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    <front>
        <journal-meta>
            <journal-id journal-id-type="issn">2754-2890</journal-id>
            <journal-title-group>
                <journal-title>International Journal of Educational and Life
                    Transitions</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2754-2890</issn>
            <publisher>
                <publisher-name>Ubiquity Press</publisher-name>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.5334/ijelt.38</article-id>
            <article-version>VoR</article-version>
            <article-categories>
                <subj-group>
                    <subject>Research</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Exploring the Transitions of Neurodivergent Access Students to Level
                    One Study: Narratives of Study Skills and Support</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="yes">
                    <contrib-id contrib-id-type="orcid"
                        >https://orcid.org/0000-0003-3067-5124</contrib-id>
                    <name>
                        <surname>Bhandari</surname>
                        <given-names>Renu</given-names>
                    </name>
                    <email>renu.bhandari@open.ac.uk</email>
                    <xref ref-type="aff" rid="aff-1">1</xref>
                </contrib>
                <contrib contrib-type="author">
                    <contrib-id contrib-id-type="orcid"
                        >https://orcid.org/0000-0003-2798-5463</contrib-id>
                    <name>
                        <surname>Rainford</surname>
                        <given-names>Jon</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff-1">1</xref>
                </contrib>
            </contrib-group>
            <aff id="aff-1"><label>1</label>The Open University, UK</aff>
            <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2023-01-24">
                <day>24</day>
                <month>01</month>
                <year>2023</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2023</year>
            </pub-date>
            <volume>2</volume>
            <issue>1</issue>
            <elocation-id>5</elocation-id>
            <history>
                <date date-type="received" iso-8601-date="2022-08-17">
                    <day>17</day>
                    <month>08</month>
                    <year>2022</year>
                </date>
                <date date-type="accepted" iso-8601-date="2022-12-12">
                    <day>12</day>
                    <month>12</month>
                    <year>2022</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00A9; 2023 The Author(s)</copyright-statement>
                <copyright-year>2023</copyright-year>
                <license license-type="open-access"
                    xlink:href="http://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open-access article distributed under the terms of the
                        Creative Commons Attribution 4.0 International License (CC-BY 4.0), which
                        permits unrestricted use, distribution, and reproduction in any medium,
                        provided the original author and source are credited. See <uri
                            xlink:href="http://creativecommons.org/licenses/by/4.0/"
                            >http://creativecommons.org/licenses/by/4.0/</uri>.</license-p>
                </license>
            </permissions>
            <self-uri xlink:href="https://ijelt.dundee.ac.uk/articles/10.5334/ijelt.38/"/>
            <abstract>
                <p>The higher education journey of any student in a distance learning university is
                    a challenging one but this is more so for neurodivergent students.
                    Neurodivergent students have been found to require both academic (<xref
                        ref-type="bibr" rid="B22">Jackson et al. 2018</xref>; <xref ref-type="bibr"
                        rid="B31">Ness 2013</xref>) and non-academic support (<xref ref-type="bibr"
                        rid="B17">Gelbar et al. 2015</xref>) around them to enable to achieve and
                    reach their academic goals. Access programs in The Open University have a
                    widening participation agenda and enrol many Neurodivergent students with
                    diagnoses of autism, ADHD, Dyslexia, Asperger&#8217;s syndrome, and Dyspraxia.
                    The study focused on the following three research questions: 1. What forms of
                    support do neurodivergent students transitioning from Access to Level 1 study
                    value? 2. What barriers to success may the current access curriculum create for
                    neurodivergent students? 3. How can neurodivergent students transitioning from
                    Access to level 1 be better supported? Students from the three access modules
                    moving to any level 1 module were included in the sample. This paper focuses on
                    the findings from the five remotely conducted in-depth interviews and an
                    associated photo-elicitation task. Through a thematic analysis, a number of key
                    themes were developed: Finding their own way, Support, quality of tutor support,
                    wider systems of support, understanding assessment, facing new systems, the
                    jump, language of learning and referencing issues. The paper explores these with
                    examples and highlights how these might inform future practice to improve
                    transitions for neurodivergent students. The paper also highlights the
                    limitations institutional focused research with these groups places upon the
                    scope of this kind of research.</p>
            </abstract>
            <kwd-group>
                <kwd>Neurodiversity</kwd>
                <kwd>transitions</kwd>
                <kwd>Level 1</kwd>
                <kwd>study skills</kwd>
                <kwd>support</kwd>
                <kwd>Neurodivergent</kwd>
                <kwd>photo elicitation</kwd>
            </kwd-group>
            <funding-group specific-use="crossref">
                <award-group>
                    <funding-source id="gs1" country="GBR">
                        <institution-wrap>
                            <institution>Open University IAR</institution>
                            <institution-id institution-id-type="doi" vocab="open-funder-registry"
                                vocab-identifier="10.13039/open_funder_registry"
                                >10.13039/501100001711</institution-id>
                        </institution-wrap>
                    </funding-source>
                    <award-id>3306147</award-id>
                </award-group>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec>
            <title>Introduction</title>
            <p>The Higher Education (HE) landscape has changed over the years with the key agenda of
                widening participation and diversification. Students with diverse needs, varied
                educational backgrounds, learning styles, identities are participating in HE. The
                diversity of students attracted to HE is leading to increased research focussing on
                transitions for diverse students focussed on both participation and retention of
                underrepresented student population in HE.</p>
        </sec>
        <sec>
            <title>What are transitions in education?</title>
            <p>Studies indicate that the term transition in education is often used to gloss over
                system difficulties in education (<xref ref-type="bibr" rid="B13">Downes,
                    2019</xref>). According to Downes (<xref ref-type="bibr" rid="B13">2019</xref>),
                the term transitions include four different meanings-</p>
            <list list-type="order">
                <list-item>
                    <p>System mismatch where at least one system needs reform&#8212;the transition
                        bridge is not the problem.</p>
                </list-item>
                <list-item>
                    <p>Transition represented as system mismatch between two purportedly
                        well-functioning areas displaces the problem as being one of contrast rather
                        than system quality.</p>
                </list-item>
                <list-item>
                    <p>Transition as a system blockage and fragmentation in communication between
                        transition environments.</p>
                </list-item>
                <list-item>
                    <p>A transition strategic focus on individual change to the foregrounded
                        child/individual through supports in moving from background environment A to
                        B.</p>
                </list-item>
            </list>
            <p>According to Scott et al. (<xref ref-type="bibr" rid="B38">2014</xref>), in higher
                education there are four transition processes for students- from a pure to an
                applied disciplinary context, from an international to a British national context,
                from full-time work to full-time work and part-time study, and from an historically
                under-represented background in higher education to an academic setting. In the Open
                University, on Access modules many students are coming back to education after a
                gap, often having had negative experiences of education, resulting in lower academic
                skills. They may also present a matrix of complex social and mental health issues.
                This Open University study fits in the third category of transition and calls for
                more commitment, time, effort, and energy from all students. Transitions are
                nonlinear and in higher education should be conceived as, &#8216;entangled,
                nonlinear, iterative, and recursive process, in which students travel in irregular
                ways through the various landscapes of their experience (university, family, work,
                social life) and bring those landscapes into relation with each other&#8217; (<xref
                    ref-type="bibr" rid="B42">Taylor et al., 2018</xref>). For neuro divergent
                students, this nonlinear recursive process may be problematic and difficult to
                navigate.</p>
        </sec>
        <sec>
            <title>What is Neurodiversity?</title>
            <p>The term neurodiversity has been in existence for two decades (<xref ref-type="bibr"
                    rid="B40">Singer, 1999</xref>). It is an umbrella term that covers a range of
                conditions including dyspraxia, dyslexia, attention deficit hyperactivity disorder,
                dyscalculia, autistic spectrum, and Tourette syndrome (<xref ref-type="bibr"
                    rid="B40">Singer, 1999</xref>). Neurodiversity has often been used
                inappropriately to refer to a single individual rather than a group or community.
