{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:11:32Z","timestamp":1792512692405,"version":"4.5.0"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T00:00:00Z","timestamp":1624492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010787","name":"Associazione Italiana Rett","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010787","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The closure of all educational institutions and most rehabilitation centres represents a precautionary measure to face the COVID-19 pandemic, but the isolation and social distancing may be particularly challenging for children with special needs and disabilities (SEND), such as Rett Syndrome (RTT). The main aim of this study was to promote cognitive and social interactions among children with RTT through an interactive school program.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    The Interactive School palimpsest was composed of moments in which a teacher spoke directly to children with RTT and expected a response through eye gaze, and moments in which storeys-cartoon were presented while tracking the eye gaze of children. We investigated behavioural, social and cognitive parameters.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Children participated in both social and cognitive tasks with the spontaneous reduction of stereotypies and with increase in attention. They recalled more significant indexes when music or a song was presented together with a cartoon or a cognitive task.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    This study provides initial insights in promoting cognitive and social interactions and in the support needs of families with a child with RTT during the COVID-19 pandemic.\n                  <\/jats:p>","DOI":"10.3389\/fpsyg.2021.676238","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T09:23:05Z","timestamp":1624526585000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":16,"title":["Social and Cognitive Interactions Through an Interactive School Service for RTT Patients at the COVID-19 Time"],"prefix":"10.3389","volume":"12","author":[{"given":"Lucia","family":"Dovigo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tindara","family":"Capr\u00ec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Iannizzotto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Nucita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Semino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Giannatiempo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia","family":"Zocca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa Angela","family":"Fabio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,6,24]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.ejpn.2017.09.010","article-title":"Assessing cognitive functioning in females with Rett syndrome by eye-tracking methodology","volume":"22","author":"Ahonniska-Assa","year":"2018","journal-title":"Euro. J. Paediatr. Neurol."},{"key":"B2","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1002\/1096-8628(200022)97:2<147::aid-ajmg6>3.0.co;2-o","article-title":"Rett syndrome: methyl-CpG-binding protein 2 mutations and phenotype\u2013genotype correlations","volume":"97","author":"Amir","year":"2000","journal-title":"Am. J. Med. Genet."},{"key":"B3","first-page":"301","article-title":"Teorie della mente nella Sindrome di Rett: effetti di un training","author":"Antonietti","year":"2002","journal-title":"Ciclo Vita Disab."},{"key":"B4","first-page":"261","article-title":"\u201cQuando mancano le parole: ricerca e intervento sulla teoria della mente nelle bambine e ragazze con sindrome di Rett,\u201d","volume-title":"Teoria della mente tra normalit\u00e0 e patologia","author":"Antonietti","year":"2005"},{"key":"B5","first-page":"205","article-title":"\u201cUnderstanding emotions and mental states from faces and pictures in Rett Syndrome,\u201d","volume-title":"Emotional Face Comprehension: Neuropsychological Perspectives","author":"Antonietti","year":"2008"},{"key":"B6","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1145\/3234695.3236351","article-title":"HoloLearn: wearable mixed reality for people with Neurodevelopmental Disorders (NDD)","volume":"18","author":"Aruanno","year":"2018","journal-title":"Proc. ASSETS"},{"key":"B7","volume-title":"Public-Private Virtual-School Partnerships and Federal Flexibility for Schools During COVID-19. Mercatus Center Research Paper Series Special Edition Policy Brief","author":"Butcher","year":"2020"},{"key":"B8","doi-asserted-by":"publisher","first-page":"491","DOI":"10.3390\/electronics9030491","article-title":"The TCTRS project: a holistic approach for telerehabilitation in rett syndrome","volume":"9","author":"Capr\u00ec","year":"","journal-title":"Electronics"},{"key":"B9","doi-asserted-by":"publisher","first-page":"244","DOI":"10.1007\/s40489-020-00214-x","article-title":"Telerehabilitation for improving adaptive skills of children and young adults with multiple disabilities: a systematic review","volume":"8","author":"Capr\u00ec","year":"","journal-title":"Rev. J. Autism Dev. Disord"},{"key":"B10","first-page":"157","article-title":"Do Rett syndrome girls possess Theory of Mind? Some evidence from not-treated girls","volume":"2","author":"Castelli","year":"2013","journal-title":"Life Span Disabil. XVI"},{"key":"B11","first-page":"614","article-title":"Biostatistics 104: correlational analysis","volume":"44","author":"Chan","year":"2003","journal-title":"Singapore Med. J."