Project in Lieu of Thesis · committee draft

School for All — Belonging by design

An accessibility-based approach to school connectedness for neurodivergent students

Overview

Overview

Neurodivergent students, such as those who are autistic, dyslexic, or have ADHD, are among those least likely to feel they belong at school. Belonging predicts mental health, academic achievement, and life outcomes well into adulthood. Most programs that promote belonging work through social routes such as peer attitudes and social skills. School for All takes a different route: accessibility. The program is built on the premise that a classroom designed around one way of learning forces neurodivergent students to spend energy overcoming the environment before they can learn, and that this hidden, avoidable effort accumulates into disengagement and, eventually, exclusion. Through lived-experience storytelling, assistive technology and study strategies, and stigma reduction, the program helps students participate and thrive now, while the longer work of universal design continues. The program has been implemented in all 10 compulsory schools in Hafnarfjörður, Iceland — reaching staff, students in grades 8–10, and families — and is now expanding to new municipalities and grade levels.

Introduction

Part 1 — Introduction & Rationale

1.1 School connectedness as a health outcome

A powerful determinant of young people’s health is school connectedness, which describes the degree to which a student perceives that they belong in their school (CDC, 2024). Belonging is a fundamental human need (Baumeister & Leary, 1995), and in Maslow’s hierarchy it sits below esteem and self-actualization, meaning students must feel they belong before they can fully engage, perform, and grow (Maslow, 1943). A foundational review established belonging as a basic need the school community itself must meet (Osterman, 2000).

PHYSIOLOGICAL SAFETY LOVE AND BELONGING ESTEEM SELF- ACTUALIZATION $ School connectedness lives here
Figure 1. Belonging in Maslow’s hierarchy — school connectedness sits at the love-and-belonging level, beneath esteem and self-actualization (Maslow, 1943).

Youth who perceive high school connectedness have stronger academic outcomes, are more likely to graduate or pursue further education, engage in more positive health behaviors such as physical activity, and show better mental-health outcomes that persist into adulthood (Balfanz et al., 2024; CDC, 2024; Steiner et al., 2019). In contrast, feeling disconnected at school coincides with higher rates of emotional distress, suicidality, violence, and substance use, reducing adolescents’ quality of life across mental health, sexual health, and addiction, a pattern first documented in the foundational analysis of the U.S. National Longitudinal Study of Adolescent Health (NLSAH) in 1997 (CDC, 2023; CDC, 2024; Jones et al., 2022; Korpershoek et al., 2020; Raniti et al., 2022; Resnick et al., 1997).

When it’s strong

Promotes…

Stronger academics
Graduation and further education
Regular attendance
Healthy habits
Lifelong health
!

When it’s lacking

Raises the risk of…

! Lower grades
! Dropping out
! Anxiety and depression
! Substance use and violence
! Suicidal thoughts and behaviors
Figure 2. School connectedness as a health outcome — what it protects, and what risk its absence raises.

1.2 The global scale of the problem

School connectedness is a globally measured health outcome, and the picture the data show is concerning. International datasets such as the Programme for International Student Assessment (PISA), conducted by the Organisation for Economic Co-operation and Development (OECD) every three years in over 80 countries, and national datasets such as the U.S. Youth Risk Behavior Survey (YRBS), conducted by the Centers for Disease Control and Prevention (CDC), and Iceland’s national youth study (Íslenska æskulýðsrannsóknin) measure school connectedness at the population level. Across OECD countries in the 2022 PISA cycle, roughly one in four students did not agree that they belonged at school (OECD, 2023). In the United States, 45% of high school students in 2023 did not report feeling close to people at their school — the YRBS measure of school connectedness (CDC, 2024). In Iceland, one in five students reported not feeling they belonged at school in 2022 (OECD, 2023). Before the pandemic, in 2018, the number was even higher: one in four Icelandic students reported not feeling they belonged (OECD, 2019).

Figure 3. The scale of disconnection — 1 in 4 across the OECD · 45% in the U.S. · 1 in 5 in Iceland.

1.3 What builds school connectedness

Factors that promote school connectedness in the general population have been extensively studied. A meta-analysis of 51 studies found that teacher support is among the strongest correlates of belonging at the secondary level (Allen et al., 2018). Additional factors include positive teacher–student relationships, perceived teacher fairness, parental emotional support, academic motivation, and a safe and fair school climate (Allen et al., 2023). Evidence from the NLSAH likewise links positive classroom management climates, tolerant discipline policies, participation in extracurricular activities, and smaller school size to higher connectedness (McNeely et al., 2002). However, these factors have largely been studied in the general student population, and special consideration is needed for student populations who face additional barriers in school.

1.4 Neurodivergent students are at greater risk

Neurodivergent students, such as those who are autistic, dyslexic, have ADHD, or other neurodevelopmental differences, are among those at greatest risk of low school connectedness. Together, these conditions are estimated to affect 15–20% of school-aged youth (Littlefair et al., 2024; Yang et al., 2022). The proportion is likely higher. Autism is globally underidentified, particularly in girls (Zeidan et al., 2022; Lockwood Estrin et al., 2021), and adult ADHD is widely underdiagnosed (Song et al., 2021). Population-based Icelandic data confirm these patterns at the national level, documenting sex differences in identification and high rates of co-occurring psychiatric conditions among autistic and ADHD young people (Sigurdardottir et al., 2025). Additionally, diagnosis can be hard to access, particularly for low-income families, and waiting lists can be long (Aylward et al., 2021; Odegard et al., 2020; O'Nions et al., 2023). In Iceland, waiting lists can be up to three years for assessment or support (Biðlistinn, 2025). Consequently, a substantial group of students’ neurodivergence has not been — and may never be — formally identified, leaving them without formal support while facing the same barriers.

Research consistently shows that neurodivergent students report lower connectedness than their neurotypical peers (Tsou et al., 2025; Boshoff et al., 2025; Wilmot et al., 2024). The evidence, though limited, is consistent. An Icelandic study of 480 schoolchildren first compared students with and without chronic health conditions and found that those with chronic conditions reported lower school connectedness; within that group, students with learning disabilities and mental-health conditions were at the greatest risk (Svavarsdóttir, 2008). Adolescents with learning disabilities were found to be at twice the risk of emotional distress, and females were at twice the risk of suicide attempt, with connectedness to parents and school being the strongest protective factors against these outcomes (Svetaz et al., 2000). This risk also appears once avoidance has progressed to chronic non-attendance, a pattern studied in its own right in the school-attendance literature (Kearney & Graczyk, 2020). Autistic students miss roughly a fifth of school days, driven by school factors rather than unwillingness (Totsika et al., 2020), and in one large UK study, 92% of children in school distress were neurodivergent (Connolly et al., 2023). A student who avoids or is excluded from school is not a student who feels they belong.

1.5 The data gap: Statistically invisible

Despite neurodivergent students’ elevated risk of low connectedness, data on this population remain scarce in national data collections. PISA, the YRBS, and Iceland’s national youth study all examine factors such as gender and socioeconomic status, but not disability or neurotype (CDC, 2024). This gap is well documented: International assessments such as PISA systematically exclude many students with disabilities through their sampling rules (Schuelka, 2013) and do not disaggregate special educational needs the way they do gender and income (LeRoy et al., 2019), and a peer-reviewed analysis confirms that the YRBS has no disability item (Lutz et al., 2023). Consequently, the proportion of disconnected students who are neurodivergent is unknown — the students most at risk are statistically invisible.

Figure 4. The data gap — PISA / YRBS / Íslenska æskulýðsrannsóknin × gender ✓ · SES ✓ · disability ✕.

The rare exceptions confirm the pattern. When a U.S. survey cycle carried a disability item, students with disabilities showed higher rates of sadness, suicidality, substance use, and victimization (Everett Jones & Lollar, 2008); when Ireland’s national cohort measured special educational needs, those children were significantly less likely to like school (McCoy & Banks, 2012); and in the United Kingdom, where a regional survey links belonging to special-educational-needs status, students with special educational needs report lower school belonging and markedly higher disability-based discrimination (BeeWell Programme, 2025). No national instrument yet captures this systematically.

