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One of the defining features of autism spectrum disorder (ASD) is the deficit in social interaction (American Psychiatric Association 2013; Wing and Gould 1979). To function in the social world, one needs to be able to take other people's perspective into account (Flavell 1977). Perspective taking helps us to infer and predict the actions, desires, and beliefs of other people (e.g. Conson et al. 2015; David et al. 2010; LeBlanc et al. 2003; Pearson, Ropar, and de C Hamilton 2013; Schilbach et al. 2012). Perspective taking has visually two levels. Level 1 refers to being able to know if the other person sees an object; for example, line of sight and obstructions on the line of sight. These can be passed by typically developing two year olds. Level 2 refers to the ability to understand that the other person sees the object differently, dependent on the point of view, and even adults have been shown to have difficulties with Level 2 tasks in naturalistic contexts (Moll and Tomasello 2004, 2006; Pearson, Ropar, and de C Hamilton 2013).
Impairments in establishing and maintaining eye contact are part of the diagnostic criteria of autism (APA 2013), and perspective taking is dependent on the ability to follow the other person's gaze and line of sight (Conson et al. 2015; Pearson, Ropar and de C Hamilton 2013; Warreyn et al. 2005). Although children with ASD have problems executing this skill (e.g. Hamilton, Brindley, and Frith 2009; Warreyn et al. 2005), mixed results have recently been found (Pearson, Ropar, and de C Hamilton 2013). Similarly, discrepancies have also been found in eye-tracking research looking at impaired eye contact, a vital part of perspective taking (Guillon et al. 2014; Papagiannopoulou et al. 2014). Recent evidence of an impaired gaze following in perspective taking can be found, for example, in studies by Falck-Ytter et al. (2012) and Riby et al. (2013), in which children needed to see where the other person was looking. Falck-Ytter et al. (2012) showed that children with ASD show less accurate gaze following (correct/incorrect gaze shifts) and made fewer correct gaze shifts than typically developing children when looking at gaze-at items. In addition, Riby et al. (2013) found that children with ASD were not as accurate at naming gaze-at items as controls, and even when cued, children with ASD did not spend more time looking at the gaze-at objects.
Attempts to train perspective-taking skills and eye contact have shown success by using video-modelling (Charlop-Christy and Daneshvar 2003; LeBlanc et al. 2003), visual table-top exercises (Gould et al. 2011), picture exchange communication systems with imitation (Miyazaki, Hisatoshi, and Masahiko 2014), and developmentally appropriate play activities (Ninci et al. 2013). In their straightforward training procedure, Gould et al. (2011) trained a single component of perspective taking to see what the other person was seeing (level 1). Due to the simplicity of this approach, it could also be used with minimally verbal children. The training consisted of pictures set on a table in which a person was looking at one of four locations: up, down, left, or right. The children needed to understand where the person was looking and name the object the person was seeing: 'What does s/he see?' The training cards had dotted arrows from the eyes to the object as additional cues, and a fading procedure was used to gradually shorten the length of the arrows. It was found that the children were able to learn to understand what the other person saw and even demonstrate a generalization of the skill. In the present study, we used this task for our task design.
In task designs, motivation should be considered. For instance, Dweck (1986) concluded that people perform better if they feel secure and motivated, which is particularly important to students with learning difficulties (Hart et al. 2004; Korhonen, Linnanmäki, and Aunio 2014; Silinskas et al. 2016) and in learning, the best outcomes are connected to motivation and curiosity (e.g. Gruber, Gelman, and Ranganath 2014). Computerized procedures, on the other hand, are found to be useful with individuals with ASD (e.g. Parsons, Leonard, and Mitchell 2006; Wass and Porayska-Pomsta 2014), and with minimal verbal skilled individuals with ASD (Colby 1973; McGonigle-Chalmers et al. 2013). Thus, as individuals with ASD enjoy and are motivated in computerized contexts due to the freedom to work at own speed with few distracting social factors (for recent reviews, see Grynszpan et al. 2013; Wass and Porayska-Pomsta 2013), we altered a computer game with a positive user experience for a perspective-taking task. To our knowledge this has not been explored before with perspective taking. To further increase motivation and engagement, we used changeable visual stimuli as an acknowledgement of children's personal interests, as preferences have been found to enhance assessment, academic, and social skills performance (e.g. Baker 2000; Boyd et al. 2007; Charlop, Kurtz, and Casey 1990; Jacobsen 2000; Kryzak and Jones 2014; Mancil and Pearl 2008; McGonigle-Chalmers et al. 2013; Naoi et al. 2008; Vismara and Lyons 2007).
This pilot study reports results of four high support need and minimally verbal individuals with ASD playing a computer-based perspective-taking game. These are children for whom standardized testing might not be suitable, who often receive little attention in research and who can be considered to have very different skills and traits (Jacobsen 2000; McGonigle-Chalmers et al. 2013; Tager-Flusberg and Kasari 2013). In contrast to group-level analyses with conflicting results on impaired perspective taking and eye contact, we concentrated on individual-level analyses. This avenue was chosen in order to detect possible variations between individuals' performance that may have resulted in those discrepancies, which have also been suggested to influence the results in attention research (Ames and Fletcher-Watson 2010; Bruinsma, Koegel, and Koegel 2004; Korhonen, Räty, and Kärnä 2014). The individual-level analyses can provide insights about the individuals with autism and about autism as a whole. We aimed to alter a computer game with a positive user experience to explore perspective-taking skills. First, we hypothesized the individuals with ASD to be able to play the game and, second, we hypothesized them to make more errors in comparison to typically developing children without the additional arrow cues. Our third hypothesis was that with the arrow cues there would be no differences between the individuals with ASD and the controls in the error rates.
