Enhancing perspective-taking and empathy in children with autism spectrum disorder through asymmetric VR games and peer collaboration

Children with ASD experience pervasive social cognitive impairments, primarily manifested as challenges in social communication and reciprocal social behavior. These inherent deficits indirectly affect the development, based on the Theory of Mind, and empathy capacity in children with ASD, which are crucial in developing social skills and communicative interaction abilities. Research suggests that children with ASD struggle to judge and interpret the intentions, behaviors, and metaphors involved in social interaction. This impacts their abilities to engage in effective interpersonal communication and social interaction. Therefore, the present study developed a tool called Share VR. This asymmetric VR technology combines peer collaboration and cooperative games to hone the empathetic abilities in children with ASD. The objective is to stimulate the application of their abilities while enhancing their understanding of others' behavioral intentions. In the experimental verification phase, the study recruited five children with ASD and three typically developing children to participate in Asymmetric VR multiplayer games. The games involved cooperation, competition, and exploration across three different game levels. Further, we used a three-stage experimental validation using a multiple-baseline across subjects design to confirm whether this method effectively enables children with ASD to acquire empathy through peer collaboration, game participation, and cooperative assistance.