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      <title-group>
        <article-title>measurement in children with Autism Spectrum Disorder using biometric sensors</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Isabella Omen</string-name>
          <email>iomen@unicauca.edu.co</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Andres F. Facundo</string-name>
          <email>affacundo@unicauca.edu.co</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Cesar A. Collazos</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Delio E. Enriquez</string-name>
          <email>delio@unicauca.edu.co</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Department of Electronics, Instrumentation and Control of the University of Cauca-Colombia</institution>
          ,
          <addr-line>assumes</addr-line>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>University of Cauca</institution>
        </aff>
      </contrib-group>
      <issue>4</issue>
      <abstract>
        <p>Autism Spectrum Disorder (ASD) affects neuronal development and causes problems throughout the life of people who suffer due to different factors such as limitations in social interaction, communication and/or the display of emotions. Currently there are subjective methods based on observation to recognize the emotional state in patients with this disorder that do not necessarily represent the true state of the emotional situation, from this perspective arises the idea of proposing the MMENA (For its acronym in Spanish of: Modelo de Medición Emocional en Niños con Autismo) prototype, which is a model for supporting emotional measurement with the use of biometric sensors in order to perform a sufficiently approximate measurement of emotions in different tasks of daily life of children with ASD. Autism Spectrum Disorder, emotional measurement, biometric sensors 6th workshop on ICTC for improving patients rehabilitation research techniques. Rehab 2022, Teruel, Spain</p>
      </abstract>
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    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>Autism spectrum disorder (ASD) is present in 1 of each 160 children worldwide [1]. This condition
affects the neural development of people with ASD and can cause lifelong problems because the display
of emotions affects communication and social interaction with others. Learning process in people with
ASD can be affected in very different ways depending on the degree of the disorder or based on the
impairment of social communication and behavioral patterns, which is why partial or total assistance
may be required depending on the severity of the condition. Emotions become a universal language and
become crucial in the forms of communication in which we express thoughts, moods or feelings in a
more effective way [2] and these influence daily life and decisions made, as well as the degree of
attention,</p>
      <p>Because some people with ASD have some difficulty in expressing their emotions, it is
complex to know the feelings outside the common procedures used by professionals of Psychiatry and
Psychology. It is for this reason that it is convenient to try to use of technologies support, where
biosensors can be used to capture signals by measuring the stimuli through physiological responses of
the human body [3] and provide a more approximate response to the emotions presented at a specific
time in people with ASD.</p>
      <p>Currently there are different difficulties in teaching social skills in children with ASD because there are
not many tools to try to individualize learning and interactions with society. The Faculty of Electronic
Engineering and Telecommunications, with the collaboration of the Department of Systems and the</p>
      <p>2022 Copyright for this paper by its authors.
the research presented based on the specific case of the children of the CENIDI foundation. This
foundation aims to identify and enhance the capabilities of their students with intellectual disabilities to
develop social and communication skills that strengthen their independence and improve their family,
educational, community, work and virtual environment [4]. Being an Institution mostly funded by the
state, it has very few resources to carry out a practical and fast learning process that includes homes, as
well as to provide a long and personalized accompaniment to children with ASD, allowing them to
interact between themselves and the world around them. Taking into account the above in addition to
the few or no functional instruments for measuring emotions based on technologies, we propose to
develop a model that allows to more effectively measure the emotional state in children with autism
with the use of biometric sensors. The next section depicts some related works. Then, we present the
main goal and implementation of the functional hardware prototype called MMENA that performs an
approximate measurement of the emotions presented to different tasks in children with ASD of the
CENIDI foundation. In addition, this modell should become an important support to generate more
adequate teaching and learning processes, according to the results obtained by the functional prototype,
In this way, a theoretical model of an architecture is created for the construction of a measurement
device with which it is arranged to observe, depending on the case of study, the different variations that
must be made according to the person and the diagnosis that they have, already that as it is known the
ASD has different characteristics in each individual. Finally, some conclusions and further works are
presented.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Related works</title>
      <p>There are some researches that use different biometric sensors for emotional monitoring in patients
with ASD. In [5] a system for monitoring different emotions of children with autism is presented that
provides specialists with a tool to follow up their patients remotely using the concept of IoT (Internet
of Things), in this study a GSR (Galvanic Skin Response) sensor was used and through an ESP8266
module using the MQTT (Message Queuing Telemetry Transport) protocol, data is recorded via the
Internet on a server for subsequent display on a final device. The authors evaluate the performance of