Children with autism
A convenience sampling method was used. Four pupils from a school for individuals with special needs – which used an adjusted syllabus due to pupils' academic performance – took part in the study. The study took place in their own school in a familiar setting. All children were previously diagnosed with ASD (based on ICD-9 criteria) and were assessed as high support need (e.g. Strnadová, Cumming, and Marquez 2014) and minimally verbal (e.g. Tager-Flusberg and Kasari 2013) by the school services (medical doctor and speech therapist). A teacher-rated Autism Spectrum Screening Questionnaire was used (ASSQ: Mattila et al. 2012): the teacher rated ASSQ scores were all above the cut-off score of ≥ 22, with sensitivity/specificity 0.73/0.74 for clinical populations (ASSQ scores for the four participants: 23, 36, 41, 30). The participants were all male, and their age levels were equivalent to those in Finnish primary and secondary school (ages in years: 9, 12, 14, and 11). We could not collect standardized test results (language or cognition) as tests were stopped due to the children's systematic task-irrelevant behaviour, for example, by inventing their own play action, which was unrelated to the task. More subjectively, by the teachers and researchers, these children can be characterized by having very limited use of verbal language, mainly using single words, expressing echolalic speech, and most often communicate non-verbally.
At the time of the study Aaron was a 9-year-old boy, with an ASSQ score of 23, who has developmental delays and hence has extended schooling planned. He was still learning how to dress himself and needed aid using a toilet. Aaron had sensory sensitivities which made, for example, cutting hair or doing physical examinations difficult. He appeared happy in everyday life but had difficulties in concentrating on tasks, and if irritated he may have scratched or headbutted the person next to him. Aaron had good gross motoric skills but needed aid and training in fine motor skills, for example, using a pencil/pen, and in general was often restless in his motor actions. He also needed aid in outdoor activities, in public spaces he needed careful supervision, and inside he needed aid and guidance in eating. Aaron understood clear context-related instructions but had trouble with comprehending more abstract concepts. He was able to name individual everyday items but could not use plurals, and he was not able to produce L, K, R sounds, and J and N sounds could only be used as individual sounds. Aaron was able to produce some sentences by combining two words; however, the intelligibility was often inadequate and he felt irritated when asked for a clarification. As an aid he used a picture communication folder for communication with several pictures to form a sentence to ask for something.
Billy was a 12-year-old boy, with an ASSQ score of 36, who had developmental delays. Billy was a child that could not be left alone without supervision, and he needed aid in using a toilet, washing up, and in brushing his teeth. Although Billy was able to do puzzles up to 25 pieces in size, he was still training to use pens and pencils but was able to use scissors to cut paper into triangular shapes. He had a tendency to get easily frustrated if there was no planned activity. Billy was able to understand clear short instructions but he communicated with pictures and supportive sign language. The school found that Billy's day was best organized by using a pictorial calendar.
Clark was a 14-year-old boy, with an ASSQ score of 41, who had developmental delays and therefore had extended schooling planned. Clark took very little contact with others and got distracted easily and fell to his own thoughts, but with verbal guidance he was easily brought back to the task. Sometimes Clark might have grabbed hair or pinched the person next to him from seconds to up to minutes without a specific reason and when disappointed the time was often longer. His motor skills were repetitive and his fine motor abilities needed training; using a pencil or scissors was difficult, but luckily he liked physiotherapy in which he needed verbal and manual aid and guidance. Clark's activity level was very varied; sometimes he needed constant guidance but often tasks were done without any aid. Clark used words to communicate, and did not use signs or pictures, and moreover had frequent echolalic speech and often recited sentences from cartoons. Although limited in language use he was able to write his own name, recalled most numbers, and was able to name geometric shapes (square, circle, house, heart).
Derek was a 11-year-old boy with an ASSQ score of 30. Derek was almost always a cheerful child who had made progress in play and did not only do certain play activities, and was also more willing to be guided by an adult. When he was stuck, giving time and showing pictures helped him to move on. He was eager to play but only for a short while, and he needed adult supervision and guidance to plan and execute activities. In motor play activities Derek was hesitant and his fine motor skills, like holding a pen, were still in the process of learning. For Derek big social events at the school were a challenge but those could be addressed by encouragement and pictorial planning of the events. Derek communicated with words, gestures, and pointing. However, he used the same phrases frequently, with one two three words, and was able to name colours, numbers, and play-related items. He was able to ask for help by using words such as help or give and additionally used a picture communication file to communicate with adults.
All children participated on the basis of their own, parental, and school consent and the research was approved by the Research Ethics Committee of the University of [name of university].
Typically developing children
A convenience sampling method was used. Finnish universities have teacher training schools that are designed to work in collaboration with researchers. We involved all consenting and typically developing second grade primary school children from the university training school in our study, gaining their own consent as well as that of their parents and the schools. The second grade was selected to ensure that the youngest participants were age-matched to the youngest individual with ASD: the mental and language age in the control group was therefore on the same or higher level as for the youngest child with ASD. This was done since children with ASD had too much task-irrelevant behaviour during testing. The school reported that the participating children had no medical, psychological, and neurological diagnoses or other learning disabilities or difficulties. To exclude potential individuals with ASD, a teacher-rated ASSQ was used: for a whole population sample the sensitivity/specificity was 1.00/0.94 and the cut-off ≤ 7 (ASSQ: Mattila et al. 2012). The ASSQ scores in the TD group were all below the cut-off: all scores were < 3. Altogether, 17 typically developing children, between the ages of 8 and 9, participated in the study (9 males and 8 females). The study took place in their own school in a familiar setting. The researchers opted to use statistics appropriate for single-case studies. The sample size used for the control group in case-control studies can be modest: the sample size for the 98 single-case studies that directly compared a single case to controls was 11.69, SD = 10.66 (Crawford, Garthwaite, and Porter 2010)
Material and measures
In order to project the least amount of discomfort for the children, the game playing was designed on the basis of existing activities at the participants' schools. We chose a game with a positive user experience (Mäkelä, Bednarik, and Tukiainen 2013).
The perspective-taking game ran on Visual Studio® software on a PC computer using the Microsoft Windows® operating system with a Kinect sensor, Microsoft Xbox 360® (version 1.8). The Kinect sensor's operating range is from 0.8 to 4.0 m, a 640 × 480 resolution, with 30 frames per second rate. The game was played on a white screen with a VGA connection to a projector/smartboard (Xbox Kinect® uses body movement in its games. See Ilg et al. 2012; Munson and Pasqual 2012).
