Skip to main content

Advertisement

Log in

Improving Student Attitudes Toward Autistic Individuals: A Systematic Review

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

There is an increasing number of autistic students being educated alongside their neurotypical peers. However, placing a student in the general education setting is not sufficient for meaningful inclusion. Historically, autistic students have had fewer friendships, been less accepted, and experienced stigmatization. Interventions to increase peer attitudes toward autism have emerged as a method for creating more inclusive environments. The purpose of this literature review was to describe the interventions to improve peer attitudes toward autism, review the quality of the research, and determine the effectiveness of interventions. Specifically, this review aimed to answer the following questions: (1) what are participant characteristics and components of interventions designed to improve attitudes toward autistic individuals? (2) What is the methodological quality of interventions designed to improve attitudes toward autistic individuals, as measured by Council for Exceptional Children standards for evidence-based practices in special education (2014) criteria? (3) What is the effectiveness of interventions to improve attitudes toward autistic individuals? A total of 13 studies were located through a systematic search. Included studies were coded for study characteristics, participant characteristics, intervention, and outcomes. Across the studies, there were a total of 2097 participants. All studies included contact (either direct, indirect, or peer-mediation) and most included an education component (k = 10). Findings indicated that interventions are effective at improving attitudes toward autism, but further research is required to determine their overall impact.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Notes

  1. Consistent with recommendations from the autistic community, the authors are using identity first language when referring to autistic people (Botha et al., 2023).

References

*Indicates studies included in review

  • Alcorn, A. M., Fletcher-Watson, S., McGeown, S., Murray, F., Aitken, D., Peacock, L. J. J., & Mandy, W. (2022). Learning About Neurodiversity at School: A resource pack for primary school teachers and pupils. University of Edinburgh.

    Google Scholar 

  • Alquraini, T., & Gut, D. (2012). Critical components of successful inclusion of students with severe disabilities: Literature review. International Journal of Special Education, 27(1), 19.

    Google Scholar 

  • Armstrong, M., Morris, C., Abraham, C., & Tarrant, M. (2017). Interventions utilising contact with people with disabilities to improve children’s attitudes towards disability: A systematic review and meta-analysis. Disability and Health Journal, 10(1), 11–22. https://doi.org/10.1016/j.dhjo.2016.10.003

    Article  PubMed  Google Scholar 

  • Artiles, A. J., & Kozleski, E. B. (2016). Inclusive education’s promises and trajectories: Critical notes about future research on a venerable idea. Education Policy Analysis Archives, 24, 43. https://doi.org/10.14507/epaa.24.1919

    Article  Google Scholar 

  • Aubé, B., Follenfant, A., Goudeau, S., & Derguy, C. (2020). Public stigma of autism spectrum disorder at school: Implicit attitudes matter. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-020-04635-9

    Article  Google Scholar 

  • Botha, M., Hanlon, J., & WIlliams, G. L. (2023). Does language matter? Identity-first versus person-first language use in autism research: A response to Vivanti. Journal of Autism and Developmental Disorders, 53(2), 870–878. https://doi.org/10.1007/s10803-020-04858-w

    Article  PubMed  Google Scholar 

  • Campbell, J. M. (2006). Changing children’s attitudes toward autism: A process of persuasive communication. Journal of Developmental and Physical Disabilities, 18(3), 251–272. https://doi.org/10.1007/s10882-006-9015-7

    Article  Google Scholar 

  • Campbell, J. M. (2007). Middle school students’ response to the self-introduction of a student with autism: Effects and perceived similarity, prior awareness, and educational message. Remedial and Special Education, 28(3), 163–173. https://doi.org/10.1177/07419325070280030501

    Article  Google Scholar 

  • *Campbell, J. M., Caldwell, E. A., Railey, K. S., Lochner, O., Jacob, R., & Kerwin, S. (2019). Educating students about autism spectrum disorder using the Kit for Kids curriculum: Effects on knowledge and attitudes. School Psychology Review, 48(2), 145–156. https://doi.org/10.17105/SPR-2017-0091.V48-2

    Article  Google Scholar 

  • Campbell, J. M., Ferguson, J. E., Herzinger, C. V., Jackson, J. N., & Marino, C. A. (2004). Combined descriptive and explanatory information improves peers’ perceptions of autism. Research in Developmental Disabilities, 25(4), 321–339. https://doi.org/10.1016/j.ridd.2004.01.005

