Four tasks of a robot-assisted autism spectrum disorder diagnostic protocol: First clinical tests

Notwithstanding intensive research and many scientific advances, diagnosing autism spectrum disorders remains a slow and tedious process. Due to the absence of any physiological tests, the outcome depends solely on the expertise of the clinician, which takes years to acquire. Complicating the matter further, research has shown that inter-rater reliability can be very low, even among experienced clinicians. As an attempt to facilitate the diagnostic process and make it more objective, this paper proposes a robot-assisted diagnostic protocol. The expected benefit of using a robot is twofold: the robot always performs its actions in a predictable and consistent way, and it can use its sensors to catch aspects of a child's behavior that a human examiner can miss. In this paper, we describe four tasks from the widely accepted ADOS protocol, that have been adapted to make them suitable for the Aldebaran Nao humanoid robot. These tasks include evaluating the child's response to being called by name, symbolic and functional imitation, joint attention and assessing the child's ability to simultaneously communicate on multiple channels. All four tasks have been implemented on the robot's onboard computer and are performed autonomously. As the main contribution of the paper, we present the results of the initial batch of four clinical trials of the proposed robot assisted diagnostic protocol, performed on a population of preschool children. The results of the robot's observations are benchmarked against the findings of experienced clinicians. Emphasis is placed on evaluating robot performance, in order to assess the feasibility of a robot eventually becoming an assistant in the diagnostic process. The obtained results indicate that the use of robots as autism diagnostic assistants is a promising approach, but much work remains to be done before they become useful diagnostic tools.