Advances in game-based interventions for social skills development in  children with autism spectrum disorder

XIE Xiaopu; ZHOU Xinyu; DUAN Cailing; YU Zongyao; NING Xin; LIU Lijun; GUO Lanmin

doi:10.11852/zgetbjzz2025-0313

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (2) : 217-221. DOI: 10.11852/zgetbjzz2025-0313

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Advances in game-based interventions for social skills development in children with autism spectrum disorder

XIE Xiaopu¹, ZHOU Xinyu², DUAN Cailing¹, YU Zongyao¹, NING Xin¹, LIU Lijun¹, GUO Lanmin¹

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Abstract

Individuals with autism spectrum disorder (ASD) may exhibit varying degrees of social skill deficits, which have profound implications for interpersonal relationship development, quality of life enhancement, and educational learning outcomes.Although traditional therapeutic approaches have demonstrated efficacy, they present limitations in terms of interactive flexibility, generalizability, and engagement.Game-based interventions, as an emerging strategy, leverage multimodal interactive design to effectively stimulate children's social motivation and initiative, thereby creating greater possibilities for their social development.In recent years, sandplay therapy, Lego-based therapy, and serious games have all demonstrated positive outcomes in intervention contexts.This article reviews and analyzes research on game-based interventions targeting social skills in children with ASD, aiming to provide novel insights for intervention programs for these children.

Key words

autism spectrum disorder / play intervention / social skill / children

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XIE Xiaopu, ZHOU Xinyu, DUAN Cailing, YU Zongyao, NING Xin, LIU Lijun, GUO Lanmin. Advances in game-based interventions for social skills development in children with autism spectrum disorder[J]. Chinese Journal of Child Health Care. 2026, 34(2): 217-221 https://doi.org/10.11852/zgetbjzz2025-0313