this implementation by comparing the results obtained at different emotional reactions with fourteen
children with autism and without autism in an age range of six to ten years.</p>
      <p>TIC-TAC-TEA is an application for biometric data collection and emotional self-regulation of
people with ASD [6], this paper presents the design of an application in a smart watch with Android
operating system, which collects biometric information such as heart rate and movement of the subject
with the help of integrated sensors of these devices and sends them to a mobile device via Bluetooth, to
identify an emotional disturbance in people with ASD how stress, a strategy is presented through
pictograms to try to mitigate this episode.</p>
      <p>In [7] a biometric monitoring and alerting system is presented to support therapies for children with
autism spectrum disorder (ASD), where a technological solution is sought, both hardware and software,
to provide real-time alerts on emotional changes in children with ASD in therapeutic sessions with the
help of biometric signals. The author develops this system with a Mindwave Mobile 2 headset that
senses brain waves and then processes the information through software in the form of a mobile
application on an Android operating system and finally develops a performance evaluation plan through
a functional test plan and compares the performance with the theoretical approach.</p>
      <p>In [8] a research article is presented that aims to recognize stereotyped movements in children with
ASD, an accelerometer is used in a noninvasive wristband to recognize the difference between a random
movement in the hands to a normal gesture given by the child, the measurements were by a wired
medium and visualizing parameters that allow to analyze the behavior given according to certain values
determined in a first study, this resulted in the recognition largely of what movements gives the child
according to their behavior studied.</p>
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    <sec id="sec-3">
      <title>3. MMENA Development</title>
      <p>The objective of this paper is to propose the functional prototype MMENA, which allows us to
measure different stimuli in children with ASD, in order to know the response of their body to the
different emotions presented and thus characterize the condition of autism in children and to know the
characteristics of learning in them.</p>
      <p>This research is a work in progress, since the physical implementation of the device has not been
carried out as of the date of presentation of the article in question, therefore a general description is
given of the implementation and results collection that will be carried out in the following months.</p>
      <p>First of all, the base tool of the work will be Arduino, from which the programmable hardware card
called Arduino Nano [9] is selected in order to perform the assembly and connection of the biometric
sensors. The sensors that for the moment were selected (although they are subject to future changes) for
the implementation are:
●
●</p>
      <p>GSR sensor: Galvanic Skin Response</p>
      <p>Heart rate sensor</p>
      <p>With the help of these sensors it is expected to obtain the different emotional variations of the
children with ASD, through the responses that the body has to different stimuli as in the case of the
GSR sensor which recognizes the biometric information of the electrical conductivity in the skin with
which responses to changes in the sweat glands of the skin which show a reflection to the intensity of
the emotional state of the person are observed, similarly with the heart rate sensor the heart rate of a
child is evaluated according to what he feels. At the same time, an accelerometer will be available to
define and mitigate possible noise measurements that may affect the census of the sensors by means of
the product of the movement that the child may make. It is necessary to define this starting point to be
able to recognize with the help of our functional prototype if the child is having a behavior out of the
usual that was defined at the beginning of the research and that directly affects their emotions, this
starting point will be made by taking results of only this feature and thus know better what types of
movements are determined in the normal behavior of the children with ASD.</p>
      <p>The MMENA prototype will be similar in appearance to a bracelet as can be seen in Figure 1 with
which the child will feel much more comfortable allowing real measurements and not conditioned by
feelings of being inside an investigation. Therefore, the mounting of the sensors should be as subtle and
compact as possible allowing the device to be portable in the daily life of children and can make use of
it both in the space of the institution and at home, likewise, to be an electrical development the battery
to select should be of a fairly comfortable size but that allows a good duration charge.</p>
      <p>All these characteristics are of great importance in the implementation of the device, so it is of great
relevance to choose devices that can be easily found in the city and are accessible in price and demand
of the people who will use the device.</p>
      <p>The method with which the results are going to be taken is through weekly attendances to the CENIDI
institution. In the first place they will be given to generate an adaptation of the children with ASD and
the presence of strange people around them thus allowing to help in the adaptation of the children to
the device in something of every day for him and in this way to know that the results obtained are
according to the emotions that in reality are being presented at the moment of the measurement and not
perhaps answers given randomly and that would not be accepted for the solution of the project. In the
same way, different tests such as the assessment method studied in Neurohab[11], a platform for the
virtual training of daily living skills in autism spectrum disorder, will be done regarding the children's
likes and dislikes, thus giving a starting point with which all the data collected throughout the nine
months of the research will be evaluated. The tests to be done will be through visual tools, games and
songs in order to know the emotion of joy and sadness; to recognize the emotion of anger, certain
