Category Archives: Design and disability – Reading

Approaches to neurodiversity and disability

Students working in the CSM library

In undertaking this project I’m conscious of my own positionality. I’m not disabled or neurodivergent and I’m not professionally trained in this area. My motivation comes from a desire to remove barriers to learning and to address systemic factors which marginalise different groups of people. Coming from a student-centred pedagogical background and now working in the digital learning environment, I feel we are well placed to address these digital accessibility barriers from a practical point of view and from a social justice perspective we have a moral imperative to do so. I also feel strongly that this is about more than digital accessibility (although this is important), but about using Moodle to help create a more level playing field for everyone, including other marginalised groups, and acknowledging the intersectional nature of many of these barriers.

There is more about my rationale in Rationale: Moodle, disability and social justice. Here, I thought it would be useful to briefly look at some of the different perspectives on neurodiversity and disability, particularly in higher education.

Neurodivergence is a complex term and those who are neurodivergent are best placed to determine the language and their own preferences in terms of how they identify. Bearing that in mind, neurodivergence is, however, often used to describe neurological difference such as dyslexia, dyscalculia, dysgraphia and ADHD, or Specific Learning Difficulties (SpLD) and according to ACAS ‘Being neurodivergent will often amount to a disability under the Equality Act 2010, even if the person does not consider themselves to be disabled’.  (ACAS n.d.)

The use of the term neurodiverse is an approach which aims to describe and include a wide range of neurodevelopmental conditions, without pathologising them.

‘Neurodiversity is a relatively new term. It helps to promote the view that neurological differences are to be recognised and respected as any other human variation. It is used to counter negative social connotations that currently exist and to make it easier for people of all neurotypes to contribute to the world as they are, rather than attempting to think or appear more ‘typically’.’

(Neurodiversity and co-occurring differences, n.d.)

I’m not sure how useful it is to list common differences here, not least because neurodivergence is precisely about divergence and acceptance, and listing common differences might be a blunt tool as they will only apply in some cases. In addition, there is an argument where, since I am not a ‘disability expert’ it is more appropriate and useful in this context to focus on the common functional challenges neurodivergent people often face. I have discussed this, with clear examples, in another post ‘UX design for neurodiverse, visually impaired and disabled users‘.

As well as neurodivergent participants, I also asked for visually impaired or disabled students to contribute to my project and 3 of the 6 participants were visually impaired in different ways. Again, this is a particular area of disability where digital tools can be used in a functional and supportive way. For example creating material that is readable by a screen reader, navigable via a keyboard, ensuring good colour contrast, using an appropriately sized font and making good use of clear, graphical images or icons. It would also have been interesting to see what else we could do to meet the needs of people with a wider range of disability. This is something we will need to look at in future.

I would guess that neurodiverse students often ‘go under the radar’ in HE and are expected to find workarounds a lot of the time. Some people won’t have a diagnosis or don’t wish to declare, as well as those who are accessing support from the Disability Service but who don’t want to ‘stand out’ or be different from their peers.

‘Currently the onus is too often on neurominority students to find a longer way around to meet neuro-normative expectations. To transform practice, learning and teaching must be  designed for a neurodiverse student body, and learning contexts created in which neurodivergent students are seen, understood and enabled to thrive.’

(Hamilton and Petty, 2023, p.3)

I’m not sure how much this is true for people who are blind or have mobility impairments. I suspect it’s still true, but in a slightly different way, where staff assume they are getting the help and support they need from the Disability Service and perhaps don’t consider what else can and should be done to remove potential barriers. Hamilton and Petty talk about the need to move away from this ‘medical paradigm’ and pathologising language, and towards a Universal Design for Learning approach, in which ‘…students, and especially those in minoritised groups, flourish in learning environments in which they feel that they belong and are valued.’ (Hamilton and Petty, 2023, p.4). This would include practical shifts like flexibility in the mode of assessment, presenting information in a variety of modalities, taking regular breaks, but also a shift in perspective where diversity is valued and nurtured.

