MS-RRBR: A Multi-Model Synergetic Framework for Restricted and Repetitive Behavior Recognition in Children with Autism
Source abstract
Abstract
Restricted and Repetitive Behaviors (RRBs) are hallmark features of children with autism spectrum disorder (ASD) and are also one of the diagnostic criteria for the condition. Traditional methods of RRBs assessment through manual observation are limited by low diagnostic efficiency and uncertainty in outcomes. As a result, AI-assisted screening for autism has emerged as a promising research direction. In this study, we explore the synergy of visual foundation models and multimodal large language models (MLLMs), proposing a Multi-Model Synergistic Restricted and Repetitive Behavior Recognition method (MS-RRBR). Based on this method, we developed an interpretable multi-model autonomous question-answering system. To evaluate the effectiveness of our approach, we collected and annotated the Autism Restricted and Repetitive Behavior Dataset (ARRBD), which includes 10 ASD-related behaviors easily observable from various visual perspectives. Experimental results on the ARRBD dataset demonstrate that our multi-model collaboration outperforms single-model approaches, achieving the highest recognition accuracy of 94.94%. The MS-RRBR leverages the extensive linguistic knowledge of GPT-4o to enhance the zero-shot visual recognition capabilities of the MLLM, while also providing clear explanations for system decisions. This approach holds promise for providing timely, reliable, and accurate technical support for clinical diagnosis and educational rehabilitation in ASD.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Autism Spectrum Disorder Research · EEG and Brain-Computer Interfaces · Explainable Artificial Intelligence (XAI)
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
College of Education, Zhejiang University of Technology, Hangzhou 310023, China
Funding
National Natural Science Foundation of China
References (52)
Show source-provided references
1. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5, American Psychiatric Association.10.1176/appi.books.9780890425596 ↗
2. Tian, J., Gao, X., and Yang, L. (2022). Repetitive restricted behaviors in autism spectrum disorder: From mechanism to development of therapeutics. Front. Neurosci., 16.10.3389/fnins.2022.780407 ↗
3. Chaxiong, P., Dimian, A.F., and Wolff, J.J. (2022). Restricted and repetitive behavior in children with autism during the first three years of life: A systematic review. Front. Psychol., 13.10.3389/fpsyg.2022.986876 ↗
4. Jasim, S., and Perry, A. (2023). Repetitive and restricted behaviors and interests in autism spectrum disorder: Relation to individual characteristics and mental health problems. BMC Psychiatry, 23.10.1186/s12888-023-04766-0 ↗
5. Advancing methodologies to improve RRB outcome measures in autism research: Evaluation of the RBS-R10.1037/pas0001062 ↗
6. Dimensional assessment of restricted and repetitive behaviors: Development and preliminary validation of a new measure10.1016/j.jaac.2022.07.863 ↗
7. Validating the repetitive behavior scale-revised for children in China aged 9 to 16 with autism spectrum disorder10.1080/20473869.2023.2171757 ↗
8. Challenges surrounding the diagnosis of autism in children10.2147/NDT.S282569 ↗
9. Ali, A., Negin, F.F., Bremond, F.F., and Thümmler, S. (2022, January 6–8). Video-based behavior understanding of children for objective diagnosis of autism. Proceedings of the VISAPP 2022—17th International Conference on Computer Vision Theory and Applications, Online.10.5220/0010839200003124 ↗
10. Khan, I.U., Afzal, S., and Lee, J.W. (2022). Human activity recognition via hybrid deep learning based model. Sensors, 22.10.3390/s22010323 ↗
