"It's Really Complicated": Engaging Key Stakeholders to Inform a Novel Parent-led Sexual Health Education Program for Autistic Youth.

The sample was very small (8 participants) and lacked diversity in race, socioeconomic status, and family structure (only mothers participated). Participants did not have intellectual disabilities, so findings may not apply to this group, which has even less access to SRE. The study used rapid analysis methods and did not reach thematic saturation, meaning some nuances may have been missed. The research team was homogeneous (all cisgender, non-Hispanic white), which may have influenced the interpretation of data on identity and culture.

The study was part of a larger pilot of the 'Birds and Bees' intervention. The research team included clinical psychologists and an autistic self-advocate who helped recruit and co-facilitate. No specific funding sources or commercial conflicts of interest were declared in the provided text, though the team had professional relationships with some participants.

Do not interpret these findings as evidence that the 'Birds and Bees' program is effective. This study only gathered stakeholder feedback to inform the program's design; it did not test outcomes or compare the intervention to standard care.