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Developmental Language DisordersSmartSpeechNCT06633874

Smart Computing Models, Sensors, and Early Diagnostic Speech and Language Deficiencies Indicators in Child Communication

A study testing TD Playing the Serious Game APSOU and Non-TD Playing Serious Game in people with Developmental Language Disorders and Developmental Articulation Disorder, run by University of Ioannina at 1 site in Greece.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This clinical trial aims to justify a protocol for designing and developing an automated decision-making system to support and enhance screening and early detection procedures for developmental speech/language difficulties in child communication. Read more about this study

Who is it for?
Ages 4 to 12 yearsHealthy volunteers can take part
What is being tested?
TD Playing the Serious Game APSOU and Non-TD Playing Serious Game
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
520 participants
Where
1 siteGreece
Study dates
29 Mar 2021to 25 Nov 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 4 to 12 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Typically developing preschoolers and school-aged children
  • Children diagnosed with neurodevelopmental disorders
  • Children should be native Greek speakers

Who cannot join

  • Children with other medical conditions
  • Children on medications that might affect the results of the study

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • University of Ioannina

    Ioannina, 45500

Other trials in Greece

About this study

This clinical trial aims to justify a protocol for designing and developing an automated decision-making system to support and enhance screening and early detection procedures for developmental speech/language difficulties in child communication. The system will utilize smart computing models, sensors, and early diagnostic speech and language deficiency indicators. The study participants will be typically and non-typically (neurodevelopmentally atypical) developing children, primarily in preschool and elementary school.

The key research questions the study seeks to address are:

Read more
  1. Do differences exist between typically developing and neurodevelopmentally atypical children when engaging with the serious game used in the study?
  2. If such differences are identified, can the collected data be utilized to train an automated decision-making system capable of accurately distinguishing between typically and neurodevelopmentally atypical children based on speech and language deficiencies?

Researchers will compare typically and non-typically developed children to see if the system can incorporate multiple data points from assessment domains to create a diagnostic profile.

After the parents are informed of the study and provide written consent, they enroll in the system. Participants will be asked to wear a smartwatch and play a serious game on a tablet under the supervision of a clinician. The system will collect data from the gameplay and sensors.

Read the detailed description

In recent years, integrating digital and mobile technologies in health and education has opened new possibilities for monitoring and assessment. This study will build on these advancements by implementing artificial intelligence (AI) and machine learning models that offer real-time decision-making and personalized feedback. By automating critical aspects of the diagnostic process, this system will help bridge the gap between traditional clinical expertise and cutting-edge technology, ultimately enhancing early intervention efforts.

The SmartSpeech study will be a clinical trial designed to create and validate an automated decision-making system to enhance the screening and early detection of developmental speech and language difficulties in young children. This study will target typically and non-typically (neurodevelopmentally atypical) developing children, primarily focusing on preschool and elementary school-aged participants. The system will employ intelligent computing models, biometric sensors, and early diagnostic indicators of speech and language deficiencies to provide clinicians with a robust tool for identifying potential developmental issues.

Two primary research questions drive the trial:

  1. Do differences exist between typically developing and neurodevelopmentally atypical children when engaging with the serious game used in the study?
  2. If such differences are identified, can the collected data be utilized to train an automated decision-making system that accurately distinguishes between typically and neurodevelopmentally atypical children based on speech and language deficiencies?

To assess speech and language developmental skills and their manifestations, the interdisciplinary team will design a serious game (SG) based on theories that measure speech and language and psychomotor, cognitive, psychoemotional, and hearing skills. Each domain will assess the performance of specific tasks within the SG activities for the participant.

To address the questions of this study, data from typically developing children will be compared with data from non-typically developing children, analyzing whether the AI system can synthesize multiple data points across assessment domains to generate a comprehensive diagnostic profile.

Participants will be recruited through an open call distributed via private and public health and educational establishments across Greece. The recruitment process will focus on parents of typically and non-typically developing children aged 4 to 12. Parents will be invited to attend informational meetings where the objectives, procedures, and ethical guidelines of the study will be thoroughly explained.

During these sessions, parents will receive comprehensive information about the purpose of the study, including the specific role of the serious game developed in the study. The nature of the game, the expected involvement of their children, and the data collection methods will be discussed in detail to ensure transparency. Parents will be asked to provide informed written consent for their children to participate in full compliance with the General Data Protection Regulation and ethical considerations. These steps are essential to ensure that the rights and privacy of the participants will be protected throughout the study. Parents will also provide their child's developmental history in an online questionnaire embedded in the system.

