The Impact of Pediatric Outpatient Waiting Room Design on the Experiences of Autistic Children: A Pilot Study

Maria J Vetter1, Ashley E Mason2, Kathryn L Hansen1

  • 1Occupational Therapy, Thomas Jefferson University, Philadelphia, PA, USA.

HERD
|July 15, 2025
PubMed

Insights

Pediatric waiting room design significantly impacts autistic children

Area of Science:

  • Pediatric healthcare design
  • Autism spectrum disorder research
  • Environmental psychology in healthcare settings

Background:

  • Pediatric outpatient waiting rooms often present sensory challenges for autistic children.
  • Current waiting room designs may not adequately address the unique sensory and self-regulation needs of autistic individuals.
  • Inclusive healthcare environments are crucial given the rising prevalence of autism spectrum disorder.

Purpose of the Study:

  • To investigate the influence of pediatric outpatient waiting room design on the experiences of autistic children.
  • To identify specific design elements that create barriers or facilitators for autistic children in waiting rooms.

Main Methods:

  • Utilized the Person-Environment-Occupation Model for data collection and analysis.
  • Employed a mixed-methods approach including participant observation, semistructured interviews, and parent surveys.
  • Conducted a six-step thematic analysis on collected data from three families.

Main Results:

  • Identified three key themes: waiting room triggers, facilitating regulation, and supported inclusion.
  • Highlighted specific environmental triggers within waiting rooms that can negatively affect autistic children.
  • Revealed strategies and design features that can help autistic children regulate and feel included.

Conclusions:

  • Findings offer valuable insights for designing more supportive and inclusive pediatric outpatient waiting rooms.
  • Emphasizes the need for further research to optimize healthcare environments for autistic children.
  • Design modifications can improve the healthcare experience for children with autism spectrum disorder.

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