Impact of COVID-19 on Community Participation and Mobility in Young Adults with Autism Spectrum Disorders.
Beth Pfeiffer, Eugene Brusilovskiy, Taye Hallock and 4 others
PMID 33988774WHAT IT FOUND
Six young adults with autism tracked by phone GPS and daily logs moved much less after Pennsylvania COVID restrictions.
Trips, time away from home and transportation choices dropped, leaving mostly walking or being driven.
Key findings
01After the restrictions began, the participants made substantially fewer trips, and their daily activity space area and number of activities were markedly lower.
02The only transportation modes reported for the after-COVID periods were walking and being driven.
03Community mobility was substantially lower after the restrictions than before, although the two after-COVID tracking periods were not markedly different for most participants.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Only six participants were tracked, and no statistical tests were done, so the findings describe individual patterns rather than an average effect. All participants were young adults who had been screened as safe to learn public transportation and could travel independently or with distant supervision; this does not represent people with autism who need more support. All participants lived with their parents, and four received home and community-based services that were suspended or moved online during restrictions, so the pandemic context included service changes as well as restrictions. One participant lacked data for the first after-COVID period, and GPS data had missing minutes that were cleaned and imputed. The study measured physical community mobility and did not capture participation at home through remote technology, telehealth, gaming or online social contact. The paper did not measure stress, anxiety, unmet needs or the impact on transportation providers.
Declared interests
The paper reports funding from the National Institute on Disability and Rehabilitation Research.
The easy way to misread this
Do not read the drop in trips and transportation modes as evidence that a therapy or service caused or could fix the problem. No intervention was tested, the sample was six people, and the paper did not measure whether remote participation met the same needs.