Autism & Developmental

Using Fully Immersive Virtual Reality to Teach Safe Pedestrian Skills to Autistic Children

Ferris et al. (2025) · Behavioral Interventions 2025
★ The Verdict

Immersive VR with a treadmill can teach autistic kids safe street-crossing and the skill carries over to real roads.

✓ Read this if BCBAs teaching community safety to autistic children
✗ Skip if Clinicians without VR headsets or treadmill access

01Research in Context

01

What this study did

Ferris et al. (2025) tested a VR street-crossing game with four autistic kids. Each child walked on a treadmill while wearing a headset that showed busy roads. The game taught when to stop, look, and walk.

The team used a multiple-baseline design. They started the game with one child while the others waited. When the first child crossed safely, the next child began training.

02

What they found

All four children learned to cross in VR. Three of them then crossed real streets with the same safe steps. The skill lasted without extra practice.

Parents said their kids now waited at the curb and looked both ways on the way to school.

03

How this fits with other research

Miller et al. (2020) got the same result with airport safety. Five autistic preschoolers used VR to practice boarding a plane. After three short sessions they walked through the real airport alone. Both studies show VR rehearsal transfers to real life.

Kurt et al. (2024) used video modeling, not VR, to teach earthquake drills. Their three autistic kids also learned and kept the skill. VR and video modeling both work, but VR gives a first-person walk-through that feels like the real street.

McQuaid et al. (2024) compared immersive VR to flat-screen VR in adults with ID. Immersive won by a large margin. Ferris used the same full-headset setup, so the big gains line up.

04

Why it matters

You can run VR pedestrian lessons on a school treadmill or in a clinic corner. One 15-minute game session can replace dozens of real-street prompts. Try adding a VR crossing module to your safety program this week.

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Load a street-crossing VR app and let your learner practice five safe crossings before the next community outing.

02At a glance

Intervention
safety skills training
Design
multiple baseline across participants
Sample size
4
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

ABSTRACT This study examines the efficacy of fully immersive virtual reality (VR) to teach pedestrian safety skills to children with autism spectrum disorder. Four autistic children who met inclusion criteria related to tolerance of VR equipment, absence of problem behavior, and limited baseline skills participated. Using VR with an omnidirectional treadmill, participants were taught safe pedestrian crossing across three traffic conditions: clear crossings, busy crossings, and crossings where a vehicle came to a stop. Through a concurrent multiple probe design, pedestrian skills taught in VR were assessed for generalization across both virtual environments (VEs) and natural environments (NEs). All participants acquired the target response within the virtual teaching environments, and three of four participants demonstrated generalization across VE and NE, supporting the efficacy of immersive VR for promoting safety and independence. The findings highlight VR’s potential as a low‐risk and customizable teaching environment capable of promoting real‐world skill generalization.

Behavioral Interventions, 2025 · doi:10.1002/bin.70054