Strategies to improve the magnetic resonance imaging experience for autistic individuals: a cross-sectional study exploring parents and carers’ experiences
This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.
About the autistic author markerStogiannos, N., Pavlopoulou, G., Papadopoulos, C., Walsh, G., Potts, B., Moqbel, S., Gkaravella, A., McNulty, J. P., Simcock, C., Gaigg, S. B., Bowler, D., Marais, K., Cleaver, K., Harvey-Lloyd, J. M., dos Reis, C. S., & Malamateniou, C. (2023). Strategies to improve the magnetic resonance imaging experience for autistic individuals: a cross-sectional study exploring parents and carers’ experiences. BMC Health Services Research, 23(1), 1375-1375. https://doi.org/10.1186/s12913-023-10333-w
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Authors
Abstract
Abstract Background Autistic individuals encounter numerous barriers in accessing healthcare, including communication difficulties, sensory sensitivities, and a lack of appropriate adjustments. These issues are particularly acute during MRI scans, which involve confined spaces, loud noises, and the necessity to remain still. There remains no unified approach to preparing autistic individuals for MRI procedures. Methods A cross-sectional online survey was conducted with parents and carers of autistic individuals in the UK to explore their experiences, barriers, and recommendations concerning MRI scans. The survey collected demographic information and experiential accounts of previous MRI procedures. Quantitative data were analysed descriptively, while key themes were identified within the qualitative data through inductive thematic analysis. Results Sixteen parents/carers participated. The majority reported difficulties with communication, inadequate pre-scan preparation, and insufficient adjustments during MRI scans for their autistic children. Key barriers included an overwhelming sensory environment, radiographers’ limited understanding of autism, and anxiety stemming from uncertainties about the procedure. Recommended improvements encompassed accessible communication, pre-visit familiarisation, noise-reduction and sensory adaptations, staff training on autism, and greater flexibility to meet individual needs. Conclusions There is an urgent need to enhance MRI experiences for autistic individuals. This can be achieved through improved staff knowledge, effective communication strategies, thorough pre-scan preparation, and tailored reasonable adjustments. Co-producing clear MRI guidelines with the autism community could standardise sensitive practices. An individualised approach is crucial for reducing anxiety and facilitating participation. Empowering radiographers through autism-specific education and incorporating insights from autistic individuals and their families could transform MRI experiences and outcomes.
Bibliography cited by this reference
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These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 19 Sep 2026 01:01.
- With a DOI
- 53
- Without a DOI, from raw bibliography text
- 5
- References with detected author names
- 53 / 58 (91.4%)
- Without detected author names
- 5
- Without a structured title
- 5
- Without a stable identifier
- 5
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- 5
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- 0
- From DOI or external metadata
- 287
- From validated raw bibliography text
- 0
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- 0
- Raw names still to review
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-
Sofia Carlsson , Eva Carlsson (2013). ‘The situation and the uncertainty about the coming result scared me but interaction with the radiographers helped me through’: a qualitative study on patients' experiences of magnetic resonance imaging examinations . Journal of Clinical Nursing, 22(21-22), 3225-3234. Wiley.Crossref OpenAlex OpenCitations
-
Natasha Malik-Soni , Andrew Shaker , Helen Luck , Anne E. Mullin , Ryan E. Wiley , M. E. Suzanne Lewis et al. (2022). Tackling healthcare access barriers for individuals with autism from diagnosis to adulthood . Pediatric Research, 91(5), 1028-1035. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Nikolaos Stogiannos , Sarah Carlier , Jane M. Harvey-Lloyd , Andrea Brammer , Barbara Nugent , Karen Cleaver et al. (2022). A systematic review of person-centred adjustments to facilitate magnetic resonance imaging for autistic patients without the use of sedation or anaesthesia . Autism, 26(4), 782-797. SAGE Publications.Crossref OpenAlex OpenCitations
-
Stephanie J. Brewster (2004). Putting words into their mouths? Interviewing people with learning disabilities and little/no speech . British Journal of Learning Disabilities, 32(4), 166-169. Wiley.Crossref OpenAlex OpenCitations
-
Shenae Calleja , Fakir M. Amirul Islam , Jonathan Kingsley , Rachael McDonald (2019). The disparities of healthcare access for adults with autism spectrum disorder . Medicine, 98(7), e14480. Ovid Technologies (Wolters Kluwer Health).Crossref OpenAlex OpenCitations
-
Christine Wu Nordahl , Tony J. Simon , Cynthia Zierhut , Marjorie Solomon , Sally J. Rogers , David G. Amaral (2008). Brief Report: Methods for Acquiring Structural MRI Data in Very Young Children with Autism Without the Use of Sedation . Journal of Autism and Developmental Disorders, 38(8), 1581-1590. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Mary Doherty *Autistic author. Learn more… , Clair Haydon , I. A. Davidson (2021). Recognising autism in healthcare . British Journal of Hospital Medicine, 82(12), 1-7. IMR Press.