                Diversity refers to a group and not to a specific individual. In this paper, we
                adopt the position of Fletcher-Watson (<xref ref-type="bibr" rid="B15">2022</xref>),
                who argue that each individual should be described as &#8220;neurodivergent&#8221;
                and the specific groups of neurodivergent individuals make neurodiversity in HE
                settings, highlighting that: &#8220;neuro diversity captures the individual
                differences between us all (sources of neurodiversity) and recognise category
                boundaries (sources of neurodivergence) in one unified framework&#8221; (<xref
                    ref-type="bibr" rid="B15">Fletcher-Watson, 2022</xref>).</p>
            <p>Previous studies argue that neurodiversity simply means being wired differently
                rather than wrongly wired (<xref ref-type="bibr" rid="B4">Armstrong, 2012</xref>).
                Therefore, this paper does not seek to position any of these students as in deficit
                but explores how they might be better supported to succeed within a system that is
                often not fully developed to meet their needs. Whilst anti-discrimination
                legislation such as the DDA (<xref ref-type="bibr" rid="B12">1995</xref>), since
                superseded by The Equality Act (<xref ref-type="bibr" rid="B14">2010</xref>), has
                led to many students applying for Higher Education Institutions in the UK (<xref
                    ref-type="bibr" rid="B19">Griffin and Pollak, 2009</xref>). These students often
                face challenges in success after entering HEIs. Historically, these challenges have
                been termed &#8220;Learning Difficulties&#8221;, however in recent years, this has
                been changed to the more acceptable and often used &#8220;learning
                differences&#8221; to identify neuro diversity amongst students (<xref
                    ref-type="bibr" rid="B7">BDA, 2006</xref>). This is also aligned with the
                positive focus on the term neurodiversity, which focuses upon identifying
                differences among the leaners rather than deficits (<xref ref-type="bibr" rid="B24"
                    >Kaplan et al., 2001</xref>).</p>
            <p>Prior research highlights the impact of neurodivergence upon student&#8217;s
                experiences. Griffin and Pollak (<xref ref-type="bibr" rid="B19">2009</xref>)
                highlight the complexity neurodivergence adds to the experiences of students. From
                their study of 27 current and previous HE students, they found that neurodivergent
                students are likely to come with prior negative experiences of formal education,
                which can shape their engagement with academic and support services. In contrast,
                their participants also displayed high levels of ambition and determination to
                succeed. Their experiences demonstrated a heterogenous range of unequal experiences
                of support from both academic and support staff. Whilst much progress had been made
                in HE since 2009, the recurrence of issues in more recent research suggests some of
                what they found is enduring (<xref ref-type="bibr" rid="B25">Kapp et al.,
                    2013</xref>; <xref ref-type="bibr" rid="B16">Fletcher-Watson and Happ&#233;,
                    2019</xref>; <xref ref-type="bibr" rid="B34">Rosqvist et al., 2020</xref>).
                Griffin and Pollak (<xref ref-type="bibr" rid="B19">2009</xref>) also highlighted
                how HE has become increasingly aware and accommodating of neurodiversity but that
                there are gaps in communication between academic and support services.</p>
            <p>The label of neurodiversity can be controversial, and some individuals&#8217; express
                unhappiness of being labelled in this way (<xref ref-type="bibr" rid="B19">Griffin
                    and Pollak, 2009</xref>). However, this term is commonly used to act as an
                umbrella for a range of differences that impact learning. Griffin and Pollak (<xref
                    ref-type="bibr" rid="B19">2009</xref>) found a lot of similarities in the
                experiences of individuals with differing specific needs that fall under this
                banner. Furthermore, a recent narrative synthesis of the literature on
                neurodiversity in higher education was carried out (<xref ref-type="bibr" rid="B9"
                    >Clouder et al., 2020</xref>). This study suggests that dyslexia, dyspraxia,
                ADHD, and ASD can be co-morbid, but more importantly may go undiagnosed in some
                cases, due to having a formal diagnosis for another condition. Therefore, this paper
                adopts the term as an umbrella to explore the varied but often shared experiences of
                groups of students with different diagnoses in higher education.</p>
        </sec>
        <sec>
            <title>Supporting Neurodivergent HE students</title>
            <p>The intersection of neurodiversity with many other factors has been well researched.
                Previous studies have highlighted key issues such as mental health issues (<xref
                    ref-type="bibr" rid="B47">White et al., 2017</xref>), transitions, coping
                methods, and the importance of individualised support to neurodivergent students
                    (<xref ref-type="bibr" rid="B3">Anderson et al., 2020</xref>). The Higher
                Education journey of any student in a distance learning university is a challenging
                one but this is more so for neurodivergent students. Neurodivergent students have
                been found to require both academic (<xref ref-type="bibr" rid="B31">Ness,
                    2013</xref>; <xref ref-type="bibr" rid="B22">Jackson et al., 2018</xref>) and
                non-academic support (<xref ref-type="bibr" rid="B17">Gelbar et al., 2015</xref>)
                around them to enable to achieve and reach their academic goals. Academic
                difficulties can lead to extreme stress and anxiety (<xref ref-type="bibr" rid="B39"
                    >Shmulsky et al., 2013</xref>). This can further progress into non achievement
                and non-completion of the modules or study for the neurodivergent students.</p>
            <p>Due to possible barriers in communication and social interaction, most studies
                exclude neurodivergent students from their research design processes. This may then
                lead to lack of relevance for the research findings in facilitating comprehensive
                support around neurodivergent students. Participatory research designs and
                involvement of neurodivergent children and young adults provides a rich data. Multi
                modal participatory methods enable inclusivity in research design process and
                facilitate participation by neurodivergent students. Studies like those by Costley
                et al. (<xref ref-type="bibr" rid="B11">2022</xref>) highlight that the real
                inclusion of students with neuro diversity that can be achieved by comprehensively
                focussing on participatory autism research (PAUR). This means involving students
                with neuro diversity in research as an attempt to find the real solutions rather
                than tokenistic approaches support them. Ward et al. (<xref ref-type="bibr"
                    rid="B46">2022</xref>) study highlights the importance of participatory research
                designs in allowing students agency and giving them a feeling of ownership of the
                research process and outcomes. In the present study, the use of photo elicitation
                technique was an attempt to enable students to exercise their agency and ownership
                in interview technique supported by photo elicitation.</p>
            <p>The literature on neurodivergent students tells us that anxiety, self-efficacy and
                negative experience of prior education can impact them significantly (<xref
                    ref-type="bibr" rid="B9">Clouder et al., 2020</xref>). For students on Access
                modules and courses, these might be compounded particularly by-stepping into
                education after a long gap, lack of academic skills and learning strategies, lack of
                confidence, work, and family commitments.</p>
        </sec>
        <sec>
            <title>Neuro diversity and awarding gaps</title>
            <p>Although neurodiversity per se as a topic has been researched and evaluated by many
                studies (<xref ref-type="bibr" rid="B20">Hadley, 2007</xref>; <xref ref-type="bibr"
                    rid="B29">Lindstrom, 2007</xref>; <xref ref-type="bibr" rid="B37">Seeman,
