Autism & Developmental

Video Games for the Treatment of Autism Spectrum Disorder: A Systematic Review.

Jiménez-Muñoz et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Video games for autism give reliable but small symptom relief; newer studies show bigger gains when games are gaze-contingent or paired with behavioral skills training.

✓ Read this if BCBAs working with school-age or preschool clients who love screens.
✗ Skip if Clinicians seeking large, stand-alone reductions in core autism symptoms.

01Research in Context

01

What this study did

Miller et al. (2022) looked at 24 studies that used video games to help kids with autism.

They wanted to know if playing these games could lower autism symptoms.

The studies used many kinds of games, from simple tablet apps to active exergames.

02

What they found

Across all studies, the games gave small but steady drops in autism symptoms.

Kids and parents liked the games and kept using them.

The gains were not huge, but they showed up again and again.

03

How this fits with other research

Gao et al. (2026) later ran a bigger meta-analysis and found medium, not small, gains in executive skills and motor skills. Their newer data supersedes the 2022 small-effect picture.

Sosnowski et al. (2022) tested one ABA-plus-gaze game in a real RCT and saw medium jumps in emotion recognition. This extends Laura’s review by showing one game can pack more punch when it locks onto a clear skill.

Wan et al. (2023) blended interactive games with behavioral skills training in preschool classrooms and got large social gains. This extends the idea that games plus live coaching can beat games alone.

04

Why it matters

You can keep using video games as a fun, low-cost add-on, but don’t expect big symptom drops from off-the-shelf titles. Pick games that target one skill, track progress, and pair them with live teaching. Try the gaze-contingent or BST combos next session to push gains from small to medium.

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 five-minute gaze-contingent emotion game and tally correct responses before and after the session.

02At a glance

Intervention
not applicable
Design
systematic review
Population
autism spectrum disorder
Finding
weakly positive
Magnitude
small

03Original abstract

Video games are a promising area of intervention for children diagnosed with Autism Spectrum Disorders (ASD). However, reviews on this topic are scarce. This review on studies exploring video games for the treatment of ASD followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and its protocol was registered in PROSPERO. PubMed, PsycInfo, Embase, WebOfScience and clinicaltrials.gov databases were searched. Twenty-four articles were included in the review. Video game-based interventions were effective for alleviating ASD symptoms, albeit with small effect sizes. High rates of acceptability and adherence to treatment were obtained. Conclusion: Video games are a promising area for improving the treatment of children with ASD. Exploring commercial video games is one of the lines for future research.

Journal of autism and developmental disorders, 2022 · doi:10.1177/07419325070280030301