Autism & Developmental

Effects of a Snoezelen room on the behavior of three autistic clients.

McKee et al. (2007) · Research in developmental disabilities 2007
★ The Verdict

Snoezelen rooms can backfire—one autistic inpatient got more disruptive, and none improved, so probe effects individually before routine use.

✓ Read this if BCBAs working with autistic inpatients who are considering sensory rooms.
✗ Skip if Clinicians serving preschoolers or clients at home where parent massage is an option.

01Research in Context

01

What this study did

Three autistic inpatients spent time in a Snoezelen room. The room had soft lights, gentle sounds, and textured toys.

Staff tracked disruptive behavior during baseline and Snoezelen phases. They used an ABAB design to see if the room helped.

02

What they found

The room did not calm any of the three clients. One client actually became more disruptive.

Only tiny gains in friendly behavior showed up, and those did not last.

03

How this fits with other research

Weiss et al. (2001) looked at 15 earlier studies and saw short-term smiles and calm, but gains faded once clients left the room.

Cullinan et al. (2001) seems to disagree: nightly parent massage cut stereotypy and boosted social play in preschoolers. The clash clears up when you note age and setting—little kids at home versus older inpatients in a hospital.

Ladouceur et al. (1997) found Snoezelen helped adults with profound ID focus better, but they measured attention, not problem behavior.

04

Why it matters

Before you add a Snoezelen room to a behavior plan, test it with one client at a time. Watch for increases in disruption. If you need to cut stereotypy in young children, parent massage has stronger evidence. Always pair sensory tools with data, not hope.

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Run a quick ABAB probe: five-minute Snoezelen sessions versus quiet reading, graph disruptive behavior, and drop the room if data climb.

02At a glance

Intervention
other
Design
reversal abab
Sample size
3
Population
autism spectrum disorder
Finding
negative

03Original abstract

The effect of a Snoezelen room on the disruptive and prosocial behavior of three male, autistic inpatients was examined. In an ABAB reversal design, specific disruptive and prosocial behaviors were recorded for each client throughout the four 28-day periods of the study. Results indicated that the three clients had different responses to the room, but no client showed a decrease in disruptive behaviors while in the Snoezelen condition compared to baseline, and one client showed a clear pattern of increased disruptive behavior during the Snoezelen periods. There was a slight tendency for clients to engage in more prosocial behaviors while in Snoezelen. These findings do not support the contention that Snoezelen rooms are effective interventions for aggressive behavior in this client population.

Research in developmental disabilities, 2007 · doi:10.1016/j.ridd.2006.04.001