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<journal-id journal-id-type="publisher-id">Front. Educ.</journal-id>
<journal-title>Frontiers in Education</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Educ.</abbrev-journal-title>
<issn pub-type="epub">2504-284X</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-id pub-id-type="doi">10.3389/feduc.2025.1523797</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Education</subject>
<subj-group>
<subject>Systematic Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A systematic review of the utility of assistive technologies for SEND students in schools</article-title>
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<contrib contrib-type="author">
<name><surname>Mukhtarkyzy</surname> <given-names>Kaussar</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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<name><surname>Smagulova</surname> <given-names>Laura</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Tokzhigitova</surname> <given-names>Ainur</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
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<name><surname>Serikbayeva</surname> <given-names>Nurgul</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
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<name><surname>Sayakov</surname> <given-names>Olzhas</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
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<name><surname>Turkmenbayev</surname> <given-names>Asset</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
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<contrib contrib-type="author">
<name><surname>Assilbayeva</surname> <given-names>Rakhila</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Department of Information Technologies, K. Kulazhanov Kazakh University of Technology and Business</institution>, <addr-line>Astana</addr-line>, <country>Kazakhstan</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Information Technologies and AI, Zhetysu University named after Ilyas Zhansugurov</institution>, <addr-line>Taldykorgan</addr-line>, <country>Kazakhstan</country></aff>
<aff id="aff3"><sup>3</sup><institution>Faculty of Computer Science, Toraighyrov University</institution>, <addr-line>Pavlodar</addr-line>, <country>Kazakhstan</country></aff>
<aff id="aff4"><sup>4</sup><institution>Department of Psychology, Shakarim University of Semey</institution>, <addr-line>Semey</addr-line>, <country>Kazakhstan</country></aff>
<aff id="aff5"><sup>5</sup><institution>Department of Mechanical and Aerospace Engineering, Nazarbayev University</institution>, <addr-line>Astana</addr-line>, <country>Kazakhstan</country></aff>
<aff id="aff6"><sup>6</sup><institution>Fundamental Sciences Department, Yessenov University</institution>, <addr-line>Aktau</addr-line>, <country>Kazakhstan</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Ayse Saliha Sunar, University of Warwick, United Kingdom</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Eila Burns, JAMK University of Applied Sciences, Finland</p>
<p>Fabi&#x00E1;n Rom&#x00E1;n, Costa University Corporation, Colombia</p>
<p>Ebubekir Bozavl&#x0131;, Atat&#x00FC;rk University, T&#x00FC;rkiye</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Ainur Tokzhigitova, <email>tokzhigitova.an@teachers.tou.edu.kz</email></corresp>
<corresp id="c002">Nurgul Serikbayeva, <email>n.serikbaeva@semgu.kz</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>10</volume>
<elocation-id>1523797</elocation-id>
<history>
<date date-type="received">
<day>06</day>
<month>11</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>01</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Mukhtarkyzy, Smagulova, Tokzhigitova, Serikbayeva, Sayakov, Turkmenbayev and Assilbayeva.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Mukhtarkyzy, Smagulova, Tokzhigitova, Serikbayeva, Sayakov, Turkmenbayev and Assilbayeva</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The systematic review investigates the effect of various educational technologies on the learning outcomes of diverse student populations, particularly focusing on assistive technology interventions for students with disabilities. The comprehensive analysis covers literature from 2012 to 2023. The study highlights the potential of AR and assistive technologies in fostering inclusive and engaging learning environments. Despite positive findings, the review emphasizes the imperative for further research to refine the implementation of these technologies and enhance their effectiveness. The systematic review of five databases provides crucial insights into the effectiveness of various assistive technologies. Mobile devices, iPads, and AR interventions emerge as frequently utilized tools. Research activity peaked in 2013 and 2018 and subsequently declined. Twelve studies focus on Autism Spectrum Disorder and emphasize the prioritization of ASD in assistive technology interventions. The research highlights the importance of adopting a holistic perspective on educational inclusion, emphasizing collaborative efforts among teachers, diverse teaching methods, and technology integration. Despite the promise shown by assistive technologies, the review acknowledges their limitations and advocates for ongoing research and innovation to refine their application across diverse educational contexts. The findings stress the importance of a nuanced interpretation of evidence, considering the challenges posed by the limited number of eligible studies. The review calls for careful consideration of future research directions to bolster the comprehensiveness and reliability of evidence synthesis in assistive technology interventions for students with disabilities.</p>
</abstract>
<kwd-group>
<kwd>assistive technologies</kwd>
<kwd>students with disabilities</kwd>
<kwd>augmented reality</kwd>
<kwd>inclusive education</kwd>
<kwd>autism spectrum disorder</kwd>
<kwd>special educational needs and disabilities</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="92"/>
<page-count count="15"/>
<word-count count="10655"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Special Educational Needs</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>Modern educators face the challenge of adapting to the digital experiences of today&#x2019;s students and addressing the diverse educational needs arising from these experiences. Current students, having grown up with interactive games, expect similar engaging experiences from their educational tools (<xref ref-type="bibr" rid="ref76">Squire et al., 2005</xref>). Literacy is no longer confined to a single medium (<xref ref-type="bibr" rid="ref53">Mackey, 2003</xref>). Students now use a variety of modes of communication, a concept referred to as multimodality. Multimodality encompasses diverse interactions, extending beyond traditional scripts to include video, internet, music, and other modes of expression (<xref ref-type="bibr" rid="ref29">Heron-Hruby et al., 2008</xref>). This approach is situated within a participatory culture created by new media, reshaping learning for 21st-century students (<xref ref-type="bibr" rid="ref34">Jenkins, 2009</xref>). Modern classrooms are diverse and require that educators understand the specific requirements and respond inclusively (<xref ref-type="bibr" rid="ref13">Cope and Kalantzis, 2015</xref>; <xref ref-type="bibr" rid="ref74">Serafini and Gee, 2017</xref>; <xref ref-type="bibr" rid="ref82">The New London Group, 1996</xref>; <xref ref-type="bibr" rid="ref83">Tyler, 2019</xref>; <xref ref-type="bibr" rid="ref91">Zembylas, 2019</xref>).</p>
<p>Contrary to the prevailing preference for traditional face-to-face classes among the general student population, students with disabilities prefer online learning (<xref ref-type="bibr" rid="ref32">Ilgaz and Gulbahar, 2017</xref>; <xref ref-type="bibr" rid="ref36">Kent et al., 2018</xref>). This peculiarity prompts a nuanced exploration of the factors influencing the educational preferences of individuals with disabilities, warranting further investigation into the dynamics shaping their learning preferences. Nevertheless, comprehensive international analyses scrutinizing the overall accessibility landscape of online learning reveal pervasive shortcomings in learning materials and platforms (<xref ref-type="bibr" rid="ref2">Alsalem and Doush, 2018</xref>; <xref ref-type="bibr" rid="ref6">Boateng, 2016</xref>; <xref ref-type="bibr" rid="ref8">Carvajal et al., 2018</xref>; <xref ref-type="bibr" rid="ref55">Massengale and Vasquez, 2016</xref>). This collective inadequacy underscores the imperative for a systemic overhaul to rectify these deficiencies and enhance the inclusivity of digital educational resources.</p>
<p>Establishing an inclusive learning environment that accommodates individuals with diverse needs represents the core responsibilities of education providers. Disabled students face numerous challenges and barriers in science and medicine laboratories (<xref ref-type="bibr" rid="ref26">Hackl and Ermolina, 2019</xref>). Researchers suggest that enhancing the accessibility of printed materials and video files, reliance on multiple teaching techniques, and assistive technologies fosters an inclusive learning environment.</p>
