Autism & Developmental

How parents perceive and feel about participation in community activities. The comparison between parents of preschoolers with and without Autism Spectrum Disorders.

Lam et al. (2010) · Autism : the international journal of research and practice 2010
★ The Verdict

Autism parents want to join in, but perceived difficulty and big feelings—not lack of interest—keep them home.

✓ Read this if BCBAs writing community participation goals for preschoolers with ASD.
✗ Skip if Clinicians working only with school-age kids or in clinic-only settings.

01Research in Context

01

What this study did

The team asked 60 moms and dads of preschoolers to fill out a short survey. Half had autistic kids. Half had non-autistic kids.

Parents rated how hard, how useful, and how scary they found ten common community spots. They also said if they would go back.

02

What they found

Both groups said "yes" to joining activities at the same rate. But they used very different rules to decide.

Autism parents looked at how hard the place felt and how upset they expected to get. Non-autism parents looked at cost and time.

03

How this fits with other research

Koç et al. (2026) extends this idea. They show that when parents stay mentally stuck, their emotions spike and burnout follows. The preschool study shows those same emotions start steering simple choices like going to the park.

Bennett et al. (2017) also extends the work. They found that disruptive mealtime behaviors, not food pickiness, hurt co-parenting and raise stress. Together these studies say: child behaviors spark parent emotions, then emotions drive bigger family patterns.

Demello et al. (1992) used a similar survey design decades earlier. They saw autism dads use more coping tricks yet still feel strain. Lam et al. (2010) now show that strain starts shaping everyday yes-or-no choices, not just long-term coping.

04

Why it matters

If you write a goal for community outings, check parent emotions first. Ask "What feels hardest about this place?" Then problem-solve that piece. A five-minute chat about noise levels or exit plans can turn a maybe into a yes and keep families engaged.

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Before the next outing, ask the parent to rate expected difficulty 1-5 and brainstorm one fix (headphones, map, early entry).

02At a glance

Intervention
not applicable
Design
survey
Sample size
594
Population
autism spectrum disorder, neurotypical
Finding
mixed

03Original abstract

The present study compared how parents of preschoolers with and without Autism Spectrum Disorders (ASD) perceived and felt about participation in community activities. A questionnaire survey was conducted with 380 Hong Kong parents of preschoolers with ASD and 214 Hong Kong parents of preschoolers without ASD. The two groups were not different in their willingness and frequency of participation in community activities. However, the psychological processes underneath their willingness were very different. Among the parents of preschoolers with ASD, their willingness was associated with how they perceived the difficulty and importance of the participation and what emotions they experienced during the activities. This pattern of association was not evident among the parents of preschoolers without ASD.

Autism : the international journal of research and practice, 2010 · doi:10.1177/1362361309346558