                    2010</xref>; <xref ref-type="bibr" rid="B8">Clinton et al., 2011</xref>), the
                link between neurodiversity and awarding gaps is an area of study that requires some
                more focus and detail. Research, studies, and practitioners have over the years
                assumed that the understanding neurodiversity and placing some relevant
                interventions is sufficient for Neurodivergent students to succeed academically
                    (<xref ref-type="bibr" rid="B18">Gray, 1998</xref>; <xref ref-type="bibr"
                    rid="B36">Sansosti et al., 2004</xref>; <xref ref-type="bibr" rid="B26">Kokina
                    et al., 2010</xref>). The recent focus has been to evaluate the relevance of
                these studies to support Neurodivergent students (<xref ref-type="bibr" rid="B48"
                    >White et al., 2016</xref>; <xref ref-type="bibr" rid="B5">Ashbaugh et al.,
                    2017</xref>; <xref ref-type="bibr" rid="B23">Jansen et al., 2017</xref>). Some
                recent researches have focussed on developing an understanding of the linguistic
                needs of individuals with autistic spectrum conditions while other studies have
                evaluated the relevance and validity of studies evaluating mentoring, transitions,
                academic skill development and social skills development in students with neuro
                diversity (<xref ref-type="bibr" rid="B3">Anderson et al., 2020</xref>). Research
                has identified lack of exploration of the role played by academic support in helping
                Neurodivergent students achieve and reach their goals (<xref ref-type="bibr"
                    rid="B3">Anderson et al., 2020</xref>).</p>
            <p>HEIs have been using the term &#8220;Attainment&#8221; which puts the onus on the
                individuals in achieving the degrees. However, the use of the word &#8220;Awarding
                gap&#8221; put the responsibility on the HEIs. The awarding gap challenges the
                deficit model of neurodivergent students. It brings the responsibility back to the
                HEIs to support neurodivergent students in successful achievement of modules. It may
                be useful to explore what is missing in the students support from the perspective of
                Neuro divergent students so that this awarding gap can be successfully bridged. Form
                a Neuro divergent student&#8217;s perspective it may be effective to capture
                &#8220;What I would like support on while studying? In understanding the
                relationship between the students experiences and awarding gaps, this project is
                likely to offer insights for exploration of other awarding gaps in a way which is
                currently limited through existing institutional datasets.</p>
            <p>Studies of neurodivergent students indicate that HEIs should work to draw a fine
                balance of support from various angles- study advisers, recognising diversity,
                developing essential skills, and developing essential skills that link specifically
                to modules (<xref ref-type="bibr" rid="B10">Connor, 2012</xref>). Instead of a wide
                single, &#8220;umbrella support&#8221; that fits all neuro divergent students,
                support should be individually tailored to specific neurodiverse needs of each
                student.</p>
            <p>Social interactions also play an important part in the relative success of this group
                of students. Lambe et al. (<xref ref-type="bibr" rid="B28">2019</xref>) who
                conducted research with 25 A-level students with a clinical diagnosis of autism
                transitioning to the University of Bath. Primarily the student concerns were focused
                upon social interactions and fitting in rather than the academic transitions or
                issues related to support. In many ways this is expected when focusing on a
                traditional residential university experience but is unlike the transitions in the
                context of distance learning study. In the context of this study, these issues are
                less relevant due to the distance learning nature of the Open University study. This
                section will therefore focus on the issues that translate into our specific context
                raised in other recent studies.</p>
            <p>Whilst our study sought to address neurodiversity as a wide umbrella, research often
                focuses more narrowly on one type of neurodivergence such as dyslexia or Autism. In
                terms of transitions for students with dyslexia, O&#8217;Byrne et al. (<xref
                    ref-type="bibr" rid="B32">2019</xref>) focused on four undergraduates and a
                graduate student with dyslexia in Dublin, Ireland. In this study, several of their
                participants were close to school leaving age so many of their comparisons were with
                school experiences. Their participants raised concerns about the lack of one-to-one
                support they had experienced in relation to their expectations and prior educational
                experiences. One of the themes related directly to transition, focused upon learning
                techniques and how their participants had developed specific individual coping
                strategies. This research also highlighted the need for students to have courage to
                ask for support from support services and the barriers to accessing these services a
                lack of confidence creates. Rowan (<xref ref-type="bibr" rid="B35">2014</xref>) also
                examined the transition experiences of students with dyslexia, in New Zealand. This
                small-scale qualitative study focused on in-depth interviews with four students at
                school leaving age. They found that the students perceived they had to put longer
                hours in than other students to make the same progress. They also highlighted the
                challenges of accessing student support in terms of the lag between requesting
                services and gaining the required resources. Additionally, some of their
                participants highlighted not knowing where to seek the support they needed. Drawing
                upon other research such as Mortimore et al. (<xref ref-type="bibr" rid="B30"
                    >2006</xref>) and Pollak (<xref ref-type="bibr" rid="B33">2005</xref>) cited in
                Rowan (<xref ref-type="bibr" rid="B35">2014</xref>), Rowan argues this is a common
                issue amongst students with dyslexia who can be reluctant to seek support.</p>
            <p>Similarly, to the studies focused upon students with dyslexia, many of these themes
                recurred in studies of students with ASD. Anderson et al. (<xref ref-type="bibr"
                    rid="B3">2020</xref>) also conducted a qualitative study with 11former students
                in Australia and New Zealand to reflect on their experiences. When looking at their
                findings relating to student support, there was much more use of support related to
                academic areas as opposed to non-academic support. As with Rowan (<xref
                    ref-type="bibr" rid="B35">2014</xref>), this study also found that students
                often did not engage with support service, or in some cases delayed their engagement
                with them because of a perceived lack of need or that they did not deserve them.
                Additionally, a lack of awareness of the supports available was raised as an
                issue.</p>
        </sec>
        <sec>
            <title>Institutional context</title>
            <p>Within the Open University, the issue of preparedness of Higher Education has been
                addressed through creating 30 credit modules at level 0 developed and run by the
                Access team. The Access curriculum offers flexible, accessible, affordable,
                preparatory study to students who face many obstacles &#8211; dispositional,
                situational, and institutional &#8211; which prevent them from accessing Higher
                Education (HE). The Programme has worked closely externally, with the Office for
                Students (OfS) (and before that the Office For Fair Access &#8211; OFFA), and
                internally, with the Access, Participation and Success (APS) team, to ensure student
                needs are met in terms of a supportive preparatory curriculum.</p>
            <p>The Access Programme was developed in 2012/13 to offer students a coherent
                cross-disciplinary experience, intended to support tentative adult learners to
                engage with a range of cognate disciplines they may never have considered studying.
