About this trial
The aim of the present study is to improve cognitive processes that are frequently impaired in children characterised by neuromotor impairment, such as the skills of visual-perceptual analysis and selective attention, working memory, narrative organisation, logical-inferential reasoning and motor planning. For this purpose, a task of reordering figurative stories and action sequences, which include the aforementioned processes, will be used through an innovative Learning by Teaching training paradigm with a social robot. Furthermore, the study aims to verify the children's level of behavioural, cognitive and emotional engagement during the interaction with the social robot and to test the generalisation effects of the intervention on other processes, such as working memory, inhibition and planning.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children characterized by neuromotor impairment
Presence of at least one cognitive index >70 at WISC-IV or WISC V
Age between 7 and 16 years at the time of recruitment
Disqualifiers
Severe neurological, motor, or sensory deficit such as to preclude the feasibility of training
Psychiatric comorbidity such as to preclude the feasibility of training
Trial design
Crossover
Treatments tested in this trial
Training in reordering figurative stories with a social robot through the Learning by Teaching approach
DeviceA test session of the 'picture sequencing' task with the social robot is planned. The selected children will undergo an initial neuropsychological, motor and school learning assessment and will be divided into Group 1 and Group 2: Group 1 (Experimental) will be offered training with the social robot, while Group 2 (Control) will continue standard care. Both groups will be re-evaluated after approximately about 4 months. After which Group 2 will be able to start treatment. After about 4 months, the children in both groups will again undergo the planned assessments. During the training, the child will be asked to help the social robot to reorder sequences of pictures from figurative stories in order to create a story that respects temporal or causal links, or motor actions of increasing complexity, according to the Learning by Teaching paradigm.
Treatment groups
Trial outcomes
Primary outcomes
score of Picture Arrangement subtest at WISC-III
In this study, examiners will administer the Picture Arrangement subtest of the WISC-III (Wechsler, 1991), in which children are presented with a series of cards in random order that need to be placed in the correct order to tell a meaningful story.
score of a Motor Planning test
In this study, examiners will assess changes in motor planning skills as measured by a purpose-built test.
Secondary outcomes
score of Corsi block-tapping subtest at the BVS-Corsi
In this study, examiners will administer the Corsi block-tapping subtets at the BVS-Corsi (Mammarella et al., 2008), to evaluate visuo-spatial short term and working memory. The child is asked to retrieve a sequences previously seen by the examiner by tapping blocks with the preferred finger following the same order for the forward condition or reversing the order for the backward condition.
score of Tower of London test
In this study, examiners will administer the Tower of London test (Fancello et al., 2006; Gugliotta et al., 2009) to assesses the planning ability. There are three pegs of different lengths, into which three marbles are threaded the subject has to move these marbles in a certain number of moves in order to achieve the configuration indicated by the examiner
score of the Sustained Attention subtest at the Leiter-3
In this study, the examininers will use the Sustained Attention subtest at the Leiter International Performance Scale Leiter-3 (Roid et al., 2013), which assesses visual attention and consist of repetitive barrage tasks to be performed in a predefinited time.
score of Behaviour Rating Inventory of Executive Function for parents (BRIEF-2)
In this study, examiners will administer the BRIEF-2 questionnaire (Gioia et al., 2015). This questionnaire is filled by the parents/legal guardians and dives into everyday bahaviour associated with specific domains of the Exefutive Functions (i.e., mental processes that enable us to plan, focus attention, remember instructions). Parents rate items on a three-point scale ranging from 1 (never) to 3 (often)
Sponsors and contacts
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IRCCS Fondazione Stella Maris
Lead sponsor
IRCCS Eugenio Medea
Collaborator
IRCCS National Neurological Institute "C. Mondino" Foundation
Collaborator
University of Florence
Collaborator