2. Literature Review
2.1. Evidence-Informed Design in Architecture
Evidence-informed design (EID) has become one of the principal approaches for integrating scientific knowledge into architectural decision-making. Originating in healthcare architecture during the late twentieth century, EID promotes the systematic use of empirical research to improve environmental quality, user experience, and building performance rather than relying solely on professional intuition or precedent (Ulrich et al., 2008; Hamilton & Watkins, 2009). While architectural design inevitably involves creativity and contextual interpretation, evidence-informed design encourages decisions that are transparent, justifiable, and supported by interdisciplinary research.
Rather than prescribing universal architectural solutions, evidence-informed design provides a structured process through which designers interpret empirical knowledge within the specific social, functional, and physical conditions of each project. Hamilton and Watkins (2009) argue that evidence should strengthen professional judgment rather than replace it, allowing architects to balance research findings with project constraints, client requirements, technical considerations, and cultural context. Consequently, evidence-informed design should be understood as a methodology for architectural reasoning rather than a collection of predetermined design rules.
Within educational architecture, the evidence base has expanded considerably over the past two decades. Research has consistently demonstrated that characteristics of the built environment—including lighting, thermal comfort, indoor environmental quality, acoustics, furniture arrangement, and spatial organization—affect learning performance, cognitive functioning, health, and psychological well-being (Barrett et al., 2015; Barrett et al., 2019). The HEAD (Holistic Evidence and Design) project, for example, demonstrated that multiple environmental characteristics collectively influence educational outcomes, highlighting the importance of considering classrooms as integrated environmental systems rather than collections of isolated design variables.
Recent scholarship has further shifted attention from the physical characteristics of learning environments alone toward the relationships between architecture, pedagogy, and user behaviour. Drawing on Gibson's theory of affordances, Young and Cleveland (2022) argue that educational spaces should be understood as environments that create opportunities for action rather than as passive physical settings. The effectiveness of a learning environment therefore depends not only on its physical configuration but also on how spatial characteristics support different forms of teaching, learning, collaboration, and individual engagement. This perspective reinforces the view that educational architecture should accommodate multiple patterns of use rather than prescribe a single model of learning.
These developments have important implications for evidence-informed architectural practice. If learning environments function through the interaction of users, activities, and spatial conditions, then evidence-informed design cannot rely on standardized architectural solutions. Instead, architects require methodologies capable of translating diverse and sometimes fragmented research findings into coherent design strategies that remain responsive to context. Environmental variables such as lighting, circulation, furniture configuration, materiality, and sensory conditions cannot be considered independently because architectural decisions typically influence several aspects of user experience simultaneously.
Accordingly, contemporary evidence-informed design increasingly emphasizes the synthesis of interdisciplinary knowledge rather than the application of isolated recommendations. This shift is particularly relevant for neuro-inclusive educational environments, where architects must balance sensory experience, cognitive accessibility, flexibility, and emotional well-being within existing architectural constraints. The need is therefore not simply for additional empirical evidence but for transferable methodological frameworks capable of integrating research into architectural decision-making while preserving the contextual and iterative nature of design practice.
2.2. Neurodiversity and Neuro-Inclusive Design
The concept of neurodiversity was introduced by Judy Singer (1999) to describe neurological differences as natural forms of human diversity rather than deficits requiring normalization. Since its introduction, the concept has evolved beyond its origins within disability studies to become an interdisciplinary framework influencing psychology, education, organizational research, healthcare, and architecture. Rather than focusing exclusively on diagnosis, the neurodiversity paradigm recognizes that individuals perceive, process, and interact with their environments through diverse cognitive and sensory profiles. Consequently, barriers to participation frequently arise not solely from individual characteristics but from the interaction between people and inadequately designed environments.
Within architecture, this perspective has contributed to the emergence of neuro-inclusive design, an approach that extends conventional accessibility beyond physical mobility to include sensory, cognitive, and emotional dimensions of environmental experience. While traditional accessibility initiatives have primarily addressed physical barriers through interventions such as ramps, elevators, tactile paving, and accessible circulation, neuro-inclusive design recognizes that architectural environments may also facilitate or hinder attention, orientation, emotional regulation, executive functioning, and social participation. The built environment therefore plays an active role in shaping how individuals experience, understand, and use space.