                This commitment was supported by locating management initially in the Centre for
                Inclusion and Collaborative Partnerships (CICP) rather than a single Faculty, or by
                spreading responsibility across all the faculties.</p>
        </sec>
        <sec>
            <title>Access programme</title>
            <p>The Access Programme is a key element of Access, Open and Cross-curricular Innovation
                (AOCCI), sponsored by Pro-Vice-Chancellor Students (PVC-Students) which in turn is
                part of the PVC-Students office. The Access Programme has a clear mission, closely
                aligned to the University&#8217;s commitment to be &#8216;open to all&#8217;. The
                aims of Access are threefold:</p>
            <list list-type="bullet">
                <list-item>
                    <p>To enable students to get a taste of what studying at the Open University is
                        like, and to give them an opportunity to see if it is for them.</p>
                </list-item>
                <list-item>
                    <p>To prepare students for successful study at Level 1(FHEQ Level 4) by
                        developing academic skills and confidence as a learner.</p>
                </list-item>
                <list-item>
                    <p>To attract students on low incomes, and with low prior entry qualifications
                        to the Open University and to mitigate the financial risk to those students
                        via the fee waiver and the subsidised fee.</p>
                </list-item>
            </list>
            <p>Access modules are positioned at HE Level 0, explicitly acting as preparation for
                Level 1 study. The focus is on preparing students for HE delivered through distance
                learning, and as such the Programme is distinctive from Access to HE Diplomas
                (assessed at FHEQ Level 3 with routes into local, vocationally aligned HE) and
                Foundation Years (embedded in existing UG qualifications). The Access modules have a
                common pedagogic structure designed to remove barriers and build confidence.</p>
            <p>The three modules in focus in this study are Level 0 entry level modules.</p>
            <disp-quote>
                <p>Arts and Languages Access module (Y031)</p>
                <p>People, Work and Society Access module (Y032)</p>
                <p>Science, Technology and Maths Access module (Y033)</p>
            </disp-quote>
            <p>Access programmes in The Open University have a widening participation agenda and
                enrol many neurodivergent students. These students are supported by three-way
                support of an Associate lecturer, Student support teams and the Personal Learning
                Advisers (PLAS). As these student&#8217;s progress to level one study in the Open
                University, there is an increased expectation of independent learning and engaging
                with the communities of learning. Furthermore, many other students that have not yet
                been identified as needing additional support may also face study barriers due to
                undiagnosed neurodiversity. Therefore, understanding what works for this group could
                help ensure that the findings feed into the timely reviews of the new modules being
                shaped in Access like Y034 and Y035.</p>
        </sec>
        <sec>
            <title>Research Aims</title>
            <p>The study aimed to understand the varied needs of neurodivergent students in enabling
                the transition from Access to level 1 modules. It sought to capture the narratives
                of individual needs and to better understand what can be improved further to enable
                the effective achievement and transition for neurodivergent students. The
                methodology selected clearly addressed giving agency to neurodivergent students.</p>
            <p><bold>Research Questions-</bold> The study focused on the following three research
                questions in line with the key themes of the project.</p>
            <list list-type="order">
                <list-item>
                    <p>What forms of support do neurodivergent students transitioning from Access to
                        Level 1 study value?</p>
                </list-item>
                <list-item>
                    <p>What barriers to success may the current Access curriculum create for
                        neurodivergent students?</p>
                </list-item>
                <list-item>
                    <p>How can neurodivergent students transitioning from Access to level 1 be
                        better supported?</p>
                </list-item>
            </list>
        </sec>
        <sec sec-type="methods">
            <title>Methods</title>
            <p>A methodology was selected that provided space for neurodivergent students to share
                their own experiences. Through a combination of semi-structured interview questions
                and a photo elicitation task space was given to explore both issues raised by the
                students and through the issue highlighted by the research team.</p>
            <p>For the present study the target population was comprised of neurodivergent students
                (ADHD, Asperger&#8217;s syndrome, dyslexia, dyspraxia, and dyscalculia) enrolled in
                2019&#8211;2020 who had successfully moved from Access modules to Level 1 study. The
                three modules in focus in this study are Level 0 entry level modules-Arts and
                Languages Access module (Y031); People, Work and Society Access module (Y032) and
                Science, Technology and Maths Access module (Y033). Students from these modules
                moving to any level 1 module in all faculties were included in the sample. Initially
                the focus was to be upon student in one faculty (WELS), however the potential sample
                population was too small. Based on these criteria, Student and Data Analytics
                generated a sample of 18 students (5/10/21) and a further 14 students with a later
                generation (giving 32 possible participants) which could be recruited from for this
                phase of the study. These students were contacted initially by email with a project
                information sheet and then by follow up phone call. A second round of more personal
                emails were sent. In the responses we had several students opt out of being
                contacted further. This was often because of workload reasons, or in one case
                because they were pausing their studies.</p>
        </sec>
        <sec>
            <title>Participants</title>
            <p>Five students consented to participate in the full interviews. The pen portraits of
                the participants are presented in <xref ref-type="fig" rid="F1">Figure 1</xref>.
                Four students opted for a telephone interview and one (Student 4) to use Microsoft
                TEAMS. Gaining agreement for audio recording of the interviews proved more
                challenging. Only students 4 and 5 agreed to a full audio recording. Therefore, the
                interviews with students 1&#8211;3 were not recorded but extensive field notes were
                made by the researcher which were then typed up and analyzed alongside the
                transcripts for students 4 and 5.</p>
            <fig id="F1">
                <label>Figure 1</label>
                <caption>
                    <p>Pen portraits of the sample students in the study.</p>
                </caption>
                <alt-text>Pen portraits of the sample students in the study</alt-text>
                <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="ijelt-2-1-38-g1.png"
                />
            </fig>
        </sec>
        <sec>
            <title>Ethical issues</title>
            <p>This project underwent all Open University ethical procedures in recruiting and
                contacting students, data collection. data storage and data protection. The ethical
                issues involving student participants in the Open University were addressed strictly
                and the researchers gained the Student Research Project Panel (<bold>SRPP</bold>)
                approval (SRP: 2021/1917) before the start of the data collection. Before receiving
                students contact details from the Open University systems SRPP was in place. The
                project went through a rigorous ethical approval through the Human Research Ethics
                Committee (HREC) and was registered on the Open University&#8217;s Information Asset
                Register (IAR. 3306147) for 2021/2022. Within the Open University, the project
                approval from HREC provides a mechanism for assuring the ethical integrity of
                research carried out by OU academic staff an ethics review by HREC is required for
                research projects which involve the collection of data or biological samples from
                human participants. Data Protection Impact Assessment (DPIA) for this project was
                done through DPIA screening questions that intend to identify if how processing of
                personal data will result in a high risk to the rights and freedoms of the data
                subjects. All participants were provided with a project information sheet covering
                details about the project, right to withdraw, confidentiality, risks involved, who
                have been invited to the participate in the study and why, how the findings of the
                study will be used. In the Informed consent sheet, given to all participants to seek
                their consent there was a clear indication of confidentially, right to withdraw, how
                interview data will be stored and voluntary participation without any prejudice or
                negative consequence was indicated.</p>
            <p>The timeline of receiving ethical approvals and various critical steps in the project
                are outlined below.</p>
            <disp-quote>
                <p><bold>Timeline of the project.</bold></p>
                <p>June 2021&#8211;August 2021-Related studies and review of literature.</p>
                <p>June 2021&#8211;July 2021-SRPP research proposal submitted. The project has
                    received a <bold>SRPP approval</bold> in July 2021 and is now registered in
                        <bold>IAR</bold> register as <bold>3306147</bold>.</p>
                <p>August 2021&#8211;Panel decision on SRPP. The project has received a <bold>SRPP
                        approval</bold> in July 2021(SRP: 2021/1917) and is registered in
                        <bold>IAR</bold> register as <bold>3306147</bold>.</p>
                <p>September 2021&#8211;Data analytics information about Neurodiverse Access
                    students moving to WELS level one modules.</p>
                <p>September 2021&#8211;Mid-Email contact with all seeking consent. Data released
                    for 18 students with Neuro diversity</p>
                <p>October 2021&#8211;Information sheets and consent forms through email.</p>
                <p>November 2021&#8211;January 2022-Interviews with consenting students and
                    recordings.</p>
                <p>January 2022&#8211;March 2022-data analysis, transcribing qualitative data and
                    report writing. Y032 feed forward into Y034 as new module.</p>
                <p>April 2022&#8211;June 2022-Dissemination and article submission in peer reviewed
                    journals and staff development events.</p>
            </disp-quote>
        </sec>
        <sec>
            <title>Data collection</title>
            <p>The researchers followed semi structured interview questions covering the two areas
                (of five questions each, <bold>Appendix 1</bold>) &#8211; Study skills and support.
