may be used to explain the psychological theory behind the clinical application of robots. It has been suggested that children with autism have a greater affinity to robots and mechanical components than humans (Hart, 2005). There is even some evidence that children with ASD prefer robots to humans (Dautenhahn & Werry, 2004). Robots can be understood as a system which children with autism may be motivated to engage with. As Klin, Lin, Gorrindo, Ramsay and Jones (2009) 4 Doctorate in Educational and Child Psychology Isabella McDonald outlines, a strength associated with ASD is an understanding of objects. Children with ASD are intrinsically interested in treatment carried out by technology (robotic or electronic elements) (Robins, Dautenhahn & Dubowski, 2006). These factors may all prove beneficial in the clinical application of robots for practising and promoting social engagement skills. It must be mentioned that the autistic spectrum covers a wide range of difficulties and this review includes broad samples within the target population. Not every child with ASD, Asperger’s Syndrome or PDD-NOS will show all or many of these impairments to the same degree (Happé & Ronald, 2008; Wall, 2009). Each child will exhibit a certain set of the symptoms of varying degrees and intensities. Autism is defined as a spectrum disorder and typically developing children may also demonstrate some of the impairments as shown in Figure 1 (Constantino and Todd, 2003).The reviewed studies use a robot and a human-led intervention to promote the following areas of social behaviour: imitation, eye contact or gaze, emotional expression, joint attention and selfinitiated behaviour. All of which play significant roles in social development. A key role of an educational psychologist is supporting the education of children with special educational needs such as those with autism. The skills of communicating and interacting with others are heavily relied upon in the mainstream school environment. The application of robots may be a method in which to improve the social and communication skills of these children in schools. Currently, the use of robots in the classroom is being trialled in a primary school in (Griffiths, 2014). An example of the robot’s use in school is cited in the article. It tells the story of a boy named Stephen with Asperger’s Syndrome who works with the robot, Nao, after lunch. Stephen recites a story 5 Doctorate in Educational and Child Psychology Isabella McDonald he has written to the robot and the robot will react to the story at moments of interest. Teachers report that the children will often follow instructions given by the robot when they may be reluctant to respond to an adult. The trial is being implemented by the University of Birmingham’s Autism Centre for Education and Research (Acer) and educational psychologists have been following the project’s progress. Should this trial and other similar projects be successful, there may be a future role for psychologists in supporting the programming of the robots to suit the skills and development of the children, or in training and research. Review Question In light of the above, the review question reads: What is the effectiveness of a robot versus a human-led intervention on the social interaction skills of children with ASD? Critical Review of the Evidence base Literature Search A literature search was carried out in January 2014 using the databases ERIC, Medline, PsychInfo and Web of Science. In order to be included in the review, the article had to be published in a peer-review journal between 2008 and 2013. An initial search using the terms “robot*” in the journal abstract and autism or ASD or Asperger* or PDD-NOS in the journal title returned 139 results, of which many were duplicates. Many studies focussed on effective robot design, rather than the effect of the robot intervention itself. Diehl et al. (2012) also reported that much of the published research is in journals that 6 Doctorate in Educational and Child Psychology Isabella McDonald focus on robotics (e.g., Autonomous Robots, Robotica) rather than in prominent ASD journals or clinically focused journals. The search terms were therefore narrowed down, as below, and restricted to the past five years (2008 – 2013) in order to review the most recent technologies, which returned a total of 37 results. The abstracts of these 37 were inspected and 19 (excluding duplicates) were rejected based on the rationale for exclusion and inclusion. For a full account of rationale for exclusion of these studies and a flowchart documenting this process, please see Appendix 1. Table 1. Search terms Difficulty Intervention Measure in Title in Abstract In Abstract Autism Robot* Socia* ASD Asperger* PDD-NOS Including and excluding studies using criteria The criteria shown in Table 2 were used as a reference to obtain the included five papers. Table 2. Inclusion and exclusion criteria. Criterion 1. Publication type Inclusion The study is published in a peer reviewed journal to ensure some quality control, as these have been assessed using 7 Exclusion The study is not published in a peer-reviewed journal. This excludes conference papers and thesis research. Doctorate in Educational and Child Psychology Isabella McDonald similarly stringent criteria. 2. Publication year The year of publication is between a five year period, 2008 and 2013. This is to capture the most recent technological advances. The year of publication is outside of this timeframe. 3. Language of The study is published in English. This criterion has been drawn due to the lack of resources available for translation. The study is published in a language other than English. 4. Methodology The study has a human – child interaction condition and a robot – child interaction condition. The study does not have a both a human – child interaction condition and a robot - child interaction condition. 5. Intervention The study includes an intervention targeted at improving participants’ social engagement skills. The study does not have an intervention targeted improving participants’ social engagement skills. 6. Participant need The study must confirm a previous diagnosis of ASD (DSM-IV A.P. Association, 2000), for participants described as autistic. This diagnosis may be given as in the Diagnostic Manual, ADOS (Autism Diagnostic Observation Schedule) or confirmed by a medical professional. The study does not confirm a diagnosis of ASD for participants described as autistic. 7. Participant age The study includes children and young people between the ages of 0 and 25. This is the age group with which educational psychologists work. The study samples participants outside of this age range. publication 8 Doctorate in Educational and Child Psychology Isabella McDonald Table 3. Studies meeting the inclusion criteria and summary Study Sample Intervention Design Measures Outcomes Duquette et al. (2008) N=4 low functioning autism, 4 – 5 years, pre-verbal and nonverbal. Encouraged interaction with a robot or human Single case design Observation. Shared attention, Shared conventions, Absence of sharing, Other phenomenon. Huskens al., (2013) et N=6 ASD according to DSM-IV TR criteria. 8 – 14 years, IQ 80 and above ABA-based intervention to promote self-initiated question asking Single case design Kim et (2012) al. N = 24 4 -12 years, high functioning ASD, IQ at least 70 Group design with randomised conditions Tapus et al. (2012) N=4 2 – 6 years Moderate autism, some with delayed cognitive and language development Social behaviours in three conditions: Pleo dinosaur robot, human or touchscreen computer. Encouraged imitation of a Nao robot or human trainer Observation. Statement Syntactically correct question that implies an action Syntactically correct question that does not imply an action Incorrect response Observation Utterances towards mediator or confederate The results indicate that non-verbal children demonstrate less interest and participation than pre-verbal children. Children exposed to the robotic mediator showed reduced repetitive plays with inanimate objects of interest (their favourite toy), and no repetitive or stereotyped behaviour toward the robot. For both experimental groups, the number of selfinitiated questions increased significantly between the first baseline and the first intervention, indicating that the interventions conducted by a robot and a human trainer were both effective in promoting self-initiated questions in children with ASD. Single case design Observation Free initiations, initiations with prompt, eye gaze, gaze shifting, smile/laugher Results are mixed and show variability in reaction to robot. Vanderborght et al. (2012) N=4 4 - 8 years ,elements of severe autism Social story telling by a robot (Probo) or a human Single case design Observation Level of prompting needed to perform a social behaviour Compared to the Social Story intervention, the Social Story with RAT intervention had a stronger effect on decreasing the level of prompting the therapist needed to offer to each child in order for the child to perform the target behaviour for all the participants. to 9 Children with ASD spoke more while interacting with a social robot than with another adult or a novel, touchscreen computer game. Doctorate in Educational and Child Psychology Isabella McDonald Comparison of Selected Studies Evaluation process The methodological qualities of the studies were examined and coded using the UCL Educational Psychology Literature Review Coding Protocol, adapted from APA Task Force on Evidence Based Interventions in School Psychology (Kratochwill and Shernoff, 2003). The Gough (2007) framework as outlined in Appendix 3 was used to assess the applicability of each study to the research question. Full evaluations of the studies reviewed can be obtained in Appendix 3. Table 4. Weight of evidence. Weight of Evidence Rating Methodologi Methodolo cal Quality gical Relevance (A) (B) Study Duquette et al. (2008) Huskens et al. (2013) Kim et al. (2012) Tapus et al. (2012) Vanderbo rght et al. (2012) Review Relevance (C) Overall (D) Low 1.3 Medium 1.6 Medium 2 High 2.6 Low 1 High 3 High 3 Low 1 Medium 2 High 3 Low 1 Medium 2 Low 1.4 High 2.5 Medium 2 Medium 1.9 Medium 2.3 Medium 2 High 3 Medium 2.4 Participants The age of participants in all studies ranged from two to 14 years of age. Children with ASD cover a broad spectrum of strengths and difficulties. For the purpose of the review, it is important to mention the degree of the participants’ difficulties. In all five studies, children were diagnosed according to the 10 Doctorate in Educational and Child Psychology Isabella McDonald Diagnostic and Statistical Manual of Disorders IV criteria of autism (APA, 2000) or by the ADOS-G (Autism Diagnostic Observation Schedule-Generic), as specified in the inclusion criteria. One study, Kim et al. (2012), included children with high functioning autism as the only research sample. In contrast, Duquette et al. (2008) only included a sample of non-verbal and pre-verbal children with low functioning autism. These low functioning samples must be borne in mind when interpreting the small effect sizes associated with the robot intervention conditions in this study. Vanderborght et al. (2012) sampled children with moderate autism and found large effect sized across the board. Two studies (Huskens et al., 2013 and Kim et al., 2012) controlled for IQ, a full-scale IQ above 80 and equal to or above 70, respectively. Others reported the ranges of IQ in their sample, but did not report IQ in the inclusion criteria for participation. Kim et al. (2012) is the only study to report the cultural background of the 24 participants, with the majority of white origin. The study was given a rating of low in Weight of Evidence C as social behaviour deficits were not described. Ascertaining the social behaviour deficitis may however be more difficult in a larger sample size in group study such as that by Kim et al. (2012). It could be argued that deficits in social behaviour deficit is implied by the confirmed diagnosis using the ADOS and delivered by an experienced clinician. Weight of evidence C specifies that the study must give clear descriptors’ of the children’s diagnosis and social skills or deficits. The four studies with a single case design, excluding Kim et al. (2012), were more appropriate for this purpose as they gave background information on the difficulties of each child participant. 