The Kinect sensor was placed in front of the player below the white screen (Figure 1(a). for an example of game playing on Kinect and Figure 1(b). for the layout of the game playing). No physical contact with the screen was needed. The player saw a silhouette of him-/herself and used his/her hand's silhouette to select and catch items on the screen by placing either hand on top of the item. The software was programmed to only allow hands for selection. The distance to the screen was altered by the player by moving in the room; hence, the visual angle is not constant. The size of the screen was 2.6 (width) × 2.01 (height) in metres (m); the image projected was 2.1 m × 1.54 m. A cartoon character and images were used to maintain the game-like feature and since cartoons have been found to elicit similar gaze behaviour towards real images in individuals with ASD (Riby and Hancock 2009). The character's height was 97 cm with eyes being 20 cm × 13.2 cm. We also kept the sclera of the virtual character white and the pupil colour dark so as not to reverse eye viewing behaviour (Frischen 2007).
In the game, the player first chose an object of their preference, for example, a bird, a bee, a plane, etc. by placing either hand on top of the item. Then s/he needed to know the direction in which the virtual character was looking (there were three boxes on the screen: up, down, or middle) and open the box in that location with the help of eye gaze cues or with eye gaze and arrow cues (Figure 2; and for the order of the events see Figure 3). If the participants tried to open the incorrect box, it would not open; it would shake for a moment and made a sound to invite players to try again. There were three attempts before the new cue would appear. Once they chose the correct box, the participants needed to catch the flying object, which would emerge from the box.
We were interested in the two different kinds of trials to see if attending to eyes is impaired and whether the additional arrow cues would lessen the amount of errors made in the game: (1) there was only the eye gaze cue indicating which box to choose (hereafter eye cue) and (2) there were the eye gaze cue and an additional dotted arrow cue at the same time to make the task easier (hereafter double cue).
The data collection started with practise trials for both typically developing participants and for individuals with ASD. This was done because we did not know whether the target behaviour was part of their repertoire, and task failure could have evoked negative feelings in the children with ASD and result in refusal to play and participate in similar activities in the future. The practise trials had two eye cue trials and five double cue trials. The practise measurements involved only two attempts on the eye cue condition to avoid multiple failures as guided by Morgan and Morgan (2009). Similarly, the trial numbers were kept low (in the practise and real trials) due to keeping the playing time short and due to the pilot nature of the study. At the practise trials, the eye cue trials came before the double cue trials to ascertain whether the children were able to play the game when only eye gaze cues were given: two eye cue trials (length of the dotted arrow: 0–0). There was only one attempt for each eye cue trial. After the two eye cue trials, five prompted trials using the fading procedure (length of the dotted arrow: 5-4-3-2-1) with three attempts were used to aid the player with understanding the game and to impose a feeling of control. The typically developing children had one practise trial after which they were able to understand the game (with reference to their own comments).
After the practise trials, in the two playing sessions that were analysed, there were six double cue trials and three eye cue trials in order to have more positive than negative trials. In the double cue trials the game used a fading procedure in which each cue had shorter arrow cue and eventually no arrow cue. The order was according to the fading procedure: the length of the arrow: 5-4-3-2-1-0-0-0. All trials allowed three attempts before proceeding to the next trial. The game performance data, for the eye cue and the double cue, were collected onto log files: choosing the correct or incorrect location after the cue and the cue type.
A case-controls method was used; that is, a method in neuropsychology in which individual's results can be statistically compared to that of a control sample's. A statistical programme (DISSOCS_ES.EXE) was applied to test whether participants' scores on eye cue and double cue trials are significantly lower than those of a control sample, and whether the scores in the eye cue and double cue trials differ from one another (Crawford, Garthwaite, and Porter 2010). The dependent measure is the errors made in the game, in the eye cue and double cue trials.
When the children arrived in the game playing room, at their own schools, they were welcomed and then given instructions that they first needed to choose a preferred item on the screen and they were then told to locate the hiding place of that item. They were then told that the man on the screen would help them find the correct box. Once finished playing the game they were thanked for playing.
The errors made in the game were counted and reported as percentages. Errors were divided into two categories based on the cue type: (1) eye cue; (2) double cues. No participant tried to choose a box before the cues appeared, indicating understanding the purpose of the cues. The time it took to play the game varied from 53 to 99 s (M = 68.1) for the TDI and between 57 and 116 s (M = 91.8) for the individuals with ASD.
Relative error rates: eye cue and double cue
Children with ASD: in the practise eye cue condition the error rate was 43.8% and 27.9% in the double cue condition. In the 1st trial in the eye cue condition the error rate was 32.5% and in the 2nd 42.9%. In the first double cue condition the error rate was 37.4% and in the second 43%.
Typically developing children: in the practise eye cue condition the error rate was 68.8% and 14.4% in the double cue condition. In the 1st trial in the eye cue condition the error rate was 19.3% and in the second 13.8%. In the first double cue condition the error rate was 14.4% and in the second 5.7%. Wilcoxon signed-rank test indicated that typically developing participants made more errors overall in the eye cue trials than in the double cue trials (Z = −2,415, p = .016).
Comparisons of individual participants to controls
For case-controls analyses the means of the first two play session's relative error rates were used. We reversed the relative values to avoid zero values in the data set (e.g. an error value of 0 = a score of 100, and an error value of 20 = a score of 80). In the eye cue condition the error rates were: Aaron, 60; Billy, 60; Carl, 41.7 Derek, 87.5. In the double cue condition the error rates were: Aaron, 58.4; Billy, 56.1; Carl, 58.2; Derek, 66.6. The control group's (N = 17) mean score on the eye cue condition was 85.2 (SD 14.5) and for the double cue condition the mean was 94.7 (SD 4.6).
