Empowering Adults with IDD: A Mixed-Methods Study of Inclusive Sex and Healthy Relationships Education

Adults with intellectual and developmental disabilities (IDD) often encounter barriers to comprehensive sexual health education due to persistent societal stigma, increasing vulnerability to sexually transmitted infections, exploitation, and relationship challenges. Despite recognition of its importance, research examining accessible sexuality education for this population remains limited. This exploratory pilot mixed-methods study using a single-group pre-post design examined changes in self-reported knowledge, comfort, and awareness following an occupational therapy-informed safe sex and healthy relationships program. Eight adults with IDD (ages 18–45) participated in five structured sessions addressing consent, safety, healthy relationships, sexual health, and sensory regulation. Pre- and post-surveys assessed self-reported perceptions, and semi-structured interviews explored participant experiences. Post-program mean scores were higher on six of seven survey items. A statistically significant difference was found for boundary setting (p = .046), although this finding should be interpreted cautiously given the small sample size and multiple survey items. Qualitative analysis identified four themes: positive experiences, emotional impact, desire for continued learning, and perceived learning, providing context for participants’ experiences. These preliminary findings describe participants’ self-reported survey responses and experiences following an accessible sexuality education program. Further research with larger samples, validated measures, and longitudinal designs is needed to better understand participant-reported outcomes.