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Empowering Autistic Communities: The Role of Co-Creation in Research Partnerships

Participatory research is an approach that can empower autistic community members through the co-creation of knowledge, addressing power imbalances, and fostering meaningful collaboration between autistic community members and academic researchers (Stack & McDonald, 2018). By actively involving autistic community members in all stages of the research process, tending to power differentials, and reflecting on procedures to ensure accessibility and needed accommodations, participatory approaches can lead to equitable research partnerships that value lived experiences and empower autistic community members.

Group of diverse professionals having a meeting in a modern office with brick walls, led by a woman standing and speaking, while others sit around a table with laptops and documents

What is Empowerment?

Empowerment is a multifaceted concept that extends beyond individual characteristics or skills. It encompasses broader environmental and social factors influencing a person’s access to opportunities and ability to thrive and self-advocate. Zimmerman (2000) suggested that empowered people often demonstrate skill acquisition, increased proficiency in navigating resources, and decision-making influencing outcomes.

In the context of autism, empowerment takes on specific dimensions. Autistic people involved in research and advocacy efforts described empowerment as a mindset and a set of behaviors. According to a study by Stack and McDonald (2018), autistic participants described an empowered mindset as one that leverages personal strengths while acknowledging areas for growth and recognizing when to seek support. This mindset also encompasses positive self-esteem and confidence in one’s abilities, essential for personal development and well-being. Behaviorally, empowerment manifests as active participation in decision-making and self-advocacy (Stack & McDonald, 2018). This active engagement encourages autistic people to have a voice in matters that directly affect their lives and champion their needs, wants, and rights. The study by Stack and McDonald (2018) further detailed that research partnerships with autistic people that embodied inclusion, co-leadership, co-learning, accessibility, and trust were particularly effective in fostering empowerment, leading to broader systemic improvements in the lives of autistic people.

What is Participatory Research?

Participatory research (PR) itself does not directly empower autistic people, but using the approach creates opportunities for partnership and impact that can enhance a sense of empowerment (Chen et al., 2024). PR is a collaborative approach where community stakeholders work alongside researchers throughout all stages of a study, from defining research questions to conducting the research and sharing results. This approach emphasizes building trust and respect, ensuring that all participants, regardless of their background, are contributing research partnerships (Israel et al., 2010). The goal is to empower communities by integrating their perspectives and priorities, which promotes capacity building and a greater sense of ownership over the research outcomes. This model values each participant’s contributions, fosters mutual learning, and aims to balance research with actionable community benefits (Israel et al., 2010). Essentially, participatory research involves incorporating the views of autistic people and their allies regarding “what research is conducted, how it is done, and how it is implemented” (Fletcher-Watson et al., p.1, 2019).

How Does PR Foster Empowerment?

Effective participatory research, which includes a collaborative partnership between academic researchers and community stakeholders, such as autistic collaborators and researchers, offers significant benefits to both scholarly knowledge and community welfare. When implemented effectively, this model highlights a co-participatory process in which academic and community researchers contribute complementary strengths and expertise (Nicolaidis et al., 2019). This partnership not only enhances the scientific accuracy of the research but also ensures its social and holistic relevance by aligning academic objectives with the lived experiences and needs of the community. While PR approaches can vary and must be tailored to specific contexts, a well-structured partnership typically involves clear roles and responsibilities for both academic and community researchers (Michaud, 2024; Nicolaidis et al., 2019). The following outlines the potential roles involved across the conceptualization, design, implementation, and dissemination phases.

Conceptualization Phase – The initial conceptualization phase is a synthesis of efforts between community and academic researchers. Often, the community identifies the issue and proposes it as a research topic; alternatively, the academic researcher may introduce a study area they find significant. Community researchers play a pivotal role by prioritizing local or systemic concerns, defining the overarching problem, and ensuring the study’s sustained relevance, often advocating for culturally appropriate practices and language when necessary. Simultaneously, the academic researcher is responsible for securing the funding required to support the study and obtaining Institutional Review Board (IRB) approval, ensuring ethical compliance and academic rigor throughout the research process. Collectively, both parties conduct a thorough review of relevant literature and collaboratively formulate research questions, ensuring the inquiry is rooted in scientific integrity and community relevance.

Study Design and Implementation Phase – The planning and design phase involves the conceptualization and formulation of the overall study framework, including culturally sensitive methodology and sampling procedures. Academic researchers contribute by ensuring the study’s design is methodologically rigorous, ethically sound, and supported by appropriate data instruments. At the same time, community researchers focus on the study’s accessibility and practicality, advocating for inclusive and culturally safe practices that respect the community context. During the implementation phase, both parties collaborate in data collection and analysis. While the academic researcher ensures a diligent and scientifically valid analysis, the community researchers safeguard participants’ identities and uphold cultural norms and values. Together, they synthesize the findings and summarize the results in a manner that is academically robust and holistically meaningful.

Dissemination Phase – The final dissemination phase involves both parties working collaboratively to interpret the findings, draw conclusions, and determine actionable next steps for sharing the results. Academic researchers focus on identifying suitable academic publishers and conferences for formal dissemination, while community researchers ensure the findings are shared through culturally relevant channels, such as accessible workshops, community meetings, talking circles, or social media platforms. This joint dissemination strategy enables both academic audiences and the broader community to benefit from the research outcomes, encouraging knowledge exchange and fostering practical applications in both contexts.

