What you can't ignore: examining distraction in autism

Lead Research Organisation: University of Sheffield
Department Name: Psychology

Abstract

We have a limited capacity for processing the vast amount of sensory information available to us at any given time. To prevent being overwhelmed, the brain must inhibit irrelevant, distracting information so that information which is relevant to the task at hand can be preferentially processed. For example, in a modern, open-plan office I must inhibit a variety of irrelevant stimuli when focusing on a spreadsheet. This may include colleagues chatter and typing, activity from the street visible through the window and the aroma of perfumes, aftershaves and microwaved food.

Autism is a life-long condition in which divergent brain development leads to differences in how a person perceives and interacts with the world around them. For many autistic adults, everyday environments such as offices can be over-stimulating. This can impact on an individual's ability to access the community and work. However, the experience of distraction in autism is currently poorly understood. Little is known about what distracts autistic people and why these experiences happen.

The overarching aim of the work in this project is to establish the what and why of distraction in autism. This will involve identifying which stimuli and contexts cause problems for autistic people (what) and the mental processes underlying less effective inhibition (why). In order to address these aims, this project will focus on the features of distracting stimuli. This approach is relevant as not all irrelevant information is equally distracting and the extent to which we are distracted can change over time. For instance (continuing the example above), if I am moved desks to sit by the office window, I may initially find the activity on the street more difficult to suppress compared with the ambient hum of background conversation in the office. However, after a few days sitting by the window the activity outside is likely to become much less distracting.

In this project I will investigate whether autistic people's experience of distraction is determined by the nature of the stimuli and context. This will be addressed by combining subjective accounts from autistic people with experimental testing to provide a comprehensive insight into the nature of distraction, drawn from the rich detail and robust measurement which will be provided by this integrated approach. I will compile subjective accounts from autistic people, which can be explored for common themes and concepts regarding distracting experiences. I will also use lab-based studies in which the participant will be asked to make judgments about a target, while presented with distracting information that they are asked to ignore. Importantly, the features of the distracting stimuli will be carefully manipulated, such as whether they include sounds or are moving, and the context in which they are presented, such as whether the distractors are likely to appear in particular locations more frequently. Measuring participant's responses, eye movements towards the distracting stimuli and computational modelling will generate novel insight into the circumstances in which inhibition is impaired in autism and the mental processes underlying these differences.

The information from subjective accounts and experimental work in this project will better elucidate distractor interference in autistic adults. This will lead to a considerable theoretical advance in understanding overwhelming perceptual experiences in the condition. Findings will be used to develop tools to advise on adjustments that can be made to everyday environments so that they are more accessible for autistic people.
 
Description Healthcare Competition 20 - Autism and Learning Disabilities
Amount £99,972 (GBP)
Organisation Small Business Research Initiative (SBRI) 
Sector Public
Country United Kingdom
Start 08/2022 
End 04/2023
 
Description Accesible Audio for Autistic Individuals Study 
Organisation University of York
Country United Kingdom 
Sector Academic/University 
PI Contribution - co-authored successful funding bid from the Screen Industries Growth Network (SIGN, Collaborative Research Grants) - co-organisation of co-production panel meetings with autistic community to develop study
Collaborator Contribution - co-authored successful funding bid from the Screen Industries Growth Network (SIGN, Collaborative Research Grants) - co-organisation of co-production panel meetings with autistic community to develop study
Impact Developed collaboration with York Audio Lab to develop and design research project. This has already resulted in a successful grant application. The research project is on-going and will likely result in publications and policy briefs
Start Year 2021
 
Description Low-intensity support for autistic adults 
Organisation University of Sheffield
Department Department of Psychology
Country United Kingdom 
Sector Academic/University 
PI Contribution - Co-authored successful bid - Developing workshops - Hiring and co-supervising a research associate to work on project
Collaborator Contribution - Co-authored successful bid - Developing workshops - Hiring and co-supervising a research associate to work on project
Impact Successful funding bid to pay for workshops to investigate current state of post-diagnostic support for autistic adults. This involved designing series of five workshops. The first workshop invited practioners and policy makers to discuss current provision of post-diagnostic support to autistic adults in the UK. The remaining five workshops will involve working with autistic adults who recently went through the diagnosis process. We are conducting a Delphi study as part of this process which may lead to a publication. Additionally, this funding bid is pump priming for a larger NIHR funding bid in which we are hoping to obtain funding to evaluate a low-intensity tech mediated post-diagnostic support for autistic adults.
Start Year 2021
 
Description Mixed methods survey to investigate selective attention experiences across neurotypes 
Organisation University College London
Department Centre for Research in Autism and Education
Country United Kingdom 
Sector Academic/University 
PI Contribution This collaboration involved developing a survey to collect data which is being analysed and reported in two separate manuscripts. My role has involved co-conceptualisation and co-design of survey. Arranging consultancy which informed design of the survey. Preparing pre-registration. Analysis of quantitative and co-analysis of qualitative data (content analysis). First authorship of manuscript (in preparation)
Collaborator Contribution Co-conceptualisation and co-design of survey. Arranging PPI on survey design. Leading and co-analysing aspects of qualitative data analysis (thematic and content analysis respectively). First authorship of published manuscript
Impact Published manuscript (https://journals.sagepub.com/doi/10.1177/27546330241229004) Presentation at ITAKOM conference (https://www.youtube.com/watch?v=HeYP6As2Ox0)
Start Year 2022
 
Description Autistic and ADHD adults' experiences of attention, distraction and focus 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact Oral presentation at the international neurodiversity conference 'It Takes All Kinds of Minds'
Year(s) Of Engagement Activity 2023
URL https://itakom.org/
 
Description Distraction Comix 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Co-designed an online comic inspired by the project research and methodology. This comic allowed autistic adults to communicate their experiences of distraction and focus in a way which could be visually represented to improve engagement and understanding.

The intended audience for this project are
1. the general public, in order to raise awareness and increase acceptance of neurodivergent people's experiences
2. neurodivergent people, especially those that are recently diagnosed, to raise awareness of the kinds of issues (and strengths) they may have, but have not been able to express themselves
3. employers and practioners who work with neurodivergent people, in order to improve understanding of some of the challenges neurodivergent people may experience in everyday life

66% of those responding to feedback 'strongly agree' that their perspectives on their own experience changed after reading the comic
66% of those responding to feedback 'agree' that their perspective on their own experience changed after reading the comic
67% of those responding to feedback 'agree' that they will think differently about how everyday environments can create facilitators and barriers for autistic people
Year(s) Of Engagement Activity 2023,2024
URL https://player.sheffield.ac.uk/events/distraction-comix
 
Description Neurodiversity podcast 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Patients, carers and/or patient groups
Results and Impact Interviewed on neurodiversity for the University of Sheffield Disability Network podcast.

Following my involvement on the podcast, the University internal comms team requested to interview me for Disability History Month. This included directing readers to Distraction Comix output and information about the project
Year(s) Of Engagement Activity 2023
URL https://digitalmedia.sheffield.ac.uk/channel/Disability+Staff+Network/306458592
 
Description Pre-registration presentation 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Postgraduate students
Results and Impact Presentation at meeting 'The promises and pitfalls of preregistration' at the Royal Society in London. Discussed pre-registration in context of autism + my empirical work on the topic with a substantial audience
Year(s) Of Engagement Activity 2024
URL https://royalsociety.org/science-events-and-lectures/2024/03/preregistration/#:~:text=However%2C%20p...