Piloting a Mobile Game for Behavioral Therapy

Overview

The following study aims to understand the feasibility of the mobile app and game, GuessWhat, to deliver behavioral therapy to children with autism. The GuessWhat app is a charades style game that engages parent and child in fluid social interaction where the parent must guess what the child is acting out based on the prompt shown on the phone screen. Participants will use their own personal phone to download the study app. The app will walk participants through a variety of charades style games. The interactive games will be video recorded and all data are transferred securely to the Wall Lab for analysis. This study is enrolling parents of children with ASD who are at least 18 years of age and have a child between 3-12 years old. Parents are asked to complete questionnaires before and after playing the GuessWhat game with their child 3-4 times per week for 4 weeks.

Full Title of Study: “A Gamified Mobile Platform for Improving Social Communication in Children With Autism”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Non-Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Other
    • Masking: None (Open Label)
  • Study Primary Completion Date: July 1, 2020

Interventions

  • Other: GuessWhat Mobile Application
    • The GuessWhat app is a charades style game and app that engages parent and child in fluid social interaction where the parent must guess what the child is acting out based on the prompt shown on the phone screen. Participants will use their own personal phone to download the study app. Parent and child will be encouraged to play using the emojis and emotion game mode at least 3 individual game sessions per week. Parents are asked to play GuessWhat with their child 3-4 times per week for 4 weeks.

Arms, Groups and Cohorts

  • Experimental: Treatment
    • Treatment group used GuessWhat during the 4 week intervention period.
  • Other: Control
    • Participants in control group received standard treatment as usual.

Clinical Trial Outcome Measures

Primary Measures

  • Change in parent reported social responsiveness from week 0 to week 4
    • Time Frame: Baseline (Week 0), Week 4
    • The Social Responsiveness Scale-2 is a 65-item measure where parents rate their child selecting responses on a Likert Scale. This measure will be used to measure and identify social impairment associated with Autism Spectrum Disorder (ASD) and to quantify its severitySocial Responsiveness Scale (SRS) raw scores measure social abilities with lower scores indicating better social skills. (Raw Score Range: 0 – 195 and T-Score Range: 37- above 90).
  • Change in parent reported socialization subscale scores of the Vineland Adaptive Behavior Scales,2nd Edition (VABS-II) from baseline to week 4
    • Time Frame: Baseline (Week 0), Week 4
    • Vineland Adaptive Behavior Scales, 2nd edition (VABS-II) Socialization subscale of the Parent/Caregiver Comprehensive form will be administered online to the parents. Scores from the socialization domain of the VABS-III reflects one’s functioning in social situations. The socialization subscale is 32 items, where raw scores are converted to IQ-type standard scores–v-scale scores (M=15, SD=3) where scores range from 1 to 24, and factor in age equivalents, growth scale values, and higher scores indicate better adaptive functioning.

Secondary Measures

  • GuessWhat App Usage Data
    • Time Frame: 4 weeks
    • App usage data comprised of game decks selected, number of game sessions started, ended, and shared.
  • Parent reported feedback
    • Time Frame: Week 4
    • Qualitative survey delivered to parent participants at Week 4 to understand preferred games, overall feedback including likes and dislikes, any technical issues they experienced or challenges in using the app.
  • Change in parent reported communication subscale scores of the Vineland Adaptive Behavior Scales,2nd Edition (VABS-II) from baseline to week 4
    • Time Frame: Baseline (Week 0), Week 4
    • Vineland Adaptive Behavior Scales, 2nd edition (VABS-II) Communication subscale of the Parent/Caregiver Comprehensive form will be administered online to the parents. Scores from the communication domain of the VABS-III reflects The communication subscale is 32 items, where raw scores are converted to IQ-type standard scores–v-scale scores (M=15, SD=3) where scores range from 1 to 24, and factor in age equivalents, growth scale values, and higher scores indicate better adaptive functioning.

Participating in This Clinical Trial

Inclusion Criteria

  • Parent who is at least 18 years old of child with autism.
  • Child with autism is between 3 and 12 years old at time of baseline data collection.

Exclusion Criteria

  • Parent is not able to read or speak English
  • Parent does not have an Android or iOs smartphone compatible with GuessWhat App

Gender Eligibility: All

Minimum Age: 3 Years

Maximum Age: 12 Years

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Stanford University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Dennis Paul Wall, Associate Professor – Stanford University
  • Overall Official(s)
    • Dennis P Wall, PhD, Principal Investigator, Stanford University

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