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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>How can we engage people to map places suitable for the autistic population? A crowdsourced approach</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Amon Rapp</string-name>
          <email>amon.rapp@unito.it</email>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Federica Cena</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Claudio Mattutino</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Claudio Schifanella</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Noemi Mauro</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Liliana Ardissono</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Guido Boella</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Stefania Brighenti</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Romina Castaldo</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Roberto Keller</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Arianna Boldi</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Maurizio Tirassa</string-name>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Adult Autistic Center, ASL Torino</institution>
          ,
          <addr-line>Torino</addr-line>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Computer Science Department, University of Torino</institution>
          ,
          <country country="IT">Italy</country>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Psychology Department, University of Torino</institution>
          ,
          <country country="IT">Italy</country>
        </aff>
      </contrib-group>
      <abstract>
        <p>The crowdsourcing paradigm applied to the urban environment (i.e., people while moving can provide data from different places) may play a fundamental role in transforming users in significant actors of the places in which they live. In the last years, several crowdsourcing services have been developed to allow citizens to collaborate, by collecting data about urban accessibility. This effort, however, focused mainly on physical disabilities. We aim to help people with Autism Spectrum Disorder (ASD) move across and live in urban environments by means of a crowdsourced personalized map. The map is populated with comments and reviews by people with ASD and caregivers, in order to highlight places, routes, and activities (e.g., less crowded routes, quiet places) to make ASD people's daily lives more comfortable.</p>
      </abstract>
      <kwd-group>
        <kwd>Autism</kwd>
        <kwd>crowdsourcing</kwd>
        <kwd>maps</kwd>
        <kwd>1</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>INTRODUCTION</title>
      <p>
        Participation of the citizen in the city life is one of the pillars of the notion of smart
city [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. Participation can help to transform a smart city in an inclusive city. As
defined by Douglas, an inclusive city is one that “values all people and their needs
equally. It is one in which all residents - including the most marginalized of poor
workers - have a representative voice in governance, planning and budgeting
processes, and have access to sustainable livelihoods, legal housing and affordable basic
services” [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ]. ICT can support democratic participation and sharing of information
through crowdsourcing and via open source platforms. In particular, the
crowdsourcing paradigm applied to urban environments, i.e., people while moving collect data
from places, can play a fundamental role in this process [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ].
1 Copyright © 2020 for this paper by its authors. Use permitted under Creative Commons
License Attribution 4.0 International (CC BY 4.0).
      </p>
      <p>
        It can transform users in significant actors of society, who may become the primary
source of data describing a particular city space. Such a participation is indeed more
complex for people with some kind of cognitive disability or neurological difference
(also known as “neurodiversity” [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ]) who still face a variety of barriers in accessing
the places in which they live. Autism Spectrum Disorder (ASD), for instance, is
characterized by the presence of persistent deficits in social communication and
interaction across contexts and deficits in social-emotional reciprocity accompanied by the
presence of restricted, repetitive patterns of behavior, interests or activities and
hypo/hyper reactivity to sensory stimuli. [
        <xref ref-type="bibr" rid="ref5">5</xref>
        ]. Related to social interactions, ASD people
can experience loneliness and anxiety [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ]. Their engagement in social events is
limited and they report isolation and communication challenges [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Individuals with
ASD may find it difficult to move across the cities in which they live, since they are
particularly sensitive to environmental stimuli, such as noise and crowding, and the
rigidity of their routines may make them get confused when they need to divert from a
well-known path.
      </p>
      <p>
        In the last years, several crowdsourcing services have been developed to allow
citizens to collaborate through the collection of data about urban accessibility, but
focusing mainly on physical disabilities [
        <xref ref-type="bibr" rid="ref8 ref9">8, 9</xref>
        ]. As a result, there are no services that allow
people (with ASD and “neurotypical”) to signal those places that may be suitable to
the autistic population in a given city.
      </p>
      <p>
        The Personalized Interactive Urban Maps for Autism (PIUMA) project [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ] aims
to provide a spatial support to ASD people, in the form of a personalized
crowdsourced map. This tool can not only improve the real life of the individual,
increasing her autonomy, but also enhance her participation to the urban life. In fact,
the map will enable people with ASD to find places that can satisfy their “spatial
needs” in terms of their sensorial features. Moreover, it aims to produce impacts on
the sense of self-efficacy and empowerment of people with cognitive problems, who
will be allowed to actively contribute to a collective goal.
2
      </p>
    </sec>
    <sec id="sec-2">
      <title>BACKGROUND</title>
      <p>
        In the last years, crowdsourced maps gained popularity in order to promote
accessibility of urban space especially for people with physical disabilities, allowing users to
review the accessibility of specific POIs (Points of Interest) [
        <xref ref-type="bibr" rid="ref11">11</xref>
        ].
      </p>
      <p>
        Regarding ASD people, different research has recently used technology to address
specific problems, such as social communications [
        <xref ref-type="bibr" rid="ref13">13</xref>
        ], learning [
        <xref ref-type="bibr" rid="ref14">14</xref>
        ], emotion
recognition [
        <xref ref-type="bibr" rid="ref15">15</xref>
        ], and collaboration [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ]. However, such works, despite some remarkable
exceptions [
        <xref ref-type="bibr" rid="ref17">17</xref>
        ], mainly focused on children [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. Moreover, research mostly
preferred to address social behavior problems, such as speech comprehension. Finally, it
often translated behavioral interventions into technological support, making the
transfer of improvements gained during the treatment to the real world difficult [
        <xref ref-type="bibr" rid="ref16">16</xref>
        ].
