Critical Evaluation Of Intervention Modalities In Autism: A Study Of Digital Tools And Conventional Therapies

Authors

  • Ricardo Rosales Faculty of Accounting and Administration, Autonomous University of Baja California, Tijuana, Mexico
  • Carlos Hurtado-Sanchez Department of Economic and Administrative Sciences, TecNM ITT, Tijuana, Mexico
  • Nora Osuna-Millan Faculty of Accounting and Administration, Autonomous University of Baja California, Tijuana, Mexico
  • Juan Meza-Fregoso Faculty of Accounting and Administration, Autonomous University of Baja California, Tijuana, Mexico
  • Karla Guzmán Faculty of Accounting and Administration, Autonomous University of Baja California, Tijuana, Mexico

DOI:

https://doi.org/10.29284/ijasis.12.1s.2026.436-454

Keywords:

autism spectrum disorder, conventional therapies, hybrid intervention models, mobile applications.

Abstract

In this article we critically assess the primary intervention approaches for children with Autism Spectrum Disorder (ASD), comparing the efficacy of digital applications with conventional therapies. The analysis focuses on the impact of both approaches, focusing on the development of self-care and social interaction skills. It also analyzes how conventional therapies are based on human interaction and cannot be substituted due to their socio-emotional nature, as well as their generalization to natural contexts. However, they face challenges related to cost and accessibility. On the other hand, mobile applications offer intensive practice, personalization, and task structures, but are somewhat limited by their abstraction from the real world and their lack of empirical validation. This article argues that the future of intervention is not a substitution of one or the other, but rather a hybrid model that combines both therapies is recommended. Therefore, it is conveyed that technologies enhance face-to-face intervention; therefore, the implications for practice, responsible technological development, and future research are discussed. 

References

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.

2. ARASAAC. (2023). Aragonese Center for Augmentative and Alternative Communication. https://arasaac.org/

3. Bellini, S., & Akullian, J. (2007). A meta-analysis of video modeling and video self-modeling interventions for children and adolescents with autism spectrum disorders. Exceptional Children, 73 (3), 264-287. https://doi.org/10.1177/001440290707300301

4. Bragg, MG, Rando, J., Carroll, KN, Eick, SM, Karagas, MR, Lin, PI, Schmidt, RJ, & Lyall, K.; ECHO Cohort Consortium. (2025). The association of prenatal dietary factors with child autism diagnosis and autism-related traits using a mixtures approach: Results from the ECHO Cohort. Journal of Nutrition, 155(6), 1938–1951. https://doi.org/10.1016/j.tjnut.2025.02.025

5. Capel Sánchez, M. (2021). Analysis and evaluation of applications to develop communication skills in students with autism spectrum disorder. Edutec. Electronic Journal of Educational Technology, (75), e1681. https://doi.org/10.21556/edutec.2021.75.1681

6. Case-Smith, J., Weaver, L.L., & Fristad, M.A. (2014). A systematic review of sensory processing interventions for children with autism spectrum disorders. Autism, 19 (2), 133-148. https://doi.org/10.1177/1362361313517762

7. Cividini-Motta, C., Livingston, C., & Efaw, H. (2024). Systematic review of differential reinforcement in skill acquisition. Behavior Analysis in Practice, 17, 401–416. https://doi.org/10.1007/s40617-023-00903-z

8. Cooper, J.O., Heron, TE, & Heward, W.L. (2020). Applied behavior analysis (3rd ed.). Pearson.

9. Fernández, C.I. Courtois (2024). Impact of assistive technologies on people with autism spectrum disorders: A literature review . Ciencia Latina Multidisciplinary Scientific Journal, 8(4). https://doi.org/10.37811/cl_rcm.v8i4.13005

10. EDUC@MADRID. (n.d.). TEA: Discover Emotions – Kids [Mobile App]. Retrieved from https://www.educa2.madrid.org/web/albor/aplicaciones-moviles/-/visor/tea-descubre-emociones-kids

11. Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., Donaldson, A., & Varley, J. (2010). Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics, 125 (1), e17-e23. https://doi.org/10.1542/peds.2009-0958

12. Flujas-Contreras, J.M., Chávez-Askins, M., & Gómez, I. (2023). Effectiveness of psychological interventions in Autism Spectrum Disorder: A systematic review of meta-analyses and systematic reviews. Journal of Clinical Psychology with Children and Adolescents , 10(1), 99–115. https://doi.org/10.21134/rpcna.2023.10.1.9

13. FUNDACIÓN ORANGE. (n.d.). Visual Stories – José Aprende [Mobile App]. Retrieved from https://fundacionorange.es/aplicaciones/cuentos-visuales-jose-aprende/

14. Gates, J.A., Kang, E., & Lerner, M.D. (2017). Efficacy of group social skills interventions for youth with autism spectrum disorder: A systematic review and meta-analysis. Clinical Psychology Review, 52 , 164-181. https:// 10.1016/j.cpr.2017.01.006

15. Gómez-León, María Isabel. (2023). Advances in technology for developing social competence in students with autism spectrum disorders. Systematic review. Education Pages, 16(2), 156–185. Epub December 1, 2023. https://doi.org/10.22235/pe.v16i2.3299

16. Grynszpan, O., Weiss, P.L., Perez-Diaz, F., & Gal, E. (2014). Innovative technology-based interventions for autism spectrum disorders: a meta-analysis. Autism, 18 (4), 346-361. https://doi.org/10.1177/1362361313476767

17. Khowaja, K., Banire, B., Al-Thani, D., & Sqalli, M.T. (2020). Augmented Reality for Learning of Children and Adolescents With Autism Spectrum Disorder (ASD): A Systematic Review. IEEE Access. vol. 8, pp. 78779-78807, 2020, doi: 10.1109/ACCESS.2020.2986608.