Erevelles and Minear also talk about this deficit model of disability and align disability with other socially constructed ‘categories’;

‘CRT scholars (like other radical scholars) have mistakenly conceived of disability as a biological category…Disability studies scholars, on the other hand, have critiqued this ‘deficit’ model of disability and have described disability as a socially constructed category that derives meaning and social (in)significance from the historical, cultural, political and economic structures that frame social life.’

(Erevelles and Minear, 2010, p.7)

Erevelles and Minear also discuss the role of disability as a, or the, critical category when looking at intersectionality and its impacts. They highlight the fluid nature of the terms used to describe or diagnose some disabilities and they argue that Critical Race Theorists have not sufficiently acknowledged disability within intersectionality.

The National Autistic Society website highlights the intersectional difficulties faced by some people who are both black and minority ethnic and autistic, making it harder to get support when they need or want it. They quote Iqra Babar, an autistic artist;

“I love being an autistic, Muslim Pakistani woman. My identity in itself is so diverse, which I am really proud of! It does make it harder to live so freely however, with all of the stigma and discrimination that surrounds both autistic people and Muslims. Race and autism intersect a lot and talking about race in autism conversations is so important.”

(Autism and BAME people n.d.)

Meeting disability needs is still too often seen as an extra, something more to add to the workload, rather than something positive and creative. This is particularly challenging in the market-driven higher education environment in which we operate. However, I feel that there is a lot of scope for creating a more compassionate, inclusive environment at CSM but we need to be having these conversations more often in more teams and with more students. As Hamilton and Petty say, ‘Educators have a unique opportunity to cultivate compassion within the learning environments that we create.’ (Hamilton and Petty, 2023, p.4)

Bibliography:

ACAS (n.d.) What disability means by law: Definition of disability Available at: https://www.acas.org.uk/what-disability-means-by-law#:~:text=Attention%20deficit%20hyperactivity%20disorder%20(ADHD,consider%20themselves%20to%20be%20disabled (Accessed 17 January 2024)

British Dsyslexia Association (n.d.), Neurodiversity and co-occurring differences, Available at: https://www.bdadyslexia.org.uk/dyslexia/neurodiversity-and-co-occurring-differences. (Accessed: 17 January 2024)

Erevelles, N., & Minear, A. (2010). Unspeakable Offenses: Untangling Race and Disability in Discourses of Intersectionality. Journal of Literary & Cultural Disability Studies 4(2), 127-145. https://www.muse.jhu.edu/article/390395. (Accessed 20 October 2023)

Hamilton, L. and Petty S. (2023) ‘Compassionate Pedagogy for Neurodiversity in Higher Education: A Conceptual Analysis’. Frontiers in Psychology 14 (16 February): 1093290. Available at: https://doi.org/10.3389/fpsyg.2023.1093290. (Accessed: 17 January 2024)

National Autistic Society (n.d.) Autism and BAME people Available at: https://www.autism.org.uk/advice-and-guidance/what-is-autism/autism-and-bame-people (Accessed 17 January 2024)

UX design for neurodiverse, visually impaired and disabled users

Whilst there are a wide range of medical classifications of neurodivergences, learning disabilities and impairments, and an incredibly broad range of abilities and preferences that need to be considered, WebAIM claims that functional classification is more useful as it ‘focuses on the user’s abilities and challenges, irrespective of their medical or behavioural causes’. (WebAIM 2020)

WebAIM groups these abilities and challenges into:

  1. Memory
  2. Problem-solving
  3. Attention
  4. Reading, linguistic, and verbal comprehension
  5. Math comprehension
  6. Visual comprehension

The first four of these are particularly relevant to information management in my context. From a different angle, but looking at the same things, the Neurodiversity Design System, Will Soward has tried to create a ‘coherent set of standards and principles that combine neurodiversity and user experience design for Learning Management Systems.’ (Soward, no date). These principles include:

  • Font
  • Typography
  • Colour
  • Buttons, links, inputs
  • Interface
  • Communications
  • Animations

The key items for me here are typography – use of headings, use of colour, buttons and links, clarity of the interface and communications.