<p>The term &#x201C;inclusive learning environment&#x201D; denotes the integration of students with special educational needs and disabilities or SEND into routine school activities. Thereby, inclusive design signifies the creation of typical educational services and products that are usable and accessible by the largest possible spectrum of individuals without requiring special adaptations (<xref ref-type="bibr" rid="ref65">Persson et al., 2015</xref>). Hockings refines the discourse by defining inclusive learning and teaching as the strategic alignment of curriculum, teaching and evaluation to engage students in educational experiences that are productive, appropriate and universally accessible (<xref ref-type="bibr" rid="ref30">Hockings, 2010</xref>). An inclusive learning environment is pivotal in supporting disabled students in acquiring education. This underscores the duty of education providers in creating inclusive environments and facilitating individual adjustments. Recent reviews have emphasized the need for institutional commitment to inclusive teaching and learning, with a particular emphasis on designing curriculum, delivering content to students, and evaluating progress (<xref ref-type="bibr" rid="ref24">Gibson, 2015</xref>; <xref ref-type="bibr" rid="ref41">Lawrie et al., 2017</xref>; <xref ref-type="bibr" rid="ref64">Penner, 2018</xref>). These efforts collectively underscore the imperative of fostering inclusivity within the education landscape.</p>
</sec>
<sec id="sec2">
<label>2</label>
<title>Literature review</title>
<p>Assistive technologies (ATs) have emerged as highly efficacious resources for educators, particularly in enhancing student&#x2019;s academic capabilities, including those with various disabilities. Pioneering research during the initial integration of computer technologies into schools globally revealed that assistive technology tools significantly improve the communication and reading of students with disabilities, including those with ASD (Autism Spectrum Disorder) (<xref ref-type="bibr" rid="ref28">Heimann et al., 1995</xref>). The Franklin Language Master and PowerPoint represented the forefront of assistive technologies in pedagogy. These innovative resources played a pivotal role in developing traditional reading and writing skills (<xref ref-type="bibr" rid="ref84">Vacca et al., 2011</xref>). Educators could establish dynamic instructional environments that leverage engaging visual and auditory cues by integrating new literacies and best teaching practices. This approach allowed students to experience reading material interactively and express their personalized understanding of readings in novel and individualized ways (<xref ref-type="bibr" rid="ref23">Gentry, 2005</xref>; <xref ref-type="bibr" rid="ref50">Lindsey-Glenn and Gentry, 2008</xref>).</p>
<p>The integration of ATs has been validated through engaging research-backed practices. These devices offer novel opportunities for textual reading and enable educators to use direct and logical commands to direct student&#x2019;s attention to on-screen words or phrases. The convergence of student attention on specific words or particular phrases aids in the comprehension of contextual meanings within the story (<xref ref-type="bibr" rid="ref50">Lindsey-Glenn and Gentry, 2008</xref>). ATs are transformative tools that empower educators to create rich and immersive learning environments, foster enhanced literacy skills, and cultivate meaningful engagement among diverse student populations.</p>
<p>Students with ASD face considerable challenges that may impede their success in inclusive educational settings. Difficulties in interacting and communicating with classmates and teachers and active participation in classroom activities arise from social communication deficits central to the disorder&#x2019;s diagnostic criteria. The manifestation of restricted and repetitive interests or behaviors in students with ASD can adversely impact both academic achievements and social relationships (<xref ref-type="bibr" rid="ref40">Lanovaz et al., 2013</xref>). Furthermore, the prevalence of challenging behaviors among students with ASD may act as a barrier to their successful inclusion in general education classrooms (<xref ref-type="bibr" rid="ref14">Crosland and Dunlap, 2012</xref>; <xref ref-type="bibr" rid="ref16">Dunlap et al., 2010</xref>; <xref ref-type="bibr" rid="ref18">Emerson et al., 2001</xref>). An examination into the effectiveness of collaborative group work, facilitated by ICT, for cultivating appropriate task-related interactions among primary school children diagnosed with ASD demonstrated positive results. The male adolescent reported moderate improvement and proficiency in engaging with peers. These improvements were evident in both social interactions and those related to specific tasks. Additionally, the study observed an elevated social standing for the child among his classmates (<xref ref-type="bibr" rid="ref45">Lewis et al., 2005</xref>).</p>
<p>Students with visual impairments encounter challenges in accessing Online Courses, virtual reality applications and other Information Communication Technology (ICT) supports (<xref ref-type="bibr" rid="ref17">Eligi and Mwantimwa, 2017</xref>; <xref ref-type="bibr" rid="ref39">Lannan, 2019</xref>; <xref ref-type="bibr" rid="ref60">Park et al., 2019</xref>). These impediments underscore the pressing need for enhanced accessibility measures in digital learning environments catering to individuals with visual impairments. Likewise, deaf or hard-of-hearing individuals confront accessibility issues in acquiring education (<xref ref-type="bibr" rid="ref5">Batanero et al., 2019</xref>; <xref ref-type="bibr" rid="ref38">Lago and Acedo, 2017</xref>). The reported challenges underscore the importance of addressing auditory accessibility in educational platforms to ensure an inclusive educational experience for students with disabilities.</p>
<p>The research underscores the pervasive use of assistive technologies supported by mobile devices for orientation of and interaction with SEND students (<xref ref-type="bibr" rid="ref63">Pellerin, 2013</xref>; <xref ref-type="bibr" rid="ref15">Dionne, 2013</xref>; <xref ref-type="bibr" rid="ref81">Terrer-Perez, 2013</xref>). Mobile devices enhance accessibility and play a supportive role in improving educational outcomes for students with visual impairment (<xref ref-type="bibr" rid="ref27">Hayhoe, 2012</xref>). Moreover, the use of assistive mobile technologies in students with ASD leads to improvements in communication, interpersonal and organizational skills (<xref ref-type="bibr" rid="ref78">Sultana and Hayhoe, 2013</xref>). Digital reading practices and technologies help augment SEND student&#x2019;s written text understanding (<xref ref-type="bibr" rid="ref31">Hutchison et al., 2012</xref>). Features such as audio support, word-by-word reading capabilities, and visual animations facilitate alternative forms of engagement and motivate reading activities in students with visual disabilities.</p>
<p>However, the favorable outcomes resulting from the interplay of mobile devices and SEND students depend upon the accessibility of technological interfaces and several other factors (<xref ref-type="bibr" rid="ref21">Fern&#x00E1;ndez-L&#x00F3;pez et al., 2013</xref>). Firstly, the user interface must be facile and intuitive for ease of use and access. Secondly, it must allow for the customization of interface and educational content to attract and maintain student interest. Thirdly, there must be multi-modal accessibility features for engaging students with diverse needs. Finally, there is a need for proactive interactions designed to foster communication between students and teachers. These factors will collectively contribute to the efficacy and inclusivity of mobile technology interfaces in catering to the educational requirements of students with diverse needs.</p>
<p>A systematic review published in 2019 explored the utility of Augmented Reality (AR) as an educational and pedagogical technology for catering to all student&#x2019;s needs, particularly SEND students (<xref ref-type="bibr" rid="ref67">Quintero et al., 2019</xref>). The systematic review examined 50 studies conducted between 2008 and 2018 across three databases. The systematic review also included conference papers. Twenty per cent of the studies in the disability category dealt with Deaf or Hard of Hearing (DHH). Research showed that AR works well with mobile devices, and people with hearing impairments often prefer using the visual channel for understanding information (<xref ref-type="bibr" rid="ref62">Parton et al., 2010</xref>). The greater reliance on the visual medium lends greater importance to visual tools, including interactive multimedia and videos. The research also encourages using special glasses for reading and decoding accessibility features such as QR and AR codes (<xref ref-type="bibr" rid="ref61">Parton, 2017</xref>).</p>
<p>Furthermore, 18 % of the studies investigated the utility of assistive mobile technology in addressing the needs of individuals with ASD. AR offers promising results in designing applications that facilitate the recognition of facial emotions, which is a primary challenge for individuals with ASD (<xref ref-type="bibr" rid="ref9">Chen et al., 2015</xref>). This reduced the teacher&#x2019;s workload by evoking a recognition of emotions in autistic children, promoting self-regulation, and increasing student concentration and motivation to participate in social situations (<xref ref-type="bibr" rid="ref19">Escobedo and Tentori, 2014</xref>). Fourteen per cent of the research concentrated on individuals with intellectual disabilities. The low-cost integration of gamification through AR has impacted the approach to treatment in this area (<xref ref-type="bibr" rid="ref12">Colpani and Homem, 2015</xref>). Interactive textbooks incorporating AR, videos, and images are effective for children with learning disabilities (<xref ref-type="bibr" rid="ref86">Vinumol et al., 2013</xref>). Other studies have explored the impact of augmented reality in improving the understanding of primary elementary geometry and developing decision-making skills in students with Autism and other intellectual disabilities (<xref ref-type="bibr" rid="ref46">Lin et al., 2016a</xref>; <xref ref-type="bibr" rid="ref48">Lin et al., 2016b</xref>; <xref ref-type="bibr" rid="ref56">McMahon et al., 2015</xref>; <xref ref-type="bibr" rid="ref57">McMahon et al., 2016</xref>). Numerous studies emphasize the utility of assistive technology tools for promoting the participation and inclusion of SEND students (<xref ref-type="bibr" rid="ref20">Fern&#x00E1;ndez-Batanero et al., 2022</xref>; <xref ref-type="bibr" rid="ref92">Zubillaga del Rio et al., 2013</xref>).</p>
<p>Our examination of current research on using AR for SEND students points out its utility for improving education outcomes for students with disabilities. These advantages include aiding in self-initiation and self-management, providing guidance in resolving complex tasks through self-instruction, and offering assistance in location and navigation in various environments (<xref ref-type="bibr" rid="ref25">G&#x00F3;mez-Puerta et al., 2019</xref>). Moreover, AR technology provides advantages to individuals with physical and mental disabilities, enabling them to enjoy normal activities and participate in their hobbies (<xref ref-type="bibr" rid="ref3">Alshafeey et al., 2019</xref>).</p>
<p>Researchers have investigated the use of AR applications to enhance the learning outcomes of SEND students (<xref ref-type="bibr" rid="ref75">Sirakaya and Alsancak Sirakaya, 2018</xref>; <xref ref-type="bibr" rid="ref90">Yuliono and Rintayati, 2018</xref>). Meta-analysis confirms the utility of technology-assisted education practices for the successful community integration of ASD students (<xref ref-type="bibr" rid="ref4">Barton et al., 2017</xref>). A rigorous analysis with very narrow parameters confirms the utility of technological interventions for imparting social skills to autistic students. The results are even favorable for subjects with acute manifestations of Autism (<xref ref-type="bibr" rid="ref72">Sansosti et al., 2015</xref>). Another review of assistive technologies in special education settings found minor evidence of their positive effects (<xref ref-type="bibr" rid="ref22">Garz&#x00F3;n et al., 2019</xref>). However, the research merely investigates the potential impact of assistive technologies and does not measure the effect size. Furthermore, research does not clearly define the disabilities under investigation, nor the skills imparted to individuals under study (<xref ref-type="bibr" rid="ref4">Barton et al., 2017</xref>). AR technologies and their impact on SEND student&#x2019;s educational outcomes are novel research areas as the pool of published studies in this domain is relatively small (<xref ref-type="bibr" rid="ref52">Lorenzo et al., 2019</xref>). However, the pervasiveness of digital technologies demands a greater interest in exploring augmented reality&#x2019;s utility in teaching SEND students&#x2019; different skills. AR serves as an indispensable pedagogical tool, transcending conventional instructional paradigms by adeptly emulating the intricacies of scientific apparatus within a virtual domain seamlessly superimposed upon real-world objects. This educational framework distinguishes itself by its capacity to dynamically enhance operational principles during user interaction, a feature notably absent in traditional real-world pedagogy (<xref ref-type="bibr" rid="ref88">Wu et al., 2013</xref>).</p>
<p>The substantial merit of AR games is underscored by their facility to append supplementary multimedia components and interactive elements, thereby providing real-time accessibility and comprehension of complex phenomena and mechanisms (<xref ref-type="bibr" rid="ref71">Sahin and Yilmaz, 2020</xref>). This augmentation is critical in explicating imperceptible concepts, elucidating laboratory safety protocols, and substantiating abstract notions (<xref ref-type="bibr" rid="ref87">Walczak et al., 2006</xref>). AR spans two-dimensional and three-dimensional representations of objects, facilitating a nuanced visual exposition of real-world items. The interactional facet of augmented reality amplifies user engagement and cultivates a heightened spatial and logical understanding of otherwise concealed scientific, biological, or mechanical processes (<xref ref-type="bibr" rid="ref37">Kurniawan et al., 2018</xref>; <xref ref-type="bibr" rid="ref70">Rohendi et al., 2018</xref>). Therefore, disciplines necessitating acute spatial awareness, inclusive of geometry, mathematics, chemistry, mechanics, anatomy, and astronomy, stand poised to accrue substantial benefits from the transformative potential of AR (<xref ref-type="bibr" rid="ref35">Kadry and Ghazal, 2019</xref>; <xref ref-type="bibr" rid="ref42">Layona et al., 2018</xref>; <xref ref-type="bibr" rid="ref68">Radu, 2012</xref>; <xref ref-type="bibr" rid="ref69">Rashevska et al., 2020</xref>).</p>
<p>Augmented reality applications and alternate reality games (ARG) present opportunities for creating engaging learning environments. Incorporating AR and ARG into educational frameworks should consider individual differences between students. Universal Design for Learning (UDL) provides a framework based on action, engagement, and representation for accommodating students with diverse learning needs. The affordability and accessibility of Augmented Reality Applications and Games provide multiple avenues for action, engagement, and representation. The blend of AR and UDL curates an inclusive and dynamic learning environment for students.</p>
</sec>
<sec sec-type="methods" id="sec3">
<label>3</label>
<title>Methodology</title>
<p>The current research centers around an exhaustive examination of articles elucidating the pedagogical utilization of Augmented Reality video games for imparting logical reasoning skills to school students with disabilities. This aligns with research identifying elementary, junior, and senior high school students as the most preferred participants (<xref ref-type="bibr" rid="ref1">Ak&#x00E7;ay&#x0131;r and Ak&#x00E7;ay&#x0131;r, 2017</xref>). According to the dictates of cognitive development theory given by Piaget, students at these education levels are in the concrete operational stage. During this stage, students rely on their sight, hearing, or senses for understanding (<xref ref-type="bibr" rid="ref1">Ak&#x00E7;ay&#x0131;r and Ak&#x00E7;ay&#x0131;r, 2017</xref>; <xref ref-type="bibr" rid="ref54">Martin and Loomis, 2013</xref>). The strong visualization provided by AR becomes crucial for effective learning during this cognitive stage.</p>
<p>We canvassed five eminent databases of scholarly repute, namely Google Scholar, JSTOR, Science Direct (WoS), Pub Med, and IEEE XPLORE, to scrutinize publications spanning the chronological interval from 2010 to 2024. To minimize bias, we employed a comprehensive and standardized search strategy. Search terms were developed iteratively based on pilot searches to ensure inclusivity and relevance. We tailored search terminologies for each database, as documented in <xref ref-type="table" rid="tab1">Table 1</xref>, to capture variations in indexing and terminologies used across platforms. Boolean operators (e.g., AND, OR) were applied to combine key terms effectively, ensuring the inclusion of diverse perspectives.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Search queries used on various databases.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top"><bold>Keywords used</bold></th>
<th align="left" valign="top"><bold>Database</bold></th>
<th align="center" valign="top"><bold>Date</bold></th>
<th align="center" valign="top"><bold>No. of Articles</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">&#x201C;Technology&#x201D; &#x201C;Inclusive Learning&#x201D; &#x201C;School&#x201D; &#x201C;Education&#x201D; &#x201C;Hearing&#x201D; after:2010 before:2024 filetype:pdf intitle:"journal&#x201D; lang:en</td>
<td align="left" valign="middle">Google Scholar</td>
<td align="center" valign="middle">14/01/2024</td>
<td align="center" valign="middle">11</td>
</tr>
<tr>
<td align="left" valign="middle">(&#x201C;Technology&#x201D; AND &#x201C;Inclusive Learning&#x201D; AND &#x201C;School&#x201D; AND &#x201C;Education&#x201D; AND &#x201C;Hearing&#x201D;) AND (PubYear:[2010 TO 2023]) AND Item Type: &#x201C;research article&#x201D; AND Language: English</td>
<td align="left" valign="middle">JSTOR</td>
<td align="center" valign="middle">15/01/2024</td>
<td align="center" valign="middle">7</td>
</tr>
<tr>
<td align="left" valign="middle">TITLE-ABS-KEY(&#x201C;Technology&#x201D; AND &#x201C;Inclusive Learning&#x201D; AND &#x201C;School&#x201D; AND &#x201C;Education&#x201D; AND &#x201C;Hearing&#x201D;) AND PUBYEAR &#x003E;2009 AND PUBYEAR &#x003C;2024 AND (DOCTYPE(j) OR DOCTYPE(a)) AND (LANGUAGE(eng))</td>
<td align="left" valign="middle">Science Direct</td>
<td align="center" valign="middle">15/01/2024</td>
<td align="center" valign="middle">37</td>
</tr>
<tr>