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2023). Data & statistics on autism spectrum disorder. https://www.cdc.gov/ncbddd/autism/data.html

  • Cook, B. G., Buysse, V., Klingner, J., Landrum, T. J., McWilliam, R. A., Tankersley, M., & Test, D. W. (2015). CEC’s standards for classifying the evidence base of practices in special education. Remedial and Special Education, 36(4), 220–234. https://doi.org/10.1177/0741932514557271

    Article  Google Scholar 

  • Council for Exceptional Children. (2014). Council for exceptional children standards for evidence-based practices in special education. Council for Exceptional Children.

    Google Scholar 

  • Education for All Handicapped Children Act, P.L. 94-142, 94th Congress. (1975). https://www.govinfo.gov/content/pkg/STATUTE-89/pdf/STATUTE-89-Pg773.pdf

  • de Boer, A., Pijl, S. J., Post, W., & Minnaert, A. (2013). Peer acceptance and friendships of students with disabilities in general education: The role of child, peer, and classroom variables. Social Development, 22(4), 831–844. https://doi.org/10.1111/j.1467-9507.2012.00670.x

    Article  Google Scholar 

  • *Fachantidis, N., Syriopoulou-Delli, C. K., Vezyrtzis, I., & Zygopoulou, M. (2019). Beneficial effects of robot-mediated class activities on a child with ASD and his typical classmates. International Journal of Developmental Disabilities, 66(3), 245–253. https://doi.org/10.1080/20473869.2019.1565725

    Article  PubMed  PubMed Central  Google Scholar 

  • Freer, J. R. R. (2021). Students’ attitudes toward disability: A systematic literature review (2012–2019). International Journal of Inclusive Education. https://doi.org/10.1080/13603116.2020.1866688

    Article  Google Scholar 

  • Gonzalez, A. M., Dunlop, W. L., & Baron, A. S. (2017). Malleability of implicit associations across development. Developmental Science, 20(6), 1–13. https://doi.org/10.1111/desc.12481

    Article  Google Scholar 

  • Griffin, W. B. (2019). Peer perceptions of students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 34(3), 183–192. https://doi.org/10.1177/1088357618800035

    Article  Google Scholar 

  • Koster, M., Nakken, H., Pijl, S. J., van Houten, E., & van Houten-van den Bosch, E. J. (2009). Being part of the peer group: A literature study focusing on the social dimension of inclusion in education. International Journal of Inclusive Education, 13(2), 117–140. https://doi.org/10.1080/13603110701284680

    Article  Google Scholar 

  • Koster, M., Pijl, S. J., Nakken, H., & Van Houten, E. (2010). Social participation of students with special needs in regular primary education in the netherlands. International Journal of Disability, Development and Education, 57(1), 59–75. https://doi.org/10.1080/10349120903537905

    Article  Google Scholar 

  • Lochner, O. K. (2019). Exploring the impact of autism awareness interventions for general education students: A meta-analysis [Unpublished doctoral dissertation]. University of Kentucky.

  • Maenner, M. J., Warren, Z., Williams, A. R., Amoakohene, E., Bakian, A. V., Bilder, D. A., Durkin, M. S., Fitzgerald, R. T., Furnier, S. M., Hughes, M. M., Ladd-Acosta, C. M., McArthur, D., Pas, E. T., Salina, A., Vehorn, A., Williams, S., Esler, A., Grzybowski, A., Hall-Lande, J., & Shaw, K. A. (2023). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 sites, United States, 2020. Morbidity and Mortality Weekly Report Surveillance Summaries 2023, 72(2), 1–20.

