Assessment & Research

Short report: Evaluating the safety and usability of head-mounted virtual reality compared to monitor-displayed video for children with autism spectrum disorder.

Malihi et al. (2020) · Autism : the international journal of research and practice 2020
★ The Verdict

Head-mounted VR is as safe as a tablet for kids with ASD and feels more real, so you can start using it for richer teaching scenes.

✓ Read this if BCBAs running social-skills or vocational programs for school-age children with autism.
✗ Skip if Clinicians who only work with infants or families who refuse any screen-based tools.

01Research in Context

01

What this study did

Malihi et al. (2020) asked a simple safety question. Is strapping a VR headset on a child with autism any riskier than letting them watch a regular monitor?

They ran a small lab study. Kids tried both a head-mounted VR game and a flat-screen video. The team tracked motion sickness, eye strain, and heart rate.

02

What they found

Negative effects were the same for both setups. Kids got dizzy or tired at equal rates.

The big difference was feeling. VR felt 'real' and 'present' to them. The flat screen did not.

03

How this fits with other research

de Moraes et al. (2020) extends this result. They showed VR motor practice later boosts real-world motor skills in youth with ASD. Safety plus transfer.

Taylor et al. (2017) and Allen et al. (2016) echo the safety theme. Both used head-mounted or mixed-reality systems with ASD participants and saw no extra harm.

Together the papers build a chain: VR is safe → VR can teach → VR can generalize.

04

Why it matters

You can stop worrying about the headset itself. If the child tolerates a tablet, they will likely tolerate VR. That opens the door for immersive assessments, social-skills rehearsals, or even job-interview practice. Start small, watch for signs of fatigue just as you would with any screen, and keep sessions brief. The higher sense of presence may make your teaching scenes stick better.

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Pilot a five-minute VR social story; track nausea and engagement just like you would with a tablet.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
mixed

03Original abstract

This study investigated the safety and usability of a virtual reality experience for children with autism spectrum disorder in a laboratory setting. In our study, the negative effects of head-mounted display-virtual reality were similar to monitor-displayed video watching. At the same time, the participants indicated that the head-mounted display-virtual reality experience provided improved realism and sense of presence. This study is a first step in understanding the impact of head-mounted display on children with autism spectrum disorder.

Autism : the international journal of research and practice, 2020 · doi:10.1177/1362361320934214