Integrated training improves access to radiology for patients with neurodevelopmental disorders

Limited access to radiological services for individuals with neurodevelopmental disorders (NDD) represents a significant healthcare gap, often driven not only by behavioral distress but also by insufficient training of healthcare professionals. Epidemiological data indicate a growing prevalence in Italy (approximately 13.4/1,000 children), with a corresponding increase in demand for adapted services. Behavioral comorbidities and distress responses frequently hinder access to diagnostic procedures, while radiology technicians often report limited preparedness in managing these patients.

This project aimed to improve access to radiological procedures through a combined interdisciplinary intervention targeting both patients and healthcare professionals. In the first phase (September–October 2025), 27 patients were prepared using structured visual supports (interactive photo-based sequences), while 6 radiology technicians participated in a 3-hour training session focused on NDD characteristics, communication strategies, and management of distress. The second phase (November–December 2025) consisted of simulation sessions in a hospital room replicating a radiology suite. Each patient attended 3 sessions (2h/session), and each technician attended 2 (6h/session). Patients showed improved tolerance to procedures, with reduced distress and increased active collaboration, leading to higher completion rates (from 85% to 100%). Notably, the intervention had a significant impact on technicians: pre–post evaluation showed increased confidence in managing unexpected behaviors, reduced discomfort (Mann–Whitney test, p < 0.004), and greater awareness of disability-specific needs. In conclusion, this interdisciplinary and shared training model, integrating simulation-based patient preparation, promotes a more structured, flexible, and patient-centered approach among technicians. It addresses a critical educational gap and supports more inclusive and competent radiological care.

Key messages

• Access to radiological services for patients with neurodevelopmental disorders can be improved with an interdisciplinary intervention for patients and targeted training for radiology technicians.

• Targeted training for radiology technicians, integrated with simulation-based practice increases confidence in managing complex behaviors, reduces professional discomfort and greater awareness.