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A mixed-methods study examining the ripple effect of inclusive employment on reducing stigma toward autistic people in South Korea. 一项研究韩国包容性就业对减少对自闭症患者的污名的连锁反应的混合方法研究。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-29 DOI: 10.1177/13623613251407763
Hyesung Park, JiHoi Na, So Yoon Kim, SoHyun Lee
<p><p>This mixed-methods study examines how contact with Autistar, a Korean company providing strength-based, institutional-level support to autistic designers, is associated with stigma toward autistic people. One-hundred thirty-eight non-autistic community members completed an online survey; mixed-effects and stepwise regression analyses assessed relationships between contact with Autistar and stigma. Focus group interviews with 11 participants drawn from this full survey sample who had extensive contact with Autistar were analyzed using qualitative content analysis. Quantitative analyses indicated that greater contact breadth with Autistar was linked to lower stigma. In particular, participation in exhibitions and introduction by acquaintances predicted lower stigma. Qualitative analysis revealed that sustained and informed contact, which allowed participants to notice similarities between themselves and autistic employees and the strengths of these employees, helped them view autistic people as part of their ingroup. This study linked contact theory and ingroup bias theory to explain how high-quality contact may be associated with perceiving autistic people as part of one's ingroup. The findings underscored the societal impact of an inclusive employment model, which extends beyond individual interactions to influence societal attitudes, and suggested the need for further research on systemic policies to expand such initiatives.Lay abstractAutistic people often face stigma, meaning they are treated unfairly or seen as different in a negative way. This stigma can make it difficult for them to find jobs, build relationships, and fully participate in society. This study looks at how Autistar may help change the way people think about autism. Autistar is a South Korean company that hires and supports autistic designers. We wanted to understand if seeing and interacting with Autistar and autistic designers at Autistar could help reduce stigma. To do this, we surveyed 138 non-autistic people who had some level of contact with Autistar. We asked about their experiences and attitudes toward autistic people. We also conducted group interviews with 11 participants who had more experience with the company to get deeper insights. Quantitative analysis showed that people who had more interactions with Autistar reported more positive attitudes. The results from the interviews showed that seeing autistic people's talents helped break stereotypes. Seeing autistic people at exhibitions, learning about them, or meeting them through friends and family was linked to less stigma. Some participants said they no longer saw autistic people as "different" but as part of the same world with valuable skills. Participants were more comfortable working with or spending time with autistic people than before interacting with autistic employees of Autistar. This study shows that inclusive workplaces like this can help change how people think about autism. By creating more jo
这项混合方法的研究考察了与Autistar(一家为自闭症设计师提供基于力量的机构级支持的韩国公司)的接触如何与对自闭症患者的污名联系在一起。138名非自闭症社区成员完成了一项在线调查;混合效应和逐步回归分析评估了接触自闭症与病耻感之间的关系。焦点小组访谈从这个完整的调查样本中抽取了11名与Autistar有广泛接触的参与者,使用定性内容分析进行了分析。定量分析表明,与Autistar接触的广度越大,柱头越低。特别是,参加展览和熟人介绍可以降低耻辱感。定性分析显示,持续和知情的接触,让参与者注意到自己和自闭症员工之间的相似之处,以及这些员工的优势,帮助他们将自闭症患者视为自己内部群体的一部分。这项研究将接触理论和内群体偏见理论联系起来,解释了高质量的接触如何与将自闭症患者视为内群体的一部分联系在一起。调查结果强调了包容性就业模式的社会影响,它超越了个人互动,影响了社会态度,并建议有必要进一步研究系统性政策,以扩大此类举措。自闭症患者经常面临耻辱,这意味着他们受到不公平的对待,或者以消极的方式被视为与众不同。这种耻辱会使他们很难找到工作,建立关系,并充分参与社会。这项研究着眼于自闭症之星如何帮助改变人们对自闭症的看法。Autistar是一家韩国公司,雇佣并支持自闭症设计师。我们想知道,与自闭症之星和自闭症之星的设计师见面并互动是否有助于减少耻辱感。为此,我们调查了138名与孤独症之星有过一定程度接触的非孤独症人士。我们询问了他们对自闭症患者的经历和态度。我们还对11位在公司有更多经验的参与者进行了小组访谈,以获得更深入的见解。定量分析显示,与孤独症之星有更多互动的人表现出更积极的态度。访谈的结果表明,看到自闭症患者的才能有助于打破刻板印象。在展览会上看到自闭症患者,了解他们,或者通过朋友和家人与他们见面,都能减少耻辱感。一些参与者表示,他们不再将自闭症患者视为“异类”,而是将其视为拥有宝贵技能的同一个世界的一部分。与之前与自闭症员工互动相比,参与者更愿意与自闭症患者一起工作或共度时光。这项研究表明,像这样的包容性工作场所可以帮助改变人们对自闭症的看法。通过为自闭症患者提供更多的就业机会和适当的支持,我们可以建立一个更包容的社会。
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引用次数: 0
Post-traumatic stress disorder in autistic and non-autistic adults: The impact of appraisals on reactions to traumatic events. 自闭症和非自闭症成人的创伤后应激障碍:评价对创伤事件反应的影响。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-27 DOI: 10.1177/13623613251403405
Rachel Prosser, Freya Rumball, Dorothy King, Craig Steel
<p><p>Research suggests autistic people experience greater post-traumatic stress disorder symptom severity than non-autistic people following traumatic events. Post-trauma appraisals are fundamental in cognitive models of post-traumatic stress disorder, but have not been explored in autistic people. We aimed to explore whether we could replicate effects of heightened trauma exposure and post-traumatic stress disorder symptom severity in autistic adults, and examine how post-traumatic appraisals affect the association between autism and post-traumatic stress disorder symptom severity. Two hundred forty-two autistic (<i>n</i> = 148) and non-autistic adults (<i>n</i> = 94) completed a survey measuring trauma exposure, post-traumatic stress disorder symptom severity and post-trauma appraisals. Exposure to types of traumatic events did not differ significantly between the groups, but the autistic group endorsed more events that 'happened to me' directly. Post-traumatic stress disorder symptom severity and endorsement of negative post-traumatic appraisals were significantly higher in the autistic group, specifically alienation, shame and fear appraisals. These appraisals mediated the association between autism and post-traumatic stress disorder symptom severity. Therefore, as in the general population, greater endorsement of negative post-traumatic appraisals may be a risk factor for post-traumatic stress disorder symptom development in autistic adults, particularly appraisals of shame, fear and alienation. Longitudinal