Autism & Developmental

The use of Multi-Sensory Environments with autistic children: Exploring the effect of having control of sensory changes

KL et al. (2021) · 2021
★ The Verdict

Handing autistic kids the switches in a sensory room cuts stereotypy and boosts attention better than adult-run sessions.

✓ Read this if BCBAs running sensory breaks in special-ed classrooms or clinic rooms.
✗ Skip if Practitioners without any sensory materials or authority to let kids control equipment.

01Research in Context

01

What this study did

KHamama et al. (2021) compared two ways to run a Snoezelen room. In one session, adults picked the lights, sounds, and touch items. In the other, the child held the switches and chose what to turn on or off.

Each autistic child served as their own control. The team filmed both types of sessions and counted repetitive body movements, odd speech, and how long the child looked at tasks.

02

What they found

When kids ran the show, their rocking, flapping, and echoing talk dropped. They also stayed seated longer and looked at toys or worksheets more often.

The same room with adult-chosen stimuli did not give these gains. Child control, not just pretty lights, made the difference.

03

How this fits with other research

The result lines up with a long line of sensory work. Annable et al. (1979) first showed that blocking sensory payoff from self-stim cuts the behavior. Wilkie et al. (1981) then proved sensory stimuli can act as reinforcers. KL’s study joins the two ideas: let the child supply the sensory reinforcer on demand and stereotypy falls.

Fitri et al. (2025) takes the idea bigger. They dimmed whole classrooms and added quiet corners and saw large drops on the ABC problem scale. KL shows the seed version in one room; Fitri shows the bloom when the whole school adopts sensory-friendly design.

Goldman et al. (2021) looks contradictory at first. They found brief exercise, not calm lighting, cut stereotypy. But both papers target the same outcome through different sensory channels. Movement or lights—either child-chosen sensory input can compete with self-stim behavior.

04

Why it matters

You do not need a pricey new room. Put a big-button switch, color-changing bulb, or fiber-optic spray in the child’s hand during break time. Let them dim, flash, or music-on the space for two minutes. Watch for less hand-flapping and more eyes on task when you return to work. Hand over the controls—literally.

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Tape a doorbell switch to the bubble tube power cord and let the child press it during break; note stereotypy before and after.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
41
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

<h4>Lay abstract</h4>Multi-Sensory Environments (also called sensory or Snoezelen<sup>®</sup> rooms) are rooms that contain equipment which can create light, sound and touch experiences. Multi-Sensory Environments are often used with autistic children, particularly in schools, but there is no evidence for how best to use them. We investigated whether having control over the sensory equipment in the Multi-Sensory Environment affected how a group of 41 (8 female) autistic children aged 4-12 years behaved. We found that when autistic children could control the sensory equipment, they paid more attention and performed fewer repetitive and sensory behaviours. They also used less stereotyped speech, produced fewer vocalisations and showed lower levels of activity. Other behaviours were not affected. Our findings demonstrate that how a Multi-Sensory Environment is used can impact behaviour and that providing control of sensory changes to autistic children may help create better conditions for learning.

, 2021 · doi:10.1177/13623613211050176