Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic children

Background: Autistic children often face difficulties with semantic skills such as receptive lexicon. Games based on behavioral principles have been emphasized for treating autistic children. Serious Games are a new and effective way to alleviate deficits in autistic children. Objectives: The presen...

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Main Authors: Elham Hesami, Nour Mohammad Bakhshani, Maryam Arabpour Dahouie, Younes Zaheri
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844024170673
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author Elham Hesami
Nour Mohammad Bakhshani
Maryam Arabpour Dahouie
Younes Zaheri
author_facet Elham Hesami
Nour Mohammad Bakhshani
Maryam Arabpour Dahouie
Younes Zaheri
author_sort Elham Hesami
collection DOAJ
description Background: Autistic children often face difficulties with semantic skills such as receptive lexicon. Games based on behavioral principles have been emphasized for treating autistic children. Serious Games are a new and effective way to alleviate deficits in autistic children. Objectives: The present study aimed to design and investigate the efficiency of a Serious Game titled “Kookism” on the receptive lexicon of autistic children. Methods: The empirical study with a pretest-posttest design, and a two-months follow-up, involved 30 children (aged 4–9) at Birjand and Zahedan, Iran. The participants were selected by convenience sampling and randomly divided into experimental and control groups (each 15 participants). The control group received the Applied Behavior Analysis (ABA), while the experimental group received a treatment consisting of the ABA plus the “Kookism” game. The 20-min sessions were held every other day for two months. Data were collected using MacArthur-Bates Communicative Development Inventories. After confirming the essential assumptions for the covariance analysis, ANCOVA was used to analyze the data. Results: The findings showed a significant difference between the experimental and control groups in the increase in the participants’ receptive lexicon after eliminating the effects of the covariate (p < 0.05). Two months later, there was no statistically significant difference. (P = 0.144, F = 0.077, p > 0.05). Conclusions: The findings of this study indicate that Serious Games significantly improved the receptive lexicon of autistic children. This result remained for up to two months.
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spelling doaj-art-816496028f5f4ff59793f8e187233c642025-01-17T04:50:01ZengElsevierHeliyon2405-84402025-01-01111e41036Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic childrenElham Hesami0Nour Mohammad Bakhshani1Maryam Arabpour Dahouie2Younes Zaheri3Zahedan University of Medical Sciences, Iran; Corresponding author.School of Medicine, Children and Adolescents Health Research Center, the Research Institute of Cellular and Molecular Sciences in Infectious Diseases, Zahedan University of Medical Sciences, IranDepartment of Speech Therapy, School of Rehabilitation Sciences, Health Promotion Research Center, Zahedan University of Medical Sciences, IranDepartment of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Mental Science, Tehran, IranBackground: Autistic children often face difficulties with semantic skills such as receptive lexicon. Games based on behavioral principles have been emphasized for treating autistic children. Serious Games are a new and effective way to alleviate deficits in autistic children. Objectives: The present study aimed to design and investigate the efficiency of a Serious Game titled “Kookism” on the receptive lexicon of autistic children. Methods: The empirical study with a pretest-posttest design, and a two-months follow-up, involved 30 children (aged 4–9) at Birjand and Zahedan, Iran. The participants were selected by convenience sampling and randomly divided into experimental and control groups (each 15 participants). The control group received the Applied Behavior Analysis (ABA), while the experimental group received a treatment consisting of the ABA plus the “Kookism” game. The 20-min sessions were held every other day for two months. Data were collected using MacArthur-Bates Communicative Development Inventories. After confirming the essential assumptions for the covariance analysis, ANCOVA was used to analyze the data. Results: The findings showed a significant difference between the experimental and control groups in the increase in the participants’ receptive lexicon after eliminating the effects of the covariate (p < 0.05). Two months later, there was no statistically significant difference. (P = 0.144, F = 0.077, p > 0.05). Conclusions: The findings of this study indicate that Serious Games significantly improved the receptive lexicon of autistic children. This result remained for up to two months.http://www.sciencedirect.com/science/article/pii/S2405844024170673AutismReceptive lexiconSemantic skillsSerious gameSpeech therapy
spellingShingle Elham Hesami
Nour Mohammad Bakhshani
Maryam Arabpour Dahouie
Younes Zaheri
Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic children
Heliyon
Autism
Receptive lexicon
Semantic skills
Serious game
Speech therapy
title Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic children
title_full Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic children
title_fullStr Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic children
title_full_unstemmed Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic children
title_short Evaluation of the effectiveness of a serious game titled “Kookism” on the receptive lexicon in 4-9-year-old autistic children
title_sort evaluation of the effectiveness of a serious game titled kookism on the receptive lexicon in 4 9 year old autistic children
topic Autism
Receptive lexicon
Semantic skills
Serious game
Speech therapy
url http://www.sciencedirect.com/science/article/pii/S2405844024170673
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