This study used Photovoice methodology to assess barriers to and facilitators of after-school participation in moderate to vigorous physical activity as perceived by children with ASD and determine if physical activity patterns exist in relation to these barriers. Participants were a convenience sample of 12 boys and two girls with autism spectrum disorders (ASD), ages 8-14 years. Participants wore an accelerometer and completed an activity log for 7 days. Data were analyzed using qualitative techniques and fitted in a socio-ecological model. Participants reported 143 (44%) barriers and 181 (56%) facilitators. The most frequently cited barriers were intrapersonal, followed by interpersonal, physical, community, and institutional. The most frequent facilitators were physical, followed by intrapersonal and interpersonal, community, and institutional. The study gives support to the use of a multipronged approach when designing physical activity interventions for children and adolescents with ASD.
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