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I NTERNATIONAL JOURNAL of S PECIAL E DUCATION

Robot-Mediated Interventions
to Enhance Communication and Social Abilities
of Children and Youth with Disabilities:
a Review of the Literature

Jiyeon Park1, Ye Eun Baek2, Bo Lyeong Lim2 and Heeseon Ko3

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/6> 6 *0 , ABSTRACT
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2V / 9VIV 4LKPH LK Objectives: e current paper presents a review of the literature discussing
0U LY LU PVUZ V ,UOHUJL the trends in research that conducted robot-mediated interventions to en-
*VTT UPJH PVU HUK :VJPHS hance communication and social abilities of children and youth with disa-
(IPSP PLZ VM *OPSKYLU HUK @V O bilities. Method: irty-two dissertation or research articles published after
P O +PZHIPSP PLZ ( 9L PL 2000 were selected and divided into thematic categories for analysis, inclu-
VM OL 3P LYH YL 0U LYUH PVUHS ding participants, setting, research method, characteristics of robot-mediated
1V YUHS VM :WLJPHS ,K JH PVU interventions, roles of robots, and the results of studies. Results: First, the
research most frequently focused on children and youth with Autism Spec-
*699,:765 05. ( /69 trum Disorders. Second, most of the research was conducted in educational
@L , U )HLR settings. ird, most research used quantitative research design, in particular
I LUU NTHPS JVT a single-subject research design method was the most common. Fourth, in
60 most of the research humanoid robots assisted the intervention, acting as an
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PQZL the participants to demonstrate desirable behavior. Finally, most studies repor-
ted positive e ects of robot-mediated intervention in the communication and
social abilities of children and youth with disabilities. Conclusion: e paper
provides the outcomes and limitations of robot-mediated interventions for
*67 90./ : ( ,4,5 children and youth with disabilities and the implications for future research.
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INTRODUCTION bit limited, repetitive, and stereotyped behaviors, inte-


rests, and activities (Kim, Lee, Chang, & Bae, 2011).
In the eld of special education, the use of robots began Moreover, children and youth with ASD do not appear
in 1970 for the purpose of engineering to provide walking to use or hardly use non-verbal communication beha-
assistance for people with visual impairments and those vior, such as eye contact or facial expressions, and due
with physical disabilities including the elderly. Among to lack of social communication skills—such as lack of
the rst robots used were the walking aid robot „Sil-Bo” emotional sharing with others, imitation, and joint at-
developed in Korea, the robot suit „HAL” in Japan, „Ca- tention skills—they can experience di culty in social
re-O-bit” in Germany, and „Nursebot” in the US (Kim interactions (Lee & Park, 2011). Examining the research
& Song, 2012). In addition to engineering applications, that conducted robot-mediated interventions for child-
robots can also be used for the purpose of assisting the ren and youth with disabilities, it has been reported that
education and therapy of children and youth with disa- children and youth with ASD were not afraid of robots;
bilities or motivating and promoting their participation rather, they seemed to feel psychologically stable from
(Kim, Lee, Shin, Kang, Kim, Choi, & Song, 2012). the simple and predictable behavior of the robot, as seen
in the observation of children interacting well and imi-
Robots generally enable simple, consistent, and predic- tating the behavior of the robot even when they were in
table interactions with users through systematic program- unfamiliar contexts (Dautenhahn & Billard, 2002).
ming, and they also promote interactions with the users
such as providing children and youth with immediate fe- Furthermore, several studies have reported that robots
edback (Choi, 2015). e physical appearance of robots appeared to play a role of social mediator in facilitating
induces children’s and youth’s interests and curiosity, and communication and social interactions among children
their audiovisual stimuli can themselves serve as rewards. and youth with ASD (Fachantidis et al., 2020; Kim, Lee,
Furthermore, the mobility and uidity of the robots ena- Chang, & Bae, 2011). For instance, Fachantidis and his
ble active interaction with the users, such as touching and colleagues (2020) conducted a robot-mediated coopera-
manipulating body positions and thus, providing a sense tive activity program for a small group of children and
of vitality (Choi, 2015). ese characteristics of the robots youth with ASD and their peers without disabilities. It
were found to have positive e ects on promoting social was found that children and youth with ASD showed im-
interaction and improving communication skills of child- provement in their social skills and communication skills
ren and youth with disabilities (Kim, Lee, Chang, & Bae, and a decrease in challenging behaviors, and also the peers
2011; Kim & Shin, 2014). Moreover, robots have positi- without disabilities who participated in the intervention
vely impacted children’s and youth’s psychological aspects, perceived children and youth with ASD more positively
for example, children and youth who have interacted with than before. ese research studies show that robot-me-
robots recognize them as friendly objects or experience de- diated intervention positively a ects initiative, autono-
creased anxiety (Kim & Han, 2005). my, preference exploration, and the formation of new
methods of interaction among children and youth with
Many domestic and international research teams have ASD. It also reduces teachers’ e orts to conduct behavio-
developed robots for educational and therapeutic purpo- ral modeling or to analyze the task when guiding children
ses of children and youth with disabilities (Choi, 2015). and youth with ASD. Accordingly, the research indicated
e “KASPAR” of the AuRoRa Project, the “Bandit” ro- that these interventions increased the concentration and
bot, and the “Keepon,” were developed abroad; and a participation rate of children and youth with disabilities
humanoid robot named “Engkey,” initially developed for and their peers who participated in the intervention by
English education, and intelligent robots such as “Irobi” stimulating their interests and curiosity (Charron, Lewis,
and “Pleo” were developed in Korea for language and & Craig, 2017; Kim, Lee, Chang, & Bae, 2011).
communication skills, eye contact and facial expression
reading skills, and social behavior of children and youth As discussed above, the results of studies show that
with ASD (Kim, Lee, Shin, Kang, Kim, Choi, & Song, children and youth with ASD are more engaged in inte-
2012; Kim & Song, 2012; Yun et al., 2015). ractions with automatic and uid robots than rigid, re-
petitive, and non-interactive toys and to date, numerous
Children and youth with ASD, who have appeared studies on robots for children and youth with ASD have
most often as participants in robot-related research, exhi- been reported (Choi, 2015). However, considering the

