Enhancing the inclusion of neurodiverse students in higher education institutions represents a significant and evolving challenge for educators. Recognizing learning difficulties and equipping teachers with the knowledge and skills to effectively work with and communicate with neuro-diverse students are crucial steps toward achieving social inclusion. Aim – to explore the neurodiversity of Lithuanian college students and its link to learning difficulties and supporting measures. Two developmental adult disorders were presented to illustrate the expression of neurodiversity including attention deficit hyperactivity disorder (ADHD), and autism spectrum disorder (ASD). A cross-sectional survey included 512 students from Kauno Kolegija Higher Education Institution. The survey assessed 39 attributes related to students’ learning difficulties and supporting measures. The nine scales, consisting of 39 items, demonstrated good internal consistency, with a Cronbach's alpha coefficient of 0.76. Due to the unequal and smaller sample sizes of attention deficit hyperactivity and autism spectrum disorders having students, non-parametric statistics (Kruskal-Wallis) were used. Spearman's correlation coefficient (R²) was used for correlation analysis. Results. Nearly a quarter of the students associate their neurodiversity with ADHD, with 22.3 % suspecting they have the condition and 2 % noted that this is confirmed. 4.7% of students consider themselves to be on the autism spectrum disorder (ASD), with 0.6% having a confirmed diagnosis. Statistically significant differences were identified in the relationship between ADHD and attention difficulties at home, college, sensory sensitivity and specific learning difficulties (p ≤ 0.05). ADHD and ASS suspected of having students tend to have lower grade point average (GPAs). Students who suspect or confirm having ADHD express a higher preference for organizational tools compared to those without ADHD, with a significant difference (p ≤ 0.05). Preferences for explanations and illustrations are higher among those suspecting ADHD (p ≤ 0.05). The analysis of expectations from lecturers and organization concerning ASD shows minimal variation among groups (p≥0.05). Conclusions. Neurodiversity among students is a relevant phenomenon that is associated with learning difficulties that interfere with achieving good learning outcomes. However, the role of the teacher and organization is exclusively relevant for the ADHD student group. For ASD students and neurotypical students, universal approaches are appropriate.

Introduction: Occupational balance is an important concept in occupational therapy. However, no validated Occupational balance assessments currently exist in Lithuania. This study aimed to examine the psychometric properties of the Lithuanian version of the Occupational Balance Questionnaire 11 (OBQ11-LT). Method: A total of 127 healthy adults completed the OBQ11-LT to evaluate construct validity. Of these, 53 participants were randomly assigned to complete the questionnaire again after 7–10 days to assess test-retest reliability. Construct validity was examined using exploratory and confirmatory factor analyses. Test-retest reliability was evaluated using the intraclass correlation coefficient (ICC) for both total scores and individual items. Internal consistency was assessed with Cronbach’s alpha. Findings: The model demonstrated acceptable fit (χ²(45) = 719.79, p < 0.001; CFI = 0.933; TLI = 0.909; RMSEA = 0.106). The ICC between test and retest OBQ11-LT total score was 0.924. Total scores showed a significant statistical relationship ( p < 0.01), indicating good reliability. Cronbach’s alpha for the OBQ11-LT total score was 0.915, indicating acceptable internal consistency. Conclusion: OBQ11-LT demonstrates good reliability and validity for assessing occupational balance in general populations. Its psychometric properties are suitable for practice and research, making it a valuable tool for studying occupational balance in similar contexts and broadening the research areas for Lithuanian occupational therapists.