References

[1] Zhuang H, Liang Z, Ma G, et al.Autism spectrum disorder: Pathogenesis, biomarker, and intervention therapy[J].MedComm, 2024, 5(3): e497.
[2] Yu Y, Ozonoff S, Miller M.Assessment of autism spectrum disorder[J].Assessment, 2024, 31(1): 24-41.
[3] Maenner MJ, Warren Z, Williams AR, et al.Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2020[J].MMWR Surveill Summ, 2023, 72(2): 1-14.
[4] Robinson R, Nohelty K.Interventions to improve social and play skills for autistic children[M]// Dixon DR,Sturmey P,Matson JL.Handbook of early intervention for autism spectrum disorders: Research, policy, and practice.Cham: Springer, 2024: 379-393.
[5] Leaf JB, Cihon JH, Leaf R, et al.Concerns about ABA-based intervention:An evaluation and recommendations[J].J Autism Dev Disord, 2022, 52(6): 2838-2853.
[6] Lee IJ, Hsu HT.Applied the augmented reality technology combined with social stories strategies and computational thinking games to improve the social skills of children with ASD[J].Interactive Learning Environments, 2024, 32(10): 6346-6374.
[7] 卢春红.审美何以与教育相关联?——论席勒游戏冲动概念的三层内涵及其诠释学维度[J].甘肃社会科学, 2022,6: 42-52.
[8] Huizinga J, Hull RFC.The nature and significance of play as a cultural phenomenon[M]//Bial H,Brady S.The performance studies reader.London and New York: Routledge, 2025: 87-90.
[9] Axline VM.Dibs: Insearch of self[M].New York: Ballantine Books, 1975.
[10] Greenspan SI, Wieder S.Engaging autism: Using the floortime approach to help children relate, communicate, and think[M].Cambridge: Da Capo Press, 2006: 36-57.
[11] Pajareya K, Nopmaneejumruslers K.A pilot randomized controlled trial of DIR/Floortime^TM parent training intervention for pre-school children with autistic spectrum disorders[J].Autism, 2011, 15(5): 563-577.
[12] Cai K, Yu Q, Herold F, et al.Mini-basketball training program improves social communication and white matter integrity in children with autism[J].Brain Sci, 2020, 10(11): 803.
[13] Ke F, Moon J, Sokolikj Z.Virtual reality-based social skills training for children with autism spectrum disorder[J].J Spec Educ Technol, 2022, 37(1): 49-62.
[14] Gulsrud AC, Shih W, Paparella T, et al.Comparative efficacy of an early intervention "parent and me" program for infants showing signs of autism: The Baby JASPER model[J].Infant Behav Dev, 2024, 76: 101952.
[15] Heggestad ED, Nicole Voss E, Toth AA, et al.Two meanings of “social skills”: Proposing an integrative social skills framework [J].Group & Organ Manag, 2023, 48(2): 361-404.
[16] Kose S, Turer F, Inal Kaleli I, et al.The relationship between social skills and sensory profile, emotion regulation, and empathizing/systemizing in adolescents on the autism spectrum[J].J Autism Dev Disord, 2023, 55(1): 59-75.
[17] Hirota T, King BH.Autism spectrum disorder: A review[J].JAMA, 2023, 329(2): 157-168.
[18] Cochran NH, Nordling WJ, Cochran JL.Child-centered play therapy: A practical guide to therapeutic relationships with children[M].New York and London: Routledge, 2023: 4-10.
[19] Koukourikos K, Tsaloglidou A, Tzeha L, et al.An overview of play therapy[J].Materia Socio-Med, 2021, 33(4): 293-297
[20] Carroll J.Play therapy: The children's views[J].Child Fam Soc Work,2002,7(3): 177-187.
[21] O'Connor KJ, Schaefer CE, Braverman LD.Handbook of play therapy[M].Hoboken,New Jersey and Conada: John Wiley & Sons, 2015: 327-343.
[22] He Y, Hu Y, Song Y, et al.Forty years of sandplay therapy research: A systematic review with insights into emerging digital applications[J].The Arts in Psychotherapy, 2025, 94: 102311.
[23] Yuxi R, Shuqi J, Cong L, et al.A systematic review of the effect of sandplay therapy on social communication deficits in children with autism spectrum disorder[J].Front Pediatr, 2024, 12: 1454710.
[24] Hong GL.Sandplay therapy: Research and practice[M].London and New York: Routledge, 2010: 12-17.
[25] Loscalzo Y.Sandplay therapy and active imagination: What are the similarities and differences? Reflections about Jung's writings on active imagination[J].Behav Sci, 2024, 14(7): 553.
[26] Kornfield LC.Twenty-one points to be considered in the interpretation of a sandplay[J].J Sandplay Ther, 2006, 16(1): 3-19.
[27] Jang M, Schore AN, Lee S, et al.fNIRS hyperscanning of right-brain synchronization between therapist-client in sandplay therapy[J].Journal of Symbols & Sandplay Therapy, 2023, 14(1): 45-72.
[28] Kalff M, Ferliga P.Old and new horizons of sandplay therapy: Mindfulness and neural integration[M].London and New York: Routledge, 2022: 25-50.
[29] Liu G, Chen Y, Ou P, et al.Effects of parent-child sandplay therapy for preschool children with autism spectrum disorder and their mothers: A randomized controlled trial[J].J Pediatr Nurs, 2023, 71: 6-13.
[30] Farzane S, Fazeli Marghob Mahboob N, Biabani M, et al.Effectiveness of sandplay training on social skills, multiple problem behaviors and peer relationship in children with autism spectrum disorder[J].Iran Evol Educ Psychol J, 2022, 4(4): 155-164.
[31] 沙鹏,张海滨,刘全礼.沙盘游戏治疗对孤独症谱系障碍儿童社会交往行为发展的影响[J].中国特殊教育,2022,8: 51-59.
Sha P, Zhang HB, Liu QL.The effect of sandplay therapy on social interaction behavior development of children with autism spectrum disorders[J].Chin J Spec Educ, 2022,8: 51-59.(in Chinese)
[32] Ramalho NCP, Sarmento SMDS.LEGO^® therapy as an intervention in autism spectrum disorders: An integrative literature review[J].Revista CEFAC, 2019, 21(2): e9717.
[33] Narzisi A, Sesso G, Berloffa S, et al.Could you give me the blue brick? LEGO^®-based therapy as a social development program for children with autism spectrum disorder: A systematic review[J].Brain Sci, 2021, 11(6): 702.
[34] LeGoff DB.LEGO-based therapy: Current theory and practice[M].Boca Raton: Universal-Publishers, 2023.
[35] LeGoff DB.Use of LEGO as a therapeutic medium for improving social competence[J].J Autism Dev Disord, 2004, 34(5): 557-571.
[36] Lee GT,Jiang Y, Hu X.Improving social interactions for young children on the autism spectrum through parent-mediated lego play activities[J].Remedial Spec Educ, 2023, 44(6): 457-468.
[37] Lee GT, Hu X, Lian L,et al.Effects of a family-implemented LEGO intervention on social interactions for children on the autism spectrum in China[J].J Spec Educ, 2025, 58(4): 220-231.
[38] 宋璐伶,曹漱芹.积木游戏治疗提升高功能自症儿童社交能力的成效及有效要素分析[J].中国特殊教育,2018, 9: 38-45.
Song LL, Cao SQ.Using the blocks-based therapy to improve the social competence of children with high-functioning autism: An analysis of the effect and effective elements[J].Chin J Spec Educ, 2018, 9: 38-45.(in Chinese)
[39] 李丹,周晶芝,刘贝贝.严肃游戏在孤独症谱系障碍儿童干预中的应用[J].中国特殊教育,2023,3: 56-63
Li D, Zhou JZ, Liu BB.Serious games in the intervention for children with autism spectrum disorder[J].Chin J Spec Educ,2023, 3: 56-63.(in Chinese)
[40] Schrader C.Serious games and game-based learning[M]// Zawacki-Richter O,Jung I.Handbook of open, distance and digital education.Singapore: Springer, 2023:1255-1268.
[41] Whyte EM, Smyth JM, Scherf KS.Designing serious game interventions for individuals with autism[J].J Autism Dev Disord, 2015, 45(12): 3820-3831.
[42] Dörner R, Göbel S, Effelsberg W, et al.Serious games: Foundations, concepts and practice[M].Switzerland: Springer International Publishing Switzerland, 2016 : 319-329.
[43] Kirst S, Diehm R, Bögl K, et al.Fostering socio-emotional competencies in children on the autism spectrum using a parent-assisted serious game: A multicenter randomized controlled trial[J].Behav Res Ther, 2022, 152: 104068.
[44] Löytömäki J, Ohtonen P, Huttunen K.Serious game the Emotion Detectives helps to improve social–emotional skills of children with neurodevelopmental disorders[J].Br J Educ Technol, 2024, 55(3): 1126-1144.
[45] 孙迎晖,许潇丹.体感游戏干预联合图片交换沟通系统训练对孤独症患儿沟通能力及生活技能的影响[J].反射疗法与康复医学,2024,5(5): 169-172.
Sun YH, Xu XD.Effect of somatosensory game intervention combined with image exchange communication system training on communication ability and life skills in children with autism[J].RARM, 2024, 5(5): 169-172.(in Chinese)