The Use of Digital Interventions for Children and Adolescents with Autism Spectrum Disorder—A Meta-Analysis.
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| Title: | The Use of Digital Interventions for Children and Adolescents with Autism Spectrum Disorder—A Meta-Analysis. |
|---|---|
| Authors: | Xu, Fang (AUTHOR), Gage, Nicholas (AUTHOR), Zeng, Songtian (AUTHOR), Zhang, Madian (AUTHOR), Iun, Anastasiia (AUTHOR), O'Riordan, Margaret (AUTHOR), Kim, Eunsuk (AUTHOR) |
| Source: | Journal of Autism & Developmental Disorders. Feb2026, Vol. 56 Issue 2, p499-515. 17p. |
| Subjects: | Treatment of autism, Digital technology, Adolescent development, Communicative competence, Effect sizes (Statistics), Therapeutics, Children with disabilities, Smartphones, Portable computers, Treatment effectiveness, Meta-analysis, Descriptive statistics, Systematic reviews, MEDLINE, Computers in medicine, Child development, Social skills, Ability, Asperger's syndrome, Confidence intervals, Data analysis software, Online information services, Cognition, Training, Activities of daily living, ERIC (Information retrieval system), Psychology information storage & retrieval systems, Children |
| Abstract: | This comprehensive meta-analysis aimed to assess the effectiveness of digital interventions in improving developmental skills for children and adolescents with autism spectrum disorder (ASD). We conducted a systematic literature search based on three databases. A pre-test adjusted between-group standardized effect size was computed for effect size synthesis. We utilized a robust variance estimation model to analyze overall treatment effect. Moderator analyses and publication bias were also addressed. Twenty-eight studies (150 effect sizes) using randomized control trials (RCT; n = 22) or quasi-experimental designs (QED; n = 6) were included. Most studies (n = 22) included social-emotional skills as primary outcomes. The meta-analysis revealed a medium to large overall effect size, with Hedges' g = 0.62, 95% CI [0.36, 0.88], p < 0.001. We found that digital interventions have a statistically significantly large effect on enhancing social-emotional skills compared with language and communication skills, cognitive skills, daily living skills, and physical skills. The results of moderator analyses indicated that computer-based interventions have larger effect sizes in comparison to tablet/smartphone-based interventions. No statistically significant differences were observed between studies utilizing RCT and those using QED. We recommended the integration of digital interventions as supplemental resources in behavioral and educational interventions. Further research needs to focus on more females, young children, and adolescents with ASD in digital intervention research. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 191290376 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The Use of Digital Interventions for Children and Adolescents with Autism Spectrum Disorder—A Meta-Analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Xu%2C+Fang%22">Xu, Fang</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gage%2C+Nicholas%22">Gage, Nicholas</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zeng%2C+Songtian%22">Zeng, Songtian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zhang%2C+Madian%22">Zhang, Madian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Iun%2C+Anastasiia%22">Iun, Anastasiia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Riordan%2C+Margaret%22">O'Riordan, Margaret</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Eunsuk%22">Kim, Eunsuk</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Feb2026, Vol. 56 Issue 2, p499-515. 17p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Treatment+of+autism%22">Treatment of autism</searchLink><br /><searchLink fieldCode="DE" term="%22Digital+technology%22">Digital technology</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent+development%22">Adolescent development</searchLink><br /><searchLink fieldCode="DE" term="%22Communicative+competence%22">Communicative competence</searchLink><br /><searchLink fieldCode="DE" term="%22Effect+sizes+%28Statistics%29%22">Effect sizes (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Children+with+disabilities%22">Children with disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Smartphones%22">Smartphones</searchLink><br /><searchLink fieldCode="DE" term="%22Portable+computers%22">Portable computers</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Computers+in+medicine%22">Computers in medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Child+development%22">Child development</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills%22">Social skills</searchLink><br /><searchLink fieldCode="DE" term="%22Ability%22">Ability</searchLink><br /><searchLink fieldCode="DE" term="%22Asperger's+syndrome%22">Asperger's syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition%22">Cognition</searchLink><br /><searchLink fieldCode="DE" term="%22Training%22">Training</searchLink><br /><searchLink fieldCode="DE" term="%22Activities+of+daily+living%22">Activities of daily living</searchLink><br /><searchLink fieldCode="DE" term="%22ERIC+%28Information+retrieval+system%29%22">ERIC (Information retrieval system)</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This comprehensive meta-analysis aimed to assess the effectiveness of digital interventions in improving developmental skills for children and adolescents with autism spectrum disorder (ASD). We conducted a systematic literature search based on three databases. A pre-test adjusted between-group standardized effect size was computed for effect size synthesis. We utilized a robust variance estimation model to analyze overall treatment effect. Moderator analyses and publication bias were also addressed. Twenty-eight studies (150 effect sizes) using randomized control trials (RCT; n = 22) or quasi-experimental designs (QED; n = 6) were included. Most studies (n = 22) included social-emotional skills as primary outcomes. The meta-analysis revealed a medium to large overall effect size, with Hedges' g = 0.62, 95% CI [0.36, 0.88], p < 0.001. We found that digital interventions have a statistically significantly large effect on enhancing social-emotional skills compared with language and communication skills, cognitive skills, daily living skills, and physical skills. The results of moderator analyses indicated that computer-based interventions have larger effect sizes in comparison to tablet/smartphone-based interventions. No statistically significant differences were observed between studies utilizing RCT and those using QED. We recommended the integration of digital interventions as supplemental resources in behavioral and educational interventions. Further research needs to focus on more females, young children, and adolescents with ASD in digital intervention research. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10803-024-06563-4 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 17 StartPage: 499 Subjects: – SubjectFull: Treatment of autism Type: general – SubjectFull: Digital technology Type: general – SubjectFull: Adolescent development Type: general – SubjectFull: Communicative competence Type: general – SubjectFull: Effect sizes (Statistics) Type: general – SubjectFull: Therapeutics Type: general – SubjectFull: Children with disabilities Type: general – SubjectFull: Smartphones Type: general – SubjectFull: Portable computers Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Meta-analysis Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Systematic reviews Type: general – SubjectFull: MEDLINE Type: general – SubjectFull: Computers in medicine Type: general – SubjectFull: Child development Type: general – SubjectFull: Social skills Type: general – SubjectFull: Ability Type: general – SubjectFull: Asperger's syndrome Type: general – SubjectFull: Confidence intervals Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Online information services Type: general – SubjectFull: Cognition Type: general – SubjectFull: Training Type: general – SubjectFull: Activities of daily living Type: general – SubjectFull: ERIC (Information retrieval system) Type: general – SubjectFull: Psychology information storage & retrieval systems Type: general – SubjectFull: Children Type: general Titles: – TitleFull: The Use of Digital Interventions for Children and Adolescents with Autism Spectrum Disorder—A Meta-Analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Xu, Fang – PersonEntity: Name: NameFull: Gage, Nicholas – PersonEntity: Name: NameFull: Zeng, Songtian – PersonEntity: Name: NameFull: Zhang, Madian – PersonEntity: Name: NameFull: Iun, Anastasiia – PersonEntity: Name: NameFull: O'Riordan, Margaret – PersonEntity: Name: NameFull: Kim, Eunsuk IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 01623257 Numbering: – Type: volume Value: 56 – Type: issue Value: 2 Titles: – TitleFull: Journal of Autism & Developmental Disorders Type: main |
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