Service Delivery

A Scoping Review of Targeted Interventions and Training to Facilitate Medical Encounters for School-Aged Patients with an Autism Spectrum Disorder.

Kouo et al. (2021) · Journal of autism and developmental disorders 2021
★ The Verdict

Medical visits run smoother when clinics combine quick staff training, visual aids, and simple data sheets for autistic kids.

✓ Read this if BCBAs consulting to pediatric clinics, dental practices, or school nurses.
✗ Skip if Practitioners focused only on early-intervention home programs.

01Research in Context

01

What this study did

Hamama et al. (2021) looked at 23 studies about making doctor visits easier for school-aged kids with autism.

They mapped every paper that tested data tools, staff training, or evidence-based tricks used in clinics, hospitals, or dental offices.

02

What they found

No single magic bullet emerged. Instead, three building blocks kept showing up: structured data sheets, brief staff lessons, and visual or video supports.

The team did not pool scores; they simply charted what has been tried so clinicians can pick and mix.

03

How this fits with other research

Lam et al. (2025) narrowed the lens to dental visits. Their meta-analysis of 16 trials found tiny, shaky gains when social stories, PECS, or apps were used. Hamama et al. (2021) covers the same tools but across all medical settings; together the papers say "use visuals, but collect better data."

Rutherford et al. (2020) scanned 34 studies on home and community visual supports. Their findings sit inside L et al.'s bigger medical-visit tent, confirming that picture schedules or cue cards need caregiver buy-in wherever they are used.

Lerner et al. (2022) surveyed 701 U.S. providers and found medical staff know the least about autism strategies. This real-world gap matches L et al.'s call for targeted training, turning the scoping review into a to-do list for hospital education teams.

04

Why it matters

You can lift tools from this map today. Slip a one-page data sheet into the patient chart, run a 10-minute in-service for nurses, or hand the resident a social-story template. Small, low-cost moves like these cut wait-time meltdowns and build referral trust.

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Email the charge nurse a one-page visual schedule for upcoming autistic patients.

02At a glance

Intervention
not applicable
Design
scoping review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Individuals with an autism spectrum disorder (ASD) have a greater number of healthcare provider interactions than individuals without ASD. The obstacles to patient-centered care for this population, which include inflexibility of hospital environments, limited resources, and inadequate training, has been documented. However, there is little knowledge on efforts to address such concerns. A scoping review was conducted and the systematic search of the literature resulted in 23 relevant studies. The predominant themes include the use of data collection instruments, application of evidence-based practices and resources, and training of providers. The results of this review have implications for practitioners and future research to adapt and improve upon the provision of medical care for individuals with ASD across the lifespan.

Journal of autism and developmental disorders, 2021 · doi:10.15585/mmwr.ss6904a1