Evidence map›Paper›PMID 40087858›Full record

SynthesisAutism : the international journal of research and practice2025

The use of multisensory environments in children and adults with autism spectrum disorder: A systematic review.

Simona Leonardi, Marcella Di Cara, Silvia Giliberto, Adriana Piccolo, Carmela De Domenico, Giulia Leonardi, Angelo Alito, Rosamaria Siracusano, Rocco Salvatore Calabrò, Angelo Quartarone and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Autism : the international journal of research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Describing Pre-Post Changes Observed During the Implementation of a Snoezelen Program in a Real-School Context.European journal of investigation in health, psychology and education · 2026
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Simona LeonardiIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Marcella Di CaraIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.ORCID 0000-0002-4275-4340
Silvia GilibertoIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Adriana PiccoloIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Carmela De DomenicoIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Giulia LeonardiDepartment of physical and rehabilitation medicine, University Hospital "G. Martino," Messina, Italy.
Angelo AlitoDepartment of Biomedical, Dental Sciences and Morhological and Functional Images, University Hospital "G. Martino," Messina, Italy.
Rosamaria SiracusanoDivision of Child Neurology and Psychiatry, University Hospital Federico II, Napoli, Italy.
Rocco Salvatore CalabròIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Angelo QuartaroneIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.
Francesca CucinottaIRCCS Centro Neurolesi Bonino Pulejo, Messina, Italy.ORCID 0000-0001-8477-7826

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multisensory environment is a setting designed with activities and tools that offered sensory stimulation. Despite their widespread use, no evidence-based guidelines are currently available. The aim of this systematic review was to assess the impact of multisensory environment interventions in autism and to provide guidelines. We included all studies of multisensory environment interventions for autistic individuals retrieved from PubMed, Web of Science, and Science Direct up to 30 September 2024. Two researchers appraised the included literature and extracted the data. A total of 1247 unique records were screened for eligibility, and 10 studies were included. Data extraction included demographic characteristics, type of intervention, target symptoms, and outcome measures. Quality assessment tools included the Newcastle-Ottawa Scale and the Cochrane Risk of Bias for randomized controlled trials. The studies were synthesized narratively based on target symptoms. Four studies reported reductions in stereotypic behavior frequency in children and adults; while other studies suggest positive effects on sustained attention, and aggressive and sensory behaviors. Overall, there was insufficient evidence due to the paucity of literature, the significant variation between interventions, and the small sample sizes. Future research should aim to develop a structured intervention approach to address the common limitations of the included designs.Lay abstractMultisensory rooms, also known as multisensory environments, are widely used in clinical practice and schools for autistic people. Despite their widespread use, their usefulness or effectiveness in achieving specific improvements is still unclear. We carry out a comprehensive and systematic quality assessment of all available studies to test the effectiveness of multisensory environment interventions in autism spectrum disorder and to explore what type of targeted intervention is needed to improve both core symptoms and associated features. The results show that multisensory environment could be a useful tool to modulate aggressive and stereotyped behaviors in autistic individuals. Although there is insufficient evidence to conclude on the efficacy of multisensory environment for other types of targets, overall, the results may provide valuable insights for the development of future studies concerning the utility of multisensory environment in therapeutic intervention.

Indexed as

Autism Spectrum DisorderEnvironmentAdultChildHumansautismautism spectrum disordersinterventionmultisensory environmentmultisensory roomrehabilitationsensory roomsSnoezelen®systematic review

Identifiers

PMID40087858
PMCPMC12255839

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.