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importance of inclusive education settings, in which chil- youth with diverse and complex needs, such as the areas
dren and youth with disabilities and their peers without of concentration, motivation, social abilities and repetiti-
disabilities are integrated, robot-mediated interventions ve learning (Choi, 2015).
need to be applied to children and youth with diverse
disabilities. According to some previous studies, robots In this study, we searched for and selected research
have appeared to facilitate acquisition of communication that employed robots as a medium for interventions tar-
skills including articulation, voluntary conversation, and geting communication and social abilities of children
verbal participation of children with disabilities (Silvera and youth with disabilities for the past 20 years, and
-Tawil, Bradford, & Roberts-Yates, 2018). In addition, we conducted a systematic analysis by categories. ro-
there is an increasing interest in the eld of socially-as- ugh this, we examined the outcomes and limitations of
sistive robotics, which improves communication skills robot-mediated interventions for children and youth
and social abilities of children with disabilities through with disabilities and presented the implications for fu-
practical social interactions with robots (Silvera-Tawil & ture research. Moreover, this study endeavors to provide
Roberts-Yates, 2018). robot developers with a basis for developing functions
that can be practically applied to interventions for chil-
Children and youth having emotional and behavioral dren and youth with disabilities and to provide educa-
problems, for example, can experience di culties in so- tional experts, who develop content for robot-mediated
cial interactions with people around them and engage in interventions, with a knowledge base to be considered
behavior that is undesirable and inappropriate for the si- when they develop contents and strategies for those in-
tuation and their age due to various causes such as lack of terventions.
social skills and performance (Kim & Shin, 2014). With
regard to this, researchers have aimed to improve social e research questions for this study are as follows:
skills of children and youth with disabilities and provi- rst, what has been the overall trend of research using
de them with diverse learning opportunities by utilizing robots to improve communication and social abilities of
various functions of robots such as expressing emotions children and youth with disabilities in Korea and other co-
very similar to those of humans, having diverse and ac- untries since 2000? Second, what is the trend in research
tive interactions through mobility and uidity, and pro- by category, especially with regard to the types and roles of
viding immediate feedback according to the student’s robots and the main subjects of the independent variables?
reaction to the robots (Kim & Shin, 2014; Shin & Kim,
2014). Moreover, a recent study examined the e ective-
ness of animal-type social robots (iJINI) on improving METHOD
verbal and social interactions of children and youth with
physical disabilities and the satisfaction of their parents 1. Search strategy and the research selection process
with regard to the robot (Song, Kim, & Kwak, 2020). e review is based on dissertations or research articles
that conducted robotic interventions for children and
us, research using robots, which until recently was youth with disabilities and were originally published
only in its early stages, seems to be gradually diversifying between January 2000 and September 2020. e elec-
the area of robot use, re ecting over time the di erent tronic databases searched were ERIC, RISS, and Google
individual needs and requirements of users. In the past Scholar, and the keywords used to identify the articles
research, robots have been mainly used in social tech- were (a) “disability*,” “autism,” “ASD,” “intellectual di-
nology–oriented programs, but they are used increasin- sability*,” or “ADHD”; and (b) “robot,” “arti cial intel-
gly more often in the areas of language, cognitive and ligence,” and “AI.” e search on Google Scholar was
academic skills, and behavior (Kim & Shin, 2014). As implemented as an initial step, and then the formal
discussed above, research studies that conducted robot- search was done in the rest of the databases, including
mediated interventions for children and youth with di- ERIC and RISS. Looking at whether articles retrieved
sabilities are expanding further in terms of the diversity on Google Scholar could be selected for analysis based
of targeted children and youth and functions of robots. on the title and abstract of each article, it was found that
e introduction and the uses of robot technology in a large number of articles were not directly related to the
the educational eld is a strategy that can provide useful entered keywords and the selection criteria of this study.
support in the education and therapy of children and Accordingly, a formal search of the remaining databa-

