A tablet-based game for the assessment of visual motor skills in autistic children.

dc.contributor.author

Perochon, Sam

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Matias Di Martino, J

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Carpenter, Kimberly LH

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Compton, Scott

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Davis, Naomi

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Espinosa, Steven

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Franz, Lauren

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Rieder, Amber D

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Sullivan, Connor

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Sapiro, Guillermo

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Dawson, Geraldine

dc.date.accessioned

2023-05-08T14:00:37Z

dc.date.available

2023-05-08T14:00:37Z

dc.date.issued

2023-02

dc.date.updated

2023-05-08T14:00:23Z

dc.description.abstract

Increasing evidence suggests that early motor impairments are a common feature of autism. Thus, scalable, quantitative methods for measuring motor behavior in young autistic children are needed. This work presents an engaging and scalable assessment of visual-motor abilities based on a bubble-popping game administered on a tablet. Participants are 233 children ranging from 1.5 to 10 years of age (147 neurotypical children and 86 children diagnosed with autism spectrum disorder [autistic], of which 32 are also diagnosed with co-occurring attention-deficit/hyperactivity disorder [autistic+ADHD]). Computer vision analyses are used to extract several game-based touch features, which are compared across autistic, autistic+ADHD, and neurotypical participants. Results show that younger (1.5-3 years) autistic children pop the bubbles at a lower rate, and their ability to touch the bubble's center is less accurate compared to neurotypical children. When they pop a bubble, their finger lingers for a longer period, and they show more variability in their performance. In older children (3-10-years), consistent with previous research, the presence of co-occurring ADHD is associated with greater motor impairment, reflected in lower accuracy and more variable performance. Several motor features are correlated with standardized assessments of fine motor and cognitive abilities, as evaluated by an independent clinical assessment. These results highlight the potential of touch-based games as an efficient and scalable approach for assessing children's visual-motor skills, which can be part of a broader screening tool for identifying early signs associated with autism.

dc.identifier

10.1038/s41746-023-00762-6

dc.identifier.issn

2398-6352

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2398-6352

dc.identifier.uri

https://hdl.handle.net/10161/27360

dc.language

eng

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Springer Science and Business Media LLC

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NPJ digital medicine

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10.1038/s41746-023-00762-6

dc.title

A tablet-based game for the assessment of visual motor skills in autistic children.

dc.type

Journal article

duke.contributor.orcid

Carpenter, Kimberly LH|0000-0002-3838-798X

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Compton, Scott|0000-0003-2887-9582

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Franz, Lauren|0000-0003-4434-7500

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Dawson, Geraldine|0000-0003-1410-2764

pubs.begin-page

17

pubs.issue

1

pubs.organisational-group

Duke

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Pratt School of Engineering

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Sanford School of Public Policy

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School of Medicine

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Trinity College of Arts & Sciences

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Sanford

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Clinical Science Departments

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Electrical and Computer Engineering

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Pediatrics

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Psychiatry & Behavioral Sciences

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Computer Science

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Psychology & Neuroscience

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Institutes and Provost's Academic Units

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University Institutes and Centers

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Duke Global Health Institute

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Duke Institute for Brain Sciences

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Psychiatry, Child & Family Mental Health & Community Psychiatry

pubs.publication-status

Published

pubs.volume

6

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