HOW WEARABLE COMPUTING CAN HELP YOUNG CHILDREN WITH ADHD TO LEARN Camila Gernhardt Nakamura Design & Technology, Parsons 6 E. 16th St., 12th floor, New York, NY 10011 gernc653@newschool.edu ABSTRACT New technologies can enable children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and teachers to contour the disorder and make it possible to create a healthy environment to end the struggle that is to learn in the present educational methods. This paper presents a discussion about the disease itself, the learning methods and the emerging possibilities of devices that can cope with these children allowing them to learn in an interesting and productive way. KEYWORDS wearable computing ; children; ADHD; learning; focus; INTRODUCTION Attention Deficit Hyperactivity Disorder (ADHD) is defined as a chronic behavior disorder by medicine and one of the most common childhood disorder. This disorder can affect children significantly especially when it comes to their performance at school because those children have difficulty staying focused on specific matters and paying attention and can cause problems to other peers with their difficulty controlling their behavior and due hyperactivity. [1] The problem with ADHD is that usually is diagnosed late or sometimes the person will go through a lifetime without knowing they have this deficit. They struggle with simple Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. March 16, 2015, New York, New York, USA Copyright 2015 Camila Gernhardt Nakamura tasks such as reading a small text but at the same time can focus for hours in a subject that caught their attention. It is a cognitive medical condition but these children should not be taken as wrong but different. [2] Once understood it is possible to affirm that ADHD is open to innovation. Technological interventions can change how these children behave and how they relate to the subjects they are exposed to in the classroom. In this paper will explore the design space to develop wearable technologies in two different fields, emotional and didactic ways, to cope with young children in order to make it possible for them to deal with the symptoms ADHD presents and have a successful learning life. In this case it is extremely important to understand not only the singularities of these disorder but also in the current model of education analyze the learning curve of a regular child and oppose to a child that suffers with ADHD. Also, once it is being suggested the use of technology as support on the daily lives of children it becomes essential to discuss how technology can influence in their development. CHILDREN, MODERN WORLD, LEARNING AND TECHNOLOGY Times have changed and so did the kind of stimuli available for children in the daily basis. Children are growing up with access to information through various types of media. They are bright and have their own way of understanding the world. Regarding to learning it is necessary to observe the child in a way to realize that there is no single pattern of development and so there is not an ideal child. There are different contexts, different cultures and different possibilities, creating different childhoods for each one of them. Every child is unique. [3] Still it is essential to find the specific needs of each child in the group and this only makes it possible to while the caregiver observe and listen to what the they have to say. Adriana Friedmann points out the importance of records in these case studies so that they can be processed later, out of context and even with a new point of view. During his speech, Friedmann explains some considerations when applying activities and in the process of learning in early childhood, whereas, as said before, children are under the influence of many media and for this reason are constantly changing. [4] We live in a society where even though we know importance learning we still spent less time, effort and money than we should to encourage this children to be good citizens and to have a brighter future. We are teaching most of them in an outdated form making them feel bored and discouraged. We are putting brand new technology in their hands before they can even talk. We are trying to make them quiet and not listening to what they have to say. Seeing the importance that technology has in our society and in how we are developing to be the human becoming that Clive Dilnot mentions [5]. Accordingly to him we have to use the artificial as a world of possibilities where we can cope with it and build a better future. However lately we are bringing the technology to a pedestal and letting it take over our lives forgetting that in fact it is built to be most likely extensions and not substitutes of our own skills. These facts should be our biggest concern regarding to our children because a proper development during childhood is essential for the adult they will become. Thus the learning is a continuous process which will bring consequences in the life of every individual and it is not only what is taught at school. Therefore, access to the right activities that provide good incentives for children is essential for achieving the proper results. In the documentary “The importance of play”, Sue Palmer explains how with the more stimulation the child receives those early years - especially through songs and stories - more chances they have to become balanced citizens, responsible and productive. With that is essential to comprehend that the development of the intellectual is completely related to the motor development in a child [3]. The world we live in today is constantly changing and due to accelerated development is full of new technologies. So much that when it comes to discuss how technology have a role in our lives we realize that every change is seen as life savers for some and as life threatening to others. The truth is it can be either way depending on how people act in the presence of change. Especially regarding its influence on children development things can get even more difficult it is then that begin to appear different types of opinions on the subject by the media, educators and even