Addressing Power Differentials

 The fundamental distinction between traditional research and participatory approaches lies in how power is distributed and monitored within a research team (Cornwall & Jewkes, 1995). Research teams address power imbalances in PR studies by focusing on decision-making influence, access to resources and materials, training in research processes and tools, authorship rights, fair compensation, and overall team dynamics. These elements impact team members’ involvement, sense of ownership, and empowerment within the project. Each study should tailor its approach to manage power dynamics effectively, ensuring all team members, especially those from the community being studied, have meaningful roles in shaping the research process.

Accessibility and Accommodations

To ensure balanced partnerships and contributions are honored, the research team should meet and reflect regularly and attend to any access and support needs are met. It has become imperative to incorporate accommodations to ensure accessibility throughout the collaborative research process when engaging autistic or other neurodivergent populations. These accommodations should extend beyond simple adjustments and demonstrate a deep commitment to valuing the presence and contributions of all participants. For instance, modifying language to reflect neuro-affirming preferences (Bottema-Beutel et al., 2021) and adapting physical spaces to accommodate sensory sensitivities are practical measures that can enhance participation (Fletcher-Watson et al., 2019). Moreover, adjusting academic structures and minimizing bureaucratic barriers can facilitate the leadership and involvement of autistic researchers, fostering a more equitable and participatory approach to knowledge generation (Fletcher-Watson et al., 2019). Encouraging autistic leadership in research further supports inclusivity, positioning autistic individuals as meaningful contributors to knowledge creation rather than merely token participants (Stack & McDonald, 2018).

Conclusion

In summation, participatory research fosters empowerment within the autistic community by challenging traditional research paradigms and promoting collaboration. By addressing power imbalances and involving autistic voices, PR creates an environment where individuals can thrive, self-advocate, and participate fully. Continued adoption of participatory approaches will be crucial in creating a research paradigm that truly serves and empowers the autistic community, ultimately contributing to broader societal acceptance and inclusion of neurodiversity. These collaborations enable autistic individuals to be leaders and co-creators of knowledge, advocating their rights and influencing meaningful change in both research and society.

Celeste Michaud, PhD, is a Special Education Lecturer at the University of Arkansas-Fayetteville and can be contacted at cmichaud@uark.edu. Jessica C. Kitchens, MS, MBA, LPC, is a Therapist and PhD Student at Allied Collaborative and the University of Central Arkansas and can be contacted at jkblazen@gmail.com.

References

Bottema-Beutel, K., Kapp, S. K., Lester, J. N., Sasson, N. J., & Hand, B. N. (2021). Avoiding Ableist Language: Suggestions for Autism Researchers. Autism in adulthood: challenges and management, 3(1), 18–29. doi.org/10.1089/aut.2020.0014

Chen, Jiayi & Yao, Dazhi & Lin, Shuanglan & Yuan, Shuai & Wang, Mian & Wu, Hongmei & Zhang, Quanzhi. (2024). Application of the Community-based Participatory Research in Autism Spectrum Disorder: A Scoping Review. Review Journal of Autism and Developmental Disorders. 1-10. doi:10.1007/s40489-024-00446-1

Cornwall, A., & Jewkes, R. (1995). What is participatory research? Social science & medicine, 41(12), 1667–1676. doi.org/10.1016/0277-9536(95)00127-s

Fletcher-Watson, S., Adams, J., Brook, K., Charman, T., Crane, L., Cusack, J., Leekam, S., Milton, D., Parr, J. R., & Pellicano, E. (2019). Making the future together: Shaping autism research through meaningful participation. Autism, 23(4), 943-953. doi.org/10.1177/1362361318786721

Israel, B. A., Coombe, C. M., Cheezum, R. R., Schulz, A. J., McGranaghan, R. J., Lichtenstein, R., Reyes, A. G., Clement, J., & Burris, A. (2010). Community-based participatory research: a capacity-building approach for policy advocacy aimed at eliminating health disparities. American journal of public health, 100(11), 2094–2102. doi.org/10.2105/AJPH.2009.170506

Michaud, C. (2024). Real-time Delphi study: Perspectives of an autistic panel on independent living (Publication No. 31487217) [Doctoral dissertation, University of Arkansas]. ProQuest Dissertations and Theses Global. www.proquest.com/dissertations-theses/real-time-delphi-study-perspectives-autistic/docview/3101106702/se-2

Nicolaidis, C., Raymaker, D., Kapp, S. K., Baggs, A., Ashkenazy, E., McDonald, K., Weiner, M., Maslak, J., Hunter, M., & Joyce, A. (2019). The AASPIRE practice-based guidelines for the inclusion of autistic adults in research as co-researchers and study participants. Autism: the international journal of research and practice, 23(8), 2007–2019. doi.org/10.1177/1362361319830523

Stack, E.E. & McDonald, K. (2018). We Are “Both in Charge, the Academics and Self‐Advocates”: Empowerment in Community‐Based Participatory Research. Journal of Policy and Practice in Intellectual Disabilities, 15(1):80-89. doi.org/10.1111/jppi.12236

Zimmerman, M. A. (2000). Empowerment theory: Psychological, organizational, and community levels of analysis. In J. Rappaport & E. Seidman (Eds.), Handbook of community psychology (pp. 43–63). Kluwer Academic Publishers. doi.org/10.1007/978-1-4615-4193-6_2

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