Recent literature demonstrates a growing shift from compliance-oriented accessibility toward more holistic conceptions of inclusion. In their scoping review of inclusive educational environments, Alterator et al. (2022) identified four recurring themes that characterize contemporary research: environmental performance, sensory qualities, participation, and the design process. Rather than viewing accessibility as a series of technical requirements, the review emphasizes that inclusive environments emerge through the integration of these interconnected dimensions during architectural design. This finding suggests that effective neuro-inclusive architecture requires structured methodologies capable of translating interdisciplinary evidence into coherent design strategies rather than isolated environmental interventions.
This evolution closely aligns with broader developments in evidence-informed design. Contemporary research increasingly recognizes that architectural environments should not simply eliminate barriers but actively support diverse ways of learning, interacting, and regulating sensory experiences. Participation is therefore understood as an outcome of the relationship between individuals, activities, and their physical surroundings rather than as a characteristic of users alone. Recent reviews have similarly emphasized that meaningful participation depends upon the interaction between physical and social environments, highlighting the importance of architectural strategies that enable flexibility, autonomy, and diverse patterns of engagement rather than prescribing uniform modes of behaviour (Meuser et al., 2023).
Neuro-inclusive design consequently seeks to create environments that accommodate a wide range of cognitive preferences without segregating users or producing specialized spaces intended exclusively for neurodivergent populations. This objective closely reflects the principles of Universal Design, which advocate environments that remain usable, equitable, and adaptable for people with diverse abilities and needs (Steinfeld & Maisel, 2012). Likewise, the recently updated Universal Design for Learning (UDL) Guidelines emphasize the importance of providing multiple means of engagement, representation, and action to accommodate learner variability (CAST, 2024). Although developed primarily for educational practice, these principles reinforce the architectural objective of creating learning environments that support diverse cognitive processes through flexibility, choice, and environmental adaptability.
Across the growing body of neuro-inclusive architectural research, several environmental principles consistently emerge despite differences in terminology and disciplinary perspective. First, sensory regulation aims to reduce unnecessary sensory overload while maintaining sufficient environmental richness to support engagement and comfort. Second, spatial predictability promotes intuitive organization, legible circulation, and clearly identifiable functional zones that reduce cognitive effort associated with orientation and navigation. Third, user autonomy enables individuals to exercise meaningful control over aspects of their environment, including lighting conditions, seating preferences, privacy, and opportunities for social interaction. Fourth, flexibility allows learning environments to accommodate diverse educational activities and changing user needs through adaptable spatial configurations. Finally, emotional comfort recognizes the influence of architectural atmosphere, materiality, color, natural elements, and restorative spaces on psychological well-being and sustained learning.
Importantly, these principles should not be interpreted as independent design objectives. Architectural decisions frequently influence several dimensions simultaneously. For example, reorganizing furniture may improve circulation, strengthen spatial predictability, reduce visual complexity, and increase user autonomy at the same time. Similarly, daylighting strategies contribute not only to visual comfort but also to orientation, emotional well-being, and environmental identity. Neuro-inclusive design therefore requires architects to consider the built environment as an integrated system in which individual design interventions interact continuously rather than functioning in isolation.
Despite the rapid growth of research concerning neurodiversity and inclusive educational environments, practical guidance for architects remains comparatively limited. Much of the literature identifies desirable environmental characteristics but provides relatively little discussion of how interdisciplinary evidence should be synthesized during the architectural design process. As a result, practitioners are frequently presented with lists of recommended interventions without a transferable methodology capable of supporting evidence-informed decision-making across different projects and building contexts. Addressing this gap provides the conceptual foundation for the present research.
2.3. ADHD and the Built Learning Environment
Among the diverse neurological profiles encompassed within the neurodiversity paradigm, Attention-Deficit/Hyperactivity Disorder (ADHD) has received increasing attention within educational and environmental research because of its close relationship with attention regulation, executive functioning, sensory processing, and learning experiences. ADHD is generally characterized by persistent differences in attention regulation, impulsivity, and/or hyperactivity that influence planning, organization, working memory, and self-regulation (Barkley, 2015). However, contemporary research increasingly recognizes that many of the challenges experienced by individuals with ADHD emerge through the interaction between cognitive characteristics and environmental demands rather than from neurological differences alone.