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e following inclusion criteria were em-


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ployed: (a) dissertation or academic journal ar-
ticles that were published after January 2000;
(b) articles on experimental studies that direc-
*YP LYPH MVY ZLSLJ PVU *YP LYPH MVY L_JS ZPVU tly utilize robots for interventions, such as a
7 ISPZOPUN WL U 7 ISPZOPUN WL U
• Dissertation of degree • Research included in the academic robot leading or assisting the intervention; (c)
• Academic journal article JVUMLYLUJL OLZPZ IVVR articles on studies that include children and
7LLY YL PL LK • Research that cannot secure the
VYPNPUHS L_ youth with disabilities as participants; (d) ar-
ticles examining communication and/or social
abilities as a dependent variable. e following
Z
:LSLJ PVU VM 9LZLHYJO U
exclusion criteria were employed: (a) articles
published only at academic conferences and
*YP LYPH MVY ZLSLJ PVU *YP LYPH MVY L_JS ZPVU articles where the original text cannot be se-
9LZLHYJO TL OVK U 9LZLHYJO TL OVK U cured due to the lack of copyright consent; (b)
• Experimental research • Theoretical research on robots
OH ZLK YVIV Z JOHYHJ LYPZ PJZ KLZPNU M UJ PVU L J theoretical studies related to robots, research
HZ H TLKPH VY • Exploring research on robot utilization on the possibility of using robots, and research
• Analysis of research trend on robot
PSPaH PVU on trends in using robots; and (c) articles on
research using robots only for adults and chil-
dren and youth without disabilities. is pro-
UK
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cess resulted in 32 research articles in total for
the systematic review (See Figure 1).
*YP LYPH MVY ZLSLJ PVU *YP LYPH MVY L_JS ZPVU
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• Preschool, School ages • Adults (over the age of 18)
• Research including participants
2. Analysis methodology
(≤18)
• ASD, EBD, DD P OV KPZHIPSP PLZ VUS e selected 32 studies were analyzed by classi-
fying them into categories such as participants,
environment, types and roles of robots, types
YK
:LSLJ PVU VM 9LZLHYJO U of independent variables, dependent variables,
and overall research ndings. In order to un-
derstand the trends of participants, age, school
*YP LYPH MVY ZLSLJ PVU *YP LYPH MVY L_JS ZPVU level, disability types, and number of partici-
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U • Other than communication and social pants in each study were examined. To exa-
• Language HIPSP PLZ ILOH PVY JVNUP P L ZRPSSZ mine the trends in the intervention settings,
HUK JVTT UPJH PVU VUS L J
• Social abilities
the study was coded as “schools”, “controlled
settings such as therapy rooms”, “mixed settin-
gs including more than one place”, “home”,
O
:LSLJ PVU VM 9LZLHYJO U and “settings not speci ed”. In addition, the
research method was analyzed by categories
-PN YL 7YV LK YL MVY ZLSL PUN YLZLHY O V IL HUHS aLK including a quantitative research, a qualitative
research, and a mixed research design. In order
to understand the current status of robot tech-
ses was conducted. A total of 1,384 articles were exported nology being used for communication and so-
from the electronic database search. After reviewing the cial intervention of children and youth with
article titles and abstracts, any research articles that were disabilities, the types of robots used in the in-
not related to disability and robots were excluded, and if tervention were coded as “a humanoid robot”
the dissertation was published in an academic journal, it and “a non-humanoid robot”, and the roles of
was considered appropriate for the study. is search pro- the robots in the intervention were coded as
cess yielded 162 articles. Overall, it was found that many “an intervention assistant” and “an interven-
studies were focused on communication or social abilities tion leader”. Types of interventions using ro-
of children and youth with disabilities. bots were examined according to language,