1.6 The Icelandic context

The problem is global; Iceland is no exception, and it is the context in which this work is grounded. Iceland is a nation of approximately 390,000 people with a ten-year compulsory school system (grunnskóli). National policy embraces inclusive education (skóli án aðgreiningar), yet an external audit found major implementation gaps, including no shared understanding of inclusion in practice (European Agency for Special Needs and Inclusive Education, 2017), and Icelandic teachers describe inclusion as an added burden they were not prepared for (Gunnþórsdóttir & Jóhannesson, 2014). The global and Icelandic pictures point to the same place: the environment.

1.7 What this work adds and where the answer lies

Many factors affect belonging for neurodivergent students, including bullying, difficulty connecting with peers, different communication styles, and ableist attitudes, all of which further elevate their risk. Crucially, differences in communication are a difference, not a deficit, a point increasingly made by autistic-led research, which locates communication breakdown between neurotypes rather than within autistic people (Milton, 2012; Marocchini, 2023; Crompton et al., 2020). These factors matter, and other approaches address them (Hodges et al., 2022; Kasari et al., 2012). This work does not claim to be the whole answer. Instead, it examines one specific, underexamined, and modifiable influence on school connectedness for neurodivergent students: inaccessibility. Based on that lens, I propose a conceptual framework that explains how inaccessible educational environments contribute to exclusion and, through it, to the erosion of school connectedness for neurodivergent students. I propose that belonging does not collapse all at once. It erodes — one avoidable barrier at a time — until a student stops showing up. Part 2 explains the development of this framework; the program in Part 3 is built on it.

The framework

Part 2 — The Framework

Universal Design
for Learning
Cognitive Load
Theory
Friction as equity
Belonging &
connectedness
Hidden exclusion &
disability studies
Each field explains part of the picture; none holds it whole.
Figure 5. Positioning — the framework sits where four fields overlap; each explains part of the picture, and none holds it whole.

2.1 What this contribution is

I present this as a conceptual framework: a synthesis of established constructs from cognitive load theory, the social model of disability, and Universal Design for Learning into a single explanatory pathway, the Belonging Chain. It follows the tradition of pathway frameworks such as the minority stress model (Meyer, 2003), which explains how chronic stress arising from stigma and prejudice harms the health of minority groups, and the stress process model (Pearlin et al., 1981), which traces how conditions in a person’s social environment become stressors that wear health down over time. Such frameworks trace a distal environmental cause through an internal mediating state to an outcome (Jabareen, 2009; Imenda, 2014). The integration of these previously unconnected literatures into one pathway is itself the theoretical contribution (Whetten, 1989).

2.2 The gap it addresses

The factors that build school connectedness are well studied in the general student population (Allen et al., 2018), and existing belonging interventions for neurodivergent students work largely through social routes, namely peer attitudes and social skills (Hodges et al., 2022; Kasari et al., 2012). The leading socio-ecological framework of school belonging (Allen et al., 2016) maps the multi-level factors that foster belonging, but it does not model the mechanism by which environmental inaccessibility erodes belonging for neurodivergent students specifically. Cognitive load theory, the social model of disability, and UDL each illuminate part of why neurodivergent students disengage, but, to my knowledge, no existing framework connects them into a single pathway from environmental inaccessibility to belonging erosion. It has also been noted in the field that social-skills approaches risk locating the “fix” in the child rather than the environment (Bottema-Beutel et al., 2018). This framework takes the environmental route.

2.3 What each lens contributes

Four lenses each explain a link in the chain. Universal Design for Learning (Rose & Meyer, 2002) identifies the fault: a one-size-fits-all classroom (Link 1). Cognitive load theory (Sweller, 1988; Paas & van Merriënboer, 2020) supplies the mechanism: the extraneous effort inaccessible instruction imposes (Links 2–3). Stigma and stereotype-threat research (Haft et al., 2023; Shifrer, 2013) explains the turn inward: identity erosion (Link 4). And hidden-exclusion and disability-studies research explains the end of the chain (Links 5–6): exclusion is often informal and invisible (internal exclusion, part-time timetables, off-rolling, remaining on the register but not in class — forms documented most extensively in the UK), so official figures undercount it, and disabled and neurodivergent students are heavily overrepresented in these hidden forms (Power & Taylor, 2020; McCluskey et al., 2019; Connolly et al., 2023).

Three further lenses hold up the whole chain rather than any single link. The social model of disability (Oliver, 2013) and, complementing it, an occupational-justice perspective (Townsend & Wilcock, 2004) both locate the problem in the environment and the person–environment fit rather than in the student. The ideal response is therefore a learning environment that is inherently flexible, in line with UDL, so that fewer individualized accommodations — which are often burdensome to obtain — are needed in the first place. Individualized supports and assistive technology bridge the gap where universal design does not yet reach. Meyer’s (2003) minority stress model supplies the pathway’s form, and Maslow (1943) and the school belonging literature (Goodenow, 1993; Allen et al., 2018) frame the outcome.

Each lens explains the link it sits above
Six stages of a descent into exclusion — and the theory that accounts for each link.
UDL
the fault
Cognitive Load Theory
the mechanism
Stigma &
stereotype threat
Hidden exclusion &
disability studies
1
2
3
4
5
6
Structural inequity
Learning friction
Cognitive depletion
Identity erosion
Behavioral disengagement
Exclusion
Cross-cutting lenses — they hold up the whole chain
Social model + Occupational therapy
it's the environment, not the person
Meyer
the shape / pathway form
Maslow + belonging
the outcome
Figure 6. Each lens explains the link it sits above; three cross-cutting lenses hold up the whole chain.

2.4 The Belonging Chain — walking the model

1. Structural inequity. Traditional classrooms are designed around how neurotypical students learn, typically offering one means of taking in information and one means of demonstrating it. This under-implementation of Universal Design for Learning disadvantages students who learn differently from the start (Rose & Meyer, 2002; Bjartmarsdóttir & Newbutt, 2025).

MULTIPLE MEANS OF Representation MULTIPLE MEANS OF Action & Expression MULTIPLE MEANS OF Engagement UDL
Figure 7. Universal Design for Learning — multiple means of representation, action & expression, and engagement (Rose & Meyer, 2002).

2. Learning friction. Learning is never effortless, and it should not be. Learning friction is the cumulative cognitive load a student carries as the three kinds of load interact: intrinsic (how demanding the material itself is), extraneous (load added by how it is presented), and germane (the productive effort of actually learning) (Sweller, 1988; Paas & van Merriënboer, 2020). Some friction is natural, necessary, and even desirable, because germane effort is where learning happens and a degree of challenge deepens it (Bjork & Bjork, 2011). The problem is not friction itself but its total level. For a neurodivergent student in a classroom not designed in line with UDL, extraneous load rises disproportionately. Stacked on top of intrinsic and germane load, the cumulative friction can exceed the student’s working-memory capacity, which is already more heavily taxed for these learners (Martinussen et al., 2005; Swanson et al., 2009; Le Cunff et al., 2024). Sustained, this overwhelm blocks further learning and, over time, tells the student they are “not smart,” when the real problem is the load the environment added.

Picture two students studying one hour for the same exam. The neurotypical student opens the textbook and spends most of the hour learning. The dyslexic student opens the same textbook, but half of their mental energy goes to decoding the words rather than learning the content. In the same hour, the dyslexic student learns less and scores lower — through no fault of their own.

Cognitive load theory: the same energy, spent very differently Neurotypical peer most left for learning Neurodivergent student wasted fighting the format Fighting the format — wasted effort (extraneous load) Real difficulty of the work (intrinsic load) Learning that sticks (germane load)
Figure 8. Cognitive load — the same hour of study, spent very differently. Energy lost to fighting the format is energy not spent learning.

3. Cognitive depletion. As used here, cognitive depletion is the downstream cost of disproportionate friction: the student’s finite working-memory resources are spent on access before and during learning, so they enter overwhelm sooner, cover less material in the same study time, and — because learning took longer — arrive at the moment of demonstrating what they learned with their resources already drained. The result is worse performance despite equal or greater effort (Sweller, 1988; Paas & van Merriënboer, 2020).

4. Identity erosion. Studying as hard as one’s peers yet performing worse conveys the message that the problem is internal, that one is “not cut out” for school, eroding academic self-concept, self-efficacy, and belonging (Haft et al., 2023; Shifrer, 2013; Ragnarsdóttir, 2023).

5. Behavioral disengagement. Eroded belonging predicts withdrawal, and it does not happen overnight. Disengagement begins gradually — participating less, asking for less help, trying less — before it externalizes into visible behavior, a cycle described in the participation–identification model (Finn, 1989; Korpershoek et al., 2020; Quin, 2017).

