Multimodal Data Analysis of Dyadic Interactions for an Automated Feedback System Supporting Parent Implementation of Pivotal Response Treatment

Parents fulfill a pivotal role in early childhood development of social and communication

skills. In children with autism, the development of these skills can be delayed. Applied

behavioral analysis (ABA) techniques have been created to aid in skill acquisition.

Among these, pivotal response treatment (PRT) has been empirically shown to foster

improvements. Research into PRT implementation has also shown that parents can be

trained to be effective interventionists for their children. The current difficulty in PRT

training is how to disseminate training to parents who need it, and how to support and

motivate practitioners after training.

Evaluation of the parents’ fidelity to implementation is often undertaken using video

probes that depict the dyadic interaction occurring between the parent and the child during

PRT sessions. These videos are time consuming for clinicians to process, and often result

in only minimal feedback for the parents. Current trends in technology could be utilized to

alleviate the manual cost of extracting data from the videos, affording greater

opportunities for providing clinician created feedback as well as automated assessments.

The naturalistic context of the video probes along with the dependence on ubiquitous

recording devices creates a difficult scenario for classification tasks. The domain of the

PRT video probes can be expected to have high levels of both aleatory and epistemic

uncertainty. Addressing these challenges requires examination of the multimodal data

along with implementation and evaluation of classification algorithms. This is explored

through the use of a new dataset of PRT videos.

The relationship between the parent and the clinician is important. The clinician can

provide support and help build self-efficacy in addition to providing knowledge and

modeling of treatment procedures. Facilitating this relationship along with automated

feedback not only provides the opportunity to present expert feedback to the parent, but

also allows the clinician to aid in personalizing the classification models. By utilizing a

human-in-the-loop framework, clinicians can aid in addressing the uncertainty in the

classification models by providing additional labeled samples. This will allow the system

to improve classification and provides a person-centered approach to extracting

multimodal data from PRT video probes.