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Peri-radiographic guidelines for children with autism spectrum disorder: a nationwide survey in Sweden
B Björkman1,2, I Gimbler Berglund2, K Enskär2
1CHILD research group, Department of Natural Science and Biomedicine, School of Health and Welfare, Jönköping University, Jönköping, Sweden.
Insights
No specific guidelines exist nationwide for radiology departments caring for children with autism spectrum disorder (ASD). Developing these protocols is crucial for supportive care and reducing patient anxiety during imaging procedures.
Area of Science:
- Radiology
- Pediatric Imaging
- Autism Spectrum Disorder Care
Background:
- Children with autism spectrum disorder (ASD) often require specialized approaches during medical imaging.
- Current practices in radiology departments for pediatric ASD patients lack standardized guidelines.
Purpose of the Study:
- To investigate the existing guidelines and routines for managing children with ASD in Swedish radiology departments.
- To assess the prevalence of specific protocols for peri-radiographic care of pediatric ASD patients.
Main Methods:
- A nationwide web-based survey was distributed to 94 radiology departments in Sweden.
- The survey included seven questions focusing on guidelines and routines for children with ASD during radiographic procedures.
- Descriptive statistics were used to analyze the collected data from 86 responding departments.
Main Results:
- A 92% response rate was achieved, with 86 departments participating.
- None of the surveyed departments reported having formal guidelines for the care of children with ASD during radiographic examinations.
- Only a small number of departments (n=8) allocated extra time for ASD patients when known in advance, and a similar number (n=7) had experienced radiographers for these cases.
Conclusions:
- The study highlights a significant gap in standardized guidelines for pediatric ASD patients in radiology departments.
- Developing specific guidelines is recommended to improve supportive interaction and reduce anxiety during the peri-radiographic process for children with ASD.
- Implementing these guidelines can enhance the overall imaging experience for children with autism spectrum disorder.
Objective:
This study aimed to investigate the prevalence of guidelines and routines used nationwide when children with autism spectrum disorder (ASD) are taken care of and examined in a radiology department during a peri-radiographic process.
Method:
A nationwide survey was compiled and distributed to 94 radiology departments throughout Sweden, i.e. those performing more than 100 000 radiographic examinations annually. The survey was designed as a web questionnaire with seven questions on possible guidelines and/or routines for the departments when preparing and taking care of children with ASD in conjunction with a radiographic procedure. The data were scrutinized, using descriptive statistics.
Results:
In total, 86 radiology departments responded to the survey (response rate 92%). Of those departments, 40 did not examine children with ASD. None of the departments included in the study had existing guidelines underpinning the routines when preparing and performing radiographic examinations for children diagnosed with ASD. A few departments (n = 8) would set aside more time for the procedure if it were known in advance that the child to be examined had been diagnosed with ASD. Also, some departments (n = 7) had radiographers who were more experienced in the care of children who would be appointed to perform examinations for children with ASD.
Conclusion:
It is suggested that guidelines should be developed in order to increase interaction in a supportive way and decrease anxiety during the peri-radiographic process with children with ASD.
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