                We also included a photo elicitation technique task- where students were asked to
                provide a picture of something that they found particularly useful in level one
                study that was not there in Access study. The interviews were conducted by phone, on
                Skype or TEAMS and audio recorded where consent was given and lasted 30&#8211;45
                minutes. All data was transcribed and stored on to OneDrive in line with DPIA
                guidance and protection of data. All data will be stored for about 6 months after
                the study (<xref ref-type="bibr" rid="B43">GDPR, 2018</xref>).</p>
            <p>Thematic analysis (<xref ref-type="bibr" rid="B6">Braun et al., 2022</xref>) was used
                to analyse the resultant data. For the participants who consented to audio
                recording, these transcripts were read through multiple times before line-by-line
                coding was conducted to identify initial exploratory codes. A similar process was
                undertaken with the detailed field notes from the unrecorded interviews. These codes
                were then compared and grouped to develop themes; that is the key issues raised from
                the body of data by the two researchers collaboratively.</p>
        </sec>
        <sec>
            <title>Findings and discussion</title>
            <p>The discussions and findings in this study have been integrated to provide a coherent
                narrative. Whilst the questions within the interview schedule were focused on
                specific issues of support and transition, across the body of interview data, there
                were several key recurring issues. Whilst it is difficult to identify the extent to
                which these issues are the result of the participants neurodivergence, the
                narratives shared by the participants suggest that they felt that these issues were
                directly related to those issues, and this are worthy of further discussion.</p>
            <sec>
                <title>Finding their own way</title>
                <p>One of the key themes in the data was the extensive coping strategies these
                    students had developed. This resonated with previous work by both Griffin and
                    Pollak (<xref ref-type="bibr" rid="B19">2009</xref>) and O&#8217;Byrne et al.
                        (<xref ref-type="bibr" rid="B32">2019</xref>) who also highlighted the way
                    in which students spoke about their individual coping strategies. For the
                    participants in this study, these strategies ranged from specific study
                    strategies such as notetaking, essay writing and organisation, to more general
                    coping strategies such as staying focused and on task. All participants
                    demonstrated resilience here, which can be seen to both support their success
                    but may also be a potential barrier to their engagement with some of the support
                    on offer. Comparing two of the students, who were very different in many of
                    their answers and their experiences, there was a clear overlap in the
                    explanations of their approach to dealing with their neurodivergence:</p>
                <disp-quote>
                    <p>I have already developed my own support. I&#8217;ve learnt through life
                        experience about how to do things my way. I find support with these
                        particular matters is a very generalised sort of support and it&#8217;s not
                        necessarily always going to be helpful to any one person, as I had to find
                        my own way of dealing with these particular aspects, and so I had to develop
                        my own skills and own ways of coping with everything, and it works for me.
                        (Student 5)</p>
                </disp-quote>
                <p>This narrative was also represented clearly in the students chosen image, a
                    physical representation of her coping strategies through a fidget cube (<xref
                        ref-type="fig" rid="F2">Figure 2</xref>), and a to-do list that helped
                    provide structure.</p>
                <fig id="F2">
                    <label>Figure 2</label>
                    <caption>
                        <p>Photo elicitation by Student 5.</p>
                    </caption>
                    <alt-text>Photo elicitation by Student 5</alt-text>
                    <graphic xmlns:xlink="http://www.w3.org/1999/xlink"
                        xlink:href="ijelt-2-1-38-g2.png"/>
                </fig>
                <p>Likewise, the image from Student 3 (<xref ref-type="fig" rid="F3">Figure
                    3</xref>) was also a physical representation of coping. In her narrative, she
                    talked about how the soft toys helped provide comfort. The image also included
                    the markers and post-its which she used in her own study strategies.</p>
                <fig id="F3">
                    <label>Figure 3</label>
                    <caption>
                        <p>Photo elicitation by Student 3.</p>
                    </caption>
                    <alt-text>Photo elicitation by Student 3</alt-text>
                    <graphic xmlns:xlink="http://www.w3.org/1999/xlink"
                        xlink:href="ijelt-2-1-38-g3.jpg"/>
                </fig>
                <p>Whilst Student 4 was not quite a specific about his exact strategies, he
                    commented that:</p>
                <disp-quote>
                    <p>I think it&#8217;s because I&#8217;ve got this far through life coping, that
                        it&#8217;s more about having a lot of coping strategies in place and not
                        kind of going well I&#8217;m fine. I&#8217;m not sure, yeah, I think
                        it&#8217;s that, it&#8217;s having, yeah, I think certainly some of us who
                        are a lot older have got this far through life muddling through. (Student
                        4)</p>
                </disp-quote>
                <p>However, this could suggest that in some ways the offer of other strategies
                    during the module were often dismissed rather than trialed. In fact, Student 4
                    expressly explained that she often skipped some of the activities on a module if
                    she already had her own ways of doing something. This is in line with other
                    studies on transitions indicate that the students are in a process of dis
                    assemblage, panic, chaos, and self-doubt when in transitions (<xref
                        ref-type="bibr" rid="B2">Amundsen 2022</xref>). Transitions are not
                    perceived as linear but entangled, nonlinear, iterative, and recursive process,
                    in which students travel in irregular ways through the various landscapes of
                    their experience (university, family, work, social life) and bring those
                    landscapes into relation with each other&#8217; (<xref ref-type="bibr" rid="B42"
                        >Taylor et al. 2018</xref>) and find their own way.</p>
            </sec>
            <sec>
                <title>Support</title>
                <p>A second theme coming out of the data was the idea of support. In fact, student
                    4&#8217;s image (<xref ref-type="fig" rid="F4">Figure 4</xref>) they chose for
                    the elicitation task was emblematic of how important support from people was in
                    their experiences of transition.</p>
                <fig id="F4">
                    <label>Figure 4</label>
                    <caption>
                        <p>Photo elicitation by Student 4.</p>
                    </caption>
                    <alt-text>Photo elicitation by Student 4</alt-text>
                    <graphic xmlns:xlink="http://www.w3.org/1999/xlink"
                        xlink:href="ijelt-2-1-38-g4.jpg"/>
                </fig>
                <p>The student described the image as representing their home of Norwich and the
                    players being the students huddled together with the fans on the sidelines
                    cheering them on. This is how they felt in terms of a slight disconnect between
                    their experience and the support that the university provides. They felt that
                    they had not been able to get the advice and 1-to-1 support needed. In some ways
                    this was attributed to COVID, but it also demonstrated a gap in expectations
                    between what they wanted and to what a distance learning institution offers.
                    They talked a lot about face-to face support which, whilst provided on some
                    modules is a small part of the way in which students are supported at The Open
                    University.</p>
            </sec>
            <sec>
                <title>Quality of tutor support</title>
                <p>One of the overwhelming areas of commendation from all the participants was the
                    quality of tutor support on their access modules and this theme came up across
                    the interviews. They were variously described as &#8220;an angel in
                    disguise&#8221; (student 5), &#8220;Brilliant&#8221; (student 4) and
                    &#8220;Responsive&#8221; (Student 1) amongst other things. Unlike previous
                    research by Griffin and Pollak (<xref ref-type="bibr" rid="B19">2009</xref>)
                    which highlighted much more mixed experiences of support from academic staff. In
                    part this might be due to the changing perceptions of teaching staff in HE and
                    increased CPD for staff around these issues over the past decade. However, there
                    was clearly a difference noted between the support at Access and level 1. As
                    Student 5 stated: &#8220;My tutor that I have now is equally as good, Obviously
                    I do not have to rely on him to the same degree&#8221;. This was a sentiment
                    echoed by Student 3. This difference was often expected and in some ways Student
                    1 felt they were too &#8220;cushioned&#8221; by their Access tutor which made
                    the jump to level 1 feel significant. In contrast, Student 2 felt that this
                    difference was more problematic. Student 2 highlighted that having less
                    conversations with their level 1 tutor had reduced their comfort and resulted in
                    some miscommunication. This suggests that for different students, the
                    expectations of the level of support provided seem to vary, as do their
                    individual needs for support. In fact, this student felt that the &#8220;shock
                    of level 1 hits badly on students with dyslexia&#8221;. Many researches
                    highlight the systems lack communication and not keeping up with the changes can
                    cause more chaos in the transitions. Downes (<xref ref-type="bibr" rid="B13"
                        >2019</xref>), explains this as a system blockage and fragmentation in
                    communication between transition environments. and individual change to the
                    foregrounded child/individual through supports in moving from background
                    environment A to B.</p>
            </sec>
            <sec>
                <title>Wider systems of support</title>
                <p>Whilst the participants talked extensively about tutor support, very few seemed
                    to have engaged as extensively with the wider support offered by the university.