designs are required to confirm the direction of these effects and to elucidate factors underlying these negative appraisals in autistic people.Lay SummaryMany people experience intrusive memories and anxiety after a traumatic event. However, for some, these symptoms last longer and they might be diagnosed with post-traumatic stress disorder. Research suggests that autistic people might be more likely to develop post-traumatic stress disorder and experience more severe symptoms compared to non-autistic people after traumatic events. One factor that is important in post-traumatic stress disorder development is how people think about the trauma. These might be thoughts like 'It was my fault', 'I'm not safe', 'I'm disconnected from other people'. There has not been research into how autistic people think about traumatic events compared to non-autistic people, and this could be important for making post-traumatic stress disorder treatments more effective for them, as many of these focus on thoughts. In this study, we asked 148 autistic people and 94 non-autistic people in the United Kingdom to complete an online survey about their trauma history, post-traumatic stress disorder symptoms and thoughts about a traumatic event. We found that autistic people experienced more types of traumatic events directly (it happened to them), but they did not experience more types of traumatic events overall. Interestingly, both groups reported events like
研究表明,在创伤事件后,自闭症患者比非自闭症患者经历了更严重的创伤后应激障碍症状。创伤后评估是创伤后应激障碍认知模型的基础,但尚未在自闭症患者中进行探索。我们的目的是探索我们是否可以在自闭症成人中复制创伤暴露和创伤后应激障碍症状严重程度的影响,并检查创伤后评估如何影响自闭症和创伤后应激障碍症状严重程度之间的关联。242名自闭症成年人(n = 148)和非自闭症成年人(n = 94)完成了一项调查,测量了创伤暴露、创伤后应激障碍症状严重程度和创伤后评估。两组之间的创伤性事件暴露程度并没有显著差异,但自闭症组更认同“直接发生在我身上”的事件。自闭症组创伤后应激障碍症状严重程度和对创伤后负面评价的认同显著高于自闭症组,尤其是疏离感、羞耻感和恐惧评价。这些评估介导了自闭症与创伤后应激障碍症状严重程度之间的关联。因此,就像在一般人群中一样,对负面创伤后评价的更大认可可能是自闭症成人创伤后应激障碍症状发展的一个风险因素,特别是对羞耻、恐惧和疏远的评价。需要纵向设计来确认这些影响的方向,并阐明自闭症患者这些负面评价的潜在因素。许多人在创伤性事件后都会经历侵入性记忆和焦虑。然而,对于一些人来说,这些症状持续的时间更长,他们可能被诊断为创伤后应激障碍。研究表明,与非自闭症患者相比,自闭症患者更有可能在创伤事件后患上创伤后应激障碍,并经历更严重的症状。创伤后应激障碍发展的一个重要因素是人们如何看待创伤。这些想法可能是“这是我的错”,“我不安全”,“我与他人脱节”。目前还没有关于自闭症患者与非自闭症患者相比如何看待创伤性事件的研究,这可能对使创伤后应激障碍治疗对他们更有效很重要,因为许多治疗都集中在思想上。在这项研究中,我们要求英国的148名自闭症患者和94名非自闭症患者完成一项关于他们的创伤史、创伤后应激障碍症状和对创伤事件的看法的在线调查。我们发现自闭症患者直接经历了更多类型的创伤性事件(它发生在他们身上),但他们总体上没有经历更多类型的创伤性事件。有趣的是,两组人都将欺凌或亲人死亡等事件报告为创伤性事件,但这些事件不符合创伤后应激障碍的官方诊断标准。正如预期的那样,自闭症患者报告的创伤后应激障碍症状比非自闭症患者更严重,更有可能达到创伤后应激障碍诊断的临界值。自闭症患者对创伤的负面想法也更多,尤其是感到不安全、疏离、羞愧,或者认为创伤是他们的错。有更多这样的想法与自闭症和更严重的创伤后应激障碍症状有关。我们的研究结果表明,专注于这些消极想法的疗法可能对患有创伤后应激障碍的自闭症患者有帮助。未来的研究应该探索为什么自闭症患者在创伤事件后会有更多的这些想法,并应该使用纵向或实验设计来探索这些因素如何随着时间的推移相互影响。努力防止消极的经历,挑战社会对自闭症的消极态度,支持积极的自闭症认同和福祉,将有助于在未来改变这种状况。同样重要的是,心理健康服务为创伤后应激障碍提供支持,即使事件不符合当前的诊断标准,因为这可能会防止患有创伤后应激障碍的自闭症和非自闭症患者获得帮助。
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引用次数: 0
Scoping review: Facilitators, barriers, and cultural adaptations in the caregiver skills training program for children with developmental concerns. 范围审查:有发展问题的儿童护理人员技能培训计划中的促进因素、障碍和文化适应。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-27 DOI: 10.1177/13623613251406399
Cecilia Montiel-Nava, Maria C Montenegro, Ana C Ramirez, Victoria Villarreal, Lucia Murillo Chacko, Pamela Dixon, Sarah Dababnah
<p><p>Autism interventions are predominantly developed in high-income countries, limiting access for families in low- and middle-income countries due to systemic, cultural, and logistical barriers. The Caregiver Skills Training program aims to address this disparity by equipping caregivers with practical skills. This scoping review examines the cultural adaptations, facilitators, and barriers to the implementation of Caregiver Skills Training, focusing on its accessibility, feasibility, and acceptability. A comprehensive search of ERIC, PsycINFO, PubMed, and Web of Science identified eligible studies that reported cultural or linguistic adaptations of Caregiver Skills Training. Forward searches and manual reference checks supplemented the review. Data were extracted using the Cultural Adaptation Checklist framework and analyzed for patterns in adaptation, training, barriers, and facilitators. Seventeen studies across Asia, Africa, Europe, and North America highlighted diverse adaptations in language, content, and delivery methods. Facilitators included community partnerships and task-shifting with non-specialists, while barriers involved logistical challenges, stigma, and resource constraints. Caregiver Skills Training's flexible, culturally responsive framework makes it a viable model for scaling autism interventions globally. Tailored adaptations and strong support systems for facilitators are essential to overcoming systemic challenges and ensuring equitable access in low- and middle-income countries.Lay abstract<b>How the Caregiver Skills Training Program Helps Families Worldwide</b>The Caregiver Skills Training program was designed to help families of children with autism and other developmental challenges in low-resource settings. Caregiver Skills Training empowers parents and caregivers by teaching them practical strategies to improve their child's communication, social interaction, and daily living skills. This program is unique because it does not require a formal diagnosis and is designed to be delivered by trained non-specialists, such as community health workers. A review of 17 studies from different countries examined how the Caregiver Skills Training program was adapted to fit the cultural and practical needs of families in each region. For example, materials were translated, simplified, and paired with visual aids to help parents with lower literacy levels. Non-specialist facilitators helped make the program more accessible, and online or hybrid delivery methods increased participation during the COVID-19 pandemic. However, challenges remain. Families often face barriers like limited transportation, stigma, and lack of Internet access, which can prevent them from fully participating in the program. Facilitators also need more training and support to maintain program quality. Despite these obstacles, Caregiver Skills Training shows promise as a global solution to bridge the gap in autism care, especially in underserved communities.
