Evidence and publications on autism and special needs
Different clinical questions require different evidence
Explore the pathwayProject in development · Pathways defined by the professionalDifferent clinical questions require different evidence
The literature includes interventions for social skills, everyday activities, preparation for healthcare and distraction during procedures. These objectives are not interchangeable. A study of a social task does not demonstrate efficacy during blood sampling; a finding in intellectual disability cannot automatically be extended to all autistic people.
The selection presented here concerns preparation for and accessibility of healthcare. The publications contribute to the rationale for OASI VR, whose efficacy requires dedicated assessments.
Preparation for blood sampling in autism
Davit and colleagues studied an individualised programme to prepare autistic children and adolescents for blood sampling, using support and familiarisation. The pilot study supports interest in structured preparation, but does not use VR and does not validate Missione Cerotto Stellare. [5]
Preparing for MRI
Stunden and colleagues compared VR, a manual and a hospital programme for preparation for a simulated MRI. The final analysis of 84 participants showed no superiority of VR in successful completion of the simulation. The research was not specific to OASI VR and requires validation during actual examinations. [4]
Intellectual disability and dental care
The dental reference [3] can be consulted in the Anxiety and pain area. It remains distinct from the assessment of OASI VR.
From the literature to project assessment
For OASI VR applications, aspects to study include how understandable instructions are, tolerability, participation and transfer to the clinical situation. Outcomes must be relevant to the pathway: preparation for blood sampling, familiarisation with MRI and comfort during repeated treatments require specific measures.
Future publications will need to identify the system version, participant characteristics, care received and any adverse events. Transparency about results and limitations enables families and professionals to understand their significance.
Reference
publications.
Open the studies and consult the full references.
Stunden and colleagues
Stunden C, Stratton K, Zakani S, Jacob J. Comparing a Virtual Reality-Based Simulation App (VR-MRI) With a Standard Preparatory Manual and Child Life Program… J Med Internet Res. 2021;23(9):e22942.
Source type: randomised study of preparation for a simulated MRI. Not specific to OASI VR or to an autistic population.
Read the original sourceDavit and colleagues
Davit CJ, Hundley RJ, Bacic JD, Hanson EM. A pilot study to improve venipuncture compliance in children and adolescents with autism spectrum disorders. J Dev Behav Pediatr. 2011;32(7):521–525.
Source type: pilot study of preparation for blood sampling in autism, without VR. A methodological reference, not a validation of OASI VR.
Read the original sourceNICE on support for autistic children and young people
National Institute for Health and Care Excellence. Autism spectrum disorder in under 19s: support and management. Guideline CG170. Recommendations 1.1.6, 1.2.3, 1.3.1 and section 1.5 on everyday living skills.
Use in the document: reference for adaptive skills, communication and family involvement. It does not constitute a specific recommendation for OASI VR.
Read the original sourceMaskey and colleagues
Maskey M, Rodgers J, Grahame V, et al. A Randomised Controlled Feasibility Trial of Immersive Virtual Reality Treatment with Cognitive Behaviour Therapy for Specific Phobias… J Autism Dev Disord. 2019;49(5):1912–1927.
Source type: randomised feasibility trial of VR and cognitive behavioural therapy for specific phobias in autistic young people. An immersive projection environment; not a study of OASI VR or domestic skills.
Read the original sourceView the bibliography
In the same area