The DISSOCS_ES.EXE programme was used and the results are presented in Table 1. (see Section 3.3. for task comparison for each individual) as suggested by Crawford, Garthwaite, and Porter (2010). All participants were significantly poorer in the double cue trials compared to controls. Apart from Carl the participants did not differ from controls in the eye cue condition.
|Control sample
|Significance test (* meets criteria for a deficit compared to controls)
|Estimated percentage of the control population obtaining a lower score than the case
|Estimated effect size (Zcc)
|Case's score
|Eye cue
|(0.64 to 16.74)
|(−2.490 to −0.964)
|Double cue
|(0.00 to 0.00)
|(−10.634 to −5.140)
|Eye cue
|(0.64 to 16.74)
|(−2.490 to −0.964)
|Double cue
|(0.00 to 0.00)
|(−11.303 to −5.471)
|Eye cue
|(0.002 to 3.16)
|(−4.125t o −1.858)
|Double cue
|(0.000 to 0.000)
|(−10.692 to −5.168)
|Eye cue
|(37.36 to 73.72)
|(−0.322 to 0.635)
|Double cue
|(0.000 to 0.004)
|(−8.222 to −3.941)
Dissociations between eye cue and double cue
The dissociation of each participant's error rates in the two different trials were measured (Crawford, Garthwaite, and Porter 2010):
Aaron: Eye cue condition z score = −1.738 and double cue z score = −7.891. The RSDT (Crawford and Garthwaite 2005) to test the difference between Aaron's eye cue and double cue scores: two tailed p-value for t of 4.664, df 16, is 0.000, meaning that eye cue and double cue performances are different. An estimated 0.01% of control population would show more extreme difference in performance. The effect size for the difference between case and controls = 5.079 (Bayesian Credible Interval: 95% CI 2.715−7.894). The difference between Aaron's standardized scores is statistically significant (RSDT). Overall, Aaron's results fulfils the criteria for a dissociation. Errors in the double cue condition were higher for this participant than in the eye cue condition.
Billy: Eye cue condition z score = −1.738 and double cue z score = −8.391. The RSDT (Crawford and Garthwaite 2005) to test the difference between Billy's eye cue and double cue scores: two tailed p-value for t of 5.031, df 16, is 0.000, meaning that eye cue and double cue performances are different. An estimated 0.01% of control population would show a more extreme difference in performance. The effect size for the difference between case and controls = 5.491 (Bayesian Credible Interval: 95% CI 2.980−8.487). The difference between Billy's standardized scores is statistically significant (RSDT). Overall, Billy's results fulfil the criteria for a dissociation. Errors in the double cue condition were higher for this participant than in the eye cue condition.
Carl: Eye cue condition z score = −3.000 and double cue z score = −7.935. The RSDT (Crawford and Garthwaite 2005) to test the difference between Carl's eye cue and double cue scores: two tailed p-value for t of 3.761, df 16, is 0.002, meaning that eye cue and double cue performances are different. An estimated 0.1% of control population would show more extreme differences in performance. The effect size for the difference between case and controls = 4.073 (Bayesian Credible Interval: 95% CI 1.707−6.853). The difference between Carl's standardized scores is statistically significant (RSDT). Overall, Carl's results fulfil the criteria for a strong dissociation. Errors in the double cue condition were higher for this participant than in the eye cue condition.
Derek: Eye cue condition z score = 0.159 and double cue z score = −6.087. The RSDT (Crawford and Garthwaite 2005) to test the difference between Derek's eye cue and double cue scores: two tailed p-value for t of 4.732, df 16, is 0.0002, meaning that eye cue and double cue performances are different. An estimated 0.01% of control population would show more extreme differences in performance. The effect size for the difference between case and controls = 5.155 (Bayesian Credible Interval: 95% CI 3.175−7.499). The difference between Derek's standardized scores is statistically significant (RSDT). Overall, Derek's results fulfil the criteria for a dissociation. Errors in the double cue condition were higher for this participant than in the eye cue condition.
The objective of this study was to pilot a potential method for skill assessment. We wanted to explore if a computer game with a positive user experience could be used in a school environment with high support need and minimally verbal children with ASD to assess whether these particular children had potential perspective-taking skills, can they use eye gaze information to play the game, and do they benefit from additional cues. We concentrated on individual-level analyses in order to detect possible variations between individuals' performances, which have been suggested to influence attention research and could account for the discrepancies in previously found results. We hypothesized that the individuals with ASD were able to play the game, but made more errors in comparison to typically developing children without the additional arrow cues. We also expected that with the arrow cues there would be no differences between the individuals and the controls in the error rates.
Since no participant tried to choose a box before the eye cues or arrow cues appeared, and since the error rates were better than chance level, it can be assumed that the decisions made in the game were based on the cues, which confirms the first hypothesis that children with ASD are able to play the game.
The second hypothesis was not confirmed. Children with ASD did not make more errors without the additional error cues in comparison to the controls. The case-control analysis showed that in comparison to the controls only one child made more errors in the eye cue trials (Clark).
The third hypothesis was also not confirmed: all children with ASD made more errors with the additional arrow cues compared to the control group. There was a dissociation between the two conditions for each child meaning that the arrow cues made the performance worse. Hence, it seems that the children did not benefit from the additional arrow cues as we expected and as was found in the Gould et al. (2011) study. Overall, using eye cues for perspective taking seemed to be intact in three out of the four children with ASD and additional arrow cues only made them make more errors.
Comparing our results to those of Gould et al. (2011), it is possible that the children in the Gould et al. (2011) study found the task difficult without feedback. They may have had the skill before the game but did not know how to play the game. Therefore, development in the skill in their study was evident. Possibly for the same reason they found the arrow cues helpful. In our game, the feedback was visually presented as the box opened if correct and shook if incorrect; hence, the purpose of the game was known from the very beginning. A possible explanation why participants showed a difference to controls in the double cue condition with the additional arrow cues is the complexity of the scene. Stimuli that are too numerous or too complex for children with ASD was suggested by Guillon et al. (2014) to be one reason for seeing differing results in attention research. However, since in our study children with ASD performed better with the eye cues they may have only been distracted by the arrow cues that would relate to visual complexity. Similarly, the control group made fewer errors using the additional arrow cues as they may not have been distracted by them. There is also variation between the practise, first, and second trials which may reflect the variation within the individuals over time, and should be further explored, even though the error rates did stay below chance level. For now the numbers are too small to analyse. Overall, our results show that perspective taking was not an impossible task for these children contrary to what, for example, Falck-Ytter et al. (2012) and Riby et al. (2013) have found. It is, however, according to what Pearson, Ropar, and de C Hamilton (2013) discovered – some studies found intact perspective taking in individuals with ASD. Therefore, after our current study, it would be interesting to reanalyse the data from previous groups' studies on an individual level using the case-controls method.
