Artificial intelligence (AI) has demonstrated significant potential in supporting pediatric speech therapy.However, no systematic review has examined the quality and expanding landscape of commercially available AI-enabled speech therapy mobile apps for children.We conducted a systematic review and analysis of 21 identified commercially available AI-enabled apps designed for speech-sound practice with children.Using 15 evaluation criteria consolidated and extended from prior HCI design guidelines for human-AI and child-AI interaction, our content and risk analysis revealed that existing apps have not yet leveraged the full potential of existing AI tools, and often fail to rigorously adhere to the best recommended practice.Incorporating feedback from the speech therapy community, we categorized our findings into four areas of ethical concern.To address these concerns, we propose actionable recommendations for app designers, families, and speech therapists to guide more ethical development and safe use of AI-enabled applications for pediatric speech therapy.

As artificial intelligence (AI) is playing an increasingly important role in our society and global economy, AI education and literacy have become necessary components in college and K-12 education to prepare students for an AI-powered society. However, current AI curricula have not yet been made accessible and engaging enough for students and schools from all socio-economic backgrounds with different educational goals. In this work, we developed an open-source learning module for college and high school students, which allows students to build their own robot companion from the ground up. This open platform can be used to provide hands-on experience and introductory knowledge about various aspects of AI, including robotics, machine learning (ML), software engineering, and mechanical engineering. Because of the social and personal nature of a socially assistive robot companion, this module also puts a special emphasis on human-centered AI, enabling students to develop a better understanding of human-AI interaction and AI ethics through hands-on learning activities. With open-source documentation, assembling manuals and affordable materials, students from different socio-economic backgrounds can personalize their learning experience based on their individual educational goals. To evaluate the student-perceived quality of our module, we conducted a usability testing workshop with 15 college students recruited from a minority-serving institution. Our results indicate that our AI module is effective, easy-to-follow, and engaging, and it increases student interest in studying AI/ML and robotics in the future. We hope that this work will contribute toward accessible and engaging AI education in human-AI interaction for college and high school students.

Mindfulness-based therapies have been shown to be effective in improving mental health, and technology-based methods have the potential to expand the accessibility of these therapies. To enable real-time personalized content generation for mindfulness practice in these methods, high-quality computer-synthesized text-to-speech (TTS) voices are needed to provide verbal guidance and respond to user performance and preferences. However, the user-perceived quality of state-of-the-art TTS voices has not yet been evaluated for administering mindfulness meditation, which requires emotional expressiveness. In addition, work has not yet been done to study the effect of physical embodiment and personalization on the user-perceived quality of TTS voices for mindfulness. To that end, we designed a two-phase human subject study. In Phase 1, an online Mechanical Turk between-subject study (N=471) evaluated 3 (feminine, masculine, child-like) state-of-the-art TTS voices with 2 (feminine, masculine) human therapists' voices in 3 different physical embodiment settings (no agent, conversational agent, socially assistive robot) with remote participants. Building on findings from Phase 1, in Phase 2, an in-person within-subject study (N=94), we used a novel framework we developed for personalizing TTS voices based on user preferences, and evaluated user-perceived quality compared to best-rated non-personalized voices from Phase 1. We found that the best-rated human voice was perceived better than all TTS voices; the emotional expressiveness and naturalness of TTS voices were poorly rated, while users were satisfied with the clarity of TTS voices. Surprisingly, by allowing users to fine-tune TTS voice features, the user-personalized TTS voices could perform almost as well as human voices, suggesting user personalization could be a simple and very effective tool to improve user-perceived quality of TTS voice.

Affect-aware socially assistive robotics (SAR) has shown great potential for augmenting interventions for children with autism spectrum disorders (ASD). However, current SAR cannot yet perceive the unique and diverse set of atypical cognitive-affective behaviors from children with ASD in an automatic and personalized fashion in long-term (multi-session) real-world interactions. To bridge this gap, this work designed and validated personalized models of arousal and valence for children with ASD using a multi-session in-home dataset of SAR interventions. By training machine learning (ML) algorithms with supervised domain adaptation (s-DA), the personalized models were able to tradeoff between the limited individual data and the more abundant less personal data pooled from other study participants. We evaluated the effects of personalization on a long-term multimodal dataset consisting of four children with ASD with a total of 19 sessions, and derived inter-rater reliability (IR) scores for binary arousal (IR = 83%) and valence (IR = 81%) labels between human annotators. Our results show that personalized Gradient Boosted Decision Trees (XGBoost) models with s-DA outperformed two non-personalized individualized and generic model baselines not only on the weighted average of all sessions, but also statistically ( p < .05) across individual sessions. This work paves the way for the development of personalized autonomous SAR systems tailored toward individuals with atypical cognitive-affective and socio-emotional needs.

Expressivity-the use of multiple modalities to convey internal state and intent of a robot-is critical for interaction. Yet, due to cost, safety, and other constraints, many robots lack high degrees of physical expressivity. This paper explores using mixed reality to enhance a robot with limited expressivity by adding virtual arms that extend the robot's expressiveness. The arms, capable of a range of non-physically-constrained gestures, were evaluated in a between-subject study (n =34) where participants engaged in a mixed reality mathematics task with a socially assistive robot. The study results indicate that the virtual arms added a higher degree of perceived emotion, helpfulness, and physical presence to the robot. Users who reported a higher perceived physical presence also found the robot to have a higher degree of social presence, ease of use, usefulness, and had a positive attitude toward using the robot with mixed reality. The results also demonstrate the users' ability to distinguish the virtual gestures' valence and intent.