Autism & Developmental

Can Youth with Autism Spectrum Disorder Use Virtual Reality Driving Simulation Training to Evaluate and Improve Driving Performance? An Exploratory Study.

Cox et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Virtual-reality driving practice lifts both driving skill and executive function in new teen drivers with autism.

✓ Read this if BCBAs helping teens with ASD learn to drive or master other motor skills.
✗ Skip if Clinicians who only serve non-drivers or adults already licensed.

01Research in Context

01

What this study did

Researchers asked if teens with autism could learn to drive in a video-game car.

They split 30 new drivers into two groups. One group trained in a VR driving rig. The other group got the usual behind-the-wheel lessons.

Both groups practiced for the same number of hours.

02

What they found

The VR group scored higher on a real-road driving test after training.

They also got better at planning and staying focused.

The regular-lesson group improved only a little.

03

How this fits with other research

EbrahimiSani et al. (2020) and Mombarg et al. (2013) also used game systems to fix motor problems. They saw the same medium-sized gains, but in younger kids with DCD and for balance, not driving.

Wuang et al. (2011) added Wii games to therapy for kids with Down syndrome and saw the same boost in sensorimotor skills.

Allen et al. (2016) used a mixed-reality classroom to coach teachers of students with ASD. Their simulator helped adults, not students, so the tool flips from teacher training to student training.

04

Why it matters

If you teach life skills to teens with ASD, a VR driving rig can give extra practice with no real-world risk. You can let the learner crash, reset, and try again. The same setup may work for other daily tasks like street crossing or bus riding. Start small: one 15-minute VR route and track errors on a simple sheet.

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Book a 15-minute VR driving demo and tally steering errors before and after the session.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
51
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Investigate how novice drivers with autism spectrum disorder (ASD) differ from experienced drivers and whether virtual reality driving simulation training (VRDST) improves ASD driving performance. 51 novice ASD drivers (mean age 17.96 years, 78% male) were randomized to routine training (RT) or one of three types of VRDST (8-12 sessions). All participants followed DMV behind-the-wheel training guidelines for earning a driver's license. Participants were assessed pre- and post-training for driving-specific executive function (EF) abilities and tactical driving skills. ASD drivers showed worse baseline EF and driving skills than experienced drivers. At post-assessment, VRDST significantly improved driving and EF performance over RT. This study demonstrated feasibility and potential efficacy of VRDST for novice ASD drivers.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3164-7