Service Delivery

Stigma and knowledge about autism in Brazil: A psychometric and intervention study.

Araujo et al. (2024) · Autism : the international journal of research and practice 2024
★ The Verdict

A short online class in Brazilian Portuguese cut autism stigma and raised knowledge among college students using new, free scales.

✓ Read this if BCBAs who team with schools, universities, or community groups in Brazil or other Portuguese-speaking settings.
✗ Skip if Clinicians only doing one-to-one therapy with no peer-training component.

01Research in Context

01

What this study did

Araujo et al. (2024) built two short scales in Brazilian Portuguese. One measures autism stigma. The other measures autism knowledge.

They put the scales online and invited university students to take them. Then the students watched a brief online training about autism. After the training they took the same scales again.

Seventy-nine students finished both sets of measures.

02

What they found

After the short online course students knew more facts about autism. They also showed less stigma.

The new scales held together well, so teams can reuse them in Brazil.

03

How this fits with other research

The result lines up with McGonigle et al. (2014) and Morris et al. (2020). Those studies ran face-to-face anti-stigma lessons in UK and Irish schools. All three papers show the same trend: teach typical peers about autism and attitudes improve.

Granillo et al. (2022) looked at seventeen physician-training studies. Doctors who took autism classes also gained knowledge and confidence. Rocha’s online module mirrors that success with college students instead of clinicians.

Strang et al. (2017) first showed low-cost video training can work in Brazil. Rocha extends that idea from parents of young children to the general university population.

04

Why it matters

You now have free, validated Portuguese scales you can give to school staff, families, or college peers before your next autism workshop.

The whole course is online and short, so you can send the link today and see attitude change tomorrow. Use it as a quick primer while you build deeper acceptance programs in your setting.

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→ Action — try this Monday

Email the Rocha scales and training link to your local university partner and schedule a ten-minute pre-post check on their next class.

02At a glance

Intervention
other
Design
pre post no control
Sample size
532
Finding
positive

03Original abstract

To promote the full inclusion of autistic people, we must change the knowledge and attitudes of non-autistic individuals. Unfortunately, access to autism information and support remains limited in Brazil, and stigma is also common. Brazilian researchers reached out to a researcher in the United States to co-develop Brazilian surveys to measure autism stigma and knowledge. Together, they made Brazilian versions of stigma and knowledge surveys which autistic people in the United States had helped make. They also adapted an online autism training used in other countries with help from three Brazilian autistic people and the mother of an autistic child. They used the new measures to see if the autism training improved autism stigma and knowledge among Brazilians. The surveys, called EARPA and ECAT in Brazil, were translated into Portuguese in a previous study. In the first study in this article, 532 Brazilians completed the stigma measure and 510 completed the knowledge measure. The researchers used exploratory graph analysis, which uses the connections between items in a survey to understand which items belong together. Seventy-nine Brazilians participated in the training. They were mostly white, female university students. The EGA showed that the stigma survey measured one big idea while the knowledge survey measured four ideas: diagnosis/cause; socio-communicative development; stimming and special interests; and autism in adulthood. Both scales are promising and may be helpful in future Brazilian and cross-cultural studies about autism. Participants reported more knowledge and less stigma after the autism training, which has been found in other countries too.

Autism : the international journal of research and practice, 2024 · doi:10.1177/13623613231168917