{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T23:49:42Z","timestamp":1790034582508,"version":"4.0.1"},"reference-count":92,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Autism in Adulthood"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>For autistic youth and young adults, deciding whether to disclose their autism at work may be complex since they are newly entering the workforce and are at an impressionable developmental period. Decision-aid tools can help someone make a choice regarding a topic\/situation. We developed a workplace autism disclosure decision-aid tool called DISCLOSURE (Do I Start the Conversation and Let On, Speak Up, and REveal?) to support autistic youth and young adults navigate disclosure decision-making. In this study, we aimed to assess the DISCLOSURE tool's (1) impact on decision-making and self-determination capabilities and (2) usability, feasibility, and acceptability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This was a single-arm pre\u2013post pilot study. The DISCLOSURE tool comprises three interactive PDF documents and videos. Thirty participants (mean age of 23.5 years) completed online surveys before and after interacting with the DISCLOSURE tool. We used descriptive statistics for usability, feasibility, and acceptability. We calculated the Wilcoxon signed rank and paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests to determine pre\u2013post changes in decision-making and self-determination capabilities (Decisional Conflict Scale\u2013Low Literacy Version [DCS-LL]; adapted Arc's Self-Determination Scale). We analyzed open-ended data using conventional (inductive) content analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were significant decreases in DCS-LL total and subscale scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.0001) and a significant increase in Arc's total score (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01), suggesting important improvements. There were no significant increases for Arc's psychological empowerment and self-realization subscales (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.05;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.09). Median scores (4.0\/5.0) indicate that participants agreed that the DISCLOSURE tool is acceptable, feasible, and meets the usability criteria. We developed four categories to describe the open-ended data: (1) disclosure capabilities, (2) the role of others, (3) positive tool impact and feedback, and (4) minimal tool impact and constructive feedback.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Findings are suggestive of the DISCLOSURE tool's ability to support workplace autism disclosure decision-making. Future studies should ascertain the DISCLOSURE tool's effectiveness, explore others' feedback (e.g., employers), and how to incorporate the tool into relevant employment and vocational programs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/aut.2023.0054","type":"journal-article","created":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T11:00:56Z","timestamp":1698058856000},"page":"331-344","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["\u201cI Wish This Tool Was Available to Me Sooner\u201d: Piloting a Workplace Autism Disclosure Decision-Aid Tool for Autistic Youth and Young Adults"],"prefix":"10.1177","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1127-6577","authenticated-orcid":false,"given":"Vanessa","family":"Tomas","sequence":"first","affiliation":[{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada."},{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shauna","family":"Kingsnorth","sequence":"additional","affiliation":[{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada."},{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada."},{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evdokia","family":"Anagnostou","sequence":"additional","affiliation":[{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada."},{"name":"Department of Pediatrics, University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnie","family":"Kirsh","sequence":"additional","affiliation":[{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada."},{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada."},{"name":"Rehabilitation Sciences Institute, University of Toronto, Toronto, Canada."},{"name":"Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/iops.12134"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10672-013-9227-9"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/00223980.2016.1226742"},{"key":"e_1_3_6_5_2","first-page":"226","volume-title":"Uncertainty, Information Management, and Disclosure Decisions: Theories and Applications","author":"Greene K","year":"2009","unstructured":"Greene K. 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