{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:57:32Z","timestamp":1791485852990,"version":"4.3.4"},"reference-count":45,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"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":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Social participation is a core occupation influencing health, identity, and belonging in college students. Limited research examines participation among autistic students within a person\u2013environment\u2013occupation (PEO) framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine social participation among autistic and non-autistic college students by comparing participation rates, satisfaction, motivations, and perceived barriers and exploring differences in lived experience and PEO fit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed-methods convergent parallel design integrating quantitative survey data and qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A mid-sized, private university in the southeastern United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>\n                      A convenience sample of undergraduate students living on campus (\n                      <jats:italic toggle=\"yes\">N\u2009<\/jats:italic>\n                      =\u200949; 23 autistic, 26 non-autistic).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures<\/jats:title>\n                    <jats:p>An anonymous survey of self-reported participation hours, satisfaction ratings, activity involvement, motivations, and barriers. Analyses included Welch's t-tests and a chi-square test; qualitative data were analyzed inductively and integrated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Groups reported similar activity types, participation rates (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.14), satisfaction (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.63), and barriers (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u2009.61). Overall, 62% reported at least one barrier, most commonly time. Qualitative findings revealed differences in experience: autistic students more often described internal barriers (e.g., anxiety, difficulty identifying activities), whereas non-autistic students emphasized interpersonal challenges. Both groups desired greater campus engagement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>Comparable participation outcomes may mask differences in experience and PEO fit. Occupational therapy can support meaningful engagement through neurodiversity-affirming, contextually responsive approaches that enhance accessibility, fit, and a sense of belonging.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261487169","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:13:54Z","timestamp":1790770434000},"page":"1078-1089","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Person\u2013Environment\u2013Occupation Fit in Autistic College Students: A Mixed-Methods Study of Social Participation"],"prefix":"10.1177","volume":"80","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2991-7341","authenticated-orcid":false,"given":"Susan","family":"Iliff","sequence":"first","affiliation":[{"name":"School of Occupational Therapy, Belmont University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6248-9006","authenticated-orcid":false,"given":"Nicole","family":"Richard Williams","sequence":"additional","affiliation":[{"name":"Music Therapy Program, Belmont University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobh\u00e1n","family":"Collins","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Belmont University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meris","family":"Gilliam","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Belmont University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abby","family":"Hill","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Belmont University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tori","family":"Knox","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Belmont University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina","family":"Randall","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Belmont University, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"2","key":"e_1_3_3_2_1","first-page":"7412410010","article-title":"Occupational therapy practice framework: Domain and process (4th ed.)","volume":"74","author":"American Occupational Therapy Association","year":"2020","unstructured":"American Occupational Therapy Association. 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