6. Exclusion. As the disengagement becomes more pronounced, it hardens into exclusion — internal forms, in which a student remains enrolled but is withdrawn or removed from ordinary classroom life, and external forms, such as school avoidance and formal removal. Neurodivergent students are markedly overrepresented in both (Totsika et al., 2020; Connolly et al., 2023; Bond et al., 2007), and in England, students with special educational needs are several times more likely to be formally excluded than their peers (Timpson, 2019; Graham et al., 2019).

Structuralinequity Learningfriction Cognitivedepletion Identityerosion Behavioraldisengagement Exclusion Inaccessiblematerials &rigid systems Disproportionateeffort to accessthe same chance Less capacityleft for learning Shame, loweredself-efficacy,self-blame Withdrawal oroutbursts; lowtolerance Refusal, orpresent butdisconnected
Figure 9. The Belonging Chain — a cumulative risk pathway from an inaccessible environment to exclusion.

Note. Disengagement can take two forms: flight (avoidance and exclusion) or fight (overcompensation through overwork, at the cost of health). The “fight” path connects to a pattern of neurodivergent burnout into adulthood (Raymaker et al., 2020), developed as a separate extension of this framework in future work.

2.5 Construct definitions

2.6 Scope and limitations

This framework applies to neurodivergent students (autistic, ADHD, dyslexic, and related learners) in conventional compulsory and secondary education environments not designed in line with UDL. It is not claimed to be the sole determinant of belonging, but rather provides insight into a previously unexplored factor of belonging for neurodivergent students. Bullying, peer connection, communication differences (Marocchini, 2023), and ableist attitudes continue to be prominent factors that impact belonging at school for these students. The framework is theoretically derived. Several links are correlational or reciprocal rather than strictly one-directional (notably Links 3–5), and the pathway describes elevated risk across a population rather than a fixed trajectory for any individual. Finally, this framework and the program built on it sit alongside, rather than in place of, other approaches: neurodiversity-education curricula such as LEANS build peer understanding and attitudes (Alcorn et al., 2024), and social-focused interventions build peer connection (Hodges et al., 2022; Kasari et al., 2012). The accessibility route taken here has not yet been tested against, or in combination with, these approaches.

The program

Part 3 — The Program

Because the framework identifies learning friction as the upstream, modifiable factor, it is the program’s most direct point of intervention. Assistive technology (tools that reduce extraneous cognitive load and thereby increase equitable access to educational opportunities) and study strategies reduce learning friction by lowering the extraneous portion of the load (reformatting material, scaffolding assignments, and using AI to fill quick knowledge gaps) so that more of a student’s capacity is left for learning. When a dyslexic student listens to a textbook with text-to-speech instead of decoding it, the energy otherwise lost to reading is available for learning (Perelmutter et al., 2017; Bjartmarsdóttir & Newbutt, 2025). However, tools alone are insufficient. Students often avoid assistive technology for fear of appearing different (Vaccarella et al., 2025; Parette & Scherer, 2004), so reducing stigma is essential.

The framework showed how the environment erodes a student’s academic self-efficacy along the chain; the program is built to rebuild it, primarily through credible role models. Academic self-efficacy is thus the bridge between framework and program: the capacity the chain erodes, and the capacity the program is built to restore.

3.1 Theoretical foundation

The program is grounded in three frameworks working at multiple levels: Social Cognitive Theory (SCT), the Social Ecological Model, and the social model of disability. SCT’s key constructs, including self-efficacy, observational learning, outcome expectations, reinforcement, social and normative influences, environmental facilitators and barriers, and reciprocal determinism, provide a foundation for understanding the processes that shape school connectedness (Bandura, 1986; National Cancer Institute, 2005). The Social Ecological Model situates the student within nested levels (individual, relationships, school, family, and community), and the program intervenes across them rather than at the level of the student alone (McLeroy et al., 1988). The social model of disability frames the barrier as residing in an inaccessible environment, not in the student (Oliver, 2013). Together these constitute the program’s theory of change, the logic of how its activities produce belonging.

3.2 Goals

The program’s overarching aim is to strengthen school connectedness for neurodivergent students, the primary outcome evaluated in Section 3.6. Four goals serve this aim, ordered by the program’s causal logic: lower learning friction first, rebuild what it eroded, and then shift the culture and environment that produced it. Measurable objectives are developed from these goals, following the CDC’s framework for program evaluation in public health, in which clearly stated goals and measurable objectives form the foundation of evaluation design (CDC, 2011).

Goals 1 and 2 work at the level of the student. Goals 3 and 4 work at the level of the culture and environment around the student.

Objectives (GOMS table)

The aim-level outcome — school belonging — sits above all four goals and is measured with the PSSM plus the retrospective belonging item (Section 3.6).

3.3 Method: lived-experience storytelling as the instrument

The facilitator’s own story is used deliberately because evidence shows that narrative increases engagement and relevance and functions as indirect contact that shifts stigma-related attitudes (Nagarkar et al., 2026; Thornicroft et al., 2016; Corrigan et al., 2012). Two public-health principles guide this choice: the messenger must be credible and relatable to the audience, and while data provide context and credibility, it is stories that compel action (Wen, 2021). The story does specific work:

This design choice also enacts the disability-rights principle of “nothing about us, without us”: a program for neurodivergent students is designed, facilitated, and researched by a neurodivergent person. The lived experience is not an anecdote attached to the program — it is the source of the program’s credibility and a working part of its method.

Reframing neurodivergent traits

The same trait, seen as a strength

Seen as a problem The strength inside it
Stubbornness Perseverance
Rigidity Structure
Hyperactivity High energy & output
Being controlling Leadership
Impulsivity Initiative
Obsessiveness Deep expertise
Perfectionism Meticulous work
Taking things literally Honesty & clarity
Thinking differently Creativity
Autism · ADHD · Dyslexia · Sensory-different Einhverfa · ADHD · Lesblinda · Skynsegin
Figure 10. Repositioning — the same neurodivergent trait, reframed as the strength inside it. Presented to staff and families to shift how they view neurodivergent traits; the student session instead repositions assistive technology as a “study smarter, not harder” tool.

3.4 Naming the mechanism: hidden exclusion, learning friction, and assistive technology

Alongside the story, the program’s second instrument is explicit naming and describing of the conceptual framework and its constructs to students, staff, and families. Each audience receives a version adapted to its context and assumed health and research literacy, meeting learners where they are to ensure understanding.

The first concept named is hidden exclusion. Where the framework uses hidden-exclusion research to explain the end of the chain (Power & Taylor, 2020), the program turns it into a teaching point. Exclusion is not only formal removal but the everyday, indirect messages that tell a student they do not belong. A building with an “everyone welcome” sign but no ramp still tells a disabled person they were not expected to come. This example is used in the program to visualize the hard-to-visualize hidden exclusion that neurodivergent students face.

The second concept named is learning friction. In the staff and family sessions, the facilitator names cognitive load theory directly and walks through the Belonging Chain, showing how an environment not built for a student converts effort into overwhelm, and overwhelm into disengagement. In the student session, the facilitator translates this to learning. Repeatedly setting a student tasks they have neither the tools, the skills, nor the time to complete, in an environment that was not built for how they learn, sends the indirect message that something is wrong with the student rather than with the learning design. Learning design matters, because not everyone learns the same way. Some learn best by seeing, others by writing, listening, or doing. Each student has their own way, and finding it, while staying aware of learning friction, is part of learning how you learn best.

Hidden exclusion — a welcome that isn’t backed by access still tells a student they were not expected to come.
Figure 11a. Hidden exclusion — a welcome that isn’t backed by access still tells a student they were not expected to come.
Educational infographic titled Hidden exclusion showing a classroom with an “everyone is welcome here” sign, a teacher at the front, and hidden barriers such as sensory overload, noise and distractions, dense text-only demands, time pressure, passive learning, and one-size-fits-all expectations.
Figure 11b. Hidden exclusion in the classroom — a room that looks welcoming can still carry hidden barriers: sensory overload, noise and distractions, dense text-only demands, time pressure, passive learning, and one-size-fits-all expectations.
Two-panel educational infographic titled Hidden exclusion comparing an inclusive-looking classroom with the hidden barriers and unequal effort experienced by neurodivergent students.
Figure 11c. Hidden exclusion — surface inclusion versus the hidden barriers and unequal effort a neurodivergent student experiences behind it.

