The Physiological Effects of IPAD Digital Games on Children with Autism
DOI:
https://doi.org/10.24203/ajpnms.v5i2.4167Keywords:
systolic, diastolic, heart rate, breathing rateAbstract
Background: Previous studies found that the use of an iPad® in intervention programmes benefited the skills of daily living of children with autism. The purpose of the study was to determine the physiological changes in children while playing action and strategy games on an iPad. Methodology: A cross-sectional study was conducted using Powerlab 24/6T, a blood pressure monitor, respiratory belt, and finger pulse transducer. The children were asked to play two types of game. The duration for each game was 10 minutes. The measurement of blood pressure - both systolic and diastolic, heart rate and breathing rate were taken at three consecutive times (before, during and after each game). The inclusion criteria are children aged 7 to 12 years old who have been diagnosed with a mild type of autism (Pervasive developmental disorder). The exclusion criteria were children who had co-morbidities such as epilepsy, migraine, heart, and lung problems, depression, physical disabilities and visual impairments.  Results: Nineteen children with autism participated in this study. The result indicated that the mean systolic and diastolic blood pressures increased before and after playing strategy games and action games. However, compared to pre-play values, the mean heart rate and breathing rate decreased both during and after playing both types of game. Meanwhile, there was significant mean difference for breathing rate for both types of game (p<0.05). Conclusion: Playing strategy and action games did not affect the measured physiological parameters of children with autism.
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References
Hill, A. P., Zuckerman, K., & Fombonne, E. (2014). Epidemiology of autism spectrum disorders. In F. R. Volkmar, S. J. Rogers, R. Paul, & K. A. Pelphrey (Eds.), Handbook of autism and pervasive developmental disorders. Diagnosis, development, and brain mechanisms (4th ed., Vol. 1, pp. 57–96). New York: Wiley.
Pelly, L., Vardy, C., Fernandez, B., Newhook, L. A., & Chafe, R. (2015). Incidence and cohort prevalence for autism spectrum disorders in the Avalon Peninsula, Newfoundland and Labrador. CMAJ open, 3(3), E276-E280.
Kim, Y. S., Leventhal, B. L., Koh, Y. J., Fombonne, E., Laska, E., Lim, E. C., et al. (2011). Prevalence of autism spectrum disorder in a total population sample. American Journal of Psychiatry, 168(9), 904–912.
American Psychiatric Assocation. DSM-5. Washington, DC: American Psychiatric Association; 2013
Fletcher-Watson S, Petrou A, Scott-Barrett J, Dicks P, Graham C, O’Hare A, Pain H, McConachie H: A trial of an iPad® intervention targeting social communication skills in children with autism. Autism. 2015:1362361315605624.
Alliano A, Herriger K, Koutsoftas AD, Bartolotta TE. A review of 21 iPad applications for augmentative and alternative communication purposes. SIG 12 Perspect Augment Altern Commun. 2012;21(2):60–71.
Kagohara DM, van der Meer L, Ramdoss S, O’Reilly MF, Lancioni GE, Davis TN, Rispoli M, Lang R, Marschik PB, Sutherland D. Using iPods® and iPads® in teaching programs for individuals with developmental disabilities: a systematic review. Res Dev Disabil. 2013;34(1):147–56.
Anderson, C. A., & Dill, K. E. (2000). Video games and aggressive thoughts, feelings, and behavior in the laboratory and in life. Journal of personality and social psychology, 78(4), 772.
Durkin, K., & Barber, B. (2002). Not so doomed: Computer game play and positive adolescent development. Journal of applied developmental psychology, 23(4), 373-392.
Fallon, S. (2014). A Conjoint Analysis of Reader Preference for the Layout of Tablet Editions of Magazines.
Saat NZM, Sazlina Kamaralzaman, Nurul Asyiqah Aspen, Nina Atiqah Mat Supri, Nur Rafidah Mohamed.2014. The Association between Physiopsychological Effects and the Types of Games among University Students. Asian Journal of Applied Sciences 2(3):393-400
Gray, C. A., & Garand, J. D. (1993). Social stories: Improving responses of students with autism with accurate social information. Focus on Autistic Behavior.
