PTOTQualitativeAutism : the international journal of research and practice2026

Attendance Compulsory, Motivation Conditional. Autistic Youth's Psychological Need Support and Satisfaction Related to Physical Education: A Qualitative Investigation.

Michelle L Wong, Ben Milbourn, Bahareh Afsharnejad and 4 others

PMID 42145271

WHAT IT FOUND

Autistic students said PE worked when teachers explained tasks clearly and classmates were kind, and stopped working when it was noisy, rules were unclear, or peers teased them.

Many sat out as a way of coping, not because they disliked PE.

Key findings

01Feeling connected was the biggest theme in the interviews, with 165 coded responses. Students pointed to teachers and education assistants as the main source of that feeling, and to other students as the main source of the opposite: teasing, having nobody to pair with, and being knocked into.

02Struggling to feel capable came less from ability than from information and the body: rules students had not been told, tasks pitched too hard, being unsure what to do, and physical discomfort such as tiring quickly or finding it hard to breathe.

03Some students' decisions to sit out appeared settled and repeated; the researchers coded these as an adaptive response to an environment that did not fit, and students described unchanged activity term after term as leading to disengagement.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

All 26 participants were in mainstream schools in Australia and were recruited largely through the researchers' own networks and social media. The families were relatively well off (average weekly household income $2,577, which the authors note is 21% above the average Australian weekly income), so these accounts may not reflect lower-income families or other school systems. Children aged 7 and adolescents aged 18 were analysed together as one group, which the authors acknowledge means the study cannot show how these experiences differ by age. More boys than girls took part even though the team actively tried to recruit girls, so possible differences between boys' and girls' experiences could not be examined. Autism diagnosis was reported by parents and carers rather than confirmed by the researchers. The study is interviews only. No lessons were observed, nothing was measured, and there was no comparison group, so it reports what these students said about PE rather than how much they actually took part. The first author is a member of and advocate within the autistic community she studied. The authors state this could bias interpretation but argue the closeness was a strength.

Declared interests

The authors report no funding for the research, authorship or publication of the article, and declare no conflicts of interest.

The easy way to misread this

Do not treat the table of strategies at the end of the paper as tested guidance. Those are the authors' suggestions for PE teachers, drawn from what students said, and the authors themselves say they still need to be tested in intervention studies. This study tested nothing: it asked 26 autistic young people in mainstream Australian schools what PE is like for them, and reports their views, not proof that changing a lesson will change how much they join in.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →