Ahn Si-Nae
Department of Occupational Therapy, Cheongju University, Cheongju, Republic of Korea.
Hong Kong J Occup Ther. 2025 Aug 23:15691861251369043. doi: 10.1177/15691861251369043.
In occupational therapy, various accessible and effective interventions have been used to improve social skills and participation of individuals with Autism Spectrum Disorder (ASD). The objective of this systematic review was to examine whether virtual, augmented, and mixed reality (VAMR) training affect the development of social skills in individuals with ASD.
A literature search was conducted across MEDLINE, EMBASE, ERIC, and Web of Science databases. Full articles were reviewed and meticulously screened. Data were extracted from the studies, statistical heterogeneity was evaluated, and effect size was calculated.
Using these criteria, 2,929 articles were identified and seven studies were selected. In total, seven studies with 417 individuals with ASD were included. All studies were judged to have an unclear risk of bias concerning the randomization process as they failed to report sufficient information about the selection of the reported results. When analyzed by developmental period, interventions applied to individuals with ASD for social skills were most common from middle childhood to early adolescence.
Current evidence is insufficient to support effectiveness, and further research is needed to better understand the scope of VAMR training that can provide social skills to individuals with ASD. Nevertheless, this review is significant in that it concluded an intervention combining cognitive behavioral training and VAMR training is useful for individuals in the developmental age group from mid-childhood to early adolescence for their social skills development.
在职业治疗中，已采用各种便捷且有效的干预措施来提高自闭症谱系障碍（ASD）患者的社交技能和参与度。本系统评价的目的是研究虚拟、增强和混合现实（VAMR）训练是否会影响ASD患者社交技能的发展。
在MEDLINE、EMBASE、ERIC和科学网数据库中进行文献检索。对全文进行了审查和精心筛选。从研究中提取数据，评估统计异质性，并计算效应量。
根据这些标准，共识别出2929篇文章，选取了7项研究。总共纳入了7项研究，涉及417名ASD患者。所有研究在随机化过程方面的偏倚风险均被判定为不明确，因为它们未能报告有关所报告结果选择的足够信息。按发育阶段分析时，应用于ASD患者社交技能的干预措施在童年中期至青春期早期最为常见。
目前的证据不足以支持其有效性，需要进一步研究以更好地了解能够为ASD患者提供社交技能的VAMR训练范围。然而，本评价具有重要意义，因为它得出结论，认知行为训练与VAMR训练相结合的干预措施对童年中期至青春期早期发育年龄组的个体社交技能发展有用。