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academic skills, and social emotional competence. e robot-mediated interventions was published in 2013,
dependent variables were coded as communication and followed by ve articles, each in 2014, 2015, and 2020.
social abilities; and social abilities were in turn subdivi- None of the articles published between 2009 and 2011
ded into social interaction, joint attention, social interac- met the selection criteria for this study, and over the rest
tion behavior in play, and others. of the period, at least one article was published that met
the selection criteria for this study (See Figure 2). e
3. Inter-rater reliability results of the analysis of 32 articles are summarized in
While there are literature review studies in which raters Appendix 1.
independently analyze studies based on variables and cal-
culate its consistency, this study conducted an analysis 1. Analysis of study by category
based on the previous study (Fettig & Barton, 2013) that
measured the inter-rater reliability in a unanimous man- 1-1. Participants
ner through consultation. e authors developed de - According to the review of 32 articles, 15 studies were
nitions for each analysis variable and used a spreadsheet conducted on preschoolers, accounting for 46.9% of the
to record information from the 32 studies. e following total, whereas 11 studies on elementary school students
variables were coded across 32 studies: “the participants”, accounted for 34.4%. ere were ve studies (15.6%)
“the settings”, “the types(name) of the robot” and “its conducted on a mixture of preschoolers and elementary
roles in the intervention”, “independent variables”, “de- school students, and one study (3.1%) was conducted on
pendent variables”, and “overall outcomes”. At least two middle school students.
authors independently coded each study and compared
the spreadsheet with each other. Disagreements were In terms of the type of disability among the study
discussed until authors reached a consensus. However, participants, ASD was the most common among 26 stu-
such disagreement only occurred twice in determining dies (81.3%), followed by EBD in three studies (9.3%).
whether the robot in two studies played an actual role In the others, there were two studies (6.3%) on deve-
in the intervention. e overall agreement between the lopmental delay (DD) and one (3.1%) on “minimally
two authors was calculated by dividing the number of verbal” children.
agreements by the number of agreements plus disa-
greements. e overall agreement was 99%. 1-2. Setting
e research settings were analyzed by ve categories inc-
luding 1) educational settings such as general education
RESULTS classrooms, special education classrooms, and daycare
centers, 2) controlled settings such as therapy rooms and
Looking at the overall trend of 32 selected articles by laboratories, 3) mixed settings including more than one
the year of publication, the largest number of articles on place such as natural settings and controlled settings, 4)

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home, and 5) settings not speci ed. Among 32 studies, Among the 27 studies using robots in the social emotio-
15 studies (46.9%) took place in the educational settings nal competence area, nine studies focused on improving
and 11 studies (34.4%) in therapy rooms and laborato- joint attention skills. It can be inferred from this that there
ries. Two studies (6.3%) were conducted in more than has been an attempt to apply the method of using robots
one place including daycare centers and laboratories, in interventions to improve the skills that children and
and only one study (3.1%) was conducted in the parti- youth with ASD, who have most often appeared in robot
cipants’ home. Other than that, three studies (9.3%) did -related studies, have the most di culty with.
not specify the research settings.
2-3. Roles of robots in intervention
1-3. Research method e roles of the robots used in the intervention was
According to the result of analysis, the most common re- categorized into leading intervention and assisting in-
search design was quantitative research, which was used tervention. In 15 studies (46.9% of the total), the role
in 27 studies (accounting for 84.4% of the total), follo- of “leading intervention” was given for minimizing the
wed by four studies (12.5%) using a qualitative research involvement of teachers in general and allowing the ro-
design. In addition, there was also one study (3.1%) using bot to lead the content for each session. Robots played
a mixed research design that conducted both quantitati- a role of presenting learning content and stimuli in the
ve and qualitative research. In 27 quantitative research process of conducting activities with children and youth
studies, 21 studies examined the intervention e ect on or while providing responses and feedback according
a single subject and six studies proving the intervention to the actions of children and youth. In particular, the
e ect through comparison between the groups. Further- robot-driven instruction is programmed in advance to
more, among the experimental design methods used to output the input content or allow the researcher to re-
prove the e ect of robot-mediated intervention in single motely control the class while viewing the class situation
-subject research studies, the reversal design and the multi through the camera built into the robot to immediately
-baseline design across subjects proved the most popular, respond to children’s and youth’s behavior and provide
followed by the pretest-posttest control group design. a feedback (Bekele et al., 2014; Charron et al., 2017;
Huskens et al., 2015; Pop et al., 2013; Yun et al., 2015;
2. Analysis of independent variables Zheng et al., 2020).

2-1. Types of robots used for intervention However, when the robot was used as an assistant, it
e robots used in the intervention could be classi ed into was most often used as a social mediator or peer to the
(1) humanoid robots that have human-like facial and phy- participants to promote the target behaviors of children
sical features and that can perform functions like humans, and youth (eight of 17 studies). Subsequently, in another
such as interactions, and (2) non-humanoid robots, inclu- eight studies, the teacher controlled the content loaded
ding robots with animal or character shapes. Seven types into the robot in advance, allowing the robot to output
of humanoid robots were used in 28 studies (87.5%), of it at the appropriate time during class, or used the robot
which two types of humanoid robots were used in the stu- as one of the classroom tools, such as for augmentative
dies of Yun et al. (2015) and Lee et al. (2016). Six types of and alternative communication (AAC) or as a student
non-humanoid robots were used in six studies (18.8%), of modeling target. In addition, the robot presented quiz
which both a humanoid robot and a non-humanoid robot questions related to classroom activities and played a role
were used in the study of Lee et al. (2016). in checking whether the children’s answers were provi-
ded correctly (Jeong, 2015).
2-2. Types of robot-mediated interventions
e types of interventions using robots were categori- 3. Analysis of dependent variables
zed into language, academic skills, and social emotional
competence, including joint attention, expression, imi- e dependent variables of 32 articles were categorized
tation. ere were seven studies using robots to develop into communication and social abilities. e results of
language and academic skills of children and youth with the analysis of dependent variables are shown in Table 1.
disabilities, and 27 studies were focused on the social Ten studies examined the e ectiveness of robot-media-
emotional competence area (duplicate analyzed studies ted intervention in improving communication skills—
included). such as self-directed questioning, sight word acquisition,