parents. Plowman and McPake (2013)[6] analyzed some of these myths closely following the development of children aged 3 and 4 years in the presence of technologies like computers, mobile phones and tablets. They got into a conclusion that can in fact help the development of a child helping their social skills and fueling their creativity. Thus we arrive at the result that technology can cover four main areas of learning extending knowledge, helping to develop the operational learning when the child understand how to use the products, showing disposition to learn when they gain self-confidence and self-esteem for succeeding and at least helping to fulfil everyday tasks. From these facts we can most certainly agree that technology is not a villain in childrens lives; on the contrary it can be quite aggrandizing. But it is extremely important to realize that the use of technology by itself is not, in any way, guarantee learning success. It is necessary that the material, applications and selected programs provide challenges besides just fun for them. Considering all the above, the design possibilities and liabilities are countless from developing toys, apps or better tools for teaching in school. Still most certainly user-centered design is the method to be applied to assist in development of a child, because that seeks to understand interests and needs so that design extremely functional objects and is essential that good design is present so that a person can handle it without instructions. Besides knowing the user, it is necessary to design for the misuse, thinking beforehand that sometimes the product will not be used the way it was designed. WHAT IS ADHD? ADHD affects over 18 million people in the country. From the years of 2003 until 2011 there was a 41% increase of children diagnosed with ADHD and it has been increasing since then [7]. People with ADHD have trouble paying attention, are hyperactive and frequently impulsive acting before thinking. The diagnose is more common in children during the first years of school, from 6 to 12 years old, once these symptoms can also describe any regular toddler making diagnosis difficult. This illness is frequently connected to abnormalities of the transmission of dopamine in the brain. “Dopamine is a crucial chemical for concentration or sustained attention, working memory and motivational processes in the brain and acting as a chemical transmitter between brain cells by combining with specialised receptors on nerve cells.” [8] Accordingly to Richard Friedman for the New York Times ADHD can be viewed not as a disease but as a set of behavioral traits that don’t match the expectations of our contemporary culture. That because once the patients understands themselves it becomes possible to create situations such as environments and interests that make them able to not only work properly but usually even better than someone without the disorder. [9] With a similar opinion from another perspective, Michael Ruff, M.D, a clinical associate professor of pediatrics at Indiana University, believes that the modern way of life has a great impact on the brain because children develop from early ages immersed in the information overload and get accustomed to rapid tempo that does not adjust well to the slow pace of a classroom. They have this sense of urgency and unrest having a disorder created by the modern world and its technologies. [10] On the other hand, trying to perceive the disorder from the eyes of a patient or from a close relative can be clarifying in many levels. For an example, Stephen Tonti, a major at Carnigie Mellon explain that ADHD people have difficulty in completing tasks that do not excite them at the same time they can have hyper focus on things that does excite them taking them from the underachiever label to the overachiever. From his view it is also important to understand that this so called disease does not need fixing and there is not possible to cure it because it is a difference in the cognition people have, their attention is different. Because of that it is extremely important to allow ADHD diagnosed people the freedom to express themselves by any method they feel comfortable in. We should let children to teach themselves. [11] Rebecca Hession, wife and mother of ADHD diagnosed people, points out on how these individuals are simply different from others. These children do not fit in the industrial age factory model of education where everything is generalist and children are teached as all having the same abilities when sometimes they just don’t match the criteria utilized in this process. Thereupon children struggle with school life and frequently feel discouraged. In numbers, 20% of these children will grow up and repeatedly skip school; others 35% will drop out; 30% will repeat a subject or the year and 20% are expelled. This because children with attention disorder without the proper care will make a teacher job more difficult and this education system does not match the need of the children that can be extremely interested, even obsessed, to some kind of topics and completely demotivated by others. [2] HOW WEARABLE COMPUTING CAN HELP The evolution of the computer science towards the body is eminent. The intention is to empower the body with an extension of its intellect and its senses aiming for a possible flawless version of ourselves [12]. To be able to achieve that with ADHD children it is possible to take two different directions that most likely would complement each other: the emotional aspect understanding what the children is feeling during classes, lectures and exposed to certain subjects and the didactic aspect that is basically create a new dynamic to teach children making it possible for them to identify themselves with the content. Emotional The next step to this achievement is understanding not only the physiological signals of our bodies but using it to analyze, map and understand our emotional responses. Our bodies are the primary interface to the world. Is how we are able to communicate with others and to the world. There is no denying that the evolution of the technologies is