The third concept named is assistive technology. In all sessions, assistive technology is defined broadly: any tool that reduces friction between a learner and their environment — glasses, headphones, text-to-speech, timers, organizational tools, anything that helps. Within this definition, artificial intelligence is introduced explicitly as an emerging category of assistive technology and described to students, staff, and families as a tool that, used with guidance, can increase access to information, reading, writing, and organization. Naming AI directly gives all three audiences a shared, non-stigmatizing language for a technology students are already encountering.

In student sessions, this is made concrete through a study workflow grounded in evidence-based learning strategies: students pair AI with their own course materials to generate active-recall quizzes, use the results to map strengths and gaps in the knowledge required, direct their study time toward the identified gaps, and then talk through difficult concepts with AI as a form of self-explanation. Each step reflects established findings — that active learning outperforms passive instruction in K–12 settings (Tutal & Yazar, 2023), that retrieval practice is among the highest-utility learning techniques (Dunlosky et al., 2013), and that prompted self-explanation produces meaningful learning gains while helping students identify what they do not yet know (Bisra et al., 2018). AI is likewise presented as a scaffolding tool that can break demanding assignments into manageable steps — a new application of one of the best-established instructional principles (D. Wood et al., 1976; van de Pol et al., 2010). This enables older students to work more independently, helps parents support learning in subjects they have not mastered themselves, and lets teachers prepare scaffolded materials for a struggling learner in seconds rather than hours, freeing time for other students. The sessions also introduce complementary strategies for focus and executive functioning. The first is structured work–break intervals, such as the Pomodoro method, consistent with research on effort regulation and attention restoration. The second is body doubling — working alongside another person — an emerging, community-identified strategy with early empirical support among neurodivergent people (Eagle et al., 2024). Framed this way, AI and its companion strategies reduce friction not by doing the thinking for the student, but by making proven strategies easier to execute.

The sessions also emphasize that these tools help all students: text-based telephone communication was first developed for deaf people (the TeleTYpewriter), and texting is now part of everyday life for everyone. Every session therefore closes by naming the curb-cut effect — the principle that designs created for those who need them most end up benefiting everyone (Blackwell, 2017) — connecting the tools back to the program’s core repositioning message.

🧰
School for All · Toolkit

The assistive-technology toolkit

Twelve categories
taught to students, staff & families
01
📚

Digital & audio books

Books in the format that fits the reader

02
🔊

Text-to-speech

Listen to any text instead of decoding it

03
👓

Reading support

Fonts, spacing, and overlays that ease reading

04
🎙️

Speech-to-text

Write by speaking

05
✍️

Grammar support

Catch and fix writing errors as you go

06
🌍

Language

Translation and language-learning support

07

Math

Step-by-step solvers and visual math tools

08
🗓️

Executive functioning & time

Planning, organizing, and time management

09
💚

Emotional regulation

Tools that support calm and self-regulation

10
🎯

Attention tools

Blockers and settings that protect focus

11
🤖

AI

Fill knowledge gaps and scaffold tasks

12
🌿

Sensory-friendly environment

Adjusting light, sound, and space to the learner

Skóli fyrir öll · School for All  —  harts.is  ·  Belonging by design
Figure 12. The twelve assistive-technology categories.

3.5 Program components

The program consists of five core components, structured around the Social Ecological Model: four session types that reach the nested levels of the student’s environment, and educational materials that sustain the work after delivery. All components are delivered universally to whole schools rather than based on diagnosis; the program therefore also reaches the substantial group of students whose neurodivergence has not been — and may never be — formally identified (Section 1.4). The components are the fixed core of the program, while their dosage (session length, number of sessions, and audience size) is adapted to the needs of each community. The model is designed for grades 5–12. It was first implemented in Hafnarfjörður in grades 8–10, and a successful grades 5–7 pilot now informs its expansion to grades 5–10 in a second municipality.

The tools presented are deliberately many and varied: not every tool will work for every student, or be feasible for every student to use, but the breadth ensures that everyone can find something that works for them — across all areas of learning difficulty, addressed in different ways. The assistive technology taught across the sessions spans twelve categories (see Figure 12; Appendix A lists example tools and supporting evidence by category): digital and audio books; text-to-speech; reading support; speech-to-text; grammar support; language; math; executive functioning and time management; emotional regulation; attention tools; AI; and sensory-friendly learning environments. Several categories carry direct evidence: text-to-speech improves reading comprehension for students with reading disabilities (S. G. Wood et al., 2018), and the gamified approaches used in the math/STEM and language tools show positive effects on cognitive, motivational, and behavioral learning outcomes (Sailer & Homner, 2020). The math and language categories are best understood not as distinct accessibility mechanisms but as UDL’s multiple means of representation, engagement, and expression operationalized in tool form (CAST, 2024). Sensory-friendly learning environments include low-cost regulation supports — earplugs, noise-reducing headphones, fidget tools, adjustable lighting, and weighted or compression items. These are offered as regulation options rather than as evidence-based interventions: their purpose is to reduce sensory overwhelm and support recovery and regulation during and after cognitively demanding tasks, so the student can return to a state in which learning is possible. Evidence here is emerging and mixed — fidget devices, for example, have improved on-task classroom behavior for students with ADHD (Aspiranti & Hulac, 2022), while reviews of sensory-based tools more broadly urge caution — which is why the program presents them as options to try, not prescriptions.

Program Model

Skóli fyrir öll

A multi-level design spanning the student's whole environment — staff, students, support staff and families — grounded in SCT and the Social-Ecological Model.

1
Level 1 · Staff

Staff Session

60 min · all school staff
  • Reduce stigma around neurodivergence
  • Surface neurodivergent potential & connectedness
  • Practical assistive tech for the classroom
2
Level 2 · Students

Student Sessions

30 min · one per grade
  • One dedicated special-education session
  • Coping tools, strengths & self-understanding
  • Build hope and a sense of belonging
3
Level 3 · Support staff

Support-Staff Cohort

2 × 60 min · consultants
  • Includes engaged teachers from Session 1
  • Reduce structural barriers school-wide
  • Apply assistive tech and sustain it
4
Level 4 · Families

Family Session

In person + online
  • Parents and students together
  • Same assistive tech carried into the home
  • Support belonging beyond the school walls
Every school gets Supporting materials
Notion templates Assistive-tech tutorial videos Reading & writing support Organization tools Slides for in-house training
Figure 13. Program model — the five connected components of School for All.

Beyond the classroom, the program aims to shift norms and cultural views of disability across these levels. This is a long-term ambition that no single evaluation can capture, but it is the ambition the socio-ecological lens makes explicit. This multi-level shape is consistent with evidence that the most effective school mental-health programs target everyone, aiming to change culture rather than treat individuals (Szeto et al., 2024), and that whole-school approaches with family components outperform single-component ones (Goldberg et al., 2019; Allen et al., 2022).

Figure 14. Program logic model — inputs, activities, outputs, and short-, intermediate-, and long-term outcomes.

3.6 Evaluation

As an initial, feasibility-focused evaluation of the program’s goals, the primary outcome, school belonging, is measured with the Psychological Sense of School Membership (PSSM) scale (Goodenow, 1993), completed by students after the program via Microsoft Forms on their personalized school devices, in Icelandic or English depending on the student’s language of instruction, together with a short set of researcher-designed items delivered in the same language. The PSSM is currently being translated into Icelandic by the researcher and back-translated into English by a bilingual reviewer with subject-matter expertise and prior back-translation experience, who had no access to the original English version; a second bilingual reviewer with prior experience in Icelandic-context translation is comparing the back-translated version to the original for semantic equivalence, with discrepancies reconciled through discussion and revision, following established back-translation procedures (Brislin, 1970). To the author’s knowledge, this is the first Icelandic adaptation of the PSSM — an instrument contribution in itself — with known method effects from negatively worded items addressed in scoring (Ye & Wallace, 2014). Researcher-designed items were written to match the literacy level of the intended audience and incorporated images of AT tools and categories to reduce reading demand, consistent with the study’s UDL framework. Keeping the survey brief fits the single-session format. Because change is the target, the items use a retrospective post format, which reduces the response-shift bias that can distort conventional pre/post self-reports (Howard, 1980).