-
Elysa J. Marco , LEIGHTON B.N. HINKLEY , SUSANNA S. HILL , SRIKANTAN S. NAGARAJAN (2011). Sensory Processing in Autism: A Review of Neurophysiologic Findings . Pediatric Research, 69(5 Part 2), 48R-54R. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Clair Haydon , Mary Doherty *Autistic author. Learn more… , I. A. Davidson (2021). Autism: making reasonable adjustments in healthcare . British Journal of Hospital Medicine, 82(12), 1-11. IMR Press.
-
Jolie Straus , Sarah Coburn , Stephanie Maskell , Jessica Pappagianopoulos , Kathryn Cantrell (2019). Medical Encounters for Youth With Autism Spectrum Disorder: A Comprehensive Review of Environmental Considerations and Interventions . Clinical Medicine Insights: Pediatrics, 13, 1179556519842816. SAGE Publications.Crossref OpenAlex OpenCitations
-
Gunther Eysenbach (2004). Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES) . Journal of Medical Internet Research, 6(3), e34. JMIR Publications Inc..Crossref OpenAlex OpenCitations
-
Erik von Elm , Doug Altman , Matthias Egger , Stuart J Pocock , Peter C Gøtzsche , Jan P Vandenbroucke (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies . The Lancet, 370(9596), 1453-1457. Elsevier BV.Crossref OpenAlex OpenCitations
-
Benjamin E. Yerys , Gregory L. Wallace , Jennifer L. Sokoloff , Devon A. Shook , Joette D. James , Lauren Kenworthy (2009). Attention deficit/hyperactivity disorder symptoms moderate cognition and behavior in children with autism spectrum disorders . Autism Research, 2(6), 322-333. Wiley.Crossref OpenAlex OpenCitations
-
Sue Fletcher-Watson , Jonathan Adams *Autistic author. Learn more… , Kabie Brook *Autistic author. Learn more… , Tony Charman , Laura Crane , James Cusack *Autistic author. Learn more… et al. (2019). Making the future together: Shaping autism research through meaningful participation . Autism, 23(4), 943-953. SAGE Publications.AutiHub · Autistic Autism Scholarship Project AutiHub · Documentation center Crossref OpenAlex OpenCitations
-
Joanne McPeake , Meghan Bateson , Anna O’Neill (2014). Electronic surveys: how to maximise success . Nurse Researcher, 21(3), 24-26. RCN Publishing Ltd..Crossref OpenAlex OpenCitations
-
Barbara Muskat , Priscilla Burnham Riosa , David Nicholas , Wendy Roberts , Kevin P. Stoddart , Lonnie Zwaigenbaum (2015). Autism comes to the hospital: The experiences of patients with autism spectrum disorder, their parents and health-care providers at two Canadian paediatric hospitals . Autism, 19(4), 482-490. SAGE Publications.Crossref OpenAlex OpenCitations
-
Kristine Austriaco , Inmaculada Aban , James Willig , Michele Kong (2019). Contemporary Trainee Knowledge of Autism: How Prepared Are Our Future Providers? Frontiers in Pediatrics, 7, 165. Frontiers Media SA.Crossref OpenAlex OpenCitations
-
Michael E. Ravicz , Jennifer R. Melcher , Nelson Y.-S. Kiang (2000). Acoustic noise during functional magnetic resonance imaging . The Journal of the Acoustical Society of America, 108(4), 1683-1696. Acoustical Society of America (ASA).Crossref OpenAlex OpenCitations
