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Promoting Self-Determination in Young Adults with Autism: A Multicenter, Mixed Methods Study
Clara Andrés-Gárriz1,2, Núria Farriols Hernando3,4, 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.
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.
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