In line with the GOMS table, the researcher-designed items capture, in order: perceived inspiration and hope (Goal 2); retrospective change in school belonging (the program’s aim); willingness or intention to use at least one tool or strategy from the program (Goals 1 and 3); perception of prior difficulty with school or learning (an indirect indicator); and an optional open-ended item on which tool the student is most excited to try. Exact item wording is finalized during ethics review.

The final item is indirect. Rather than asking for a diagnosis, it flags students who have experienced difficulty in school or learning. This allows a test of the hypothesis that students who have struggled, those the program is designed to reach, benefit more from it. As the study concerns students’ experience of their own learning, it would be submitted to the Icelandic National Bioethics Committee (Vísindasiðanefnd) to confirm the required level of oversight before any data collection. After a conversation with the National Bioethics Committee, they have expressed that this data collection does not need a formal review as the data collected is not direct health data and is collected anonymously. This initial evaluation focuses on the aim and the student-level goals; the culture- and staff-level goals will be evaluated in later phases.

3.7 Limitations

The program is deliberately limited in scope. It does not attempt to reform, on its own, the structural inequity of an education system not yet designed in line with UDL. Embedding UDL system-wide is the work of many researchers over many years. Encouragingly, the field is moving in this direction: the most recent UDL Guidelines explicitly foreground identity and belonging as design goals (CAST, 2024). Instead, the program helps neurodivergent students survive and, ideally, thrive within the environment they are in now, while that longer systemic change proceeds. Introducing all staff to UDL plants a seed for it. As a short, single-contact intervention, its measurable effects are correspondingly modest and near-term, and the evaluation above is an initial, feasibility-oriented assessment rather than a definitive test. The framework it rests on is theoretically derived and awaits empirical study.


Implementation

Part 4 — Implementation and what was learned

4.1 The first implementation: Hafnarfjörður, 2026

School for All was first delivered across all 10 compulsory schools in Hafnarfjörður, Iceland, over one school semester (February–April 2026), reaching staff, students in grades 8–10, and families. The implementation began with a request: after a 2025 television interview, a parent, Björg Sæmundardóttir, connected the program’s developer with the town’s mayor, who asked for a program for all ten schools (V. Víðisson, personal communication, October 8, 2025). At a December 2025 stakeholder session, the municipality proposed adding a session for parents — initially a workaround for privacy rules that limit assistive technology on school devices, and subsequently a permanent component, since the home is where access is least restricted. Schools were run in three groups of roughly a month each, so sessions could be refined from feedback as delivery progressed.

4.2 How the program adapted

Unsolicited verbal feedback from staff, students, and families throughout delivery informed real-time adaptation. Several key changes resulted. The student session was reframed after staff reported students refused tools to avoid looking “different” — disability language was dropped (except the facilitator’s own story), and tools were marketed instead as a universal “study smarter, not harder” strategy. Dedicated sessions for special-education groups were added after students in special-education classes and námsver (study labs) were found to be invisible in the grade-level plan; this is now a standard component. Delivery shifted to one grade level at a time for feasibility, and the student session was tightened to reduce cognitive load. Tool-name handouts were added at students’ request. Finally, the staff follow-up was redesigned into a shorter, hands-on format while the municipality cleared tool barriers.

4.3 What the first cycle showed

The first cycle showed that a municipality-wide, multi-level program is feasible: all ten schools were reached in a single semester. Demand is real, as the program was requested by the municipality itself and is now being adapted for others. The delivery model also proved able to correct itself; acting on unsolicited feedback turned a first draft into a refined, replicable model. The most striking lesson came from the program’s own framework — students in special-education settings were initially left out because schools did not report them, hidden exclusion operating quietly inside an inclusion program (Power & Taylor, 2020). The episode strengthens the program’s core claim: exclusion operates invisibly unless actively countered.

4.4 First-cycle learnings and future evaluation

The first cycle was not formally evaluated, and no research data were collected, as the work preceded ethics review. Refinements were instead informed by unsolicited verbal feedback from staff, students, and families, noted as it arrived — the engine of the adaptations above. Formal evaluation using the Icelandic PSSM described in Section 3.6 is planned for future cycles, following the required ethics approval, with waitlist or stepped-wedge designs under consideration so that later schools can serve as comparison groups (Brown & Lilford, 2006).

