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An Investigation of Factors Affecting Bowel Movement Hygiene in Autistic Children

Nadine Stacey1, Beverley Turtle1, Jean Daly-Lynn1

  • 1School of Health Sciences, Ulster University, Belfast Campus, Belfast, UK, ulster.ac.uk.

Occupational Therapy International
|March 28, 2026
PubMed

Insights

Post-bowel movement hygiene (PBMH) presents challenges for autistic children. Sensory, motor, and fear-related factors significantly impact their ability to achieve this essential life skill.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Occupational Therapy

Background:

  • Bowel movement hygiene is a crucial life skill.
  • Autistic children often face challenges in mastering this skill.
  • Limited research exists on post-bowel movement hygiene (PBMH) in autism.

Purpose of the Study:

  • To explore factors influencing PBMH in autistic children.
  • To identify challenges and successful strategies for PBMH in this population.

Main Methods:

  • An online survey with open and closed questions was distributed via Facebook groups.
  • Data were collected from N = 74 parents of autistic children.
  • Descriptive statistics and thematic analysis were employed for data analysis.

Main Results:

  • Significant correlations were found between sensory/motor aspects of PBMH, fear of the toilet, and PBMH refusal (p ≤ 0.5).
  • Four qualitative themes emerged: toilet paper use, reaching the perineal area, health factors, and parental strategies.
  • Parental strategies varied, highlighting the need for tailored approaches.

Conclusions:

  • Sensory, motor, and psychological factors are key in PBMH for autistic children.
  • Further research is required to validate findings and develop occupational therapy practice guidelines.
  • Understanding these factors can inform interventions to improve PBMH in autistic individuals.

Keywords:
autismbottom wipingoccupational therapy

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