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and the ability to express phrases—of children and youth acquisition of sight words, resulting in an increase in the
with disabilities through interactions with robots. rate of reading words accurately and a decrease in the rate
of not being able to read words within a given period of
Among the selected studies, 25 studies had social time. It also improved the vocalization of children and
abilities as a dependent variable, and these studies were youth with minimal speaking, increased communication
categorized based on which part of the social abilities was using AAC and other various communication functions,
targeted. Accordingly, social abilities were again classi ed and increased the number of sentences used.
into four categories, including social interaction, joint at-
tention (initiating and responding behavior), social inte- Next, most of the studies conducted robot-mediated
raction behavior in play, and others. Most of the studies, intervention and con rmed the e ectiveness of utili-
including Duquette and her colleagues (2008), conduc- zing robot on enhancing social abilities of children and
ted robot-mediated interventions to improve the social youth with disabilities. First, after participating in the
abilities of children and youth with disabilities. Among robot-mediated intervention, children and youth’s social
them, most (12 studies) con rmed their e ectiveness in interactions - such as imitation, eye contact, turn-taking
social interactions, such as imitation, eye contact, and performance, participation, selection, and so on - and
turn-taking skills, followed by seven studies that focused initiating and responding behaviors (joint attention) in-
on improving initiating and responding behavior (joint creased signi cantly. e same was true for the use of va-
attention). Five studies examined participants’ social in- rious play methods and symbolic play-related behaviors.
teraction behavior in play, such as the selection of play Furthermore, in a study that examined the e ects of ro-
materials and diversity of play methods through interac- bot-mediated intervention by comparing the outcomes
ting activities with robots. Moreover, seven studies con- between robot-mediated intervention and human-led
rmed the e ectiveness of robot-mediated interventions intervention, children’s joint attention and adaptive be-
in other subcategories of social ability, such as caregiving havior signi cantly increased under the robot-mediated
behavior, cooperative behavior, and task performance. intervention condition compared to human-led interven-
tion. Accordingly, it appeared that the robot-mediated in-
4. Analysis of study results tervention was e ective for children’s social abilities, such
as showing very high satisfaction in the interaction with
Most of the studies reported positive e ects of robot-me- robots (Kostrubiec et al., 2020; Pop et al., 2013).
diated intervention in communication and social abilities.
In eight out of 10 studies that conducted robot-mediated However, some studies reported that there were no
interventions related to communication, the intervention intervention e ects found on children’s and youth’s co-
improved children’s and youth’s expression behavior and operative behavior, eye contact, symbolic play-related
syntax expression, in particular it contributed to an in- behavior, and joint attention skills when working with
crease in average length of story, and also promoted the their siblings without disabilities (Huskens et al., 2015;

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So et al., 2019; Yun et al., 2015; Zheng et al., 2020). In more than a third of the selected studies conducted the
some other studies, it was con rmed that robot-media- interventions in controlled settings raises concern. is
ted intervention showed lower e ects, when compared is not only because the laboratory is more advantageo-
with the e ects of using non-robot media, such as hu- us in creating space and building facilities necessary to
mans or computers. Also, some researchers reported that control and manipulate robots compared to the actual
they did not see any signi cant e ect of robot-mediated training sites but also because the laboratory is relatively
intervention by con rming that there was little di eren- easy to safely store robots and auxiliary equipment that
ce in the outcomes of the conditions for the dependent are expensive and require careful storage. However, con-
variables (Jeong, 2015; Kwon & Kim, 2013). sidering that robots are already widely used in various
daily activities (e.g., robot cleaners) or human services
(e.g., robot nurses), more e orts are needed to utilize it
DISCUSSION in natural environments. In order to take advantage of
modern technology, including robots, in the adult lives
In this section, we will discuss the implications of these that children and youth with disabilities will nd them-
results for future robotic research. selves in after high school, robotic intervention programs
should be devised in a natural environment, not just in a
First, it was found that robot-mediated intervention de ned way for a limited time.
for children and youth with disabilities was most applied
to elementary school students in terms of age and to chil- ird, studies that conducted robot-mediated in-
dren and youth with ASD in terms of disability types. tervention used various research methods, but the most
Only one among 32 studies was conducted on secon- frequently used design was a single-subject design. ere
dary students with disabilities. Since intervention using were only six group comparison studies, and among them,
robots is still in its infancy ve used a randomized controlled trial. is is because a
considerable number of analyzed studies have conducted
It is considered more appropriate for elementary interventions in a one-on-one form with a small num-
school students who can cover simpler content than se- ber of robots because it required considerable cost and
condary students because. However, the fact that 81.3% manpower to produce several robots at once and apply
of the analyzed studies were conducted on children and them to a large number of children and youth. Conside-
youth with ASD seems to be the result of the research ring that robot-mediated intervention in the special edu-
trends that continued to some extent as the previous re- cation eld has not yet accumulated enough evidence to
search using robots for the intervention in children and become an evidence-based practice, this trend of research
youth with disabilities was also centered on children and design is understandable. Four out of 32 studies used qu-
youth with ASD (Diehl, Schmitt, Villano, & Crowell, alitative research methods, mainly to observe children’s
2012). Furthermore, considering the characteristics of and youth’s reactions to robots. Although the number of
ASD, which hinder social interactions, including eye studies is not extensive, it is considered encouraging to at-
contact with others, the fact that robot-mediated in- tempt to examine the e ects of robot-mediated interven-
tervention is more advantageous for ASD than for any tions in a qualitative manner, rather than relying solely
other disability appears to have contributed to this rese- on quantitative measurements. Children’s and youth’s
arch trend. However, considering that technology, inc- reactions to the existence of robots themselves and their
luding robots, has recently been used in interventions responses to robot-mediated interventions require an in
among all age groups, it is desirable that the intervention depth qualitative consideration, and it is necessary to stu-
using robots is extended to children and youth of various dy how to improve the social validity of robot-mediated
ages and types of disabilities (Chelvam, Zamin, & Sy- interventions by qualitatively exploring the perceptions
lviaSteele, 2014; Katz, 2015). of children and youth, teachers, and parents about robots
used in educational practices through interviews or parti-
Second, the educational settings and controlled labo- cipatory observations.
ratory environments were the most frequent research set-
tings where robot was used for interventions. It is highly Fourth, most of the robots used for the intervention
desirable that robot-mediated interventions were con- were humanoid robots, and the representative areas were
ducted in real-world educational settings. e fact that joint attention and social interaction skills. In addition,