References

References

  1. Alcorn, A. M., McGeown, S., Mandy, W., Aitken, D., & Fletcher-Watson, S. (2024). Learning About Neurodiversity at School: A feasibility study of a new classroom programme for mainstream primary schools. Neurodiversity, 2. https://doi.org/10.1177/27546330241272186
  2. Allen, K.-A., Cordoba, B. G., Ryan, T., Arslan, G., Slaten, C. D., Ferguson, J. K., Bozoglan, B., Abdollahi, A., & Vella-Brodrick, D. (2023). Examining predictors of school belonging using a socio-ecological perspective. Journal of Child and Family Studies, 32(9), 2804–2819. https://doi.org/10.1007/s10826-022-02305-1
  3. Allen, K.-A., Jamshidi, N., Berger, E., Reupert, A., Wurf, G., & May, F. (2022). Impact of school-based interventions for building school belonging in adolescence: A systematic review. Educational Psychology Review, 34, 367–389. https://doi.org/10.1007/s10648-021-09621-w
  4. Allen, K., Kern, M. L., Vella-Brodrick, D., Hattie, J., & Waters, L. (2018). What schools need to know about fostering school belonging: A meta-analysis. Educational Psychology Review, 30(1), 1–34. https://doi.org/10.1007/s10648-016-9389-8
  5. Allen, K.-A., Vella-Brodrick, D., & Waters, L. (2016). Fostering school belonging in secondary schools using a socio-ecological framework. The Educational and Developmental Psychologist, 33(1), 97–121. https://doi.org/10.1017/edp.2016.5
  6. Aspiranti, K. B., & Hulac, D. M. (2022). Using fidget spinners to improve on-task classroom behavior for students with ADHD. Behavior Analysis in Practice, 15, 454–465. https://doi.org/10.1007/s40617-021-00588-2
  7. Aylward, B. S., Gal-Szabo, D. E., & Taraman, S. (2021). Racial, ethnic, and sociodemographic disparities in diagnosis of children with autism spectrum disorder. Journal of Developmental & Behavioral Pediatrics, 42(8), 682–689. https://doi.org/10.1097/DBP.0000000000000996
  8. Balfanz, R., Jerabek, A., Payne, K., & Scala, J. (2024). Strengthening school connectedness to increase student success. EdResearch for Action. https://edresearchforaction.org/research-briefs/strengthening-school-connectedness-to-increase-student-success/
  9. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.
  10. Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529. https://doi.org/10.1037/0033-2909.117.3.497
  11. BeeWell Programme. (2025). Headline findings report: The wellbeing of young people with special educational needs (SEN). University of Manchester. https://beewellprogramme.org/wp-content/uploads/2025/04/Headline-Findings-Report-April-2025-The-wellbeing-of-young-people-with-SEN.pdf
  12. Bisra, K., Liu, Q., Nesbit, J. C., Salimi, F., & Winne, P. H. (2018). Inducing self-explanation: A meta-analysis. Educational Psychology Review, 30(3), 703–725. https://doi.org/10.1007/s10648-018-9434-x
  13. Biðlistinn. (2025). Biðlistinn. Retrieved June 9, 2026, from https://www.bidlisti.is/
  14. Bjartmarsdóttir, J. B., & Newbutt, N. (2025). Beyond accommodations: A personal reflection of accessible education spaces for neurodivergent students. Neurodiversity. [Manuscript in press].
  15. Bjork, E. L., & Bjork, R. A. (2011). Making things hard on yourself, but in a good way: Creating desirable difficulties to enhance learning. In Psychology and the real world. Worth. https://www.waddesdonschool.com/wp-content/uploads/2021/02/Desriable-Difficulties-in-theoryand-practice-Bjork-Bjork-2020.pdf
  16. Blackwell, A. G. (2017). The curb-cut effect. Stanford Social Innovation Review, 15(1), 28–33. https://ssir.org/articles/entry/the_curb_cut_effect
  17. Bond, L., Butler, H., Thomas, L., Carlin, J., Glover, S., Bowes, G., & Patton, G. (2007). Social and school connectedness in early secondary school as predictors of late teenage substance use, mental health, and academic outcomes. Journal of Adolescent Health, 40(4), 357.e9–357.e18. https://doi.org/10.1016/j.jadohealth.2006.10.013
  18. Boshoff, K., Redmond, G., Slee, P., & Robinson, S. (2025). The perceptions of autistic school students of their well-being at school: A meta-synthesis. European Journal of Special Needs Education, 40(4), 688–705. https://doi.org/10.1080/08856257.2024.2421108
  19. Bottema-Beutel, K., Park, H., & Kim, S. Y. (2018). Commentary on social skills training curricula for individuals with ASD: Social interaction, authenticity, and stigma. Journal of Autism and Developmental Disorders, 48(3), 953–964. https://doi.org/10.1007/s10803-017-3400-1
  20. Brislin, R. W. (1970). Back-translation for cross-cultural research. Journal of Cross-Cultural Psychology, 1(3), 185–216. https://doi.org/10.1177/135910457000100301
  21. Brown, C. A., & Lilford, R. J. (2006). The stepped wedge trial design: A systematic review. BMC Medical Research Methodology, 6, 54. https://doi.org/10.1186/1471-2288-6-54
  22. CAST. (2024). Universal Design for Learning Guidelines version 3.0. https://udlguidelines.cast.org
  23. Centers for Disease Control and Prevention. (2011). Introduction to program evaluation for public health programs: A self-study guide. U.S. Department of Health and Human Services. https://www.cdc.gov/evaluation/guide/index.htm
  24. Centers for Disease Control and Prevention. (2023). Youth Risk Behavior Survey: Data summary & trends report 2011–2021. U.S. Department of Health and Human Services. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBS_Data-Summary-Trends_Report2023_508.pdf
  25. Centers for Disease Control and Prevention. (2024). School connectedness helps students thrive. U.S. Department of Health and Human Services. https://www.cdc.gov/youth-behavior/school-connectedness/
  26. Connolly, S. E., Constable, H. L., & Mullally, S. L. (2023). School distress and the school attendance crisis: A story dominated by neurodivergence and unmet need. Frontiers in Psychiatry, 14, Article 1237052. https://doi.org/10.3389/fpsyt.2023.1237052
  27. Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: A meta-analysis of outcome studies. Psychiatric Services, 63(10), 963–973. https://doi.org/10.1176/appi.ps.201100529
  28. Crompton, C. J., Ropar, D., Evans-Williams, C. V. M., Flynn, E. G., & Fletcher-Watson, S. (2020). Autistic peer-to-peer information transfer is highly effective. Autism, 24(7), 1704–1712. https://doi.org/10.1177/1362361320919286
  29. Dunlosky, J., Rawson, K. A., Marsh, E. J., Nathan, M. J., & Willingham, D. T. (2013). Improving students' learning with effective learning techniques: Promising directions from cognitive and educational psychology. Psychological Science in the Public Interest, 14(1), 4–58. https://doi.org/10.1177/1529100612453266
  30. Eagle, T., Baltaxe-Admony, L. B., & Ringland, K. E. (2024). "It was something I naturally found worked and heard about later": An investigation of body doubling with neurodivergent participants. ACM Transactions on Accessible Computing, 17(3), Article 16. https://doi.org/10.1145/3689648
  31. European Agency for Special Needs and Inclusive Education. (2017). Education for all in Iceland: External audit of the Icelandic system for inclusive education. Ministry of Education, Science and Culture. https://www.stjornarradid.is/media/menntamalaraduneyti-media/media/frettatengt2016/final-report_external-audit-of-the-icelandic-system-for-inclusive-education.pdf
  32. Everett Jones, S., & Lollar, D. J. (2008). Relationship between physical disabilities or long-term health problems and health risk behaviors or conditions among US high school students. Journal of School Health, 78(5), 252–257. https://doi.org/10.1111/j.1746-1561.2008.00297.x
  33. Finn, J. D. (1989). Withdrawing from school. Review of Educational Research, 59(2), 117–142. https://doi.org/10.3102/00346543059002117
  34. Goldberg, J. M., Sklad, M., Elfrink, T. R., Schreurs, K. M. G., Bohlmeijer, E. T., & Clarke, A. M. (2019). Effectiveness of interventions adopting a whole school approach to enhancing social and emotional development: A meta-analysis. European Journal of Psychology of Education, 34, 755–782. https://doi.org/10.1007/s10212-018-0406-9
  35. Goodenow, C. (1993). The psychological sense of school membership among adolescents: Scale development and educational correlates. Psychology in the Schools, 30(1), 79–90. https://youthrex.com/wp-content/uploads/2019/10/PSSM-Scale.pdf
  36. Graham, B., White, C., Edwards, A., Potter, S., & Street, C. (2019). School exclusion: A literature review on the continued disproportionate exclusion of certain children. Department for Education. https://assets.publishing.service.gov.uk/media/5cd15de640f0b63329d700e5/Timpson_review_of_school_exclusion_literature_review.pdf
  37. Gunnþórsdóttir, H., & Jóhannesson, I. Á. (2014). Additional workload or a part of the job? Icelandic teachers' discourse on inclusive education. International Journal of Inclusive Education, 18(6), 580–600. https://doi.org/10.1080/13603116.2013.802027
  38. Haft, S. L., Greiner de Magalhães, C., & Hoeft, F. (2023). A systematic review of the consequences of stigma and stereotype threat for individuals with specific learning disabilities. Journal of Learning Disabilities, 56(3), 193–209. https://doi.org/10.1177/00222194221087383
