A Mobile Game Platform for Improving Social Communication in Children with Autism: A Feasibility Study

Yordan Penev1,2,3, Kaitlyn Dunlap1,2,3, Arman Husic1,2,3

  • 1Department of Pediatrics (Systems Medicine), Stanford University, Stanford, California, United States.

Insights

This study shows that the mobile game GuessWhat effectively improves social responsiveness and adaptive behavior in children with autism. This accessible game-based therapy offers a viable solution for autism treatment, especially when in-person care is limited.

Area of Science:

  • Developmental Psychology
  • Clinical Psychology
  • Human-Computer Interaction

Background:

  • Limited access to timely autism diagnosis and therapy due to geographical, socioeconomic, or global health factors.
  • Mobile solutions can bridge gaps in care by operating outside traditional clinical settings.
  • The COVID-19 pandemic has highlighted the need for accessible remote healthcare solutions.

Purpose of the Study:

  • To evaluate the engagement level of a mobile game platform for children with autism.
  • To assess the therapeutic feasibility of a mobile game for autism treatment.
  • To determine if a mobile game can improve social interaction in children with autism.

Main Methods:

  • A mobile application, GuessWhat, was developed to deliver game-based therapy in home settings.
  • The game involves a caregiver holding a smartphone and a child mimicking prompts displayed on the screen.
  • 72 children with autism (aged 3-12) participated in a 4-week study, playing three 90-second sessions daily, 3 days per week.

Main Results:

  • Participants showed significant improvements in Social Responsiveness Score-2 (SRS-2) total scores.
  • Significant enhancements were observed in Vineland Adaptive Behavior Scales-II (VABS-II) socialization standard scores.
  • The game demonstrated therapeutic feasibility and efficacy in a home-based setting.

Conclusions:

  • The GuessWhat mobile game is a viable and efficacious approach for autism treatment.
  • This game-based therapy can increase access to autism treatment in natural settings.
  • Mobile solutions offer a promising avenue to overcome barriers to care for children with autism.
Abstract

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