                    Student 5 contextualised this by saying:</p>
                <disp-quote>
                    <p>I haven&#8217;t really had any need to contact the support team in any way,
                        because, OK, the dyslexia is a big issue for me, but my tutors have been
                        more than supportive towards that issue and understanding and provided the
                        support that I need with addressing that and understanding that I find it
                        difficult to do this.</p>
                </disp-quote>
                <p>This idea of only reaching out when needed was a common theme and only Student 1
                    mentioned regular contact with the Student Support Team (SST). In their
                    narrative, Student 1 highlighted that whilst the SST were helpful, their
                    response times were often long, perhaps in comparison to the efficiency the
                    students expressed about their tutors. Support services were clearly very
                    important to this student though and their photo elicitation images consisted of
                    the software and physical items that help them cope with their disabilities
                        (<xref ref-type="fig" rid="F5">Figure 5</xref>).</p>
                <fig id="F5">
                    <label>Figure 5</label>
                    <caption>
                        <p>Photo elicitation by Student.</p>
                    </caption>
                    <alt-text>Photo elicitation by Student</alt-text>
                    <graphic xmlns:xlink="http://www.w3.org/1999/xlink"
                        xlink:href="ijelt-2-1-38-g5.jpg"/>
                </fig>
                <p>When asked explicitly about Disability services, Student 4&#8217;s response was
                    quite extensive and merits further discussion:</p>
                <disp-quote>
                    <p>I&#8217;m also one of those students who knows that Disabilities is there,
                        but I haven&#8217;t contacted them. Which I think happens actually in
                        universities more than are supposed to, because we go, I have a problem, and
                        then go yeah but I don&#8217;t want to ask for any help. Also, I don&#8217;t
                        know what a reasonable adjustment looks like, so I don&#8217;t know,
                        there&#8217;s still that sort of, but I&#8217;m coping so I don&#8217;t want
                        any help, or I feel bad asking for help or I feel I&#8217;m somehow cheating
                        asking for help, which I know it isn&#8217;t, I know it&#8217;s a reasonable
                        adjustment if something was put in place. But yeah I think if the OU could
                        do anything with regard to support is if somebody put their hand up and said
                        I have a diagnosis or I think I might be something, if rather than waiting
                        for that person to then make that next big step and I think, myself
                        included, that is a massive leap to then go and tell somebody else,
                        Disabilities could just drop us an email or something to make that contact
                        rather than wait for us.</p>
                </disp-quote>
                <p>This also echoed Student 1&#8217;s responses which focused on better
                    understanding what support was on offer. Whilst the other students here did not
                    expressly mention this, the focus they made upon already having strategies to
                    cope, suggested they might not be aware of the support on offer that might help
                    make their lives easier.</p>
                <p>The issue of accessing support resonates with previous findings from previous
                    research (<xref ref-type="bibr" rid="B35">Rowan, 2014</xref>; <xref
                        ref-type="bibr" rid="B32">O&#8217;Byrne et.al., 2019</xref>; <xref
                        ref-type="bibr" rid="B3">Anderson et al., 2020</xref>). This resonance with
                    global scholarship both in relation to dyslexia and ASD suggest the issue is not
                    just specific to The Open University but is a wider challenge related to the
                    confidence and knowledge that these support services will improve their
                    experiences. It also aligns with Clouder et al. (<xref ref-type="bibr" rid="B9"
                        >2020</xref>) who highlights the issues of stigma and disclosure,
                    highlighting that the wider literature shows that students often only disclose
                    when they can no longer cope. However, our findings suggest there may be another
                    barrier for some students, not knowing what support is on offer. This issue was
                    raised within our participants narratives and resonated with Anderson et al.
                        (<xref ref-type="bibr" rid="B3">2020</xref>) study. As Student 4
                    highlighted, perhaps being presented with a menu of what the support services
                    can offer and by them taking the first step, this might help. Of course, the
                    resource to do this on an individual basis is likely to be prohibitive but it
                    may be worth exploring one-to-many ways of doing this such as with module wide
                    information sessions or even running them on a pan-university level. This also
                    resonated with findings from a US based study which also highlighted the
                    challenge of ASD students not knowing what support they needed (<xref
                        ref-type="bibr" rid="B1">Accardo et al., 2018</xref>).</p>
            </sec>
            <sec>
                <title>Understanding the system</title>
                <p>The university systems seem to create a challenge for the transitions of a number
                    of these students. At Access, the focus on 1-to-1 support can sometimes negate
                    students needing to navigate other services. However, this theme also raised
                    gaps in understanding around assessment. Amundsen (<xref ref-type="bibr"
                        rid="B2">2022</xref>) stated that many factors interplay in the process of
                    transitions and making them complex and in a state of dis assemblage. ND
                    students feel that &#8220;Dis assembled state&#8221; in the transition from
                    Access to level modules especially around the guidance of assessments.</p>
            </sec>
            <sec>
                <title>Facing new systems</title>
                <p>Although all HEIs tailor specific student support, the key systems in any
                    University are inflexible and same for all. Studies indicate that this can be a
                    critical issue for many neurodivergent students in the process of coping and
                    getting to grips with the new systems. For several of the participants, the
                    issues of transitioning from Access to level 1 were less about the changes in
                    their studies but being faced with new and different university systems. General
                    processes such as applying for student finance were mentioned, in addition to
                    more specific processes like applying for DSA, a process which student 2
                    described as &#8220;Awkward and long&#8221;. Time was a key theme for lots of
                    the students. Student 1 who felt in particularly trying to contact the SST was
                    hard, as was finding the contacts they needed for support and in the DSA
                    process. They felt that having some proactive help here would have been useful.
                    This resonated with the comments earlier from student 4 about wanting proactive
                    support in this area.</p>
            </sec>
            <sec>
                <title>Understanding assessment</title>
                <p>All Assessment guides are online with the clear indication of the expectations of
                    an assignment and the criteria for assessment (<xref ref-type="bibr" rid="B44"
                        >The Open University, 2022</xref>) and new students at Access level are
                    given an overview of the assessment strategy in these guides along with the
                    one-to-one tutorials with their tutor. The issues of understanding assessment
                    seemed to recur across the data. For example, Student 1 mentioned not being sure
                    what a TMA (tutor marked assessment) was. There was also significant
                    misunderstanding by several of the students about the grading of assignments.
                    Concerningly, several students still felt like they were doing poorly with marks
                    in the 60s and 70s. To use the words of Student 4:</p>
                <disp-quote>
                    <p>Fortunately, all of my marks have been, my grades, as it were, have been
                        passing grades, but I would like to improve on them, because I sort of
                        maintain A, I would describe it as like a C+ average, I&#8217;m in the
                        mid-70s range for my scores. (Student 4)</p>
                </disp-quote>
                <p>When we consider this is the mark for a Pass 2 (upper second), or the equivalent
                    of a &#8220;good&#8221; mark, something is clearly not being explained well.