Moreover, personalized technologies for autism are still very rare [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ].
      </p>
      <p>The novelties of PIUMA are: i) it addresses adult people with ASD who are
commonly overlooked by current research; ii) it supports them also in urban movements;
iii) it goes beyond the limitations of behavioral interventions by designing tools to be
used in everyday situations; iv) it provides personalized tools adapted to the ASD
condition as well as to the specific user and contextual features; v) it allows users to
annotate POIs, and uses these crowdsourced data for recommendations.
3
3.1</p>
    </sec>
    <sec id="sec-3">
      <title>PIUMA SYSTEM</title>
      <sec id="sec-3-1">
        <title>Crowdsourced maps</title>
        <p>
          The PIUMA project aims to support ASD people in moving and living their city by
means of an interactive map, designed through a participatory design process [
          <xref ref-type="bibr" rid="ref20 ref21">20, 21</xref>
          ].
It is crowdsourced, i.e., populated with POIs, comments, reviews, trails both by
people with autism and caregivers, as well as by anyone wishing to contribute. People
have the possibility to both add free comments in the form of text or tags, as well as
choose the features of the POI from a predefined list. These allow them to express
whether a place is e.g., silent or noisy, crowded or isolated, as well as to rate it.
Such features have been selected by a pool of experts in ASD (psychologists and
neuropsychologists, caregivers and patients). We then designed an interface displayed
in overlay on the map, where the user can rate (from 1 to 5) a place with reference to
five features: i) level of noise; ii) level of crowding, iii) temperature, iv) level of
brightness, v) spaciousness. Moreover, a global evaluation about the “comfort” of the
place can be provided. Such information will create the domain knowledge base to be
used as a source for the personalized recommendations provided by the system. The
implementation of the crowdsourcing project in PIUMA is based on FirstLife [
          <xref ref-type="bibr" rid="ref22">22</xref>
          ], a
social network based on interactive maps (see Fig.1). It is composed of an interactive
geographical map-based interface as a frontend and a backend aimed at managing and
searching geographical data. The map can be accessed from both desktop computers
and mobile phones.
        </p>
      </sec>
      <sec id="sec-3-2">
        <title>Crowdsourced-based recommendations</title>
        <p>System can proactively present some POIs of interest for the person, highlighting
them in the interface. Crowdsourced information enriches the domain knowledge base
used as a source for the personalized recommendations provided by the system.
Recommendations of POIs from the crowdsourced set are then based on different factors.
First, they are based on a user model, which collects the user’s ratings of POIs,
interests in categories of places (e.g., restaurants, parks) and aversions to specific sensory
features of places (e.g., crowding). Then, it exploits the context model, especially in
relation to spatial information (only reachable places are presented to the user). In
other words, the recommendation of places considers both what the user likes and
what she does not like, in order to present places that can be perceived as “safe” from
a perceptual point of view.
4</p>
      </sec>
    </sec>
    <sec id="sec-4">
      <title>USER STUDY</title>
      <p>
        A preliminary evaluation of the system involved 8 individuals with high-functioning
autism (autism level 1 according to DSM-5; average age=28.4; females=2) and eight
neurotypical individuals (average age = 35.2; females = 4) [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ]. The aim of the study was
explorative. We were interested in gathering preliminary data about the acceptability of the
solution. All the participants were unfamiliar with crowdsourcing systems. All
selfreported as Internet/PC/mobile users. The researcher first presented the system. Then, each
participant could freely use it for as long as she liked, exploring its functionalities. Finally,
the participants had to complete eight tasks, spanning from exploratory tasks to
crowdsourcing tasks. The test lasted about 60 minutes. Four participants with autism and
four neurotypical users used an iPhone to access the system, whereas the others used a PC.
Participants gave feedback in a thinking-aloud format. The researcher observed the
interaction and kept record of the participants’ comments.
      </p>
      <p>Results show that participants consider the system useful, namely that they would use
it to plan their everyday movements. However, it also emerged the need to adjust the
system’s interface as there were differences in the participants’ capabilities of “reading” the
map. For example, some ASD participants appeared to suffer from a high cognitive load,
mainly caused by the difficulties in visually distinguishing the places they inserted from
those inserted by other users. Others were overwhelmed by the number of places
visualized on the maps. This may suggest that we use different filters depending on the user’s
needs.
5</p>
    </sec>
    <sec id="sec-5">
      <title>CONCLUSION</title>
      <p>The project represents a first step towards making cities accessible to people with
cognitive disabilities. It could be adapted to other similar disabilities, such as persons
with dementia (e.g., Alzheimer’s disease), traumatic brain injury, spatial agnosia, and
intellectual disabilities (e.g., Down Syndrome).</p>
    </sec>
    <sec id="sec-6">
      <title>ACKNOWLEDGEMENT</title>
      <p>This work is supported by the COMPAGNIA di SAN PAOLO foundation.
6</p>
    </sec>
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