Individuals with autism spectrum disorder (ASD) are characterised as having impairments in social-emotional interaction and communication, alongside displaying repetitive behaviours and interests. Additionally, they can frequently experience difficulties in processing sensory information with particular prevalence in the auditory domain. Often triggered by everyday environmental sounds, auditory hypersensitivity can provoke self-regulatory fear responses such as crying and isolation from sounds. This paper presents SoundFields, an interactive virtual reality game designed to address this area by integrating exposure based therapy techniques into game mechanics and delivering target auditory stimuli to the player rendered via binaural based spatial audio. A pilot study was conducted with six participants diagnosed with ASD who displayed hypersensitivity to specific sounds to evaluate the use of SoundFields as a tool to reduce levels of anxiety associated with identified problematic sounds. During the course of the investigation participants played the game weekly over four weeks and all participants actively engaged with the virtual reality (VR) environment and enjoyed playing the game. Following this period, a comparison of pre- and post-study measurements showed a significant decrease in anxiety linked to target auditory stimuli. The study results therefore suggest that SoundFields could be an effective tool for helping individuals with autism manage auditory hypersensitivity.
Virtual Reality (VR) has been an active area of research in the development of interactive interventions for individuals with autism spectrum disorder (ASD) for over two decades. These immersive environments create a safe platform in which therapy can address the core symptoms associated with this condition. Recent advancements in spatial audio rendering techniques for VR now allow for the creation of realistic audio environments that accurately match their visual counterparts. However, reported auditory processing impairments associated with autism may affect how an individual interacts with their virtual therapy application. This study aims to investigate if these difficulties in processing audio information would directly impact how individuals with autism interact with a presented virtual spatial audio environment. Two experiments were conducted with participants diagnosed with ASD (n = 29) that compared: (1) behavioral reaction between spatialized and non-spatialized audio; and (2) the effect of background noise on participant interaction. Participants listening to binaural-based spatial audio showed higher spatial attention towards target auditory events. In addition, the amount of competing background audio was reported to influence spatial attention and interaction. These findings suggest that despite associated sensory processing difficulties, those with ASD can correctly decode the auditory cues simulated in current spatial audio rendering techniques.
Autism spectrum disorders are characterised through impaired development in social interaction, communication and repetitive behaviours and interests (American Psychiatric Association, 2013). The condition is heterogeneous, and despite these symptoms being commonly identified with ASD, the extent of these difficulties are unique to the individual (Lord, Cook, Leventhal, & Amaral, 2000). Commonly, children with autism can experience complications in tactile, visual and auditory processing, with over 96% of children with ASD experiencing hypersensitivities in multiple domains. Sensory processing dysfunction is not specifically limited to individuals on the autistic spectrum; however, it does appear to more prevalent within this population when compared to other developmental disabilities (Marco, Hinkley, Hill, & Nagarajan, 2011;Pfeiffer, Koenig, Kinnealey, Sheppard, & Henderson, 2011). Sound sensitivity is an especially poignant and common issue for those with ASD. Research conducted by Greenspan and Wieder in 2000 found that all 200 participants with ASD displayed evidence of auditory processing impairments (Greenspan & Wieder, 1997). These receptive abnormalities can provoke atypical self-regulatory behaviours which may be observed as aggressive or autonomic fear responses such as covering ears, crying and self injury from blows to the ears (Stiegler & Davis, 2010). Unfortunately these profound aversions are reported to be provoked by common environmental sounds (Koegel, Openden, & Koegel, 2004). By avoiding challenging acoustic environments, children with ASD will experience increased isolation and further impairment in natural and social communications.
Previous studies have shown that autistic people often display atypical responses when processing sensory information, with particular prevalence within the auditory domain. Often provoked by common everyday sounds, auditory hypersensitivity can result in self-regulatory fear responses. This can be potentially harmful to autistic individuals and the people around them and is associated with greater occurrence of anxiety, depression, and poorer overall quality of life in the autistic population. Rather than a physiological causation, the literature suggests that hypersensitivity to sound is likely to be caused by how auditory stimuli are processed in the brain. This paper reports a home-based digital intervention aimed to address auditory hypersensitivity in autistic children. Developed as an interactive virtual reality game, the system integrates exposure-based therapy techniques into game mechanics and delivers target auditory stimuli to the player rendered via binaural-based spatial audio. The performance of the platform was evaluated in a 10-week feasibility study, during which children (n = 7) engaged weekly with the game during a 30 min session. Following this period, a comparison of pre- and post-study measurements showed a decrease in sensitivity for five participants, with qualitative feedback highlighting an increase in tolerance towards real-world stimuli and challenging environments. These results provide initial support for SoundFields as a home-based intervention targeting auditory hypersensitivity experienced by autistic children.
In this paper we present a complete acoustic survey of the British Broadcasting Corporation Maida Vale recording studios. The paper outlines a fast room acoustic measurement framework for capture of spatial impulse response measurements for use in three or six degrees of freedom Virtual Reality rendering. Binaural recordings from a KEMAR dummy head as well as higher order Ambisonic spatial room impulse response measurements taken using a higher order Ambisonic microphone are presented. An acoustic comparison of the studios is discussed, highlighting remarkable similarities across three of the recording spaces despite significant differences in geometry. Finally, a database of the measurements, housing the raw impulse response captures as well as processed spatial room impulse responses is presented.
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