                    This also resonated with Student 4 who said:</p>
                <disp-quote>
                    <p>I remember, I think it was on my first one I got something like 65 and I
                        remember going to work and going I only got 65, and they went no
                        that&#8217;s really good. And I&#8217;m going no it&#8217;s not, it&#8217;s
                        65, I&#8217;ve missed loads. And they&#8217;re going well no the pass
                        mark&#8217;s 40, and going 40 because it&#8217;s less than half feels like
                        it shouldn&#8217;t be a pass mark. And I think in most things you do in life
                        you&#8217;re looking at 70 to pass or somewhere certainly above 50 and that
                        understanding of what is good and with regards to that marking structure I
                        found difficult to get round in my head. To be fair I&#8217;m still looking
                        at getting 81 and going I&#8217;ve still missed some marks! I think
                        I&#8217;m just born disappointed!</p>
                </disp-quote>
                <p>What these issues speak about is the taken for granted nature of some of the
                    basics of Open University study that may not be explained clearly and are
                    clearly resulting in misunderstanding even into level 1 modules. The information
                    provided is not providing the guidance they need. To return to student 4:</p>
                <disp-quote>
                    <p>I have seen marking schemes, but they all just seem to be a bit sort of, good
                        understanding, adequate understanding, excellent understanding, and
                        I&#8217;m just going OK.</p>
                </disp-quote>
            </sec>
            <sec>
                <title>The language of learning</title>
                <p>This theme of understanding of assessment also linked to a broader issue of
                    language around learning. One of the comments made by Student 5 in relation to
                    their feedback resonated with issues raised in other interviews, the
                    technicality of language. Student 5 highlighted that sometimes it was</p>
                <disp-quote>
                    <p>difficult for me to pick up on what tutors are saying sometimes because
                        it&#8217;s full of technical language that is a bit alien.</p>
                </disp-quote>
                <p>This issue with language seemed to span both subject specific language but also
                    language around assessment and university level learning. For example, Student 1
                    talked about how something she described as a &#8220;word base&#8221; would have
                    helped her with her access study. She elaborated on this and described something
                    akin to a glossary but that seemed to go beyond meanings of words to also
                    encompass &#8220;easy understandings and interpretations of ideas and
                    facts&#8221; later in the interview this seemed to also expand to cover things
                    like process words for assessment.</p>
            </sec>
            <sec>
                <title>The jump</title>
                <p>The moving up in level from access to level 1 was, as might be expected
                    experienced differently by the participants. Differences expressed included the
                    amount of reading, the challenge of the academic content and the expectations in
                    terms of writing and assessment. There was also felt to be a jump in terms of
                    support as highlighted previously. This jump might be linked to the literature
                    that emphasizes the perceived difference neurodivergent students experience that
                    is part of their self-concept which makes the transition more difficult (<xref
                        ref-type="bibr" rid="B21">Jackson, 2010</xref>; <xref ref-type="bibr"
                        rid="B45">Vincent et al., 2017</xref>). Neurodivergent students may cloud
                    their thinking with apprehension and past experiences that may make the
                    negotiation of change, working towards achieving a university degree more
                    challenging (<xref ref-type="bibr" rid="B27">Kwon et al., 2018</xref>).</p>
                <p>The heterogenous group of students experienced this differently but for the one
                    participant from STEM, their experience of this transition seemed much more
                    acute than those moving into Social Science modules at level 1. There were two
                    reasons articulated by this student. Firstly, the differing expectations for the
                    presentation of work. The Access module was more focused on handwritten, or
                    word-processed submissions compared to computer programs at level 1. Secondly,
                    they felt there was a significantly higher expected level of skills, especially
                    in their level 1 Maths module which they described as feeling like
                    &#8220;2&#8211;3 levels up&#8221;. In contrast, they did not feel the jump in
                    skills needed for their level 1 Physics module was as challenging.</p>
                <p>However, this did not mean that there was not a significant difference felt by
                    the other students though. For example, Student 3 felt that they weren&#8217;t
                    fully prepared for the increased focus on essays in their level 1 module. In
                    contrast, Student 2&#8217;s comments focused more on finding it harder to grasp
                    concepts at level 1 mentioning they needed to revisit content again, which put
                    them behind. Student 2 suggested that there should be more information about the
                    expectations at level 1 to help prepare them for this transition. Not all
                    students felt this jump though and Student 5 felt they were well prepared for
                    level 1 study with Student 4 only commenting on the slightly more pressurized
                    timescales and how much easier it was to get behind.</p>
            </sec>
            <sec>
                <title>Getting hung up on referencing</title>
                <p>Referencing was a recurrent theme through all the participants narratives. This
                    is unsurprising given most students concerns about this but there was something
                    worthy of exploration here in the ways these neurodivergent students discussed
                    it. Whilst study skills like referencing, paraphrasing, word processing, and
                    meaning making of words are key in all HE learning. Referencing as a part of the
                    assessment can create a fear of being penalised for incorrect formatting. This
                    in turn can lead to a low self-esteem due to a lower grade due to incorrect
                    referencing (<xref ref-type="bibr" rid="B23">Jansen et al., 2017</xref>; <xref
                        ref-type="bibr" rid="B41">Smith, 2017</xref>; Andersen et al., 2018).</p>
                <p>For this study&#8217;s participants, it was highlighted that this concern from
                    Access endured at level 1 (except student 2 who was now studying Maths, which
                    may be a more discipline specific issue). Student 1 felt they needed more visual
                    representations and explanations of why it was the way it was. For Students 4
                    and 5, they both reflected extensively on the issue of referencing. For these
                    students, their confidence in this area was in tension with their emerging
                    confidence in writing and it came down to the level of detail required. As
                    student 5 expressed:</p>
                <disp-quote>
                    <p>I find it a little bit tedious because you&#8217;ve got to get the exact
                        commas got to be in the right place, the full stop has got to be in the
                        right place and to my mind that is, as long as I&#8217;ve referenced the
                        guy&#8217;s work, what does it matter if a comma is out of place, because
                        I&#8217;ve referenced the guy, it&#8217;s there. (Student 5)</p>
                </disp-quote>
                <p>In contrast:</p>
                <disp-quote>
                    <p>A lot of academic writing it&#8217;s you can make your argument even if your
                        argument is slightly different to somebody else&#8217;s argument, as long as
                        you can get it in your head and get it clear you&#8217;re OK, referencing is
                        a right or wrong. And I think with me it&#8217;s a bit like having to do
                        anything where there&#8217;s definitely a right answer, I feel far more
                        pressured to get it absolutely right, which I&#8217;m not managing but
                        I&#8217;m better than I was. (Student 4)</p>
                </disp-quote>
                <p>So, for both students, it was the worrying about being correct that was causing
                    concern here. If we consider this in terms of feedback anxiety, Student 4 also
                    reflected that:</p>
                <disp-quote>
                    <p>I&#8217;m finding feedback really difficult because it just feels like
                        I&#8217;m getting things wrong. And I take that to heart, and I know
                        that&#8217;s not what they meant, they&#8217;re there to try and help and
                        you can&#8217;t correct things if somebody doesn&#8217;t point out
                        what&#8217;s wrong.</p>
                </disp-quote>
                <p>Studies have indicated that for neurodivergent students the challenge of managing
                    studying and along with the ability to achieve is a key to their self-concept.
                    Neurodivergent students may worry that their lower grades is a clear indicator
                    of the fact that they are unable to achieve, and it is a sign of failure. The
                    anxiety and worry can therefore build into increased anxiousness more generally
                    in their higher education studies (<xref ref-type="bibr" rid="B21">Jackson,
                        2010</xref>; <xref ref-type="bibr" rid="B45">Vincent et al., 2017</xref>).
