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This study evaluated the feasibility, acceptability, and preliminary efficacy of a one-week ecological momentary intervention (EMI) designed to enhance social attention and social-emotional functioning through in vivo real-time reporting of social interactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty-one autistic adults were randomized to one of three conditions (facial expression, hair color, or passive control) and completed an EMI protocol and pre- and post-intervention measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Feasibility outcomes were mixed: retention was high, but self-reported adherence fell below the a priori 80% benchmark, and utilization varied considerably. Equivalence tests indicated no condition differences in utilization, adherence, or acceptability. Net acceptability did not meet the a priori threshold of more than 50% of participants reporting neutral or positive net acceptability. Regression analyses revealed no condition-related effects on behavioral, self-report, or neural outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall, results suggested that the EMI achieved high retention, but did not meet the a priori thresholds of adequacy for adherence and acceptability, and did not produce detectable changes in social-emotional functioning. Refinements to EMI design and dose may be necessary to improve the potential impact of brief EMIs for autistic adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10803-026-07574-z","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T10:42:01Z","timestamp":1792665721000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility, Acceptability, and Efficacy of an Ecological Momentary Intervention for Autistic Adults"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6812-9263","authenticated-orcid":false,"given":"China I.","family":"Parenteau","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4678-0367","authenticated-orcid":false,"given":"Allison S.","family":"Nahmias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7373-6663","authenticated-orcid":false,"given":"Matthew D.","family":"Lerner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"issue":"23","key":"7574_CR1","doi-asserted-by":"publisher","first-page":"3275","DOI":"10.1002\/1097-0258(20001215)19:23<3275::AID-SIM626>3.0.CO;2-M","volume":"19","author":"DG Altman","year":"2000","unstructured":"Altman, D. 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