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self-help assessment and training support system for

1. textBox3 Text HALF EMPTY pictureBox2 Visible false pictureBox3 Visible true ir1 BackColor Color Red ir2 BackColor Color Black else textBox3 Text empty pictureBox2 Visible false pictureBox3 Visible true ir1 BackColor Color Black ir2 BackColor Color Black UpdateGUI private void StopSerial if mySerial IsOpen mySerial Close mySerial null RxString eatingrb Enabled true private void ir1_Paint object sender PaintEventArgs e private void ir2_Paint object sender PaintEventArgs e if ir2 BackColor Color Green this StopSerial eatingrb Enabled true System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound cupfull wav sp Play 83 84 Report using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Linq using System Text using System Windows Forms using System Drawing Imaging namespace SelfHelpGUI public partial class reportform Form public reportform private void reportform_Load object sender EventArgs e InitializeComponent TODO This line of code loads data into the selfhelpdatabaseDataSet eatingassessment table You can move or remove it as needed this eatingassessmentT
2. 32 4 7 System Implementation The system implementation can be divided into two parts which are software implementation and hardware implementation 4 7 1 Software Implementation The software algorithm can be explained with the flow chart below Figure 4 4 indicates the main component that needed to be achieved in the support system Self help support system should be able to insert child data input before performing assessment on the child After assessment are finish trainer can see the report in report section and lastly perform training for the child to improve the self help skills Child data input Figure 4 4 Self help support system main component The figure 4 5 shows the detail flow chart for a functional self help support system Trainers start at the main page where they are needed to insert child the information If the child is already registered in the database the trainer can select the child data and display it to see its information and proceed to the assessment session If the child is a new patient then the trainer need to insert the child the child parents and 33 the trainer information in the form specified Next the trainer can start the assessment on the child based on the self help skills database provided After that trainer can view the child s progress in the report section based on the assessment evaluation The trainer can continue to perform training at the training session to improve t
3. Software programming Testing Optimization Presentation Thesis 20 CHAPTER 4 DESIGN AND IMPLEMENTATION 4 1 Introduction Self help is the ability to take care of everyday personal and social needs Before implementing the support system a list of self help skills is constructed This list is important for the assessment and training for the children with Down syndrome Through this list trainers or parents can evaluate the progress of the children by assessing their ability to perform as required in the list From the list constructed the skills are grouped in several sub groups namely eating dressing toileting and sleeping This grouping is essential for a better assessment method Moreover it is to ensure that parents and trainers will not have confusion when assessing the child development Table shows the list of the self help skills and table shows the sub group of the self help skills 26 4 2 System Configuration Figure 4 1 shows the configuration of the self help assessment and training support system The design provides a simple and effective method for self help assessment and training The interaction between the trainer and the child will act as the medium to the assessment and training evaluation at the computer A quantitative evaluation will be display as percentage in a chart f
4. TDname Text TDdate Value TDplace Text TDjob Text TDworkplace Text TDaddress Text TDhp Text cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show Data Saved Save MessageBoxButtons OK MessageBoxIcon Exclamation 70 private void delete _Click object sender EventArgs e OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText delete from trainerdata where ChildID childid3 Text 3 cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show Data delete successful Delete MessageBoxButtons OK MessageBoxIcon Exclamation Assessment using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Ling using System Text using System Windows Forms using System Data OleDb using System IO using System Xml using System IO Ports using System Threading namespace SelfHelpGUI public partial class toiletinglabel Form private int i1 private int i2 private int counter_yes private int counter_no private OleDbConnection database private static string portNum COM4 public toiletinglabel InitializeComponent RxString database new OleDbConnection Provider Microsoft ACE OL
5. 25 Holds and drinks from cup with some spilling Child holds and drinks from the cup with some spilling 26 Gives empty dish to adult Child finishes the foods and gives empty dish to the adults 2T Distinguishes between edible and inedible objects Child knows what can be eaten and cannot be eaten 28 Plays with food Child may play with the foods given 29 Scoops food feeds self with spoon with some spilling Child is able to scoop the food feed self with spoon with some spilling 30 Chews completely with rotary jaw movements Child chews completely with rotary jaw movements while eating 31 Handles bottle to adults Child handles the bottle to adult independently 32 May have definite food preferences Child shows self preference on the food 33 Unwraps food Child removes the wrapper of the food and eats the food 34 Pours liquid from small container Child pours liquid from a small container independently 35 Uses fork Child is able to use fork to eat and knows how to use it 36 Uses napkin Child is able to use napkin after eating and knows how to use it 37 Serves self at table with little spilling Child serves self at the table during eating independently with little spilling 38 Shows interest in setting table Child may show interest in the setting of the table 39 Cooperates with dressing by coordinating arm or leg Child vol
6. lt WELCOME TO SELF HELP ASSESSMENT AND TRAINING SUPPORT SYSTEM FOR DOWN SYNDROM CHILDREN lt gt _ eee 8 2 Once START button is clicked patient data form window will display Fill all three forms child data input parents data input and trainer data input by clicking the respective button 101 Please fill in the details required amp in all of the three forms below 3 oth I EJ CHILD DATA INPUT D W PE wo 8 X 2 g g lt i Wy Coy Pos q y gt 0 se 1 2 Registration Clicking child data input parents data input and trainer data input buttons respectively will display different forms Fill in all the details required The forms are displayed as follow 1 If the child is not registered with an ID user can assign a new ID to the child by key in the ID at the ID field Fill all the child data on the required field and click SAVE to save the information 2 If the child is already registered with an ID user can click the drop down button at the ID field to select the child s ID The information will be displayed upon clicking the child s ID 3 User can also display the child information by selecting the child s full name at the Fullname field 4 User can delete the existing child data by selecting the child ID or Fullname to display the selected child information and click DELETE button 102 5 To change the exis
7. 3 1 3 2 4 1 4 2 5 1 5 2 5 3 5 4 5 5 5 6 LIST OF TABLES TITLE An overview of developmental progress for typically developing children from birth to five years Achieving independence in self help skills Milestones for personal social self help Feeding dressing grooming and toileting skills development of a child Gantt chart for FYP1 Gantt chart for FY P2 List of self help skills Self help skills subgroup for sleeping Self help assessment and training support system Layout Functional testing results Performance testing results Safety testing results User acceptance testing test result User data management PAGE 10 11 12 15 19 20 30 31 43 47 48 50 51 53 xiii FIGURE NO 3 1 3 2 4 1 4 2 4 3 4 4 4 5 4 6 4 7 4 8 4 9 4 10 4 11 4 12 4 13 5 1 52 5 3 5 4 LIST OF FIGURES TITLE Block diagram of the system Work flow of the project Self help system configuration Computer based processing unit Water level detection Self help support system main component Self help support system flow chart GUI application source code GUI application for assessment Hardware algorithm Water level detection Circuit diagram System configurations for water level detection Assessment layout for the activity pours the liquid to the cup Condition of the cup when half full and full Main page of the self help assessment and training support system Patient data input t
8. false dressinglabel Visible false toiletinglabel1 Visible true sleepinglabel Visible false dressingdescription Visible false toiletingdescription Visible true sleepingdescription Visible false this assessmentdataBindingSource MoveFirst for reading private static SerialPort mySerial private String RxString private String Reserve public void ConnectSerial if mySerial null 81 mySerial new SerialPort portNum 115200 Parity None 8 StopBits One mySerial DataReceived new SerialDataReceivedEventHandler this ReadSerial if mySerial IsOpen mySerial Open public void ReadSerial object sender System IO Ports SerialDataReceivedEventArgs e try while true byte mybyte new byte 1024 82 int intbyte mySerial Read mybyte 1024 if intbyte break int x for int i i lt intbyte i x Convert ToInt32 mybyte i if x 170 Reserve x ToString if 105 lt x amp amp x lt 122 Reserve x ToString 3 5 if 123 lt x amp amp x lt 143 Reserve x ToString 3 5 if x 187 Reserve x ToString this Invoke new EventHandler SerialDataCheck catch Exception ex 3 private void SerialDataCheck object sender EventArgs e textBox2 AppendText String Format 0 r n Reserve String xsplit Reserve Split textBox4 Text xsplit 2 if xsplit 2 Equ
9. Visible false dressingactivity Visible false toiletingdescription Visible true toiletingactivity Visible true sleepingdescription Visible false sleepingactivity Visible false this toiletingassessmentBindingSource MoveFirst 89 e private void dressingrb_CheckedChanged object sender EventArgs e trainingwelcome Visible false trainingback Visible true trainingnext Visible true eatinglabel Visible false dressinglabel Visible true toiletinglabel1 Visible false sleepinglabel Visible false eatingdescription Visible false eatingactivity Visible false dressingdescription Visible true dressingactivity Visible true toiletingdescription Visible false toiletingactivity Visible false sleepingdescription Visible false sleepingactivity Visible false this dressingassessmentBindingSource MoveFirst private void eatingactivity_TextChanged object sender EventArgs e APPENDIX B Self Help Assessment and Training Support System User Manual Self Help Assessment and Training Support System User Manual TITLE Product Overview Term of Service Privacy Policy Installation Getting Started FAQ TABLE OF CONTENT PAGE 10 11 20 92 Product Overview The Self Help Assessment and Training Support System consist of 2 parts a Computer with monitor b Water level detection 93 94 Self Help Assessment and Training Support System
10. You can move or remove it as needed this childdataTableAdapter Fill this selfhelpdatabaseDataSet childdata System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound patientdatainput wav sp PlayLooping sp Play Child Data Input using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Ling using System Text using System Windows Forms using System Data OleDb namespace SelfHelpGUI public partial class childdataform Form private OleDbConnection database public childdataform InitializeComponent database new OleDbConnection Provider Microsoft ACE OLEDB 12 0 Data Source C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI selfhelpdatabase accdb private void childdataform_Load object sender EventArgs e TODO This line of code loads data into the selfhelpdatabaseDataSet childdata table You can move or remove it as needed this childdataTableAdapter Fill this selfhelpdatabaseDataSet childdata 66 67 private void CDsave_Click object sender EventArgs e OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText INSERT into childdata Fullname Nickname Gender Birthdat Birthplace PrimaryLanguage Hand Weight BP T
11. hardware is to aid the trainers in evaluation when undergoing the self help assessment on the child 24 3 4 Work flow Figure 3 2 shows the work flow of this project Problem Test result Final test identification analysis Literature Testing amp Program study implementation optimization Algorithm Program design development Figure 3 2 Work flow of the project The overall progress in this project is summarized in figure 3 2 Firstly problem is identified followed by literature study on related field through relevant sources such as journals books articles as well as conference papers Then an algorithm is designed and the software program is developed After that test is undergone and continued with result analysis A final test will be performed for its functionality Finally system optimization will be conducted to improve the system and ended with a report 3 2 Gantt chart Table below shows the gantt chart for this project Table 3 1 Gantt chart for FYP1 1 2 3 4 5 64 7 8 9 10 11 12 13 14 Task Problem Formulation Methodology Literature Review Algorithm Circuit design Learning software Experiment Measurement Test Preliminary Results Presentation Report Table 3 2 Gantt chart for FYP2 Task Hardware implementation
12. help Has daytime toilet control Learns to undo fasteners such as snaps and laces Distinguishes between the front and back of clothes Zips front opening clothes Still needs adult help with dressing Buttons large buttons Puts on socks may need help with heel placement Zips and unzips jackets but needs help with starting Puts shoes on may have trouble telling which feet 4 years Puts on socks with heel placement 16 Puts on shoes with some adult help Buckles shoes and belts 5 years Put shirts on correctly Puts belt in loops Unties a tie on an apron Some can put shoes on correct feet and tie laces 2 6 C programming language C pronounce as C sharp is a programming language designed for building a wide range of application that run on the NET framework MSDN website 8 It is highly expressive but simple and easy to learn C is attended to be simple modern general purpose object oriented program language 23 The syntax of C is easy recognisable by those who familiar with C C and JAVA C syntax simplifies many of the complexities of C and provides powerful features such as nullable value types enumerations delegates lamda expressions and direct memory access which are not found in JAVA 13 Originally language C is widely used C came about to add object orientation to language C and become the language of building real applications for Windows and used for writing
13. i2 total 100 float deg22 5 int Math Round deg2 5 15 eatingfrequency Text deg22 ToString cmd CommandText update eatingassessment set frequency where Activity eatingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show You have finish the assessment You can check the result at the Report section Well Done MessageBoxButtons OK MessageBoxIcon Exclamation assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true private void assessmentno_Click object sender EventArgs e sleepingyesorno Text pictureBox2 Visible pictureBox3 Visible ir1 Visible false ir2 Visible false i2 counter_no i1 counter_yes false false if sleepingrb Checked sleepingyesorno Text No OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update assessmentdata set yesorno where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close this assessmentdataBindingSource MoveNext if il i2 gt 7 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float degi1 5 int Math Round degi 5 15 sleepingfrequency Text deg11 ToString 76 cmd CommandText upda
14. its Internet web site and is not responsible for the contents of any such linked site The inclusion of any link does not imply endorsement by SHATSS of the site Use of any such linked web site is at the user s own risk 1 7 Terms of Use SHATSS may revise these terms of use for its web site at any time without notice By using this web site you are agreeing to be bound by the then current version of these Terms and Conditions of Use 1 8 Governing Law Any claim relating to SHATSS shall be governed by the laws of the State of Malaysia without regard to its conflict of law provisions 98 Private Policy Your privacy is very important to us Accordingly we have developed this Policy in order for you to understand how we collect use communicate and disclose and make use of personal information The following outlines our privacy e Before or at the time of collecting personal information we will identify the purposes for which information is being collected e We will collect and use of personal information solely with the objective of fulfilling those purposes specified by us and for other compatible purposes unless we obtain the consent of the individual concerned or as required by law e We will only retain personal information as long as necessary for the fulfillment of those purposes e We will collect personal information by lawful and fair means and where appropriate with the knowledge or consent of the