culminating to be held on the body and to gather each time more personal data. Lately the goal is to give computers ability to pay attention to how the user feels and use that information to adapt itself to what the users needs. Thereat what can be called affective wearables overlap with medical wearables at the time where both may need sensors to gather data as to anxiety or distress [13]. “Recent findings on emotions have shown that the mechanisms associated with emotions are not only tightly intertwined neurologically with the mechanisms responsible for cognition, but that they also play a central role in decision making, problem solving, communicating, negotiating, and adapting to unpredictable environments. Emotions are now therefore considered as organizing and energizing processes, serving important adaptive functions.” [14] Because of that measuring and understanding emotions can be extremely useful in the daily basis not only in the health care service but also for education, helping a child to stay focused and motivated sensing their attention; saving real time data by its affective qualities, that can help teachers to understand the learning curve and attention of a student; or even to deal with mood swings, helping a person to calm down, cheer up or focus through music or visuals. One example of these kind of wearable computing is from XOX - emotional technologies. Xox is an integrated system that involves a server, a cloud and a sensory wristband with a number of biometric sensors. The system is aimed for show designers and producers allowing them to access the audience intimate data that is processed in real time that shines RGB lights accordingly to the mapped data and is also transmitted to the server so it can be analyzed posteriorly. [15] However a modified version of the same wristband (probably without the visual feedback so it does not steal the focus of the child with bright lights) could be used to monitor first grade students during the year to pinpoint those who have certain difficulty in different topics and subjects providing the teacher with a rich data sheet with the evolution of each student in the classroom. FIGURE 01 - XOX WRISTBAND THAT READS PHYSIOLOGICAL DATA the idea of the “one size fits all” and allowing the children to learn on their own pace. Allowing them to work in class, having the teacher available and discussing topics with their peers is humanizing the experience while now they actually have time to interact with each other. At the same time with this system it is possible to record data of how the students are dealing with the subjects, how many times they are watching and pausing, arming the teachers with as much data as possible in a way they can analyze diagnose what’s wrong with the students so they can make their interaction as productive as possible. [18] These ideas can be executed through different types of learning dashboards and even through wearable technology that allows children to simulate certain kinds of nature behaviors and learn subjects acting on it. CONCLUSION Given the strong connection between affect and cognitions allied to the increasing development of technologies the desire and possibility to enable our wearables with affective qualities is extremely desirable. Understanding in a deeper level the effects of emotions in the during the process of learning will empower parents and teachers to better deal with children with ADHD allowing them to achieve goals of being more focused and productive having effective learning. Didactic As said before, times have changes. The methods used before in that so called industrial age of education it is no longer effective. The results of these methods can be compared to the reptilian brain that simply shuts down when it feels threaten. Examinations and rigid authorities inside a classroom does that to children in general let alone to those with ADHD. Encouragement seems to be the key for learning. We need to understand the child. We need to make learning a pleasure environmental to bring back their confidence and imagination. [16] Sugata Mitra have the opinion that we should treat learning as a product of a self. Letting the educational process to selforganize and with that learning will emerge. The idea is to let the process happen and not make it happen. The teacher will only set the process in motion, creating the sparkle for the students and let them resolve. It is all about making education sexy and interesting. Salman Khan believes that is possible to use technology to do exactly the opposite of many people thinks it does: rehumanize. Using videos and other media viewed at home replacing the one side lectures in class it is about changing At this point is possible to affirm that children struggling with ADHD needs special attention. They are often seen as underachievers when actually they have extremely difficulty in focusing in tasks that may seem ordinary to many. It is essential that every child be seen as an unique creature with different needs and capabilities. For that a change in the educational system is more than urgent. The adoption of computing technology developed focusing the user centered design would benefit not only those with ADHD but every child in school once this flow of information can be given in a more interesting, interactive way with a distinct pace. Not least important it is indispensable that teachers act as mentors in a way children can be comfortable and leveled with them to reach for help. REFERENCES 1. What is Attention Deficit Hyperactivity Disorder (ADHD, ADD). Accessed March 13, 2015. Online at http://www.nimh.nih.gov/health/topics/attention-deficithyperactivity-disorder-adhd/index.shtml 2. Hession, Rebecca. Not Wrong Just Different ADHD as Innovators. Accessed March 15, 2015. Online at https:// www.youtube.com/watch?v=60wX9jf5RPg 3. LBHounslow. The importance of play. 2010. Accessed March 14, 2015. Online at http://www.youtube.com/ watch?v=h_-1O_rBLPU 4. Secretaria de Assuntos estrategicos. Friedmann, Adriana. Como ocorre o desenvolvimento na primeira infancia?. 2011. 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