自闭症干预措施主要在高收入国家开展,由于系统、文化和后勤方面的障碍,低收入和中等收入国家的家庭获得干预措施的机会受到限制。护理人员技能培训计划旨在通过为护理人员提供实用技能来解决这一差距。这个范围审查检查了文化适应、促进因素和实施护理人员技能培训的障碍,重点是其可及性、可行性和可接受性。通过对ERIC、PsycINFO、PubMed和Web of Science的全面搜索,我们发现了符合条件的研究,这些研究报告了护理人员技能培训的文化或语言适应性。向前搜索和手动参考检查补充了审查。使用文化适应检查表框架提取数据,并分析适应、培训、障碍和促进因素的模式。在亚洲、非洲、欧洲和北美进行的17项研究强调了在语言、内容和交付方式方面的不同适应。促进因素包括社区伙伴关系和与非专业人员的任务转移,而障碍包括后勤挑战、耻辱和资源限制。护理人员技能培训灵活的文化响应框架使其成为在全球范围内扩大自闭症干预措施的可行模式。对于克服系统性挑战和确保低收入和中等收入国家的公平获取,有针对性的调整和强有力的辅导员支持系统至关重要。摘要照料者技能培训计划如何帮助全球家庭照料者技能培训计划旨在帮助资源匮乏环境中患有自闭症和其他发育障碍儿童的家庭。照顾者技能培训通过教父母和照顾者实用的策略来提高孩子的沟通、社会互动和日常生活技能,从而增强他们的能力。该方案的独特之处在于,它不需要正式诊断,并由经过培训的非专业人员(如社区卫生工作者)提供。对来自不同国家的17项研究的回顾考察了如何调整护理人员技能培训计划以适应每个地区家庭的文化和实际需求。例如,材料被翻译、简化,并配有视觉辅助工具,以帮助识字水平较低的父母。非专业协调员帮助提高了项目的可及性,在线或混合交付方式在2019冠状病毒病大流行期间提高了参与程度。然而,挑战依然存在。家庭经常面临交通不便、耻辱和缺乏互联网接入等障碍,这可能使他们无法充分参与该计划。主持人也需要更多的培训和支持来维持项目的质量。尽管存在这些障碍,但护理人员技能培训有望成为弥合自闭症护理差距的全球解决方案,特别是在服务不足的社区。本次审查强调了调整护理人员技能培训等项目以满足全球家庭独特需求的重要性,确保每个孩子都有机会茁壮成长,无论他们生活在哪里。
{"title":"Scoping review: Facilitators, barriers, and cultural adaptations in the caregiver skills training program for children with developmental concerns.","authors":"Cecilia Montiel-Nava, Maria C Montenegro, Ana C Ramirez, Victoria Villarreal, Lucia Murillo Chacko, Pamela Dixon, Sarah Dababnah","doi":"10.1177/13623613251406399","DOIUrl":"https://doi.org/10.1177/13623613251406399","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Autism interventions are predominantly developed in high-income countries, limiting access for families in low- and middle-income countries due to systemic, cultural, and logistical barriers. The Caregiver Skills Training program aims to address this disparity by equipping caregivers with practical skills. This scoping review examines the cultural adaptations, facilitators, and barriers to the implementation of Caregiver Skills Training, focusing on its accessibility, feasibility, and acceptability. A comprehensive search of ERIC, PsycINFO, PubMed, and Web of Science identified eligible studies that reported cultural or linguistic adaptations of Caregiver Skills Training. Forward searches and manual reference checks supplemented the review. Data were extracted using the Cultural Adaptation Checklist framework and analyzed for patterns in adaptation, training, barriers, and facilitators. Seventeen studies across Asia, Africa, Europe, and North America highlighted diverse adaptations in language, content, and delivery methods. Facilitators included community partnerships and task-shifting with non-specialists, while barriers involved logistical challenges, stigma, and resource constraints. Caregiver Skills Training's flexible, culturally responsive framework makes it a viable model for scaling autism interventions globally. Tailored adaptations and strong support systems for facilitators are essential to overcoming systemic challenges and ensuring equitable access in low- and middle-income countries.Lay abstract&lt;b&gt;How the Caregiver Skills Training Program Helps Families Worldwide&lt;/b&gt;The Caregiver Skills Training program was designed to help families of children with autism and other developmental challenges in low-resource settings. Caregiver Skills Training empowers parents and caregivers by teaching them practical strategies to improve their child's communication, social interaction, and daily living skills. This program is unique because it does not require a formal diagnosis and is designed to be delivered by trained non-specialists, such as community health workers. A review of 17 studies from different countries examined how the Caregiver Skills Training program was adapted to fit the cultural and practical needs of families in each region. For example, materials were translated, simplified, and paired with visual aids to help parents with lower literacy levels. Non-specialist facilitators helped make the program more accessible, and online or hybrid delivery methods increased participation during the COVID-19 pandemic. However, challenges remain. Families often face barriers like limited transportation, stigma, and lack of Internet access, which can prevent them from fully participating in the program. Facilitators also need more training and support to maintain program quality. Despite these obstacles, Caregiver Skills Training shows promise as a global solution to bridge the gap in autism care, especially in underserved communities. ","PeriodicalId":8724,"journal":{"name":"Autism","volume":" ","pages":"13623613251406399"},"PeriodicalIF":5.6,"publicationDate":"2025-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145843275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'Breaking down a barrier': Autistic young people see virtual reality as a possible social support, but not a substitute for in-person interactions. “打破障碍”:自闭症年轻人将虚拟现实视为一种可能的社会支持,但不能替代面对面的互动。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-17 DOI: 10.1177/13623613251406114