+VP O[[WZ KVP VYN PQZL


1 7HYR , )HLR ) 3 3PT HUK / 2V IJSE

robots led the intervention in about half of the analyzed e ciency of technology so that it can have a direct e ect
studies, and in the other half, robots assisted the teacher. on the motivation, learning, communication, and social
Joint attention and social interaction skills are represen- abilities of children and youth with disabilities. To this
tative di culties of children and youth with ASD, and end, transdisciplinary research that encompasses special
the most frequent interventions aimed at these areas are education, arti cial intelligence, and robotics, needs to
likely linked to the fact that children and youth with ASD be conducted, and nancial aid should be provided to
were the largest number of participants in the analyzed enable the introduction of these advanced engineering
studies. Based on the literature gathered so far, it is dif- technologies to special education setting.
cult to assess whether leading or assisting interventions
prove to be more e ective and e cient. Future research
will need to consider how to distribute roles between ro-
bots and teachers to maximize the educational e ect.

e limitations of the study are as follows: rstly, it


was di cult to control the quality level of the studies
because they were chosen based on the selection criteria
of research that conducted interventions using robots for
children and youth with disabilities. Some of the selected
studies did not provide speci c details, requiring analysis
as it contained limited information. If robots are more
actively used in the education and intervention of chil-
dren and youth with disabilities in the future and more
research is conducted, it is necessary to select studies ba-
sed on a certain level of qualitative indicators (e.g., Ger-
sten & Edyburn, 2007) and conduct a literature analysis.
Secondly, this study did not elaborate on the technical
aspects of robots because the purpose of this study was to
examine the use of robots in educational settings. Robots
do not think, judge, and intervene autonomously like
humans but, rather, have a built-in system and intervene
through external control, which includes a considerable
amount of robotic engineering procedures. Although this
study has not conducted such an engineering analysis, it
is necessary to analyze the engineering aspects of robots
used for intervention for children and youth with disabi-
lities through transdisciplinary research with robots and (*256>3, .,4,5
arti cial intelligence experts in the future. 5VUL
Despite the above mentioned limitations, the present 0:*36: 9, : ( ,4,5
study is meaningful since the author selected studies that No potential con ict of interest
used robots to improve communication and social abi- HZ YLWVY LK I OL H OVYZ
lities of children and youth with disabilities over the last FUNDING:
two decades to examine the e ects of robots in the in- ;OPZ VYR HZ Z WWVY LK
terventions described. Additionally, it provided a general I OL ;LJOUVSVN 0UUV H PVU 7YVNYHT
overview to understand the trends of the interventions. +L LSVWTLU VM H ZJYLLUPUN
Furthermore, this study examined in detail the types HUK YHPUPUN YVIV Z Z LT
of robots used for interventions and their roles. It is no PO WLYJLU ILOH PVYHS YLJVNUP PVU
longer new or unfamiliar to actively utilize arti cial in- IHZLK VU /90 MVY JOPSKYLU
telligence–based technologies, including robots, for in- P O KL LSVWTLU HS KPZVYKLY
tervention and education of children and youth with di- M UKLK I OL 4PUPZ Y VM ;YHKL
sabilities. Now, our mission is to maximize the access and 0UK Z Y ,ULYN 46;0, 2VYLH