<td align="left" valign="middle">(&#x201C;Technology&#x201D; AND &#x201C;Inclusive Learning&#x201D; AND &#x201C;School&#x201D; AND &#x201C;Education&#x201D; AND &#x201C;Hearing&#x201D;) AND (&#x201C;2010/01/01&#x201D;[Date - Publication]: &#x201C;2023/12/31&#x201D;[Date - Publication]) AND &#x201C;Journal Article&#x201D;[Publication Type] AND &#x201C;English&#x201D;[Language]</td>
<td align="left" valign="middle">US National Library of Medicine (Pub Med)</td>
<td align="center" valign="middle">15/01/2024</td>
<td align="center" valign="middle">62</td>
</tr>
<tr>
<td align="left" valign="middle">(&#x201C;Technology&#x201D; AND &#x201C;Inclusive Learning&#x201D; AND &#x201C;School&#x201D; AND &#x201C;Education&#x201D; AND &#x201C;Hearing&#x201D;) AND (Publication Year: 2010 TO 2023) AND Content Type: Journals AND Language: English</td>
<td align="left" valign="middle">IEEE Xplore</td>
<td align="center" valign="middle">15/01/2024</td>
<td align="center" valign="middle">0</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To reduce selection bias, inclusion and exclusion criteria were predefined (see <xref ref-type="table" rid="tab2">Table 2</xref>). A dual-review process was implemented, where two independent reviewers screened articles by title and abstract, followed by full-text evaluation. Discrepancies were resolved through discussion with a third reviewer to ensure consistency. Additionally, we excluded conference papers to avoid data quality concerns related to limited peer review and reporting practices. Search results were meticulously catalogued and deduplicated using Zotero to ensure transparency.</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Inclusion and exclusion criteria.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top"><bold>Inclusion criteria</bold></th>
<th align="left" valign="top"><bold>Exclusion criteria</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Technology</td>
<td align="left" valign="top">Conference Papers</td>
</tr>
<tr>
<td align="left" valign="top">Inclusive Learning</td>
<td align="left" valign="top">University Students</td>
</tr>
<tr>
<td align="left" valign="top">School</td>
<td align="left" valign="top">Nursing / Pharmacy Students</td>
</tr>
<tr>
<td align="left" valign="top">Education</td>
<td align="left" valign="top">Teacher Centred Research</td>
</tr>
<tr>
<td align="left" valign="top">Hearing</td>
<td align="left" valign="top">Curriculum Centred Research</td>
</tr>
<tr>
<td align="left" valign="top">ASD</td>
<td align="left" valign="top">Institute Centred Research</td>
</tr>
<tr>
<td align="left" valign="top">Learning Disabilities</td>
<td/>
</tr>
</tbody>
</table>
</table-wrap>
<p>Adjustments were made during the search process to address gaps identified in initial results. For example, search terms were expanded to include synonyms and related concepts (e.g., &#x201C;inclusive learning&#x201D; and &#x201C;assistive technologies&#x201D;), ensuring comprehensive coverage of relevant literature. Efforts were also made to include studies from a diverse range of geographical and cultural contexts to avoid overrepresentation of specific regions or biases in educational practices.</p>
<p>Our methodological framework rigorously adhered to the PRISMA guidelines for ensuring the validity and accuracy of our systematic review, as delineated in <xref ref-type="fig" rid="fig1">Figure 1</xref>. In order to forestall potential bias, a dualistic evaluation protocol was instituted, with two autonomous reviewers meticulously applying predefined inclusion and exclusion criteria, illustrated in <xref ref-type="table" rid="tab2">Table 2</xref>, to all search results. The systematic exclusion of conference papers is predicated upon a purposeful consideration of various concerns, including but not limited to the constrained extent of peer review, inadequacies in reporting, restricted accessibility, potential proclivities towards publication bias, the importance accorded to high-quality evidence, and the inherent risk of unreliable data, all of which could collectively compromise the methodological robustness of a systematic review. The differences of opinion amongst the reviewers were resolved by recourse to an impartial third reviewer.</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>PRISMA guideline flowchart.</p>
</caption>
<graphic xlink:href="feduc-10-1523797-g001.tif"/>
</fig>
<p>Ninety-eight articles were scrutinized based on stipulated exclusion and inclusion criteria. Therefore, 44 articles relevant to our study objectives were selected for detailed analysis. A rigorous perusal of complete texts excluded 39 studies considered peripheral to the primary research objectives. The references of the eligible studies were also scouted to identify relevant sources for the project. A total of 21 studies relevant to the research objectives were identified. Two researchers independently extracted data from the selected articles using Excel worksheets. The information extracted from the selected sources is presented in <xref ref-type="table" rid="tab3">Table 3</xref>. The ensuing data analysis and synthesis phases were consummated through a collegial nexus, wherein all authors participated in the process through discussions and collaborative write-ups.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Summary of studies included in the review.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Source</th>
<th align="left" valign="top" colspan="4">Methodology</th>
<th align="left" valign="top">Remarks</th>
<th align="left" valign="top">Outcome</th>
</tr>
<tr>
<th align="left" valign="top">Sample size</th>
<th align="left" valign="top">Instruments</th>
<th align="left" valign="top">Assessment style</th>
<th align="left" valign="top">Assistive technology used</th>
<th/>
<th/>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref63">Pellerin (2013)</xref>
</td>
<td align="left" valign="top">Twelve EFI (Early French Immersion) teachers and their students (Grades 1 to 4) from two Canadian elementary schools, including one with fine motor difficulties</td>
<td align="left" valign="top">Focus groups with teachers, Audio-Video recordings of students, and classroom observations.</td>
<td align="left" valign="top">Collaborative action research</td>
<td align="left" valign="top">iPods, iPads and Laptops for Voice recording and other activities</td>
<td align="left" valign="top">Learning occurs through the harmonious interaction of inclusive practices, the learning environment, and the teacher for supporting and structuring the learning process.</td>
<td align="left" valign="top">Leveraging digital technologies facilitated diverse avenues for presenting information, taking action, expressing thoughts, and fostering engagement.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref21">Fern&#x00E1;ndez-L&#x00F3;pez et al. (2013)</xref>
</td>
<td align="left" valign="top">39 SEND students from elementary schools in Spain</td>
<td align="left" valign="top">Pre-experimental study, pre- and post-activity assessments</td>
<td align="left" valign="top">Quantitative Research</td>
<td align="left" valign="top">Mobile platform Picaa on iPod and iPad devices</td>
<td align="left" valign="top">The use of mobile platforms is associated with greater student interest in and attention to learning.</td>
<td align="left" valign="top">The study reports enhancements in fundamental skills, including autonomy, environmental awareness, language acquisition and social skills.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref9">Chen et al. (2015)</xref>
</td>
<td align="left" valign="top">Three adolescents with ASD from Taiwan</td>
<td align="left" valign="top">Pre, Post and Intervention Sessions with subjects</td>
<td align="left" valign="top">Multiple baseline design</td>
<td align="left" valign="top">AR-based self-<break/>facial modelling on a Laptop</td>
<td align="left" valign="top">The ARSFM learning system was facilitative in teaching social skills to children with ASD.</td>
<td align="left" valign="top">AR interventions enhance the accurate recognition and appropriate response to facial expressions.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref77">Stylianidou et al. (2020)</xref>
</td>
<td align="left" valign="top">
<list list-type="bullet">
<list-item>
<p>Thirteen boys and eleven second-grade girls from Greece.</p>
</list-item>
<list-item>
<p>Ten students are bilingual, and four experience learning disabilities.</p>
</list-item>
</list>
</td>
<td align="left" valign="top">Focus group discussions and Classroom observations</td>
<td align="left" valign="top">Qualitative Research</td>
<td align="left" valign="top">AR &#x2013; Zapworks, Windows Movie Maker and Story Jumber<break/>Device: Mobile Tablet<break/>Other:<break/>Cards and Puzzles</td>
<td align="left" valign="top">No quantitative assessment of academic achievement or learning outcomes was conducted.</td>
<td align="left" valign="top">Learning environment with Universal Design and augmented reality games enhances engagement and participation among all students, including those with learning disabilities.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref33">Intarapreecha and Sangsawang (2023)</xref>
</td>
<td align="left" valign="top">Nine students from primary 4 with learning disabilities in Thailand</td>
<td align="left" valign="top">Pre and Post Test Assessment form to gauge student satisfaction</td>
<td align="left" valign="top">Quantitative</td>
<td align="left" valign="top">AR application for teaching Maths</td>