11. Rajagopalan, S., Dhall, A., and Goecke, R. (2013, January 2–8). Self-stimulatory behaviours in the wild for autism diagnosis. Proceedings of the IEEE International Conference on Computer Vision Workshops, Sydney, NSW, Australia.10.1109/ICCVW.2013.103 ↗
12. Neimark, D., Bar, O., Zohar, M., and Asselmann, D. (2021, January 11–17). Video transformer network. Proceedings of the IEEE/CVF International Conference on Computer Vision, Montreal, BC, Canada.10.1109/ICCVW54120.2021.00355 ↗
13. Language-assisted deep learning for autistic behaviors recognition10.1016/j.smhl.2023.100444 ↗
14. Efficient training of visual transformers with small datasets
15. Deng, S., Kosloski, E.E., Patel, S., Barnett, Z.A., Nan, Y., Kaplan, A., Aarukapalli, S., Doan, W.T., Wang, M., and Singh, H. (2024). Hear Me, See Me, Understand Me: Audio-Visual Autism Behavior Recognition. arXiv.10.1109/TMM.2024.3521838 ↗
16. Lv, K., Yang, Y., Liu, T., Gao, Q., Guo, Q., and Qiu, X. (2023). Full parameter fine-tuning for large language models with limited resources. arXiv.10.18653/v1/2024.acl-long.445 ↗
17. A survey on model compression for large language models10.1162/tacl_a_00704 ↗
18. Exploring early childhood autism spectrum disorders: A comprehensive review of diagnostic approaches in young children
19. Examination of stimulus over-selectivity in children with autism spectrum disorder and its relationship to stereotyped behaviors and cognitive flexibility10.1177/1088357620943504 ↗
20. The Repetitive Behavior Scale-Revised: Independent Validation in Children with Autism Spectrum Disorders and a Control Group in Albania
21. Keating, J., Van Goozen, S., Uljarevic, M., Hay, D., and Leekam, S.R. (2023). Restricted and repetitive behaviors and their developmental and demographic correlates in 4–8-year-old children: A transdiagnostic approach. Front. Behav. Neurosci., 17.10.3389/fnbeh.2023.1085404 ↗
22. Assessing restricted and repetitive behaviours in online-sampled autistic and non-autistic individuals: Factor structure of the repetitive Behaviours Questionnaire for adults (RBQ-2A)10.1007/s10803-023-05977-w ↗
23. Eye gaze as a biomarker in the recognition of autism spectrum disorder using virtual reality and machine learning: A proof of concept for diagnosis10.1002/aur.2636 ↗
24. The use of Multi-Sensory Environments with autistic children: Exploring the effect of having control of sensory changes10.1177/13623613211050176 ↗
25. Participation patterns of Israeli children with and without autism, and the impact of environment10.1080/01942638.2023.2230269 ↗
26. Emotion regulation and emotion dysregulation in children and adolescents with autism spectrum disorder: A meta-analysis of evaluation and intervention studies10.1016/j.cpr.2024.102410 ↗
27. Relationships between emotion regulation, social communication and repetitive behaviors in autism spectrum disorder10.1007/s10803-021-05340-x ↗
28. Autism spectrum disorder diagnoses: A comparison of countries with different income levels10.2147/CLEP.S373186 ↗
29. Vision-based activity recognition in children with autism-related behaviors10.1016/j.heliyon.2023.e16763 ↗
30. Vision-assisted recognition of stereotype behaviors for early diagnosis of autism spectrum disorders10.1016/j.neucom.2021.03.004 ↗
31. A survey on the interpretability of deep learning in medical diagnosis10.1007/s00530-022-00960-4 ↗
32. The three ghosts of medical AI: Can the black-box present deliver?10.1016/j.artmed.2021.102158 ↗
33. Explainable deep learning methods in medical image classification: A survey
34. Designing interpretable ML system to enhance trust in healthcare: A systematic review to proposed responsible clinician-AI-collaboration framework10.1016/j.inffus.2024.102412 ↗