PU[LYUH[PVUHSZWLK JVT
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4V : OVVS
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/ THUVPK 85
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9VIV H 0( ZPUNSL

UJYLHZLK ZOHYLK MVJ ZLK H LU PVU HUK PTP H PVU


+ X 0TP H PVU WSH :OHYLK -VJ ZLK ( LU PVU
PU YVIV JVUKP PVU
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9VIV

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73,6 0( JHYLNP PUN ILOH PVY
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: K 0U LYHJ PVU : K 0UJYLHZLK L_WYLZZPVU VM PU LYLZ


;LSLWYLZLUJL 4P_LK : K 9LZWVUZL VM *OPSK
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WSH PU LY LU PVU WYVNYHT ILOH PVY VM (:+ JOPSKYLU
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7 U LY LU PVU WYVNYHT
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VTT

(:+ (+/+
/ THUVPK
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56: ZPUNSL JVUK J LK I H YVIV MVY IV O L_WLYPTLU HS NYV WZ
5(6 03
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2PT ;LSLWYLZLUJL 0UP PH P L 9LZWVUZL )LOH PVY

+VP O[[WZ KVP VYN


++ 85 ZPUN YVIV MVY ZVJPHS ZLSLJ PVU VM WSH TH LYPHSZ HUK PU LYLZ PU SLHYUPUN
L HS 4 9VIV 7SH )LOH PVY :LSLJ PVU VM
7 ZPUNSL ILOH PVYZ HUK WSH WSH TL OVK
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5VU WSH )LOH PVY
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2 VU 0U LSSPNLU
(:+ 85 TLKPH LK PUZ Y J PVU 3HUN HNL ,U PYVUTLU - No di erences among three conditions
L HS ,+ 9VIV

PQZL
, ZPUNSL ZWLJPHS LK JH PVU =LYIHS 0U LYHJ PVU HZ MVY SHUN HNL LU PYVUTLU HUK LYIHS PU LYHJ PVUZ
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7 , 5: :VJPHS 9VIV :VJPHS Z VYPLZ :VJPHS 9LZWVUZL
NYV W PU L_OPIP PUN ZVJPHS JVTWL LUJL
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1 7HYR

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7 - Hit frequencies were not di erent across conditions
4PUPTHS 0U LSSPNLU /PNOLY MYLX LUJ VM JVTT UPJH PVU
1LVU 85 / THUVPK YVIV HZZPZ LK
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PU[LYUH[PVUHSZWLK JVT
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L HS ,+ 9VIV ZPUN H LSLWYLZLUJL
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OV KPK UV WHY PJPWH L PU OL Z K
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3LL (:+ 85 4 S PTLKPH HJ P P PSP
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/HU (:+ 0+ 85 7OYHZL 3LUN O *VTWSL_
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4 ZPUNSL :LU LUJL 9H PV
0YVIP 8 0( O THUVPK YVIV 5V JOHUNL PU OL YH PV VM JVTWSL_ ZLU LUJLZ
5 TILY VM *VOLZP L +L PJLZ
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85 ILOH PVY
L HS :PISPUN V ;3 9VIV PU LY LU PVU IHZLK 0U LYHJ PVUZ 0UP PH PVUZ
NYV W UJYLHZLK WSH PUN VNL OLY ILOH PVY
KPZHIPSP PLZ 5(6 03 VU 3LNV OLYHW HUK 9LZWVUZLZ 7SH ;VNL OLY
6US VUL WHPY VM JOPSK ZPISPUN
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0U LSSPNLU : VY PU LY LU PVU ,_WYLZZPVU VM ,TV PVUHS
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4 9VIV ZPUN TLKPH =VJHI SHY =VJHI SHY
7* NYV W - No di erence between intervention media
0YVIP 8 0( O THUVPK YVIV Z 7* +P LYZP
9VIV PU VJHI SHY KP LYZP
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7HYR ;LSLWYLZLUJL ;LSLWYLZLUJL *VTWL LUJL )HZLK competence and e ective on four out
,)+ 85
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, NYV W
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,K JH PVU ;LHJOLYZ was e ective in all elements of social competence
and e ective on all students
IJSE

0U LSSPNLU 9VIV
0UJYLHZLK SL LS VM PU LYLZ PU OL YVIV
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L HS ,+ 9VIV PUP PH PUN YLZWVUKPUN 1VPU ( LU PVU :RPSSZ
, ZPUNSL ILOH PVY V QVPU H LU PVU
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2PT (:+ 85
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7 ZPUNSL
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9VIV

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(:+ 85 VYKZ 9LHK *VYYLJ S
L HS ;3 9VIV HUK 7LKHNVNPJHS (NLU +LJYLHZLK YH L VM TPZYLHKPUN VY THRPUN LYYVYZ
P

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5(6 0( :PNO VYK 0UZ Y J PVU PU H NP LU VYK
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:V L HS ( L 7 85 9VIV IHZLK WSH 1VPU ( LU PVU :RPSSZ
Y