  39. Hamraie, A. (2017). Building access: Universal design and the politics of disability. University of Minnesota Press. https://doi.org/10.5749/minnesota/9781517901639.001.0001
  40. Hodges, A., Cordier, R., Joosten, A., Bourke-Taylor, H., & Chen, Y.-W. (2022). Evaluating the feasibility, fidelity, and preliminary effectiveness of a school-based intervention to improve the school participation and feelings of connectedness of elementary school students on the autism spectrum. PLOS ONE, 17(6), Article e0269098. https://doi.org/10.1371/journal.pone.0269098
  41. Howard, G. S. (1980). Response-shift bias: A problem in evaluating interventions with pre/post self-reports. Evaluation Review, 4(1), 93–106. https://doi.org/10.1177/0193841X8000400105
  42. Imenda, S. (2014). Is there a conceptual difference between theoretical and conceptual frameworks? Journal of Social Sciences, 38(2), 185–195. https://witcrd.com/wp-content/uploads/2022/09/Is-There-a-Conceptual-Difference-between-Theoretical-and-Conceptual-Frameworks.pdf
  43. Jabareen, Y. (2009). Building a conceptual framework: Philosophy, definitions, and procedure. International Journal of Qualitative Methods, 8(4), 49–62. https://journals.sagepub.com/doi/full/10.1177/160940690900800406
  44. Jones, S. E., Ethier, K. A., Hertz, M., DeGue, S., Le, V. D., Thornton, J., Lim, C., Dittus, P. J., & Geda, S. (2022). Mental health, suicidality, and connectedness among high school students during the COVID-19 pandemic — Adolescent Behaviors and Experiences Survey, United States, January–June 2021. MMWR Supplements, 71(3), 16–21. https://doi.org/10.15585/mmwr.su7103a3
  45. Kasari, C., Rotheram-Fuller, E., Locke, J., & Gulsrud, A. (2012). Making the connection: Randomized controlled trial of social skills at school for children with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 53(4), 431–439. https://doi.org/10.1111/j.1469-7610.2011.02493.x
  46. Kearney, C. A., & Graczyk, P. A. (2020). A multidimensional, multi-tiered system of supports model to promote school attendance. Clinical Child and Family Psychology Review, 23, 316–337. https://doi.org/10.1007/s10567-020-00317-1
  47. Korpershoek, H., Canrinus, E. T., Fokkens-Bruinsma, M., & de Boer, H. (2020). The relationships between school belonging and students' motivational, social-emotional, behavioural, and academic outcomes in secondary education: A meta-analytic review. Research Papers in Education, 35(6), 641–680. https://doi.org/10.1080/02671522.2019.1615116
  48. Le Cunff, A.-L., Dommett, E., & Giampietro, V. (2024). Neurophysiological measures and correlates of cognitive load in attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and dyslexia: A scoping review and research recommendations. European Journal of Neuroscience, 59(2), 256–282. https://doi.org/10.1111/ejn.16201
  49. LeRoy, B. W., Samuel, P., Deluca, M., & Evans, P. (2019). Students with special educational needs within PISA. Assessment in Education: Principles, Policy & Practice, 26(4), 386–396. https://doi.org/10.1080/0969594X.2017.1421523
  50. Littlefair, D., McCloskey-Martinez, M., Graham, P., Nicholls, F., Hodges, A., & Cordier, R. (2024). Promoting social-inclusion: Adapting and refining a school participation and connectedness intervention for neurodiverse children in UK primary schools. Research in Developmental Disabilities, 154, Article 104857. https://doi.org/10.1016/j.ridd.2024.104857
  51. Lockwood Estrin, G., Milner, V., Spain, D., Happé, F., & Colvert, E. (2021). Barriers to autism spectrum disorder diagnosis for young women and girls: A systematic review. Review Journal of Autism and Developmental Disorders, 8, 454–470. https://doi.org/10.1007/s40489-020-00225-8
  52. Lutz, T. M., Ferreira, K. E., Noel, J. K., & Bruder, M. B. (2023). Secondary analysis of one state's Youth Risk Behavior Surveillance System (YRBSS) data by Individualized Education Program (IEP) status. Disability and Health Journal, 16(1), Article 101393. https://doi.org/10.1016/j.dhjo.2022.101393
  53. Marocchini, E. (2023). Impairment or difference? The importance of a neurodiversity-affirming approach to autistic communication. Applied Psycholinguistics, 44(3), 365–383. https://doi.org/10.1017/S0142716423000024
  54. Martinussen, R., Hayden, J., Hogg-Johnson, S., & Tannock, R. (2005). A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 44(4), 377–384. https://doi.org/10.1097/01.chi.0000153228.72591.73
  55. Marx, D. M., & Roman, J. S. (2002). Female role models: Protecting women's math test performance. Personality and Social Psychology Bulletin, 28(9), 1183–1193. https://doi.org/10.1177/01461672022812004
  56. Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346
  57. McCluskey, G., Cole, T., Daniels, H., Thompson, I., & Tawell, A. (2019). Exclusion from school in Scotland and across the UK: Contrasts and questions. British Educational Research Journal, 45(6), 1140–1159. https://doi.org/10.1002/berj.3555
  58. McCoy, S., & Banks, J. (2012). Simply academic? Why children with special educational needs don't like school. European Journal of Special Needs Education, 27(1), 81–97. https://doi.org/10.1080/08856257.2011.640487
  59. McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377. https://doi.org/10.1177/109019818801500401
  60. McNeely, C. A., Nonnemaker, J. M., & Blum, R. W. (2002). Promoting school connectedness: Evidence from the National Longitudinal Study of Adolescent Health. Journal of School Health, 72(4), 138–146. https://doi.org/10.1111/j.1746-1561.2002.tb06533.x
  61. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://pmc.ncbi.nlm.nih.gov/articles/PMC2072932/
  62. Milton, D. E. M. (2012). On the ontological status of autism: The 'double empathy problem'. Disability & Society, 27(6), 883–887. https://doi.org/10.1080/09687599.2012.710008
  63. Nagarkar, A., Martin, G., Sadaniantz, K., Iyengar, S., Wisniewski, H. C., Denu, M. K., Chiriboga, G., Forrester, S. N., Allison, J. J., & Kovell, L. C. (2026). Storytelling for health promotion: A scoping review. American Journal of Health Promotion, 40(2), 187–209. https://doi.org/10.1177/08901171251365366
  64. National Cancer Institute. (2005). Theory at a glance: A guide for health promotion practice (2nd ed.). U.S. Department of Health and Human Services, NIH. https://cancercontrol.cancer.gov/sites/default/files/2020-06/theory.pdf
  65. Odegard, T. N., Farris, E. A., Middleton, A. E., Oslund, E., & Rimrodt-Frierson, S. (2020). Characteristics of students identified with dyslexia within the context of state legislation. Journal of Learning Disabilities, 53(5), 366–379. https://doi.org/10.1177/0022219420914551
  66. Oliver, M. (2013). The social model of disability: Thirty years on. Disability & Society, 28(7), 1024–1026. https://doi.org/10.1080/09687599.2013.818773
  67. O'Nions, E., Petersen, I., Buckman, J. E. J., Charlton, R., Cooper, C., Corbett, A., Happé, F., Manthorpe, J., Richards, M., Saunders, R., Zanker, C., Mandy, W., & Stott, J. (2023). Autism in England: Assessing underdiagnosis in a population-based cohort study of prospectively collected primary care data. The Lancet Regional Health – Europe, 29, Article 100626. https://doi.org/10.1016/j.lanepe.2023.100626
  68. Organisation for Economic Co-operation and Development. (2019). PISA 2018 results (Volume III): What school life means for students' lives. OECD Publishing. https://doi.org/10.1787/acd78851-en
  69. Organisation for Economic Co-operation and Development. (2023). PISA 2022 results (Volume II): Learning during – and from – disruption. OECD Publishing. https://doi.org/10.1787/a97db61c-en
  70. Osterman, K. F. (2000). Students' need for belonging in the school community. Review of Educational Research, 70(3), 323–367. https://doi.org/10.3102/00346543070003323
  71. Paas, F., & van Merriënboer, J. J. G. (2020). Cognitive-load theory: Methods to manage working memory load in the learning of complex tasks. Current Directions in Psychological Science, 29(4), 394–398. https://doi.org/10.1177/0963721420922183
  72. Parette, P., & Scherer, M. (2004). Assistive technology use and stigma. Education and Training in Developmental Disabilities, 39(3), 217–226. https://doi.org/10.1177/215416470403900304
  73. Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22(4), 337–356. https://www.jstor.org/stable/2136676
  74. Pellicano, E., & den Houting, J. (2022). Annual research review: Shifting from 'normal science' to neurodiversity in autism science. Journal of Child Psychology and Psychiatry, 63(4), 381–396. https://doi.org/10.1111/jcpp.13534
  75. Perelmutter, B., McGregor, K. K., & Gordon, K. R. (2017). Assistive technology interventions for adolescents and adults with learning disabilities: An evidence-based systematic review and meta-analysis. Computers & Education, 114, 139–163. https://doi.org/10.1016/j.compedu.2017.06.005
  76. Power, S., & Taylor, C. (2020). Not in the classroom, but still on the register: Hidden forms of school exclusion. International Journal of Inclusive Education, 24(8), 867–881. https://doi.org/10.1080/13603116.2018.1492644