Nathan Caruana, Terry Goetz, Patrick Nalepka, Elizabeth Pellicano

Autistic people often face challenges in face-to-face social interactions, especially in unfamiliar or high-stakes situations. Virtual reality has been proposed as a tool to support social connection by offering a more controlled and accessible environment. While previous research has focused on virtual reality-based social skills training, little is known about how autistic people experience social interactions in virtual reality. We interviewed 22 autistic young people (aged 9-22 years, MAge = 14.5) after they engaged in a social interaction with a stranger in immersive virtual reality. Using reflexive thematic analysis, we found that participants generally found virtual reality interactions tolerable, engaging and helpful as a low-pressure first step towards more challenging social situations. Virtual reality was valued for reducing sensory overload, increasing confidence and offering novel social opportunities. However, participants did not view virtual reality as a replacement for in-person interaction, which they saw as essential for building meaningful relationships. These findings highlight the potential of virtual reality to support autistic people by modifying the social environment rather than demanding behavioural change. They also challenge deficit-based assumptions about autistic social motivation, emphasising the importance of aligning technological supports with autistic people's lived experiences and preferences.Lay abstractAutistic young people can find social situations stressful and overwhelming, particularly if meeting strangers in high-stakes settings (e.g. first date, job interview). Virtual reality has been suggested as a tool that might help make these interactions easier. In this study, we asked 22 autistic young people, aged 9-22, to try out a social interaction in virtual reality and then tell us about their experience. We found that most participants enjoyed using virtual reality and felt it made social interactions feel safer and less intimidating. They said virtual reality helped reduce distractions and gave them more control over how they presented themselves. Some even said it made them feel more confident when talking to others. However, young people were clear that virtual reality should not replace real-life interactions. They said that in-person contact is still important for building real connections with others. While virtual reality can be a helpful first step when interacting with new people, especially in situations that feel scary or unfamiliar, it is not a substitute for face-to-face relationships. This research shows that autistic young people value social connection and want tools that support, rather than replace, real-life interaction.

自闭症患者经常在面对面的社交互动中面临挑战,尤其是在不熟悉或高风险的情况下。虚拟现实已经被提议作为一种工具,通过提供一个更可控和可访问的环境来支持社会联系。虽然之前的研究主要集中在基于虚拟现实的社交技能训练上,但人们对自闭症患者在虚拟现实中如何体验社交互动知之甚少。我们采访了22名患有自闭症的年轻人(9-22岁,MAge = 14.5),他们在沉浸式虚拟现实中与陌生人进行了社交互动。通过反身性主题分析,我们发现参与者普遍认为虚拟现实互动是可以忍受的、吸引人的、有帮助的,这是迈向更具挑战性的社交情境的低压力第一步。虚拟现实的价值在于减少感官超载,增加信心和提供新的社交机会。然而,参与者并不认为虚拟现实是面对面互动的替代品,他们认为面对面互动对于建立有意义的关系至关重要。这些发现强调了虚拟现实通过改变社会环境而不是要求行为改变来支持自闭症患者的潜力。他们还挑战了关于自闭症社会动机的基于缺陷的假设,强调了将技术支持与自闭症患者的生活经历和偏好相结合的重要性。自闭症的年轻人会觉得社交场合压力很大,尤其是在高风险的场合(比如第一次约会、工作面试)遇到陌生人时。虚拟现实被认为是一种工具,可能有助于使这些互动更容易。在这项研究中,我们邀请了22名年龄在9-22岁之间的自闭症年轻人,让他们尝试在虚拟现实中进行社交互动,然后告诉我们他们的经历。我们发现,大多数参与者都喜欢使用虚拟现实,并认为它使社交互动更安全,不那么令人生畏。他们说,虚拟现实有助于减少干扰,并让他们更好地控制自己的表现方式。有些人甚至说,这让他们在与他人交谈时感觉更自信。然而,年轻人很清楚,虚拟现实不应该取代现实生活中的互动。他们说,面对面的接触对于与他人建立真正的联系仍然很重要。虽然虚拟现实可以成为与陌生人互动的第一步,特别是在感到害怕或不熟悉的情况下,但它不能代替面对面的关系。这项研究表明,自闭症年轻人重视社会联系,想要支持而不是取代现实生活中的互动的工具。
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引用次数: 0
Short report: Autistic adults' perceptions of gender, autism, and policing in the United States. 简短报告:美国自闭症成年人对性别、自闭症和警察的看法。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-17 DOI: 10.1177/13623613251395539
Meredith Cola, Aili Hauptmann, Alison Russell, Dieu M Truong, Ashlee Yates Flanagan, Kimberly G Tena, Juan Pacheco, Ashley Zitter, Azia Knox, Maggie Rose Pelella, Lizzy Fulop, Maxine Covello, Amanda Lee, Margaret Lyons, Sarah Schillinger, Rita Solórzano, Sinan Turnacioglu, Vijay Ravindran, Judith S Miller, Joseph P McCleery, Julia Parish-Morris
