Autism & Developmental

Feedback-Driven Learning Through Eye Movements in Autism Spectrum Disorder.

Simpson et al. (2025) · Autism research : official journal of the International Society for Autism Research 2025
★ The Verdict

Autistic kids show weaker error monitoring on computerized sorting tasks—consider extra feedback and error-correction trials in your teaching.

✓ Read this if BCBAs running skill-acquisition sessions with autistic teens on computers or tablets.
✗ Skip if Clinicians focused only on early-childhood vocal manding or physical play.

01Research in Context

01

What this study did

Simpson et al. (2025) watched autistic and neurotypical teens play a computerized card-sorting game.

An eye-tracker recorded where they looked after each mistake.

The team asked: do autistic kids look back at their errors the same way their peers do?

02

What they found

Autistic teens finished fewer card sets and made more errors.

After a mistake, their eyes barely returned to the spot that signaled the error.

Less looking back meant weaker self-monitoring during the game.

03

How this fits with other research

Bromley et al. (1998) saw the same pattern with a toy missile game: autistic kids often left visible errors uncorrected.

Kaland et al. (2008) also found poorer scores on the same card-sorting test, but without eye data.

Micai et al. (2019) adds a twist in reading: autistic adults made fewer eye returns to spelling mistakes, matching the new card-sort result even though the task changed.

Together, the studies show a steady line of weaker error checking in autism across ages and tasks.

04

Why it matters

If a learner does not look back at feedback, the teaching moment is lost.

Add brief pause prompts, highlight the feedback zone, or ask the student to state what just changed.

These tiny eye-movement gaps can turn into big learning gaps if we do not fill them.

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→ Action — try this Monday

After each wrong response on a computer task, point to the feedback box and wait three seconds for the student to look before continuing.

02At a glance

Intervention
not applicable
Design
quasi experimental
Sample size
43
Population
autism spectrum disorder, neurotypical
Finding
negative
Magnitude
medium

03Original abstract

Individuals with Autism Spectrum Disorder (ASD) face challenges in cognitive flexibility and rule-shifting. This study investigated a computerized Wisconsin Card Sorting Task (WCST) paired with eye-tracking to understand the cognitive dynamics of set-shifting difficulties in autistic children and adolescents. The study included 21 Spanish-speaking autistic children and adolescents (mean age: 14.5 years) and 22 typically developing peers (mean age: 15.1), matched by gender, age, language, working memory, and intelligence. Participants sorted cards by number, color, or shape, receiving feedback after each trial. The sorting criterion changed after 10 correct responses without participants' prior knowledge. The task included 128 trials, followed by three strategy-related verbal questions. Behavioral and eye movement data showed that the autistic group performed worse, completing fewer sets and making more errors. Both groups had increased fixations and dwell time after feedback, but controls had a greater increase after incorrect responses. Autistic individuals may struggle with error monitoring and response inhibition, impacting their adaptability and less efficient learning of sorting rules. They engaged less in error analysis and correction than controls. Targeted interventions to enhance feedback processing and adaptive learning strategies could benefit autistic individuals. Future research should explore mechanisms behind eye-movement differences and the effectiveness of related interventions.

Autism research : official journal of the International Society for Autism Research, 2025 · doi:10.1002/aur.70060