Autism & Developmental

Use of computer-assisted technologies (CAT) to enhance social, communicative, and language development in children with autism spectrum disorders.

Ploog et al. (2013) · Journal of autism and developmental disorders 2013
★ The Verdict

Computer tools for autism look fun and flashy, but solid proof is still catching up.

✓ Read this if BCBAs adding tablets or computers to social-skills sessions
✗ Skip if Clinicians already buried in strong face-to-face curricula

01Research in Context

01

What this study did

Whitehouse et al. (2013) wrote a story-style review. They looked at papers where kids with autism used computers to learn social, talking, and language skills.

They did not run a new experiment. They summed up what earlier writers said about computer-assisted tech, or CAT, for autism.

02

What they found

The authors say CAT looks helpful, but most studies are weak. Few compare computer lessons to face-to-face teaching.

In short, the idea is exciting, yet the proof is thin.

03

How this fits with other research

Knight et al. (2013) dug deeper the same year. They hunted for solid trials on tech for reading and math. Only three small studies passed their quality test. Their stricter view backs up the weak-evidence warning from O et al.

Jump to 2017 and Rea et al. found clearer hope. Their meta-analysis showed tablet apps for video modeling or AAC gave moderate-to-large gains. The tablets are still CAT, but the tighter methods give stronger numbers than the 2013 review.

Wang et al. (2025) cast the widest net. Across 15 studies and 763 youth, computerized cognitive training lifted social thinking, attention, and executive skills. Again, the newer synthesis shows benefit, yet it also repeats the worry: we still lack long-term follow-up.

04

Why it matters

You can keep using computer tools for social and language goals, but treat them like pilot lessons, not proven cures. Pair each app with live practice so you are not gambling on weak data. Track progress weekly and plan to fade the screen once skills move to real peers.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Run a quick AB comparison: teach one social phrase with an app and one with live role-play, then tally correct peer uses for each.

02At a glance

Intervention
not applicable
Design
narrative review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Major advances in multimedia computer technology over the past decades have made sophisticated computer games readily available to the public. This, combined with the observation that most children, including those with autism spectrum disorders (ASD), show an affinity to computers, has led researchers to recognize the potential of computer technology as an effective and efficient tool in research and treatment. This paper reviews the use of computer-assisted technology (CAT), excluding strictly internet-based approaches, to enhance social, communicative, and language development in individuals with ASD by dividing the vast literature into four main areas: language, emotion recognition, theory of mind, and social skills. Although many studies illustrate the tremendous promise of CAT to enhance skills of individuals with ASD, most lack rigorous, scientific assessment of efficacy relative to non-CAT approaches.

Journal of autism and developmental disorders, 2013 · doi:10.1007/s10803-012-1571-3