    Google Scholar 

  • Maïano, C., Normand, C. L., Salvas, M.-C., Moullec, G., & Aimé, A. (2016). Prevalence of school bullying among youth with autism spectrum disorders: A systematic review and meta-analysis. Autism Research, 9, 601–615. https://doi.org/10.1002/aur.1568

    Article  PubMed  Google Scholar 

  • Majeika, C. E., Van Camp, A. M., Wehby, J. H., Kern, L., Commisso, C. E., & Gaier, K. (2020). An evaluation of adaptations made to check-in check-out. Journal of Positive Behavior Interventions, 22(1), 25–37. https://doi.org/10.1177/1098300719860131

    Article  Google Scholar 

  • *Mavropoulou, S., & Sideridis, G. D. (2014). Knowledge of autism and attitudes of children towards their partially integrated peers with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(8), 1867–1885. https://doi.org/10.1007/s10803-014-2059-0

    Article  PubMed  Google Scholar 

  • *McHale, S. M., & Simeonsson, R. J. (1980). Effects of interaction on nonhandicapped children’s attitudes toward autistic children. American Journal of Mental Deficiency, 85(1), 18–24.

    PubMed  Google Scholar 

  • Mitchell, P., Sheppard, E., & Cassidy, S. (2021). Autism and the double empathy problem: Implications for development and mental health. British Journal of Developmental Psychology, 39(1), 1–18. https://doi.org/10.1111/bjdp.12350

    Article  PubMed  Google Scholar 

  • *Morris, S., O’Reilly, G., & Byrne, M. K. (2020). Understanding our peers with Pablo: Exploring the merit of an autism spectrum disorder de-stigmatisation programme targeting peers in irish early education mainstream settings. Journal of Autism and Developmental Disorders, 50(12), 4385–4400. https://doi.org/10.1007/s10803-020-04464-w

    Article  PubMed  Google Scholar 

  • Organization for Autism Research (OAR). (2023). Kit for Kids. Organization for Autism Research. https://researchautism.org/educators/kit-for-kids

  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Bourtron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2020). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Systematic Reviews, 10, 1–11. https://doi.org/10.1186/s13643-021-01626-4

    Article  Google Scholar 

  • Pierce, N. P., O’Reiller, M. F., Sorrells, A. M., Fragale, C. L., White, P. J., Aguilar, J. M., & Cole, H. A. (2014). Ethnicity reporting practices for empirical research in three autism-related journals. Journal of Autism and Developmental Disorders, 44(7), 1507–1519. https://doi.org/10.1007/s10803-014-2041-x

    Article  PubMed  Google Scholar 

  • *Ranson, N. J., & Byrne, M. K. (2014). Promoting peer acceptance of females with higher-functioning autism in a mainstream education setting: A replication and extension of the effects of an autism anti-stigma program. Journal of Autism and Developmental Disorders, 44(11), 2778–2796. https://doi.org/10.1007/s10803-014-2139-1

    Article  PubMed  Google Scholar 

  • *Rodríguez-Medina, J., Martín-Antón, L. J., Carbonero, M. A., & Ovejero, A. (2016). Peer-mediated intervention for the development of social interaction skills in high-functioning autism spectrum disorder: A pilot study. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2016.01986

    Article  PubMed  PubMed Central  Google Scholar 

  • Rotheram-Fuller, E., Kasari, C., Chamberlain, B., & Locke, J. (2010). Social involvement of children with autism spectrum disorders in elementary school classrooms: ASD social involvement. Journal of Child Psychology and Psychiatry, 51(11), 1227–1234. https://doi.org/10.1111/j.1469-7610.2010.02289.x

    Article  PubMed  Google Scholar 

  • *Ryan, T. (2020). A children’s book read aloud and discussion intervention: Teaching typically developing children about autism spectrum disorder [Indiana University]. ProQuest.

  • *Sansi, A., Nalbant, S., & Ozer, D. (2021). Effects of an inclusive physical activity program on the motor skills, social skills and attitudes of students with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 51(7), 2254–2270. https://doi.org/10.1007/s10803-020-04693-z

    Article  PubMed  Google Scholar 

  • *Sasso, G. M., Simpson, R. L., & Novak, C. G. (1985). Procedures for facilitating integration of autistic children in public school settings. Analysis and Intervention in Developmental Disabilities, 5(3), 233–246. https://doi.org/10.1016/0270-4684(85)90013-8

    Article  Google Scholar 

  • Sasson, N. J., Faso, D. J., Nugent, J., Lovell, S., Kennedy, D. P., & Grossman, R. B. (2017). Neurotypical Peers are Less Willing to interact with those with autism based on thin slice judgments. Scientific Reports, 7(1), 1–10. https://doi.org/10.1038/srep40700

    Article  Google Scholar 

  • *Silton, N. R., & Fogel, J. (2012). Enhancing positive behavioral intentions of typical children towards children with autism. Journal of Cognitive and Behavioral Psychotherapies, 12(2), 139–158. https://doi.org/10.18103/mra.v3i4.399

    Article  Google Scholar 

  • *Simpson, L. A. (2013). Effect of a classwide peer-mediated intervention on the social interactions of students with low-functioning autism and the perceptions of typical peers. The University of San Francisco.

