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A systematic review and meta-analysis of social emotional computer based interventions for autistic individuals using the serious game framework

机译：利用严重游戏框架的自闭症介入的社会情感计算机干预的系统审查与荟萃分析

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Background and aim: Adopting the elements of the Serious Game framework has been hypothesised as a strategy to promote the efficacy of social emotional computer-based interventions (CBI) for autistic individuals. This systematic review aimed to review the application of Serious Game principles in current social emotional CBI targeting autistic individuals and evaluate the effect of these principles in remediating social emotional outcomes via meta-analysis. Methods: Database searches identified 34 studies evaluating social emotional CBI with 17 controlled efficacy studies included in meta-regressions analyses. Narrative synthesis summarised the attributes of each CBI based on the five Serious Game principles; motivating storyline, goal directed learning, rewards and feedback, increasing levels of difficulty and individualisation. Results: Based on the scores of the Serious Game assessment tool we developed, findings revealed on average a limited (45%) integration of Serious Game design principles in social emotional CBI for autistic individuals. Main findings from the meta-regressions of 17 controlled efficacy studies revealed a moderating effect of Serious Game design principles on the distant generalisation of social emotional skills and transferability of outcomes among autistic individuals. No significant moderating effects of Serious Game was found for close generalisation and maintenance outcomes. Conclusion: Overall, findings suggest that the Serious Game design framework has utility in guiding the development of social emotional CBI which improve the social emotional skills of autistic individuals.
机译：背景和目标：采用严重游戏框架的要素被假设为促进社会情感计算机的干预（CBI）为自闭症个人的效果。该系统审查旨在审查当前社会情绪CBI的严重游戏原则在瞄准自闭症个人中的应用，并通过META分析评估这些原则对社会情绪结果进行补救的影响。方法：数据库搜索鉴定了34项研究评估社会情绪CBI，具有17种受控疗效研究，包括在元回归分析中。叙事综合总结了根据五个严重的游戏原则的每个CBI的属性;激励故事情节，目标导演学习，奖励和反馈，越来越多的难度和个性化。结果：根据我们开发的严重游戏评估工具的分数，平均揭示了一个有限的（45％）在社会情感CBI中的严重游戏设计原则的整合。 17个受控疗效研究的Meta回归的主要结果揭示了严重的游戏设计原则对社会情绪技能的遥远概括和自闭症中的成果的可转移性的调节效果。没有发现严重游戏的显着调节效果，用于密切泛化和维护结果。结论：总体而言，调查结果表明，严重的游戏设计框架有效用引导社会情感CBI的发展，从而提高自闭症的社会情感技能。

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