11 Doctorate in Educational and Child Psychology Isabella McDonald Duquette et al. (2008) sampled pre-verbal and non-verbal children who show a deficit in imitation, also a severe delay in receptive and expressive language and have a sensori-motor interest that interferes with the development of their communication skills. They were all assessed using the imitation tool PEP-R (Psycho Educational Profile Review) (Schopler, Reichler, Bashford, Lansing & Marcus, 1990). Tapus et al. (2012) studied four children as part of a single case study design, three of whom have cognitive deficits and all of whom have severely delayed language development and a diagnosis of autism from mild to severe. The study, which uses an imitation task to investigate whether children with autism show more social engagement when interacting with a Nao robot compared to a human partner, details the children’s ability to socially interact and imitate others. For the purpose of the review question, this study has a highly relevant sample of children with autism to target a specific social deficit using both a robot and a human trainer. Huskens et al. (2013) had a sample of six male participants whose diagnoses were confirmed using a Social Communication Questionnaire (SCQ). This partially accounted for a Medium score for Weigh of Evidence C. The rating was brought down by the lack of documentation of the relationship between the child and the researcher. It is also important to consider the relationship between the children receiving the intervention and the person or robot delivering the intervention. This is especially the case when studying children with ASD who may not feel as comfortable around unfamiliar adults as typically developing children. Vanderborght et al. (2013) had a highly relevant and gender balanced sample of two boys and two girls who attended a therapy centre. All four children between the ages of four and nine had a diagnosis of moderate autism. The study clearly 12 Doctorate in Educational and Child Psychology Isabella McDonald states that the children were familiar with the room in which the experiment took place. Additionally, the therapist who performed the interaction was a permanent staff member of the autism centre and had given regular therapy sessions to the children involved. Huskens et al. (2013) indicates that a room that is familiar to the children as it is part of their day treatment centre. It is not clear whether the children are therefore known to the researcher, or the children have had prior exposure to the robot, Nao. Included in the design of the intervention conditions, Tapus et al. (2012) incorporated a familiarisation stage with the robot. This lasted five to ten minutes depending on the child’s reaction to the robot. The child was encouraged to interact with the robot by saying hello and asking its name. The experimenter also modelled what the robot was able to do. These phases show an understanding of the needs of a child with autism who may find this unfamiliar situation and technology uncomfortable. Once the child was at ease with the robot, the intervention phase began. Robots Each robot in the reviewed studies has its unique appearance and interaction methods. The design and functionalities of the robot have a significant influence on its effectiveness in eliciting social behaviour. Four studies used a humanoid robot which has more human-like characteristics. Two of these (Huskens et al., 2013 and Tapus et al., 2013) used the same humanoid robot, Nao, developed by Aldebaran Robotics. Kim et al. (2012) used a robot described as an affectively expressively toy dinosaur robot named Pleo. As shown in Table 5, all robots had differing technical capabilities. It is possible that these capabilities had an effect on the outcomes of the studies and 13 Doctorate in Educational and Child Psychology Isabella McDonald the extent to which the robots were effective in socially engaging the children. For example, Tito, the humanoid robot used in Duquette et al.’s study lacks reciprocity, whereas Nao does not. Table 5. Robots used to deliver the intervention. Study Robot (with picture) Duquette et al. (2008) Tito Huskens et al. (2013) Nao Kim et al. Pleo Robot functions and characteristics 60 cm tall plainly coloured (red, yellow, blue) Has feet and legs but uses wheels to move Moves arms, head, and mouth Expresses a few simple emotions Camera and microphone Generates vocal messages Different body parts can be illuminated Vocabulary of 25 words neutral-coloured humanoid robot 57cm tall 25 mechanical degrees of freedom digital cameras, microphones, speakers, touch sensors has a ‘‘simple’’ face to prevent confusion female pre-recorded voice was used 21 inches long, 6 inches wide, and (2012) 8 inches tall Green and brown customised for the purpose of the study Movement are synchronised with pseudo-verbal vocalisations, to express 14 Doctorate in Educational and Child Psychology Isabella McDonald interest, disinterest, happiness, disappointment, agreement and disagreement Tapus et Nao As above al. (2012) Vanderb orght et al. (2012) Probo expresses attention and emotions via gaze and facial expressions human-like social cues soft, “huggable” material green Intervention Treatment integrity was assessed in one study, on 33% of the sessions for each child with a mean of 99% (Huskens et al., 2013). The integrity by which the treatment or intervention was carried out in the remaining four studies could not be directly assessed, however Vanderborght et al. (2012) and Tapus et al. (2012) in much lengthier reports give very clear guidelines on how, where and 15 Doctorate in Educational and Child Psychology Isabella McDonald with whom the interventions were carried out. These descriptions make the studies replicable to a high degree. Measures All studies used observation as a method of data collection, but slightly varied in approach and coding. Experimental scenarios were videotaped and coded by at least two observers. In Tapus et al. (2012), this was by three trained clinical psychologists. Inter-coder reliability ratings were highest in Duquette et al. (2008), however this was based on data from pre-experimental sessions. Huskens et al. (2013) report an inter-rater reliability coefficient only for treatment integrity and on 33% of the observations. No inter-observer coefficient is stated for observations of social behaviour. All studies varied in their measures of social engagement, interaction or behaviour. Two studies, Huskens et al. (2013) and Vanderborght et al. (2012) used a single measure of self-initiated questions (child behaviour) and level of prompting (researcher behaviour) respectively. These were appropriate measures in order to answer the research questions. Tapus et al. (2012) was weighted highly in Weight of Evidence A and had a total of five measures of social engagement; free initiations, interactions with prompt, eye gaze, gaze shifting and smile or laughter. Huskens et al. (2013) operationalised the variable of self-initiated questions including syntactic correctness in the definition of the variable. A limitation of the measurement of utterances in Kim et al.’s (2012) sample is that speech did not have to be syntactically correct. Both studies controlled for IQ however. Kim et al. (2012) required a slightly lower threshold of or above 70, 16 Doctorate in Educational and Child Psychology Isabella McDonald compared to 80 or above. These criteria may have wielded impact over the findings and effect sizes. In general, the measures used were well documented. The expressions or reactions chosen by Duquette et al. (2008) were set according to the work of Camaioni and Aureli (2002) and observations made during the pre-experimental sessions. Research Design The majority of studies employed a single case design, Huskens et al. (2013), Tapus et al. (2012) and Vanderborght et al. (2012). Duquette et al. (2008) applied a mixed method of a combined crossover multiple baseline design across participants with random assignment to experimental groups and Kim et al. (2012) employed the only randomised group design methodology with interactional conditions. Kim et al. (2012) randomised the three conditions; robot, human and computer game phases which were completed by all participants. Kim et al. (2012) received a high weighting for quality of the comparison group in Weight of Evidence A, methodological quality. Twenty-four participants was deemed a large enough sample using a GPower power analysis calculation with a medium effect size to yield significant results. The study received a high weighting for its methodological relevance to the review questions as it use random assignment of all participants to the intervention phases, used active comparison intervention phase and established group equivalence. 17 Doctorate in Educational and Child Psychology Isabella McDonald Additional interviews and play sessions were interwoven into the design of Kim et al.’s (2012) group study. These six minute interviews were semistructured and included before, between and after intervention phases. It is reported that these were aimed to give children a break in between the intervention phases and were recorded similar to these, but the dialogue or conclusions of which are not recounted. This may have been an opportunity for the research to gather some information on the children’s reactions and feelings towards the Pleo robot. A clear positive of the Vanderborght et al. (2012) design is its ecological validity. The researchers report that they were able to take into account an individual need of the child – a particular social behaviour – and achieve improvement in that behaviour. These needs are also relevant outside of the experimental scenario and therefore have meaning to the child. For a single case design to be effectively applied, it is necessary to establish a high quality baseline. Using the coding protocol, insufficient information on the baselines established in Duquette et al. (2008) was given which added to a lower rating for Weight of Evidence A. Huskens et al. (2013), Tapus et al. (2012) and Vanderborght et al. (2012) were all awarded two out of three for quality of baseline measures. All of which were displayed clearly in the reports with multiple baselines before both the robot and human intervention phases. Findings Table 6. Effect sizes 18 Doctorate in Educational and Child Psychology Study Population Isabella McDonald Significa nt results Conditio n Characteristic ge Duquett e et al. (2008) oE R s obot Low functioning -5 autism. 