We suggest that we could learn more about children with ASD and how to organize their learning by using contexts with which they feel at ease, as suggested also in other studies on social and academic skills (e.g. Baker 2000; Boyd et al. 2007; Charlop, Kurtz, and Casey 1990; Jacobsen 2000; Kryzak and Jones 2014; Mancil and Pearl 2008; McGonigle-Chalmers et al. 2013; Naoi et al. 2008; Vismara and Lyons 2007). In addition, computer games and tasks could be used as a starting point for learning and assessing children's capabilities as they have been found to be a viable source for education and entertainment (Grynszpan et al. 2013; Ilg et al. 2012; Munson and Pasqual 2012; Wass and Porayska-Pomsta 2013). Once the games and tasks have been found to be interesting by the children, the games could be revised for skill assessment. Furthermore, since research also indicates a lowered intellectual performance when presenting tasks to individuals who already believe they will perform poorly and who, as a result, inadvertently behave in a stereotypical manner (e.g. Croize et al. 2004; Spencer, Logel, and Davies 2015), we believe the steps we took for testing seem more than appropriate. In our study the lack of interest in the standardized tests and willingness to play the game can be taken to indicate that interesting games can be seen as an alternative assessment method. In fact, a review of joint attention, an ability closely related to perspective taking, found that no study reported taking children's interests into account in testing joint attention abilities, a step that could have made the children feel more at ease (Korhonen, Räty, and Kärnä 2014). Hence, the review also supports the importance of context in the research of individuals with ASD.
Our research has some limitations. The design did not control the influence of the teachers or assistants, as they did not remain constant for each child. However, this increases the ecological validity of our study as it represents the real-life situation of all school environments. Furthermore, the teachers very rarely advised or guided the children. The time taken to play the game was not analysed as there was too much intra- and inter-individual variation in each session. For example, at one point the player might be standing still or concentrating on their own interests even when the game was on. This makes the interpretation of the temporal duration data impossible. Also, for our purposes, time was not essential, as we recognize that these individuals may have different ways of performing in a testing situation and we do not expect a steady playing rate. The size of the eyes was exaggerated due to the cartoon nature of the character and since we wanted to have the possibility to use the game for mobile eye-tracking purposes, a larger eye size was required. This may have attracted the participants more to the eye area. However, they were able to use the eyes as cues, which is what we wanted to examine, and if the cue size or attractability would enhance performance we should have seen the arrow cues to enhance performance as well.
Further limitations in this study were the gender ratio that was skewed, as all children with ASD were boys. On the other hand the gender ratio in ASD is skewed towards boys (Fombonne 2009; Jensen, Steinhausen, and Lauritsen 2014; Rutherford et al. 2016). We also did not dwell on the technology (Kinect) per se, as our contention was not to change it as it was found to work in a previous study (Mäkelä, Bednarik, and Tukiainen 2013). This might be an element why the children fared well in this particular task but that is what is expected if the platform is enjoyable. Overall, and also in the case of perspective taking, more research is needed on task engagement of the children. Future studies should also explore systematically the subjective experience and feelings when having to take eye contact and using information from the eyes, as in our design this particular aspect was not addressed.
On the other hand, the limitations of this study have positive aspects: We were observing individuals who are often not studied, and we designed a task for individuals who are otherwise difficult to assess and educate. In fact, these children would most likely be excluded from most research as their matching becomes problematic due to their lack of interest in testing. Moreover, our research setting has a good ecological validity and the method's applicability to real-life school or rehabilitation centre settings was tested as we collected the data in school environments.
The results indicate that applying small changes to a computer game with a positive user experience allowed us to conduct research to study the skills of four high support need and minimally verbal children with ASD, an avenue not explored before. The game let us infer that perspective taking was impaired in only one out of four children with ASD. It is likely that we are able to see more potential for high support need children to emerge when the context is supporting of the individual. The study also confirmed that the issue of individual variation in autism is still topical and showed that individual-level analysis can reveal insights about autism and about the individual with autism. Overall, we wish that high support need children with ASD receive more attention in research and in the design of research methodology, in order to include them in research more systematically rather than using methodologies that may exclude them as a group or as individuals.

subset: commoncrawl


text:
The Basic Principles Of how to get your ex boyfriend back
But the truth is that after the love prevails by passion, it needs exertions from every particular person in the connection to maintain it prolonged.
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This might audio a tad signify however, you will need to be entirely trustworthy with yourself and possibly examine things which may well cause you to unpleasant.


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text:
Don't do it!!!
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text: I'm 35 Weeks tomorrow. All day today my back ached, especially when I was moving around...to the point that I just sat in my chair at my desk and tried not to think about it (I'm a teacher). I felt the baby move throughout the day, but no significantly crazy movements. Just little moves here and there. Tonight I was feeling okay, but then out of nowhere I became extremely nauseous to the point of dry heaving. I feel super tired and even a bit light headed when I try to stand up and move around. Is this something I need to worry about?


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This content has been marked as final. Show 3 replies
1. Re: I need Buddy API helpNewsgroup_User Apr 24, 2006 3:42 PM (in response to ALHUBAIL)> baOpenfile ( the pathnae & "c:\XXX.vbs" , "Normal" )
There is a typo in 'pathnae'.
