SLPSystematic ReviewAutism : the international journal of research and practice2025

A systematic review of ecological momentary assessment in autism research.

Yixin Chen, Zhenyang Xi, Talya Greene and 1 others

PMID 39696839

WHAT IT FOUND

Ecological momentary assessment is feasible for autistic adults with average intelligence, with a mean response rate of 72%.

Evidence for children, older adults, and those with intellectual disability is limited. Adapting questionnaires and sampling schedules is essential for accessibility.

Key findings

01The review included 32 unique studies, with a mean sample size of 29.1 participants per study.

02Mean response rates were 72.1% for signal-contingent sampling and 75.1% for interval-contingent sampling.

03Feasibility was established primarily for young and middle-aged autistic people with average or above-average intelligence and language ability.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The review found that most studies included young and middle-aged adults with average or above-average intelligence, so findings may not apply to autistic children, older adults, or those with intellectual disability. There was significant heterogeneity in EMA designs and measures across the included studies, making direct comparisons difficult. Only a subset of studies reported detailed data on factors influencing response rates, such as IQ or specific questionnaire designs. The review was limited to English-language publications, potentially excluding relevant studies from other regions.

Declared interests

The authors declared no potential conflicts of interest and received no financial support for the research.

The easy way to misread this

Do not assume EMA is equally feasible for all autistic individuals. The evidence supports its use mainly for adults with average or above-average intelligence and language skills. Applying it to children, older adults, or those with intellectual disability requires careful adaptation and may not yield reliable data without further testing.

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