18. Knight, V., McKissick, B.R., & Saunders, A. (2013). A review of technology-based interventions to teach academic skills to students with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43 (11), 2628-2648. https://doi.org/10.1007/s10803-013-1814-y

19. Koegel, R.L., & Koegel, L.K. (2012). The PRT pocket guide: Pivotal response treatment for autism spectrum disorders . Brookes Publishing.

20. Leaf, JB, Dotson, W.H., Oppenheim-Leaf, ML, Sherman, JA, & Sheldon, J.B. (2012). A programmatic description of a social skills group for young children with autism. Topics in Early Childhood Special Education, 32 (2), 111–121. https://doi.org/10.1177/0271121411405855

21. Leekam, S. R., Prior, M. R., & Uljarevic, M. (2011). Restricted and repetitive behaviors in autism spectrum disorders: a review of research in the last decade. Psychological Bulletin, 137(4), 562-593. https://doi.org/10.1037/a0023341

22. Lord, C., Elsabbagh, M., Baird, G., & Veenstra-Vanderweele, J. (2018). Autism spectrum disorder. The Lancet, 392 (10146), 508-520. https://doi.org/10.1016/S0140-6736(18)31129-2

23. Maenner, M.J., Warren, Z., Williams, A.R., et al. (2023). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020. Morbidity and Mortality Weekly Report (MMWR) Surveillance Summaries, 72(2), 1-14. doi: 10.15585/mmwr.ss7202a1 PMID: 36952288; PMCID: PMC10042614

24. Pfeiffer, B., Koenig, K., Kinnealey, M., Sheppard, M., & Henderson, L. (2011). Effectiveness of sensory integration interventions in children with autism spectrum disorders: a pilot study. The American Journal of Occupational Therapy, 65 (1), 76-85. https://doi.org/10.5014/ajot.2011.09205

25. Reichow, B. (2012). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42 (4), 512-520. https://doi.org/10.1007/s10803-011-1218-9

26. Reichow, B., Steiner, A.M., & Volkmar, F. (2012). Social skills groups for people aged 6 to 21 with autism spectrum disorders (ASD). Campbell Systematic Reviews. 8. 1-76. 10.4073/csr.2012.16.

27. Roberts, M., & Kaiser, A.P. (2011). The Effectiveness of Parent-Implemented Language Interventions: A Meta-Analysis. American Journal of Speech-Language Pathology, 20 (3), 180-199. DOI: 10.1044/1058-0360(2011/10-0055)

28. The Autism Oasis. (2025). Nonverbal Autism Homeschool AAC . https://www.theautismoasis.com/nonverbal-autism-homeschool-AAC

29. The Hanen Centre. (sf). More Than Words® Program for Parents of Autistic Children. https://www.hanen.org/programs/more-than-words

30. Virues-Ortega, J., Julio, FM, & Pastor-Barriuso, R. (2013). The TEACCH program for children and adults with autism: A meta-analysis of intervention studies. Clinical Psychology Review, 33(8), 940–953. https://doi.org/10.1016/j.cpr.2013.07.005

31. Virués-Ortega, J. (2010). Applied behavior analytic intervention for autism in early childhood: meta-analysis, meta-regression and dose–response meta-analysis of multiple outcomes. Clinical Psychology Review, 30 (4), 387-399. https://doi.org/10.1016/j.cpr.2010.01.008

32. Zablotsky, B., Bradshaw, C.P., & Stuart, E.A. (2013). The association between mental health, stress, and coping supports in mothers of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 43(6):1380-93. doi:10.1007/s10803-012-1693-7. PMID: 23100053.

33. Zwaigenbaum, L., Bauman, M.L., Choueiri, R., Kasari, C., Carter, A., Granpeesheh, D., Mailloux, Z., Roley, S.S., Wagner, S., Fein, D., Pierce, K., Buie, T., Davis, P.A., Newschaffer, C., Robins, D., Wetherby, A., Stone, W.L., Yirmiya, N., Estes, A., Hansen, R.L., McPartland, JC, & Natowicz, M.R. (2015). Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research [Supplement]. Pediatrics, 136(Supplement 1), S60–S81. https://doi.org/10.1542/peds.2014-3667E

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Published

2026-01-10

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Articles

How to Cite

[1]
R. Rosales, C. Hurtado-Sanchez, N. Osuna-Millan, J. Meza-Fregoso, and K. Guzmán, “Critical Evaluation Of Intervention Modalities In Autism: A Study Of Digital Tools And Conventional Therapies”, IJASIS, pp. 436–454, Jan. 2026, doi: 10.29284/ijasis.12.1s.2026.436-454.

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