-
Maria Strömberg , Lina Liman , Peter Bang , Kajsa Igelström (2022). Experiences of Sensory Overload and Communication Barriers by Autistic Adults in Health Care Settings . Autism in Adulthood, 4(1), 66-75. SAGE Publications.Crossref OpenAlex OpenCitations
-
Nikolaos Stogiannos , Jane M. Harvey-Lloyd , Barbara Nugent , Andrea Brammer , S. Carlier , Karen Cleaver et al. (2022). Autism-friendly MRI: Improving radiography practice in the UK, a survey of radiographer practitioners . Radiography, 28(1), 133-141. Elsevier BV.Crossref OpenAlex OpenCitations
-
Henrica M. A. de Bie , Maria Boersma , Mike P. Wattjes , Sofie Adriaanse , R. Jeroen Vermeulen , Kim J. Oostrom et al. (2010). Preparing children with a mock scanner training protocol results in high quality structural and functional MRI scans . European Journal of Pediatrics, 169(9), 1079-1085. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Gemma Williams *Autistic author. Learn more… , Jill Corbyn , Angie Hart (2023). Improving the Sensory Environments of Mental Health in-patient Facilities for Autistic Children and Young People . Child Care in Practice, 29(1), 35-53. Informa UK Limited.
-
Georgia Pavlopoulou (2020). A Good Night’s Sleep: Learning About Sleep From Autistic Adolescents’ Personal Accounts . Frontiers in Psychology, 11(2020), 583868. Frontiers Media SA.Crossref OpenAlex OpenCitations
-
A. Tong , P. Sainsbury , J. Craig (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups . International Journal for Quality in Health Care, 19(6), 349-357. Oxford University Press (OUP).Crossref OpenAlex OpenCitations
-
David Mason *Autistic author. Learn more… , Barry Ingham , Heather Birtles , Cos Michael *Autistic author. Learn more… , Clare Scarlett , Ian A James et al. (2021). How to improve healthcare for autistic people: A qualitative study of the views of autistic people and clinicians . Autism, 25(3), 774-785. SAGE Publications.
-
Finale Doshi-Velez , Yaorong Ge , Isaac Kohane (2014). Comorbidity Clusters in Autism Spectrum Disorders: An Electronic Health Record Time-Series Analysis . Pediatrics, 133(1), e54-e63. American Academy of Pediatrics (AAP).Crossref OpenAlex OpenCitations
-
Kieran J. Murphy , James A. Brunberg (1997). Adult claustrophobia, anxiety and sedation in MRI . Magnetic Resonance Imaging, 15(1), 51-54. Elsevier BV.Crossref OpenAlex OpenCitations
-
David Mason *Autistic author. Learn more… , Barry Ingham , Anna Urbanowicz , Cos Michael *Autistic author. Learn more… , Heather Birtles , Marc Woodbury-Smith et al. (2019). A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults . Journal of Autism and Developmental Disorders, 49(8), 3387-3400. Springer Science and Business Media LLC.AutiHub · Autistic Autism Scholarship Project AutiHub · Documentation center Crossref OpenAlex OpenCitations
-
Christina Nicolaidis , Clarissa Kripke , Dora M. Raymaker *Autistic author. Learn more… (2014). Primary Care for Adults on the Autism Spectrum . Medical Clinics of North America, 98(5), 1169-1191. Elsevier BV.
