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Using a Gesture-based videogame to support eye-hand coordination and pre-literacy skills of children with down syndrome

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Abstract

Children with Down syndrome (DS) have deficits in eye-hand coordination skills. Deficits in eye-hand coordination could negatively impact the acquisition of literacy skills. This paper presents the evaluation of BeeSmart, a gesture-based videogame for supporting eye-hand coordination and pre-literacy skills. The aim of this work is to investigate whether BeeSmart has the potential to support eye-hand coordination and pre-literacy skills of children with DS. A 10-week study with seven children with DS and two psychotherapists is presented. The results indicate that BeeSmart was perceived as a potential tool to support eye-hand coordination and pre-literacy skills. Three out of seven participants improved their eye-hand coordination and pre-literacy skills to some degree. The evaluation study also revealed some improvements that should be made to BeeSmart, such as a reward counter for children with DS with a higher cognitive level. More game sessions with BeeSmart is required to investigate at what degree of BeeSmart improves eye-hand coordination and pre-literacy skills of children with DS.

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Notes

  1. Literacy is an activity based on written and spelling systems.

  2. Gross motor coordination is the degree to which visual perception and body movements are well coordinated [33]

  3. Eye-hand coordination is also known as fine-motor coordination.

  4. For a description of the initial design of BeeSmart, and an initial usability testing evaluation, see [2]. The current paper presents a re-designed version of BeeSmart and a 10-week evaluation of the videogame.

  5. http://unity3d.com

References

  1. Afyouni I, Qamar AM, Hussain SO, Ur Rehman F, Sadiq B, Murad A (2017) Motion-based serious games for hand assistive rehabilitation. In: Proceedings of the 22nd international conference on intelligent user interfaces companion. ACM, pp 133–136

  2. Amado-Sanchez VL, Islas-Cruz OI, Ahumada-Solorza EA, Encinas-Monroy IA, Caro K, Castro LA (2017) Beesmart: A gesture-based videogame to support literacy and eye-hand coordination of children with down syndrome. In: International conference on games and learning alliance. Springer, Berlin, pp 43–53

  3. Badillo V (2014) Using picture communication symbols (pcs) for teaching to read and write children with down’s syndrome. Int J Educ Sci Res 4:1–8

    Google Scholar 

  4. Beery KE (2004) Beery vmi: The beery-buktenica developmental test of visual-motor integration. Minneapolis, MN: Pearson

  5. Berg P, Becker T, Martian A, Danielle PK, Wingen J (2012) Motor control outcomes following nintendo wii use by a child with down syndrome. Pediatr Phys Ther 24(1):78–84

    Article  Google Scholar 

  6. Bhattacharya A, Gelsomini M, Pérez-Fuster P, Abowd GD, Rozga A (2015) Designing motion-based activities to engage students with autism in classroom settings. In: Proceedings of the 14th international conference on interaction design and children. ACM, pp 69–78

  7. Bos CS, Vaughn S (2002) Strategies for teaching students with learning and behavior problems. ERIC

  8. Campbell DT, Stanley JC (2015) Experimental and quasi-experimental designs for research. Ravenio Books

  9. Cano S, Arteaga JM, Collazos CA, Amador VB (2015) Model for analysis of serious games for literacy in deaf children from a user experience approach. In: Proceedings of the XVI international conference on human computer interaction. ACM, p 18

  10. Caro K, Tentori M, Martinez-Garcia AI, Alvelais M (2017) Using the froggybobby exergame to support eye-body coordination development of children with severe autism. Int J Hum-Comput St 105:12–27

    Article  Google Scholar 

  11. Chai Z, Vail CO, Ayres KM (2015) Using an ipad application to promote early literacy development in young children with disabilities. J Spec Educ 48 (4):268–278

    Article  Google Scholar 

  12. deDiego Cottinelli A, Barros B (2010) Trazo: a tool to acquire handwriting skills using tablet-pc devices. In: Proceedings of the 9th international conference on interaction design and children. ACM, pp 278–281

  13. Deckers SR, Van Zaalen Y, Stoep J, Van Balkom H, Verhoeven L (2016) Communication performance of children with down syndrome: an icf-cy based multiple case study. Child Lang Teach Ther 32(3):293–311

    Article  Google Scholar 

  14. Deterding S, Dixon D, Khaled R, Nacke L (2011) From game design elements to gamefulness: defining gamification. In: Proceedings of the 15th international academic MindTrek conference: envisioning future media environments. ACM, pp 9–15

  15. Felix VG, Mena LJ, Ostos R, Maestre GE (2017) A pilot study of the use of emerging computer technologies to improve the effectiveness of reading and writing therapies in children with down syndrome. Br J Educ Technol 48 (2):611–624

    Article  Google Scholar 

  16. Haro BPM, Santana PC, Magaña MA (2012) Developing reading skills in children with down syndrome through tangible interfaces. In: Proceedings of the 4th mexican conference on human-computer interaction, Citeseer, pp 28–34

  17. Hernandez HA, Ye Z, Graham T, Fehlings D, Switzer L (2013) Designing action-based exergames for children with cerebral palsy. In: Proceedings of the SIGCHI conference on human factors in computing systems. ACM, pp 1261–1270

  18. Hilton CL, Cumpata K, Klohr C, Gaetke S, Artner A, Johnson H, Dobbs S (2014) Effects of exergaming on executive function and motor skills in children with autism spectrum disorder: a pilot study. Am J Occup Ther 68(1):57–65

    Article  Google Scholar 

  19. Holtzblatt K, Wendell JB, Wood S (2005) Rapid Contextual design: a how-to guide to key techniques for user-centered design

  20. Hutchison A, Beschorner B, Schmidt-Crawford D (2012) Exploring the use of the ipad for literacy learning. Read Teach 66(1):15–23