<p><p>Autistic individuals face increased risk during police interactions in the United States, including injury and death. Research shows police behave inequitably during interactions with marginalized communities and may behave even more inequitably toward individuals with multiple minoritized identities. Many autistic people also identify as gender diverse. However, it is largely unknown if or how autistic adults' perceptions of police differ by gender identity. We examined autistic adults' perceptions of policing, autism, and gender using an online questionnaire. Results revealed significant differences across gender groups (cis women, cis men, gender diverse) in perceptions of justice, comfort in disclosing diagnosis, helpfulness of diagnostic disclosure, influence of gender, and concern that one's autistic traits would be misperceived as dangerous. These findings align with widespread calls for police reform and suggest current policing practices likely do not meet the needs of all autistic individuals, particularly autistic cis women and gender diverse individuals, who are more likely to report their gender has influenced police interactions and more concerned that their autistic characteristics are being misperceived, relative to autistic cis men. Reducing the harm marginalized groups face because of systemic inequities in the current policing system is a critical need that could enhance safety for autistic individuals.Lay abstractAutistic people in the United States are at a higher risk of injury or death when they interact with the police. Research has shown that police often treat people from minoritized communities unfairly, and this can be even worse for people who belong to more than one minoritized group, like being both autistic and gender diverse. Many autistic people also identify as gender diverse. However, we do not yet know if autistic people's views of police may differ across gender identities. In this study, we explored how autistic adults view police and if those views differ across different gender identities. We found that autistic adults with different gender identities have different views on things like justice, how comfortable they feel telling police about their autism diagnosis, whether they think telling the police about their diagnosis would be helpful, how they think their gender affects police behavior, and whether they worry that their autistic traits might be seen as dangerous. These results may indicate that the current policing practices may not take into account autistic individuals' unique perspectives and experiences, particularly when police are interacting with autistic women and gender diverse people. It is important that we make changes to reduce the harm that autistic people face because of unfairness in the current policing system using feedback from autistic individuals. This could make things safer for all autistic people. Our results suggest it could be beneficial for police officers to receive
在美国,自闭症患者在与警察互动时面临更大的风险,包括受伤和死亡。研究表明,警察在与边缘化社区的互动中表现得不公平,对具有多个少数群体身份的个人可能表现得更不公平。许多自闭症患者也认为自己的性别是多元的。然而,自闭症成年人对警察的看法是否或如何因性别认同而不同,这在很大程度上是未知的。我们使用在线问卷调查了自闭症成年人对警察、自闭症和性别的看法。结果显示,不同性别群体(顺式女性、顺式男性、不同性别)在对公正、披露诊断的舒适度、诊断披露的帮助性、性别的影响以及对自闭症特征被误解为危险的担忧等方面存在显著差异。这些调查结果与对警察改革的广泛呼吁一致,并表明目前的警务做法可能无法满足所有自闭症个体的需求,特别是自闭的独联体妇女和性别多样化个体的需求,她们更有可能报告说,她们的性别影响了警察的互动,与自闭的独联体男子相比,她们更担心自己的自闭特征被误解。减少边缘化群体因当前警务系统中的系统性不平等而面临的伤害,是一项可以增强自闭症患者安全的迫切需要。在美国,自闭症患者在与警察互动时受伤或死亡的风险更高。研究表明,警察经常不公平地对待来自少数群体的人,对于属于多个少数群体的人来说,情况可能更糟,比如患有自闭症和性别多元化的人。许多自闭症患者也认为自己的性别是多元的。然而,我们还不知道自闭症患者对警察的看法是否会因性别认同而有所不同。在这项研究中,我们探讨了自闭症成年人如何看待警察,以及这些观点是否在不同的性别认同中有所不同。我们发现,不同性别认同的自闭症成年人对一些事情有不同的看法,比如正义,告诉警察自己的自闭症诊断是否舒服,是否认为告诉警察自己的诊断会有帮助,他们认为自己的性别如何影响警察的行为,以及他们是否担心自己的自闭症特征可能被视为危险。这些结果可能表明,目前的警务实践可能没有考虑到自闭症患者独特的观点和经历,特别是当警察与自闭症妇女和性别不同的人互动时。重要的是,我们要根据自闭症患者的反馈,做出改变,以减少自闭症患者面临的伤害,因为目前的警务系统不公平。这对所有自闭症患者来说都是安全的。我们的研究结果表明,对警察来说,在自闭症群体中接受包含性别多样性的培训可能是有益的,这样他们就能更好地保护和尊重所有自闭症患者。
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引用次数: 0
Letter to the editor: Employment of autistic individuals in the age of AI integration: Challenges and opportunities. 致编辑的信:人工智能融合时代自闭症个体的就业:挑战与机遇。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-10 DOI: 10.1177/13623613251401556
Michal Waisman Nitzan, Liron Lamash, Darren Hedley, Simon M Bury, Eynat Gal

As artificial intelligence (AI) reshapes the modern workplace, the implications for neurodivergent populations, particularly autistic adults, warrant attention. Autistic people remain underrepresented in the workforce, facing persistent barriers to sustained employment. In this letter, we consider whether AI may compound these barriers or offer opportunities for autistic people: With thoughtful design and implementation, could AI foster more inclusive and accessible workplaces? We call for critical reflection on AI's potential impact on autistic employment. We argue that facilitating inclusion of autistic individuals in the workforce in the age of AI will require care, collaboration, and a commitment to neurodiversity.Lay AbstractAs artificial intelligence (AI) becomes more common in workplaces, it could affect autistic people in important ways. Today, many autistic adults still face difficulties finding and keeping jobs. In this letter, we ask whether AI will make things harder for autistic people or whether it might help. Could AI be designed in a way that supports autistic workers and creates more inclusive workplaces? We believe that the answer depends on how AI is used. We call for thoughtful planning and teamwork between employers, autistic people, and designers to make sure AI is used in ways that support neurodiversity and employment inclusion.

