Autism & Developmental

Influence of a Short‐Term Attention Intervention on the Attentional Skills of Toddlers With Suspected or Confirmed Autism Spectrum Disorder

Sacrey et al. (2025) · Child Development 2025
★ The Verdict

A quick tablet attention game lifts toddler focus in and out of the clinic.

✓ Read this if BCBAs running early-intervention clinics or home programs for toddlers with ASD.
✗ Skip if Providers who only serve school-age clients or non-tech settings.

01Research in Context

01

What this study did

Sacrey and team ran a short computer game for toddlers with autism. Kids tapped pictures that popped up on a tablet. The game got faster as they improved.

The study used a coin-flip style random trial. Some toddlers played the attention game. Others played a simple matching game. No one knew which child was in which group.

02

What they found

After only a few weeks, the attention-game group stayed focused longer. Parents also saw the change at home. Kids looked at books longer and sat through more of a meal.

The gains moved from the tablet to real life. This is called generalization. It is rare with computer drills.

03

How this fits with other research

Spaniol et al. (2021) and Spaniol et al. (2018) showed the same program helps school-age kids with autism. They gained math and reading scores. Sacrey et al. (2025) pushes the same idea down to toddlers. The pattern shows the drill works across ages.

Zheng et al. (2020) tested a robot that teaches joint attention to toddlers. That study found no group benefit. The robot and the tablet both aim at attention, yet only the tablet worked. The difference is the robot used social cues while the tablet used pure speed. Speed drills may fit this age better.

Kirk et al. (2017) gave a home-based attention game to kids with delays. They saw only a tiny math gain months later. Sacrey’s toddlers showed wider daily gains right away. The tighter autism focus and parent coaching may explain the stronger transfer.

04

Why it matters

You now have a low-cost tool for two-year-olds who struggle to sit still. Five minutes a day on a tablet can jump-start their attention span. Pair the game with parent tips so the skill shows up at snack time, story time, and circle time. Start with one toddler next week and track how long he stays at a table activity before and after the drill.

FREE CEUs

Get CEUs on This Topic — Free

The ABA Clubhouse has 60+ on-demand CEUs including ethics, supervision, and clinical topics like this one. Plus a new live CEU every Wednesday.

60+ on-demand CEUs (ethics, supervision, general)
New live CEU every Wednesday
Community of 500+ BCBAs
100% free to join
Join The ABA Clubhouse — Free →
→ Action — try this Monday

Run a two-minute tablet attention drill before circle time and note how long each child stays seated.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
69
Population
autism spectrum disorder
Finding
positive

03Original abstract

Examination of the effectiveness of an attention intervention using a randomized controlled trial for toddlers with suspected or confirmed autism spectrum disorder (ASD). Data was collected from Alberta, Ontario, and Nova Scotia, Canada between February 2018 and February 2020 (halted due to COVID‐19 pandemic). Participants were 35 toddlers randomized to the attention condition (age at start: 25.49 + 3.91 months; 29 boys; mother’s ethnicity: 65% white) and 34 toddlers randomized to a control condition. (age at start: 26.32 + 3.55 months; 24 boys; mother’s ethnicity: 29% white). The results suggest that the attentional skills can be improved by a computer‐based attention intervention, which in turn affects behavior observed in a real‐world setting.

Child Development, 2025 · doi:10.1111/cdev.70033