15. motor skills dressing practical social There are several milestones that have been listed out for each of the self help skills These milestones have specific range of time that a child is usually able to master Table 2 2 Achieving independence 11 in self help skills 9 Meals Feeds self with biscuit 10 months range 6 14m Drinks from a cup 20 months range 12 30m Uses spoon and fork 20 months range 12 36m Can make a sandwich 50 at 11 20 years Can make a cup of tea coffee 46 at 11 20 years Can heat a can of beans 28 at 11 20 years Can use microwave 24 at 11 20 years Can lay and clear table 80 at 11 20 years Can eat in a restaurant 100 at 11 20 years Toileting Dry during the day 36 months range 18 50m Bowel control 36 months range 20 60m Dry at night 60 at 7 14 years Use toilet potty without help 4 to 5 years Fully continent day and night 98 at 11 20 years Washing personal care Washes unaided 60 Can brush hair 95 Does brush own hair 45 Can wash hair 34 Can run fill bath 50 Can cut toe and fingernails 9 Motor skills Walks alone 23 months range 13 48m Climbs descends stairs unaided 81 months range 60 96m Can ride a bike 35 at 11 20 years Can throw and catch a ball 98 a
16. on head Child is able to place the hat on his her head 5 Unzips zips large zipper Child is able to zip and unzip dress and pants 6 Removes shoes Child takes off shoes by himself herself 7 Unbuttons large buttons Child unbuttons large buttons independently 8 Pulls pants down with assistance Child pulls his her pants down with assistance over the hips 9 Pulls pants up with assistance Child pulls his her pants up with assistance over the hips 10 Puts shoes on with assistance Child puts shoes on his her feet with assistance 11 Undresses with assistance Child needs assistance during undressing himself herself 12 Dresses self with assistance Child dresses himself herself with assistance 13 Buttons large buttons Child buttons large round buttons P Hangs clothing on hook Child knows where to hang clothes Dresses with supervision requires assistance Child is able to dress with supervision and help is needed during 15 with fastenings fastening Child demonstrates determination and insists on doing things 16 Insists on doing things independently independently 116 Toileting No Action Description 1 Indicates discomfort over soiled pants Child shows discomfort over dirty pants with soil Sits on potty chair or on adaptive seat in toilet with assistance Child sits on potty chair or on adaptive seat in the toilet with assistance May go to toilet regulated by adult Child m
17. patientdatainputform Show This code identify a new specified window and open it if click 36 The source code is written to generate the GUI for the self help assessment and training support system The main GUI is the main page patient data assessment training and report display In patient data there are 3 other GUI which is child data parent s data and trainer s data Figure 4 6 below shows the actual workspace in Microsoft Visual Studio 2010 where the code is written Figure 4 7 shows the finish GUI after the code is correctly written sleepingyesorno Text Yes OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update assessmentdata set yesorno sleepingyesorno Text where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close this assessmentdataBindingSource MoveNext 5 if i1 42 gt 7 float total i1 i2 float degi i1 total 100 float deg2 i2 total 100 float deg11 5 int Math Round degi 5 15 sleepingfrequency Text degi1 ToString cmd CommandText update assessmentdata set frequency sleepingfrequency Text where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery 5 database Close if i1 i2 gt 8 float total il
18. stairs glass and strange animals 19 Knows proper place for own things Child knows the proper location to place for own things 117 20 Insists on doing things independently Child demonstrates determination and insists on doing things independently Sleeping No Action Description 1 Sleeps ten fifteen hours daily Child sleeps ten fifteen hours daily 2 May awake and cry from dreams Child may awake and cry from his her dreams 3 May refuse naps Child may refuse naps sometimes 4 Sleeps four ten hour intervally Child sleeps four ten hour with intervals at night Stays awake for long periods without crying at 5 night Child stays awake for long periods without crying at night 6 Naps frequently Child naps frequently in a day 7 Sleeps ten twelve hours with night awakening Child sleeps ten twelve hours with night awakening 8 Naps one four hours two three times each day Child naps one four hours two three times each day 9 Sleeps twelve to fourteen hours Child sleeps twelve to fourteen hours each day Naps one four hours once or twice each day Child naps one four hours once or twice each day child may 10 may refuse morning nap refuse napping in the morning 11 Sleeps ten twelve hours Child sleeps ten twelve hours a day 12 Naps one three hours once in afternoon Child naps around one three hours once in the afternoon 13 Delays sleeping by demand
19. that I we have read the contents of the thesis and to my our opinion the contents of the thesis have fulfilled the scope and quality as required to award the Bachelor s Degree of Engineering Electrical Medical Electronics Signature Y ddebequadesdetond indies cine a Name of Supervisor I En Abd Hamid Bin Ahmad Date 13 May 2011 Signature ee Sener a ee eee eee teeters Name of Supervisor II Assoc Prof Ir Dr Ing Eko Supriyanto Date 13 May 2011 SELF HELP ASSESSMENT AND TRAINING SUPPORT SYSTEM FOR SPECIAL CHILDREN MILTON WIDER Submitted to the Faculty of Electrical Engineering in partial fulfillment of the requirements for the award of the Bachelor of Engineering Electrical Medical Electronics Faculty of Electrical Engineering Universiti Teknologi Malaysia MAY 2011 I declare that this thesis entitle Self Help Assessment and Training Support System for Special Children is the result of my own research except as cited in the reference This thesis has not been accepted for any degree and is not concurrently submitted in candidature of any other degree Signature ES Oe tet eee ree eras Name MILTON WIDER Date 13 May 2011 Dedicated in thankful appreciation for support encouragement and understandings to my beloved family lecturers and friends vii ACKNOWLEDGEMENT First of all I would like to express my heartily gratitude to God for His grace wisdom knowledge intelligence s
20. the child s self help skill ability The report is shown as below 106 1 5 Training Training section is for user to improve the child s self help skill ability Click on the specified skills to perform the training on the child A list of instruction is displayed for training Follow the instruction to perform the training on the child SS Click Next button after the child successfully perform the activity User can always return back to the previous activity by clicking Back button 5 A message is display if the training is finish User can proceed for other skill training The training window is shown below ot s S Bepi Ping 3 Gently ask the child to repeat your steps 4 Remove socks and gently ask the child to repeat it his herself without demonstrate Taa BE 1 Give a pair of socks to the child i 2 Demonstrate how to put socks at your own 107 FAQ 1 1 How to begin To use SHATSS with an installer CD you should follow the instructions in the user manual to begin your child s children s ability assessment 1 2 What is the function of LATSS SHATSS is designed mainly to assess the self help skills ability of the children SHATSS can also be used as data management for children and information centre for parents or trainers 1 3 Who is are suitable to use to be used this tool This tool is designed to be used by the public especially for pare
21. voltage as power supply The objective is to test for its functionality for different voltage Adapter with adjustable voltage was used with adjustable value voltage of 3V 6V 9V and 12V The result shows that the hardware was functioning for all of the different voltage Through the functional testing it can be concluded that the self help assessment and training support system can function well in all of the specified test Since any changes on the database did not affect the functionality of the support system the user can update the database if needed according to the child s requirement for assessment and training The users do not have to be worried if there was no electricity to supply to the hardware because it can be operated by using portable battery The hardware was designed to have a 9V as the input for its optimum performance However different voltage also can be used for it to function A thorough functional testing can be done if needed for future improvement on its functionality 5 5 Performance Testing Performance testing was performed to test for the self help assessment and training support system performance The performance testing was done in two parts which are for the computer based processing unit or the software and the water level detection or hardware The performance testing results were shown below Table 5 6 Performance testing results Test Re
22. 9 Swallows strained or pureed foods Child swallows strained food which are fed to him her 10 Rooting reflex is inhibited Child is not able to perform rooting 11 Mouths and munches solid foods Child mouths and gums solid food N Bites and chews toys Child brings the toys to the mouth and bites them 13 Uses tongue during eating Child uses tongue during eating and before the foods are swallowed 14 Feeds self a cracker Child holds and feed self a cracker 15 Holds own bottle Child holds own bottles independently 16 Bites food voluntarily Child bites the foods voluntarily during eating 17 Drinks from cup held for him Child is able to drink from cup held for him correctly 18 Drools less except when teething Child drools less except when teething 19 Feeds self with fingers Child feeds himself herself using hands and fingers 20 Holds spoon Child is able to hold the spoon independently 21 Chews food with coordinated movements Child chews food with coordinated movements correctly 22 Brings spoon to mouth turns spoon over Child brings the spoon to his mouth and licks the foods left on the 109 spoon 23 Holds cup handle Child has better control of his her hands and can hold the cup with his her hands 24 May refuse foods appetite decreases When the appetite decreases the child may refuse to eat
23. AL SOCIAL SELF HELP ACTIVITY Children with Down Typically developing syndrome children Average age Range Average age Range Smiles when touched and talked to 2m 1 5 to 4m lm Im to 2m Smiles spontaneously 3m 2m to 6m 2m 1 5m to 5m Recognises mother father 3 5m 3m to 6m 2m lm to 5m Approaches image in mirror 6 5m 4m to 10m Takes solids well 8m 5m to 18m 7m 4m to 12m Feeds self with biscuit 10m 6m to 14m 5m 4m to 10m Plays pat a cake peep bo games lim 9m to 16m 8m 5m to 13m Holds up arms and legs when getting dressed and undressed an renee Drinks from a cup 20m 12m to 30m 12m 9m to 17m 13 Uses spoon or fork 20m 12m to 36m 13m 8m to 20m Urine control during the day 36m 18m to 50m 24m 14m to 36m Plays social interacting games i Bowel control 36m 20m to 60m 24m 16m to 48m Dresses self partially not buttons laces pe yeas Uses toilet or potty without help Weegee using a special step y 2 3 Early Intervention Program EIP Early intervention program is a systematic program of therapy exercise or activities designed to address the developmental delay of children with special needs 5 The purpose of early intervention is to lessen the effect the disability and delay Other than that it is to provide support for families in supporting their children s development to promote children s development in key domains such as mobi
24. Connection database database Open cmd ExecuteNonQuery database Close this eatingassessmentBindingSource MoveNext eatingdescription Text s if i1 i2 gt 32 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg11 5 int Math Round deg1 5 15 eatingfrequency Text deg11 ToString cmd CommandText update eatingassessment set frequency eatingfrequency Text where Activity eatingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close if il i2 gt 33 float total i1 i2 float degi i1 total 100 float deg2 i2 total 100 float deg22 eatingfrequency Text cmd CommandText eatingfrequency Text where Activity cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show You have finish the result at the Report section Well Done MessageBoxButtons OK MessageBoxIcon assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true eatingdescription Text S 79 5 int Math Round deg2 5 15 deg22 ToString update eatingassessment set frequency assessment You can check the Exclamation private void dressingrb_CheckedChanged_1 object sender EventArgs e pictureBox2 Visible pictureBox3 Visible ir1 Vis
25. DU na ff A HRW NY NY LITERATURE REVIEW 2 1 Down Syndrome 2 2 Self help Skills 2 3 Early Intervention Program EIP 2 4 Assessment 2 5 Self help Development 2 6 C Programming Language METHODOLOGY 3 1 Introduction 3 2 Gantt Chart 3 3 System Block Diagram 3 4 Work flow DESIGN AND IMPLEMENTATION 4 1 4 2 4 3 4 4 4 5 4 6 4 7 Introduction System Configuration System Specification Function of System Subsystem Explanation 4 5 1 Computer Based Processing Unit 4 5 2 Water Level Detection Based input Unit List of self help skills 4 6 1 Self help skills Subgroup System Implementation 4 7 1 Software Implementation 4 7 2 C Programming Language 4 7 3 Hardware Implementation 4 7 4 Hardware Development and Tools 10 13 14 14 16 18 18 19 22 24 25 25 26 26 27 28 28 29 30 31 32 32 33 37 37 xi RESULT AND ANALYSIS 5 1 5 2 5 3 5 4 5 5 5 6 5 7 5 8 Objective and Scope Self Help Assessment and Training Support System GUI Quantitative Measurement Functional Testing Performance Testing Safety Testing User acceptance testing User Data Management CONCLUSION AND RECOMMMENDATION 6 1 Conclusion 6 2 Novelty 6 3 Important result 6 4 Comparison with other methods 6 5 Limitation of solution 6 6 Recommendation REFERENCES APPENDICES 42 42 43 45 46 49 51 52 56 58 58 58 59 59 60 60 61 63 xii TABLE NO 2 1 252 a 2 4
26. EDB 12 0 Data Source C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI selfhelpdatabase accdb 71 private void assessmentform_Load object sender EventArgs e TODO This line of code loads data into the selfhelpdatabaseDataSet eatingassessment table You can move or remove it as needed this eatingassessmentTableAdapter Fill this selfhelpdatabaseDataSet eatingassessment TODO This line of code loads data into the selfhelpdatabaseDataSet dressingassessment table You can move or remove it as needed this dressingassessmentTableAdapter Fill this selfhelpdatabaseDataSet dressingassessment TODO This line of code loads data into the selfhelpdatabaseDataSet toiletingassessment table You can move or remove it as needed this toiletingassessmentTableAdapter Fill this selfhelpdatabaseDataSet toiletingassessmen t TODO This line of code loads data into the selfhelpdatabaseDataSet assessmentdata table You can move or remove it as needed this assessmentdataTableAdapter Fill this selfhelpdatabaseDataSet assessmentdata System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound assessment wav sp Play private void button2_Click object sender EventArgs e pictureBox2 Visible pictureBox3 Visible ir1 Visible false ir2 Visible false i2 counter_no
27. Feeding dressing grooming and toileting skills development of a child 22 Feeding skills Dressing grooming and toileting skills 8 months Gums solid foods Feeds self crackers Holds own bottle Drinks from cup held by adult 12 months Picks up small pieces of cereal to eat Holds cup and drinks with some spills 24 30 months Drinks from a small cup holding it with one hand Bites well through food Brings spoon to mouth with the palm facing up Can eat a meal using a spoon with minimal spilling 30 36 months Pours from a small cup Begins to use a fork to spear food Can spread with a dull butter knife 3 4 years Pokes food with a fork Begins using fork more than spoon Holds spoon in fingers with palm up Learns to cut soft foods with the edge of fork Learns how to prepare a bowl of dry cereal with milk Uses napkin Serves self at table with little spilling 15 24 months Learns to take off hat socks and shoes without laces Learns to unzip large zippers 24 30 months Can pull pants down with assistance Is beginning to unbutton large buttons Anticipates the need to use the toilet Can put shoes on with help Still needs help getting pullover shirts overhead and pants up over bottom 30 36 months Puts on items such as shoes socks pants shirts and jackets Pulls pants up Undresses and dresses with adult help Still needs help with tying 3 4 years Uses toilet with adult
28. Oleh itu sistem sokongan penilaian dan latihan terhadap keupayaan berdikari untuk kanak kanak istimewa telah dicipta Sistem sokongan ini mengadaptasikan kurikulum antarabangsa yang diiktirafkan sebagai activiti untuk penilaian serta latihan Pengiraan yang kuantitatif dilakukan pada setiap penilain dan dihasilkan melalui satu laporan sebagai rekod Proses ini dimulai dengan merekod maklumat kanak kanak ibu bapa serta penilai Kemudian penilain akan dilakukan Satu rekod yang menunjukkan prestasi kanak kanak tersebut dalam bentuk peratusan dihasilkan setelah penilaian dilakukan dan diteduskan dengan latihan untuk meningkatkan presstasi kanak kanak Keputusan menunjukkan bahawa ibu bapa dapat melakukan penilaian serta latihan secara berterusan Kesimpulannya keupayaan berdikari kanak kanak tersebut meningkat melalui penilain dan latihan yang berterusan Kata kunci Down Syndrom kurikulum antarabangsa yang diiktiraf keupayaan berdikari penilaian latihan CHAPTER TABLE OF CONTENTS TITLE DECLARATION OF THESIS DEDICATION ACKNOWLEDGEMENT ABSTRACT ABSTRAK TABLE OF CONTENTS LIST OF TABLES LIST OF FIGURES INTRODUCTION 1 1 Background 1 1 1 Current Situation 1 1 2 Study Comparison 1 2 Problem Statement 1 3 Objective 1 4 Scope 1 5 Expected Output 1 6 Alternative Solution 1 6 1 Available Solution 1 6 2 Proposed Solution 1 7 Innovation Novelty 1 8 Thesis Outline PAGE ii iii vii viii ix xii XiV p NY N