I'm willing to bet that there is *no* file at 'the pathname & "c:\XXX.vbs"'
More importantly, what is the error code returned by the baOpenFile()
function? You should check the docs to see what the number means:
OK = baOpenFile( _movie.path & "XXX.vbs" , "normal" )
if OK < 32 then
--error occurred:
_player.alert( "Error opening file:" && string(OK) )
end if
2. Re: I need Buddy API helpNewsgroup_User Apr 24, 2006 3:45 PM (in response to ALHUBAIL)
> baOpenfile ( the pathnae & "c:\XXX.vbs" , "Normal" )
1st off, you misspelled "the pathname". You shouldn't actually use the
pathname anymore, since it has been deprecated and replaced by "the
Regardless, if you are supplying the path to the file (in your case
c:\XXX.vbs"), then you would not want to add the pathname or the
moviePath or anything else. Where is the file XXX.vbs located?
If it is in the root of the c:\ drive, then the command should look like
baOpenfile ( "c:\XXX.vbs" , "Normal" )
If the file is in the same folder as the Director movie that is calling
it, then you will want to use this:
baOpenfile ( the moviePath& "XXX.vbs" , "Normal" )
3. Re: I need Buddy API helpALHUBAIL Apr 25, 2006 10:11 AM (in response to Newsgroup_User)Thanks ( baOpenfile ( "c:\XXX.vbs" , "Normal" ) ) its works :-)


text:
One with nature
Carson Brady
I could tell that Kelly had something very important to tell me about Carson, but the bell rang and we had to get back to class. I could see her the whole afternoon, squirming in her seat and staring out the window. As soon as our last class ended, she grabbed my hand and ran with me out the door.
"I'll explain when we get home," she whispered as we grabbed our backpacks. "There are always sneaky people on the bus who will tell the whole school all your secrets."
So I spent an agonizing 30 minute ride in a bus full of highschoolers. It was mostly agonizing because Kelly couldn't sit still and kept poking me with her elbows.
Finally the bus pulled up to our dirt driveway and we hopped off. Kelly fairly dragged me into the house.
"Hi girls; how did school go?" Mrs. Harford a.k.a Mom asked when we burst through the screen door with a crash.
"Fine Mom. Thanks. See you later. We'll be in my room," Kelly shouted as she pulled me up the stairs and into the room across the hall from mine. She slammed the door and plopped down on her bed. I slumped down next to her. Kelly's room was a lot like mine, except her color scheme was blue and black instead of green and brown.
"Sheesh! Spill the beans! What's up?" I asked impatiently yet rather amused.
"Okay." She took a deep breath. "So. Carson Brady is like, the coolest boy in the whole school! And he talked to you! On your first day!"
"Yeah, so?"
"So? What do you mean so? He totally likes you! Did you see his face when he looked at you? I mean, every girl in the school has tried to get his attention, but he just kind of ignored them and hung out with his guy friends. He is the best player on the basketball team. He's drop dead gorgeous! And he get's straight A's. I mean, this guy is perfect. And," she added teasingly, "you two look a lot alike."
"Oh, be quiet," I said, and threw a pillow in her face. But deep inside, I couldn't help but wonder if some of what she told me was true. Did Carson really like me? I mean, I'd just met him. But he was super cute.
"Okay," I told my new sister. "Let's just see what happens tomorrow. Maybe this will just all blow over." She gave me a "yeah right" look but smiled. And I looked forward to school the next day.


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text:
VLSI Design
Volume 2008, Article ID 680157, 8 pages
A Low-Cost BIST Scheme for Test Vector Embedding in Accumulator-Generated Sequences
Department of Informatics, Technological Educational Institute of Athens, Athens 12210, Greece
Received 27 March 2007; Accepted 5 December 2007
Academic Editor: Bashir M. Al-Hashimi
Copyright © 2008 Ioannis Voyiatzis. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Test set embedding built-in self test (BIST) schemes are a class of pseudorandom BIST techniques where the test set is embedded into the sequence generated by the BIST pattern generator, and they displace common pseudorandom schemes in cases where reverse-order simulation cannot be applied. Single-seed embedding schemes embed the test set into a single sequence and demand extremely small hardware overhead since no additional control or memory to reconfigure the test pattern generator is required. The challenge in this class of schemes is to choose the best pattern generator among various candidate configurations. This, in turn, calls for a need to evaluate the location of each test pattern in the sequence as fast as possible, in order to try as many candidate configurations as possible for the test pattern generator. This problem is known as the test vector-embedding problem. In this paper we present a novel solution to the test vector-embedding problem for sequences generated by accumulators. The time overhead of the solution is of the order O(1). The applicability of the presented method for embedding test sets for the testing of real-world circuits is investigated through experimental results in some well-known benchmarks; comparisons with previously proposed schemes indicate that comparable test lengths are achieved, while the time required for the calculations is accelerated by more than 30 times.


text:
San Pedro
San Pedro Cactus for Sale USA
We offer San Pedro Cactus or Trichocereus Pachanoi in powder or chips form. We import this product from the Andes Mountains of Peru, which makes it the highest quality due to the high altitude of this region. It takes 9 to 10 parts of fresh San Pedro cuttings to yield 1 part of dried powder or chips during the drying process. The powder is the most concentrated cactus product.
We ship within 24 hours with a tracking number.
You can purchase using this ebay/paypal link (incense)
If you prefer to pay cash, contact us to arrange the payment.
We also offer San Pedro Cactus wholesale rates.
Do not hesitate to contact us if you have any questions.


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Investigative Court Rejects "General guideline" Formula to Calculate Alimony
We have beforehand blogged on the "general guideline", a scandalous little tidbit utilized by judges and legal counselors in New Jersey to think of a "ball stop" in the matter of what divorce settlement ought to be. This "general guideline" does not consider the greater part of the statutory elements. Or maybe, the recipe essentially subtracts the support calculator utah lower wage (genuine or attributed) from the and increases the distinction by a rate. I have been informed that that rate is 30% or 33% in the northern piece of the state and 25% in the southern part.
While these components should be consider and the "general guideline" isn't, we hear judge's suggesting settlements utilizing this dependable guideline constantly.
Just today, the Appellate Division advised us that court's can't utilize these equations, in the unreported (non-precedential) conclusion in Crescenzo v. Crescenzo. For this situation, which included the alteration of divorce settlement, the spouse declared and the husband did not by any means deny this is the thing that the trial court did.
Subsequently, the issue was remanded back to the trial court to decide divorce settlement, thinking about the greater part of the variables. This does not imply that a similar outcome isn't conceivable, yet, that for it to be supported, the trial court must address the honor completely thinking about the majority of the variables.
Eric Solotoff is the editorial manager of the New Jersey Family Legal Blog and the Co-Chair of the Family Law Practice Group of Fox Rothschild LLP. Affirmed by the Supreme Court of New Jersey as a Matrimonial Lawyer and a Fellow of the American Academy of Matrimonial Attorneys, Eric rehearses in Fox Rothschild's Roseland, New Jersey office however he hones all through New Jersey.


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Cobalt Software Platform - Mark43
Mark43's Cobalt software platform unites a set of law enforcement tools securely...
Brought to you by:
Originally aired: Thursday, December 6, 2018 -- 11:00 AM PT/2:00 PM ET
Narrowband Land Mobile Radio (LMR) networks and user radio equipment have been the cornerstone of mobile communications for First Responders for decades. The trend from traditional analog to more robust wireless broadband networks in recent years has improved the overall accessibility but questions remain on whether the new networks can provide all the required capabilities First Responders need to do their job.Increasing demand for bandwidth intensive applications such as video, advanced mapping and analytics, alongside critical voice communications has been driving adoption of broadband LTE cellular networks, such as FirstNet.Join our panel of industry experts for this insightful 60-minute on-demand webinar as they discuss the critical differences between LMR networks and LTE networking, how these technologies can successfully co-exist, and explore the future of critical communications for First Responders.In this session, you will learn:
Tony Morris, VP North American Sales, Enterprise Solutions, Sierra Wireless
Jesus Gonzalez, Analyst II, Critical Communications, IHS Markit
Ken Rehbehn, Principal Analyst, Critical Communications Insights
Andrew Seybold, Senior Partner, Andrew Seybold Inc.
Originally aired: Thursday, December 13, 2018 -- 11:00 AM PT/2:00 PM ET
An exceeding number of police departments and law enforcement agencies, whose officers spend upwards of 3-4 hours a day completing incident reports and other time-sensitive paperwork*, are turning to smarter tools, such as speech recognition solutions, to help transform their police reporting workflows.View this on-demand webinar to hear why these law enforcement professionals are embracing smarter tools to complete higher-quality reports and move mission-critical information within the CAD/RMS faster and more efficiently – all by voice.This discussion will provide you with an understanding of:
Learn how your department can make incident reporting faster, safer and more complete by viewing our on-demand webinar today.
*Role of Technology in Law Enforcement Paperwork Survey
Eric La Scola, Product Marketing Manager, Dragon, Nuance
Simulator Systems International has introduced the Python HTR Generation III robot for tactical and HazMat applications.
This rugged work-class robot has motorized shape-changing tracks that aid in stair climbing and allow the robot to better negotiate difficult obstacles. The Python HTR's digital mesh communications give it a long LOS (line of sight) flicker-free clear video transmission (over 4,300 feet with one relay hop) and the ability to "bounce" the signal around corners of buildings.
This sophisticated mesh telemetry is ideally suited for congested urban applications. The robot has "quick-change" modules such as a P/T/Z (pan/tilt/zoom) camera, FLIR camera, and HazMat kit.
The Python HTR Generation III is built for serious applications and offers high-torque, 48 VDC gear-head motors, and a quick-change battery pack for extra strength and endurance.
Request more info about this product / service / company
Fill out the form below to request more info regarding the company/product/service featured in the story.
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Category Articles List
You are at : Home > Beauty & Style > Hair -
- How to prevent greasy hair?
I wash my hair 3 times a week. Monday, Wednesday and Friday. I am a guy. After aboutba day it looks like it needa washing again. How can I improve this?
- What are your views on human hair wigs?
It worked in Germany during WWII.
- Are there pills that can reduce body hair?
I know it probably sounds stupid but I'm so tired of having excessive body hair and I've done everything besides laser hair removal because I cannot afford it. Is there medication I can take to get rid of body hair?
- can I make an appointment at a salon for tomorrow even thought it's coosed today?
It's closed today but should I call? I wanna cut my hair really badly and need to to make an appointment for tmrw so should I wait until tomorrow morning to call and make the appointment ?
- Why does a ponytail hurt your scalp?
Your ponytail is too tight
If its tied up top tight it can put pressure on your scalp. Try tying it more loosely or learn to dutch b
- How do I stop crying about my hair?
On Christmas 2017, I had long brown hair longer than mid back length. I started to become obsessed about my hair because I thought it was too long. I also had a hard time to comb my hair after I washed my hair and had a hard time to pull my hair up in a m
- Should you wash your hair over a time period of two weeks instead of a week.?
I wash my hair monday, Wednesday and friday. By sunday my hair is really greasy.
Should I wash
Week 1- monday, Wednesday, Friday
Week 2 sunday, Tuesday, Thursday and Saturday
- How can i remove dusty flacks out of my hair?
Wash it or comb
Change your shampoo. The shampoo doesn't suit your hair scalp.
Wash properly with shampoos and apply conditioner after that.
- How can I grow facial hair I m 35?
How can I grow facial hair I m 35? Gov't is killing you with high frequency electricity.Theotokos Virgin Mary gave prayers to "Schema-nun Antonia" on how to sav
- If I shave my head will it grow back faster ( men)?
I feel I haven't been taking care of my hair and that is why it's growing really slow , I got it cut like 4 months ago and it's only grown 3 inches , if I give it a fresh start will it grow better
- Will my facial hair grow back thicker if I shaved my face?
I m a girl who is pretty hairy and decided to shave my face. But I m scared if it will grow back thicker and darker. And also will I get pimples or acne after shaving it? I don t know what to do I just wanna get rid of my facial hair without side-effects
- What is your natural way to wash your hair without chemicals?
For the second time, because it is important to know.
Here's a suggestion: egg yolk
It is an old and healthy way. Do not forget that the skin absorbs everything like a spong - even make-up gets absorbed and pollute the body.