The study will include typically developing preschool and school-aged children and non-typically developing children. It will not include children with other medical conditions or on medications that could potentially influence the results.

After an informative meeting and written consent from parents, participants will wear a smartwatch and engage in a serious game (designed and developed by the research team). Children will play the SG under the direct supervision of clinicians. This game will be designed to assess various developmental domains, including speech, language, psychomotor skills, cognitive function, psychoemotional behavior, and hearing abilities. The game will capture speech and language data through gameplay interactions alongside sensor data from the wearable device and the tablet camera (eye tracking and heart rate variability).

This game-based approach will naturally and engagingly collect diverse data points, ensuring a comprehensive evaluation of the child\'s speech and language abilities.

The system will form its datasets for analysis to detect speech and language development, feeding data into the selected artificial intelligence algorithms. The study will measure communication, psychomotor, cognitive, and psychoemotional skills through designed activities. The responses during gameplay will be evaluated, creating the developmental profile of the participant.

This structured and ethical recruitment process will ensure complete adherence to data protection and ethical standards while maintaining active engagement from both parents and children. By incorporating face-to-face supervision and real-time monitoring during gameplay, the study will guarantee the quality and integrity of the data collected for analysis.

The SG, paired with sensors from the smartwatch, will collect real-time data, including:

  • Game responses
  • Speech responses
  • Gaze data from the tablet camera
  • Heart Rate Variability (captured through the smartwatch)

This multi-modal data will be processed using neural network/machine learning algorithms to classify speech and language abilities across different developmental stages. The use of these advanced AI models will enable the system to:

  • Identify patterns of speech/language deficiencies.
  • Differentiate between typically and non-typically developed children.
  • Create individualized diagnostic profiles for each participant.

Finally, an evaluation and verification of the intelligent system will be performed.

Being tested
TD Playing the Serious Game APSOU, Non-TD Playing Serious Game
Keywords
screening, developmental speech and language disorders, speech disorder, language disorder, developmental disorder, developmental deficiencies, neurodevelopmental disorder, Early Diagnostic Speech and Language Deficiencies Indicators, Machine Learning, Neural Networks, Serious Game, Child Communication, neurodevelopmental screening
Medical subject headings
Language Development Disorders, Articulation Disorders, Speech Disorders, Neurodevelopmental Disorders, Disease, Language Disorders, Developmental Disabilities

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TD Playing the Serious Game APSOUDiagnostic test

    After parents participate in informative meetings, they proceed with written consent, SmartSpeech enrollment, and child developmental history. Then, the child may interact with the Serious Game. Typically developed (TD) children engage under the clinician's face-to-face supervision with the serious game APSOU, which assesses developmental domains, including speech, language, psychomotor, cognitive, psychoemotional, and hearing abilities. The average time for TD children to play the whole game is estimated to be 45 minutes.

  • Non-TD Playing Serious GameDiagnostic test

    After parents participate in informative meetings, they proceed with written consent, SmartSpeech enrollment, and child developmental history. Then the child may interact with the serious game. Non-typically developed (non-TD) children engage under the clinician's face-to-face supervision with the serious game Apsou, which assesses developmental domains, including speech, language, psychomotor, cognitive, psychoemotional, and hearing abilities. The average time for non-TD children to play the whole game is estimated to be over an hour.

Study groups in NCT06633874
Study groupRoleWhat they receive
Typically Developed Children PLAYING SERIOUS GAMEExperimentalThe arm describes the data collection process to design an intelligent system that contributes to implementing new innovative tools to assist clinicians and/or other professionals in the complicated screening and diagnostic procedures for communication deficiencies in children. The main objective of this arm is to feed data from collected responses of TD children to the backend of the SmartSpeech system. The data we collect are Game responses, Speech responses, Gaze data from the tablet camera, and Heart Rate Variability (captured through the smartwatch). The backend system will use the data for training, evaluating, and validating the intelligence system.
Receives: Diagnostic Test: TD Playing the Serious Game APSOU
Non-Typically Developed Children PLAYING SERIOUS GAMEActive comparatorThe arm describes the data collection process to design an intelligent system that contributes to implementing new innovative tools to assist clinicians and/or other professionals in the complicated screening and diagnostic procedures for communication deficiencies in children. The main objective of this arm is to feed data from collected responses of Non-TD children to the backend of the SmartSpeech system. The data we collect are Game responses, Speech responses, Gaze data from the tablet camera, and Heart Rate Variability (captured through the smartwatch). The backend system will use the data for training, evaluating, and validating the intelligence system.
Receives: Diagnostic Test: Non-TD Playing Serious Game