29. SELF HELP ASSESSMENT AND TRAINING SUPPORT SYSTEM FOR SPECIAL CHILDREN MILTON WIDER UNIVERSITI TEKNOLOGI MALAYSIA UNIVERSITI TEKNOLOGI MALAYSIA DECLARATION OF THESIS UNDERGRADUATE STUDY PAPER AND COPYRIGHT Author s full name MILTON WIDER Date of birth 15 JANUARY 1988 Title DEVELOPMENT OF SELF HELP ASSESSMENT AND TRAINING SUPPORT SYSTEM FOR SPECIAL CHILDREN Academic Session 20010 2011 declare that this thesis is classified as V CONFIDENTIAL Contains confidential information under the Official Secret Act 1972 RESTRICTED Contains restricted information as specified by the organisation where research was done OPEN ACCESS agree that my thesis to be published as online open access full text acknowledged that Universiti Teknologi Malaysia reserves the right as follows The thesis is the property of Universiti Teknologi Malaysia The Library of Universiti Teknologi Malaysia has the right to make copies for the purpose of research only The Library has the right to make copies of the thesis for academic exchange Certified by SIGNATURE SIGNATURE OF SUPERVISOR 880115 12 5451 En Abd Hamid Bin Ahmad NEW IC NO PASSPORT NO NAME OF SUPERVISOR Date 13 May 2011 Date 13 May 2011 NOTES If the thesis is CONFIDENTIAL or RESTRICTED please attach with the letter from the organisation with period and reasons for confidentiality or restriction I We hereby declare
30. SHATSS is an Early Intervention Program EIP to help special children mainly children with Down syndrome as well as normal children on assessing evaluating and improving self help skills SHATSS is develop based on the existing manual assessment which have been tested on normal and children with special needs It is an easy to use system with interactive user friendly audio instruction to give command to the user when operating SHATSS can be carried out for both normal children and children with special needs It can perform assessment evaluation based on assessment and training to improve the child ability on self help skills User can perform 4 self help skills assessment and training namely eating dressing toileting and sleeping A chart is displayed after evaluation to see the child s progress The Self help skills are show in details at the following table Each activities under the groups in Language ability as according to Hawaii Early Learning Profile Help and Denver curriculum will be fully assessed and selective guidance for training will be given in the training part Table 1 Self help skills element Domain Subgroups Number of activities Self Help Eating 35 Dressing 15 Toileting 11 Sleeping 10 95 Term of Service 1 1 Terms By accessing this web site you are agreeing to be bound by these web site Terms and Conditions of Use all applicable laws and regulations and agree that y
31. TODO This line of code loads data into the selfhelpdatabaseDataSet assessmentdata table You can move or remove it as needed this assessmentdataTableAdapter Fill this selfhelpdatabaseDataSet assessmentdata System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound training wav sp PlayLooping sp Play private void trainingwelcome_Click object sender EventArgs e private void assessmentyes_Click object sender EventArgs e if eatingrb Checked this eatingassessmentBindingSource MoveNext if dressingrb Checked this dressingassessmentBindingSource MoveNext if toiletingrb Checked this toiletingassessmentBindingSource MoveNext if sleepingrb Checked this assessmentdataBindingSource MoveNext private void trainingback_Click object sender EventArgs e if eatingrb Checked this eatingassessmentBindingSource MovePrevious if dressingrb Checked 88 if toiletingrb Checked this toiletingassessmentBindingSource MovePrevious this dressingassessmentBindingSource MovePrevious if sleepingrb Checked this assessmentdataBindingSource MovePrevious private void sleepingrb_CheckedChanged object sender EventArgs e trainingwelcome Visible false trainingback Visible true trainingnext Visible true eatinglabel Visi
32. ableAdapter Fill this selfhelpdatabaseDataSet eatingassessment TODO This line of code loads data into the selfhelpdatabaseDataSet dressingassessment table You can move or remove it as needed this dressingassessmentTableAdapter Fill this selfhelpdatabaseDataSet dressingassessment TODO This line of code loads data into the selfhelpdatabaseDataSet assessmentdata table You can move or remove it as needed this assessmentdataTableAdapter Fill this selfhelpdatabaseDataSet assessmentdata TODO This line of code loads data into the selfhelpdatabaseDataSet toiletingassessment table You can move or remove it as needed this toiletingassessmentTableAdapter Fill this selfhelpdatabaseDataSet toiletingassessmen t System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound report wav sp Play private void eatingrb_CheckedChanged object sender EventArgs e this eatingassessmentTableAdapter Fill selfhelpdatabaseDataSet eatingassessment reportsave Visible true reporttext Visible false eatingchart Visible true dressingchart Visible false toiletingchart Visible false 85 sleepingchart Visible false private void toiletingrb_CheckedChanged object sender EventArgs e reportsave Visible true reporttext Visible false eatingchart Visible false dressingchart Visible fa
33. al 100 float deg11 5 int Math Round deg1 5 15 toiletingfrequency Text deg11 ToString cmd CommandText update toiletingassessment set frequency toiletingfrequency Text where Activity toiletingdescription Text cmd Connection database database Open 77 cmd ExecuteNonQuery database Close if i1 12 gt 9 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg22 5 int Math Round deg2 5 15 toiletingfrequency Text deg22 ToString cmd CommandText update toiletingassessment set frequency toiletingfrequency Text where Activity cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show You have finish the assessment You can check the result at the Report section Well Done MessageBoxButtons OK MessageBoxIcon Exclamation assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true toiletingdescription Text p if dressingrb Checked dressingyesorno Text No OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update dressingassessment set yesorno dressingyesorno Text where Activity dressingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close th
34. alizeComponent database new OleDbConnection Provider Microsoft ACE OLEDB 12 0 Data Source C Users Milton documents visual studio 2010 Projects SelfHelpGUI SelfHelpGUI selfhelpdatabase accdb private void parentsdatainputform_Load object sender EventArgs e TODO This line of code loads data into the selfhelpdatabaseDataSet parentsdata table You can move or remove it as needed this parentsdataTableAdapter Fill this selfhelpdatabaseDataSet parentsdata private void parentsDIsave Click object sender EventArgs e OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText insert into parentsdata ChildID Fullname birthdate Birthplace job Workplace Address HP Allergy Disease Surgical Hospital Medicine Values childid2 Text PDname Text PDdate Value PDplace Text PDjob Text PDworkplace Text PDaddress Text PDhp Text PDallergy Text PDdisease Text PDsurgical Text PDhospital Text PDmedicine Text cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show Data Saved Save MessageBoxButtons OK MessageBoxIcon Exclamation private void delete _Click object sender EventArgs e OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText delete from parentsdata where ChildID childi
35. als 105 xsplit 2 Equals 106 xsplit 2 Equals 107 xsplit 2 Equals 108 xsplit 2 Equals 109 xsplit 2 Equals 110 xsplit 2 Equals 111 xsplit 2 Equals 112 xsplit 2 Equals 113 xsplit 2 Equals 114 xsplit 2 Equals 115 xsplit 2 Equals 116 xsplit 2 Equals 117 xsplit 2 Equals 118 xsplit 2 Equals 119 xsplit 2 Equals 12e xsplit 2 Equals 121 xsplit 2 Equals 122 Il Il textBox3 Text FULL pictureBox2 Visible true pictureBox3 Visible false ir1 BackColor Color Red ir2 BackColor Color Green else if xsplit 1 Equals 123 xsplit 1 Equals 124 xsplit 1 Equals 125 xsplit 1 Equals 126 xsplit 1 Equals 127 xsplit 1 Equals 128 xsplit 1 Equals 136 xsplit 1 Equals 137 xsplit 1 Equals 138 xsplit 1 Equals 139 xsplit 1 Equals 140 xsplit 1 Equals 141 xsplit 1 Equals 142 xsplit 1 Equals 129 xsplit 1 Equals 130 xsplit 1 Equals 131 xsplit 1 Equals 132 xsplit 1 Equals 133 xsplit 1 Equals 134 xsplit 1 Equals 135 xsplit 1 Equals 136 xsplit 1 Equals 137 xsplit 1 Equals 138 xsplit 1 Equals 139 xsplit 1 Equals 14e xsplit 1 Equals 141 xsplit 1 Equals 142 xsplit 1 Equals 143
36. as a quantitative measurement over the assessment and training given to the child A report is generate at the end of the assessment to shows the child s progress in percentage An increment of percentage indicates that the child has a positive progress over the activity 60 Other methods needed experience trainers to perform the program Untrained parents need to send their children to the training centre to undergo assessment and training for at least once per week This is ineffective due to its uncontinuous assessment However self help assessment and training support system offers an easy to understand module for the parents to do assessment and training to their child It can easily be installed inside a computer and instantly start the assessment The support system has a database integrated inside the system which can help the parents to perform necessary assessment and training to their child by their own anytime they want 6 5 Limitation of solution Self help assessment and training support system is highly reliable and effective for doing assessment and training on the child However there is some limitation in this project One of the limitations is that the support system cannot generate the updated report after finish doing the assessment User need to close the application and open it again so that the report can generate the updated assessment This is may be due to the weakness on the coding However a study can be done t
37. at Jpeg MessageBox Show Data Saved Save MessageBoxButtons OK MessageBoxIcon Exclamation Training using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Ling using System Text using System Windows Forms using System Data OleDb namespace SelfHelpGUI public partial class trainingform Form private OleDbConnection database public trainingform InitializeComponent database new OleDbConnection Provider Microsoft ACE OLEDB 12 0 Data Source C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI selfhelpdatabase accdb private void trainingform_Load object sender EventArgs e TODO This line of code loads data into the selfhelpdatabaseDataSet1 eatingassessment table You can move or remove it as needed this eatingassessmentTableAdapter Fill this selfhelpdatabaseDataSet1 eatingassessment 87 TODO This line of code loads data into the selfhelpdatabaseDataSet dressingassessment table You can move or remove it as needed this dressingassessmentTableAdapter Fill this selfhelpdatabaseDataSet dressingassessment TODO This line of code loads data into the selfhelpdatabaseDataSet toiletingassessment table You can move or remove it as needed this toiletingassessmentTableAdapter Fill this selfhelpdatabaseDataSet toiletingassessmen t
38. ating Dressing 104 Assessment using water level detection on the activity pours liquid to the cup in Eating skills 1 Connect the RS232 USB converter cable to the computer 2 Set the serial port of the USB cable to 4 Setting USB serial port can be change at device manager 3 Open assessment window and select eating assessment The first assessment in the eating list is the activity to pour liquid to the cup 4 Ask the child to fill the cup with water 5 When red LED lit on it indicates that the cup is half full and the child requires to fill the cup with more water When green LED lit on this in turn indicates that the cup is full with water The child is successfully undergo the assessment for pouring liquid into the cup 6 User can proceed to do the next assessment The figure below shows the LED indication when the cup is half full and full condition 105 1 4 Report User can check the child s progress in report section A pie chart is display for all of the assessment that already been evaluated earlier 1 Click the radio button skill to view the pie chart 2 Click the SAVE button to save the report for record The target is to produce a higher percentage in the report Higher percentage in the Yes field indicates that the child had mastered the skills activity If the result is unsatisfying user can proceed to training section to improve
39. ay go to toilet according to the regulation by adult Anticipates need to eliminate uses same word for both functions Child anticipates need to eliminate Anticipates need to eliminate in time Child anticipates need to eliminate in time Uses toilet with assistance has daytime control Child uses toilet with assistance Distinguishes between urination and bowel movements Child is able to distinguish between urination and bowel movements Verbalizes need to go to toilet has occasional accidents Child verbalizes need to go to toilet Takes responsibility for toileting Child knows the responsibility for toileting Child partially washes and dries his her hands child requires 10 Washes and dries hands partially assistance to complete the action 11 Washes hands Child washes his her hands by himself herself 12 Wipes nose with assistance Child wipes his her nose with some help 13 Blows nose with assistance Child blows nose with help 14 Dries hands Child dries his her own hands with a towel 15 Brushes teeth with assistance Child begins to brush teeth with assistance 16 Helps with bathing self Child is able to bathe himself herself 17 Opens doors by turning knob Child opens doors by turning knob independently Understands and stays away from common Child understands and stays away from common dangers such as 18 dangers stairs glass strange animals
40. ble false dressinglabel Visible false toiletinglabel1 Visible false sleepinglabel Visible true eatingdescription Visible false eatingactivity Visible false dressingactivity Visible false dressingdescription Visible false toiletingdescription Visible false toiletingactivity Visible false sleepingdescription Visible true sleepingactivity Visible true this assessmentdataBindingSource MoveFirst private void eatingrb_CheckedChanged object sender EventArgs e trainingwelcome Visible false trainingback Visible true trainingnext Visible true eatinglabel Visible true eatingactivity Visible true dressinglabel Visible false toiletinglabel1 Visible false sleepinglabel Visible false eatingdescription Visible true eatingactivity Visible true dressingactivity Visible false dressingdescription Visible false toiletingdescription Visible false toiletingactivity Visible false sleepingdescription Visible false sleepingactivity Visible false this eatingassessmentBindingSource MoveFirst private void toiletingrb_CheckedChanged object sender EventArgs trainingwelcome Visible false trainingback Visible true trainingnext Visible true eatinglabel Visible false dressinglabel Visible false toiletinglabel1 Visible true sleepinglabel Visible false eatingdescription Visible false eatingactivity Visible false dressingdescription
41. ble true dressinglabel Visible false toiletinglabel1 Visible false sleepinglabel Visible false eatingdescription Visible true dressingdescription Visible false toiletingdescription Visible false sleepingdescription Visible false this eatingassessmentBindingSource MoveFirst private void sleepingrb_CheckedChanged_1 object sender EventArgs e pictureBox2 Visible false pictureBox3 Visible false ir1 Visible false ir2 Visible false counter_yes Q counter_no assessmentask Visible true ask2 Visible false assessmentwelcome Visible false assessmentask Visible true assessmentno Visible true assessmentyes Visible true sleepinglabel Visible true eatinglabel Visible false dressinglabel Visible false toiletinglabel1 Visible false sleepinglabel Visible true dressingdescription Visible false toiletingdescription Visible false sleepingdescription Visible true this assessmentdataBindingSource MoveFirst 80 private void toiletingrb_CheckedChanged_1 object sender EventArgs e pictureBox2 Visible pictureBox3 Visible ir1 Visible false ir2 Visible false false false counter_yes Q counter_no assessmentask Visible true ask2 Visible false assessmentwelcome Visible false assessmentask Visible true assessmentno Visible true assessmentyes Visible true sleepinglabel Visible true eatinglabel Visible
42. d the newly developed support system Characteristics HELP BCD Children Laptop Newly developed support system Functions Assessment and Training Assessment and training training Price High Medium Low Advantages Highly reliable and Able to attract Highly reliable and proven effective children s attention proven effective and lower cost Limitations Highly dependent Assessment not Partially dependent on trainer s included on trainer s experience experience Reliability High Low High 1 7 Innovation Novelty There are some novelties in this project The novelties are e A whole new early intervention program software support system interface e A Special features implemented such as voice instruction when operating the system for easier operational experience e New method on generating report which generate pie chart that shows the assessment in percentage e New application on self help assessment and training for special children 1 8 Thesis Outline This thesis consists of six chapters It introduces the details on the development of the self help assessment and training support system for children with special needs The first chapter is the introduction In this chapter discussed about the background study problem statement the objectives of the study as well as the scope of the study Chapter 2 shows the literature review of the study First of all it explains the deta
