Autism & Developmental

Using computer‐assisted instruction to increase the eye gaze of children with autism

Miller et al. (2018) · Behavioral Interventions 2018
★ The Verdict

A quick face-voice computer game can give elementary kids with autism faster, longer eye contact without extra adults.

✓ Read this if BCBAs running social-skills blocks in public-school autism rooms.
✗ Skip if Clinicians serving only non-speaking teens or adults.

01Research in Context

01

What this study did

Miller et al. (2018) built a short computer lesson for three elementary kids with autism. The screen showed faces while a voice said the same name. Kids tapped the matching face.

Each session lasted a few minutes. A camera tracked where the eyes looked. The team asked: does this quick pairing boost eye contact time and speed?

02

What they found

All three children looked at eyes longer after the lessons. They also moved their gaze to the eyes faster.

The gains showed up right away and stayed during later checks.

03

How this fits with other research

Jeffries et al. (2016) tried a tablet app alone and saw no eye-growth. Miller adds voice-face pairing and gets clear gains. The difference is the pairing, not the screen.

Pitchford et al. (2019) ran a 15-minute game that rewards face looks and also saw quick gains. Both studies show brief computerized tools can shift social looking in kids with autism.

Liu et al. (2021) watched autistic kids during a joint-attention video and found slow, uneven gaze shifts. Miller’s positive result does not clash; it shows that short teaching can narrow the very gap Qinyi measured.

04

Why it matters

You can run this lesson on any classroom computer while the rest of the group works. It takes no extra staff once the child can click. Try it as a warm-up before social-skills groups or speech sessions. If eye contact rises, you may spend less time later prompting it during tabletop work.

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Load a simple face-voice matching slide deck, let the student play for five minutes, then measure eye contact during the next demand.

02At a glance

Intervention
other
Design
single case other
Sample size
3
Population
autism spectrum disorder
Finding
positive

03Original abstract

Many children diagnosed with autism spectrum disorders have difficulty making appropriate eye contact and engaging in joint attention. The current study evaluated a computer‐assisted instruction package (pairing visual stimuli with vocal stimuli) as a novel treatment to improve the eye gaze accuracy in 3 elementary school children with autism. The researchers measured the latency from a recorded verbal stimulus to the students making eye contact with pictures of familiar individuals displayed on a computer screen, and the duration for which eye gaze on the stimulus was maintained. An automated infrared camera system for measuring eye gaze was utilized that eliminated the need for an instructor to make subjective judgments regarding participants' eye gaze. For all three participants, duration of eye contact increased, and latency to responding decreased following exposure to the computer‐assisted instruction. The implications of these findings for the treatment of individuals with autism are discussed, along with suggestions for future research on the topic.

Behavioral Interventions, 2018 · doi:10.1002/bin.1507