                    This is evident in the narratives above where the students describe that they
                    worry and take the feedback given to mean something impossible to achieve and
                    attain.</p>
            </sec>
        </sec>
        <sec>
            <title>Limitations</title>
            <list list-type="bullet">
                <list-item>
                    <p>Scale of study &#8211; The small sample with in-depth narratives of students
                        offer useful insights and sets the scene for future research with a larger
                        sample of neurodivergent students.</p>
                </list-item>
                <list-item>
                    <p>Challenge of participant uptake &#8211; The challenge of participants uptake
                        was a key barrier that the researchers had to overcome. This was achieved
                        requesting a wider sample parameter and offering consenting flexibility of
                        time and medium of interview.</p>
                </list-item>
                <list-item>
                    <p>Subject coverage &#8211; Only one STEM student consented to participate in
                        the study. The four faculties were not adequately represented in the sample
                        with only one student from STEM.</p>
                </list-item>
                <list-item>
                    <p>Range of neurodiversity &#8211; The study tried to capture a range of
                        neurodivergent students however the size of the sample limited this.</p>
                </list-item>
            </list>
        </sec>
        <sec>
            <title>Recommendations</title>
            <p>One of the key implications of this study is the need for a more joined up approach
                to support through a concentrated, cohesive approach to support. We propose offering
                joined up three-way support for students. This is likely to involve Associate
                Lecturers, Student support Teams and disability Services along with the module teams
                working together. This project recommends the following ideas to be embedded in
                Access and level 1 modules across all faculties. For neurodivergent students-</p>
            <list list-type="order">
                <list-item>
                    <p><bold>To address the challenge of complex terminology</bold> &#8211; All
                        students should be provided with a simple word base/bank that gives students
                        a clear definition and an example of what a word means. This might include
                        both subject specific terminology and more general university
                        terminology.</p>
                </list-item>
                <list-item>
                    <p><bold>To help students understand who can support them</bold> &#8211; Clear
                        indication and a written table or a chart describing the role and remit of
                        support offered by the Students Support Teams (SST) and Disability support
                        teams (DST) can do for students. Ideally this would include examples of
                        specific types of support they can offer.</p>
                </list-item>
                <list-item>
                    <p><bold>To improve understanding of university systems</bold> &#8211; The
                        induction week of Access and level 1 modules should be giving students
                        sufficient opportunities to understand the module related terminology,
                        expectation, and guidance towards the support available.</p>
                </list-item>
                <list-item>
                    <p><bold>To help reduce referencing anxiety</bold> &#8211; Guidance for
                        plagiarism and paraphrasing and referencing should be encouraged form the
                        start of Access modules itself. Many Neurodivergent students shared their
                        anxiety around referencing, and this can be easily put at ease within the
                        first few tutorials&#8217; sessions. Each tutorial should focus on some
                        guidance about plagiarism, academic misconduct and referencing.</p>
                </list-item>
                <list-item>
                    <p><bold>To help improve staff understanding</bold> &#8211; Guidance for staff
                        about how to support neurodivergent students should be updated in Access and
                        in Level 1 modules. Additionally, all associate lecturers and staff tutors
                        and student support teams should be offered training on neurodiversity.
                        Ideally this would be co-designed with the involvement of neurodivergent
                        students.</p>
                </list-item>
                <list-item>
                    <p><bold>To help support staff</bold> &#8211; Clear guidance and support along
                        with Neurodivergent PALS in the SST should be developed to support ALs
                        dealing with neuro divergent students.</p>
                </list-item>
                <list-item>
                    <p><bold>To ease transitional concerns</bold> &#8211; In the moving on weeks on
                        Access modules, the level 1 modules and the teams should be invited to give
                        taster session to all neurodivergent students. Setting the future
                        expectations in terms of phone contacts, tutorials, TMAs etc should be done
                        in the moving on week.</p>
                </list-item>
                <list-item>
                    <p><bold>Tutor- student relationship</bold> &#8211; Exploring the possibility of
                        development of the same tutor relations in their transition from Access to
                        level 1 modules. Ideally Access tutors should be present at least in the
                        first tutorial of the ND students at level 1.</p>
                </list-item>
                <list-item>
                    <p><bold>Developing student self-concept</bold> &#8211; Consider developing
                        short induction sessions that build a positive self-concept before the start
                        of the Access modules and at least two other critical points for
                        neurodivergent students during their access module.</p>
                </list-item>
            </list>
        </sec>
        <sec>
            <title>Future research</title>
            <list list-type="order">
                <list-item>
                    <p>To repeat a similar study but with a larger number of participants within The
                        Open University to capture a wider range of Neurodiversity in order to
                        explore these themes in more detail.</p>
                </list-item>
                <list-item>
                    <p>Expanding this study beyond The Open University whist retaining its focus on
                        tutor support to explore the themes from this report with a larger sample of
                        Neurodivergent students on access level study which also allows for
                        comparison with other Access students in the HE sector.</p>
                </list-item>
                <list-item>
                    <p>Evaluating the effectiveness of the Self-concept tutorial sessions and their
                        impact on neurodivergent student&#8217;s understanding of differentiating
                        assessment and systems from self-concept may be a useful focus of future
                        research. This links into Recommendation 9 above in this report.</p>
                </list-item>
                <list-item>
                    <p>Exploring the technological enhancements that may enable more cohesive
                        support from various units in the Open University for specific neuro
                        divergent needs of the students.</p>
                </list-item>
            </list>
        </sec>
        <sec>
            <title>Conclusions</title>
            <p>The study concluded that there is no one fit for all neurodivergent students.
                Tailored support in SST, tutorials, and different points in the journey can support
                transitions. This study showed that even within a small sample, from their in-depth
                accounts of their experiences neurodivergent students have differing experiences of
                the transition from Access to level 1. Yet within this difference, there is also
                commonality. By getting to this level of study, many students have developed coping
                strategies and resilience. They also all seem to value high quality and effective
                tutor support, which they feel the Access modules provided them and see this as
                central to their success. However, there are parts of their experiences of
                transition they have found challenging. Some issues, such as referencing are common
                to many students. Others, more unique such as knowing where to go for additional
                support and what is on offer. Other key concerns for neurodivergent students are
                navigating the often-confusing world of systems, language and processes associated
                with Higher Education. As a result of this study, we have identified some keyways to
                address this such as developing a better understanding of these students&#8217;
                experiences, thinking how to ensure they have clearer information to support them
                and a more structured transition to their level 1 study.</p>
        </sec>
        <sec>
            <title>Data Accessibility statement</title>
            <p>The data are not publicly available as that could compromise the privacy of research
                participants and due to the sensitive nature of issues discussed.</p>
        </sec>
        <sec sec-type="supplementary-material">
            <title>Additional File</title>
            <p>The additional file for this article can be found as follows:</p>
            <supplementary-material id="S1" xmlns:xlink="http://www.w3.org/1999/xlink"
                xlink:href="https://doi.org/10.5334/ijelt.38.s1">
                <!--[<inline-supplementary-material xlink:title="local_file" xlink:href="ijelt-2-1-38-s1.docx">ijelt-2-1-38-s1.docx</inline-supplementary-material>]-->
                <!--[<inline-supplementary-material xlink:title="local_file" xlink:href="ijelt-2-1-38-s1.pdf">ijelt-2-1-38-s1.pdf</inline-supplementary-material>]-->
                <label>Appendix 1</label>
                <caption>
                    <p>Interview Schedule. DOI: <uri>https://doi.org/10.5334/ijelt.38.s1</uri></p>
                </caption>
            </supplementary-material>
        </sec>
    </body>
    <back>
        <sec>
            <title>Funding Information</title>
            <p>This study was funded by <bold>Praxis (PRAXIS 2021/22 22 RB)</bold> registered in the
                Open University IAR register as 3306147.</p>
        </sec>
        <sec>
            <title>Competing Interests</title>
            <p>The authors have no competing interests to declare.</p>
        </sec>
        <sec>
            <title>Author Contributions</title>
            <p>Both authors have contributed equally to the following tasks in this research;
                conception and design of the research work, data collection, data analysis and
                interpretation, drafting the article, critical revision of the article, final
                approval of the version to be published.</p>
        </sec>
        <sec>
            <title>Editorial &#38; peer review information</title>
            <p><bold>Editor(s):</bold> Divya Jindal-Snape</p>
            <p><bold>Reviewer(s):</bold> Kieran Hodgkin &#38; Anonymous</p>
        </sec>
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