  77. Quin, D. (2017). Longitudinal and contextual associations between teacher–student relationships and student engagement: A systematic review. Review of Educational Research, 87(2), 345–387. https://doi.org/10.3102/0034654316669434
  78. Ragnarsdóttir, G. B. (2023). Children with learning difficulties: Their self-concept, well-being, and perception of school [Doctoral dissertation, University of Iceland]. Opin vísindi. https://opinvisindi.is/server/api/core/bitstreams/75a2c942-f294-4db9-88c3-4367983bdd35/content
  79. Raniti, M., Rakesh, D., Patton, G. C., & Sawyer, S. M. (2022). The role of school connectedness in the prevention of youth depression and anxiety: A systematic review with youth consultation. BMC Public Health, 22(1), Article 2152. https://doi.org/10.1186/s12889-022-14364-6
  80. Raymaker, D. M., Teo, A. R., Steckler, N. A., Lentz, B., Scharer, M., Delos Santos, A., Kapp, S. K., Hunter, M., Joyce, A., & Nicolaidis, C. (2020). "Having all of your internal resources exhausted beyond measure and being left with no clean-up crew": Defining autistic burnout. Autism in Adulthood, 2(2), 132–143. https://doi.org/10.1089/aut.2019.0079
  81. Resnick, M. D., Bearman, P. S., Blum, R. W., Bauman, K. E., Harris, K. M., Jones, J., Tabor, J., Beuhring, T., Sieving, R. E., Shew, M., Ireland, M., Bearinger, L. H., & Udry, J. R. (1997). Protecting adolescents from harm: Findings from the National Longitudinal Study on Adolescent Health. JAMA, 278(10), 823–832. https://doi.org/10.1001/jama.278.10.823
  82. Rose, D. H., & Meyer, A. (2002). Teaching every student in the digital age: Universal design for learning. ASCD. https://eric.ed.gov/?id=ED466086
  83. Sailer, M., & Homner, L. (2020). The gamification of learning: A meta-analysis. Educational Psychology Review, 32(1), 77–112. https://doi.org/10.1007/s10648-019-09498-w
  84. Schuelka, M. J. (2013). Excluding students with disabilities from the culture of achievement: The case of the TIMSS, PIRLS, and PISA. Journal of Education Policy, 28(2), 216–230. https://doi.org/10.1080/02680939.2012.708789
  85. Shifrer, D. (2013). Stigma of a label: Educational expectations for high school students labeled with learning disabilities. Journal of Health and Social Behavior, 54(4), 462–480. https://doi.org/10.1177/0022146513503346
  86. Sigurdardottir, K. R., Hannesdottir, D. K., Hauksdottir, B., Ollendick, T. H., Davidsdottir, K., & Halldorsdottir, T. (2025). Incidence, co-occurring psychiatric conditions, and sex differences in young people who are autistic, ADHD, or autistic–ADHD: A population-based cross-sectional study in Iceland. The Lancet Child & Adolescent Health, 9(7), 459–469. https://doi.org/10.1016/S2352-4642(2500132-4))
  87. Song, P., Zha, M., Yang, Q., Zhang, Y., Li, X., & Rudan, I. (2021). The prevalence of adult attention-deficit hyperactivity disorder: A global systematic review and meta-analysis. Journal of Global Health, 11, Article 04009. https://doi.org/10.7189/jogh.11.04009
  88. Steiner, R. J., Sheremenko, G., Lesesne, C., Dittus, P. J., Sieving, R. E., & Ethier, K. A. (2019). Adolescent connectedness and adult health outcomes. Pediatrics, 144(1), Article e20183766. https://doi.org/10.1542/peds.2018-3766
  89. Stout, J. G., Dasgupta, N., Hunsinger, M., & McManus, M. A. (2011). STEMing the tide: Using ingroup experts to inoculate women's self-concept in STEM. Journal of Personality and Social Psychology, 100(2), 255–270. https://doi.org/10.1037/a0021385
  90. Svavarsdóttir, E. K. (2008). Connectedness, belonging and feelings about school among healthy and chronically ill Icelandic schoolchildren. Scandinavian Journal of Caring Sciences, 22(3), 463–471. https://doi.org/10.1111/j.1471-6712.2007.00553.x
  91. Svetaz, M. V., Ireland, M., & Blum, R. (2000). Adolescents with learning disabilities: Risk and protective factors associated with emotional well-being. Journal of Adolescent Health, 27(5), 340–348. https://doi.org/10.1016/S1054-139X(00)00170-100170-1)
  92. Swanson, H. L., Zheng, X., & Jerman, O. (2009). Working memory, short-term memory, and reading disabilities: A selective meta-analysis. Journal of Learning Disabilities, 42(3), 260–287. https://doi.org/10.1177/0022219409331958
  93. Sweller, J. (1988). Cognitive load during problem solving: Effects on learning. Cognitive Science, 12(2), 257–285. https://doi.org/10.1207/s15516709cog1202_4
  94. Szeto, A.C.H., Lindsay, B.L., Bernier, E., Henderson, L., & Mercer, S. (2024). The Inquiring Mind Youth: Analysis of a mental health promotion and stigma reduction pilot program for secondary students. Journal of Child and Family Studies, 33, 2900–2918. https://doi.org/10.1007/s10826-024-02839-6
  95. Szumski, G., Smogorzewska, J., & Karwowski, M. (2017). Academic achievement of students without special educational needs in inclusive classrooms: A meta-analysis. Educational Research Review, 21, 33–54. https://doi.org/10.1016/j.edurev.2017.02.004
  96. Thornicroft, G., Mehta, N., Clement, S., Evans-Lacko, S., Doherty, M., Rose, D., Koschorke, M., Shidhaye, R., O'Reilly, C., & Henderson, C. (2016). Evidence for effective interventions to reduce mental-health-related stigma and discrimination. The Lancet, 387(10023), 1123–1132. https://doi.org/10.1016/S0140-6736(15)00298-600298-6)
  97. Timpson, E. (2019). Timpson review of school exclusion. Department for Education. https://assets.publishing.service.gov.uk/media/5cfe7d8de5274a0906be72c8/Timpson_review.pdf
  98. Totsika, V., Hastings, R. P., Dutton, Y., Worsley, A., Melvin, G., Gray, K., Tonge, B., & Heyne, D. (2020). Types and correlates of school non-attendance in students with autism spectrum disorders. Autism, 24(7), 1639–1649. https://doi.org/10.1177/1362361320916967
  99. Townsend, E., & Wilcock, A. A. (2004). Occupational justice and client-centred practice: A dialogue in progress. Canadian Journal of Occupational Therapy, 71(2), 75–87. https://doi.org/10.1177/000841740407100203
  100. Tsou, Y.-T., Nasri, M., Li, B., Blijd-Hoogewys, E. M. A., Baratchi, M., Koutamanis, A., & Rieffe, C. (2025). Social connectedness and loneliness in school for autistic and allistic children. Autism, 29(1), 87–101. https://doi.org/10.1177/13623613241259932
  101. Tutal, Ö., & Yazar, T. (2023). Active learning improves academic achievement and learning retention in K-12 settings: A meta-analysis. Journal on School Educational Technology, 18(3), 1–22. https://doi.org/10.26634/jsch.18.3.19288
  102. Vaccarella, P., Goodman-Vincent, E., Cheng, H., & Cunningham, T. (2025). Barriers and facilitators of assistive technology use among adolescent students with learning disabilities: A mixed methods comparison of daily and less frequent users. Research in Developmental Disabilities, 164, Article 105059. https://doi.org/10.1016/j.ridd.2025.105059
  103. van de Pol, J., Volman, M., & Beishuizen, J. (2010). Scaffolding in teacher–student interaction: A decade of research. Educational Psychology Review, 22(3), 271–296. https://doi.org/10.1007/s10648-010-9127-6
  104. Wen, L. (2021). Lifelines: A doctor's journey in the fight for public health. Metropolitan Books. https://us.macmillan.com/books/9781250186249/lifelines/
  105. Whetten, D. A. (1989). What constitutes a theoretical contribution? Academy of Management Review, 14(4), 490–495. https://josephmahoney.web.illinois.edu/BADM504_Fall%202019/1_Whetten%20(1989.pdf))
  106. Wilmot, A., Hasking, P., Leitão, S., Hill, E., & Boyes, M. (2024). Understanding mental health in developmental dyslexia through a neurodiversity lens: The mediating effect of school-connectedness. Dyslexia, 30(3), Article e1775. https://doi.org/10.1002/dys.1775
  107. Wood, D., Bruner, J. S., & Ross, G. (1976). The role of tutoring in problem solving. Journal of Child Psychology and Psychiatry, 17(2), 89–100. https://doi.org/10.1111/j.1469-7610.1976.tb00381.x
  108. Wood, S. G., Moxley, J. H., Tighe, E. L., & Wagner, R. K. (2018). Does use of text-to-speech and related read-aloud tools improve reading comprehension for students with reading disabilities? A meta-analysis. Journal of Learning Disabilities, 51(1), 73–84. https://doi.org/10.1177/0022219416688170
  109. Woods, K. J. P., Sampaio, G., James, T., Przysinda, E., Cordovez, B., Hewett, A., Spencer, A. E., Morillon, B., & Loui, P. (2024). Rapid modulation in music supports attention in listeners with attentional difficulties. Communications Biology, 7, Article 1376. https://doi.org/10.1038/s42003-024-07026-3
  110. Yang, Y., Zhao, S., Zhang, M., Xiang, M., Zhao, J., Chen, S., Wang, H., Han, L., & Ran, J. (2022). Prevalence of neurodevelopmental disorders among US children and adolescents in 2019 and 2020. Frontiers in Psychology, 13, Article 997648. https://doi.org/10.3389/fpsyg.2022.997648
  111. Ye, S., & Wallace, T. L. (2014). Psychological Sense of School Membership scale: Method effects associated with negatively worded items. Journal of Psychoeducational Assessment, 32(3), 202–215. https://doi.org/10.1177/0734282913504816
  112. Zeidan, J., Fombonne, E., Scorah, J., Ibrahim, A., Durkin, M. S., Saxena, S., Yusuf, A., Shih, A., & Elsabbagh, M. (2022). Global prevalence of autism: A systematic review update. Autism Research, 15(5), 778–790. https://doi.org/10.1002/aur.2696