Apraxia world

This paper presents Apraxia World, a remote therapy tool for speech sound disorders that integrates speech exercises into an engaging platformer-style game. In Apraxia World, the player controls the avatar with virtual buttons/joystick, whereas speech input is associated with assets needed to advance from one level to the next. We tested performance and child preference of two strategies for delivering speech exercises: during each level, and after it. Most children indicated that doing exercises after completing each level was less disruptive and preferable to doing exercises scattered through the level. We also found that children liked having perceived control over the game (character appearance, exercise behavior). Our results indicate that (i) a familiar style of game successfully engages children, (ii) speech exercises function well when decoupled from game control, and (iii) children are willing to complete required speech exercises while playing a game they enjoy.