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Table 3 Summary of study characteristics and findings

From: Children with autism spectrum disorder in high technology medicine environments; a qualitative systematic review of parental perspectives

First author, year

Title

Participants/respondents (n)

Age children (years)

Country

Design

Data collection

Outcomes

Benich (2018) [26]

Parental Perception of the Perioperative Experience for Children with Autism

12, 10 mothers, 1 father, 1 grandmother

3–16

USA

Qualitative design

Interviews

The study indicates  that children with ASD pose a unique challenge to HCPs, and that HPCs need to develop skills for assessing and managing care

Clark (2019) [27]

Improving Communication Between Health Care Providers, Families, and Children with Autism Spectrum Disorder: The Linked Program

31 children

20 months–18 years

USA

Evidence-based practice

Telephone calls with parents

The program enabled a better communication between families and caregivers, and provided awareness to the caregivers of different challenges in the perioperative setting for children and families

Fahy (2020) [28]

Improving peri-operative psychosocial interventions for children with autism spectrum disorder undergoing ENT procedures

25 HCPs, 9 parents

10.33 years + /- 2.199

Ireland

Quantitative and qualitative design

Interviews

The care of each child requires an individualized, parent-led plan

Lindberg (2012) [29]

The experiences of parents of children with severe autism in connection with their children’s anesthetics, in the presence and absence of the perioperative dialogue: a hermeneutic study

12 parents

5–16

Sweden

Qualitative design

Interview

The study indicates continuity in anesthesia care makes a difference. Inviting partners and children in the dialogue makes a difference

Snow (2021) [30]

A balancing act: An interpretive description of healthcare providers and families perspective on the surgical experiences of children with autism spectrum disorder

8 parents

15 HCPs

3–18

Canada

Qualitative design

Interview

The study highlighted a number of factors that create challenges and have a potential to improve the parents and patients experiences, such as importance of collaborative relations between HCP and families, and a need for flexible policies

Swartz (2017) [31]

Benefits of an individualized perioperative plan for children with autism spectrum disorder

124 parents

9.7 +/- 4.0

Canada

Quantitative and Qualitative design

Post-operative contact

The study suggests that implementation of an individualized ASD perioperative management program based on the parents’ input is helpful

Taghizadeh (2019) [32]

The experiences of children with autism spectrum disorder, their caregivers and health care providers during day procedure: A mixed methods study

14 HCP and 15 parents

 

Australia

Qualitative and quantitative design

Interviews

The study indicates that optimizing care for children with ASD may include changed workflow, staff training and use of aids

Thompson (2014) [33]

Improving Management of Patients with Autism Spectrum Disorder Having Scheduled Surgery: Optimizing Practice

43 caregivers

3–16

USA

Qualitative design

Interview

The study highlights the importance of knowing details about the child behavior and needs prior to the initial contact

Tziraki (2021) [34]

A Neuroimaging Preparation Protocol Tailored for Autism

31 children, 25 caregivers

4, 5–10

Greece

Quantitative and Qualitative design

Open-ended questions

A pediatric patient preparation protocol that included dummy headphones, earplugs, and a social story, successfully facilitated awake MRI imaging with children with ASD

Whippey (2019) [35]

Enhanced perioperative management of children with autism: a pilot study

18 children

3–17

Canada

Qualitative and Quantitative design

Questionnaire, partly with open-ended question

This pilot study highlighted a multidisciplinary perioperative care pathway that improves the perioperative experience for severely autistic children and their families