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面向孤独症儿童康复的定制化电子绘本系统设计与效果验证

Design and Effectiveness Evaluation of a Customized Electronic Picture Book System for Rehabilitation of Children with Autism Spectrum Disorder

  • 摘要: 针对孤独症谱系障碍(ASD)儿童传统绘本干预中存在的适配性差、设计规范性不足及缺少闭环迭代机制等问题,本研究融合布鲁姆教育目标分类理论与Padagogy轮模型,设计并实现了一套定制化电子绘本康复训练管理系统。系统以Padagogy轮八层环形架构为设计规范,将布鲁姆六阶认知目标转化为阶梯式任务序列,构建涵盖评估、定制、干预、反馈四大模块的闭环管理流程,并通过三级界面架构实现功能映射。在运行机制上,系统遵循“双理论驱动、三层映射”的转化逻辑:即以ATEC能力基线锚定认知起点,将认知目标转化为任务类型与交互方式,依据感知觉与偏好数据配置视觉及激励参数。以优化经典情绪绘本《菲菲生气了》为案例,阐述实证过程:采用前测-后测随机对照实验设计(实验组n=13,对照组n=13) 验证系统效果。结果表明:实验组在ATEC量表的言语表达(F=22.62, p <0.001,partial η2=0.49)、感知觉(F=4.51, p <0.05,partial η2=0.16)、健康行为(F=8.04, p <0.01,partial η2=0.25)3个维度上显著优于对照组。本研究为数字化康复管理提供了可复用的理论融合范式与系统实现路径。

     

    Abstract: To address the limitations of conventional picture books in social function intervention for children with autism spectrum disorder (ASD)—including poor customizability, insufficient design standardization, and the absence of a closed-loop iterative mechanism—this study integrates Bloom's Taxonomy of Educational Objectives with the Padagogy Wheel model to develop a customized electronic picture book rehabilitation training management system. The system adopts the eight-layer circular architecture of the Padagogy Wheel as its design framework, translates Bloom's six-level cognitive objectives into a progressive sequence of tasks, constructs a closed-loop management process encompassing the four modules of assessment, customization, intervention, and feedback, and realizes functional mapping through a three-tier interface architecture. At the operational level, the system follows a "dual-theory-driven, three-layer mapping" transformation logic: anchoring the cognitive starting point with the ATEC capability baseline (objective mapping), transforming cognitive objectives into task types and interaction modes (activity mapping), and configuring visual and incentive parameters based on sensory and preference data (presentation mapping). Taking the optimized classic emotional picture book When Sophie Gets Angry as a case study, the empirical process is illustrated: a pretest-posttest randomized controlled trial design (experimental group *n* = 13, control group *n* = 13) was employed to evaluate the system's effectiveness. The results showed that the experimental group significantly outperformed the control group on three ATEC subscales: speech/language/communication (F = 22.62, *p* < 0.001, partial η2 = 0.49), sensory/cognitive awareness (F = 4.51, *p* < 0.05, partial η2 = 0.16), and health/physical/behavior (F = 8.04, *p* < 0.01, partial η2 = 0.25). This study provides a reusable theoretical integration paradigm and system implementation pathway for digital rehabilitation management.

     

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