随着人工智能(AI)重塑现代工作场所,它对神经分化人群(尤其是自闭症成年人)的影响值得关注。自闭症患者在劳动力中的代表性仍然不足,他们在持续就业方面面临着持续的障碍。在这封信中,我们考虑了人工智能是否会加剧这些障碍,或者为自闭症患者提供机会:通过深思熟虑的设计和实施,人工智能是否能促进更包容、更无障碍的工作场所?我们呼吁批判性地反思人工智能对自闭症患者就业的潜在影响。我们认为,在人工智能时代,促进自闭症患者融入劳动力需要关心、合作和对神经多样性的承诺。随着人工智能(AI)在工作场所变得越来越普遍,它可能会在很多重要方面影响自闭症患者。今天,许多患有自闭症的成年人仍然在找工作和保住工作方面面临困难。在这封信中,我们询问人工智能是否会让自闭症患者的生活变得更加困难,或者它是否会有所帮助。人工智能能否被设计成一种支持自闭症员工并创造更具包容性的工作场所的方式?我们认为,答案取决于如何使用人工智能。我们呼吁雇主、自闭症患者和设计师之间进行深思熟虑的规划和团队合作,以确保人工智能的使用方式支持神经多样性和就业包容性。
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引用次数: 0
Self-injurious behaviors with increased likelihood of injury in autistic youth: The role of distress linked to a strong preference for sameness. 自闭青少年自残行为与伤害可能性增加:痛苦的作用与强烈的同一性偏好有关。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-08 DOI: 10.1177/13623613251396036
Emily F Ferguson, Emily Spackman, Antonio Y Hardan, Mirko Uljarević
<p><p>Self-injurious behaviors in autistic youth vary widely in their form, intensity, and potential for physical injury. This study explored predictors of two categories of self-injurious behaviors that were delineated based on their potential for physical injury (self-injurious behavior-High Likelihood and self-injurious behavior-Low Likelihood), with a focus on the role of distress linked to a strong preference for routines (otherwise known as insistence on sameness). The sample included 1892 autistic youth (M<sub>age</sub> = 10.82, SD<sub>age</sub> = 4.14; 22% females) across the United States. Distress associated with insistence on sameness was the strongest predictor of total self-injurious behavior scores, self-injurious behavior-Low Likelihood, and self-injurious behavior-High Likelihood, after controlling for demographic factors and speech level, and remained a unique predictor after accounting for variance explained by other restricted and repetitive behaviors. Sensory hypersensitivity and sensory-seeking were strong unique predictors of all self-injurious behaviors, while hyposensitivity was a weaker predictor of self-injurious behavior total and self-injurious behavior-Low Likelihood, and a non-significant predictor of self-injurious behavior-High Likelihood. Among demographic factors, lower household income was the strongest predictor of all self-injurious behaviors. Higher speech level was a positive predictor of self-injurious behavior-Low Likelihood but a negative predictor of self-injurious behavior-High Likelihood. These findings demonstrate the role of distress associated with insistence on sameness in manifestations of self-injurious behaviors and highlight the importance of exploring predictors at a more granular level to inform targeted interventions and support.Lay AbstractThis study explored factors associated with repetitive self-injurious behaviors in autistic youth, focusing on emotional distress linked to a strong preference for routines (often referred to as insistence on sameness), a category of behaviors that includes difficulties with change and a strong preference for routines and/or rituals. We examined two categories of self-injurious behaviors: lower likelihood of physical injury (self-injurious behavior-Low Likelihood) and higher likelihood of physical injury (self-injurious behavior-High Likelihood). The study included 1892 autistic youth of varying ages and cognitive abilities. The main finding was that distress associated with disruptions to routines was the strongest predictor of all types of self-injurious behavior. Youth with greater sensitivity to sensory input or sensory-seeking behaviors were more likely to engage in self-injurious behaviors that could increase risk of physical injury. In contrast, those with reduced sensitivity to sensory input were less likely to engage in self-injurious behaviors. Demographic factors also played a role in the manifestation and severity of self-injurious behaviors.
自闭症青少年的自残行为在形式、强度和潜在的身体伤害方面差异很大。本研究探讨了两类自伤行为的预测因素,这两类自伤行为是根据其潜在的身体伤害(自伤行为-高可能性和自伤行为-低可能性)来描述的,重点是与对常规的强烈偏好(也被称为坚持千篇一律)相关的痛苦作用。样本包括美国1892名自闭症青年(Mage = 10.82, SDage = 4.14, 22%为女性)。在控制了人口统计学因素和言语水平后,与坚持同一性相关的痛苦是自伤行为总分、自伤行为低可能性和自伤行为高可能性的最强预测因子,并且在考虑了其他限制性和重复性行为解释的方差后仍然是唯一的预测因子。感觉超敏性和感觉寻求是所有自伤行为的强预测因子,而低敏性是自伤行为总量和自伤行为低似然的弱预测因子,是自伤行为高似然的不显著预测因子。在人口统计因素中,较低的家庭收入是所有自残行为的最强预测因子。言语水平高是自伤行为低可能性的正向预测因子,是自伤行为高可能性的负向预测因子。这些发现表明,在自残行为的表现中,与坚持同一性相关的痛苦所起的作用,并强调了在更细致的层面上探索预测因素的重要性,从而为有针对性的干预和支持提供信息。摘要本研究探讨了自闭症青少年中重复性自伤行为的相关因素,重点关注与强烈的常规偏好(通常被称为坚持千篇一律)相关的情绪困扰,这类行为包括难以改变和对常规和/或仪式的强烈偏好。我们研究了两类自伤行为:低可能性的身体伤害(自伤行为-低可能性)和高可能性的身体伤害(自伤行为-高可能性)。该研究包括1892名不同年龄和认知能力的自闭症青少年。研究的主要发现是,与日常生活中断相关的痛苦是所有类型自残行为的最强预测因子。对感官输入或感官寻求行为更敏感的青少年更有可能从事可能增加身体伤害风险的自残行为。相比之下,那些对感官输入敏感度降低的人不太可能做出自残行为。人口因素对自伤行为的表现和严重程度也有影响。家庭收入越低,自伤行为的严重程度越高。此外,较高的言语量(例如说完整的句子)与更严重的自伤行为(低可能性)和自伤行为(高可能性)相关。这些发现强调了自闭症青少年自残行为的复杂性,以及理解导致这些行为的不同因素的重要性。这项研究可能有助于对自闭症青少年的自伤行为做出更积极的、量身定制的干预。
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引用次数: 0
The relationship between newspaper reading preferences and attitudes towards autism. 报纸阅读偏好与自闭症态度的关系。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-03 DOI: 10.1177/13623613251394523
Marta Dickinson, Themis Karaminis