    Google Scholar 

  • Simpson, L. A., & Bui, Y. (2016). Effects of a peer-mediated intervention on social interactions of students with low-functioning autism and perceptions of typical peers. Education and Training in Autism and Developmental Disabilities, 51(2), 162–178.

    Google Scholar 

  • Steinbrenner, J. R., McIntyre, N., Rentschler, L. F., Pearson, J. N., Luelmo, P., Jaramillo, M. E., Boyd, B. A., Wong, C., Nowell, S. W., Odom, S. L., & Humer, K. A. (2022). Patterns in reporting and participant inclusion related to race and ethnicity in autism intervention literature: Data from a large-scale systematic review of evidence-based practice. Autism, 26(8), 2026–2040. https://doi.org/10.1177/13623613211072593

    Article  PubMed  PubMed Central  Google Scholar 

  • *Staniland, J. J., & Byrne, M. K. (2013). The effects of a multi-component higher-functioning autism anti-stigma program on adolescent boys. Journal of Autism and Developmental Disorders, 43(12), 2816–2829. https://doi.org/10.1007/s10803.013.1829-4

    Article  PubMed  Google Scholar 

  • Swaim, K. F., & Morgan, S. B. (2001). Children’s attitudes and behavioral intentions toward a peer with autistic behaviors: Does a brief educational intervention have an effect? Journal of Autism and Developmental Disorders, 31(2), 195–205. https://doi.org/10.1023/A:1010703316365

    Article  PubMed  Google Scholar 

  • Tonnsen, B. L., & Hahn, E. R. (2016). Middle school students’ attitudes toward a peer with autism spectrum disorder: Effects of social acceptance and physical inclusion. Focus on Autism and Other Developmental Disabilities, 31(4), 262–274. https://doi.org/10.1177/1088357614559213

    Article  Google Scholar 

  • West, E. A., Travers, J. C., Kemper, T. D., Liberty, L. M., Cote, D. L., McCollow, M. M., & Stansberry Brusnahan, L. L. (2016). Racial and ethnic diversity of participants in research supporting evidence-based practices for learners with autism spectrum disorder. The Journal of Special Education, 50(3), 151–163. https://doi.org/10.1177/0022466916632495

    Article  Google Scholar 

  • White, S. W., Scahill, L., Klin, A., Koenig, K., & Volkmar, F. R. (2007). Educational placements and service use patterns of individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(8), 1403–1412. https://doi.org/10.1007/s10803-006-0281-0

    Article  PubMed  Google Scholar 

  • Wood, R., & Happé, F. (2023). What are the views and experiences of autistic teachers? Findings from an online survey in the UK. Disability and Society, 38(1), 47–72. https://doi.org/10.1080/09687599.2021.1916888

    Article  Google Scholar 

  • Zeidan, J., Fombonne, E., Scorah, J., Ibrahim, A., Durkin, M. S., Saxena, S., Yusuf, A., Shih, A., & Elsabbagh, M. (2022). Global prevalence of autism: A systematic review update. Autism Research, 15(5), 778–790. https://doi.org/10.1002/aur.2696

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

No funding was received to conduct this study.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the preparation of the manuscript. ES and LK contributed to the conceptualization and design of the paper. ES conducted the literature search. ES and AMB conducted the literature screening and data analysis. ES and LK drafted and critically revised the manuscript.

Corresponding author

Correspondence to Elise Settanni.

Ethics declarations

Conflict of interest

We have no known conflicts of interest to disclose.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Settanni, E., Kern, L. & Blasko, A.M. Improving Student Attitudes Toward Autistic Individuals: A Systematic Review. J Autism Dev Disord (2023). https://doi.org/10.1007/s10803-023-06082-8

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s10803-023-06082-8

Keywords

Navigation