A hostile context, very limited intervention theory and almost no change in outcomes: findings from a realist review of health passports for Autistic adults medrxiv.org/content/10.1101/20

"Using an AHP [Autism Health Passports] tool alone, without the inclusion of the local Autistic community developing the tool, and a wider intervention, such as training for staff or the use of local champions, may mean that AHPs do not trigger any Mechanisms, and thus cannot affect Outcomes."

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