<p><p>Newspapers - particularly certain tabloid and right-leaning publications - often perpetuate negative stereotypes of Autistic people. This study examined how newspaper reading preferences relate to public attitudes towards autism. A sample of 277 UK-based non-autistic adults completed an online survey reporting demographic information, newspaper reading habits (print or online) and trustworthiness ratings for 10 major British newspapers. Participants also completed measures of autism-related knowledge and explicit attitudes towards autism, and an implicit bias task. Data were analysed using generalized additive models weighted by newspaper exposure, along with hierarchical partitioning to estimate the variance explained by reading preferences and other factors. Newspaper-related factors accounted for 4.5% of the variance in explicit attitudes and 10.7% in implicit attitudes. Crucially, selective engagement with right-leaning tabloids was associated with more negative implicit attitudes. Furthermore, selective trust in these outlets predicted relatively favourable explicit but relatively negative implicit attitudes. Overall trust in newspapers was also linked to less accurate autism knowledge. These findings suggest that engagement with media sources portraying autism more negatively is linked to more negative implicit biases towards Autistic people, even when explicit attitudes remain relatively favourable. Future research should explore causal mechanisms and the broader influence of media ecosystems on public perceptions of autism.Lay abstractWhen newspapers discuss Autistic people, they often focus on their challenges rather than their strengths. This kind of reporting - especially in some tabloids and right-leaning newspapers - can reinforce negative stereotypes, making it harder to build a more inclusive society for Autistic people. However, we do not yet fully understand how newspaper coverage relates to neurotypical people's attitudes towards autism, particularly when considering their background, knowledge of autism and personal experiences with Autistic people. This study investigated whether there is a connection between the newspapers people read and trust, and their feelings about autism. We examined both openly expressed opinions (explicit attitudes) and more instinctive, less conscious reactions (implicit attitudes). We surveyed 277 non-autistic adults in the United Kingdom. Participants reported how often they read 10 major British newspapers (in print or online) and how much they trusted them. They also answered questions about their knowledge of autism and their attitudes towards Autistic people. In addition, participants completed a short word-based task designed to reveal more subtle, instinctive responses. The results showed that individuals who regularly read right-leaning tabloids - which more frequently feature negative coverage of autism - tended to display more negative automatic responses towards autism. Interestingl
报纸——尤其是某些小报和右倾出版物——经常对自闭症患者进行负面的刻板印象。这项研究调查了报纸阅读偏好与公众对自闭症的态度之间的关系。277名英国非自闭症成年人完成了一项在线调查,报告了人口统计信息、报纸阅读习惯(印刷或在线)以及对英国10家主要报纸的可信度评级。参与者还完成了自闭症相关知识、对自闭症的外显态度和内隐偏见任务。数据分析使用了报纸曝光率加权的广义加性模型,以及分层划分来估计由阅读偏好和其他因素解释的差异。报纸相关因素对外显态度和内隐态度的影响分别占4.5%和10.7%。关键是,选择性地接触右倾小报与更消极的内隐态度有关。此外,这些出口的选择性信任预测相对有利的外显态度和相对消极的内隐态度。对报纸的总体信任也与自闭症知识的不准确有关。这些发现表明,即使在明确的态度相对有利的情况下,媒体对自闭症的负面描述与对自闭症患者的负面内隐偏见有关。未来的研究应该探索媒体生态系统对公众对自闭症认知的因果机制和更广泛的影响。当报纸讨论自闭症患者时,他们经常关注他们面临的挑战,而不是他们的优势。这种报道——尤其是在一些小报和右倾报纸上——会强化负面的刻板印象,使为自闭症患者建立一个更具包容性的社会变得更加困难。然而,我们还没有完全理解报纸的报道是如何与神经正常的人对自闭症的态度联系起来的,特别是考虑到他们的背景、对自闭症的了解以及与自闭症患者的个人经历。这项研究调查了人们阅读和信任的报纸与他们对自闭症的感受之间是否存在联系。我们研究了公开表达的意见(明确的态度)和更本能的、不太有意识的反应(隐含的态度)。我们在英国调查了277名非自闭症成年人。参与者报告了他们阅读10份主要英国报纸(印刷或在线)的频率,以及他们对这些报纸的信任程度。他们还回答了关于他们对自闭症的了解以及他们对自闭症患者的态度的问题。此外,参与者还完成了一个简短的基于单词的任务,旨在揭示更微妙的本能反应。研究结果表明,经常阅读右倾小报的人——这些小报经常对自闭症进行负面报道——倾向于对自闭症表现出更多消极的自动反应。有趣的是,一些高度信任这些渠道的参与者表达了相对积极的显性观点,而他们的任务反应表明他们可能仍然持有相对消极的无意识偏见。最后,对报纸的整体信任度越高,对自闭症的了解程度就越低。综上所述,这些发现突出了我们所消费和信任的媒体之间的潜在关系,不仅与我们所知道、相信和公开谈论的自闭症有关,而且与我们更深层次、更无意识的态度和反应有关。虽然这项研究没有证明新闻媒体直接塑造或导致态度的改变,但它强调了尊重、平衡的报道在促进对自闭症患者的更多理解和接受方面的重要性。
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引用次数: 0
Expanding the autism evidence base: Strategies to increase participant representation. 扩大自闭症证据基础:增加参与者代表性的策略。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-03 DOI: 10.1177/13623613251393505
Maira Tafolla, Catherine Lord

There is a lack of representation of racially diverse individuals who are multilingual from low-income households in autism research. This calls into question the generalizability of research findings derived from predominantly White, English-speaking samples. In this article, we bring forth an important argument about why we as an autism field should work to expand representation in research samples. We also discuss strategies that can be used to work toward this goal. We detail the recruitment and retention of 94 Spanish-English bilingual Latinx (primarily Mexican and Central American) families from low-income households across a large urban city and its surrounding communities in the United States for an assessment validation study. We use the method of this study as an example of how to engage and include underrepresented populations in autism research, describing the efforts that were implemented to engage families and community-based organizations serving this population. We conclude the report by summarizing culturally sensitive strategies researchers can use to engage populations of different races and ethnicities from low-income households in their own research studies, in hopes of increasing representation in the autism science field and ensuring that research findings are applicable across populations, including those who have been historically underrepresented.Lay AbstractIndividuals of different races and identities from low-income households and their families are not adequately represented in research. This makes it difficult to know whether autism research findings apply to traditionally underserved individuals of color, since participants included in studies are usually White and speak English. We use our own study, where we successfully recruited 94 Spanish-English bilingual participants who are from Mexico and Central America but are currently living in the United States in low-income households for an assessment study, as an example to describe the strategies that were helpful to recruit participants with these sociodemographic characteristics. We end the article by discussing strategies that are culturally appropriate for researchers to consider when working with autistic populations of color who are from predominantly low-income households and their families.