    Article  Google Scholar 

  21. IJsselsteijn W, Poels K, de Kort YA (2008) The game experience questionnaire: Development of a self-report measure to assess player experiences of digital games TU Eindhoven. Eindhoven , The Netherlands

    Google Scholar 

  22. Iosa M, Morone G, Fusco A, Castagnoli M, Fusco FR, Pratesi L, Paolucci S (2015) Leap motion controlled videogame-based therapy for rehabilitation of elderly patients with subacute stroke: a feasibility pilot study. Top Stroke Rehabil 22(4):306–316

    Article  Google Scholar 

  23. Jadán-Guerrero J, Guerrero L, López G, Cáliz D, Bravo J (2015) Creating tuis using rfid sensors—a case study based on the literacy process of children with down syndrome. Sensors 15(7):14845–14863

    Article  Google Scholar 

  24. Johansson-Sköldberg U, Woodilla J, Ċetinkaya M (2013) Design thinking: past, present and possible futures. Creativity Innov Manag 22(2):121–146

    Article  Google Scholar 

  25. Knights S, Graham N, Switzer L, Hernandez H, Ye Z, Findlay B, Xie WY, Wright V, Fehlings D (2016) An innovative cycling exergame to promote cardiovascular fitness in youth with cerebral palsy. Dev Neurorehabil 19 (2):135–140

    Google Scholar 

  26. Kumin L, Lazar J, Feng JH, Wentz B, Ekedebe N (2012) A usability evaluation of workplace-related tasks on a multi-touch tablet computer by adults with down syndrome. J Usability Stud 7(4):118–142

    Google Scholar 

  27. Lersilp S, Putthinoi S, Panyo K (2016) Fine motor activities program to promote fine motor skills in a case study of down’s syndrome. Glob J Health Sci 8(12):60

    Article  Google Scholar 

  28. Macias A, Caro K, Castro LA, Sierra V, Ahumada EA, Encinas IA (2017) Exergames in individuals with down syndrome: a performance comparison between children and adolescents. In: International conference on smart objects and technologies for social good. Springer, Berlin, pp 92–101

  29. Ozmun JC (1998) Understanding motor development: Infants, children, adolescents, adults. Mcgraw-hill

  30. Parette HP, Hourcade JJ, Boeckmann NM, Blum C (2008) Using microsoft®; powerpoint ™ to support emergent literacy skill development for young children at-risk or who have disabilities. Early Childhood Educ J 36(3):233–239

    Article  Google Scholar 

  31. Rahman SA, Rahman A (2010) Efficacy of virtual reality-based therapy on balance in children with down syndrome. World Appl Sci J 10(3):254–261

    Google Scholar 

  32. Read JC (2008) Validating the fun toolkit: an instrument for measuring children’s opinions of technology. Cogn Technol Work 10(2):119–128

    Article  Google Scholar 

  33. Sanghavi R, Kelkar R (2005) Visual-motor integration and learning disabled children. Indian J Occup Ther 37(2):33–35

    Google Scholar 

  34. Serret S, Hun S, Thümmler S, Pierron P, Santos A, Bourgeois J, Askenazy F (2017) Teaching literacy skills to french minimally verbal school-aged children with autism spectrum disorders with the serious game sema-tic: an exploratory study. Front Psychol 8:1523

    Article  Google Scholar 

  35. Silva V, Campos C, Sá A, Cavadas M, Pinto J, Simões P, Machado S, Murillo-rodríguez E, Barbosa-Rocha N (2017) Wii-based exercise program to improve physical fitness, motor proficiency and functional mobility in adults with down syndrome. J Intellect Disabil Res 61(8):755–765

    Article  Google Scholar 

  36. Spanò M, Mercuri E, Randò T, Pantò T, Gagliano A, Henderson S, Guzetta F (1999) Motor and perceptual–motor competence in children with down syndrome: variation in performance with age. Eur J Paediatr Neurol 3 (1):7–14

    Article  Google Scholar 

  37. Straus A, Corbin J (1998) Basics of qualitative research: techniques and procedures for developing grounded theory

  38. Thompson D, Baranowski T, Buday R, Baranowski J, Thompson V, Jago R, Griffith MJ (2010) Serious video games for health: how behavioral science guided the development of a serious video game. Simul Gaming 41(4):587–606

    Article  Google Scholar 

  39. Troncoso MV, Del Cerro MM (1999) Síndrome de down: lectura y escritura. Masson Barcelona, Spain

    Google Scholar 

  40. van den Driessen Mareeuw FA, Hollegien MI, Coppus AM, Delnoij DM, de Vries E (2017) In search of quality indicators for down syndrome healthcare: a scoping review. BMC health Serv. Res. 17(1):284

    Article  Google Scholar 

  41. Varuzza C, De Rose P, Vicari S, Menghini D (2015) Writing abilities in intellectual disabilities: a comparison between down and williams syndrome. Res Dev Disabil 37:135–142

    Article  Google Scholar 

  42. Wuang YP, Chiang CS, Su CY, Wang CC (2011) Effectiveness of virtual reality using wii gaming technology in children with down syndrome. Res Dev Disabil 32(1):312–321

    Article  Google Scholar 

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Acknowledgements

The authors thank all the participants and staff from CENTRO DOWN. This research was partially funded by the Sonora Institute of Technology (ITSON) through the PROFAPI program.

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Correspondence to Karina Caro.

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Caro, K., Encinas-Monroy, I.A., Amado-Sanchez, V.L. et al. Using a Gesture-based videogame to support eye-hand coordination and pre-literacy skills of children with down syndrome. Multimed Tools Appl 79, 34101–34128 (2020). https://doi.org/10.1007/s11042-020-09452-x

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