Tangible toys (TATO) with sensors and biofeedback ... · Stage 2 TATO Further explore TATO user...
Transcript of Tangible toys (TATO) with sensors and biofeedback ... · Stage 2 TATO Further explore TATO user...
16 November 2017, Manchester
TAngible TOys (TATO) with sensors and
biofeedback mechanism: Explorative
work to assess its suitability and
feasibility as a tool for treating anxious
children
1 June 2017-30 April 2018
Maki Rooksby, William Simm, Laura Sbaffi, Massimiliano Zecca & Eiman Kanjo
Stories via
tangible toys
• Go anywhere with the child
• Children talk about their fears
• Continuity of care outside consultation time
• Up to 12 years of age
• Sensors on toys
✤Vision
✤ Child anxiety
disorder
High prevalence
Poor prognosis
High cost to
society
Poor access to
help
High attrition
Comorbidity
Biofeedback patch on
child
• Helps gain insight into cause/nature of anxiety?
• Acceptable?
Sensing systems
Quality of play via
sensor embedded toys
Biofeedback on the
child
Smarter Intervention
Identify index mental
states (worries, fears)
Suitability x condition
severity
EPS challenges
Human-Centric systems & Living
Better
Personalised toys
Long term management
Sustained interest
Can grow with the child
🐰 : H i i t ’ s T AT O t i m e !
Friendly pop-up avatar
delivers activities (e.g., via
mobile phone)
Sense of trust
Therapeutic alliance
Data analytics
Appropriate and ethical
data management and
sharing
Cognitive
capacities: High
Severity of
anxiety: High
Severity of
anxiety: Low
Cognitive
capacities: Low
8-year old
Geoff has
ASD.
Academically
talented but he
can get very
anxious at
school socially
10-year old
Simon has
ADHD and LD.
Disruptive and
compulsive
behaviour are
his main issues
7-year old Siena
can get very
anxious in a new
place, so her
family knows to
prepare her well
before they go out.
9-year old Tess has
OCD. She can’t
stand certain
auditory and tactile
stimuli. She suffers
from meltdowns and
repetitive behaviour.
Thoughts on
TATO persona
✤ TATO-compatible clinical
profile
✤ Not for everyone
✤ Specific instructions for
shaping narratives
✤ Role of biofeedback may be
critical
✤ “Talk to me about the time
when you felt…”
Personas, User Stories and Use Cases
✤ The personas will help the team to share understanding, communicate and understand the needs of our users.
✤ From personas we will develop User Stories and be able to abstract use cases (cf. agile software development)
✤ We will reason about and identify the critical target audience for the TATO devices using these use cases
✤ These use cases will allow us to prioritise development objectives, and select participants
✤ Personas will be continuously developed as we engage with the workshop(s) and evolve our domain understanding
1. NHS ethics
• 12 weeks
• Ongoing [Delay: 2 months +]
• Change of clinician, changes to study design
• NHS reviewers change twice, now need re-writing application
2. Literature review
• 24 weeks (to Dec 2017)
• Scoping review on available technology/those in development/design process addressing child anxiety
• 2nd rater coding of >1500 papers
• Delay: 1 month for the search
3. Technological materials
• Throughout
• Sampling suitable devices for children
• Make selections and place orders after fund transfer
4 & 6. Recruitment and Participatory design workshops
• October 2017 onwards
• Liaise with clinicians to arrange consent
• 1st workshop about now [delayed]
• Document workshops and steering group meetings
5. Team meetings and communication
• Throughout
• Kick off meeting in September
• Schedule difficulty
• Skype meetings
• A couple of Skype discussion between MR and different members of the team
7. Steering group meetings with clinicians and families
• Week 21 onwards (about now)
• Caring experience for anxious children
• Clinical challenges of treating anxious children
• How TATO could facilitate benefits such as treatment ease/alliance
8. Larger grant proposal
• February onwards
• Prepare for May 2018 for stage 2 funding
9. Dissemination
• February onwards
• Aim at a conference workshop/late emerging work paper in technological domain
• A scoping review paper in WP2
0 2 4 6 8 10 12 14
Dissemination
Stage 2 proposal
Participatory Desgin workshops
Clinician&Family Steering groups
Recruitment
Ethics application
Scoping review
Tech materials
Team communication
TATO Timescale
month start Month end delay
✤ Scoping review
✤ Contexts for child anxiety:
✤ Neurodevelopmental conditions : ASD/autism, ADHD
✤ Other medical conditions- migraine, asthma, epilepsy
✤ Types of studies found so far:
✤ Games teaching coping/social skills paired with biofeedback capacity
✤ Participatory/design process studies
✤ Use of virtual reality
✤ Humanoid robots combining tactile, speech functions
Narrative therapy embedded with technology seems to be a minority
✤Progress
✤ Reasonable progress with scoping review
✤ Delay with fund transfer and ethics review
✤ 2 personnel changes with NHS R&D, change in
review opinions
✤ Change of clinician, change in study arrangements
✤ Positive changes are also brought to the study
Priority for speedy ethics process completion
Contingency plan to make the most of the remaining time
✤Additional activities
1. Scoping review
✤ Small group of experts in mental health technology
assess and comment:
2. Participatory design workshops with non-NHS
children from general public
✤ Contingency for ongoing delays with NHS REC
✤ Likely to be valuable given the high prevalence and
the continuous nature of the condition
• University and NHS
• Nov. Re-write NHS; Submit University ethics
• Dec. R&D approval
• Biofeedback
• Workshop protocol
• Consent
• Children with complex needs
• CAMHS outpatients
• Community sample
• Clinicians and
• families
• Paper selection
• Analysis
• Expert consultation
• Write up
Scoping review
Submit: March 2018
Design workshops
NHS:March Non-NHS:
Jan., March
Ethics approval
NHS: Feb 18
University: Dec.17
Liaison with Clinical team
Feb 2018
✤ Iterative Workshop Structure:
1. Observe free play
2. Telling stories through play
3. Augment toys with sensors
4. Add Biofeedback sensors
✤ We plan to be agile and are prepared to mix methods:
✤ Some children will not deal well with groups so may need private sessions
✤ Some children may not like to wear some sensors
https://www.bluemaestro.com
http://www.shimmersensing.com/
✤ Outcomes of feasibility workshop:
✤ Development of target use cases for project focus
✤ Initial feedback from users
✤ Initial data collected from devices
✤ These will inform future work in terms of:
✤ Workshop design
✤ Sensor design and choice
✤ Data will inform data science infrastructure requirements
✤ Stage 2 TATO
✤ Further explore TATO user profiles
✤ Benefits and risks by social, clinical and economical variables
✤ Family as part of user profile
✤ Sharing of the technology, data, privacy & trust
✤ Further iterative process with a larger team and wider user groups:
✤ Clinicians of different traditions, practice artists, family members across lifespan with caring experience of child anxiety
Thank you.
Questions?