43. d2 Text 3 cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show Data delete successful Delete MessageBoxButtons OK MessageBoxIcon Exclamation private void childid2_SelectedIndexChanged object sender EventArgs e 69 Trainer Data Input using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Ling using System Text using System Windows Forms using System Data OleDb namespace SelfHelpGUI public partial class trainerdatainputform Form private OleDbConnection database public trainerdatainputform InitializeComponent database new OleDbConnection Provider Microsoft ACE OLEDB 12 0 Data Source C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI selfhelpdatabase accdb private void trainerdatainputform_Load object sender EventArgs e TODO This line of code loads data into the selfhelpdatabaseDataSet trainerdata table You can move or remove it as needed this trainerdataTableAdapter Fill this selfhelpdatabaseDataSet trainerdata private void TDsave_Click_1 object sender EventArgs e OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText INSERT into trainerdata ChildID Fullname Birthdate Birthplace Job Workplace Address HP Values childid3 Text
44. ding without limitation implied warranties or conditions of merchantability fitness for a particular purpose or non infringement of intellectual property or other violation of rights Further SHATSS does not warrant or make any representations concerning the accuracy likely results or reliability of the use of the materials on its Internet web site or otherwise relating to such materials or on any sites linked to this site 1 4 Limitations In no event shall SHATSS or its suppliers be liable for any damages including without limitation damages for loss of data or profit or due to business interruption arising out of the use or inability to use the materials on SHATSS even if SHATSS or a SHATSS authorized representative has been notified orally or in writing of the possibility of such damage Because some jurisdictions do not allow limitations on implied warranties or limitations of liability for consequential or incidental damages these limitations may not apply to you 1 5 Revisions and Errata The materials appearing on SHATSS could include technical typographical or photographic errors SHATSS does not warrant that any of the materials on its web site are accurate complete or current SHATSS may make changes to the materials contained on its web site at any time without notice SHATSS does not however make any commitment to update the materials 97 1 6 Links SHATSS has not reviewed all of the sites linked to
45. done if needed for future improvement 5 6 Safety Testing Safety testing was performed to test for the self help assessment and training support system safety over the user and the child The safety testing was done only to the water level detection or hardware The safety testing results were shown below Table 5 9 Safety testing results Test Results Voltage The hardware was tested to different voltage as power supply The objective is to test for its safety for overload Adapter with adjustable voltage was used with adjustable value voltage of 3V 6V 9V and 12V The result shows that the hardware was functioning for all of the different voltage Liquid inside The hardware was tested to different type of liquid The objective is to the cup test for the safety of the trainer and child over the liquid inside the cup that used for assessment The liquids that were used for the testing were tap water drinking water and orange juice The water was felt with fingers during assessment was performed The result shows that there was no uncomfortable sensation when the liquids were exposed to the skin 52 Through the safety testing it can be concluded that the self help assessment and training support system is safe to be used by the trainer and over the child A different voltage can be used to operate the hardware The trainer do not need to be afraid over electric shock when performing assessment using wate
46. em p HR Allergy Disease Surgical Hospital Medicine child Values CDfullname Text CDnickname Text string CDgender SelectedItem CDdate Va lue CDplace Text string CDlanguage SelectedItem string CDhand SelectedItem CDweight Text CDBP Text CDtemp Text C DHR Text CDallergy Text CDdisease Text 4 CDsurgical Text CDhospital Text CDmedicine Text CDid Text cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show Data Saved Save MessageBoxButtons OK MessageBoxIcon Exclamation private void delete _Click object sender EventArgs e OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText delete from childdata where child CDid Text cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show Data delete successful Delete MessageBoxButtons OK MessageBoxIcon Exclamation Parents Data Input using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Linq using System Text using System Windows Forms using System Data OleDb namespace SelfHelpGUI 68 public partial class parentsdatainputform Form private OleDbConnection database public parentsdatainputform Initi
47. en fifteen hours daily Child sleeps ten fifteen hours daily 12 May awake and cry from dreams Child may awake and cry from his her dreams 73 May refuse naps Child may refuse naps sometimes 74 Sleeps four ten hour intervally Child sleeps four ten hour with intervals at night 75 Stays awake for long periods without crying at night Child stays awake for long periods without crying at night 76 Naps frequently Child naps frequently in a day 77 Sleeps ten twelve hours with night awakening Child sleeps ten twelve hours with night awakening 78 Naps one four hours two three times each day Child naps one four hours two three times each day 79 Sleeps twelve to fourteen hours Child sleeps twelve to fourteen hours each day 80 Naps one four hours once or twice each day may refuse morning nap Child naps one four hours once or twice each day child may refuse napping in the morning 81 Sleeps ten twelve hours Child sleeps ten twelve hours a day 82 Naps one three hours once in afternoon Child naps around one three hours once in the afternoon 83 Opens doors by turning knob Child opens doors by turning knob independently 84 Helps with simple household tasks Child is able to help with simple household tasks 85 Handles fragile items carefully Child is aware and handles fragile items carefully 86 Helps put things a
48. ent and training on the child There are no specific indications on how much successful rate for the child to master the specified training 1 6 2 Proposed solution The method that this project proposed is to build a software for assessment and training It can be use anywhere and anyone Since the existence early intervention program is highly dependent on the personal experience the parents have to send their children to the center for assessment and training This project propose a friendly approach where everyone can use the software to perform the assessment and training even for the nonspecialist The existing methods only rely on the trainer s self evaluation on the child performance which can be misleading because of its unreliability However the proposed method uses database that adopted from international recognize curriculum on special children and uses quantitative assessment which can show the learning progress of the child through a chart that generated after the assessment The software also has the training system with detail instructions to enable the users to perform training on the child themselves This is more convenient for the parents because they can do the assessment and training on their child themselves Table 1 2 shows the comparison between the different solutions available and the newly develop support system Table 1 2 The comparison between current solutions to solve the problems in the current EIP an
49. eping Table below only show 31 the self help subgroup skills for sleeping Full list of subgroups skills can be found at Appendix C as attach at the end of this thesis Table 4 2 Self help subgroup skills for sleeping Sleeping No Action Description 1 Sleeps ten fifteen hours daily Child sleeps ten fifteen hours daily 2 May awake and cry from dreams Child may awake and cry from his her dreams 3 May refuse naps Child may refuse naps sometimes 4 Sleeps four ten hour intervally Child sleeps four ten hour with intervals at night Stays awake for long periods without crying at 5 night Child stays awake for long periods without crying at night 6 Naps frequently Child naps frequently in a day 7 Sleeps ten twelve hours with night awakening Child sleeps ten twelve hours with night awakening 8 Naps one four hours two three times each day Child naps one four hours two three times each day 9 Sleeps twelve to fourteen hours Child sleeps twelve to fourteen hours each day Naps one four hours once or twice each day Child naps one four hours once or twice each day child may 10 may refuse morning nap refuse napping in the morning 11 Sleeps ten twelve hours Child sleeps ten twelve hours a day 12 Naps one three hours once in afternoon Child naps around one three hours once in the afternoon 13 Delays sleeping by demanding things Child tends to delay sleeping by demanding things
50. erience training in the field Hence Self help assessment and training support system for the special children is developed The support system is highly reliable which uses international recognized curriculum as its assessment and training activities A quantitative measurement is perform for every assessment and generated through a report for record The process started by taking the child parents and trainer s detail Follow by the assessment on self help skills A report that shows the child s performance in percentage is generated after the assessment and proceeds with training to improve the child s performance The result shows that the parents are able to do the assessment and training on their child continuously As a conclusion the child s self help skills are improved by continuous assessment and training Keywords Down Syndrom international recognized curriculum self help skill assessment training ABSTRAK Kanak kanak istimewa selalu dikait rapat dengan masalah kebantutan minda mempunyai karakter paras rupa yang tertentu dan otot yang lemah Oleh itu program intervensi awal ialah suatu proses untuk memberi pendidikan dan sokongan kepada kanak kanak yang diberi rawatan kepada fisikal serta tumbesaran terbantut tersebut Walau bagaimanapun program intervensi awal tidak banyak diimplimentasikan di Malaysia oleh sebab kekurangan pusat latihan untuk kanak kanak istimewa serta individu yang berpengetahuan dalam bidang ini
51. es bottle visually Child is able to recognize bottle visually from other things 5 Coordinates sucking swallowing and breathing Child is able to suck on bottle or nipple appropriately 6 Brings hand with toy or object to mouth Child brings hand with toy or object to the mouth 7 Pats bottle Child pats the bottle using hands 8 Places both hands on bottle Child places both hands on the bottle appropriately 9 Swallows strained or pureed foods Child swallows strained food which are fed to him her 10 Rooting reflex is inhibited Child is not able to perform rooting 11 Mouths and munches solid foods Child mouths and gums solid food 12 Bites and chews toys Child brings the toys to the mouth and bites them Child uses tongue during eating and before the foods are 13 Uses tongue during eating swallowed 14 Feeds self a cracker Child holds and feed self a cracker 15 Holds own bottle Child holds own bottles independently 16 Bites food voluntarily Child bites the foods voluntarily during eating 17 Drinks from cup held for him Child is able to drink from cup held for him correctly 18 Drools less except when teething Child drools less except when teething 19 Feeds self with fingers Child feeds himself herself using hands and fingers 20 Holds spoon Child is able to hold the spoon independently 4 6 1 Self help skills Subgroup Self help skills are divided into 4 subgroups namely eating dressing toileting and sle
52. h toy or object to the mouth Pats bottle Child pats the bottle using hands Places both hands on bottle Child places both hands on the bottle appropriately Swallows strained or pureed foods Child swallows strained food which are fed to him her Rooting reflex is inhibited Child is not able to perform rooting 1S xo oo Jrfa ufja ofrole zB Mouths and munches solid foods Child mouths and gums solid food N Bites and chews toys Child brings the toys to the mouth and bites them 0S Uses tongue during eating Child uses tongue during eating and before the foods are swallowed P Feeds self a cracker Child holds and feed self a cracker 113 15 Holds own bottle Child holds own bottles independently 16 Bites food voluntarily Child bites the foods voluntarily during eating 17 Drinks from cup held for him Child is able to drink from cup held for him correctly 18 Drools less except when teething Child drools less except when teething 19 Feeds self with fingers Child feeds himself herself using hands and fingers 20 Holds spoon Child is able to hold the spoon independently 21 Chews food with coordinated movements Child chews food with coordinated movements correctly Child brings the spoon to his mouth and licks the foods left on the 22 Brings spoon to mouth turns spoon over spoo
53. hardware will detect the water level that pours into the cup that by the child The water level detection uses the principle of electricity conductance in water A common wire will be place at the bottom of the cup along with the red LED wire Another wire for the green LED is place at the top of the cup Hence when water is fill in the cup and the water level touches the common with the red LED wire the red LED will lit on This indicates that the cup is half full and the child requires to fill the cup with more water When the water level touches the green LED wire the green LED will lit on This in turn indicates that the cup is full with water The child is successfully undergo the assessment for pouring liquid into the cup and can proceed to do for the next assessment 39 Figure 4 9 Water level detection Water level detection uses electric conductivity in the water as its principle for water detection Below shows the circuit diagram of the hardware Common Figure 4 10 Circuit diagram 40 Figure 4 10 shows the circuit diagram of water level detection Some components are used for the design namely IC ULN2004 green and red LED two resistors with value 100 ohm and a 9V battery A 9V battery or adaptor can be used as the hardware power source The common full and low points are put inside the cup The common and low point is put at the beneath of the cup whereas the full point is put near top of the cup This design use
54. he child self help skills CD Enter child data Enter parent s data No Yes Display child data Start assessment Generate report Start training No Figure 4 5 Self help support system flow chart 4 7 2 C Programming Language C programming language is used for the development of self help assessment and training support system Microsoft Visual Studio software is used to utilise the C programming language that available inside the software C programming language is 34 used due to its vast and variety of libraries that able to achieve the objective for the development of the self help support system The source code below shows the C programming language that used to develop the software The display source code below is the code written for the software main page The full source code can be found at the Appendix A attach at the end of this thesis using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Ling using System Text using System Windows Forms namespace SelfHelpGUI 1 public partial class MainForm Form public MainForm InitializeComponent private void start_Click object sender EventArgs e welcomeheader Visible false mainheader Visible true start Visible false patientdatainput Visible true assessment Visible true report Visible true trai
55. he green LED lit on the upper black panel will lit green as shown in the picture ASSESSMENT Eating e POURS LIQUID TO THE CUP Eating gt Dressing 2 Toileting sleeping Can the child do the action KE n A e Figure 4 13 Condition of the cup when half full and full CHAPTER 5 RESULT AND ANALYSIS 5 1 Objective and Scope In this chapter the result of self help assessment and training support system GUI water level detection hardware quantitative measurement user acceptability test as well as user data management will be displayed The objective of the analysis is sub system testing functional testing and to perform a user acceptance testing for user s feedback on the self help assessment and training support system This is necessary to identify the reliability and functionality of the support system The scope for testing the support system can be classified by who will perform the test and by whom it will be tested The people who can perform the testing cover a wide range of individual It can be performed by trainers students parents and etc This flexibility also implemented to the test subject This means that the test subject can be a normal child child with special needs adolescent or grown up individual 43 5 2 Self Help Assessment and Training Support System GUI Table 5 1 shows the layout of the support system Trainer begins the self help assessment and training from the ma
