Autism & Developmental

Adapting the Tackling Teenage Training Sex Education Program for Autistic Adults in the US: A Pilot Study.

Crehan et al. (2024) · Journal of autism and developmental disorders 2024
★ The Verdict

Autistic adults rated a virtual sex-ed group highly—prioritize gender identity, online dating, role-play, and peer discussion in your next curriculum.

✓ Read this if BCBAs writing sex-ed or relationship training for autistic adults
✗ Skip if Clinicians only serving autistic children or clients with severe intellectual disability

01Research in Context

01

What this study did

Researchers took a Dutch sex-ed program for teens and rebuilt it for autistic adults in the US. Nine adults joined six weekly Zoom classes. Topics included dating apps, gender identity, and saying no.

Each class had slides, polls, and breakout rooms. The team asked, "Do you like this?" and "What should we change?"

02

What they found

All nine adults gave the course top marks. They wanted more time on online dating and role-play. They liked learning from peers, not just the teacher.

No one dropped out. The virtual format felt safe and easy to access.

03

How this fits with other research

Murphy et al. (2007) ran a small sex-ed class for autistic men with intellectual disability. They also saw gains in knowledge, but some men still showed risky behavior. T et al. removed the IQ cutoff and focused on adults who live independently, so the new course may fit a wider range.

Costa et al. (2020) and DPatton et al. (2020) both used virtual reality to teach safety skills to autistic people. Like T et al., they found virtual tools are well-liked and easy to use. The difference: VR headsets vs. everyday Zoom.

Breider et al. (2024) tested parent training via telehealth for kids. Only the fully face-to-face version helped. T et al. show that for adults, a fully virtual group can still win high praise. Age and topic may matter more than screen vs. in-person.

04

Why it matters

Most sex-ed is built for teens or relies on in-person groups. This pilot shows you can move the class online, keep adults engaged, and cover adult themes like dating apps and gender identity. If you serve autistic adults, borrow the recipe: short Zoom sessions, peer breakout rooms, and plenty of role-play. Start with the topics they asked for—online dating and consent scripts—and you already have a willing audience.

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Add a 10-minute breakout-room role-play on saying no to unwanted sexts in your next social-skills group.

02At a glance

Intervention
other
Design
pre post no control
Sample size
9
Population
autism spectrum disorder
Finding
positive

03Original abstract

Despite the established need for sexuality and relationship programming for autistic adults, there are extremely limited curricula for this population. This pilot study used an evidence-based sexuality and relationship education program for autistic adolescents (Tackling Teenage Training) as the basis for an adult-focused virtual psychoeducational group. Qualitative feedback, quantitative ratings of the programming, and behavioral surveys from participants were collected. Nine participants completed the program, and corresponding pre and post measures. Highly rated topics, for example gender identity and online dating, were consistent with previous research on what autistic adults want from a sexuality and relationship education program. Future programming should incorporate increased attention to themes and topics highlighted by participants, and should utilize the teaching tools (e.g., role play, peer discussions) identified as useful by the participants.

Journal of autism and developmental disorders, 2024 · doi:10.1145/3272973.3274095