Now I need to work out how to take this information and make it into something that works in the focus group. Essentially the barriers that I’m thinking of are of course all intertwined but can broadly fall into these categories:

Cognitive load:

Minimising the cognitive load needed to access the information on Moodle will benefit everyone, not only those who are neurodivergent or disabled. In the Neurodiversity Design System, Soward points out that ‘an LMS already presents learning content that has a high cognitive cost, having learners begin using a complicated system before the real learning begins creates cognitive fatigue and puts learners on the back foot…’ (Soward, no date).

Actions to minimise the cognitive load include:

  • Using a sans serif font which can be enlarged and colour combinations changed
  • Incorporation of white space and use of indents to indicate hierarchy
  • Using true headings (headings with background metadata, not simply large and bold), to indicate clearly the layout of content and reduce cognitive effort
  • Contextual information/instructions in plain English ‘concise, empathetic instruction that sounds human and addresses the person’ (Soward, no date). This should be sufficient to negate the need for substantial onboarding. The LMS should be intuitive.
  • Offering clear, simple instruction with the place of action e.g. next to a tutorial booking activity or assignment submission. People with dyspraxia often find it difficult to remember instructions or retain information from looking at one place to another. Offering instructions in the appropriate place can help with this.
  • Pairing graphics and text where possible to support dyspraxic or dyslexic learners who may benefit from a more visual representation of information.
  • ‘identify and integrate information in to meaningful chunks’ webAIM
  • Use of colour to create a uniformity across the site and help with predictability and consistency as well as aesthetics. (Always with the proviso that contrast must be maintained and colour not used as the only source of meaning.)

Appearance:

  • Interface – how clear is the interface? It should be visually appealing without distraction or clutter. This is particularly for learners with ADHD and dyspraxia who may find it challenging to follow processes and patterns.
  • Navigation – having a clear system of navigation so that forwards and backwards arrows are labelled and ‘breadcrumbs’ are obvious. According to WedAIM, ‘maintaining consistency in design and presentation minimises memory requirements’ which can be an issue particularly for neurodiverse learners but also for anyone suffering from fatigue, illness, stress.

Functional accessibility:

One of the key issues for many people can be a frustration or relatively low resilience for issues with technology. This can me more prevalent if the cognitive effort is already high and then links don’t work or they don’t take you to where you expected to go, leading to frustration.

  • Regularly check links are active and up to date and that the page(s) work properly.
  • Provide a mechanism to get help quickly, for example who can help, an email or phone number or Chat service.
  • Buttons and links should be visually distinctive and large enough to click particularly for those who have low vision, dyslexia, ADHD or dyspraxia. For students navigating via a keyboard, it’s important that he ‘pseudo’ or temporary states of interactive elements are present e.g. changing colour when selected.
  • Ensure captions and transcripts are provided for visual elements to support users who are deaf, hearing impaired, or have English as an additional language. This will also support users who need to work/listen in a quiet environment (e.g. a library), or who have less private study space.
  • Ensure the page is set up with the appropriate structure and metadata to make it readable by a screen reader.

Conclusion

This reading has given me reassurance that the types of considerations we think about and try to put in place are appropriate, and that there aren’t huge new areas that are missing. The information about dyspraxia and the need for large enough spaces to click, plus the temporary states being present were new elements for me. It was interesting to see the explicit mention of instructions, partly to support dyspraxic learners, and also the contextual information to negate the need for substantial onboarding. This isn’t generally my experience, but I’m looking forward to seeing how the participants respond to these prompts and to what extent these elements are useful to them.

Bibliography:

Soward, W. Neurodiversity Design System Available at: https://neurodiversity.design/ (Accessed 16 November 2023) 

Cognitive Disabilities WebAIM (Web accessibility in mind) Last updated Aug 21 2020 https://webaim.org/articles/cognitive/ (Accessed 16 November 2023)

Understanding dyspraxia, New Zealand Government, Available at: https://inclusive.tki.org.nz/guides/dyspraxia-and-learning/understanding-dyspraxia/ (Accessed 22 November 2023)