56. i1 counter_yes false false if sleepingrb Checked sleepingyesorno Text Yes OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update assessmentdata set yesorno sleepingyesorno Text where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close this assessmentdataBindingSource MoveNext if i1 i2 gt 7 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg11 5 int Math Round deg1 5 15 72 sleepingfrequency Text degi1 ToString cmd CommandText update assessmentdata set frequency sleepingfrequency Text where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close if i1 i2 gt 8 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg22 5 int Math Round deg2 5 15 sleepingfrequency Text deg22 ToString cmd CommandText update assessmentdata set frequency sleepingfrequency Text where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show You have finish the assessment You can check the result at the Report section Well Done Mes
57. i2 float degl i1 total 100 float deg2 i2 total 100 Figure 4 6 GUI application source code ASSESSMENT Eating Dressing Toileting Figure 4 7 GUI application for assessment 4 7 3 Hardware Implementation The implementation of the support system is crucial to ensure the effectiveness and efficiency of assessment and training delivery to the child Water level detection is implemented to the support system to aid in the child training A list of self help assessment skills is used in the assessment and training session to guide the trainer to assess and train the important skills that the child needs to learn 4 7 4 Hardware Development and Tools Water level detection is used to help in eating skills for the activity pour liquid to the cup Figure 4 8 shows the algorithm for the main component of the water level detection LED is used to detect the conductivity of the water in the cup between the 38 wires PIC is program to detect the changes of the LED state RS232 converter will send the data to processor and display it on the monitor Water level detection using LED Output at monitor Figure 4 8 Hardware algorithm Hardware for water level detection had been developed to assist in the evaluation for the eating skill assessment specifically the activity to pour liquid into the cup Figure 4 9 shows the finish product of the water level detection hardware This
58. ible false ir2 Visible false false false counter_yes counter_no assessmentask Visible true ask2 Visible false assessmentwelcome Visible false assessmentask Visible true assessmentno Visible true assessmentyes Visible true eatinglabel Visible false dressinglabel Visible true toiletinglabel1 Visible false sleepinglabel Visible false eatingdescription Visible false dressingdescription Visible true toiletingdescription Visible false sleepingdescription Visible false this dressingassessmentBindingSource MoveFirst private void eatingrb_CheckedChanged object sender EventArgs e if eatingrb Checked mySerial DataReceived new SerialDataReceivedEventHandler this ReadSerial mySerial new SerialPort portNum 9600 Parity None 8 StopBits One mySerial Open if mySerial IsOpen eatingrb Enabled false System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound eatingassessment2 wav sp Play ir1 Visible true ir2 Visible true pictureBox3 Visible true pictureBox2 Visible true counter_yes Q counter_no assessmentask Visible true ask2 Visible false assessmentwelcome Visible false assessmentask Visible true assessmentno Visible true assessmentyes Visible true eatinglabel Visi
59. ild may show interest in the setting of the table 39 Helps with simple household tasks Child is able to help with simple household tasks 40 Handles fragile items carefully Child is aware and handles fragile items carefully 41 Helps put things away Child voluntarily helps to put things away 42 Holds small cup in one hand Child is able to hold small cup in one hand appropriately 43 Understands and stays away from common dangers stairs glass strange animals Child understands and stays away from common dangers such as stairs glass and strange animals 44 Holds spoon in hands palm up Child holds spoon in hand with palm up 45 May reject many foods Child may reject many types of foods 46 Knows proper place for own things Child knows the proper location to place for own things 47 Insists on doing things independently Child demonstrates determination and insists on doing things independently 48 Insists on doing things independently Child demonstrates determination and insists on doing things independently 115 Dressing No Action Description Cooperates with dressing by coordinating arm 1 orleg Child voluntarily moves his her arms or legs while being dressed 2 Removes hat Child is able to remove the hat off his her head 3 Removes socks Child is able to remove socks off his her feet 4 Places hat
60. ils on Down syndrome Physical features and poor cognitive ability of the child is discussed especially on the self help skills The early intervention program that will help to improve the child learning progress also been discussed in this chapter Finally the introduction of assessment and C programming language that is used for this project are discussed Chapter 3 is the methodology of the study Here shows the gantt chart system block diagram and work flow of the study Chapter 4 is about design and implementation In this chapter the self help system configuration is explained in details Then a list of self help database is shown The database is divided into 4 sub groups namely eating dressing toileting and sleeping Software implementation also discussed here the software algorithm and flow chart for the self help support system Finally the water level detection algorithm for the hardware implementation is also discussed in this chapter Chapter 5 is about result and analysis In this chapter the GUI display for the self help assessment is displayed The finish product of the water level detection also is displayed A user acceptability test is discussed User s feedback is discussed in detail for better functional support system Finally chapter 6 is about the conclusion and recommendation A detail explanation is discussed here about what have been done and achieved for the project Recommendations for the project als
61. in page First of all the user need to fill in the child parents and the trainer details in the specified form inside the support system Next trainer can navigate to the assessment section to do self help assessment specifically eating dressing toileting and sleeping After finish each of the assessment trainer can see the report of the assessment at the report section This report will show the progress of the child self help assessment in percentage Finally trainer can perform training on the child at the training section to increase the ability of the child self help skills Table 5 1 Self help assessment and training support system layout Items Results Main page WELCOME TO SELF HELP ASSESSMENT AND TRAINING SUPPORT SYSTEM FOR DOWN SYNDROM CHILDREN Figure 5 1 Main page of the self help assessment and training support system 44 Patient data ape Please fill in the details required V in all of the three forms below 2 Assessment This is the assessment session Please choose the assessment that you want to perform with the child Figure 5 3 Assessment session 45 Report This is the report section Please choose the type of report to see the result for the child ascasswent Training er ral Figure 5 5 Training session 5 3 Quantitative Measurement The result is display in graphical form The graphical form is c
62. individual concerned e Personal data should be relevant to the purposes for which it is to be used and to the extent necessary for those purposes should be accurate complete and up to date e We will protect personal information by reasonable security safeguards against loss or theft as well as unauthorized access disclosure copying use or modification e We will make readily available to customers information about our policies and practices relating to the management of personal information We are committed to conducting our business in accordance with these principles in order to ensure that the confidentiality of personal information is protected and maintained 99 Installation With the help of simple instructions the following section will guide user to install this software 1 1 Install from CD Place the LATSS CD into computer or laptop CD drive Installation will be started with auto run setting User can also browse the SHATSS folder setup file and double click setup to run the installation setup 100 Getting Started After successful installation user can now start operating SHATSS Audio instruction is applied in the support system to help the user User can listen to the instruction when operating SHATSS for guidance 1 1 Start Open SHATSS by clicking its icon SHATSS window will open Follow the instruction to get started using SHATSS 1 Click START to begin
63. ing things Child tends to delay sleeping by demanding things 118
64. is dressingassessmentBindingSource MoveNext if i1 i2 gt 12 float total i1 i2 float degi i1 total 100 float deg2 i2 total 100 float degi1 5 int Math Round degi 5 15 dressingfrequency Text degi1 ToString cmd CommandText update dressingassessment set frequency dressingfrequency Text where Activity cmd Connection database database Open cmd ExecuteNonQuery database Close dressingdescription Text 78 if i1 i2 gt 13 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg22 5 int Math Round deg2 5 15 dressingfrequency Text deg22 ToString cmd CommandText update dressingassessment set frequency dressingfrequency Text where Activity cmd Connection database database Open cmd ExecuteNonQuery database Close dressingdescription Text p MessageBox Show You have finish the assessment You can check the result at the Report section Well Done MessageBoxButtons OK MessageBoxIcon Exclamation assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true if eatingrb Checked eatingyesorno Text No OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update eatingassessment set yesorno eatingyesorno Text where Activity cmd
65. lity and communication and to promote children s coping conficence and to prevent the emergence of future problems 13 Services exercise and activities are designed to identify and meet a child s needs in five developmental areas including physical development cognitive development communication social or communication development and adaptive development 6 Early intervention should begin as early as possible The first years of life are critical time for a child s development During these early years all young children go through rapid development that achieve basic physical cognitive language social and self help skills that set as a foundation for future development progress 5 Families that participated in the New York state early intervention program one of the largest early intervention systems in United State 17 reported that the early intervention services had helped the families to know their rights effectively communicate their child s needs and help their child develop and learn 14 2 4 Assessment Assessment includes several steps of collecting data on a child s development and learning determining its significance goals and objectives of the program incorporating the information into planning for individuals and programs and informing the findings to the parents and other involved parties 18 Assessment is done according to the stages of ages in a child Infant tests and pre schools measu
66. lse toiletingchart Visible true sleepingchart Visible false private void dressingrb_CheckedChanged object sender EventArgs e reportsave Visible true reporttext Visible false eatingchart Visible false dressingchart Visible true toiletingchart Visible false sleepingchart Visible false private void sleepingrb_CheckedChanged object sender EventArgs e reportsave Visible true reporttext Visible false eatingchart Visible false dressingchart Visible false toiletingchart Visible false sleepingchart Visible true private void button1_Click object sender EventArgs e if eatingrb Checked eatingchart SaveImage C Users Milton Desktop eatingreport jpg ImageFormat Jpeg MessageBox Show Data Saved Save MessageBoxButtons OK MessageBoxIcon Exclamation if dressingrb Checked dressingchart SaveImage C Users Milton Desktop dressingreport jpg ImageFormat Jpeg MessageBox Show Data Saved Save MessageBoxButtons OK MessageBoxIcon Exclamation if toiletingrb Checked 86 toiletingchart SaveImage C Users Milton Desktop toiletingreport jpg System Drawing Imaging ImageFormat Jpeg MessageBox Show Data Saved Save MessageBoxButtons OK MessageBoxIcon Exclamation if sleepingrb Checked sleepingchart SaveImage C Users Milton Desktop sleepingreport jpg System Drawing Imaging ImageForm
67. me 2006 Tan M K development of interactive support system for language assessment and training for special children 2010 Terri Mauro What Are Special Needs Yeo K J Eko Supriyanto Haikal Satria Tan M K Yap E H A Novel and Ubiquitous Early Intervention Support System for Down syndrome Children 2010 16 17 18 19 20 21 22 NO WN 25 26 62 Social Policy Research Centre Evaluation plan Early Intervention Program 2006 New York State Department of Health Division of Family Health Bureau of Early Intervention State performance plan for the NYS early intervention program FFY 2005 2010 2010 Liebovich B T Children s self assessment McCauley L The development assessment of child development Hills T W Reaching potentials through appropriate assessment In S Bredekamp amp T Rosegrant Eds Reaching potentials Appropriate curriculum and assessment for young children Vol 1 pp 43 63 Washington DC National Association for the Education of Young Children ERIC Document No ED352160 1992 Child amp Adolescent Services Research Centre CASRC What is child development and what skills do children develop at different ages 2008 Betterkiscare psu edu All by myself self help skills in child care ECMA international C programming language 2006 Utley C Why should you move to C 2002 M T Schultheis A A Razoo The application of virtual technol
68. me children self help skills are needed to improve their quality of life Acquiring self help skills is one of the best ways to help children into independence In the beginning of birth to 5 years children remarkably develop skills communicate in spoken language walk run climb stairs feed dress and go to toilet independently 7 The table below shows an overview of developmental progress for typically developing children from birth to five years Table 2 1 An overview of developmental progress for typically developing children from birth to five years Family gt r Social work Preschool Schocl Social aye contact smiling one to one games sclitary play play with peers being ina grcup Motor reeching grasping rollagsit ng standing walking cimbirg stairs runaing Jumping holding manipulating colouring drawing writing Speech amp smiling cooing sabbling words keywore phrases sentences and grammar language Self help feeding uslngcup spcon fork knife dressing tolleting Behaviour mportance of routines parents in contro learring self cortrol able to conform co operate and comply with requests Number experience of counting learning to count Memory amp mtending copying choosing remembering events learning end thinking thinking and activities skills The table below shows the achieving independence in self help skills for typically developing children The self help skills are divided into meals toileting washing personal care
69. n Child has better control of his her hands and can hold the cup 23 Holds cup handle with his her hands 24 May refuse foods appetite decreases When the appetite decreases the child may refuse to eat 25 Holds and drinks from cup with some spilling Child holds and drinks from the cup with some spilling 26 Gives empty dish to adult Child finishes the foods and gives empty dish to the adults Distinguishes between edible and inedible 27 objects Child knows what can be eaten and cannot be eaten 28 Plays with food Child may play with the foods given Scoops food feeds self with spoon with some Child is able to scoop the food feed self with spoon with some 29 spilling spilling 30 Chews completely with rotary jaw movements Child chews completely with rotary jaw movements while eating 31 Handles bottle to adults Child handles the bottle to adult independently 32 May have definite food preferences Child shows self preference on the food 33 Unwraps food Child removes the wrapper of the food and eats the food 34 Pours liquid from small container Child pours liquid from a small container independently 35 Uses fork Child is able to use fork to eat and knows how to use it 36 Uses napkin Child is able to use napkin after eating and knows how to use it Child serves self at the table during eating independently with 37 Serves self at table with little spilling little spilling 114 38 Shows interest in setting table Ch