2 pre-verbal, 2 years non-verbal W Shared H uman Small* L attention ow Shared Small* conventions Absence Small* of sharing Husken s et al. (2013) IQ of 80 or -14 above N Selfinitiated questions o effect H Large igh years Kim et al. (2012)** High -12 functioning ASD, IQ at years least 70 Utterance s (total) S mall Directed toward S mall M edium N S o effect mall confederate Directed toward partner Tapus et 2 – 6 years al. (2012) M edium M edium Total M initiations Moderate Child 1 19 edium L N Doctorate in Educational and Child Psychology Isabella McDonald autism, delayed arge o effect cognitive and language development Elements of N Child 2 o effect autism, delays in N o effect language development Moderate Child 3 autism, delayed N S o effect mall cognitive and language development Severe autism, N Child 4 o effect non-verbal, delayed S mall cognitive development Vanderb Number orght et al. of prompts for (2012) target social M edium behaviour Moderate Child 1 autism, female L arge L arge years Moderate Child 2 autism, female L arge L arge years Moderate Child 3 autism, male arge years 20 N L o effect Doctorate in Educational and Child Psychology Moderate Isabella McDonald Child 4 autism, male N L arge o effect years *only robot vs. human reported ** compared to computer game condition taken as baseline for this purpose The findings are mixed and show a high variability in the children’s reactions to the robot and human interactive phases. It is important to recognise that the children across the reviewed studies have a broad spectrum of difficulties. Tapus et al. (2012) recognises that the children with low functioning autism may have found the Nao robot more appealing. However, this was not the case in the study by Duquette et al. (2008) for which a small effect size of the robot versus the human intervention was found. This study only sampled four low functioning participants who are either non-verbal or pre-verbal. In the study by Tapus et al. (2012), particularly for Child 1 who has moderate autism, the robot intervention was more effective in engaging her than the human partner. Table 6 shows a large effect size for Child 1 in the Nao robot intervention and only a small or no effect for the remaining three participants. However, it is important to mention that Tapus et al. (2012) reports a possible habituation effect. All children showed interest in the robot at the beginning of the session, but this tended to tail off after some time. Positive emotions were greater in the first few minutes of interaction. 21 Doctorate in Educational and Child Psychology Isabella McDonald The findings in Vanderborght et al. (2012) appear conclusive that the robot, Probo, was effective in acting as a mediator in delivering a Social Story intervention. Table 6 shows large effect sizes for all four children who received robot assisted therapy which was measured by levels of prompting to perform a social behaviour. In one robot scenario, no prompting was needed for the child to perform the behaviour showing self-initiation. Kim et al. (2012) report in their findings that children with ASD spoke more when interacting with the Pleo robot, rather than with a human partner or touchscreen computer game. The effect sizes in Table 6 however only show a small difference (small versus no effect) for the speech directed towards a confederate. This is in line with the research design to support more speech with the confederate rather than the interaction partner. Similar to the findings of Tapus et al. (2012), the children in the study by Kim et al. (2012) appear to show more curiosity and excitement toward the robot. In contrast, Table 6 shows a large effect size in human condition and no effect in the robot condition in the study by Huskens et al. (2013). Fewer selfinitiated questions were recorded for children interacting with a robot, than with a human. The results of the study by Duquette et al. (2008) were reported as mixed. As this study was a mixed methods design, only an interaction between the robot and human conditions was calculable from the results presented in the paper. These differences may be explained by the sample. Duquette et al.’s 2008 study focussed only on children with low functioning autism, whereas Husken et al.’s 2013 sample had a full-scale IQ of at least 80. 22 Doctorate in Educational and Child Psychology Isabella McDonald Conclusion and Recommendations The aim of this review was to assess the effectiveness of the application of robots, in comparison to humans, on the social interaction skills of children with ASD. The quantitative results in the five reviewed studies are mixed and show a high variability in the children’s reactions to the robot. Bearing in mind the functions of the robot, degree of children’s difficulties and the social behaviours that the intervention aims to target, the application of robots to promote the social engagement of children can be effective. The development of technologies for use with children with ASD remains in its infancy. At present, the extent to which robots can be used in therapy with children with ASD is limited also due to the resource implications associated with advanced technologies and limitation in the functions of robots. The results however show promise for the future application of robots in promoting social behaviour. In doing so, therapists and psychologists working with children with autism should consider the degree of children’s difficulties. Considerations for future research are outlined below. Future research All of the studies reviewed were conducted over a short period of time. Future research using a robot conducted over many therapy sessions with more opportunity to change would be interesting to evaluate. A more longitudinal study in this area would help to ascertain whether the robot is more effective than a human-led intervention. A setting which was not included in the studies was the classroom. School-based therapies using robots would be an interesting area of further 23 Doctorate in Educational and Child Psychology Isabella McDonald exploration and one that has gained some recent media attention. This is a setting which is relevant to educational psychology and professionals in the area may look towards implementing a study in a special school setting, for example. Regarding the social behaviours involved, in the conclusions drawn from Tapus et al. (2012), it is suggested that by involving real objects in an imitation task, imitative behaviour would be facilitated and therefore more meaningful to the child. This suggestion is reinforced by research by Nadel (2004) and Pierno, Mari, Lusher and Castiello (2008) (2008) which found that children with low functioning autism can make spontaneous initiations (Nadel, 2004) and imitate (Pierno et al., 2008) when actions are goal directed and involve objects. The reviewed studies included an age range from two to 14 years. Perhaps children and young people older than this age bracket may lose interest in robots, but further research could investigate the older age bracket. In addition, the studies assessed age in terms of chronological age. Different results may be found if children are assessed according to developmental age. A wide range of difficulties were presented in these studies. It may be of interest to assess whether children on the lower, or indeed the higher end of the autistic spectrum react mostly effectively and enjoyably with a robot. It is clear that as technology improves and researchers hone the functionalities of robots to appeal to children with ASD, more opportunities and possibilities to employ social robots in therapy will develop. 24 Doctorate in Educational and Child Psychology Isabella McDonald References American Psychiatric Association. (2000). Diagnostic And Statistical Manual Of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision). Baron-Cohen, S. (1995). 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Trajectoires développementales et individuelles de la transition vers la communication symbolique. Enfance, 3. 25 Doctorate in Educational and Child Psychology Isabella McDonald Celani, G., Battacchi, M. W., & Arcidiacono, L. (1999). The understanding of the emotional meaning of facial expressions in people with autism. Journal of autism and developmental disorders, 29(1), 57-66. Constantino, J. N., & Todd, R. D. (2003). Autistic traits in the general population. A twin study, Archives of General Psychiatry, 60, 524-530. Criado, E. (2014, February 6. Introducing ERWIN the robot with feelings. The Independent. Retrieved from , http://www.independent.co.uk. Dautenhahn, K., & Werry, I. (2004). Towards interactive robots in autism therapy: Background motivation, and challenges. Pragmatics & Cognition, 12, 1–35. Diehl, J. J., Schmitt, L. M., Villano, M., & Crowell, C. R. (2012). The clinical use of robots for individuals with autism spectrum disorders: A critical review. Research in Autism Spectrum Disorders, 6(1), 249-262. Duquette, A., Michaud, F., & Mercier, H. (2008). Exploring the use of a mobile robot as an imitation agent with children with low-functioning autism. Autonomous Robots, 24(2), 147-157. Fong T, Nourbakhsh I, & Dautenhahn K (2003). A survey of socially interactive robots. Robotics and autonomous systems42(3–4):143–166 Gough, D. (2007) Weight of evidence: a framework for the appraisal of the quality and relevance of evidence. Research Papers in Education, 22 (2). pp. 213-228. ISSN 0267-1522. 26 Doctorate in Educational and Child Psychology Isabella McDonald Griffiths, A. (2014, February, 14) The robot teacher connecting with autistic children, The Telegraph, Retrieved from, http://www.telegraph.co.uk. Happé F, Ronald A (2008) The ‘fractionable autism triad’: a review of evidence from behavioral, genetic, cognitive and neural research. Neuropsychological Review, 18(4):287–304 Hart, M. (2005, October). Autism/excel study. In Proceedings of the 7th international ACM SIGACCESS conference on Computers and accessibility,( pp. 136-141). Huskens, B., Verschuur, R., Gillesen, J., Didden, R., & Barakova, E. (2013). Promoting question-asking in school-aged children with autism spectrum disorders: Effectiveness of a robot intervention compared to a humantrainer intervention. Developmental neurorehabilitation, (0), 1-12. Kim, E. S., Berkovits, L. D., Bernier, E. P., Leyzberg, D., Shic, F., Paul, R., & Scassellati, B. (2013). Social robots as embedded reinforcers of social behavior in children with autism. Journal of Autism and Developmental Disorders, 43(5), 1038-1049. Klin, A., Lin, D. J., Gorrindo, P., Ramsay, G., & Jones, W. (2009). Twoyear-olds with autism orient to non-social contingencies rather than biological motion. Nature, 459, 257–261. Koegel, L. K., Camarata, S. M., Valdez-Menchaca, M., Koegel, R.L. (1998). Setting generalization of question-asking by children with autism. American Journal on Mental Retardation, 1998;102:346–357. 