Autism & Developmental

Brief Report: Perceived Barriers to Physical Activity Among a National Sample of Autistic Adults.

Healy et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

Lack of motivation, boredom, and no transportation are the biggest PA barriers for autistic adults—address these to boost adherence.

✓ Read this if BCBAs working with autistic teens or adults in community or clinic settings
✗ Skip if Clinicians serving only non-autistic populations or clients under age 10

01Research in Context

01

What this study did

Healy et al. (2022) asked 237 autistic adults across the United States what stops them from being active.

The team used an online survey. They checked which barriers predicted meeting the 150-minute weekly activity goal.

02

What they found

The top three roadblocks were "I don't feel like it," "It's boring," and "I can't get there."

People who picked any of these three were far less likely to hit the activity guideline.

03

How this fits with other research

Pan (2014) already showed that autistic teens score lower on fitness tests. Sean's team now shows why the gap lingers into adulthood: motivation and transport, not just skill.

Wilson et al. (2023) widened the lens. They asked caregivers of 16- to young learners what blocks any service, not just exercise. Both studies used the same survey style and found that everyday hurdles—like no ride or low drive—keep autistic young adults on the sidelines.

Luelmo et al. (2021) found most autistic adults say their health is "stable." Sean's data hint that "stable" can still mean "inactive," a nuance that keeps fitness off the clinical radar.

04

Why it matters

If boredom and transport are the real villains, you can beat them without a gym. Build sessions around preferred topics—Pokemon walks, music-video dance breaks, or bus-route treasure hunts. Offer ride vouchers or pair clients for car-pool sessions. Track minutes, not miles. When motivation dips, reshape the task, not the goal.

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→ Action — try this Monday

Add a 5-minute "preferred activity vote" to your session: let the client pick the walk theme or playlist.

02At a glance

Intervention
not applicable
Design
survey
Sample size
253
Population
autism spectrum disorder
Finding
negative

03Original abstract

Improving physical activity (PA) levels in autistic adults is an important population health goal. Limiting efforts to achieve this goal is an incomplete understanding of the barriers to PA in this high-risk group. This study utilized cross-sectional data collected via an electronic survey from 253 autistic adults aged 18-50 years to examine their perceived barriers to PA, how PA barriers differed by demographic factors, and the relationship between PA barriers and meeting PA guidelines. The Barriers to Physical Activity scale assessed the independent variable. Lack of motivation to exercise, perceiving exercise as boring, and lack of transportation were the most strongly endorsed barriers to PA. Participants who reported these barriers were significantly less likely (≤ 50%) to meet PA guidelines.

Journal of autism and developmental disorders, 2022 · doi:10.1186/s12889-017-4540-0