},{"key":"B12","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1007\/s41252-018-0070-8","article-title":"Effectiveness of technology types in employment-related outcomes for people with intellectual and developmental disabilities: an extensionmeta-analysis","volume":"2","author":"Damianidou","year":"2018","journal-title":"Adv. Neurodev. Disord"},{"key":"B13","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1007\/s41252-018-0062-8","article-title":"A cloud supported app for providing self-directed, localized job interest assessment and analysis for people with intellectual disability","volume":"2","author":"Davies","year":"2018","journal-title":"Adv. Neurodev. Disabil"},{"key":"B14","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1016\/j.ejpn.2018.12.003","article-title":"Challenges in evaluating the oculomotor function in individuals with rett syndrome using electronystagmography","volume":"23","author":"De Breet","year":"2019","journal-title":"Eur. J. Paediatr. Neurol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1016\/j.pediatrneurol.2012.01.011","article-title":"Social preferences in Rett syndrome","volume":"46","author":"Djukic","year":"2012","journal-title":"Pediatr. Neurol."},{"key":"B16","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.rasd.2008.07.005","article-title":"Attention and communication in Rett Syndrome","volume":"3","author":"Fabio","year":"2009","journal-title":"Res. Autism Spectr. Disord"},{"key":"B17","doi-asserted-by":"publisher","first-page":"40","DOI":"10.14704\/nq.2019.17.7.2591","article-title":"Auditory and visual oddball paradigm evaluated through P300 in five girls with Rett syndrome","volume":"17","author":"Fabio","year":"","journal-title":"Neuroquantology"},{"key":"B18","doi-asserted-by":"crossref","DOI":"10.4324\/9780429470851","volume-title":"Understanding Rett Syndrome","author":"Fabio","year":""},{"key":"B19","doi-asserted-by":"publisher","first-page":"105","DOI":"10.19057\/jser.2019.43","article-title":"Eye gaze digital games to improve motivational and attentional ability in Rett syndrome","volume":"19","author":"Fabio","year":"","journal-title":"J. Spec. Educ. Rehabil"},{"key":"B20","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.ridd.2018.03.008","article-title":"Neurophysiological and cognitive effects of Transcranial Direct Current Stimulation in three girls with Rett Syndrome with chronic language impairments","volume":"76","author":"Fabio","year":"","journal-title":"Res. Dev. Disabil"},{"key":"B21","doi-asserted-by":"publisher","first-page":"276","DOI":"10.3390\/brainsci10050276","article-title":"Effects of combined transcranial direct current stimulation with cognitive training in girls with Rett syndrome","volume":"10","author":"Fabio","year":"","journal-title":"Brain Sci"},{"key":"B22","first-page":"113","article-title":"Attention and identification of the same and the similar visual stimuli in Rett Syndrome","volume":"1","author":"Fabio","year":"","journal-title":"Life Span Disabil"},{"key":"B23","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1007\/s10882-010-9207-z","article-title":"The increase of attention in Rett Syndrome: a pre-test\/post-test research design","volume":"23","author":"Fabio","year":"2011","journal-title":"J. Dev. Phys. Disabil"},{"key":"B24","first-page":"47","article-title":"Choice behavior in Rett Syndrome, the consistency parameter","volume":"1","author":"Fabio","year":"","journal-title":"Life Span Disabil"},{"key":"B25","doi-asserted-by":"publisher","first-page":"37","DOI":"10.3923\/ajcn.2018.37.46","article-title":"Long chain poly-unsaturated fatty acid supplementation in Rett Syndrome: a randomized placebo-controlled trial","volume":"10","author":"Fabio","year":"","journal-title":"Asian J. Clin. Nutr"},{"key":"B26","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1080\/09602011.2015.1048254","article-title":"Successful remote delivery of a treatment for phonological alexia via telerehab","volume":"26","author":"Getz","year":"2016","journal-title":"Neuropsychol. Rehabil"},{"key":"B27","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.pedn.2020.04.013","article-title":"The COVID-19 pandemic: technology use to support the wellbeing of children","volume":"53","author":"Goldschmidt","year":"2020","journal-title":"J. Pediatr. Nurs"},{"key":"B28","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1002\/hast.1090","article-title":"Responding to COVID-19: how to navigate a public health emergency legally and ethically","volume":"50","author":"Gostin","year":"2020","journal-title":"Hastings Cent. Rep."