27 Doctorate in Educational and Child Psychology Isabella McDonald Kratochwill, T. R., & Shernoff, E. S. (2003). Evidence-based practice: Promoting evidence-based interventions in school psychology. School Psychology Quarterly, 18(4), 389. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine, 151(4), 264-269. Nadel, J. (2004). Do children with autism understand imitation as intentional interaction?. Journal of Cognitive & Behavioral Psychotherapies, 4(2). Pierno, A. C., Mari, M., Lusher, D., & Castiello, U. (2008). Robotic movement elicits visuomotor priming in children with autism. Neuropsychologia, 46(2), 448-454. Robins, B., Dautenhahn, K., & Dubowski, J. (2006). Does appearance matter in the interaction of children with autism with a humanoid robot? Interaction Studies, 7, 509–512. 1. Schopler, E., Reichler, R. J., Bashford, A., Lansing, M., & Marcus, L. (1990). Individualized assessment and treatment for autistic and developmentally disabled children: Vol. 1, Psychoeducational profile-revised (PEP-R). Austin, TX: Pro-Ed. Tapus, A., Peca, A., Aly, A., Pop, C., Jisa, L., Pintea, S., & David, D. O. (2012). Children with autism social engagement in interaction with Nao, an imitative robot A series of single case experiments. Interaction studies, 13(3), 315-347.Vanderborght, B., Simut, R., Saldien, J., Pop, C., Rusu, A. S., Pintea, S., ... & David, D. O. (2012). Using the social robot probo as a 28 Doctorate in Educational and Child Psychology Isabella McDonald social story telling agent for children with ASD. Interaction Studies, 13(3), 348-372. Wall K (2009) Autism and early years practice. Sage, Thousand Oaks. Williams, J. H., Whiten, A., & Singh, T. (2004). A systematic review of action imitation in autistic spectrum disorder. Journal of autism and developmental disorders, 34(3), 285-299. 29 Doctorate in Educational and Child Psychology Isabella McDonald Appendix 1 Identification Flowchart 1 Additional records identified through other sources (n = 0 ) Studies identified through database (x 4) searching (n = 37 ) Screening Records after duplicates removed (n =24 ) Eligibility Records screened (n = 24 ) Records excluded (n =19 ) Included Full-text articles assessed for eligibility (n = 5 ) Studies included in quantitative synthesis (meta-analysis) (n = 5 ) 1 Adapted From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009). 30 Doctorate in Educational and Child Psychology Isabella McDonald Appendix 2 Included and Excluded Studies Articles from PsychINFO, ERIC, Medline, Web of Science Study Rational for Exclusion Bekele, E. T., Lahiri, U., Swanson, A. R., (5) Does not have Crittendon, J. A., Warren, Z. E., & Sarkar, N. (2013). a measure of social A step towards developing adaptive robot-mediated engagement. intervention architecture (ARIA) for children with autism. Neural Systems and Rehabilitation Engineering, IEEE Transactions on, 21(2), 289-299. Boccanfuso, L., & O’Kane, J. M. (2011). (5) Does not have CHARLIE: An adaptive robot design with hand and a measure of social face tracking for use in autism therapy. International engagement. Journal of Social Robotics, 3(4), 337-347. Cabibihan, J. J., Javed, H., Ang Jr, M., & Aljunied, S. M. (2013). Why robots? A survey on the (robot design) (1) Revi ew of research roles and benefits of social robots in the therapy of children with autism. International Journal of Social Robotics, 5(4), 593-618. Costa, S., Resende, J., Soares, F. O., (1) Typ Ferreira, M. J., Santos, C. P., & Moreira, F. (2009, e of publication – September). Applications of simple robots to conference paper 31 Doctorate in Educational and Child Psychology Isabella McDonald encourage social receptiveness of adolescents with autism. In Engineering in Medicine and Biology Society, 2009. EMBC 2009. Annual International Conference of the IEEE (pp. 5072-5075). Dautenhahn, K., & Werry, I. (2004). Towards interactive robots in autism therapy: Background, (1) Disc ussion article motivation and challenges. Pragmatics & Cognition, 12(1), 1-35. (2) Published before 2008 Dickstein-Fischer, L., Alexander, E., Yan, X., Su, H., Harrington, K., & Fischer, G. S. (2011, August). An affordable compact humanoid robot for (1) Discussion/ review paper Autism Spectrum Disorder interventions in children. In Engineering in Medicine and Biology Society, EMBC, 2011 Annual International Conference of the IEEE (pp. 5319-5322). Francois, D., Powell, S., & Dautenhahn, K. (4) Does not (2009). A long-term study of children with autism address research playing with a robotic pet: Taking inspirations from question – no robot – non-directive play therapy to encourage children's child and human –child proactivity and initiative-taking. Interaction Studies, conditions 10(3), 324-373. Giannopulu, I., & Pradel, G. (2010). Multimodal interactions in free game play of children 32 (4) No human – child interaction Doctorate in Educational and Child Psychology with autism and a mobile toy robot. Isabella McDonald condition NeuroRehabilitation, 27(4), 305-311. Jordan, K., King, M., Hellersteth, S., Wirén, A., (1) & Mulligan, H. (2013). Feasibility of using a study for humanoid robot for enhancing attention and social experimental skills in adolescents with autism spectrum disorder. setup Pilot International Journal of Rehabilitation Research. Kozima, H., Nakagawa, C., & Yasuda, Y. 0 (1) Typ (2007). Children–robot interaction: a pilot study in e of publication – autism therapy. Progress in Brain Research, 164, pilot study. 385-400. (3) Published before 2008. Mazzei, D., Lazzeri, N., Billeci, L., Igliozzi, R., 1 (1) Publ Mancini, A., Ahluwalia, A., ... & De Rossi, D. (2011, ication type - August). Development and evaluation of a social Conference paper robot platform for therapy in autism. In Engineering in Medicine and Biology Society, EMBC, 2011 Annual International Conference of the IEEE (pp. 45154518). Nadel, J. (2006). Does imitation matter to 33 (1) Revi Doctorate in Educational and Child Psychology 2 children with autism. Imitation and the social mind, Isabella McDonald ew chapter 118-134. Pierno, A. C., Mari, M., Lusher, D., & Castiello, 3 U. (2008). Robotic movement elicits visuomotor does not target priming in children with autism. Neuropsychologia, improving social 46(2), 448-454. engagement skills. Robins, B., Dickerson, P., Stribling, P., & 4 (5) Intervention – Dautenhahn, K. (2004). Robot-mediated joint (4) No humanchild condition. attention in children with autism: A case study in robot-human interaction. Interaction studies, 5(2), 161-198. (2) Published before 2008 Robins, B., Dautenhahn, K., & Dubowski, J. 5 (4) No human- (2006). Does appearance matter in the interaction of child interaction children with autism with a humanoid robot? condition. Interaction Studies, 7(3), 509-542. (2) Published before 2008. Scassellati, B., Admoni, H., & Mataric, M. 6 (2012). Robots for use in autism research. Annual a measure of social Review of Biomedical Engineering, 14, 275-294. engagement. Wainer, J., Dautenhahn, K., Robins, B., & 7 (5) Does not have Amirabdollahian, F. (2010, December). Collaborating (1) Conf erence paper with kaspar: Using an autonomous humanoid robot to foster cooperative dyadic play among children with 34 Aim - Pilot study Doctorate in Educational and Child Psychology Isabella McDonald autism. In Humanoid Robots (Humanoids), 2010 10th investigating IEEE-RAS International Conference on (pp. 631- experimental set up 638). Wass, S. V., & Porayska-Pomsta, K. (2013). 8 (5) The uses of cognitive training technologies in the ew of robot treatment of autism spectrum disorders. Autism, design Revi 1362361313499827. Welch, K. C., Lahiri, U., Warren, Z., & Sarkar, 9 N. (2010). An approach to the design of socially acceptable robots for children with autism spectrum disorders. International Journal of Social Robotics, 2(4), 391-403. 35 (5) Aim – robot design Doctorate in Educational and Child Psychology Isabella McDonald Included Studies Duquette, A., Michaud, F., & Mercier, H. (2008). Exploring the use of a mobile robot as an imitation agent with children with low-functioning autism. Autonomous Robots, 24(2), 147-157. Huskens, B., Verschuur, R., Gillesen, J., Didden, R., & Barakova, E. (2013). Promoting question-asking in school-aged children with autism spectrum disorders: Effectiveness of a robot intervention compared to a human-trainer intervention. Developmental neurorehabilitation, (0), 1-12. Kim, E. S., Berkovits, L. D., Bernier, E. P., Leyzberg, D., Shic, F., Paul, R., & Scassellati, B. (2013). Social robots as embedded reinforcers of social behavior in children with autism. Journal of Autism and Developmental Disorders, 43(5), 1038-1049. Tapus, A., Peca, A., Aly, A., Pop, C., Jisa, L., Pintea, S., & David, D. O. (2012). Children with autism social engagement in interaction with Nao, an imitative robot A series of single case experiments. Interaction studies, 13(3), 315-347. Vanderborght, B., Simut, R., Saldien, J., Pop, C., Rusu, A. S., Pintea, S., & David, D. O. (2012). Using the social robot probo as a social story telling agent for children with ASD. Interaction Studies, 13(3), 348-372. 