<td align="left" valign="top">An augmented reality game activity in mathematics was used to teach addition and subtraction.</td>
<td align="left" valign="top">Students expressed considerable satisfaction with the device, and results show improvements in student&#x2019;s spatial orientation skills.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref79">Sun et al. (2022)</xref>
</td>
<td align="left" valign="top">Fifty-five students from kindergarten aged 4 to 6&#x202F;years in China.<break/>Group A &#x2013; 22 hearing-impaired children, including 10 females and 12 males.<break/>Group B &#x2013; 33 hearing children, including 17 females and 16 males.</td>
<td align="left" valign="top">Direct observation and interview</td>
<td align="left" valign="top">Mixed Method</td>
<td align="left" valign="top">AR representation of sequential time through a mobile device</td>
<td align="left" valign="top">The experiment was designed to measure understanding of sequential time in Mathematics.</td>
<td align="left" valign="top">AR in preschool education can offer comprehensive information, boost cognitive understanding, and foster active learning.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref66">Pitchford et al. (2018)</xref>
</td>
<td align="left" valign="top">33 Special Educational Needs and Disabilities students, including 21 males and 12 females from Malawi</td>
<td align="left" valign="top">Interviews with teachers and video recordings of students while interacting with the technology.<break/>Topics passed / time spent data recorded by the App.<break/>Pre- and post-intervention evaluation of Maths skills.</td>
<td align="left" valign="top">Subjective and Quantitative assessment</td>
<td align="left" valign="top">Maths applications on iPad at the Learning Centre</td>
<td align="left" valign="top">SEND students utilised the technology without needing additional assistive technology devices.</td>
<td align="left" valign="top">Students with SEND can acquire fundamental mathematical skills using this technology; however, their advancement is only half as fast as their peers in mainstream education.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref7">Breivik and Hemmingsson (2013)</xref>
</td>
<td align="left" valign="top">Four boys and one girl aged 11&#x2013;16 with ASD from Sweden</td>
<td align="left" valign="top">Interviews and participant ratings through the Canadian Occupational Performance Measure</td>
<td align="left" valign="top">Qualitative Approach</td>
<td align="left" valign="top">Alpha Smart Neo keyboard for writing</td>
<td align="left" valign="top">The Assistive Technology Device (ATD) employed in the present study is distinguished by its cost-effectiveness and ease of mobility and handling.</td>
<td align="left" valign="top">ATD proved helpful in alleviating motor-related impediments, enhancing writing proficiency, and facilitating seamless engagement in academic activities.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref49">Lindsey (2012)</xref>
</td>
<td align="left" valign="top">One 7-year-old boy with high-functioning ASD in the US</td>
<td align="left" valign="top">Formative assessment, descriptive statistics, gain/loss scores analysis, field notes, and photographs</td>
<td align="left" valign="top">Action Research Framework with Case Study Methodology</td>
<td align="left" valign="top">The Franklin Language<break/>Master and multimedia modified PowerPoint 2007</td>
<td align="left" valign="top">The utility was maximum when these students comprehended the purpose and utility of the incorporated technology.</td>
<td align="left" valign="top">The amalgamation of technology with optimal real reading practices significantly augmented the reading instructional capabilities of autistic students.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref59">Oakley et al. (2013)</xref>
</td>
<td align="left" valign="top">Case 1: A five-year-old boy with High<break/>Functioning ASD in the Pre-primary/Year<break/>One classroom of an Australian school<break/>Case 2: A boy who displayed anxiety towards schoolwork in a Year 2 classroom of an Australian school</td>
<td align="left" valign="top">Case 1: Diagnostic and Summative Assessments through Diana Rigg Early<break/>Literacy Screening Test<break/>Case 2: Diagnostic and Summative Assessments through a modified McKenna and Kear Elementary Attitude to Reading<break/>Test</td>
<td align="left" valign="top">Two case studies of classroom-based teaching interventions</td>
<td align="left" valign="top">Case 1: iPad with<break/>a flashcard app for letters<break/>Case 2: eBooks on PowerPoint to develop multimodal non-fiction texts</td>
<td align="left" valign="top">Integrating Information and Communication Technologies (ICTs) played a transformative role in shaping teaching and learning tasks.</td>
<td align="left" valign="top">Every intervention demonstrated efficacy in enhancing the literacy achievement and engagement of the involved child.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref73">Santarosa and Conforto (2016)</xref>
</td>
<td align="left" valign="top">Three research subjects with ASD enrolled in a Brazilian elementary school.</td>
<td align="left" valign="top">Direct observation, document analysis, interviews and focus groups</td>
<td align="left" valign="top">Qualitative Research</td>
<td align="left" valign="top">Mobile devices vs. Laptops</td>
<td align="left" valign="top">Laptops are not user-friendly due to their complexity.</td>
<td align="left" valign="top">The touchscreen interface and versatility of use make tablets more approachable and provide an intuitively navigable user experience.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref10">Chen et al. (2016)</xref>
</td>
<td align="left" valign="top">Six adolescents with ASD (5 boys and one girl) from Taiwan</td>
<td align="left" valign="top">Pre, Post and Intervention Sessions with subjects</td>
<td align="left" valign="top">Multiple baseline design</td>
<td align="left" valign="top">AR-based video<break/>Modelling of a storybook on a Tablet device</td>
<td align="left" valign="top">ARVMS intervention introduced an enhanced visual cue for capturing and sustaining the attention of children with ASD.</td>
<td align="left" valign="top">The intervention aided the adolescent&#x2019;s comprehension of the facial expressions and emotions displayed by storybook characters.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref43">Lee et al. (2018a)</xref>
</td>
<td align="left" valign="top">Three children (1 girl and two boys) with ASD from Taiwan</td>
<td align="left" valign="top">Pre, Post and Intervention Sessions with subjects</td>
<td align="left" valign="top">Multiple baseline design</td>
<td align="left" valign="top">AR combined with concept map (CM) on Tablet device</td>
<td align="left" valign="top">The combination of AR with CM assisted therapists in educating children with ASD on grasping social relations through concept visualization.</td>
<td align="left" valign="top">AR with CM intervention proved moderately effective in instructing children with ASD to generate appropriate greeting responses.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref44">Lee et al. (2018b)</xref>
</td>
<td align="left" valign="top">Three children (1 girl and two boys) with ASD from Taiwan</td>
<td align="left" valign="top">Pre, Post and Intervention Sessions with subjects</td>
<td align="left" valign="top">Multiple baseline design</td>
<td align="left" valign="top">AR with tabletop role-playing game (AR-RPG) using Desktop Computer and storyboard</td>
<td align="left" valign="top">AR-RPG directs attention towards comprehending the meaning and social significance of greeting behaviors in specific social contexts.</td>
<td align="left" valign="top">Using AR-RPG improves the interaction and social skills of autistic children.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref11">Cihak et al. (2016)</xref>
</td>
<td align="left" valign="top">Three male elementary students with ASD and Learning Disabilities in the US</td>
<td align="left" valign="top">Baseline, augmented reality, and maintenance phases</td>
<td align="left" valign="top">Multiple probes across subjects</td>
<td align="left" valign="top">AR-based video Modeling on an iPod with visual markers</td>
<td align="left" valign="top">Augmented reality is an effective tool for teaching chain tasks to students with ASD.</td>
<td align="left" valign="top">All students acquired the ability to brush their teeth independently.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref47">Lin and Chang (2015)</xref>
</td>
<td align="left" valign="top">Three children with developmental difficulties in Taiwan</td>
<td align="left" valign="top">ABAB</td>
<td align="left" valign="top">Descriptive and qualitative analysis</td>
<td align="left" valign="top">AR function to perform physical activities by using a webcam attached to a laptop</td>
<td align="left" valign="top">It is cost-effective, as only a webcam is required to expand children&#x2019;s activities with diverse needs.</td>
<td align="left" valign="top">The findings demonstrated a notable and positive impact on children&#x2019;s physical activity.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref80">Takahashi et al. (2018)</xref>
</td>
<td align="left" valign="top">Sixty-six students from preschool to high school at the Special Needs School at Otsuka (SNSO) in Tokyo, Japan</td>
<td align="left" valign="top">Viability tests</td>
