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'Who, When, How to Share': Pilot study of a new disclosure decision-making programme for autistic adults

Han, Emeline; Scior, Katrina; Grace, Kana; Heath, Eric; Dufresne, Simone; Crane, Laura; (2024) 'Who, When, How to Share': Pilot study of a new disclosure decision-making programme for autistic adults. Autism 10.1177/13623613231221685. (In press). Green open access

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Abstract

In this pilot study, we report on the feasibility, acceptability and potential impact of ‘Who, When, How to Share’, a new disclosure decision-making programme for autistic adults. We evaluated this programme using pre-post mixed-methods surveys that included questions about participants’ experiences of the programme and four psychosocial outcome measures. While 32 autistic adults completed the pre-programme survey and enrolled into the programme, there was high attrition, with only 19 autistic adults completing the programme and post-programme survey. We found that it was feasible to deliver the programme in a guided self-help format, although a minority of participants (who completed the programme or provided reasons for withdrawing from the programme) found it challenging to work through the programme independently and within the study time frame. High levels of satisfaction and positive qualitative feedback also suggested that the programme was acceptable to autistic adults. Participants provided useful recommendations for improvement, such as more interactive elements to enhance engagement. The programme showed potential to improve decisional conflict, disclosure-related distress, stigma-related stress and internalised stigma among autistic adults, though further evaluation of the impact of the programme is needed.

Type: Article
Title: 'Who, When, How to Share': Pilot study of a new disclosure decision-making programme for autistic adults
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/13623613231221685
Publisher version: https://doi.org/10.1177/13623613231221685
Language: English
Additional information: Copyright © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Keywords: autism, autistic adults, decision-making, disclosure, feasibility, intervention, pilot, programme, stigma, support
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development
URI: https://discovery.ucl.ac.uk/id/eprint/10183966
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