35. Lizarte Simón, E.J., Khaled Gijón, M., Galván Malagón, M.C., and Gijón Puerta, J. (2024). Challenge-obstacle stressors and cyberloafing among higher vocational education students: The moderating role of smartphone addiction and Maladaptive. Front. Psychol., 15.10.3389/fpsyg.2024.1358634 ↗
36. Assessing the communication gap between AI models and healthcare professionals: Explainability, utility and trust in AI-driven clinical decision-making10.1016/j.artint.2022.103839 ↗
37. Transparent deep learning to identify autism spectrum disorders (ASD) in EHR using clinical notes10.1093/jamia/ocae080 ↗
38. Process knowledge-infused ai: Toward user-level explainability, interpretability, and safety10.1109/MIC.2022.3182349 ↗
39. Huang, J., Xiao, L., Yang, J., and Chen, S. (2020, January 20–22). Using knowledge Graphs to Enhance the Interpretability of Clinical Decision Support Model. Proceedings of the 2020 International Conference on Computer Science and Management Technology (ICCSMT), Shanghai, China.10.1109/ICCSMT51754.2020.00030 ↗
40. Tong, S., Liu, Z., Zhai, Y., Ma, Y., LeCun, Y., and Xie, S. (2024, January 16–22). Eyes Wide Shut? Exploring the Visual Shortcomings of Multimodal LLMs. Proceedings of the 2024 IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR), Seattle, WA, USA.10.1109/CVPR52733.2024.00914 ↗
41. Li, K., Wang, Y., He, Y., Li, Y., Wang, Y., Wang, L., and Qiao, Y. (2023, January 1–6). Uniformerv2: Unlocking the potential of image vits for video understanding. Proceedings of the IEEE/CVF International Conference on Computer Vision, Paris, France.10.1109/ICCV51070.2023.00157 ↗
42. Chen, Z., Wu, J., Wang, W., Su, W., Chen, G., Xing, S., Zhong, M., Zhang, Q., Zhu, X., and Lu, L. (2024, January 16–22). Internvl: Scaling up vision foundation models and aligning for generic visual-linguistic tasks. Proceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition, Seattle, WA, USA.10.1109/CVPR52733.2024.02283 ↗
43. Bai, J., Bai, S., Yang, S., Wang, S., Tan, S., Wang, P., Lin, J., Zhou, C., and Zhou, J. (2023). Qwen-vl: A versatile vision-language model for understanding, localization, text reading, and beyond. arXiv.
44. Liu, S., Zeng, Z., Ren, T., Li, F., Zhang, H., Yang, J., Jiang, Q., Li, C., Yang, J., and Su, H. (2025, January 26–27). Grounding dino: Marrying dino with grounded pre-training for open-set object detection. Proceedings of the European Conference on Computer Vision, Paris, France.10.1007/978-3-031-72970-6_3 ↗
45. Du, L., Shi, X., Wang, Y., Shi, E., Han, S., and Zhang, D. (2021, January 1–5). Is a single model enough? mucos: A multi-model ensemble learning approach for semantic code search. Proceedings of the 30th ACM International Conference on Information & Knowledge Management, Virtual Event, Queensland, Australia.10.1145/3459637.3482127 ↗
46. Long-tailed visual recognition with deep models: A methodological survey and evaluation10.1016/j.neucom.2022.08.031 ↗
47. Stop explaining black box machine learning models for high stakes decisions and use interpretable models instead10.1038/s42256-019-0048-x ↗
48. Methodological Problems of Measuring Values and Value-Oriented Human Behavior10.17759/sps.2021120402 ↗
49. Wu, W., Yao, H., Zhang, M., Song, Y., Ouyang, W., and Wang, J. (2023). GPT4Vis: What can GPT-4 do for zero-shot visual recognition?. arXiv.
50. Language models are few-shot learners
51. Artificial intelligence in Autism Spectrum disorder: Technological innovations to enhance quality of life: A holistic review of current and future applications10.23958/ijirms/vol09-i09/1969 ↗
52. Augmenting medical diagnosis decisions? An investigation into physicians’ decision-making process with artificial intelligence10.1287/isre.2020.0980 ↗