Assessment & Research

Applying Eye Tracking to Identify Autism Spectrum Disorder in Children.

Wan et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

A 10-second video plus eye tracking spots autism in preschoolers with 85 % accuracy.

✓ Read this if BCBAs who assess young children for autism in clinics or schools.
✗ Skip if Practitioners without access to an eye-tracking camera.

01Research in Context

01

What this study did

The team showed the kids a 10-second clip of a woman talking. Half of the kids had autism, half were typical.

An eye-tracking camera recorded where each child looked. No extra equipment, no long test.

02

What they found

Kids with autism looked less at the mouth and body. A computer used those two numbers alone.

It picked out autism vs typical with 85 % accuracy, 87 % sensitivity, and 84 % specificity.

03

How this fits with other research

Falck-Ytter et al. (2012) and Spriggs et al. (2015) already saw odd gaze in babies and toddlers. This paper shows the same signal still works in preschoolers and can act as a quick screen.

Harrop et al. (2018) adds a twist: autistic girls look at faces more like typical girls. If your clinic uses gaze cut-offs, you may need separate ones for boys and girls.

Shirama et al. (2016) found shaky fixation in autistic adults, while Guobin finds clear classification in kids. Same tool, different ages—together they show eye markers span the lifespan.

04

Why it matters

You can run this 10-second clip on any desk-mounted eye tracker while the child waits. If gaze time on mouth plus body falls below the cut-off, flag for further evaluation. It is fast, child-friendly, and adds hard data to parent reports.

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→ Action — try this Monday

Load the 10-second speaking-face clip onto your lab tracker and collect mouth-plus-body gaze time during intake—note any child under the 85 % cut-off for follow-up.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
74
Population
autism spectrum disorder, neurotypical
Finding
positive
Magnitude
large

03Original abstract

Eye tracking (ET) holds potential for the early detection of autism spectrum disorder (ASD). To overcome the difficulties of working with young children, developing a short and informative paradigm is crucial for ET. We investigated the fixation times of 37 ASD and 37 typically developing (TD) children ages 4-6 watching a 10-second video of a female speaking. ASD children showed significant reductions in fixation time at six areas of interest. Furthermore, discriminant analysis revealed fixation times at the mouth and body could significantly discriminate ASD from TD with a classification accuracy of 85.1%, sensitivity of 86.5%, and specificity of 83.8%. Our study suggests that a short video clip may provide enough information to distinguish ASD from TD children.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3690-y