Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis

Bekteshi, Saranda; Konings, Marco J.; Vanmechelen, Inti; Deklerck, Jan; Ortibus, Els; Aerts, Jean‐Marie; Hallez, Hans; Karlsson, Petra; Dan, Bernard; Monbaliu, Elegast

doi:10.1080/17518423.2020.1770890

Cited by 7 publications

(7 citation statements)

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“…The Delphi study reported here was completed to address the gap in evidence to guide implementation of eye-gaze control technology with people with cerebral palsy and to inform the content of clinical guidelines for eye-gaze control technology implementation [6][7][8][9][10][11]22]. Consensus was reached on 94 statements considered important to be included in these clinical guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…Eye-gaze control technology provides an effective and direct access method to computers and speech generating devices for people with significant physical disabilities, such as cerebral palsy [4,5], who are able to use purposeful looking behaviours including gaze fixations and gaze transfers [6][7][8][9][10]. This technology holds the potential to unlock people's capacity to participate in leisure and productivity pursuits, play games, listen to music, use social media, and for environmental control.…”

Section: Introductionmentioning

confidence: 99%

“…This technology holds the potential to unlock people's capacity to participate in leisure and productivity pursuits, play games, listen to music, use social media, and for environmental control. For individuals with communication difficulties, it can also offer access to specialist software for augmentative and alternative communication (AAC) [8,[10][11][12][13][14][15][16][17]. Eyegaze control technology involves an infra-red camera, which works in conjunction with specialised software, to monitor and respond to a user's eye movements [18].…”

Section: Introductionmentioning

confidence: 99%

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Stakeholder consensus for decision making in eye-gaze control technology for children, adolescents and adults with cerebral palsy service provision: findings from a Delphi study

et al. 2021

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Background Limited research exists to guide clinical decisions about trialling, selecting, implementing and evaluating eye-gaze control technology. This paper reports on the outcomes of a Delphi study that was conducted to build international stakeholder consensus to inform decision making about trialling and implementing eye-gaze control technology with people with cerebral palsy. Methods A three-round online Delphi survey was conducted. In Round 1, 126 stakeholders responded to questions identified through an international stakeholder Advisory Panel and systematic reviews. In Round 2, 63 respondents rated the importance of 200 statements generated by in Round 1. In Round 3, 41 respondents rated the importance of the 105 highest ranked statements retained from Round 2. Results Stakeholders achieved consensus on 94 of the original 200 statements. These statements related to person factors, support networks, the environment, and technical aspects to consider during assessment, trial, implementation and follow-up. Findings reinforced the importance of an individualised approach and that information gathered from the user, their support network and professionals are central when measuring outcomes. Information required to support an application for funding was obtained. Conclusion This Delphi study has identified issues which are unique to eye-gaze control technology and will enhance its implementation with people with cerebral palsy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stakeholder consensus for decision making in eye-gaze control technology for children, adolescents and adults with cerebral palsy service provision: findings from a Delphi study

et al. 2021

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“…Within the development of the gaming industry in the context of people with disabilities, several directions should be pointed out. Eye Gaze Gaming technology has excellent potential as a functional computer interface for children with severe dyskinetic cerebral palsy (DCP) (Bekteshi et al, 2020). The authors, based on the results of a pilot study to examine the ability of participants to acquire specific skills related to visual control in games, i.e.…”

Section: Existing Gaming Solutions As Facilities For People With Disa...mentioning

confidence: 99%

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2023

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Organizations nowadays are increasingly using a nondisclosure agreement to protect against the dissemination of certain information by employees. However, such methods have not always been successful, especially since a pandemic. Therefore, the aim of the article is to present the main trust factors. Identification of trust-building factors in the organization in order to increase efficiency and reduce indirect costs, as well as conduct theoretical analysis on this topic. Design/methodology/approach: The synthesis method and the analytical and comparative concept of building staff motivation were used. The theoretical analysis in the text is based on research that can be found in Polish, English and Russian literature. Findings:The article shows that by engaging the right disciplines it become possible to achieve absolute trust, which in turn serves as the key to effective work. Research limitations/implications: Building an atmosphere of trust begins with ways of learning, sharing information and knowledge while meeting the needs of the trusted person. Therefore, in future research on trust in the area of management, it is necessary to take into account the point of view of the related disciplines mentioned in the article. Social implications: A conscious desire to build organizational trust leads to an increase in work efficiency and a decrease in corrupt practices. Ultimately, this will lead to increased meaning of trust in business.Originality/value: A model of trust levels and their impact on work performance has been developed. The article can be used by the management as a guide to creating employee motivation systems.

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“…Eye movements seem to be affected to a lesser extent than upper limbs, 1 hence why clinical practice has adopted eye‐tracking technology as a potentially successful aided communication and computer interface for children with dyskinetic CP. Research in dyskinetic CP shows that an intensive and structured eye‐tracking gaming intervention of 5 weeks 6 or 6 weeks 7 leads to the acquisition of eye‐tracking operational skills necessary to navigate on the screen and fixate on a point of interest, such as computer icons or communication symbols. Operational skills involve all skills necessary in the technical operation of AAC strategies and techniques such as skills to produce different forms of unaided AAC (gestures, signs, or other movements to facilitate communication), skills to utilize selection techniques in aided AAC (eye gaze, pointing on the screen with a finger, and others), and skills to navigate and operate aided AAC systems accurately and efficiently such as navigating between pages on the screen 8 .…”

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confidence: 99%

Eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy

Bekteshi

Karlsson

Reyck

et al. 2022

Develop Med Child Neuro

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Aim This study aimed to explore eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy (CP) compared with typically developing children, and associations between eye‐tracking performance, eye movements, stress, and participants' characteristics. Method This cohort study included 12 children with dyskinetic CP aged 5 to 12 years (mean age 8 years 7 months, standard deviation [SD] 2 years 3 months) and 23 typically developing children aged 5 to 13 years (mean age 9 years 0 months, SD 2 years 7 months). Participants played 10 eye‐tracking games. Tobii X3‐120 and Tobii Pro Lab were used to record and analyse eye movements. Stress was assessed through heart rate variability (HRV), recorded during rest, and eye‐tracking performance using the Bittium Faros360° ECG Holter device. Eye‐tracking performance was measured using gaming completion time. Fixation and saccade variables were used to quantify eye movements, and time‐ and frequency‐domain variables to quantify HRV. Non‐parametric statistics were used. Results Gaming completion time was significantly different (p < 0.001) between groups, and it was negatively correlated with experience (rs = −0.63, p = 0.029). No significant differences were found between groups in fixation and saccade variables. HRV significantly changed from rest to eye‐tracking performance only in typically developing children and not in children with dyskinetic CP. Interpretation Children with dyskinetic CP took longer to perform the 10 games, especially the inexperienced users, indicating the importance of the early provision of eye‐tracking training opportunities. It seems that eye‐tracking tasks are not a source of increased stress and effort in children with dyskinetic CP. What this paper adds Participants with dyskinetic cerebral palsy (CP) took twice as long to perform 10 eye‐tracking games than typically developing peers. Participants with dyskinetic CP with previous eye‐tracking experience performed the games faster. Fixation and saccade variables were not significantly different between children with and without dyskinetic CP. Heart rate variability showed no differences between rest and performance in participants with dyskinetic CP. Gross Motor Function Classification System, Manual Ability Classification System, and Viking Speech Scale levels were not correlated to the eye movements or stress variables.

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Eye Gaze Gaming Intervention in Children with Dyskinetic Cerebral Palsy: A Pilot Study of Task Performance and Its Relation with Dystonia and Choreoathetosis

Cited by 7 publications

References 38 publications

Stakeholder consensus for decision making in eye-gaze control technology for children, adolescents and adults with cerebral palsy service provision: findings from a Delphi study

Stakeholder consensus for decision making in eye-gaze control technology for children, adolescents and adults with cerebral palsy service provision: findings from a Delphi study

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Eye movements and stress during eye‐tracking gaming performance in children with dyskinetic cerebral palsy

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