OTSLPSystematic ReviewJournal of autism and developmental disorders2026

Examining Virtual Reality Interventions for Social Skills in Children with Autism Spectrum Disorder: A Systematic Review.

Yücel Altın, Özge Boşnak, Ceyda Turhan

PMID 39907930

WHAT IT FOUND

VR social skills training shows promise for children with autism, but results are inconsistent.

Many studies lacked control groups or failed to show skills transferring to real life. It is not yet proven superior to standard therapy.

Key findings

01Most included studies reported improvements in social interaction or emotion recognition, but several found no significant gains compared to traditional methods or in specific areas like emotion recognition.

02A major limitation across the reviewed studies is the difficulty in generalizing skills learned in virtual environments to everyday life contexts.

03The evidence base is weakened by small sample sizes and a lack of control groups in many studies, making it hard to isolate the effect of VR itself.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

Most included studies had small sample sizes, which reduces statistical power. Many studies lacked control groups, making it impossible to compare VR directly to standard care or other interventions. There is significant concern about generalization: skills learned in VR often did not transfer to real-life settings. The review included studies with varying VR technologies (desktop, HMD, CAVE), making it difficult to determine which type is most effective. Gender imbalance was noted, with far more male participants, limiting applicability to girls with ASD.

Declared interests

The study was funded by Bursa Uludag University. No specific conflicts of interest regarding commercial VR vendors were declared in the provided text.

The easy way to misread this

Do not assume VR is superior to existing social skills therapies. The review found mixed results, with several studies showing no benefit over traditional methods and a widespread failure to demonstrate that skills learned in VR transfer to real-world interactions.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →