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Technology-Assisted

Robot-Assisted Therapy

Limited Evidence15 linked studiesCompare with another

What is Robot-Assisted Therapy?

Social robots designed to support engagement, interaction, and social skill development.

Evidence Summary

Robot-assisted therapy for autism has been studied in 15 research projects so far. Most evidence remains early-stage, with 7 studies showing emerging findings and 5 showing limited evidence, though 3 have reached moderate quality. Because these studies involved very small participant groups overall, researchers cannot yet draw firm conclusions about effectiveness. Current evidence suggests the approach warrants further investigation, but more rigorous testing with larger groups is needed before definitive statements can be made.

Evidence last reviewed: 9 June 2026

Linked Studies (16)

EmergingMeta-Analysis

Network meta-analysis of the effects of digital interventions on social functioning in children with autism spectrum disorder.

Asian journal of psychiatry2026

Xuhui Meng, Xue Zhou, Yongbo Shi et al.

Plain-English summary

Researchers looked at 20 studies with 912 autistic children to see how well different digital tools help with social skills. Computer programs combined with regular therapy worked best, followed by robots with therapy, and computer programs alone. However, the results weren't strong enough to be certain. All digital tools were safe and well-accepted by children. The study suggests these technologies can help autistic children develop social skills.

Summary by AutismInsights from published abstract.

Emerging

Stakeholder acceptance of a robot-assisted social training scenario for autistic children compared to a tablet-computer-based approach.

Scientific reports2025

Frenkel Jonas, Kirst Simone, Naumann Sandra et al.

Plain-English summary

Researchers asked 123 people (including parents, therapists, and autistic adults) about their views on using a humanoid robot called Pepper versus tablets for helping autistic children learn about emotions. While many people (58%) thought the robot therapy could be good, most still preferred tablets because they're more familiar and easier to use. The main worry was how much effort it would take to bring robot therapy into regular services.

Summary by AutismInsights from published abstract.

Emerging

Automated Autism Assessment With Multimodal Data and Ensemble Learning: A Scalable and Consistent Robot-Enhanced Therapy Framework.

IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society2025

Hassan Iqbal, Nahid Nazmun, Islam Minhajul et al.

Plain-English summary

Researchers developed a robot-assisted system that uses cameras and sensors to automatically assess autism severity in children. The system analyzes how children move, where they look, and their head movements during interactions. Testing with 61 children showed the system was very accurate (over 95%) at predicting autism levels. This technology could help make autism assessments more consistent and available in more places, though more research is needed with larger groups of children.

Summary by AutismInsights from published abstract.

EmergingRandomised Controlled Trial

Enhancing theory of mind in autism through humanoid robot interaction in a randomized controlled trial.

Scientific reports2025

Ghiglino Davide, Floris Federica, De Tommaso Davide et al.

Plain-English summary

Researchers tested whether a humanoid robot called iCub could help autistic children learn social skills better than traditional therapy. 32 children practiced social situations with the robot, learning skills like understanding others' thoughts and paying attention together. Children who worked with the robot improved their social understanding significantly, while those in regular therapy didn't improve. This suggests robot helpers might be a useful new tool for helping autistic children develop social skills.

Summary by AutismInsights from published abstract.

Emerging

Effectiveness and Adherence of a Robot-Enhanced Imitation Therapy in Autistic Children.

IEEE ... International Conference on Rehabilitation Robotics : [proceedings]2025

Fassina Gabriele, Annunziata Silvia, Brivio Michelle et al.

Plain-English summary

Researchers tested a 12-week therapy program where eight autistic children learned to copy gestures from songs with help from a robot. While children showed some improvements in social skills, the results weren't strong enough to prove the therapy worked better than normal development. However, children who participated more actively and copied gestures more accurately showed better improvements in social skills, suggesting that engagement matters for success.

Summary by AutismInsights from published abstract.

EmergingRandomised Controlled Trial

Efficacy and effectiveness of robot-assisted therapy for autism spectrum disorder: From lab to reality.

Science robotics2025

David Daniel, Baxter Paul, Belpaeme Tony et al.

Plain-English summary

Researchers tested robot therapy for young children with autism in two studies. The first study found that 12 sessions of robot therapy at a clinic worked just as well as regular therapy, but children were more engaged. The second study used a simpler robot setup that could work in schools or homes, needing only 5 sessions to get similar results to standard therapy. Both studies show robot therapy can be as effective as traditional approaches while potentially being more engaging for children.

Summary by AutismInsights from published abstract.

EmergingRandomised Controlled Trial

A randomized controlled trial of the effects of dog-assisted versus robot dog-assisted therapy for children with autism or Down syndrome.

PloS one2025

Van Der Steen Steffie, Kamphorst Erica, Griffioen Richard E

Plain-English summary

This study looked at whether therapy with real dogs works better than therapy with robot dogs for children with autism or Down syndrome. 65 children had five therapy sessions with either a real dog, robot dog, or no therapy. Parents filled out questionnaires about their child's social and emotional skills. Children who had therapy with real dogs got better at understanding emotions and managing their feelings compared to the other groups. However, the benefits seemed to fade over time after therapy ended.

Summary by AutismInsights from published abstract.

EmergingSystematic Review

Assisted Robots in Therapies for Children with Autism in Early Childhood.

Sensors (Basel, Switzerland)2024

Gómez-Espinosa Ana, Moreno José Carlos, Pérez-de la Cruz Sagrario

Plain-English summary

This research looked at whether robots can help children with autism (up to age 10) with their social skills, communication, and thinking flexibility. The researchers reviewed 9 studies and found that robots generally helped improve children's behaviour in the short term. However, they noted that more long-term research is needed to know if these improvements last over time.

Summary by AutismInsights from published abstract.

Emerging

Rob'Autism Project: Social Learning at the Center of the Therapy.

Studies in health technology and informatics2023

Sakka Sophie

Plain-English summary

Researchers tested a 20-week program for teenagers with autism that combined robots, art, and cultural activities. 48 teens participated in groups of 6, working together for one hour each week. The program used predictable activities and ended with the teens putting on a show for an audience. The goal was to help improve social skills and communication. Results suggested the program helped teens feel better about themselves and more connected to their community.

Summary by AutismInsights from published abstract.

Emerging

AppraisalCloudPCT: A Computational Model of Emotions for Socially Interactive Robots for Autistic Rehabilitation.

Computational intelligence and neuroscience2023

Yan Ting, Lin Shengzhao, Wang Jinfeng et al.

Plain-English summary

Researchers developed a new computer program that helps robots understand and show emotions when working with autistic children. The program is designed to match how autistic children communicate and interact socially. While the researchers built and tested their robot system, they haven't yet studied how well it actually works with real children in therapy sessions.

Summary by AutismInsights from published abstract.

Emerging

Effects of Parental Involvement in Robot-Assisted Autism Therapy.

Journal of autism and developmental disorders2023

Amirova Aida, Rakhymbayeva Nazerke, Zhanatkyzy Aida et al.

Plain-English summary

Researchers studied whether having parents present during robot therapy sessions helped children with autism. 16 children did activities with a social robot, sometimes with their parents there and sometimes alone. While having parents present didn't always make the therapy work better, most parents noticed positive changes in their child's behavior when playing with the robot.

Summary by AutismInsights from published abstract.

EmergingRandomised Controlled Trial

Robot dramas may improve joint attention of Chinese-speaking low-functioning children with autism: stepped wedge trials.

Disability and rehabilitation. Assistive technology2023

So Wing-Chee, Cheng Chun-Ho, Law Wing-Wun et al.

Plain-English summary

Researchers tested whether watching robot dramas could help children with autism improve their ability to follow someone else's gaze or pointing (joint attention). 18 children with autism and intellectual disability watched six short dramas with robots. After watching, all children got better at following others' attention cues, and they also improved at getting others to look at things they were interested in. The improvements lasted over time.

Summary by AutismInsights from published abstract.

EmergingSystematic Review

A Systematic Review of Research on Robot-Assisted Therapy for Children with Autism.

Sensors (Basel, Switzerland)2022

Alabdulkareem Amal, Alhakbani Noura, Al-Nafjan Abeer

Plain-English summary

This review looked at 38 research studies about using robots to help children with autism learn social skills. The studies showed that autistic children are interested in playing with interactive robots. These robots can help children practice social interactions in a therapeutic setting. Research in this area has grown significantly since 2009, likely due to improvements in artificial intelligence technology.

Summary by AutismInsights from published abstract.

Emerging

IoT and AI-Based Application for Automatic Interpretation of the Affective State of Children Diagnosed with Autism.

Sensors (Basel, Switzerland)2022

Popescu Aura-Loredana, Popescu Nirvana, Dobre Ciprian et al.

Plain-English summary

Researchers developed a smartphone app called PandaSays that works with a robot to help understand emotions in autistic children. The app uses artificial intelligence to recognize feelings and then tells the robot to respond with actions like singing or dancing. The technology worked reliably in testing, but the study doesn't include information about how well it actually helped children or how many families tried it.

Summary by AutismInsights from published abstract.

Emerging

Extending Robot Therapy for Children with Autism Using Mobile and Web Application.

Sensors (Basel, Switzerland)2022

Ilijoski Bojan, Ackovska Nevena, Zorcec Tatjana et al.

Plain-English summary

Researchers created a smartphone and web app to make robot therapy more accessible for autistic children. Instead of needing expensive robots and staff in clinics, families can use the app at home. Most children who used the app showed improvements and could progress faster. This approach makes therapy more flexible and available to more families who might not otherwise access robot therapy.

Summary by AutismInsights from published abstract.

Emerging

[Therapeutic use of robotics in children with Autism Spectrum Disorder].

Andes pediatrica : revista Chilena de pediatria2021

Yáñez Carolina, Madariaga Leonardo, López Claudia et al.

Plain-English summary

Researchers tested robot therapy with 4 children with autism aged 9-13. The children attended 10 therapy sessions working in pairs with robots. Results showed the children really enjoyed the sessions and attended regularly. Parents were satisfied with the program. The children showed improvements in social skills and behavior. Video recordings showed the children interacted more socially after the robot therapy sessions.

Summary by AutismInsights from published abstract.

Related Interventions

AutismInsights presents published research for informational purposes only. This is not medical advice. Always consult your child's paediatrician, psychologist, or allied health team before making decisions about therapies or interventions.