<td align="left" valign="top">Descriptive and qualitative analysis</td>
<td align="left" valign="top">A large-scale, interactive floor projection system with high-performance projectors and ceiling-mounted tracking cameras for overlay of individual visual aids</td>
<td align="left" valign="top">It shows potential for assisting children in paying attention to others, which is crucial for effective interpersonal interactions.</td>
<td align="left" valign="top">The visual aid can modify student&#x2019;s running behaviour.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref51">Lorah et al. (2014)</xref>
</td>
<td align="left" valign="top">Two male and one female child with developmental disabilities in the US</td>
<td align="left" valign="top">Sessions and Trials</td>
<td align="left" valign="top">Multiple baseline design</td>
<td align="left" valign="top">iPad as a Speech Generating Device (SGD)</td>
<td align="left" valign="top">iPad proved effective in speech generation.</td>
<td align="left" valign="top">The participants achieved mastery in trials and learned to distinguish sentence formations.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref58">Neely et al. (2013)</xref>
</td>
<td align="left" valign="top">Two school-aged children with ASD in the US</td>
<td align="left" valign="top">ABAB reversal design</td>
<td align="left" valign="top">Multiple baseline design</td>
<td align="left" valign="top">iPad as an academic instruction delivering device</td>
<td align="left" valign="top">Employing an iPad for instructional delivery may mitigate escape-maintained behaviour in certain children with autism.</td>
<td align="left" valign="top">Both participants exhibited reduced levels of challenging behaviour and increased academic engagement when using the iPad.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref85">van der Meer et al. (2013)</xref>
</td>
<td align="left" valign="top">Two school-aged children with ASD in the US</td>
<td align="left" valign="top">AB design</td>
<td align="left" valign="top">Alternating-treatments design</td>
<td align="left" valign="top">iPad as a Speech Generating Device (SGD)</td>
<td align="left" valign="top">One participant preferred using the Speech Generating Device (SGD), while the other favoured Picture Exchange (PE).</td>
<td align="left" valign="top">Both participants acquired proficiency in the target responses, including two- and three-step requesting responses, greetings, answering questions, and social etiquette responses.</td>
</tr>
<tr>
<td align="left" valign="top">
<xref ref-type="bibr" rid="ref89">Yakubova and Taber-Doughty (2013)</xref>
</td>
<td align="left" valign="top">Two autistic and one moderately intellectually disabled students in the US secondary classroom</td>
<td align="left" valign="top">Baseline and intervention sessions</td>
<td align="left" valign="top">Multi-probe across students</td>
<td align="left" valign="top">An electronic interactive whiteboard (IWB)</td>
<td align="left" valign="top">The interactive and self-operated device promotes active student participation in the learning process.</td>
<td align="left" valign="top">The Interactive Whiteboard (IWB) underscores the effectiveness of a multicomponent intervention in enhancing student&#x2019;s skill acquisition.</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec sec-type="results" id="sec4">
<label>4</label>
<title>Results</title>
<p>Our review supports using assistive technology devices to address the educational, social and communication needs of students with disabilities. Mobile devices, particularly iPads and iPods, emerged as the most commonly employed category for TAII interventions, focusing on teaching socially significant skills. Tablets and iPads are prevalent among students with disabilities because of their intuitive touch interfaces, portability, and ability to host a wide range of assistive applications tailored to individual needs. These devices are user-friendly for both students and educators, and their versatility allows for customization of learning experiences, making them effective tools for enhancing engagement, communication, and skill development. <xref ref-type="fig" rid="fig2">Figure 2</xref> reveals a varied utilization of devices in research studies, each contributing to exploring different aspects. iPads emerge as the most frequently employed device, featuring in seven studies. Following closely are Mobile Tablets or Devices incorporated in five studies. Laptops and iPods are utilized in four and three studies, respectively, showcasing their relevance in research settings. One study employs computers, emphasizing their presence as a research tool.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Number of studies using each device.</p>
</caption>
<graphic xlink:href="feduc-10-1523797-g002.tif"/>
</fig>
<p>Moreover, there are instances where researchers opted for other devices, totaling four studies, showcasing a diverse approach in technological choices. However, the device used in the two cases remains unclear, suggesting the need for improved reporting or standardization in research documentation. Overall, this analysis underscores the dynamic landscape of device usage in research studies, reflecting the adaptability and versatility of technology in diverse academic investigations. The supplementary devices employed in the studies encompass a spectrum of innovative technologies. These include an Electronic Interactive Whiteboard (IWB), providing an interactive platform for educational activities. Another distinctive device is a large-scale, interactive floor projection system featuring high-performance projectors and ceiling-mounted tracking cameras, facilitating the overlay of individual visual aids. Furthermore, the Franklin Language Master and modified multimedia PowerPoint 2007 contributed to the technological diversity, offering unique functionalities in educational settings. The Alpha Smart Neo keyboard for writing is also a specialized tool for addressing writing-related challenges. This assortment of devices highlights the ingenuity in incorporating advanced technologies to cater to diverse needs in educational and research contexts. The varied devices showcase the flexibility of technology in enhancing learning experiences and addressing specific requirements across different studies.</p>
<p><xref ref-type="fig" rid="fig3">Figure 3</xref> highlights a diverse international representation in studies analyzing assistive technology interventions for students with disabilities. The United States has the highest number of studies, totaling six, showcasing a significant research focus. Taiwan follows closely with five studies, indicating a notable contribution to exploring assistive technology for students with disabilities. Other countries demonstrate a more limited but valuable presence in this research domain, each contributing one study. Australia, Brazil, Canada, China, Greece, Japan, Malawi, Spain, Sweden, and Thailand collectively represent a global effort to investigate the effect of assistive technology interventions on students with disabilities.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Number of studies from each country.</p>
</caption>
<graphic xlink:href="feduc-10-1523797-g003.tif"/>
</fig>
<p>This distribution underscores the global interest and commitment to understanding and improving the utility of assistive technology interventions in diverse educational contexts. The collaborative nature of research across countries enriches the collective knowledge base. It highlights the universality of the challenges addressed by assistive technology in enhancing educational outcomes for students with disabilities.</p>
<p>The data in <xref ref-type="fig" rid="fig4">Figure 4</xref> illustrates a temporal trend in the publication of studies analyzing assistive technology interventions for students with disabilities. Notably, 2013 and 2018 emerge as focal points, witnessing higher research activity with six and four studies, respectively. These peaks suggest concentrated efforts and heightened interest in understanding the impact of assistive technology during these periods. Following these peaks, the published studies show a discernible decline, particularly from 2020 onwards. This trend coincides with the global COVID-19 pandemic, indicating a potential shift in researcher priorities. The observed decrease in research output during and after 2020 suggests redirecting scholarly attention towards urgent issues posed by the pandemic, such as ensuring access to online education and addressing socio-economic factors influencing access to technology devices for remote learning. The evolving education landscape during the pandemic likely prompted researchers to explore innovative solutions and strategies for remote learning, specifically focusing on inclusivity for students with disabilities. The data hints at the adaptability of research priorities in response to external challenges, emphasizing the dynamic nature of educational research in the face of global events.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Number of studies published in each year.</p>
</caption>
<graphic xlink:href="feduc-10-1523797-g004.tif"/>
</fig>
