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. 2023 Aug;27(6):1616-1627.
doi: 10.1177/13623613221142730. Epub 2023 Jan 16.

Autistic young people's experiences of remote psychological interventions during COVID-19

Lucy Adams  1   2 , Nicoletta Adamo  1   2 , Matthew J Hollocks  1   2 , Jennifer Watson  1   3 , Aylana Brewster  2 , Lucia Valmaggia  1   2 , Emma Jewitt  2 , Jodie Edwards  2 , Maisie Krisson  2 , Emily Simonoff  1   2
Affiliations

Autistic young people's experiences of remote psychological interventions during COVID-19

Lucy Adams et al. Autism. 2023 Aug.

Abstract

Recently, therapy has been delivered at a distance (i.e. remotely) to help control the spread of coronavirus. Clinicians have voiced concerns that remote delivery is unsuitable for certain individuals, including those who are autistic, but they have also highlighted potential benefits for autistic individuals. Benefits include some individuals feeling more comfortable receiving therapy at home. This is the first study to interview autistic individuals about their experience of remote therapy. Participants were six young people aged 15-18 years and eight clinicians. Participants described their experience of remote delivery, including challenges, benefits, and suggestions. Most of these supported previous research findings, but some were new or provided further insight into those already identified. A newly identified challenge was knowing online social etiquette. All participants found aspects of the experience challenging, but all identified benefits and most voiced that remote sessions should be offered to young people. Participants further identified individual characteristics that may make someone less suited to remote delivery (e.g. shyness). They also identified ways of making the experience of remote delivery easier (e.g. sitting with a pet). Young people's and clinicians' views were similar overall, with only subtle differences. For example, young people uniquely voiced that remote delivery was similar to in-person, that benefits were hard to identify, and provided distinct reasons for the social interaction feeling less intense remotely. Findings may be used to improve remote delivery, for guiding future research, and as a case for continuing to offer it to those who may most benefit.

Keywords: adolescents; autism spectrum disorders; psychological interventions; telepsychiatry.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
A Venn diagram depicting the conceptual overlap and differences in the YP’s primary-level themes and clinicians’ themes under the structural codes of experience, benefits and challenges.
See this image and copyright information in PMC

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