School & Classroom

A sequential mixed-methods approach to exploring the experiences of practitioners who have worked in multi-sensory environments with autistic children.

Unwin et al. (2021) · Research in developmental disabilities 2021
★ The Verdict

Let the child drive the sensory room while you ride shotgun—practitioners and data agree this cuts stereotypy and keeps kids calm.

✓ Read this if BCBAs running sensory rooms or advising special-ed teachers with autistic pupils.
✗ Skip if Clinicians who only use tabletop DTT and never touch sensory equipment.

01Research in Context

01

What this study did

Hamama et al. (2021) interviewed school staff who use Multi-Sensory Environments with autistic pupils.

They also gave short surveys to capture how teachers and therapists felt about the rooms.

The goal was to learn what practitioners think helps or hinders success in these spaces.

02

What they found

Staff said MSEs calm kids, lift mood, and lengthen attention when two things happen.

First, each session must fit the child’s own sensory likes and dislikes.

Second, the adult must stay active, not just watch.

03

How this fits with other research

KHamama et al. (2021) ran a quasi-experiment in the same setting. They let children push the buttons that change lights, sounds, and vibration. Stereotypy dropped and attention rose compared with adult-run sessions.

The two papers look opposite: one praises staff control, the other praises child control. The gap is timing. L et al. show staff must guide and observe; KL et al. show kids should hold the remote during the activity.

Pitts et al. (2019) add that embedding ABA teaching across the whole school day boosts readiness to learn. Taken together, run the room with ABA principles, then hand the switches to the pupil once targets are clear.

04

Why it matters

You can act on both findings today. Write a quick sensory profile for each learner. Post the top two triggers and two soothers on the MSE door. Start the session with a model, then give the pupil a big red button that runs the bubble tube. You stay close to prompt, praise, and collect data. Five minutes of child-led sensory input may buy you thirty calm minutes at the desk.

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Give your learner the remote for one piece of MSE equipment and record stereotypy before and after—keep the adult hand ready to prompt, not control.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
112
Population
autism spectrum disorder
Finding
not reported

03Original abstract

BACKGROUND & AIMS: Multi-Sensory Environments (MSEs) are common in special-needs schools and are widely used with autistic pupils. In this exploratory sequential mixed-methods study, we explored the beliefs and experiences of practitioners who regularly use MSEs with autistic pupils. METHODS: Qualitative interviews with ten practitioners (9 female, aged 24-62 years) identified six themes reflecting beliefs about MSE use with autistic children. To explore wider relevance of these themes, codes from the themes were converted into a 28-item online survey. RESULTS: Qualitative themes included: (1) MSEs are perceived to benefit behaviour, attention and mood, (2) MSEs have distinct properties that facilitate benefits, (3) MSE use should be centred on the child's needs, (4) MSEs are most effective when the practitioner plays an active role, (5) MSEs can be used for teaching and learning, and (6) MSE use can present challenges. Responses to the survey (n = 102, 93 female, aged 21-68 years) generally showed good agreement with the original interviews, and there was modest evidence that MSE training affected beliefs about the benefits of MSE use. CONCLUSIONS & IMPLICATIONS: These results provide insight into possible benefits of MSE use for autistic children and are relevant when considering the development of practitioner guidelines.

Research in developmental disabilities, 2021 · doi:10.1016/j.ridd.2021.104061