70. n function to perform assessment and training However loading the software when starting the support system was slow Generating the report after each assessment also was slow Power source The hardware was tested to different kind of power source namely battery and power adapter The objective is to test for its performance for different kind of power source The result shows that the hardware was functioning for both power sources However the light intensity of the LED was low when using battery compared to the light intensity when using the power adapter LED Both of the LED was tested for its performance The LED was left light on for a duration of time A total of 1 hour was used for the performance test The result shows that the LED was still light on even after the duration time ended However the surface of the LED was hot after the test Through the performance testing it can be concluded that the self help assessment and training support system have a high performance under different kind of 51 situations The support system as well as the water level detection can be operated for a long time but still will be at its best performance The water level detection has a quite low maintenance since the LED also can be operated for a long time However it is advisable that the LED is not used for too long because it might burn the device from overheating A thorough performance testing can be
71. nd so on Table 1 1 shows the comparison between the assessment and training resources Table 1 1 The comparison between different resources for EIP 13 Characteristics HELP BCD Children Laptop Functions To assess and To assess and To provide provide trainings provide trainings interactive training Price RM 150 per set RM 180 per set RM 50 per piece Advantages Highly reliable Highly reliable Able to attract and proven and proven children s effective effective attention and lower cost Limitations Highly dependent Highly dependent Assessment not on trainers on trainers included and no experience and experience and individual training hardly interpreted hardly interpreted given Reliability High High Low 1 2 Problem Statement There are few modules in ELISSA which aim to lessen the development delays in Down syndrome children namely gross motor fine motor social emotional language cognitive and self help However some of the modules are incomplete It is crucial to complete the modules in order to have a sufficient and effective early intervention program to help the Down syndrome children Self help assessment and training is one of the incomplete modules A new self help assessment and training is needed to have an improved and effective module Furthermore early intervention program is hard to be found in Malaysia This is due to some factors lack of special children traini
72. ng center lack of experience trainers and lack of instrument or effect database for assessment There is also no continuous assessment Parents are required to bring their child with special needs to the center at least once a week for assessment and training This is due to the unavailability of software assessment that can be used by parents so that they can do their own assessment and training at home 1 3 Objective The objectives to be archived are 1 4 To develop self help assessment and training database for the special children To implement the self help assessment and training support system in newly develop software for quantitative measurement To implement a hardware in aiding one of the self help assessment activity Scope There are several scope outlined in this study to ensure the objectives is achieved The scopes are 1 5 This study is limited only to the special children within the age range from 0 to 6 years old Focuses on self help assessment and training database for special children Software implementation using C programming language Hardware implementation on eating activity specifically the ability to fill cup with water Expected Output There are several expected outputs at the end of the project The expected outputs are e A new software interface for continuous self help skills assessment and training for special children e Anew water level detection hardware to aid in the asse
73. ning Visible true System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound welcome2 wav sp Play private void patientdatainput_Click object sender EventArgs e patientdatainputform patientdatainputform new patientdatainputform patientdatainputform Show 35 private void assessment_Click object sender EventArgs e toiletinglabel assessmentform new toiletinglabel assessmentform Show private void report_Click object sender EventArgs e reportform reportform new reportform reportform Show private void training Click object sender EventArgs e trainingform trainingform new trainingform trainingform Show private void MainForm_Load object sender EventArgs e System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound welcome wav sp Play Some explanation on the code System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound welcome2 wav sp Play This code is use to play the voice instruction when starting the software The code search the specified file at the directory and play it patientdatainputform patientdatainputform new patientdatainputform
74. nts pre school teachers or occupational therapists for children with special needs However SHATSS also can be used on normal child LATSS can be used to assess the developmental abilities for special children under six years old and normal children under three years old 1 4 Why should we use LATSS This tool is useful for parents or trainers to detect the strength and weaknesses of their children in the domains mentioned above The database of this tool is highly reliable as it is based on the international recognized assessment method and suggestions based on experience trainers 108 APPENDIX C List of Self Help Skills and List of Self Help Subgroup Skills 108 List of self help skills no Action Description 1 Responses to food stimulus Child opens and closes mouth in response to food stimulus 2 Sucks and swallows reflex are inhibited Childs is not able to do the actions of suck and swallow 3 Brings hand to mouth Child is able to bring hand to the mouth independently 4 Recognizes bottle visually Child is able to recognize bottle visually from other things 5 Coordinates sucking swallowing and breathing Child is able to suck on bottle or nipple appropriately 6 Brings hand with toy or object to mouth Child brings hand with toy or object to the mouth 7 Pats bottle Child pats the bottle using hands 8 Places both hands on bottle Child places both hands on the bottle appropriately
75. o are stated for future development CHAPTER 2 LITERATURE REVIEW 2 1 Down syndrome Down syndrome is a chromosomal disorder caused by an error in cell division that results in extra 21 chromosome 1 It is associated with mental retardation a characteristic facial appearance and poor muscles build 4 A lot of research shows that 90 of chromosomal disorders in cell division or abnormal cells are the eggs 2 Maternal age is the only factor that known to affect the probability of having Down syndrome children 8 For mothers less than 30 years old one in 1 000 pregnancies will results in a baby with Down syndrome One in 35 pregnancies in mothers with 44 years old will result in a baby with Down syndrome The physical features and medical problems associated with Down syndrome may be varied from child to child While some needs a lot of medical attention others live a healthy lifestyle Kids with Down syndrome tend to share some physical features such as flat facial profile an upward slant to the eyes small ears and protruding tongue 11 One common characteristic that restrict the development of Down syndrome children is low muscle tone or hypotonia 3 Most of these children will have significantly delayed spoken language 7 and self care skills like feeding dressing and toileting 11 ray 0 2 2 Self help skills Self help is the ability to take care of everyday personal and social needs 9 In cases for Down syndro
76. o improve this weakness 6 6 Recommendation In the future it is recommended that the assessment and training scope is expended for child more than 6 years old This is to ensure the self help assessment and training is continuous The support system would be beneficial if the assessment and training activity is more interactive with the aid of visual or image This implementation will give more clear instruction in executing the training activities 10 11 12 13 14 15 61 REFERENCES Peter Crosta M A What is Down syndrome 2010 Len Leshin MD FAAP Trisomy 21 The Story of Down Syndrome 2003 Encyclopedia of Childhood and Adolescence Down Syndrome 2001 Arthur Schoenstadt MD Down Syndrome 2008 National Down syndrome society Early Intervention 2010 Peter W D Wright and Pamela Darr Wright Early Intervention Part C of IDEA 2010 Buckley S J amp Sacks B An overview of development of infants with Down syndrome 0 5 years Portsmouth UK Down Syndrome Education International 2001 Yap E H Cognitive assessment and training support system for special children 2010 Buckley SJ Bird G Sacks B Social development for individuals with Down syndrome An overview Down Syndrome Issues and Information 2002 Ann Wheeler Self Help Skills 2009 Charles I Scott MD What is Down Syndrome 2008 Tammi Reynolds BA amp Mark Dombeck Ph D Genetic Causes of Mental Retardation Down Syndro
77. o insert child parents and trainer details Assessment session Report section PAGE 22 24 26 28 29 32 33 36 37 38 38 39 41 41 41 43 44 44 45 xiv 5 5 5 6 5 7 5 8 5 9 5 10 5 11 5 12 5 13 Training session Result in graphical form Changes on the layout display Changes on the font size Changes on the report presentation implementation of audio for instruction Patient data Self help database Self help assessment and training support system user manual 45 46 53 54 54 55 56 57 57 XV CHAPTER 1 INTRODUCTION 1 1 Background Down syndrome is the most common cause of mental retardation and malfunction in a newborn baby It is a chromosomal disorder caused by an additional chromosome in the 21st pairs of chromosome Current statistic states that this syndrome occurs one in 800 live births with equal frequency in people of different nationalities social backgrounds and economic classes 13 Children with Down syndrome always associated with developmental delay a specific characteristic of facial appearance poor muscle tone which influences gross and fine motor development language development delays which due to muscle problem and cognitive limitation However these difficulties and limitations can be overcome and greatly improved by the implementation of Early Intervention Program EIP Early intervention program EIP is a systematic program of exercises therapy and activi
78. o the child Next the users put comfortable as one of their priority when using the system Words with bigger font make them easier to read the instruction for assessment and training and audio implementation can make them 56 understand better on what to do when using the support system However the support system has some limitations The software need to be close each time after assessment in order to generate the updated specified report this can be due to the weakness in the coding to refresh instantly after each assessment is done For further improvement a solution to solve this matter is highly advisable A research on new coding for the report that can refresh instantly after each assessment can be approached 5 8 User Data Management Table 5 6 shows how the children data and self help database are manage and save within the self help assessment and training support system Table 5 11 User data management Data Results management Patient data Figure 5 11 Patient data Microsoft Access is use as the medium to store all the patient data input 57 which includes child data parents data and trainer data Self help database for aA A Table e E aanta teanessate parentsdata totetingassessment assessment B Searen 2 i ANTTCIPATES NEED TOEL et ak ite sonal capability equency lick to A and training Figure 5 12 Self help database Microsoft Acce
79. ogy in rehabilitation 2001 Susan barton what is dyslexia Bright Solutions for Dyslexia Inc 2001 APPENDIX A C Sharp Source Code for Self Help Assessment and Training Support System Main Page using System using System Collections Generic using System ComponentModel using System Data using System Drawing using System Linq using System Text using System Windows Forms namespace SelfHelpGUI public partial class MainForm Form public MainForm InitializeComponent private void start_Click object sender EventArgs e welcomeheader Visible false mainheader Visible true start Visible false patientdatainput Visible true assessment Visible true report Visible true training Visible true System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound welcome2 wav sp Play private void patientdatainput_Click object sender EventArgs e patientdatainputform patientdatainputform new patientdatainputform patientdatainputform Show private void assessment_Click object sender EventArgs e toiletinglabel assessmentform new toiletinglabel assessmentform Show private void report_Click object sender EventArgs e reportform reportform new reportform reportform Show private void training Click object sender EventArgs e
80. onstruct base on the trainer s evaluation in the assessment session Each self help skills assessment will produce different chart to show the progress of the child 46 Toileting Assessment Report Figure 5 6 Result in graphical form For a perfect score in self help assessment the percentage is 100 for every assessment Hence trainer has the obligation to perform training and assessment on the child to reach as high percentage as possible Higher percentage means that the child is capable of doing the specified self help skills whereas lower percentage indicates a limitation on performing the skills Thus a training session can be performed to increase the capability of the child 5 4 Functional Testing Functional testing was performed to test for the self help assessment and training support system functionality The functional testing was done in two parts which are for the computer based processing unit or the software and the water level detection or hardware The functional testing results were shown below 47 Table 5 2 Functional testing results Test Results ae ee Table 5 3 Operating system and its compatibility operating system Operating system Compatibility Windows 7 Yes Windows XP Yes Windows Vista Yes The software and hardware was tested to different type of computer operating system The objective is to test the compatibility of the software with differen
81. ont Tt In 1 irs size i J Ma We E qe 1 IE l i me TE E oan meq Please choose the training z i that you want to perform i Please choose the training that you want to perform ie Eee child k Figure 5 8 Changes on the font size Use s feedback The font is too small and hard to be read by the user Solution The font is change to bigger and more visible size to be read Report layout Figure 5 9 Changes on the report presentation 55 User s feedback The user wanted to know the progress of the child by percentage Solution the layout of the report is change to percentage Audio ASSESSMENT ee This is the assessment session a 5 w Please choose the assessment ress he that you want to perform with the child gt Toileting Sleeping Figure 5 10 implementation of audio for instruction User s feedback User faced difficulty on operating or using the self help assessment and training support system without the user manual Solution Audio is implemented in the support system to give a clear instruction for assessment and training from the beginning and throughout the session Through the user acceptance testing it can be concluded that a user friendly system is preferable to the user First of all users are more attracted to use the system with interesting layout Interesting layout can capture their interest to do perform assessment and training t
82. ou are responsible for compliance with any applicable local laws If you do not agree with any of these terms you are prohibited from using or accessing this site The materials contained in this web site are protected by applicable copyright and trade mark law 1 2 Use License Permission is granted to temporarily download one copy of the materials information or software on SHATSS for personal non commercial transitory viewing only This is the grant of a license not a transfer of title and under this license you may not 1 2 1 Modify or copy the materials 1 2 2 Use the materials for any commercial purpose or for any public display commercial or non commercial 1 2 3 Attempt to decompile or reverse engineer any software contained on SHATSS 1 2 4 Remove any copyright or other proprietary notations from the materials or 1 2 5 Transfer the materials to another person or mirror the materials on any other server 1 2 6 This license shall automatically terminate if you violate any of these restrictions and may be terminated by SHATSS at any time Upon terminating your viewing of these materials or upon the termination of this license you must destroy any downloaded materials in your possession whether in electronic or printed format 96 1 3 Disclaimer The materials on SHATSS are provided as is SHATSS makes no warranties expressed or implied and hereby disclaims and negates all other warranties inclu