;3 9VIV 5V JOHUNLZ VU OL YLZWVUKPUN ILOH PVY


* (:+ NYV W KYHTH PU LY LU PVU : TIVSPJ 7SH
5(6 03 V QVPU H LU PVU HUK Z TIVSPJ WSH
( L 7
PV

*VU P / THUVPK
(:+ 85 0UJYLHZLK YLJVNUP PVU VM V OLYZ LTV PVUZ
L HS ;3 9VIV ;,(**/ A ect Recognition
V

UZ ZPUNSL HUK MLLSPUNZ


5(6 03
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(:+ 85 ; YU HRPUN 7LYMVYTHUJL
J

L HS ;3 9VIV ; YU HRPUN HZR 0UJYLHZLK YLJVNUP PVU VM YVIV WHY ULY HZ ILPUN
UZ ZPUNSL :VJPHS 0U LYHJ PVU
5(6 03 TVYL PU LYLZ PUN OHU OLPY O THU WHY ULY
-HJOHU
(:+ , 9VIV )PJ JSL :VJPHS :RPSSZ UJYLHZLK ZVJPHS ZRPSSZ JVTT UPJH PVU ZRPSSZ
VTT

PKPZ 85
5V KPZHIPSP PLZ ,+ + 3,.6 Y 3,.6 OLYHW WYVNYHT *VTT UPJH PVU :RPSSZ HUK WVZP P L H P KLZ VM WLLYZ P OV KPZHIPSP PLZ
L HS ZPUNSL
, obot”)/IL *OHSSLUNPUN )LOH PVY +LJYLHZLK JOHSSLUNPUN ILOH PVY
PJ PV

2VZ Y 0UJYLHZLK SL LS VM PU LYLZ HUK YLZWVUZL V Z WWVY


:WOLYL ZOHWLK 9LX LZ PUN
IPLJ (:+ UZ 85 :VJPHS :RPSSZ HUK YLPUMVYJLTLU VM YVIV
5: 9VIV HUK YU HRPUN
L HS ;9 NYV W 9VIV (JJLW HUJL 0UJYLHZLK WYV ZVJPHS ILOH PVY PU OL WYLZLUJL

+VP O[[WZ KVP VYN


UZ 0( PU LY LU PVU
VM H IHSS P L OL JVUKP PVU P OV YVIV
AOLUN (:+ ( L / THUVPK
85 9VIV TLKPH LK
L HS UZ ,_ ;3 9VIV 1VPU ( LU PVU :RPSSZ - No di erence between conditions
NYV W PU LY LU PVU
* 5(6 03
VJP S IPSP P

PQZL
5V[L 7 7YLZJOVVS , ,SLTLU[HY ZJOVVS 4 4PKKSL ZJOVVS ;9 ;LHJOLY ,_ ,_WLYPTLU[ NYV W
* *VU[YVS NYV W ,+ ,K JH[PVUHS ZL[[PUNZ ZJOVVSZ HUK KH JHYL ;3 ;OLYHW YVVT HUK 3HIVYH[VY
4 4P_LK ZL[[PUNZ / /VTL 5: = Not speci ed; 0( 0U[LY]LU[PVU (ZZPZ[HU[ 03 0U[LY]LU[PVU 3LHKLY
VM OPS Y

83 8 HSP[H[P]L YLZLHYJO 85 8 HU[P[H[P]L YLZLHYJO


1 7HYR , )HLR ) 3 3PT HUK / 2V IJSE

REFERENCES
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*OHYYVU 5 3L PZ 3 *YHPN 4 ( YVIV[PJ [OLYHW JHZL Z[ K +L]LSVWPUN QVPU[ H[[LU[PVU ZRPSSZ P[O H Z[ KLU[ VU [OL H [PZT ZWLJ[Y T
1V YUHS VM ,K JH PVUHS LJOUVSVN : LT
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( TLKPJPUL KPZWLUZPUN TVIPSL YVIV[ MVY ZLUPVY JP[PaLUZ 7YVJLKPH VTW LY :JPLUJL
*OVP , 3P[LYH[ YL YL]PL VM YVIV[Z ZLK MVY [OL YLOHIPSP[H[PVU VM JOPSKYLU P[O H [PZ[PJ ZWLJ[Y T KPZVYKLY
1V YUHS VM YLOHIPSP H PVU LSMHYL LUNPULLYPUN H P P L LJOUVSVN
*VU[P + ;Y IPH . ) VUV : +P 5 V]V : +P 5 V]V ( (MMLJ[ YLJVNUP[PVU PU H [PZT H ZPUNSL JHZL Z[ K VU PU[LNYH[PUN H O THUVPK
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Fachantidis, N., Syriopoulou-Delli, C. K., Vezyrtzis, I., & Zygopoulou, M. (2020). Bene cial effects of robot-mediated class activities
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Gersten, R., & Edyburn, D. (2007). De ning quality indicator for special education technology research.
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