36 Doctorate in Educational and Child Psychology Isabella McDonald Appendix 3 Gough’s (2007) Systematic Review Weight of Evidence (WoE) Criteria Weight of Evidence A; Methodological quality These are generally accepted criteria for evaluating evidence by those who use and produce it. Weight of Evidence B; Methodological relevance This is a review-specific judgement about the appropriateness of the design and measures to answer the review question. Weight of Evidence C; Relevance of evidence This is a review-specific judgement about the relevance of evidence to the review question. Weight of Evidence D; Overall weighting The three sets of judgments (A, B, C) combine to make an overall assessment. In order to receiver a rating of high, the study must demonstrate three of the following; In order to receiver a rating of medium, the study must demonstrate two of the following; In order to receiver a rating of low, the study must demonstrate one or fewer of the following: A Quality of measures Two or more measures of social engagement are used A case for validity is made More than one method of data collection is used Quality of analysis Inter-rater or inter-observer reliability or agreement is 0.7 or above Appropriate unit of data analysis Effect sizes reported, or enough information given to be calculated 37 Quality of baseline/ comparison group Single case design Length of baseline phase – at least three data points are used Level of baseline phase – consistently warrants an intervention Overlap of scores – extreme scores in baseline do not overlap with treatment phase Group design Sufficiently large N is studied to detect medium effect size using GPower application (at power 0.80 for 0.50) An active comparison group is used Demonstrates group equivalence Doctorate in Educational and Child Psychology Isabella McDonald B Relevance of methodology Uses random assignment of participants to intervention group or phase Uses active comparison intervention group or phase Establishes group equivalence C Relevance to review question Documents relationship between and previous exposure to researcher/confederates/ robot and participants Clear descriptors of participants’ diagnosis and social deficits/skills Intervention must target a particular social skill or deficit which has been appropriately identified D Calculated as an average of the weight of evidence A, B and C. Overall weighting High At least 2.5 Medium Between 1.5 and 2.4 Low Less than 2.4 Unclassified 0 Study Kim et al (2012) Huskens (2013) Duquette (2008) Vanderborght (2012) WoE Methodological Quality Quality of measures Quality of analysis Quality of baseline/ comparison group Overall methodological quality (A) Low 1 Low 1 Medium 2 Low 1 High 3 High 3 Medium 2 High 3 High 3 Low 1 Unclassified 0 High 3 Medium 2.3 Medium 1.6 Low 1.3 Medium 2.3 38 Doctorate in Educational and Child Psychology Tapus (2012) Medium 2 Study Duquette et al. (2008) Huskens et al. (2013) Kim et al. (2012) Tapus et al. (2012) Vanderborght et al. (2012) Isabella McDonald High 3 High 3 High 2.6 Weight of Evidence Rating Methodological Methodological Quality Relevance (A) (B) Review Relevance (C) Overall (D) Low 1.3 Medium 1.6 Medium 2.3 High 2.6 Medium 2.3 Medium 2 High 3 Low 1 Medium 2 High 3 Low 1.4 High 2.5 Medium 2 Medium 1.9 Medium 2.1 Low 1 High 3 High 3 Low 1 Low 1 Effect size calculations Type of effect size Percent NonOverlapping Data points (PNDs) Small 50-69% Medium 70-89% Large 90-100% Cohen’s d 0.20 0.50 0.80 39 Doctorate in Educational and Child Psychology Isabella McDonald Appendix 4 Adapted from Task Force on Evidence-Based Interventions in School Psychology, American Psychology Association, Kratochwill, T.R. (2003)] Coding Protocol: Single-Participant Design Domain: School- and community-based intervention programs for social and behavioral problems Academic intervention programs Family and parent intervention programs School-wide and classroom-based programs Comprehensive and coordinated school health services Name of Coder(s): ____________________________ Date: ____8th February 2014____ M/D/Y Full Study Reference in APA format: Duquette, A., Michaud, F., & Mercier, H. (2008). Exploring the use of a mobile robot as an imitation agent with children with low-functioning autism. Autonomous Robots, 24(2), 147-157 Intervention Name (description from study): __________Robot intervention______________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Study ID Number (Unique Identifier): __________________________________________________________ Type of Publication: (Check one) Book/Monograph 40 Doctorate in Educational and Child Psychology Isabella McDonald Journal article Book chapter Other (specify): I. General Characteristics A. General Design Characteristics (Classify studies according to the type of design) A1. Type of Single-Participant Design (select A1.1, A1.2, A1.3, A1.4, or A1.5) A1.1 Within-series design (select A1.1.1 or A1.1.2) A1.1.1 A1.1.2 A1.2 Between-series design (select A1.2.1 or A1.2.2) A1.2.1 A1.2.2 A1.3 A1.4 Simple phase change Complex phase change Comparing two interventions Comparing interventions with no interventions Combined-series design (select A1.3.1., A1.3.2, A1.3.3, or A1.3.4) A1.3.1 A1.3.2 A1.3.3 Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings A1.3.4 Multiple probe design Mixed design (select A1.4.1 or A1.4.2) A1.4.1 Combined single-participant and group design (see group manual), A1.4.2 Combined single-participant design (if combined single-participant design, check A1.4.2.1, A1.4.2.2, or A1.4.2.3) A1.4.2.1 A1.4.2.2 Within-series design (select i or ii) i. Simple phase change ii. Complex phase change Between-series design (select i or ii) i. ii. Comparing two interventions Comparing interventions with no interventions 41 Doctorate in Educational and Child Psychology A1.4.2.3 A1.5 Isabella McDonald Combined-series design (select i, ii, iii, or iv) i. ii. iii. Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings iv. Multiple probe design Other (specify): A2. General Study Characteristics and Cultural Factors A2.1 Social Significance of Goals A2.2 A2.3 Social Appropriateness of Procedures Social Importance of Effects A3. Rating for Theoretical Basis (select 0, 1, 2, or 3): 3 2 1 0 A4. Rating for Documenting the Relationship Between the Implementers and Participants (select 0, 1, 2, or 3): 3 2 1 0 3 2 1 0 A6. Rating for Researcher Perspective (select 0, 1, 2, or 3): 3 2 1 0 A7. Rating for Moderator Variables (select 0, 1, 2, or 3): 3 2 1 0 A8. Rating for Rival Interpretations (select 0, 1, 2, or 3): 3 2 1 0 A5. Rating for Ecological Validity (select 0, 1, 2, or 3): B. Other Design Characteristics (when randomization is used) B1. Unit of assignment to conditions/groups (select one of the following) B1.1 B1.2 B1.3 B1.4 Individual Classroom School Other (specify): B1.5 N/A (randomization not used) B2. Type of assignment to conditions/groups (select one of the following) B2.1 Random after matching, stratification, blocking B2.2 B2.3 B2.4 B2.5 Random, simple (includes systematic sampling) Nonrandom, post hoc matching Nonrandom, other Other (specify): 42 Doctorate in Educational and Child Psychology B2.6 B2.7 Isabella McDonald Unknown/insufficient information provided N/A (randomization not used) B3. Overall confidence of judgment on how participants were assigned to conditions/groups (select one of the following) B3.1 B3.2 B3.3 B3.4 B3.5 B3.6 B3.7 Very low (little basis) Low (guess) Moderate (weak inference) High (strong inference) Very high (explicitly stated) N/A (randomization not used) Unknown/unable to code B4. Equivalence of conditions/groups tested at pretest (select one of the following) B4.1 Yes B4.2 B4.3 B4.4 No Unknown/insufficient information provided N/A (randomization not used) B5. Total size of sample (start of the study): _9___ N B6. Intervention sample size _2___ N/A (randomization not used) N B7. Control sample size _2___ N/A (randomization not used) N C. Type of Program (select one) C1. C2. C3. Universal prevention program Selective prevention program Indicated prevention program C4. Intervention/Treatment C5. Unknown D. Stage of the Program (select one) D1. D2. D3. D4. Model/demonstration programs Early stage programs Established/institutionalized programs Unknown 43 Doctorate in Educational and Child Psychology Isabella McDonald E. Concurrent or Historical Intervention Exposure (select one) E1. E2. E3. Current exposure Prior exposure Unknown II. Key Features for Coding Studies and Rating Level of Evidence (3=Strong Evidence 2=Promising Evidence 1=Weak Evidence 0=No Evidence) A. Measurement: Issues of Reliability and Validity (answer A1. through A4.) A1. Use of outcome measures that produce reliable scores (select one of the following) A1.1 Yes A1.2 A1.3 No Unknown/unable to code A2. Multi-method (select one of the following) A2.1 Yes A2.2 A2.3 A2.4 No N/A Unknown/unable to code A3. Multi-source (select one of the following) A3.1 A3.2 A3.3 A3.4 Yes No N/A Unknown/unable to code A4. Validity of measures reported (select one of the following) A4.1 A4.2 A4.3 Yes No Unknown/unable to code Rating for Measurement (select 0, 1, 2, or 3): 3 2 1 0 B. Quality of Baseline. Rate quality of baseline: (a) for each participant (when there is more than one participant), and (b) for each phase (when the study includes more than one phase). These procedures should be followed for each primary outcome 44 Doctorate in Educational and Child Psychology Isabella McDonald under investigation. Participant 1 (answer B1. through B5.) Robot and human intervention phases B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 1: (select 0, 1, 2, or 3): 3 2 1 0 __________________________________________________________________________________________________ Participant 2 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided 45 Doctorate in Educational and Child Psychology Isabella McDonald B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 2: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 3 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided 46 Doctorate in Educational and Child Psychology Isabella McDonald B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 3: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 4 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided 47 Doctorate in Educational and Child Psychology Isabella McDonald Rating of quality of baseline for participant 4: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Average Quality of Baseline Rating Across Participants: of X = N X = individual quality of baseline ratings for each participant N = number of participants in the study Overall Rating for Quality of Baseline: (select 0, 1, 2, or 3): 3 2 1 0 (Round up or down to the nearest whole number when providing a mean rating for the study. For example, 2.0 to 2.4 rated as 2; 2.5 to 2.9 rated as 3). C. Measures Support Primary and Secondary Outcomes (list primary outcomes first in alphabetical order for each participant followed by secondary outcomes. Use extra tables if necessary). Outcome #1: ____________________________________________ Primary vs. Secondary Primary Secondary Unknown Primary Secondary Unknown Primary Secondary Unknown Who changed What changed Participant 1: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Participant 2: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Participant 3: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Participant 4: 48 Measurement used to determine change Self Report Parent Report Teacher Report Observation Test Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Self Report Describe out-come variables Treatme Mediator's imitative play patterns (all) Shared conventions Shared attention Absence of sharing Doctorate in Educational and Child Psychology Primary Secondary Unknown Child Teacher Parent/sign. adult Ecology Unknown Isabella McDonald Behavior Attitude Knowledge Other Unknown 49 Parent Report Teacher Report Observation Test Other Unknown O Other Phenommenon Doctorate in Educational and Child Psychology Isabella McDonald Coding Protocol: Single-Participant Design Domain: School- and community-based intervention programs for social and behavioral problems Academic intervention programs Family and parent intervention programs School-wide and classroom-based programs Comprehensive and coordinated school health services Name of Coder(s): ____________________________ Date: ____8th February 2014____ M/D/Y Full Study Reference in APA format: Huskens, B., Verschuur, R., Gillesen, J., Didden, R., & Barakova, E. (2013). Promoting question-asking in school-aged children with autism spectrum disorders: Effectiveness of a robot intervention compared to a human-trainer intervention. Developmental neurorehabilitation, (0), 1-12. Intervention Name (description from study): __________ABA intervention delivered by robot or human __________________________________________________________________________________________ __________________________________________________________________________________________ Study ID Number (Unique Identifier): __________________________________________________________ Type of Publication: (Check one) Book/Monograph Journal article Book chapter Other (specify): 50 Doctorate in Educational and Child Psychology Isabella McDonald I. General Characteristics A. General Design Characteristics (Classify studies according to the type of design) A1. Type of Single-Participant Design (select A1.1, A1.2, A1.3, A1.4, or A1.5) A1.1 Within-series design (select A1.1.1 or A1.1.2) A1.1.1 A1.1.2 A1.2 Between-series design (select A1.2.1 or A1.2.2) A1.2.1 A1.2.2 A1.3 A1.4 Simple phase change Complex phase change Comparing two interventions Comparing interventions with no interventions Combined-series design (select A1.3.1., A1.3.2, A1.3.3, or A1.3.4) A1.3.1 A1.3.2 A1.3.3 Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings A1.3.4 Multiple probe design Mixed design (select A1.4.1 or A1.4.2) A1.4.1 A1.4.2 Combined single-participant and group design (see group manual), Combined single-participant design (if combined single-participant design, check A1.4.2.1, A1.4.2.2, or A1.4.2.3) A1.4.2.1 A1.4.2.2 Within-series design (select i or ii) iii. Simple phase change iv. Complex phase change Between-series design (select i or ii) iii. iv. A1.4.2.3 Comparing two interventions Comparing interventions with no interventions Combined-series design (select i, ii, iii, or iv) v. vi. vii. Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings 51 Doctorate in Educational and Child Psychology viii. A1.5 Isabella McDonald Multiple probe design Other (specify): A2. General Study Characteristics and Cultural Factors A2.1 Social Significance of Goals A2.2 A2.3 Social Appropriateness of Procedures Social Importance of Effects A3. Rating for Theoretical Basis (select 0, 1, 2, or 3): 3 2 1 0 A4. Rating for Documenting the Relationship Between the Implementers and Participants (select 0, 1, 2, or 3): 3 2 1 0 3 2 1 0 A6. Rating for Researcher Perspective (select 0, 1, 2, or 3): 3 2 1 0 A7. Rating for Moderator Variables (select 0, 1, 2, or 3): 3 2 1 0 A8. Rating for Rival Interpretations (select 0, 1, 2, or 3): 3 2 1 0 A5. Rating for Ecological Validity (select 0, 1, 2, or 3): B. Other Design Characteristics (when randomization is used) B1. Unit of assignment to conditions/groups (select one of the following) B1.1 B1.2 B1.3 B1.4 Individual Classroom School Other (specify): B1.5 N/A (randomization not used) B2. Type of assignment to conditions/groups (select one of the following) B2.1 Random after matching, stratification, blocking B2.2 B2.3 B2.4 B2.5 B2.6 B2.7 Random, simple (includes systematic sampling) Nonrandom, post hoc matching Nonrandom, other Other (specify): Unknown/insufficient information provided N/A (randomization not used) B3. Overall confidence of judgment on how participants were assigned to conditions/groups (select one of the following) 52 Doctorate in Educational and Child Psychology B3.1 B3.2 B3.3 B3.4 B3.5 B3.6 B3.7 Isabella McDonald Very low (little basis) Low (guess) Moderate (weak inference) High (strong inference) Very high (explicitly stated) N/A (randomization not used) Unknown/unable to code B4. Equivalence of conditions/groups tested at pretest (select one of the following) B4.1 Yes B4.2 B4.3 B4.4 No Unknown/insufficient information provided N/A (randomization not used) B5. Total size of sample (start of the study): _6___ N B6. Intervention sample size ____ N/A (randomization not used) N B7. Control sample size N/A (randomization not used) ____ N C. Type of Program (select one) C1. C2. C3. Universal prevention program Selective prevention program Indicated prevention program C4. Intervention/Treatment C5. Unknown D. Stage of the Program (select one) D1. D2. D3. D4. Model/demonstration programs Early stage programs Established/institutionalized programs Unknown E. Concurrent or Historical Intervention Exposure (select one) E1. E2. E3. Current exposure Prior exposure Unknown 53 Doctorate in Educational and Child Psychology Isabella McDonald 54 Doctorate in Educational and Child Psychology Isabella McDonald II. Key Features for Coding Studies and Rating Level of Evidence (3=Strong Evidence 2=Promising Evidence 1=Weak Evidence 0=No Evidence) A. Measurement: Issues of Reliability and Validity (answer A1. through A4.) A1. Use of outcome measures that produce reliable scores (select one of the following) A1.1 Yes A1.2 A1.3 No Unknown/unable to code A2. Multi-method (select one of the following) A2.1 Yes A2.2 A2.3 A2.4 No N/A Unknown/unable to code A3. Multi-source (select one of the following) A3.1 A3.2 A3.3 A3.4 Yes No N/A Unknown/unable to code A4. Validity of measures reported (select one of the following) A4.1 A4.2 A4.3 Yes No Unknown/unable to code Rating for Measurement (select 0, 1, 2, or 3): 3 2 1 0 B. Quality of Baseline. Rate quality of baseline: (a) for each participant (when there is more than one participant), and (b) for each phase (when the study includes more than one phase). These procedures should be followed for each primary outcome under investigation. Participant 1 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) 55 Doctorate in Educational and Child Psychology B1.1 B1.2 B1.3 Isabella McDonald Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 1: (select 0, 1, 2, or 3): 3 2 1 0 __________________________________________________________________________________________________ Participant 2 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided 56 Doctorate in Educational and Child Psychology Isabella McDonald B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 2: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 3 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 Yes 57 Doctorate in Educational and Child Psychology B4.2 B4.3 Isabella McDonald No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 3: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 4 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 4: (select 0, 1, 2, or 3): 3 2 1 0 _______________________________________________________________________________ 58 Doctorate in Educational and Child Psychology Isabella McDonald Average Quality of Baseline Rating Across Participants: of X = N X = individual quality of baseline ratings for each participant N = number of participants in the study Overall Rating for Quality of Baseline: (select 0, 1, 2, or 3): 2 3 1 0 (Round up or down to the nearest whole number when providing a mean rating for the study. For example, 2.0 to 2.4 rated as 2; 2.5 to 2.9 rated as 3). C. Measures Support Primary and Secondary Outcomes (list primary outcomes first in alphabetical order for each participant followed by secondary outcomes. Use extra tables if necessary). Outcome #1: ____Self-initiated question asking___________________________ Primary vs. Secondary Primary Secondary Unknown Primary Secondary Unknown Primary Secondary Unknown Primary Secondary Unknown Who changed What changed Measurement used to determine change Participant 1: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Participant 2: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Participant 3: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Participant 4: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown 59 Describe out-come variables Treatme Robot /human interaction (All participants) Statement Syntactically correct question that implies an action Reinforcement by trainer (action) Reinforcement by robot (action) Syntactically correct question that does not imply an action Verbal reinforcement by trainer Incorrect response Open-question-prompt Waiting-prompt Tell-prompt Fill-in-prompt Doctorate in Educational and Child Psychology Isabella McDonald Coding Protocol: Single-Participant Design Domain: School- and community-based intervention programs for social and behavioral problems Academic intervention programs Family and parent intervention programs School-wide and classroom-based programs Comprehensive and coordinated school health services Name of Coder(s): ____________________________ Date: ____8th February 2014____ M/D/Y Full Study Reference in APA format: Tapus, A., Peca, A., Aly, A., Pop, C., Jisa, L., Pintea, S., David, D. O. (2012). Children with autism social engagement in interaction with Nao, an imitative robot A series of single case experiments. Interaction studies, 13(3), 315-347. Intervention Name (description from study): __________Promoting imitative behaviour with Nao __________________________________________________________________________________________ __________________________________________________________________________________________ Study ID Number (Unique Identifier): __________________________________________________________ Type of Publication: (Check one) Book/Monograph Journal article Book chapter Other (specify): 60 Doctorate in Educational and Child Psychology Isabella McDonald I. General Characteristics A. General Design Characteristics (Classify studies according to the type of design) A1. Type of Single-Participant Design (select A1.1, A1.2, A1.3, A1.4, or A1.5) A1.1 Within-series design (select A1.1.1 or A1.1.2) A1.1.1 A1.1.2 A1.2 Between-series design (select A1.2.1 or A1.2.2) A1.2.1 A1.2.2 A1.3 A1.4 Simple phase change Complex phase change Comparing two interventions Comparing interventions with no interventions Combined-series design (select A1.3.1., A1.3.2, A1.3.3, or A1.3.4) A1.3.1 A1.3.2 A1.3.3 Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings A1.3.4 Multiple probe design Mixed design (select A1.4.1 or A1.4.2) A1.4.1 A1.4.2 Combined single-participant and group design (see group manual), Combined single-participant design (if combined single-participant design, check A1.4.2.1, A1.4.2.2, or A1.4.2.3) A1.4.2.1 A1.4.2.2 Within-series design (select i or ii) v. Simple phase change vi. Complex phase change Between-series design (select i or ii) v. vi. A1.4.2.3 Comparing two interventions Comparing interventions with no interventions Combined-series design (select i, ii, iii, or iv) ix. x. xi. Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings 61 Doctorate in Educational and Child Psychology xii. A1.5 Isabella McDonald Multiple probe design Other (specify): A2. General Study Characteristics and Cultural Factors A2.1 Social Significance of Goals A2.2 A2.3 Social Appropriateness of Procedures Social Importance of Effects A3. Rating for Theoretical Basis (select 0, 1, 2, or 3): 3 2 1 0 A4. Rating for Documenting the Relationship Between the Implementers and Participants (select 0, 1, 2, or 3): 3 2 1 0 3 2 1 0 A6. Rating for Researcher Perspective (select 0, 1, 2, or 3): 3 2 1 0 A7. Rating for Moderator Variables (select 0, 1, 2, or 3): 3 2 1 0 A8. Rating for Rival Interpretations (select 0, 1, 2, or 3): 3 2 1 0 A5. Rating for Ecological Validity (select 0, 1, 2, or 3): B. Other Design Characteristics (when randomization is used) B1. Unit of assignment to conditions/groups (select one of the following) B1.1 B1.2 B1.3 B1.4 Individual Classroom School Other (specify): B1.5 N/A (randomization not used) B2. Type of assignment to conditions/groups (select one of the following) B2.1 Random after matching, stratification, blocking B2.2 B2.3 B2.4 B2.5 B2.6 B2.7 Random, simple (includes systematic sampling) Nonrandom, post hoc matching Nonrandom, other Other (specify): Unknown/insufficient information provided N/A (randomization not used) B3. Overall confidence of judgment on how participants were assigned to conditions/groups (select one of the following) 62 Doctorate in Educational and Child Psychology B3.1 B3.2 B3.3 B3.4 B3.5 B3.6 B3.7 Isabella McDonald Very low (little basis) Low (guess) Moderate (weak inference) High (strong inference) Very high (explicitly stated) N/A (randomization not used) Unknown/unable to code B4. Equivalence of conditions/groups tested at pretest (select one of the following) B4.1 Yes B4.2 B4.3 B4.4 No Unknown/insufficient information provided N/A (randomization not used) B5. Total size of sample (start of the study): ___ N B6. Intervention sample size ____ N/A (randomization not used) N B7. Control sample size N/A (randomization not used) ____ N C. Type of Program (select one) C1. C2. C3. Universal prevention program Selective prevention program Indicated prevention program C4. Intervention/Treatment C5. Unknown D. Stage of the Program (select one) D1. D2. D3. D4. Model/demonstration programs Early stage programs Established/institutionalized programs Unknown E. Concurrent or Historical Intervention Exposure (select one) E1. E2. E3. Current exposure Prior exposure Unknown 63 Doctorate in Educational and Child Psychology Isabella McDonald 64 Doctorate in Educational and Child Psychology Isabella McDonald II. Key Features for Coding Studies and Rating Level of Evidence (3=Strong Evidence 2=Promising Evidence 1=Weak Evidence 0=No Evidence) A. Measurement: Issues of Reliability and Validity (answer A1. through A4.) A1. Use of outcome measures that produce reliable scores (select one of the following) A1.1 Yes A1.2 A1.3 No Unknown/unable to code A2. Multi-method (select one of the following) A2.1 Yes A2.2 A2.3 A2.4 No N/A Unknown/unable to code A3. Multi-source (select one of the following) A3.1 A3.2 A3.3 A3.4 Yes No N/A Unknown/unable to code A4. Validity of measures reported (select one of the following) A4.1 A4.2 A4.3 Yes No Unknown/unable to code Rating for Measurement (select 0, 1, 2, or 3): 3 1 2 0 B. Quality of Baseline. Rate quality of baseline: (a) for each participant (when there is more than one participant), and (b) for each phase (when the study includes more than one phase). These procedures should be followed for each primary outcome under investigation. Participant 1 (answer B1. through B5.) Robot intervention phase B1. Length: At least 3 data points during baseline (select one of the following) 65 Doctorate in Educational and Child Psychology B1.1 B1.2 B1.3 Isabella McDonald Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 1: (select 0, 1, 2, or 3): 3 2 1 0 __________________________________________________________________________________________________ Participant 2 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) 66 Doctorate in Educational and Child Psychology B2.1 B2.2 B2.3 Isabella McDonald Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 2: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 3 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided 67 Doctorate in Educational and Child Psychology Isabella McDonald B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 3: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 4 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. 68 Doctorate in Educational and Child Psychology B5.1 B5.2 B5.3 Isabella McDonald Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 4: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Average Quality of Baseline Rating Across Participants: of X = N X = individual quality of baseline ratings for each participant N = number of participants in the study Overall Rating for Quality of Baseline: (select 0, 1, 2, or 3): 3 2 1 0 (Round up or down to the nearest whole number when providing a mean rating for the study. For example, 2.0 to 2.4 rated as 2; 2.5 to 2.9 rated as 3). B. Quality of Baseline. Rate quality of baseline: (a) for each participant (when there is more than one participant), and (b) for each phase (when the study includes more than one phase). These procedures should be followed for each primary outcome under investigation. Participant 1 (answer B1. through B5.) Human intervention phase B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided 69 Doctorate in Educational and Child Psychology Isabella McDonald B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 1: (select 0, 1, 2, or 3): 3 2 1 0 __________________________________________________________________________________________________ Participant 2 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) 70 Doctorate in Educational and Child Psychology B3.1 B3.2 B3.3 Isabella McDonald Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 2: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 3 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided 71 Doctorate in Educational and Child Psychology Isabella McDonald B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 3: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 4 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 4: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Average Quality of Baseline Rating Across Participants: 72 Doctorate in Educational and Child Psychology Isabella McDonald of X = N X = individual quality of baseline ratings for each participant N = number of participants in the study Overall Rating for Quality of Baseline: (select 0, 1, 2, or 3): 2 3 1 0 (Round up or down to the nearest whole number when providing a mean rating for the study. For example, 2.0 to 2.4 rated as 2; 2.5 to 2.9 rated as 3)C. Measures Support Primary and Secondary Outcomes (list primary outcomes first in alphabetical order for each participant followed by secondary outcomes. Use extra tables if necessary). Outcome #1: ____Imitative behaviour_____________________ Primary vs. Secondary Primary Secondary Unknown Primary Secondary Unknown Primary Secondary Unknown Primary Secondary Unknown Who changed What changed Measurement used to determine change Participant 1: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Participant 2: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Participant 3: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Participant 4: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown 73 Describe out-come variables Treatme Robot /human Interaction (all) Total initiations in response to a human or robot trainer Total initiations in response to a human or robot trainer Total initiations in response to a human or robot trainer Total initiations in response to a human or robot trainer Doctorate in Educational and Child Psychology Isabella McDonald Coding Protocol: Single-Participant Design Domain: School- and community-based intervention programs for social and behavioral problems Academic intervention programs Family and parent intervention programs School-wide and classroom-based programs Comprehensive and coordinated school health services Name of Coder(s): ____________________________ Date: ____8th February 2014____ M/D/Y Full Study Reference in APA format: Vanderborght, B., Simut, R., Saldien, J., Pop, C., Rusu, A. S., Pintea, S., ... & David, D. O. (2012). Using the social robot probo as a social story telling agent for children with ASD. Interaction Studies, 13(3), 348-372. Intervention Name (description from study): __________Robot and human intervention using a Social Story ________________________________________________________________________________ Study ID Number (Unique Identifier): __________________________________________________________ Type of Publication: (Check one) Book/Monograph Journal article Book chapter Other (specify): 74 Doctorate in Educational and Child Psychology Isabella McDonald I. General Characteristics A. General Design Characteristics (Classify studies according to the type of design) A1. Type of Single-Participant Design (select A1.1, A1.2, A1.3, A1.4, or A1.5) A1.1 Within-series design (select A1.1.1 or A1.1.2) A1.1.1 A1.1.2 A1.2 Between-series design (select A1.2.1 or A1.2.2) A1.2.1 A1.2.2 A1.3 A1.4 Simple phase change Complex phase change Comparing two interventions Comparing interventions with no interventions Combined-series design (select A1.3.1., A1.3.2, A1.3.3, or A1.3.4) A1.3.1 A1.3.2 A1.3.3 Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings A1.3.4 Multiple probe design Mixed design (select A1.4.1 or A1.4.2) A1.4.1 A1.4.2 Combined single-participant and group design (see group manual), Combined single-participant design (if combined single-participant design, check A1.4.2.1, A1.4.2.2, or A1.4.2.3) A1.4.2.1 A1.4.2.2 Within-series design (select i or ii) vii. Simple phase change viii. Complex phase change Between-series design (select i or ii) vii. viii. A1.4.2.3 Comparing two interventions Comparing interventions with no interventions Combined-series design (select i, ii, iii, or iv) xiii. xiv. xv. Multiple baseline across participants Multiple baseline across behaviors Multiple baseline across settings 75 Doctorate in Educational and Child Psychology xvi. A1.5 Isabella McDonald Multiple probe design Other (specify): A2. General Study Characteristics and Cultural Factors A2.1 Social Significance of Goals A2.2 A2.3 Social Appropriateness of Procedures Social Importance of Effects A3. Rating for Theoretical Basis (select 0, 1, 2, or 3): 3 2 1 0 A4. Rating for Documenting the Relationship Between the Implementers and Participants (select 0, 1, 2, or 3): 3 2 1 0 3 2 1 0 A6. Rating for Researcher Perspective (select 0, 1, 2, or 3): 3 2 1 0 A7. Rating for Moderator Variables (select 0, 1, 2, or 3): 3 2 1 0 A8. Rating for Rival Interpretations (select 0, 1, 2, or 3): 3 2 1 0 A5. Rating for Ecological Validity (select 0, 1, 2, or 3): B. Other Design Characteristics (when randomization is used) C. Type of Program (select one) C1. C2. C3. Universal prevention program Selective prevention program Indicated prevention program C4. Intervention/Treatment C5. Unknown D. Stage of the Program (select one) D1. D2. D3. D4. Model/demonstration programs Early stage programs Established/institutionalized programs Unknown E. Concurrent or Historical Intervention Exposure (select one) 76 Doctorate in Educational and Child Psychology E1. E2. E3. Isabella McDonald Current exposure Prior exposure Unknown II. Key Features for Coding Studies and Rating Level of Evidence (3=Strong Evidence 2=Promising Evidence 1=Weak Evidence 0=No Evidence) A. Measurement: Issues of Reliability and Validity (answer A1. through A4.) A1. Use of outcome measures that produce reliable scores (select one of the following) A1.1 Yes A1.2 A1.3 No Unknown/unable to code A2. Multi-method (select one of the following) A2.1 Yes A2.2 A2.3 A2.4 No N/A Unknown/unable to code A3. Multi-source (select one of the following) A3.1 