Making Research Possible: Barriers and Solutions For Those With ASD and ID
Open accessAbstract
Participation in research can provide direct and indirect benefit to individuals with autism spectrum disorder (ASD), their caregivers, families, and society at large. Unfortunately, individuals with high support needs, including those with intellectual disability, cognitive disability or minimal verbal ability, are often systematically excluded from research on ASD. This limits the ability to generalize discoveries to all people with ASD, and results in a disparity in who benefits from research. This piece outlines the importance and extent of the problem, which is part of a broader lack of inclusivity in ASD research. It also provides examples of studies that have directly addressed issues that arise when conducting inclusive research and makes recommendations for researchers to reduce disparities in research participation.
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Beyond specific genetic syndromes such as FXS, there is little research on sex/gender effects in intellectual disabilities, which is also reflected in the autism literature insofar as autistic people with intellectual disabilities are disproportionately under-represented.
“Beyond specific genetic syndromes (for example, FXS), there is little research on sex/gender effects in intellectual disabilities, which is also reflected in the autism literature insofar as autistic people with intellectual disabilities are disproportionately under-represented304,305.”
From Sex and gender in neurodevelopmental conditions (2023) · cites this paper as [305]
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Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Robinson, C., Rosenberg, et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6706a1 · Cited by 6,078 · see citing works
Maenner, M. J., Shaw, K. A., Baio, J., EdS1, Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., et al. (2020) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6904a1 · Cited by 3,780 · see citing works
Russell, G., Mandy, W., Elliott, D., White, R., Pittwood, T., & Ford, T. (2019) · Molecular Autism · doi:10.1186/s13229-019-0260-x · Cited by 366 · see citing works
Christensen, D. L., Maenner, M. J., Bilder, D., Constantino, J. N., Daniels, J., Durkin, M. S., Fitzgerald, R. T., Kurzius-Spencer, M., Pettygrove, S. D., Robinson, C., et al. (2019) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6802a1 · Cited by 344 · see citing works
Emotional and Behavioural Problems in Children with Autism Spectrum Disorder
Maskey, M., Warnell, F., Parr, J. R., Couteur, A. S. L., & McConachie, H. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1622-9 · Cited by 236 · see citing works
Insufficient Evidence for “Autism-Specific” Genes
Myers, S. M., Challman, T. D., Bernier, R., Bourgeron, T., Chung, W. K., Constantino, J. N., Eichler, E. E., Jacquemont, S., Miller, D. T., Mitchell, K. J., et al. (2020) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2020.04.004 · Cited by 165 · see citing works
Jack, A., & A. Pelphrey, K. (2017) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12687 · Cited by 159 · see citing works
Multidimensional Influences on Autism Symptom Measures: Implications for Use in Etiological Research
Havdahl, K. A., Hus Bal, V., Huerta, M., Pickles, A., Øyen, A.-S., Stoltenberg, C., Lord, C., & Bishop, S. L. (2016) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2016.09.490 · Cited by 139 · see citing works
Improving Public Health Requires Inclusion of Underrepresented Populations in Research
Spong, C. Y., & Bianchi, D. W. (2017) · JAMA · doi:10.1001/jama.2017.19138 · Cited by 133 · see citing works
Stedman, A., Taylor, B. J., Erard, M., Peura, C. B., & Siegel, M. S. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3844-y · Cited by 131 · see citing works
Maes, B., Nijs, S. L. P., Vandesande, S., et al. (2020) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12803 · Cited by 128 · see citing works
Nordahl, C. W., Mello, M., Shen, A. M., Shen, M. D., Vismara, L. A., Li, D., Harrington, K., Tanase, C., Goodlin‐Jones, B. L., Rogers, S. J., et al. (2016) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-016-9154-9 · Cited by 122 · see citing works
Conducting research with minimally verbal participants with autism spectrum disorder
Tager-Flusberg, H., Plesa Skwerer, D., Joseph, R. M., Brukilacchio, B., Decker, J., Eggleston, B., Meyer, S., & Yoder, A. (2017) · Autism · doi:10.1177/1362361316654605 · Cited by 120 · see citing works
