Autism & Developmental

Using Tic-Tac software to reduce anxiety-related behaviour in adults with autism and learning difficulties during waiting periods: a pilot study.

Campillo et al. (2014) · Autism : the international journal of research and practice 2014
★ The Verdict

A free visual timer app quickly cut anxious behaviors in three adults with autism and ID.

✓ Read this if BCBAs working with adults or teens with autism and intellectual disability who show worry behaviors during waits.
✗ Skip if Clinicians whose clients already tolerate unpredictable delays without problem behavior.

01Research in Context

01

What this study did

Three adults with autism and intellectual disability waited for activities. Staff used Tic-Tac, a phone app that shows a shrinking red bar. The bar tells the user how long the wait will last.

Researchers counted anxiety behaviors like hand-flapping and loud vocalizations during waits. They compared waits with the timer to waits without it.

02

What they found

All three adults showed fewer anxious behaviors when the timer was on. The red bar gave them a clear end-point, which seemed to calm them.

The change was large enough for the team to call the timer a success.

03

How this fits with other research

Adams et al. (2020) asked autistic kids where they feel anxious. Ninety-six percent said they worry, but only half think adults notice. Cristina’s timer gives adults an easy tool to act on that worry.

Corridore et al. (2026) built a full sensory room before dental visits. Eighty-five kids became cooperative without sedation. The timer is a mini-version: both give predictability to cut anxiety.

Aponte et al. (2025) found anxiety in autistic adults links most to rigid, repetitive behaviors. A simple timer could lower those behaviors by lowering the anxiety that drives them.

04

Why it matters

You can load Tic-Tac on any tablet. Set the wait time, press start, and hand it to the client. No extra staff, no cost. Try it during bus waits, supermarket lines, or before therapy starts. One adult in the study stopped pacing within 30 seconds. That could be your client tomorrow.

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→ Action — try this Monday

Download a visual timer app, set a 3-minute wait during a preferred activity, and measure if pacing, flapping, or vocalizations drop.

02At a glance

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

03Original abstract

Deficits in the perception of time and processing of changes across time are commonly observed in individuals with autism. This pilot study evaluated the efficacy of the use of the software tool Tic-Tac, designed to make time visual, in three adults with autism and learning difficulties. This research focused on applying the tool in waiting situations where the participants exhibited anxiety-related behaviour. The intervention followed a baseline and intervention (AB) design, and a partial interval recording procedure was used to code the presence of stereotypes, nervous utterances, wandering or other examples of nervousness during the selected waiting situations. The results showed that the use of Tic-Tac resulted in lower levels of anxiety-related behaviour in all three participants, compared to the baseline, suggesting that this software may be an effective technology for helping people with autism with organisation and predictability during waiting periods. The results are discussed in terms of limitations and implications for further study.

Autism : the international journal of research and practice, 2014 · doi:10.1177/1362361312472067