Autism & Developmental

An exploration of a physical activity intervention in a community fitness setting for adolescents with autism

Bassette et al. (2023) · Behavioral Interventions 2023
★ The Verdict

A pocket-sized self-management card taught teens with autism to lead their own gym sessions, and the skill stuck.

✓ Read this if BCBAs helping adolescents with autism use community fitness centers.
✗ Skip if Clinicians serving only early-childhood or fully non-verbal clients.

01Research in Context

01

What this study did

Bassette et al. (2023) worked with four teens with autism in a public gym. They taught the teens to pick exercises, set reps, and check off sets on a laminated card.

The team used a self-management package: picture task analysis, self-monitoring, and a 5-minute Zoom review each week. They tracked if the teens started, finished, and varied workouts without adult prompts.

02

What they found

All four teens learned to run their own 30-minute circuit. Three kept the skill 8 weeks later with almost no coaching.

Switching to new machines was harder. Two teens needed extra teaching when the gym layout changed.

03

How this fits with other research

Hume et al. (2009) already showed that self-monitoring builds independence in autism. Bassette moves that idea from classrooms into real-world fitness centers.

Heald et al. (2020) used an 8-week judo class and saw small MVPA gains. Bassette’s self-management approach gives the teen control every day, not just during a set class.

Michaud et al. (2025) scoping review lists 95 facilitators for active living. Bassette’s card-based system hits three of the top ones: clear structure, choice, and visual cues.

04

Why it matters

Most teens with autism drop out of sports. A simple self-management card lets them walk into any gym and work out without a shadow. You can make the card in 10 minutes, teach it in one session, and fade prompts fast. Try it Monday: hand your learner a dry-erase workout card and let them run the show.

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→ Action — try this Monday

Laminate a 6-step workout card, give the learner a dry-erase marker, and let them check off sets while you stay hands-off.

02At a glance

Intervention
self management
Design
multiple baseline across participants
Population
autism spectrum disorder
Finding
positive

03Original abstract

AbstractIt is well established that adolescents with autism spectrum disorders often do not engage in physical activity, which may contribute to secondary health concerns (e.g., poor cardiovascular health and diabetes). The purpose of this study was to extend the research on a behavioral intervention package and address previous limitations (i.e., small number of exercises and minimal maintenance). A multiple baseline design across participants was used to determine if there was a functional relationship between the intervention and independence of physical activity, creating workouts, and navigating workouts. The results indicate that participants were able to acquire and maintain skills. When new exercises were presented in generalization, two participants demonstrated higher levels of independence in physical activity and one participant displayed a similar level to baseline. Implications and areas for future research are discussed.

Behavioral Interventions, 2023 · doi:10.1002/bin.1970