A3.2 A3.3 A3.4 Yes No N/A Unknown/unable to code A4. Validity of measures reported (select one of the following) A4.1 A4.2 A4.3 Yes No Unknown/unable to code Rating for Measurement (select 0, 1, 2, or 3): 3 1 2 0 B. Quality of Baseline. Rate quality of baseline: (a) for each participant (when there is more than one participant), and (b) for each phase (when the study includes more than one phase). These procedures should be followed for each 77 Doctorate in Educational and Child Psychology Isabella McDonald primary outcome under investigation. Participant 1 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 1: (select 0, 1, 2, or 3): 3 2 1 0 __________________________________________________________________________________________________ Participant 2 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 Yes 78 Doctorate in Educational and Child Psychology B1.2 B1.3 Isabella McDonald No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 2: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 3 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided 79 Doctorate in Educational and Child Psychology Isabella McDonald B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 B4.2 B4.3 Yes No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 3: (select 0, 1, 2, or 3): 3 2 1 0 ________________________________________________________________________________ Participant 4 (answer B1. through B5.) B1. Length: At least 3 data points during baseline (select one of the following) B1.1 B1.2 B1.3 Yes No Unknown/insufficient information provided B2. Stability: Variability in scores does not eliminate the detection of treatment effects (select one of the following) B2.1 B2.2 B2.3 Yes No Unknown/insufficient information provided B3. Overlap: Extreme scores during baseline do not overlap with most scores during intervention phase (select one of the following) B3.1 B3.2 B3.3 Yes No Unknown/insufficient information provided B4. Level: Behavior is serious enough during baseline to warrant an intervention (select one of the following) B4.1 Yes 80 Doctorate in Educational and Child Psychology B4.2 B4.3 Isabella McDonald No Unknown/insufficient information provided B5. Trend: Behavior is not systematically increasing or decreasing in the desired direction of intervention effects during baseline. B5.1 B5.2 B5.3 Yes No Unknown/insufficient information provided Rating of quality of baseline for participant 4: (select 0, 1, 2, or 3): 2 3 1 0 ________________________________________________________________________________ Average Quality of Baseline Rating Across Participants: of X = N X = individual quality of baseline ratings for each participant N = number of participants in the study Overall Rating for Quality of Baseline: (select 0, 1, 2, or 3): 3 2 1 0 (Round up or down to the nearest whole number when providing a mean rating for the study. For example, 2.0 to 2.4 rated as 2; 2.5 to 2.9 rated as 3). C. Measures Support Primary and Secondary Outcomes (list primary outcomes first in alphabetical order for each participant followed by secondary outcomes. Use extra tables if necessary). Outcome #1: ____ Number of prompts needed for child to display a social behaviour - robot and human conditions Primary vs. Secondary Primary Secondary Unknown Primary Secondary Unknown Who changed Measurement used to determine change What changed Describe out-come variables Participant 1: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Number of prompts needed to show a target social skill (Georgia - saying thank you) Participant 2: Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Number of prompts needed to show a target social skill (Antonia - sharing toys) 81 Treatme Robot /human Interaction (all) Doctorate in Educational and Child Psychology Isabella McDonald Unknown Primary Secondary Unknown Participant 3: Child Teacher Parent/sign. adult Ecology Unknown Participant 4: Primary Secondary Unknown Child Teacher Parent/sign. adult Ecology Unknown Behavior Attitude Knowledge Other Unknown Self Report Parent Report Teacher Report Observation Test Other Unknown Self Report Behavior Attitude Knowledge Other Unknown Parent Report Teacher Report Observation Test Other Unknown Number of prompts needed to show a target social skill (Mihnea - saying hello) Number of prompts needed to show a target social skill (Nicu - sharing toys) [adapted from Task Force on Evidence-Based Interventions in School Psychology, American Psychology Association, Kratochwill, T.R. (2003)] Coding Protocol Name of Coder:______________________ Date:______04/02/2014____________ Full Study Reference in proper format:_____ Kim, E. S., Berkovits, L. D., Bernier, E. P., Leyzberg, D., Shic, F., Paul, R., & Scassellati, B. (2013). Social robots as embedded reinforcers of social behavior in children with autism. Journal of Autism and Developmental Disorders, 43(5), 1038-1049. Intervention Name (description of study):_____Social robots as embedded reinforcers of social behaviour Study ID Number:__________________ Type of Publication: Book/Monograph Journal Article Book Chapter Other (specify): 1.General Characteristics 82 Doctorate in Educational and Child Psychology Isabella McDonald A. General Design Characteristics A1. Random assignment designs (if random assignment design, select one of the following) Completely randomized design Randomized block design (between participants, e.g., matched classrooms) Randomized block design (within participants) Randomized hierarchical design (nested treatments A2. Nonrandomized designs (if non-random assignment design, select one of the following) Nonrandomized design Nonrandomized block design (between participants) Nonrandomized block design (within participants) Nonrandomized hierarchical design Optional coding for Quasi-experimental designs A3. Overall confidence of judgment on how participants were assigned (select on of the following) Very low (little basis) Low (guess) Moderate (weak inference) High (strong inference) Very high (explicitly stated) N/A Unknown/unable to code B Participants Total size of sample (start of study): __30____ - Two did not meet the IQ criteria. Intervention group sample size:___28____ Control group sample size:____28____ 83 Doctorate in Educational and Child Psychology Isabella McDonald C. Type of Program Universal prevention program Selective prevention program Targeted prevention program Intervention/Treatment Unknown D. Stage of Program Model/demonstration programs Early stage programs Established/institutionalized programs Unknown E. Concurrent or Historical Intervention Exposure Current exposure Prior exposure Unknown – Ongoing studies into language development, but not similar to this intervention. Section 2 Key Features for Coding Studies and Rating Level of Evidence/Support A Measurement (Estimating the quality of the measures used to establish effects) (Rating Scale: 3= Strong Evidence, 2=Promising Evidence, 1=Weak Evidence, 0=No Evidence) A1 The use of the outcome measures produce reliable scores for the majority of the primary outcomes (see following table for a detailed breakdown on the outcomes) Yes No Unknown/unable to code A2 Multi-method (at least two assessment methods used) Yes No N/A Unknown/unable to code A3 Multi-source (at least two sources used self-reports, teachers etc.) 84 Doctorate in Educational and Child Psychology Isabella McDonald Yes No N/A Unknown/unable to code A4 Validity of measures reported (well-known or standardized or norm-referenced are considered good, consider any cultural considerations) Yes validated with specific target group In part, validated for general population only No Unknown/unable to code Overall Rating of Measurement: 3 2 1 0 B Comparison Group B1 Type of Comparison group Typical intervention Attention placebo Intervention element placebo Alternative intervention Pharmacotherapy No intervention Wait list/delayed intervention Minimal contact Unable to identify type of comparison B2 Overall rating of judgment of type of comparison group Very low Low Moderate High Very high Unable to identify comparison group 85 Doctorate in Educational and Child Psychology Isabella McDonald B3 Counterbalancing of change agent (participants who receive intervention from a single therapist/teacher etc were counter-balanced across intervention) By change agent Statistical (analyse includes a test for intervention) Other Not reported/None B4 Group equivalence established Random assignment Posthoc matched set Statistical matching Post hoc test for group equivalence B5 Equivalent mortality Low attrition (less than 20 % for post) Low attrition (less than 30% for follow-up) Intent to intervene analysis carried out? Findings_____________ Overall Level of Evidence ____3 3= Strong Evidence 2=Promising Evidence 1=Weak Evidence 86 0=No Evidence Doctorate in Educational and Child Psychology Isabella McDonald C Primary/Secondary Outcomes – Complete the Outcome Tables before completing this section C1 Evidence of appropriate statistical analysis for Primary Outcomes Appropriate unit of analysis Familywise/experimenter wise error rate controlled when applicable Sufficiently large N C2 Percentage of Primary Outcomes that are significant Proportion of significant primary outcomes out of the total primary outcome measures for each key construct. at least 75% 50-74% 25%-49% less than 25% C3 Evidence of appropriate statistical analysis for Secondary Outcomes Appropriate unit of analysis Familywise/experimenter wise error rate controlled when applicable Sufficiently large N C4 Percentage of Secondary Outcomes that are significant Proportion of significant primary outcomes out of the total secondary outcome measures for each key construct. at least 75% 50-74% 25%-49% less than 25% Overall Rating of Analysis: 3 2 1 0 87 Doctorate in Educational and Child Psychology Significant Outcomes Outcome 1 Utterances in robot interaction phase Primary vs Secondar y Primary Secondar y Unknown Who Changed Child Teacher Parent/Sig. A Ecology What Changed Behaviour Attitude Knowledg e Source Treatment Informatio n Outcome Measure Used Reliabilit y Effect Size Self Report Promoting social interaction with a robot using scripted cues or affirmations Coded observatio n from video recording Interrater reliability (K=0.88) d= 1.06 Promoting social interaction with a robot using scripted cues or affirmations Coded observatio n from video recording Interrater reliability (K=0.88) d=1.5 2 Promoting social interaction with a robot using scripted cues or affirmations Coded observatio n from video recording Interrater reliability (K=0.88) d=0.6 5 Parent Report Teacher Report Other Other Unknown Isabella McDonald Unknown Observatio n Test Other Unknown Outcome 2 Utterances directed towards a partner Primary Secondar y Unknown Child Teacher Parent/Sig. A Ecology Behaviour Attitude Knowledg e Parent Report Teacher Report Other Other Unknown Self Report Unknown Observatio n Test Other Unknown Outcome 3 Utterances directed towards a confederat e Primary Secondar y Unknown Child Teacher Parent/Sig. A Ecology Behaviour Attitude Knowledg e Parent Report Teacher Report Other Other Unknown Self Report Unknown Observatio n Test Other Unknown 88