<p>The data in <xref ref-type="fig" rid="fig5">Figure 5</xref> highlights a significant focus on ASD within the research body. A notable concentration of 12 studies addresses the specific needs and challenges associated with ASD, indicating a substantial emphasis on understanding and enhancing interventions for this particular disability category. In contrast, other disability categories demonstrate a more limited presence in the research landscape. Developmental Difficulties, Fine Motor Difficulties, Hearing Impairment, Intellectual Disability, Learning Disabilities, and Special Educational Needs and Disabilities comprise fewer studies. While these categories contribute valuable insights, their relatively lower representation in the research corpus suggests that the scholarly community may be giving precedence to ASD in the context of assistive technology interventions.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Number of studies dealing with each disability category.</p>
</caption>
<graphic xlink:href="feduc-10-1523797-g005.tif"/>
</fig>
<p>This trend underscores the critical importance of addressing the multifaceted challenges associated with ASD through the lens of assistive technology. It also highlights a significant gap in research coverage for other disability categories, suggesting opportunities for future investigations to explore the efficacy of assistive technologies in supporting diverse disabilities, such as physical, hearing, and intellectual impairments. Addressing these gaps could provide a more balanced and comprehensive understanding of how assistive technologies can promote inclusion. Researchers and policymakers should prioritize these trends when designing future studies and intervention strategies to ensure equitable and tailored support for students across a wide spectrum of needs.</p>
<p>The review identified communication, academic, and social skills as the most frequently targeted behaviors, reflecting the specific deficits observed in students with ASD. While emotion recognition has been a central focus of TAII, there remains a need to expand its application to teach a broader range of emotional comprehension, social interaction, and adaptive behaviors. Future research should explore innovative technologies, techniques, and devices while addressing underrepresented skills and disabilities. Additionally, longitudinal and experimental studies could evaluate the long-term impacts of these interventions, providing deeper insights into their potential to transform learning experiences and foster inclusive educational environments.</p>
</sec>
<sec sec-type="discussion" id="sec5">
<label>5</label>
<title>Discussion</title>
<p>The systematic review encompasses a comprehensive analysis of studies investigating assistive technology interventions for students with disabilities. The diverse range of methodologies and technologies employed in these studies reveals key insights into the effectiveness of various assistive technologies in educational settings. Several studies focused on the integration of digital technologies in the learning environment. In the Canadian context, the collaborative action research by EFI (Early French Immersion) teachers and students utilizing iPods, iPads, and laptops demonstrated that leveraging digital technologies facilitated diverse avenues for presenting information, expressing thoughts, and fostering engagement (<xref ref-type="bibr" rid="ref63">Pellerin, 2013</xref>). The findings aligned with the UDL framework, emphasizing the synergy between the learning environment, teachers, and inclusive practices. In Spain, a quantitative study involving SEND students highlighted the positive association between using a mobile platform and increased attention and interest in learning (<xref ref-type="bibr" rid="ref21">Fern&#x00E1;ndez-L&#x00F3;pez et al., 2013</xref>). Fundamental skills, including autonomy, environmental awareness, language acquisition and social skills, showed improvement, underscoring the potential of mobile platforms in diverse skill development.</p>
<p>Studies from Taiwan investigated the impact of AR interventions on different aspects of learning for students with disabilities (<xref ref-type="bibr" rid="ref9">Chen et al., 2015</xref>; <xref ref-type="bibr" rid="ref11">Cihak et al., 2016</xref>; <xref ref-type="bibr" rid="ref43">Lee et al., 2018a</xref>; <xref ref-type="bibr" rid="ref44">Lee et al., 2018b</xref>; <xref ref-type="bibr" rid="ref47">Lin and Chang, 2015</xref>; <xref ref-type="bibr" rid="ref80">Takahashi et al., 2018</xref>). The AR-based self-facial modeling system on laptops facilitated social skills training for autistic children, enhancing their accurate emotional recognition and regulating their response to varied facial expressions (<xref ref-type="bibr" rid="ref9">Chen et al., 2015</xref>; <xref ref-type="bibr" rid="ref43">Lee et al., 2018a</xref>). These findings demonstrate how assistive technologies promote inclusion beyond academics by fostering critical emotional and interpersonal skills. Such tools empower students to build self-confidence, enhance social interactions, and participate more fully in inclusive learning environments, highlighting their broader role in holistic education. A qualitative study involving second-grade students in Greece utilized AR tools, cards, and puzzles (<xref ref-type="bibr" rid="ref43">Lee et al., 2018a</xref>). While lacking quantitative assessment, the study highlighted the role of a learning environment with Universal Design. Augmented reality games enhance engagement and participation among all students, including those with learning disabilities.</p>
<p>Mathematics-focused interventions were prevalent, with studies from Thailand and China implementing AR applications for teaching. The AR game activity in mathematics in Thailand demonstrated high student satisfaction among those with learning disabilities (<xref ref-type="bibr" rid="ref33">Intarapreecha and Sangsawang, 2023</xref>). In China, an experiment involving the AR representation of sequential time through a mobile device suggested that AR in preschool education could offer comprehensive information, boost cognitive understanding, and foster active learning (<xref ref-type="bibr" rid="ref66">Pitchford et al., 2018</xref>). Research from Malawi focused on Special Educational Needs and Disabilities students utilizing Maths applications on iPads (<xref ref-type="bibr" rid="ref7">Breivik and Hemmingsson, 2013</xref>). The findings indicated that while SEND students could acquire fundamental mathematical skills, their progress was slower than their peers in mainstream education.</p>
<p>Studies exploring specific assistive devices revealed notable outcomes. In Sweden, an Assistive Technology Device (ATD), specifically the Alpha Smart Neo keyboard, alleviated motor-related impediments and enhanced writing proficiency among students with ASD (<xref ref-type="bibr" rid="ref49">Lindsey, 2012</xref>). Similarly, an investigation in the US involving an IWB emphasized its role as a self-operated and interactive device, enhancing student participation and skill acquisition (<xref ref-type="bibr" rid="ref89">Yakubova and Taber-Doughty, 2013</xref>). Studies from Japan explored the viability of an interactive floor projection system, demonstrating its potential to modify student&#x2019;s running behavior and enhance attention and engagement among students with special needs (<xref ref-type="bibr" rid="ref51">Lorah et al., 2014</xref>).</p>
<p>The study of an autistic seven-year-old boy in the United States assessed the impact of Franklin Language Master. It revealed that the utility of assistive technology was at its maximum when students comprehended the purpose and utility of the incorporated technology (<xref ref-type="bibr" rid="ref59">Oakley et al., 2013</xref>). Integrating technology with optimal real reading practices played a crucial role in significantly augmenting the reading instructional capabilities of autistic students. This result underscores the importance of aligning assistive technology interventions with individual student&#x2019;s needs and understanding. It suggests that a tailored approach, considering the cognitive and instructional aspects of the technology, contributes to its effectiveness in enhancing learning outcomes for students with high-functioning ASD.</p>
<p>Using tablets, particularly iPads, was a common theme across multiple studies. From enhancing literacy achievement in Western Australian independent schools (<xref ref-type="bibr" rid="ref73">Santarosa and Conforto, 2016</xref>) to improving user interaction in a Brazilian elementary school (<xref ref-type="bibr" rid="ref10">Chen et al., 2016</xref>), tablets showcased their versatility and effectiveness in diverse educational contexts. However, the focus on Autism Spectrum Disorder (ASD) across most studies highlights a critical gap in research coverage for other disabilities. Students with physical, hearing, or intellectual impairments are underrepresented, limiting the generalizability of findings to these groups. Expanding research to include diverse disabilities would provide a more comprehensive understanding of how assistive technologies can support inclusion across various needs. Future research should also investigate technologies that address co-occurring disabilities, which present unique challenges requiring innovative approaches.</p>
<p>Overall, the systematic review indicates that various assistive technologies, including digital devices, AR interventions, and specific assistive devices, contribute positively to SEND student&#x2019;s learning outcomes and educational experiences. While the studies vary in methodologies and specific focuses, the collective findings underscore the potential of tailored assistive technology interventions in fostering inclusive and engaging educational environments for students with diverse learning needs.</p>
