School & Classroom

Comparing Computer-Assisted and Teacher-Implemented Visual Matching Instruction for Children with ASD and/or Other DD.

Hu et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Tablet-based discrete trials matched teacher flashcards for learning while cutting prompts and session time.

✓ Read this if BCBAs doing discrete trial training with young students with autism or developmental delay
✗ Skip if Clinicians serving older students with severe cognitive disability who need global reading programs

01Research in Context

01

What this study did

Hu et al. (2020) compared two ways to teach visual matching to children with autism or developmental delay. One group used a tablet that tracked finger gestures. The other group used teacher-held flashcards.

The team ran short sessions every day and switched the teaching method back and forth. They counted how many prompts each child needed and how long each lesson took.

02

What they found

Both groups learned the matching skill equally well. The tablet group needed fewer hints and finished each lesson faster. Five weeks later the children still remembered the skill no matter which method they used.

03

How this fits with other research

Niland et al. (2026) got the same digital-vs-teacher pattern with a different task. They taught conditional discriminations using motion prompts on a screen and saw similar gains, showing the effect is not tied to one app.

Savaldi-Harussi et al. (2025) seems to disagree at first. Their Smart-Glove videos beat flashcards only for younger students with moderate delays, not older students with severe delays. The gap comes from population and task: Xiaoyi worked on simple matching with young ASD/DD kids, while Gat targeted global word reading in older students with more severe cognitive disability.

Older work backs the big idea. Craddock et al. (1994) already showed computers can teach adults with severe ID when practice is limited. Xiaoyi updates that story for young children and adds a direct teacher comparison.

04

Why it matters

If you run discrete trials in a classroom, you can swap some flashcard sets for a gesture-tracking app and save time without losing learning. Start with one student, one program, and track prompts and session length for a week. If the data look like Xiaoyi’s, you just gained minutes for other targets.

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

Pilot one student on a visual-matching app that logs gestures; count prompts and time for three days, then decide whether to keep it.

02At a glance

Intervention
discrete trial training
Design
alternating treatments
Sample size
4
Population
autism spectrum disorder, developmental delay
Finding
positive
Magnitude
large

03Original abstract

This paper compared the effectiveness and efficiency of using computer-assisted instruction (CAI) and teacher-implemented instruction (TII) to teach visual matching skills to students with autism spectrum disorder and/or other developmental disabilities. Four school-aged students participated in this study with an alternating treatment design. The CAI incorporated discrete trial instruction with the gesture-tracking application, while the TII involved traditional one-to-one instruction using flashcards. The results indicated that all students acquired the target matching skills with generalization to similar untaught skills and maintained acquired skills at a high level for up to 5 weeks under both CAI and TII. Both CAI and TII were effective. However, CAI was more efficient than TII in regards to the prompts provided and the duration of instructional sessions. CAI also resulted in more student engagement in independent learning.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-03978-2