83. program software support system interface e A Special features implemented such as voice instruction when operating the system for easier operational experience 59 e New method on generating report which generate pie chart that shows the assessment in percentage e New application on self help assessment and training for special children 6 3 Important result There are several important results about the self help assessment and training support system based on the testing The important results are e The self help assessment and training support system is entirely safe to use product e The database used for assessment and training is highly reliable e The result of the assessment can be used for data management centre due to its quantitative measurement features which generate data with percentage e The water that is use for the assessment and training are mainly for assessment and training purpose only and not for drinking 6 4 Comparison with other methods Other early intervention method such as the Orton Gullingham multisensory method and KinderKare training centre mainly uses trainer s experience on performing assessment and training over the child There are no scientific records of successful rate on the training that given to the child So it is hardly to say that the child had made a positive progress over the program This is different with self help assessment and training support system This support system h
84. puter Child s performance and trainer s evaluation as the input to the computer processing unit and self help assessment training and report will be displayed as an output in term of GUI form At the input trainer will register the child parents as well as the trainer s detail for record Other than that the assessment and training also act as the input for the system Trainer can perform assessment and training on the child through the specified skills base on the detail instruction that available inside the system 29 In computer processing unit a quantitative measurement is perform This process is coded and implemented using C programming language The calculation is coded so that the result will show in percentage In fact all the interface between windows inside the GUI is coded using C programming language As for the output a GUI is display on the monitor screen This GUI provides a user friendly interface for the user More specifically the assessment result and training instruction is display Computer Input processing unit Output Child performance amp Assessment amp training support system through GUI display trainer s evaluation C programming language Figure 4 2 Computer based processing unit 4 5 2 Water Level Detection Based input Unit A water level detection will be implemented in the self help assessment and training support system to aid one of the assessment acti
85. r level detection because it do not do any harm to the body However it is advisable that the user should always turn off the power supply if the water level detection is not used The liquid that used for the assessment also is advisable not to drink or give the child to drink It is strictly only for assessment and training purpose The water should be thrown away after the assessment or training A scientific testing can be performed for future improvement on the system s safety 5 7 User acceptance testing The method of testing is through hands on testing This means that an amount of tester is selected for this case a total of 10 testers to use the support system for assessment and training Every comment are recorded and analysed for its relevancy to the support system Table 5 5 shows the user acceptability test result feedback from the user for functional test The feedbacks included layout display font size report presentation and audio instruction 53 Table 5 10 User acceptance testing test result Events Results Layout display WELCOME TO SELF HELP ASSESSMENT AND TRAINING SUPPORT SYSTEM FOR DOWN SYNDROM CHILDREN Figure 5 7 Changes on the layout display User s feedback the layout is dull and uninteresting to attract the children attention for the self help assessment and training Solution The dull layout is change to a more colourful and interesting layout 54 F
86. re different components of intellectual ability Infant tests measures the developmental progress of babies and children focusing on areas such as gross motor fine motor language development adaptive behaviors and personal social behaviors 19 Self help assessment is the attempt to study the ability to take care of personal daily needs Personal daily needs can be included such as toileting dressing and feeding A measurement tool must be sensitive save and should be able to offer the assessor full control over the data collection process 25 2 5 Self help development Development describes the growth throughout the lifespan of a human from birth to death The scientific study of human development seeks the understanding on the changes of man lifestyles This includes all aspect of human growth including physical emotional intellectual social perceptual and personality development 20 Self help development in a child is a process of learning and mastering skills from birth to the end of adolescence such as sitting walking talking and etcetera 21 Children develop skills as they grow up They tend to do thing on their own and drive to be independence which is a healthy part of a child development and should be encouraged There are some main areas that child care provider can foster the 15 development of self help skills such as feeding dressing grooming toileting and helping with toilet chore 22 Table 2 4
87. rom in GUI based on the trainer s evaluation on the child s performance Water level detection Figure 4 1 Self help system configuration 4 3 System Specification The self help assessment and training support system have some specifications The specifications are 27 Table 4 1 System specification Specification Description Computer operating system OS The self help assessment and training support system software is perform on Microsoft Window 7 when doing the project However the finish product is also tested to other OS namely Microsoft Window XP and Microsoft window Vista The result shows that it is compatible and can be used on all the OS tested User The aim of this project is to be used by the parents with Down Syndrome child so that they can perform continuous assessment and training However the user is not limited to the specified individual Experience trainers doctors as well as student can use the support system Child Self help assessment and training support system are design to perform on children within the age of 0 to 6 years old voltage The water level detection hardware is design to perform at its optimum performance with 9V However functioning test have been conducted It can be operated on 3V 6V and 12V 4 4 Function of System The self help assessment and training support system can be divided into 2 subsystems First is the comp
88. s the electric conductance principle When the points inside the cup are connected when the water is pour inside the cup the electric will travel through the water and make a close circuit which enable the LED to light on Hence when water is pour into the cup until it reach the common and low point the red LED will light on indicating that the water level is low or the cup is not full When water is pour until the water level reaches the full point the green LED will light on indicating that the cup is full with water The water level detection is connected to the computer by RS232 converter A PIC was programmed to detect the LED states from no light to light on state and send the information to the computer through RS 232 converter Figure 4 11 shows the system configuration for the water level detection Ce a Figure 4 11 System configurations for water level detection 41 The lit on LED in water level detection send the information to the computer based processing unit that coded with C programming language and display the result in self help assessment and training support system GUI in assessment session for eating skills specifically the activity pours liquid to the cup Figure 4 12 shows the layout of the assessment for the activity pour the liquid into the cup Figure 4 13 shows the condition when the cup is half full and full When the red LED lit on the black panel in the picture will lit red whereas when t
89. sageBoxButtons OK MessageBoxIcon Exclamation assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true if toiletingrb Checked toiletingyesorno Text Yes OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update toiletingassessment set yesorno toiletingyesorno Text where Activity toiletingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close this toiletingassessmentBindingSource MoveNext if i1 i2 gt 8 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg11 5 int Math Round deg1 5 15 toiletingfrequency Text deg11 ToString cmd CommandText update toiletingassessment set frequency toiletingfrequency Text where Activity toiletingdescription Text P toiletingfrequency Text 73 cmd Connection database database Open cmd ExecuteNonQuery database Close if i1 i2 gt 9 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg22 5 int Math Round deg2 5 15 toiletingfrequency Text deg22 ToString cmd CommandText update toiletingassessment set frequency where Activity cmd Connection database database Open cmd ExecuteNonQuery database Clo
90. se toiletingdescription Text s MessageBox Show You have finish the assessment You can check the result at the Report section Well Done MessageBoxButtons OK MessageBoxIcon Exclamation assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true if dressingrb Checked dressingyesorno dressingfrequency Text dressingyesorno Text Yes OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update dressingassessment set yesorno Text where Activity dressingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close this dressingassessmentBindingSource MoveNext if il i2 gt 12 float total i1 i2 float degi i1 total 100 float deg2 i2 total 100 float degi1 5 int Math Round deg1i 5 15 dressingfrequency Text degi1 ToString cmd CommandText update dressingassessment set frequency where Activity cmd Connection database database Open cmd ExecuteNonQuery dressingdescription Text 74 database Close if i1 i2 gt 13 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg22 5 int Math Round deg2 5 15 dressingfrequency Text deg22 ToString cmd CommandText update dressingas
91. sessment set frequency dressingfrequency Text where Activity cmd Connection database database Open cmd ExecuteNonQuery database Close dressingdescription Text MessageBox Show You have finish the assessment You can check the result at the Report section Well Done MessageBoxButtons OK MessageBoxIcon Exclamation assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true if eatingrb Checked eatingyesorno Text Yes OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update eatingassessment set yesorno eatingyesorno Text where Activity cmd Connection database database Open cmd ExecuteNonQuery database Close this eatingassessmentBindingSource MoveNext eatingdescription Text 3 if i1 i2 gt 32 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg11 5 int Math Round degi 5 15 eatingfrequency Text deg11 ToString cmd CommandText update eatingassessment set frequency eatingfrequency Text where Activity eatingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close if il i2 gt 33 eatingfrequency Text 75 float total i1 i2 float deg1 i1 total 100 float deg2
92. ss is used to store all the self help skills database for assessment and training Information on Down Self Help Assessment Syndrome y rotor n and Training Support and User 1 Serves System User Manual manual Figure 5 13 Self help assessment and training support system user manual Information on Down Syndrome and the self help assessment and training support system user manual is documented in PDF CHAPTER 6 CONCLUSION AND RECOMMENDATION 6 1 Conclusion Self help database had been developed and classified into four sub groups which are eating skills dressing skills toileting skills and sleeping skills The database was carefully selected from international recognised curriculum for special children Self help assessment and training support system had been developed to evaluate and improve the self help skills for the special children Self help support system is developed using C programming language The support system is useful for parents and trainers to do monitoring on the child s progress based on the assessment on self help skills Water level detection hardware had been implemented on the support system to help the assessment on eating ability specifically the ability to pour liquid into the cup The hardware is to help the trainers in evaluating the child on the specified action 6 2 Novelty There are some novelties in this project The novelties are e A whole new early intervention
93. ssment process e An improved software system with more user friendly interaction 1 6 Alternative Solution 1 6 1 Available solution The Orton Gullingham multisensory method 26 which introduced by Anna Gillingham and a group of master teachers Dr Samuel Orton assigned Anna s group the task of designing a whole new way of teaching the phonemic structure of our written language to people with dyslexia In this method they use six steps approach which are simultaneous multisensory instruction intense instruction with ample practice direct and explicit Instruction systematic and cumulative synthetic and analytic and diagnostic teaching This method however cannot be performed by commoners instead it needs the specialists who are more familiar with the methods to perform all the activities KinderKare an Early Intervention Program serving infants and toddlers ranging from birth to three years of age they provide Early Intervention therapy and special education services for children and their parents They provided program to aid on language cognitive gross motor daily life skills and etc The method that they use is through teaching and learning by experience personals It is solemnly depend on the experience of the personal who handle the child with the use of some toys for teaching purpose All the methods stated as above for early intervention program are depends on the trainers experience and understanding to conduct assessm
94. sults Operating Table 5 7 Operating duration for software and its functionality duration for Hours Functionality software 3 Yes 6 Yes 9 Yes 12 Yes The software was tested by opening the support system for a given time duration The support system was left open for a total of 12 hours duration without supervision The support system was tested every 3 hours The result shows that the software was functioning as usual even open after a long time Operating Table 5 8 Operating duration for software and its functionality duration for Hours Functionality hardware 3 Yes 6 Yes 9 Yes 12 Yes 50 The hardware was tested by turning on the power supply to the hardware for a given time duration The water level detection was left open for a total of 12 hours duration without supervision The hardware was tested after every 3 hours duration The result shows that the hardware was functioning as usual even open after a long time However the performance of the hardware was low if battery was used as the power source in this performance test Operation on computer under heavy load The software was tested for computer with heavy load with small storing of memory left A computer with heavy load such as using antivirus and other software that used a lot of space inside the computer was used The software was install inside the computer and tested as usual The result shows that the software ca
95. t 11 20 years Dressing Dresses self partially not fastenings 4 5 years Dresses without help 80 at 11 20 years Chooses appropriate clothes 70 at 11 20 years Practical Social Can tell the time 20 at 11 20 years 12 Can count simple amounts of money 40 at 11 20 years Can go to shop alone 26 at 11 20 years 40 at 11 20 years Note Mean age of achievement in preschool years or percentage who has achieved the skill in teenage years in Hampshire studies Crosses road alone Children with Down syndrome make progress in all area of development in the same way as the other children but at a slower pace 7 Although milestones in independence will be achieved in a later age for children with Down syndrome evidence shows that most young people with Down syndrome do achieve a high level of autonomy in personal care 9 It is important to stress that for every children with Down syndrome they will be individual differences in rate of progress towards self sufficiency This means that the developmental progress is vary as widely for every Down syndrome child as the typically developing children The table below shows the milestones for personal self help comparison between children with Down syndrome and typically developing children Table 2 3 Milestones for personal social self help 7 PERSON
96. t in toilet with assistance Child sits on potty chair or on adaptive seat in the toilet with assistance 57 May go to toilet regulated by adult Child may go to toilet according to the regulation by adult Anticipates need to eliminate uses same word 58 for both functions Child anticipates need to eliminate 59 Anticipates need to eliminate in time Child anticipates need to eliminate in time 60 Uses toilet with assistance has daytime control Child uses toilet with assistance 61 Distinguishes between urination and bowel movements Child is able to distinguish between urination and bowel movements 62 Verbalizes need to go to toilet has occasional accidents Child verbalizes need to go to toilet 63 Takes responsibility for toileting Child knows the responsibility for toileting 64 Washes and dries hands partially Child partially washes and dries his her hands child requires assistance to complete the action 65 Washes hands Child washes his her hands by himself herself 66 Wipes nose with assistance Child wipes his her nose with some help 111 67 Blows nose with assistance Child blows nose with help 68 Dries hands Child dries his her own hands with a towel 69 Brushes teeth with assistance Child begins to brush teeth with assistance 70 Helps with bathing self Child is able to bathe himself herself 71 Sleeps t