在自闭症研究中,缺乏来自低收入家庭的多语言的种族多样化个体的代表。这就对以白人和说英语的人为主的研究结果的普遍性提出了质疑。在这篇文章中,我们提出了一个重要的论点,即为什么我们作为一个自闭症领域应该努力扩大研究样本的代表性。我们还讨论了可用于实现这一目标的策略。我们详细介绍了来自美国一个大城市及其周边社区的低收入家庭的94个西班牙-英语双语拉丁裔家庭(主要是墨西哥和中美洲)的招募和保留情况,以进行评估验证研究。我们使用这项研究的方法作为一个例子,说明如何在自闭症研究中参与和包括代表性不足的人群,描述了为吸引为这一人群服务的家庭和社区组织所做的努力。我们总结了研究人员可以使用的文化敏感策略,以吸引来自低收入家庭的不同种族和民族的人群参与他们自己的研究,希望增加自闭症科学领域的代表性,并确保研究结果适用于所有人群,包括那些历史上代表性不足的人群。摘要来自低收入家庭的不同种族和身份的个体及其家庭在研究中代表性不足。这使得很难知道自闭症研究结果是否适用于传统上得不到充分服务的有色人种,因为研究中的参与者通常是白人并且说英语。我们使用我们自己的研究,我们成功地招募了94名西班牙语-英语双语的参与者,他们来自墨西哥和中美洲,但目前居住在美国的低收入家庭进行评估研究,作为一个例子来描述有助于招募具有这些社会人口特征的参与者的策略。在文章的最后,我们讨论了研究人员在研究主要来自低收入家庭的有色人种自闭症患者及其家庭时,在文化上适合的策略。
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引用次数: 0
Examining the use of implementation science in autism intervention research: A scoping review. 检查实施科学在自闭症干预研究中的应用:范围综述。
IF 5.6 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-12-01 Epub Date: 2025-06-28 DOI: 10.1177/13623613251351344
James D Lee, Adriana Kaori Terol, Jessica E Tschida, Anamiguel Pomales-Ramos, Scott McEathron, Anna Wallisch, Brian A Boyd
<p><p>Although the field of autism intervention has strived to identify evidence-based practices, translating these interventions into real-world settings remains a significant challenge. This gap particularly impacts marginalized communities, where access to and quality of services are often inferior. Implementation science addresses these gaps by promoting the adoption and integration of evidence-based practices in community-based settings, thereby helping reduce disparities. While various frameworks and strategies have emerged to guide the successful implementation of autism evidence-based practices, the application of implementation science within autism intervention research remains underexplored. To address this gap, we conducted this scoping review that included 13 studies to examine how implementation science is applied in autism intervention research delivered in community-based settings. Specifically, we aimed to (1) describe the characteristics of implementation-focused studies (e.g. study design, participant types, intervention contexts); (2) examine how implementation frameworks, strategies, and outcomes were used to guide and evaluate intervention efforts; and (3) analyze how studies align with phases of the autism-specific implementation framework developed by Boyd et al. (<i>Autism</i>). Most studies were conducted in school settings. Fidelity was the most frequently assessed implementation outcome, while acceptability, adoption, and appropriateness were also commonly measured. Nearly all studies focused on early-phase implementation (e.g. exploration, initial implementation), with limited attention to sustainment or scale-up. The findings offer a starting point for future research to better implement autism evidence-based practices in community settings.Lay AbstractThis study looks at ways to improve how autism support programs are used in everyday community settings like schools and clinics. These programs are approaches that research has shown can help autistic individuals develop important skills, such as communication, social interaction, and managing behavior. Many of these are psychosocial programs, which means they focus on emotional, social, and behavioral support rather than medication or medical treatment. However, there is a challenge in implementing these interventions in real-world settings, especially in marginalized communities where services are often lacking or lower in quality. The field of implementation science helps bridge this gap by guiding and encouraging the use of evidence-based practices in community settings, aiming to reduce disparities. To better understand this, we did a scoping review that included 13 studies that used implementation science to support autism interventions. We looked at what types of strategies were used, how success was measured, and how well the programs fit into the communities where they were used. Most of the studies took place in schools and involved teachers, school staff, o
尽管自闭症干预领域一直在努力确定循证实践,但将这些干预措施转化为现实世界的环境仍然是一个重大挑战。这一差距尤其影响到边缘化社区,在那里,获得服务的机会和服务的质量往往较差。实施科学通过促进在社区环境中采用和整合循证实践来解决这些差距,从而帮助缩小差距。虽然已经出现了各种框架和策略来指导自闭症循证实践的成功实施,但实施科学在自闭症干预研究中的应用仍未得到充分探索。为了解决这一差距,我们进行了范围审查,其中包括13项研究,以检查如何将实施科学应用于社区环境下的自闭症干预研究。具体来说,我们的目标是(1)描述以实施为重点的研究的特征(例如研究设计、参与者类型、干预背景);(2)检查如何使用实施框架、战略和结果来指导和评估干预工作;(3)分析研究如何与Boyd等人开发的自闭症特定实施框架的各个阶段保持一致(自闭症)。大多数研究是在学校环境中进行的。忠实度是最常被评估的实施结果,而可接受性、采用和适当性也通常被衡量。几乎所有的研究都集中在早期阶段的实施(如探索、初步实施),对维持或扩大规模的关注有限。这些发现为未来的研究提供了一个起点,以便在社区环境中更好地实施基于证据的自闭症实践。这项研究着眼于改善自闭症支持项目在学校和诊所等日常社区环境中的使用方式。研究表明,这些项目可以帮助自闭症患者发展重要的技能,如沟通、社会互动和管理行为。其中许多是社会心理项目,这意味着它们侧重于情感、社会和行为支持,而不是药物或医疗。然而,在现实环境中实施这些干预措施存在挑战,特别是在往往缺乏服务或服务质量较低的边缘化社区。实施科学领域通过指导和鼓励在社区环境中使用以证据为基础的做法,旨在缩小差距,从而帮助弥合这一差距。为了更好地理解这一点,我们做了一个范围审查,其中包括13项使用实施科学来支持自闭症干预的研究。我们研究了使用了什么类型的策略,如何衡量成功,以及这些项目在使用它们的社区中适应得如何。大多数研究都是在学校进行的,涉及教师、学校工作人员或自闭症儿童的照顾者,总共包括3488名参与者的数据。这些研究测试了不同的项目来改善自闭症患者的结果,比如社交技能、沟通和在学校的行为。
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