behaviors that the personnel of the CENIDI institution knows that are not liked by the child but that
may not lead to a problem in the classroom but only a recognition and evaluation of the experienced
sensation will be done.</p>
      <p>With all the aforementioned characteristics, the creation of an architecture for the measurement model
is proposed in order to be able to be adapted and reformed according to the case of each individual,
since, as each of the children with ASD is known, they are like a new world and each of the inventions
given in them must be adapted according to the characteristics of the child and his environment in
general.</p>
      <p>In addition, we pretend to validate the MMENA design by a panel of experts using the Conceptual
Research Method, which has great scientific value for its contributions to the development of theories,
models and conceptual schemes that should later be validated using other research methods [12] that
allow quantifying and analyzing the perceptions to the stimuli in children with autism by the proposed
system.</p>
    </sec>
    <sec id="sec-4">
      <title>4. Implementation</title>
      <p>For the validation process of the MMENA device, a series of activities are defined with which it is
sought to know if the elaboration, implementation and results of all the research were of great value and
allowed to reach the objective set at the beginning of this project, This is done in order to give an answer
to the question of the degree work and to the defined problematic to which a solution or a mechanism
is sought that will facilitate the CENDI institution and its education of children with autism spectrum
disorders, as well as to propose a more comfortable scenario for the child's daily life, which in the best
case scenario would be that the project can be used in their daily life, thus facilitating their independence
in certain tasks and a better family environment around them. Finally, the method of conceptual research
will be used in conjunction with the validation of content by a panel of experts to give their evaluation
and concept on what has been done and thus have feedback on the device, in order to give the best
possible result to the situation raised.</p>
    </sec>
    <sec id="sec-5">
      <title>5. Conclusions and further work</title>
      <p>Based on the little documentation observed on the subject of measurement tools by means of
biometric sensors in children with autism condition using technologies, we seek to generate the
functional prototype MMENA that serves as support for teachers of children with disabilities in order
to improve the quality of life of teachers, students and parents enrolled in the institution CENIDI. With
the development of this prototype we pretend to improve the ways of learning of children with ASD
through the help of human-computer interaction, since by measuring the stimuli given through the
sensors it will be possible to know in a better way what is the response of children and what activities
can encourage in their learning, thus giving that the education process is more efficient and generate
better results in shorter periods of time to the stipulated so far.</p>
    </sec>
    <sec id="sec-6">
      <title>6. Acknowledgements</title>
      <p>Identification of funding sources and other support, and thanks to individuals and groups that
assisted in the research and the preparation of the work should be included in an acknowledgment
section, which is placed just before the reference section in your document.</p>
      <p>This Word template was created by Aleksandr Ometov, TAU, Finland. The template is made
available under a Creative Commons License Attribution-ShareAlike 4.0 International (CC BY-SA
4.0).</p>
    </sec>
    <sec id="sec-7">
      <title>7. References</title>
      <p>[1] M. Elsabbagh, G. Divan, Y. Koh, Y. Kim, S. Kauchali, C. Marcín, C. Montiel-Nava, V. Patel,
C. Paula, C. Wang, M. Yasamy and E. Fombonne, “Global prevalence of autism and other pervasive
developmental disorders”, Autism research: official journal of the International Society for Autism
Research, vol. 5.3, pp. 160-79, 2012.</p>
      <p>[2] A. M. Fernández, M. Dufey and C. Mourgues, “Expresión y reconocimiento de emociones: un
punto de encuentro entre evolución, psicofisiología y neurociencias”, Revista Chilena de
Neuropsicología, vol. 2, núm. 1, pp. 8-20, 2007.</p>
      <p>[3] L. García Pardo, “Diseño de un sistema de análisis de emociones usando Biosensores: caso de
estudio en estudiantes de educación superior”, Trabajo de grado Ingeniería Multimedia, Universidad de
San Buenaventura Colombia, Santiago de Cali, 2019.</p>
      <p>[4] Fundación Cenidi, “Quiénes somos” [Online], Available:
https://funcenidi.edu.co/quienessomos/, 2022.</p>
      <p>[5] T. Z. Fadhil and A. R Mandeel, “Live Monitoring System for Recognizing Varied Emotions of
Autistic Children”, International Conference on Advanced Science and Engineering (ICOASE), pp.
151-155, 2018.</p>
      <p>[6] J. Cuadrado Manso, “TIC-TAC-TEA: Aplicación para recolección de datos biométricos y
autorregulación emocional de personas con TEA”, Junio 2017.</p>
      <p>[7] W. S. Montoya Moreno, “Sistema de monitoreo y alertas biométricas para el apoyo en las
terapias de niños con trastorno del espectro autista”, 2021.</p>
      <p>[8] J. L. Rodigues, N. Gonçalves, S. Costa and F. Soares, “Stereotyped movement recognition in
children with ASD”, University of Minho, Portugal, Mayo 2013.</p>
      <p>[9] Arduino.cl, “Arduino Nano” [Online], Available: https://arduino.cl/arduino-nano/, 2022.
[10] Google, “Sony Smartband” [Online], Available:
https://www.google.com/search?q=Sony+Smartband&amp;source=lmns&amp;bih=793&amp;biw=1707&amp;hl=es&amp;sa
=X&amp;ved=2ahUKEwi_oqWz_9_3AhWNdDABHV3PBioQ_AUoAHoECAEQAA&amp;safe=active&amp;ssui
=on/, 2022.</p>
      <p>[13] M. Simões, S. Mouga, F. Pedrosa, P. Carvalho, G. Oleveira and M. Castelo Branco, “Neurohab:
a platform for virtual training of daily living skills in autism spectrum disorder”, CENTERIS 2014
International Conference on Health and Social Care Information Systems and Technologies, 2014.</p>
      <p>[12] M. Mora, “Descripción del Método de Investigación Conceptual”, Universidad Autónoma de
Aguascalientes, Aguascalientes, 2003. pp. 2-10.</p>
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