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Purpose:Telepractice is a growing service model that delivers aural rehabilitation to deaf and hard-of hearing children via telecommunications technology. Despite known benefits of telepractice, this delivery approach may increase patients' listening effort (LE) characterized as an allocation of cognitive resources toward an auditory task. The study tested techniques for collecting physiological measures of LE in normal-hearing (NH) children during remote (referred to as tele-) and in-person communication using the wearable Empatica E4 wristband. Method:Participants were 10 children (age range: 9–12 years old) who came to two tele- and two in-person weekly sessions, order counterbalanced. During each session, the children heard a short passage read by the clinical provider, completed an auditory passage comprehension task, and self-rated their effort as a part of the larger study. Measures of electrodermal activity and blood volume pulse amplitude were collected from the child E4 wristband. Results:No differences in child subjective, physiological measures of LE or passage comprehension scores were found between in-person sessions and telesessions. However, an effect of treatment duration on subjective and physiological measures of LE was identified. Children self-reported a significant increase in LE over time. However, their physiological measures demonstrated a trend indicating a decrease in LE. A significant association between subjective measures and the passage comprehension task was found suggesting that those children who reported more effort demonstrated a higher proportion of correct responses. Conclusions:The study demonstrated the feasibility of collection of physiological measures of LE in NH children during remote and in-person communication using the E4 wristband. The results suggest that measures of LE are multidimensional and may reflect different sources of, or cognitive responses to, increased listening demand. Supplemental Material:https://doi.org/10.23641/asha.27122064 

Robot-mediated interventions have been investigated for the treatment of social skill deficits amongst children with Autism Spectrum Disorder (ASD). Does the use of a Nao robot as a mediator increase vocal interaction between children with ASD? The present study examined the vocalization and turn-taking rate in six children with ASD (mean age = 11.4 years, SD = 0.86 years) interacting with and without a Nao robot for 10 sessions, order counterbalanced. Each session lasted nine minutes. In the Robot condition, the robot provided vocal prompts; in the No Robot condition, children interacted freely. Child vocalization and turn-taking rate defined as the number of utterances/turns per second were measured. Results demonstrated that three children produced higher vocalization and turn-taking rates when a robot was present, and two when it was absent. One participant produced higher vocalization rates when the robot was not present, but more conversational turns when the robot was present. The findings suggest that the use of a Nao robot as a social mediator increases vocalization and turn-taking rates among children with ASD, but large individual variability is observed. The effect of the robot as a mediator on lexical diversity of child speech will also be investigated. 

In Annual Arts and Sciences Undergraduate Research Poster Session, Louisville, Kentucky, April 22, 2022.