Functional MRI connectivity of children with autism and low verbal and cognitive performance
Gabrielsen, T. P., Anderson, J. S., Stephenson, K. G., Beck, J. S., King, J. B., Kellems, R. O., Top, D. N., Russell, N. C. C., Anderberg, E., Lundwall, R. A., et al. (2018) · Molecular Autism · doi:10.1186/s13229-018-0248-y · Cited by 96 · see citing works
Soorya, L. V., Leon, J., Trelles, M. P., & Thurm, A. E. (2017) · The Clinical Neuropsychologist · doi:10.1080/13854046.2017.1413211 · Cited by 88 · see citing works
Self-citationParticipation in intellectual disability research: a review of 20 years of studies
Cleaver, S., Ouellette-Kuntz, H. M. J., & Sakar, A. (2010) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2010.01256.x · Cited by 82 · see citing works
Boxall, K., & Ralph, S. (2010) · British Journal of Learning Disabilities · doi:10.1111/j.1468-3156.2010.00645.x · Cited by 81 · see citing works
Factors Influencing the Research Participation of Adults with Autism Spectrum Disorders
Haas, K., Costley, D., Falkmer, M., Richdale, A. L., Sofronoff, K., & Falkmer, T. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2708-6 · Cited by 80 · see citing works
Horner‐Johnson, W., & Bailey, D. (2013) · Journal of Policy and Practice in Intellectual Disabilities · doi:10.1111/jppi.12048 · Cited by 75 · see citing works
Roberts, T. P. L., Matsuzaki, J., Blaskey, L. G., Bloy, L., Edgar, J. C., Kim, M., Ku, M., Kuschner, E. S., & Embick, D. (2019) · Molecular Autism · doi:10.1186/s13229-019-0283-3 · Cited by 73 · see citing works
Capacity, Vulnerability, and Informed Consent for Research
Biros, M. H. (2018) · The Journal of Law Medicine & Ethics · doi:10.1177/1073110518766021 · Cited by 66 · see citing works
Iacono, T. A., & Carling-Jenkins, R. (2012) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2012.01617.x · Cited by 50 · see citing works
Tuffrey‐Wijne, I., Lam, C. K. K., Marsden, D., et al. (2020) · British Journal of Learning Disabilities · doi:10.1111/bld.12331 · Cited by 41 · see citing works
McDonald, K., Conroy, N. E., Olick, R. S., et al. (2017) · Disability and health journal · doi:10.1016/j.dhjo.2017.12.004 · Cited by 28 · see citing works
Yazdani, S., Capuano, A., Ghaziuddin, M., & Colombi, C. (2020) · Brain Sciences · doi:10.3390/brainsci10020099 · Cited by 27 · see citing works
To include or not to include? That is the ethical question
Northway, R. (2014) · Journal of Intellectual Disabilities · doi:10.1177/1744629514543863 · Cited by 25 · see citing works
Kelleher, B., Halligan, T., Garwood, T., Howell, S., Martin-O’Dell, B., Swint, A., Shelton, L.-A., & Shin, J. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04363-0 · Cited by 12 · see citing works
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Research works printed but not linked: 1
- Werner S, & Roth D (2014). Stigma in the field of intellectual disabilities: Impact and initiatives for change The stigma of disease and disability: Understanding causes and overcoming injustices. (pp. 73– 91). Washington, DC, US: American Psychological Association.
Cited by
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Sex and gender in neurodevelopmental conditions
Bölte, S., Neufeld, J., Marschik, P. B., Williams, Z. J., Gallagher, L., & Lai, M.-C. (2023) · Nature Reviews Neurology · doi:10.1038/s41582-023-00774-6 · Cited by 249 · see citing works
- Authors
- Thurm, A., Halladay, A., Mandell, D., Maye, M., Ethridge, S., & Farmer, C.
- Affiliations
- National Institute of Mental Health (US)
- Rutgers, The State University of New Jersey (US)
- University of Pennsylvania (US)
- Henry Ford Health (US)
- Corresponding author
- Thurm, Audrey
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2021-10-30
- Volume
- 52
- Issue
- 10
- Pages
- 4646-4650
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC9054938
- OpenAlex
- W3208585137
- Cited by
- 52
- References
- 27
- Citations by year
- 2026: 16 · 2025: 14 · 2024: 11 · 2023: 8 · 2022: 3
- FWCI
- 2.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Autism Science Foundation
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Social Sciences › Safety Research › Disability Rights and Representation
- Keywords
- autism spectrum disorder, intellectual disability, research participation, barriers to research participation, inclusive research, underrepresentation in research, research disparities, cognitive disability
- MeSH terms
- Autism Spectrum Disorder, Humans, Intellectual Disability, Caregivers
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