Hasnah Toran, Salmiah Bujang & Fadliana Chiri. Siri Pendidikan Autisme: Pengajaran Berstruktur. Penerbit UKM
Ceranoglu, T. A. (2010). Video games in psychotherapy. Review of General Psychology, 14(2), 141.
Griffiths, M. (1999). Violent video games and aggression: A review of the literature. Aggression and violent behavior, 4(2), 203-212.
Lenhart, A., Maddenn, M., & Hitlin, P. (2005). Teens and technology: Youth are leading the transition to a fully wired and mobile nation.
Nacke, L., & Lindley, C. A. (2008, November). Flow and immersion in first-person shooters: measuring the player's gameplay experience. InProceedings of the 2008 Conference on Future Play: Research, Play, Share(pp. 81-88). ACM.
Payne, D., Cannella-Malone, H. I., Tullis, C. A., & Sabielny, L. M. (2012). The effects of self-directed video prompting with two students with intellectual and developmental disabilities. Journal of Developmental and Physical Disabilities, 24(6), 617-634.
Johnson, J. W., Blood, E., Freeman, A., & Simmons, K. (2013). Evaluating the effectiveness of teacher-implemented video prompting on an iPod Touch to teach food-preparation skills to high school students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 1088357613476344
Palmen, A., Didden, R., & Verhoeven, L. (2012). A personal digital assistant for improving independent transitioning in adolescents with high-functioning autism spectrum disorder. Developmental neurorehabilitation, 15(6), 401-413.
Markovitz, J. H., Raczynski, J. M., Wallace, D., Chettur, V., & Chesney, M. A. (1998). Cardiovascular reactivity to video game predicts subsequent blood pressure increases in young men: The CARDIA study. Psychosomatic medicine, 60(2), 186-191.
Drachen, A., Nacke, L. E., Yannakakis, G., & Pedersen, A. L. (2010, July). Correlation between heart rate, electrodermal activity and player experience in first-person shooter games. In Proceedings of the 5th ACM SIGGRAPH Symposium on Video Games (pp. 49-54). ACM.
Segal, K. R., & Dietz, W. H. (1991). Physiologic responses to playing a video game. American Journal of Diseases of Children, 145(9), 1034-1036.
Wang, X., & Perry, A. C. (2006). Metabolic and physiologic responses to video game play in 7-to 10-year-old boys. Archives of Pediatrics & adolescent medicine, 160(4), 411-415.
Mandryk, R. L., Inkpen, K. M., & Calvert, T. W. (2006). Using psychophysiological techniques to measure user experience with entertainment technologies. Behaviour & information technology, 25(2), 141-158.
Gwinup, G., Haw, T., & Elias, A. (1983). Cardiovascular changes in video-game players. Cause for concern?. Postgraduate medicine, 74(6), 245-248.
Denot-Ledunois S, Vardon G, Perruchet P, Gallego J. The effect of attentional load on the breathing pattern in children. Int J Psychophysiol. 1998;29: 13-21
Hébert, S., Béland, R., Dionne-Fournelle, O., Crête, M., & Lupien, S. J. (2005). Physiological stress response to video-game playing: the contribution of built-in music. Life sciences, 76(20), 2371-2380.
Stern, Y. (2012). Cognitive reserve in ageing and Alzheimer's disease. The Lancet Neurology, 11(11), 1006-1012.
Mandryk, R. L., & Inkpen, K. M. (2004, November). Physiological indicators for the evaluation of co-located collaborative play. In Proceedings of the 2004 ACM conference on Computer supported cooperative work (pp. 102-111). ACM.
Hébert, S., Béland, R., Dionne-Fournelle, O., Crête, M., & Lupien, S. J. (2005). Physiological stress response to video-game playing: the contribution of built-in music. Life sciences, 76(20), 2371-2380.
King, D., Delfabbro, P., & Griffiths, M. (2010). Video game structural characteristics: A new psychological taxonomy. International Journal of Mental Health and Addiction, 8(1), 90-106.
Lee, S. (2012). Project Injini: Developing cognitive training games for children with special needs. GAMES FOR HEALTH: Research, Development, and Clinical Applications, 1(1), 69-73.
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