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Speech and language for TD children

    Score on Serious Game responses in Speech and language activities (0 - 100) by TD children

    Measured: 10-20 minutes

  2. Psychomotor for TD children

    Score on Serious Game responses in Psychomotor activities (0 - 100) by TD children

    Measured: 10-20 minutes

  3. Cognitive for TD children

    Score on Serious Game responses in Cognitive activities (0 - 100) by TD children

    Measured: 10-20 minutes

  4. Psychoemotional for TD children

    Score on Serious Game responses in Psychoemotional activities (0 - 100) by TD children

    Measured: 10-20 minutes

  5. Hearing for TD children

    Score on Serious Game responses in Hearing activities (0 - 100) by TD children

    Measured: 10-20 minutes

  6. Eye-tracking fixation duration for TD children

    Fixation Duration is the time the gaze stays on a single point in milliseconds (during specific activities in the Serious Game)

    Measured: 1-10 minutes

  7. Eye-tracking trajectory path for TD children

    Trajectory Path is the overall movement path of the gaze in millimeters on screen (during specific activities in the Serious Game)

    Measured: 1-10 minutes

  8. Heart rate variability for TD children

    Heart rate variability during the game that is calculated by HRV=(HRe-HRs)/HRs, HRs: Heart Rate at the start of the measurement, HRe: Heart Rate at the end of the measurement. The duration between start - end of each activity measurement is a few seconds

    Measured: 1-10 minutes

  9. Speech and language for non-TD children

    Score on Serious Game responses in Speech and language activities (0 - 100) by non-TD children

    Measured: 10-20 minutes

  10. Psychomotor for non-TD children

    Score on Serious Game responses in Psychomotor activities (0 - 100) by non-TD children

    Measured: 10-20 minutes

  11. Cognitive for non-TD children

    Score on Serious Game responses in Cognitive activities (0 - 100) by non-TD children

    Measured: 10-20 minutes

  12. Psychoemotional for non-TD children

    Score on Serious Game responses in Psychoemotional activities (0 - 100) by non-TD children

    Measured: 10-20 minutes

  13. Hearing for non-TD children

    Score on Serious Game responses in Hearing activities (0 - 100) by non-TD children

    Measured: 10-20 minutes

  14. Eye-tracking fixation duration for non-TD children

    Fixation Duration is the time the gaze stays on a single point in milliseconds (during specific activities in the Serious Game)

    Measured: 1-10 minutes

  15. Eye-tracking trajectory path for non-TD children

    Trajectory Path is the overall movement path of the gaze in millimeters on screen (during specific activities in the Serious Game)

    Measured: 1-10 minutes

  16. Heart rate variability for non-TD children

    Heart rate variability during the game that is calculated by HRV=(HRe-HRs)/HRs, HRs: Heart Rate at the start of the measurement, HRe: Heart Rate at the end of the measurement. The duration between start - end of each activity measurement is a few seconds

    Measured: 1-10 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Oct 2024
  2. Study start29 Mar 2021
  3. Primary completion30 Jun 2023
  4. Study completion25 Nov 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Screening
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
520 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06633874
Sponsor's protocol ID
HP1AB-28185 (MIS: 5033088)
Other IDs
18435/15.05.2020
Acronym
SmartSpeech
Status last verified
Oct 2024
First submitted
26 Sep 2024
Last updated
15 Oct 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The participants of this study did not give written consent for their data to be shared publicly, so due to privacy restrictions and the sensitive nature of this research data sharing is not applicable

Publications

  • Toki EI, Zakopoulou V, Tatsis G, Pange J. Automated Detection of Neurodevelopmental Disorders Using Face-to-Face Mobile Technology Among Typically Developing Greek Children: Randomized Controlled Trial. JMIR Form Res. 2024 Oct 11;8:e53465. doi: 10.2196/53465.

    PubMed 39393054

Questions about this trial

What is this clinical trial studying?

A study testing TD Playing the Serious Game APSOU and Non-TD Playing Serious Game in people with Developmental Language Disorders and Developmental Articulation Disorder, run by University of Ioannina at 1 site in Greece.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Greece. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Speech and language for TD children (time frame: 10-20 minutes). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06633874, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2024.

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