Beyond performance gains: towards autonomy-centred and ecologically valid XR outcomes for autistic people

IMPLICATIONS FOR REHABILITATIONXR outcomes for autistic people should extend beyond virtual task performance to include real-world transfer, maintenance, and person-defined participation.Autistic people should help define valued goals, acceptable assistance, sensory and communication settings, pacing, and stopping options.Clinicians and researchers should document environmental facilitators and barriers and pair XR performance metrics with at least one natural-context measure.Session duration should be individualised according to tolerability, sensory load, and user choice rather than treated as a fixed minimum dose.