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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.
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.
Abstract:
Purpose: This study aimed to better understand how the design of the pediatric outpatient waiting room impacts the experiences of autistic children. Background: Outpatient waiting rooms are frequented by autistic children for a variety of healthcare services. Often, these settings consist of unpredictable, uncontrollable, and intense stimuli that may be difficult for children to tolerate. Due to the increased prevalence of autism and significant differences in sensory and self-regulation needs, it is essential to design waiting rooms that are more supportive and inclusive. Methods: Data collection included participant observations, semistructured interviews with the participant and their family, and administration of parent surveys. The Person-Environment-Occupation Model was used to guide data collection and analysis. Once all data was collected, a six-step thematic analysis process was used. Results: Three children and their families participated in this study. Three themes emerged: waiting room triggers, facilitating regulation, and supported inclusion. Each theme identified specific barriers and facilitators of the current waiting room design. Conclusions: This study contributes important perspectives to the literature when designing outpatient therapy waiting rooms. More research is needed to fully tailor healthcare design to be supportive of autistic children.
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