The purpose of this phenomenological study was to obtain caregivers’ perspectives on the impact of the sensory environment on participation in daily activities of their young children with autism spectrum disorders (ASD). Interviews were completed with 34 caregivers of children with ASD ages 3–7 yr. Results strongly suggest that parents and caregivers were pivotal in enabling participation for their children through the implementation of specific strategies and a parental decision-making process. The decision-making process considered amount of effort necessary to support participation and whether participation in a given activity was perceived as essential or nonessential. Strategies enabled participation and reduced the effort required to support the child’s participation. Strategies either directly related to the sensory factors of the environment or focused on reducing behavioral responses associated with sensory factors. In this study, we identified important considerations to enhance participation in the home and community environments for children with ASD.

Objective: The purpose of this study was to evaluate the proof of concept of an intervention to decrease sympathetic activation as measured by skin conductivity (electrodermal activity, EDA) in children with an autism spectrum disorder (ASD) and auditory hypersensitivity (hyperacusis). In addition, researchers examined if the intervention provided protection against the negative effects of decibel level of environmental noises on electrodermal measures between interventions. The feasibility of implementation and outcome measures within natural environments were evaluated. Method: A single-subject multi-treatment design was used with six children, aged 8–16 years, with a form of Autism (i.e., Autism, PDD-NOS). Participants used in-ear (IE) and over-ear (OE) headphones for two randomly sequenced treatment phases. Each child completed four phases: (1) a week of baseline data collection; (2) a week of an intervention; (3) a week of no intervention; and (4) a week of the other intervention. Empatica E4 wristbands collected EDA data. Data was collected on 16–20 occasions per participant, with five measurements per phase. Results: Separated tests for paired study phases suggested that regardless of intervention type, noise attenuating headphones led to a significance difference in both skin conductance levels (SCL) and frequency of non-specific conductance responses (NS-SCRs) between the baseline measurement and subsequent phases. Overall, SCL and NS-SCR frequency significantly decreased between baseline and the first intervention phase. A protective effect of the intervention was tested by collapsing intervention results into three phases. Slope correlation suggested constant SCL and NS-SCR frequency after initial use of the headphones regardless of the increase in environmental noises. A subsequent analysis of the quality of EDA data identified that later phases of data collection were associated with better data quality. Conclusion: Many children with ASD have hypersensitivities to sound resulting in high levels of sympathetic nervous system reactivity, which is associated with problematic behaviors and distress. The findings of this study suggest that the use of noise attenuating headphones for individuals with ASD and hyperacusis may reduce sympathetic activation. Additionally, results suggest that the use of wearable sensors to collect physiological data in natural environments is feasible with established protocols and training procedures.

BACKGROUND: Individuals with ASD have some of the highest rate of post-graduation unemployment and competitive employment rates are very low. There is substantial research identifying specific person factors influencing employment outcomes, although there is very little research exploring the impact of environmental factors. OBJECTIVE: The purpose of this article is to understand the impact of environmental factors on work satisfaction and performance from the perspective of adults with Autistic Spectrum Disorder (ASD). METHODS: Qualitative interviews were used to gather personal perspectives from working adults with ASD. The data was micro-analyzed for open coding and organized under common categories. When data was saturated, axial coding occurred resulting in multiple categories linked together under a common central theme. RESULTS: Results identified the central category of Facilitators and Barriers of Person and Environment Fit for Work Satisfaction and Performance, which encompassed the categories, subcategories and links between categories. Both environmental factors and person-fit were identified as two overarching categories where barriers and facilitators were present. CONCLUSIONS: Adults with ASD identified that social interactions, attitudes, and the physical or sensory environment impacted perceptions of work satisfaction and performance. Future research is needed to better understand how to reduce environmental barriers in the workplace for adults with ASD.

BACKGROUND: Individuals with autism spectrum disorders (ASD) have some of the highest rates of postsecondary unemployment. Predictors of successful employment for individuals with ASD include a combination of personal and external factors. However, the majority of employment supports target personal factors and give minimal consideration to the environment. OBJECTIVE: To examine the relationships between the social and sensory aspects of person-environment fit and job satisfaction from the perspective of working adults with ASD. METHODS: Participants over the age of 21 diagnosed with ASD who worked at least 10 hours a week completed the Job Satisfaction Survey, the Adult Sensory Profile, and the Work Environment Scale. RESULTS: There were significant positive associations between job satisfaction and the work environment in peer cohesion, supervisor support, autonomy, clarity, innovation and physical comfort. Individuals with more symptoms of Low Registration and Sensory Sensitivity had significantly lower scores on physical comfort in their work environments. Those with more symptoms of Sensory Avoiding reported significantly less satisfaction with their job. CONCLUSION: It is important to understand the impact of the environment in relation to the unique characteristics of the individual to improve the person-environment fit and overall job satisfaction.

Many children and youth with and without disabilities are affected by challenges in processing and integrating sensations. Occupational therapy practitioners serve a pivotal role in the evaluation and treatment of this population. This special issue of the American Journal of Occupational Therapy includes articles that elucidate the relationship between sensory processing and participation in valued occupations as well as articles that guide best practice, including systematic reviews on common occupational therapy interventions for children and youth with challenges in processing and integrating sensation. This editorial elaborates on key issues for future research.

This systematic review examines the evidence for the effectiveness of cognitive and occupation-based interventions to improve self-regulation in children and youth who have challenges in processing and integrating sensory information. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guided the methodology. Five studies identified through a comprehensive database search met the inclusion criteria and were separated into categories of cognitive and occupation-based interventions. Articles that did not specifically measure sensory integration (SI) or processing challenges were omitted. Synthesis of the articles suggests that self-regulation (e.g., sensory processing, emotional regulation, executive functioning, social function) improved with cognitive and occupation-based interventions. Because the number of studies that measured sensory processing or SI challenges was limited, researchers are encouraged to include these measures in future research to understand the impact of a broader range of cognitive and occupation-based interventions.