-
Silvana Unigwe , Carole Buckley , Laura Crane , Lorcan Kenny , Anna Remington , Elizabeth Pellicano (2017). GPs’ confidence in caring for their patients on the autism spectrum: an online self-report study . British Journal of General Practice, 67(659), e445-e452. Royal College of General Practitioners.Crossref OpenAlex OpenCitations
-
Samuel Brice , Jacqui Rodgers , Barry Ingham , David Mason *Autistic author. Learn more… , Colin Wilson , Mark Freeston et al. (2021). The importance and availability of adjustments to improve access for autistic adults who need mental and physical healthcare: findings from UK surveys . BMJ Open, 11(3), e043336. BMJ.Crossref OpenAlex OpenCitations
-
(n.d.). Health Education England. The Oliver McGowan Mandatory Training on Learning Disability and Autism. https://www.hee.nhs.uk/our-work/learning-disability-and-autism/oliver-mcgowan-mandatory-training-learning-disability-and-autism .Type: OtherCrossref
-
Deanna J. Greene , Kevin J. Black , Bradley L. Schlaggar (2016). Considerations for MRI study design and implementation in pediatric and clinical populations . Developmental Cognitive Neuroscience, 18, 101-112. Elsevier BV.Crossref OpenAlex OpenCitations
-
(n.d.). Health Education England. National Autism Trainer Programme. https://www.hee.nhs.uk/our-work/autism/national-autism-trainer-programme .Type: OtherCrossref
-
(n.d.). Health Education England. A for Adjustment - adjusted care resources to support health and care workers. https://www.hee.nhs.uk/our-work/learning-disability/adjustment-adjusted-care-resources-support-health-care-workers .Type: OtherCrossref
-
Pradip P. Kamat , Marie K. Karaga , Benjamin L. Wisniewski , Courtney E. McCracken , Harold K. Simon , Reet Sidhu et al. (2018). Outpatient Procedural Sedation of Patients With Autism Spectrum Disorders for Magnetic Resonance Imaging of the Brain Using Propofol . Journal of Child Neurology, 33(5), 313-319. SAGE Publications.Crossref OpenAlex OpenCitations
-
Susan E. Levy , Rosemary Frasso , Stephanie Colantonio , Hayley Reed , Gail Stein , Frances K. Barg et al. (2016). Shared Decision Making and Treatment Decisions for Young Children With Autism Spectrum Disorder . Academic Pediatrics, 16(6), 571-578. Elsevier BV.Crossref OpenAlex OpenCitations
-
Carol Povey (2016). Helping children on the autism spectrum deal with hospital admissions . Archives of Disease in Childhood, 101(12), 1081-1081. BMJ.Crossref OpenAlex OpenCitations
-
Ami Tint , Jonathan A. Weiss (2018). A qualitative study of the service experiences of women with autism spectrum disorder . Autism, 22(8), 928. SAGE Publications.Crossref OpenAlex OpenCitations
-
Charlotte Jaite , Viola Kappel , Adriane Napp , Marcus Sommer , Gerd Diederichs , Bernhard Weschke et al. (2019). A comparison study of anxiety in children undergoing brain MRI vs adults undergoing brain MRI vs children undergoing an electroencephalogram . PLOS ONE, 14(3), e0211552. Public Library of Science (PLoS).Crossref OpenAlex
-
Michael Richards , Rebecca Lawthom , K. Runswick-Cole (2019). Community-based arts research for people with learning disabilities: challenging misconceptions about learning disabilities . Disability & Society, 34(2), 204-227. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Terisa P. Gabrielsen , Jeff S. Anderson , Kevin G. Stephenson , Jonathan Beck , Jace B. King , Ryan Kellems et al. (2018). Functional MRI connectivity of children with autism and low verbal and cognitive performance . Molecular Autism, 9(1), 67-67. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Virginia Braun , Victoria Clarke (2019). Reflecting on reflexive thematic analysis . Qualitative Research in Sport, Exercise and Health, 11(4), 589-597. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Rae Morris , Andrea Greenblatt , Michael Saini (2019). Healthcare Providers’ Experiences with Autism: A Scoping Review . Journal of Autism and Developmental Disorders, 49(6), 2374-2388. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Christina Nicolaidis , Dora M. Raymaker *Autistic author. Learn more… , Steven K. Kapp *Autistic author. Learn more… , Mel Baggs *Autistic author. Learn more… , Elesia Ashkenazy *Autistic author. Learn more… , Katherine McDonald et al. (2019). The AASPIRE practice-based guidelines for the inclusion of autistic adults in research as co-researchers and study participants . Autism, 23(8), 2007-2019. SAGE Publications.AutiHub · Autistic Autism Scholarship Project AutiHub · Documentation center Crossref OpenAlex OpenCitations