- How can I get my natural hair color back without chemical dye?
I got highlights but prefer my natural dark blonde hair color as opposed to the bleached look. How can I get hair color without chemical dye? Maybe tea or herbs? I know color must be put back into the hair after bleach
- Who has better hair trump or kim-jong-un?
Neither. They're both hideous.
The jury is still out on that one LOL!!
Trump by far
Kim jong has better hair, but a worse
- Do I go mahogany or black cherry ?
- Do u think a bob haircut would suit me?
My face looks kind of dragged down with long hair and I was thinking of getting a chin length bob, I just loove how it shows your neck and shoulders in a way long hair can't. I have been told I look like Lana winters from American horror story, so w
- How can I grow facial hair faster?
I am 15 and a half, and I have some facial hair. The problem is that I don't have it in some places as well. I have it from my sideburns to my jaw on both sides and on my chin/neck. Between that, there is really nothing. So I basically want my side fa
- Do I go mahogany or medium brown?
- Where to send hair to determine its natural color?
I have a friend and we have been debating her hair color for a year. Where can I send it to determine its true hair color? I have permission as well.
- I'm 17, How to I connect my facial hairs and get a full beard ?
I have a stub on the sides, a mustache and hair on the chin and there's huge spaces between them. Is it possible to connect them and also get a full beard ? Does shaving help ?
- Women: Would you wear your hair down all the time at work if you had a office job?
I am just curious would you wear your hair down all the time at work if you had a office job.
Would you never wear up in a ponytail at work if you had a office job because you think it is unprofessional?
Are are your earrings hidden
- What ethnicity/nationality would someone with curly, dark hair have?
There is this attractive woman I work with.
She is fair skin with freckles, light brown eyes, and long eye lashes. But she has the long, curly (not frizzy) dark brown hair.
- Does dandruff shampoo cause hair loss?
Ok so lately I have been using this new dandruff shampoo and it does wonders, I can go through my hair without a single spec of dandruff coming out, it's spectacular actually =O thing is when I use it I notice it seems so much hair comes out when I'm cour
- I'm dying my hair, is it ok to leave it in WAY longer than the box says?
I'm dying it and I forgot to time it so i forgot I had it in. It's been in for about 3 hours. Will it do anything bad if I leave it in longer? I can't get to the shower right now.
- How to stay committed to wearing natural hair?!?
After cutting dead ends and wearing my hair natural for a while I've finally gotten my natural curl pattern back (2c) but recently it's been difficult to resist straightening my hair. I've been straightening it every week for the past four weeks and every
1127 1 2 3 4 5 6 7 8 9 10 Next Last


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Local Tree Care Experts In Moreno Valley, California
We provide tree services in Moreno Valley, so you need hunt no further. It doesn't matter the scale of the undertaking we are on hand to take charge of it for you. Our highly trained, very skilled personnel, have know-how acquired over many years.
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In many instances all you will need to do is have your tree trimmed or pruned. In these cases, we will get rid of, dead and unhealthy parts of the tree, and branches. This can avoid the requirement for tree removal. If you are experiencing light at home or workplace being blocked out, we can take away the problem branches. The impact of this is significant.
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Myhairstylingtools.com Live Chat
How to chat with Myhairstylingtools.com by GetHuman
Live Chat with Myhairstylingtools.com Agents
Click" Click to chat" on the lower left
Current Wait:
3 mins
(avg 1)
Hours: 24 hours, 7 days
Why did you want to chat with Myhairstylingtools.com?
Chat topic: Returns
Chat topic: Cancel order
Chat topic: Change order
Chat topic: Track order
Chat topic: Complaint
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Myhairstylingtools.com Live Support Statistics
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Customer Service
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24 hours, 7 days
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Information last updated
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Best phone number
Chatting with Myhairstylingtools.com Customer Service
Live chat with Myhairstylingtools.com by following these instructions. For better talking points and tips, be sure to tell us what kind of issue you are trying to message with Myhairstylingtools.com about. We can usually help ensure a better outcome. This is the best way to live chat with Myhairstylingtools.com because NaN customers have used it over the last 18 months to reach customer service and told us about it. Live chat is an excellent way to quickly get a human agent to talk to about your customer service problem and the wait times are usually shorter than they are for phone-based support. But sometimes chatting is inconvenient or not preferred, in which case Myhairstylingtools.com usually prefer to call their phone number, which we provide a link to above. The department that mans the chat windows at http://www.myhairstylingtools.com/Contact-Us_ep_5.html are used to handling Returns, Cancel order, Change order, Track order, Complaint and other customer service issues. When you chat with Myhairstylingtools.com agents, they are most likely chatting with you from their call center located in Phoenix, AZ or Nicaragua. Live chat is rarely available 24/7, and this department is open 24 hours, 7 days. It's hard to tell if companies like Myhairstylingtools.com offer customer care over live chat, so we started compiling this information and best alternatives from customers like you. Please keep sharing what you know about contacting Myhairstylingtools.com with GetHuman and keep sharing with others so we can together make customer service less frustrating.
Contacting Myhairstylingtools.com
While Myhairstylingtools.com does offer live chat as a way to get help, they also have a phone number. In total, there are 2 ways to get in touch with them. The best phone number for Myhairstylingtools.com is their 888-877-0014 customer service phone number, and you can get the details and use our free call-back service by finding the link for it above and clicking it. Know any other ways to contact Myhairstylingtools.com? Or is any of the information above inaccurate? Please let us know so we can keep sharing the best possible information with other customers.
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Our mission is to reach and work with young women & girls to empower them, promote their rights, help them overcome customary barriers that have negative effects on women and combat discrimination against women through development and implementation of women based initiatives.
We are committed to inclusion and empowerment of vulnerable communities using innovative approaches to increase awareness and enable social transformation especially to ensure that young women and girls are able to access basic necessities, health care and education.
We are excited to announce that we have received grant from The Pollination Project to improve food security and nutrition in Obibi Nguru Community of Aboh Mbaise LGA of Imo State through capacity building of their women on Kitchen Garden Farming, a small scale cultivation of high value variety organic crops.