"They Showed Me How to Improve My Drawings and That Made Me Happy": A Realist Evaluation of a Digital Arts Multimedia Program for Autistic Adolescents.

The use of strengths-based arts programs for autistic adolescents is not effectively described within current literature and is an emerging area of practice. This study explores the outcomes and essential components underpinning a digital arts multimedia program delivered to autistic adolescents. A realist evaluation framework was used to describe the impact and essential components of a strengths-based digital arts multimedia program for autistic adolescents. Twenty-eight autistic adolescents and their parents were recruited and participated in the program. Data were collected via ethnographic methods including participant observations and interviews. Data were analysed deductively using a context-mechanism-outcome thematic analysis framework. Findings identified needs and preferences, individuality, art mentor support and shared interests as components significantly influencing the effectiveness of the strengths-based digital arts program. Results highlighted the importance of understanding the personal factors of autistic adolescents and the mechanisms within the program in influencing the outcomes for participants. This study offers a preliminary framework for future programs, highlighting key components of strengths-based digital arts programs.