97. t type of OS The Operating systems that were used for testing were Windows7 Windows Vista and Windows XP The result shows that the software was compatible with all of the operating systems Database The software was tested when updates were performed on the updates database Database can be updated by editing adding or deleting the database inside the Microsoft Access where the data was stored The result shows that the software was functioning accordance to the changes that made on the database Type of liquid Table 5 4 Liquid and its conductivity Liquid Conductivity Tap water Yes Drinking water Yes Orange juice Yes The hardware was tested to different type of liquid The objective is to test for the electric conductivity inside the cup with different type of 48 liquids The liquids that were used for the testing were tap water drinking water and orange juice The result shows that the hardware was functioning well with all of the liquids Power source The hardware was tested to different kind of power source namely battery and power adapter The objective is to test for its functionality for different kind of power source The result shows that the hardware was functioning for both power sources Voltage supply Table 5 5 Voltage and its functionality Voltage V Functionality 3 Yes 6 Yes 9 Yes 12 Yes The hardware was tested to different
98. te assessmentdata set frequency sleepingfrequency Text where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close if i1 i2 gt 8 float total i1 i2 float deg1 i1 total 100 float deg2 i2 total 100 float deg22 5 int Math Round deg2 5 15 sleepingfrequency Text deg22 ToString cmd CommandText update assessmentdata set frequency sleepingfrequency Text where Activity sleepingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close MessageBox Show You have finish the assessment You can check the result at the Report section Well Done MessageBoxButtons OK MessageBoxIcon Exclamation assessmentno Visible false assessmentyes Visible false assessmentask Visible false ask2 Visible true if toiletingrb Checked toiletingyesorno Text No OleDbCommand cmd new OleDbCommand cmd CommandType CommandType Text cmd CommandText update toiletingassessment set yesorno toiletingyesorno Text where Activity toiletingdescription Text cmd Connection database database Open cmd ExecuteNonQuery database Close this toiletingassessmentBindingSource MoveNext if i1 i2 gt 8 float total i1 i2 float deg1 i1 total 100 float deg2 i2 tot
99. the infrastructure as well as low level application C brings rapid development with some obvious changes by taking advantage of the NET framework 24 C gives the capability to build durable system level components by virtue of the following feature e Full COM platform support for existing code integration e Robustness though garbage collection and type safety 17 e Security provided through intrinsic code trust mechanisms e Full support of extensible metadata concepts C is the simplification of C program language syntax to be more consistence and logical while removing some of the more complex feature in C language 24 e As a type safe language C does not allow direct memory manipulation so pointers are no longer needed in C e Headers file also have been removed in C language e The namespace and reference operators and gt respectively have been replaced with single operator the period e The biggest change is that the int and bool data types are now completely different e Removes memory management issues from the developer by using NET s garbage collection scheme CHAPTER 3 METHODOLOGY 3 1 Introduction This chapter will discuss about the progress of this study is undergone throughout the period of time The system block diagram work flow of the study as well as the gantt chart of the study will be displayer and explained in detail Basically software development and hard
100. ties constructed to help developmental delays that may be experienced by Down syndrome children or other disabilities 5 Some services provided in early intervention program are physical therapy structured simulation program and language therapy Early intervention program is highly recommended to be introduced to children shortly after birth 1 1 1 Current Situation To date early intervention program is not widely implemented in Malaysia due to limitation of training centers for special children and lack of human resources with experience training in the field 8 Mostly the early intervention program is center based program where the children have to be sent to the program center and being assessed particular times per week Hence there is an urgent attention to develop an effective and better early intervention program with a continuous assessment for the special children 1 1 2 Product Comparison Currently some government and private organization had been establish a programs to help Down Syndrome Children to improve their disabilities and delays Most of the program is center based training It is highly dependent on the trainer s skills and experience on performing an effective assessment and training Assessment and training is done continuously using suitable exercises to improve the particular activity The process of assessment and training are generally based on The Hawaiian Learning Profile BCD Instructional activities a
101. tified A lot of effort had been made to construct a list of self help assessment International recognized curriculum is taken as reference for the database to make it reliable and acceptable by the trainer The database is then specified into four sub groups namely eating dressing toileting and sleeping The database is essential for better assessment and training for the special children Thus enable trainers and parents to effectively identify the weakness of the children Hence concentrate on giving training to them to improve on the identified action Next is software development First of all the software algorithm is designed After that self help assessment and training support system is developed The self help assessment and training support system is constructed and displayed as GUI A graphic user interface GUI is developed for human computer interface which can be control by keyboard and mouse The software that used to develop the support system is C programming language The main components for the algorithm are main page child data input assessment report and training Last but not least the implementation of the hardware in the self help support system It starts with problem identification and selection An activity in the self help skills is chosen based on its practicability to be implemented in hardware to help in doing evaluation by the trainer Lastly it ends with the hardware development and implementation This
102. ting child data just rewrite the data on the desired text box and click SAVE button The data is then updated with the new data The child data input parents data input and trainer data input forms are shown below SECTION A CHILD DATA GENERAL INFORMATION REMENT CLINICAL DATA ID ight Allergy Disease Surgical History Hospital History Medicine Taken SECTION B PARENTS DATA SECTION C TRAINER DATA GENERAL INFORMATION CLINICAL DATA GENERAL INFORMATIO Child 1D 1174 Name Wednesday March 30 2011 B i Pa A Ch Pam GED d SU y ET 103 1 3 Assessment After successfully register the child into the database user can move on to assessment session The assessment consists of 4 skills namely eating dressing toileting and sleeping 1 Click on the desired radio button skill that you want to perform with the child 2 The skill s activity is display on the screen 3 Evaluate the child based on the activity displayed Click Yes button if the child can perform the specified activity and click No button if the child cannot perform the activity 4 Finish evaluating all the activities of the selected skill A message is display when the assessment is finish 5 Then user may select other skills to continue assessment The assessment form is shown below User can close the assessment window and proceed to report section upon finishing the assessment ASSESSMENT E
103. trainingform trainingform new trainingform trainingform Show private void MainForm_Load object sender EventArgs e System Media SoundPlayer sp new System Media SoundPlayer C Users Milton Documents Visual Studio 2010 Projects SelfHelpGUI SelfHelpGUI Sound welcome wav sp Play Patient Data Input using using using using using using using using System System System System System System System System Collections Generic ComponentModel Data Drawing Linq Text Windows Forms namespace SelfHelpGUI public partial class patientdatainputform public patientdatainputform InitializeComponent Form private void trainerDI_Click object sender EventArgs e trainerdatainputform trainerdatainputform new trainerdatainputform trainerdatainputform Show private void parentsDI_Click object sender EventArgs e parentsdatainputform parentsdatainputform new parentsdatainputform parentsdatainputform Show private void childDI_Click_1 object sender EventArgs e childdataform childataform childataform Show new childdataform private void comboBox2_SelectedIndexChanged object sender EventArgs e private void patientdatainputform_Load object sender EventArgs e TODO This line of code loads data into the selfhelpdatabaseDataSet childdata table
104. trength and patience that He had gave me throughout the process of this projects My thanks to my supervisor En Abd Hamid Bin Ahmad and my co supervisor Assoc Prof Ir Dr Ing Eko Supriyanto for their full guidance patience and enthusiasm given throughout the progress of this study My appreciation also goes to my beloved family who has been so tolerant and supports me all these years Thanks for their encouragement love emotional and financial supports that they had given to me I would also like to thank Medical Electronics Laboratory assistant Mr Haikal and Mr Indra as well as others who are not mentioned for their co operations guidance and helps in this study Nevertheless my great appreciation dedicated to my friends GIFTers and SEP amp SEB member s batch 2007 and those that involve directly or indirectly with this study Thanks for continuously giving me moral support building comments and being a companion throughout these years Thank you very much viii ABSTRACT Children with Down syndrome always associated with mental retardation specific characteristic of facial appearance and poor muscle build So early intervention is a process of providing educations and supports to children to lessen the effect of this disability and delay However early intervention program is not widely implemented in Malaysia due to limitation of training centers for special children and lack of human resources with exp
105. untarily moves his her arms or legs while being dressed 40 Removes hat Child is able to remove the hat off his her head 41 Removes socks Child is able to remove socks off his her feet 42 Places hat on head Child is able to place the hat on his her head 43 Unzips zips large zipper Child is able to zip and unzip dress and pants 110 44 Removes shoes Child takes off shoes by himself herself 45 Unbuttons large buttons Child unbuttons large buttons independently 46 Pulls pants down with assistance Child pulls his her pants down with assistance over the hips 47 Pulls pants up with assistance Child pulls his her pants up with assistance over the hips 48 Puts shoes on with assistance Child puts shoes on his her feet with assistance 49 Undresses with assistance Child needs assistance during undressing himself herself 50 Dresses self with assistance Child dresses himself herself with assistance 51 Buttons large buttons Child buttons large round buttons 52 Hangs clothing on hook Child knows where to hang clothes 53 Dresses with supervision requires assistance with fastenings Child is able to dress with supervision and help is needed during fastening 55 Indicates discomfort over soiled pants Child shows discomfort over dirty pants with soil 56 Sits on potty chair or on adaptive sea
106. uter based processing unit system and the second is water level detection based input unit system First of all the computer based processing unit uses the database that integrated inside the support system as its main part Every assessment and training that will be done is highly related to the database Through this database the trainer performs 28 evaluation on the child and the result is generate as a report in the form of pie chart for the trainer record The water level detection based input unit system use the water level detection hardware as its main part These main components of the hardware consist of green and red LED a cup PIC and RS232 USB converter Water level detection is a tool to help in the self help assessment mainly for eating ability specifically the ability of the child to pour liquid to the cup The principle of the water level detection is simply the electric conductivity of the water The child will pour water in side of the cup when red LED lit on it indicates that the cup is empty whereas when green LED lit on it indicates that the cup is full 4 5 Subsystem Explanation The self help assessment and training support system can be divided into 2 subsystems The subsystems are computer based processing unit and water level detection input unit Detail explanation as follow 4 5 1 Computer Based Processing Unit C programming language will be implemented as the processing unit inside the com
107. vity specifically the activity pour liquid to the cup Figure 4 3 shows the water level detection that will be used to assist the assessment The main components that used in the water level detection are a green and red LED a PIC RS232 converter and a cup At the input water level detection is used as the interaction medium between the system and the user The LED will light on if the water level is sufficient to allow the electric conduct between the wires The voltage conducted through the LED is recorded and its behaviour is coded using the C programming language Lastly the behaviour of the LED is shown on the GUI for user s evaluation 30 Computer processing unit Water level detection Assessment performance using LED for the eating skill pours liquid to the cup C programming language Figure 4 3 Water level detection based input unit 4 6 List of self help skills 30 Below show some of the self help skills Full list of self help skill can be found at Appendix C as attach at the end of this thesis Table 4 1 List of self help skills no Action Description 1 Responses to food stimulus Child opens and closes mouth in response to food stimulus 2 Sucks and swallows reflex are inhibited Childs is not able to do the actions of suck and swallow 3 Brings hand to mouth Child is able to bring hand to the mouth independently 4 Recogniz
108. ware implementation will be done initially After that experiment and testing will be conducted to the special children Lastly troubleshooting and optimization will be performed for the support system improvement Table 3 1 shows the gantt chart for FYP1 and table 3 2 show the gantt chart for FYP2 22 3 3 System block diagram The figure below shows the block diagram of the system Self Help ability Support System oe Solve for self help Design software Problem identification database algorithm amp selection Self help database sub Develop assessment and Development amp group specification training support system implementation Figure 3 1 Block diagram of the system This project divided into of three main parts which are database software and hardware The project is mainly focus on the database construction as well as the software development The lists of database are constructed based on the international recognized curriculum It is carefully selected and sorted so that it is relevant to the scope of the study C programming language is used to develop the software A GUI is constructed for the self help support system The database is implemented into the support system for effective assessment and training to the special children Hardware is developed to aid the trainers in doing evaluation for the assessment 23 Database is the main component in this study Firstly a list of self help database is iden
109. way Child voluntarily helps to put things away 87 Holds small cup in one hand Child is able to hold small cup in one hand appropriately Understands and stays away from common Child understands and stays away from common dangers such as 88 dangers stairs glass strange animals stairs glass and strange animals 89 Holds spoon in hands palm up Child holds spoon in hand with palm up 90 Delays sleeping by demanding things Child tends to delay sleeping by demanding things 112 91 May reject many foods Child may reject many types of foods 92 Knows proper place for own things Child knows the proper location to place for own things 93 Insists on doing things independently Child demonstrates determination and insists on doing things independently Self help subgroup skills Eating skill Action Description Responses to food stimulus Child opens and closes mouth in response to food stimulus Sucks and swallows reflex are inhibited Childs is not able to do the actions of suck and swallow Brings hand to mouth Child is able to bring hand to the mouth independently Recognizes bottle visually Child is able to recognize bottle visually from other things Coordinates sucking swallowing and breathing Child is able to suck on bottle or nipple appropriately Brings hand with toy or object to mouth Child brings hand wit

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