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Yazdanian H, Rekhne Z B, Soltani A, Vakili A, Reza M, Zareii S, et al . Virtual Reality to Improve Joint Attention Skills in Children With Autism: Protocol for a Randomized Controlled Trial. PCP 2026; 14 (1) :57-82
URL: http://jpcp.uswr.ac.ir/article-1-1047-en.html

Joint attention (JA) deficits are frequently one of the earliest indicators of autism spectrum disorder (ASD), making them a crucial focus for early interventions. Despite the importance of JA, existing interventions often face barriers such as high costs, limited adaptability, and resource demands. Virtual reality (VR) offers a novel, immersive, and flexible approach that may overcome these challenges by creating engaging and individualized environments for children with ASD. This protocol describes a randomized controlled trial evaluating a VR-based intervention designed to improve JA and related social-communication skills in school-aged autistic children. Participants will receive either VR therapy plus standard interventions or a sham VR condition plus standard interventions. The primary outcome is JA performance, with secondary outcomes focusing on broader social communication abilities. By testing this innovative, technology-supported intervention in naturalistic school settings, the trial aims to provide high-quality evidence on the feasibility and potential impact of VR as a supplemental therapy for autism. Key limitations include the relatively small sample size and short-term follow-up, which will guide recommendations for larger, long-term studies.