},{"key":"B29","doi-asserted-by":"publisher","first-page":"296","DOI":"10.3390\/info11060296","article-title":"Remote eye-tracking for cognitive telerehabilitation and interactive school tasks in times of COVID-19","volume":"11","author":"Iannizzotto","year":"2020","journal-title":"Information"},{"key":"B30","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1016\/j.procs.2017.12.177","article-title":"Understanding the implementation of telerehabilitation at preimplementation stage: a systematic literature review","volume":"124","author":"Jafni","year":"2017","journal-title":"Procedia Comput. Sci"},{"key":"B31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18061\/dsq.v35i1.3815","article-title":"Disability and eLearning: opportunities and barriers","volume":"35","author":"Kent","year":"2020","journal-title":"Disabil. Stud. Q"},{"key":"B32","doi-asserted-by":"publisher","first-page":"207","DOI":"10.3390\/brainsci10040207","article-title":"Handle the autism spectrum condition during coronavirus (COVID-19) stay at home period: ten tips for helping parents and caregivers of young children","volume":"10","author":"Narzisi","year":"2020","journal-title":"Brain Sci"},{"key":"B33","doi-asserted-by":"publisher","first-page":"7","DOI":"10.2196\/rehab.7511","article-title":"Telerehabilitation: review of the state-of-the-art and areas of application","volume":"4","author":"Peretti","year":"2017","journal-title":"J. Rehabil. Assist. Technol"},{"key":"B34","doi-asserted-by":"publisher","first-page":"85","DOI":"10.5195\/ijt.2008.702","article-title":"Telerehabilitation technologies: accessibility and usability","volume":"1","author":"Pramuka","year":"2015","journal-title":"Int. J. Telerehabil"},{"key":"B35","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1111\/dmcn.12085","article-title":"Rett syndrome: an eye-tracking study of attention and recognition memory","volume":"55","author":"Rose","year":"2013","journal-title":"Dev. Med. Child Neurol"},{"key":"B36","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.pediatrneurol.2016.01.015","article-title":"Aspects of attention in Rett syndrome","volume":"57","author":"Rose","year":"2016","journal-title":"Pediatr. Neurol"},{"key":"B37","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1037\/neu0000515","article-title":"Attentional shifting and disengagement in Rett syndrome","volume":"33","author":"Rose","year":"2019","journal-title":"Neuropsychology"},{"key":"B38","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1590\/0004-282X20150033","article-title":"The eye-tracking of social stimuli in patients with Rett syndrome and autism spectrum disorders: a pilot study","volume":"73","author":"Schwartzman","year":"2015","journal-title":"Arq. Neuropsiquiatr."},{"key":"B39","doi-asserted-by":"publisher","first-page":"1","DOI":"10.31234\/osf.io\/tm69k","article-title":"Supporting families with children with special educational needs and disabilities during COVID-19","volume":"4","author":"Toseeb","year":"2020","journal-title":"PsyArXiv"},{"key":"B40","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1089\/tmj.2014.0080","article-title":"Attitude of families of patients with genetic diseases to use m-Health technologies","volume":"21","author":"Tozzi","year":"2015","journal-title":"Telemed. e-Health"},{"key":"B41","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1080\/07434618.2018.1462848","article-title":"Using eye-tracking technology for communication in Rett syndrome: perceptions of impact","volume":"34","author":"Vessoyan","year":"2018","journal-title":"Augment. Altern. Commun"},{"key":"B42","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/20473869.2020.1756115","article-title":"Promoting physical activity for children with autism spectrum disorders during Coronavirus outbreak: benefits, strategies, and examples","volume":"66","author":"Yarimkaya","year":"2020","journal-title":"Int. J. Dev. Disabil."},{"key":"B43","first-page":"1","article-title":"How does COVID-19 impact students with disabilities\/health concerns?","volume":"2","author":"Zhang","year":"2020","journal-title":"arXiv200505438"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2021.676238\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T09:23:18Z","timestamp":1624526598000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2021.676238\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,24]]},"references-count":43,"alternative-id":["10.3389\/fpsyg.2021.676238"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2021.676238","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-36033\/v1","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-36033\/v2","asserted-by":"object"}]},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,24]]},"article-number":"676238"}}