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Promoting Self-Determination in Young Adults with Autism: A Multicenter, Mixed Methods Study.

Clara Andrés-Gárriz^1,2, Núria Farriols Hernando^3,4, Antonia Maria Gómez Hinojosa³

¹Faculty of Psychology, Sciences of Education and Sports, Blanquerna, Universitat Ramon Llull, 34 Císter Street, Barcelona, Catalonia, 08022, Spain. claraag1@blanquerna.url.edu.

Journal of Autism and Developmental Disorders

|February 15, 2025

Summary

This study evaluated a self-determination support program for young adults with autism in Spain. While quantitative results showed no significant group differences, qualitative data revealed positive impacts on self-determination and identified implementation factors.

Keywords:

Autism Intervention Mixed methods Self-determination Supports

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Area of Science:

Neurodevelopmental Disorders
Psychology
Social Sciences

Background:

Self-determination support is crucial for young adults with autism.
Existing support in Spain inadequately addresses these needs.
Autism Spectrum Disorder (ASD) impacts self-determination skills.

Purpose of the Study:

To assess the effectiveness, implementation, and acceptability of a novel self-determination support program for young adults with autism in Spain.
To provide empirical evidence for interventions promoting self-determination in this population.
To address the gap in self-determination support for autistic individuals in Spain.

Main Methods:

A multicenter, mixed-methods randomized controlled trial (RCT) involving 40 young adults with autism (17-30 years).
Intervention and waiting-list groups were compared using quantitative (e.g., SDI:SR) and qualitative (focus groups) data.
Data collected at baseline, during, and post-intervention; results integrated using joint displays.

Main Results:

No significant quantitative differences between groups, but participants and caregivers reported positive impacts on agentic actions and overall self-determination.
Qualitative findings provided deeper insights, identifying personal/contextual barriers and facilitators.
High implementation fidelity and program acceptability were observed; group format was beneficial.

Conclusions:

The study provides initial empirical evidence for a self-determination intervention for autistic young adults in Spain.
Qualitative data enriched understanding of quantitative outcomes and highlighted areas for program improvement.
Further research is necessary to optimize and validate this intervention for broader application.