</sec>
<sec id="sec6">
<label>6</label>
<title>Recommendations</title>
<p>Based on the findings of this systematic review, the following recommendations are proposed to enhance the implementation and impact of assistive technologies for students with disabilities:</p>
<list list-type="simple">
<list-item>
<p>1 For Educators and Schools:</p>
</list-item>
</list>
<list list-type="bullet">
<list-item>
<p>Integrate mobile devices, such as iPads and tablets, into daily classroom activities to promote inclusivity and engagement. Their intuitive interfaces and customization options make them particularly effective for teaching communication, academic, and social skills.</p>
</list-item>
<list-item>
<p>Provide training programs for teachers to effectively use assistive technologies, emphasizing their application for diverse disabilities beyond ASD.</p>
</list-item>
</list>
<list list-type="simple">
<list-item>
<p>2 For Policymakers:</p>
</list-item>
</list>
<list list-type="bullet">
<list-item>
<p>Develop funding initiatives to ensure equitable access to assistive technologies in schools, particularly for underrepresented groups such as students with physical or hearing disabilities.</p>
</list-item>
<list-item>
<p>Encourage the inclusion of assistive technologies in national education strategies, emphasizing their role in fostering inclusive learning environments.</p>
</list-item>
</list>
<list list-type="simple">
<list-item>
<p>3 For Researchers:</p>
</list-item>
</list>
<list list-type="bullet">
<list-item>
<p>Explore the application of assistive technologies for disabilities other than ASD, such as physical, hearing, and intellectual impairments, to address the identified research gaps.</p>
</list-item>
<list-item>
<p>Conduct longitudinal and experimental studies to evaluate the long-term effects of assistive technologies on students&#x2019; academic performance, social skills, and emotional development.</p>
</list-item>
<list-item>
<p>Investigate the potential of emerging technologies, such as artificial intelligence and augmented reality, for teaching a broader range of skills, including emotional comprehension and adaptive behaviors.</p>
</list-item>
</list>
</sec>
<sec id="sec7">
<label>7</label>
<title>Limitations</title>
<p>The meta-analysis concentrated exclusively on students with disabilities within school settings, omitting consideration for university students, adults, and those in vocational education settings. This decision aligns with existing research preferences, prioritizing students at the concrete operational stage of Piaget&#x2019;s cognitive development. However, this focus restricts the generalizability of the findings to broader educational contexts. Additionally, the absence of experimental or quasi-experimental studies among the reviewed literature limits the ability to draw causal inferences. Future research should prioritize such methodologies to provide stronger evidence of effectiveness.</p>
<p>A notable limitation arises from the preponderance of qualitative methodologies employed in most studies included in the meta-analysis. This prevalence raises concerns about the availability of quantitative data for comprehensive analysis. The qualitative nature of the research methods may limit the ability to conduct extensive quantitative synthesis, affecting the overall depth and breadth of the meta-analysis.</p>
<p>In adherence to PRISMA guidelines, the systematic review followed rigorous protocols for methodological transparency and thoroughness. Despite these efforts, the exploratory nature of the research domain resulted in a relatively limited pool of eligible studies. The small number of studies meeting the predefined inclusion criteria prompted the inclusion of additional studies obtained through the canvassing of citations and references, potentially introducing variability in study characteristics.</p>
<p>The inherent limitation of a small number of studies impacts the systematic review&#x2019;s conclusiveness, generalizability, and pattern recognition capabilities. The risk of bias and potential heterogeneity in study designs across a more extensive dataset can compromise the overall quality and robustness of the review. While the adherence to PRISMA guidelines reflects methodological rigor, the limited number of eligible studies necessitates a cautious interpretation of the findings.</p>
<p>Systematic reviews with few studies face challenges in achieving high conclusiveness and generalizability. The risk of bias and potential heterogeneity across studies may compromise the overall quality and robustness of the review. Adherence to PRISMA guidelines enhances methodological rigor, but the inherent limitation of a small number of eligible studies emphasizes the need for nuanced interpretation.</p>
<p>The findings underscore the need for further research into the efficacy of assistive technology interventions for students with disabilities. The limited experimental research data on assistive technology interventions makes it challenging to draw definitive conclusions about their overall potential in addressing the diverse challenges faced by students with disabilities. High-quality research and continuous innovation are necessary to widen the scope of assistive technology interventions for meeting the needs of diverse students, including those with disabilities. Researchers are encouraged to carefully assess the existing literature landscape and consider additional studies to strengthen the comprehensiveness and reliability of evidence synthesis, especially concerning the specific research question under consideration.</p>
</sec>
<sec sec-type="conclusions" id="sec8">
<label>8</label>
<title>Conclusion</title>
<p>The diverse studies reviewed shed light on the varied applications of AR and Assistive Technologies in creating inclusive and engaging learning environments. While recognizing their potential, the nuanced effectiveness and considerations for diverse student populations underscore the need for further research. Controlled experimental designs are recommended to deepen our understanding and refine the implementation of these innovative educational approaches. The systematic review emphasizes the critical role of technology, particularly Assistive Technologies, in ensuring accessible education for all students, especially those with learning difficulties or disabilities. Integrating digital technologies is a powerful tool for supporting student&#x2019;s success in regular education, providing options, and removing barriers. Assistive Technology emerges as an empowering tool for inclusive education, addressing challenges related to cognitive abilities, knowledge acquisition, behavior, communication, and environmental interactions among students with special needs.</p>
<p>However, it is essential to recognize the limitations of technology as it cannot singularly address all learning difficulties or eliminate every barrier to learning. The systematic review emphasizes the importance of leveraging technology within effective teaching practices. Rather than relying solely on technology, the focus should shift towards the synergistic efforts of teachers, employing diverse teaching methods and integrating digital technologies. This collaborative approach is crucial in creating an empowering and inclusive learning environment for all students. The systematic review encourages a holistic perspective on educational inclusion, where technology is a complementary tool within a broader framework of effective teaching practices. The findings suggest that ongoing research and innovation are vital for refining the application of AR and educational technologies, ensuring their efficacy across diverse educational contexts and student populations.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec9">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec sec-type="author-contributions" id="sec10">
<title>Author contributions</title>
<p>KM: Data curation, Investigation, Resources, Validation, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. LS: Formal analysis, Funding acquisition, Methodology, Software, Writing &#x2013; review &#x0026; editing. AiT: Data curation, Methodology, Validation, Writing &#x2013; original draft. NS: Formal analysis, Methodology, Writing &#x2013; original draft. OS: Funding acquisition, Project administration, Supervision, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. AsT: Supervision, Project administration, Funding acquisition, Writing &#x2013; review &#x0026; editing. RA: Data curation, Conceptualization, Investigation, Funding acquisition, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec11">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This research is funded by the Science Committee of the Ministry of Science and Higher Education of the Republic of Kazakhstan within the framework of grant BR 24992828 &#x201C;Approaches and mechanisms for creating a psychologically safe educational environment in secondary education&#x201D;.</p>
</sec>
<sec sec-type="COI-statement" id="sec12">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec13">
<title>Generative AI statement</title>
<p>The authors declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="sec14">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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