-
C. J. Smith , A. Bhanot , E. Norman , J. E. Mullett , S. D. Bilbo , Christopher J. McDougle et al. (2019). A Protocol for Sedation Free MRI and PET Imaging in Adults with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 49(7), 3036-3044. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Charlotte Jaite , Viola Kappel , Adriane Napp , Marcus Sommer , Gerd Diederichs , Bernhard Weschke et al. (2019). A comparison study of anxiety in children undergoing brain MRI vs adults undergoing brain MRI vs children undergoing an electroencephalogram . PLOS ONE, 14(3), e0211552. Public Library of Science (PLoS).Type: Article DOI: 10.1371/journal.pone.0211552 10.17169/refubium-2480OpenCitations
-
Benjamin Jones , Sue Woolfenden , Sandra Pengilly , Christie Breen , Richard Cohn , Lyn Biviano et al. (2020). COVID ‐19 pandemic: The impact on vulnerable children and young people in Australia . Journal of Paediatrics and Child Health, 56(12), 1851-1855. Wiley.Crossref OpenAlex OpenCitations
-
Lisa Crouzet , Honor Scarlett , Anne-Claire Colleville , Lionel Pourtau , Maria Melchior , Simon Ducarroz (2022). Impact of the COVID-19 pandemic on vulnerable groups, including homeless persons and migrants, in France: A qualitative study . Preventive Medicine Reports, 26, 101727. Elsevier BV.Crossref OpenAlex OpenCitations
-
Raman Baweja , Sierra L. Brown , Erin M. Edwards , Michael J. Murray (2022). COVID-19 Pandemic and Impact on Patients with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 52(1), 473-482. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Cliodhna O’Connor , Helene Joffe (2020). Intercoder Reliability in Qualitative Research: Debates and Practical Guidelines . International Journal of Qualitative Methods, 19. SAGE Publications.Crossref OpenAlex OpenCitations
-
Hanne Marie Høybråten Sigstad , Veerle Garrels (2021). A Semi-Structured Approach to Photo Elicitation Methodology for Research Participants With Intellectual Disability . International Journal of Qualitative Methods, 20. SAGE Publications.Crossref OpenAlex OpenCitations
-
Barry Coughlan , Robbie Duschinsky , Mary‐Ellen O'Connor , Matt Woolgar (2020). Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis . Health & Social Care in the Community, 28(6), 1928-1941. Wiley.Crossref OpenAlex OpenCitations
-
Irga Safira , Rahmadsyah Rangkuti , Ely Hayati Nasution , Yulianus Harefa (2020). Non-Verbal Communication by Autistic Children . ELS Journal on Interdisciplinary Studies in Humanities, 3(4), 492-505. Faculty of Cultural Sciences, Hasanuddin University.Crossref OpenAlex OpenCitations
-
Maria Tziraki , Shruti Garg , Emma Harrison , Neville B. Wright , Rob Hawkes , Kapasi Akhtar et al. (2021). A Neuroimaging Preparation Protocol Tailored for Autism . Autism Research, 14(1), 65-74. Wiley.Crossref OpenAlex OpenCitations
-
Yasmin Dhuga , Yvonne Feeney , Laura Gallaher , Ann White , Juliet Wright , Sube Banerjee et al. (2022). Developing undergraduate autism education for medical students: a qualitative study . BMJ Paediatrics Open, 6(1), e001411. BMJ.Crossref OpenAlex OpenCitations
-
(n.d.). Audeze. (109) MRI Sounds - YouTube. 2021. https://www.youtube.com/watch?v=hvXoHU9Cexk .Type: OtherCrossref
-
(n.d.). RCGP, Autistic. spectrum disorders. 2016. https://www.rcgp.org.uk/representing-you/policy-areas/autistic-spectrum-disorders .Type: OtherCrossref