Universities are identified as neurodiversity “cold spots”, “maintained by low levels of staff awareness, ambivalence and inflexible teaching and assessment approaches” 2. Consequently, neurodiversity – the natural variation in how people think, feel, and interact – is insufficiently supported. Compared with their peers, neurodivergent students face significant barriers in higher education, resulting in lower academic performance, higher dropout rates, and poorer mental health2, 3.

The NeUUroinclusive Education project addresses this challenge using the evidence-informed framework of Universal Design for Learning (UDL). The project introduces a targeted innovation to promote equitable student success and wellbeing by strengthening inclusive teaching practices and embedding neuroinclusive principles in course design and educational policies.

Background information

The National Student Survey shows that 12% of UU’s population identify as having ADHD, learning differences, or being on the autism spectrum4. As neurodivergence is not limited only to those with formal diagnoses, the expected percentage of all neurodivergent students is higher (±20%)5. Difficulties reported by neurodivergent students – concentration problems, anxiety/stress, or feeling overstimulated – are shared by other students, such as those with mental health issues, temporary or chronic illnesses, or care responsibilities4. Therefore, creating a more inclusive educational environment for neurodivergent students can benefit many other students.

Although UU offers various forms of support (e.g., support group Brainpower, classroom/exam accommodations), university support generally remains reactive and deficit-focused5. Students experience numerous barriers to accessing this support, including lack of formal diagnosis required for educational provisions. Furthermore, these services do not address the educational barriers that are at the root of neurodivergent students’ difficulties. Full inclusion requires teachers, study advisors, and tutors to develop knowledge, awareness, and understanding of neurodiversity. In the long term, this should reduce reliance on resource-intensive support, as structural inclusion decreases the need for individual exceptions.

Project description

This project adopts the social-ecological model or neurodiversity paradigm, focusing on the interaction between individuals and their university environment6,7,10. This environment encompasses physical spaces and teaching and assessment practices, attitudes of teachers and peers, available support, classroom climate, and educational policy11. From this perspective, barriers to participation arise not only from individual characteristics but also from how educational environments are designed.

This focus on the learning environment aligns with the Universal Design for Learning (UDL) framework, aiming to meet diverse student needs by designing instructional practices and learning materials that support metacognition and help students develop into expert learners8,12. UDL is grounded in cognitive neuroscience and aligns its three principles with the brain’s learning networks9. These principles translate into instructional strategies:

UDL Framework

UDL principles (CAST model)Examples of practices8,9,12
1. Multiple means of engagementOffering choices in course activities/materials; aligning project/thesis topics with interests; supporting self-regulated learning (e.g., flexible deadlines, checklists/rubrics)  
2. Multiple means of representationPresenting information in various formats (oral, visual, text, kinesthetic); providing clear, structured instructions to activities/assignments  
3. Multiple means of expressionUsing flexible assessment methods (e.g., presentation, written assignment); structuring and supporting group work; providing various ways for students to give feedback  

UDL has a growing evidence base9,12 and is implemented in higher education institutions internationally, including in the Netherlands. At Tilburg University, UDL-principles are applied to redesign the assessment of oral presentations, e.g.: students formulate own learning goals, practice in small groups, and criteria are more broadly formulated to avoid neuronormativity.

Goals

This project aims to promote equitable student success and wellbeing by strengthening neuroinclusive teaching practices and embedding neuroinclusive principles in course design and educational policies, thereby supporting students’ attainment of qualification, socialisation, and personal development.

The estimated scope encompasses, at a minimum:

  • 5 neurodiversity ambassadors (1/faculty) and 1 Special Interest Group (SIG)
  • 5 redesigned courses based on UDL, involving >10 teachers from 5 programmes
  • 3 policy revisions/recommendations
  • 10 tutors, thesis supervisors, and study advisors with neurodiversity knowledge

Intended results

Project deliverables:

  • Neuroinclusive Course Design Toolkit
  • Policy Brief and Implementation Roadmap
  • Learning Community in Neuroinclusive Education

Outcomes:

  • Changes in Educational Practice
    Adoption of UDL-principles in selected pilot courses
    Increased reported use of UDL-strategies among participating teachers
  • Teacher Development
    Increased knowledge of neurodivergent students’ learning needs
    Increased confidence in inclusive supervision and assessment
    Active participation of at least 10 teachers across at least 5 faculties
  • Student outcomes
    Qualification : Improved course and thesis completion rates
    Reduced perceived mismatch between skills and assessment demands
    Socialization: Increased engagement in collaborative and classroom activities
    Improved sense of belonging in the academic community
    Personal Development: Increased academic self-efficacy
    Improved self-regulated learning (goal-setting, planning, strategy use)

Sustainable impact:

  • Structural Embedding
  • Organizational Roles and Continuation
  • Scalable Reach


References

1. Milton, D. E. (2012). On the ontological status of autism: The ‘double empathy problem’. Disability & society, 27(6), 883-887.

2. Clouder, L., Karakus, M., Cinotti, A., Ferreyra, M. V., Fierros, G. A., & Rojo, P. (2020). Neurodiversity in higher education: a narrative synthesis. Higher Education80(4), 757-778.

3. Henning, C., Summerfeldt, L. J., & Parker, J. D. (2022). ADHD and academic success in university students: the important role of impaired attention. Journal of attention disorders, 26(6), 893-901.

4. Schreurs, M., & Bremer, B. (2025, October). Jaarrapport studeren met een ondersteuningsbehoefte 2025: Analyse Nationale Studenten Enquête (NSE). Expertisecentrum Inclusief Onderwijs. https://publicaties.ecio.nl/jaarrapport-2025-studeren-met-een-ondersteuningsbehoefte/analyse-nse.

5. Ross, F., Dommett, E. J., & Byrom, N. (2026). A systematic review of higher education-based interventions to support the mental health and wellbeing of neurodivergent students. npj Mental Health Research, 5(1), 14.

6. ECIO (2020). Discussieleidraad | Sociaal versus medisch model. https://ecio.nl/handreiking/discussieleidraad-sociaal-versus-medisch-model/

7. 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.

8. Meyer, A., Rose, D., & Gordon, D. (2014).Universal design for learning: Theory and practice. Cast Professional Publishing.

9. Cumming, T. M., & Rose, M. C. (2022). Exploring universal design for learning as an accessibility tool in higher education: A review of the current literature. The Australian Educational Researcher, 49(5), 1025-1043.

10. Chapman, R. (2021). Neurodiversity and the Social Ecology of Mental Functions. Perspectives on Psychological Science, 16(6), 1360-1372.

11. Domitrovich, C. E., Bradshaw, C. P., Poduska, J. M., Hoagwood, K., Buckley, J. A., Olin, S., … & Ialongo, N. S. (2008). Maximizing the implementation quality of evidence-based preventive interventions in schools: A conceptual framework. Advances in school mental health promotion, 1(3), 6-28.

12. Sanger, C.S. (2020). Inclusive Pedagogy and Universal Design Approaches for Diverse Learning Environments. In: Sanger, C. S., & Gleason, N. W. (eds.). Diversity and Inclusion in Global Higher Education. Lessons from across Asia (pp. 31–60). Springer. https://doi.org/10.1007/978-981-15-1628-3_2.

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