This perspective reflects the broader shift from deficit-oriented models toward person–environment approaches to disability and inclusion. Within educational settings, architectural environments can either reduce or intensify the cognitive demands associated with attention regulation and executive functioning. Consequently, the effectiveness of a learning environment depends not only on individual cognitive characteristics but also on how spatial organization, environmental quality, and sensory conditions support different patterns of learning and information processing.
Environmental psychology has consistently demonstrated that excessive sensory stimulation may increase cognitive load by requiring continuous filtering of irrelevant information. Visual clutter, uncontrolled background noise, confusing circulation systems, inconsistent lighting, and poorly organized spatial layouts may compete for attentional resources, making sustained concentration more difficult for many students, particularly those with ADHD. Conversely, environments characterized by balanced sensory stimulation, intuitive organization, environmental legibility, and opportunities for self-regulation can reduce unnecessary cognitive effort while supporting concentration, orientation, and task completion.
Importantly, neuro-inclusive architecture should not be interpreted as an attempt to create simplified or stimulus-free environments. Research increasingly suggests that both sensory deprivation and excessive stimulation may negatively affect learning and well-being. The objective is therefore to achieve appropriate sensory balance, providing sufficient environmental richness to support engagement while minimizing unnecessary distractions that interfere with cognitive performance. This distinction is particularly important because individual sensory preferences vary considerably among both neurodivergent and neurotypical users.
Executive functioning provides another important connection between ADHD and architectural design. Executive functions—including planning, organization, working memory, inhibitory control, and cognitive flexibility—are continuously influenced by environmental conditions. Architectural features such as clear circulation systems, identifiable functional zones, visual hierarchy, and predictable spatial organization may reduce the cognitive effort required for orientation and navigation, thereby allowing greater cognitive resources to be allocated to learning activities. Rather than compensating for neurological differences, these environmental characteristics reduce unnecessary cognitive demands that affect many users regardless of diagnostic status.
Recent educational research has also emphasized the importance of choice and environmental autonomy. Students differ substantially in their preferences for privacy, collaboration, lighting conditions, sensory stimulation, and social interaction. Learning environments that provide multiple spatial options therefore support a wider range of cognitive strategies than standardized classrooms designed around a single mode of learning. Opportunities to move between collaborative, semi-private, and individual learning settings enable users to regulate their own sensory experiences according to changing cognitive demands throughout the day. This perspective is consistent with the principles of Universal Design for Learning (CAST, 2024), which emphasize flexibility and learner variability rather than uniform educational provision.
Although growing evidence supports the relationship between environmental quality and cognitive accessibility, relatively few studies translate these findings into systematic architectural methodologies. Much of the existing literature investigates individual environmental variables—such as acoustics, lighting, furniture, or color—in isolation. While these studies provide valuable empirical evidence, architects rarely make decisions concerning individual environmental characteristics independently. Design decisions typically influence multiple aspects of user experience simultaneously, requiring integrated approaches capable of balancing functional requirements, sensory conditions, user autonomy, and architectural constraints.
Accordingly, the challenge for contemporary neuro-inclusive architecture is no longer simply identifying desirable environmental characteristics but developing transferable methodologies that enable architects to synthesize interdisciplinary evidence into coherent design processes. The present research responds directly to this challenge by investigating how evidence-informed neuro-inclusive principles can systematically guide architectural decision-making across adaptive reuse university learning environments while remaining responsive to project-specific conditions.
2.4. Adaptive Reuse as a Context for Neuro-Inclusive University Learning Environments
Adaptive reuse has become one of the most significant architectural strategies for addressing the environmental, cultural, and economic challenges facing the built environment. Rather than replacing existing buildings through demolition and new construction, adaptive reuse extends the functional life of buildings by introducing new uses while preserving their architectural, historical, and cultural significance (Bullen & Love, 2011; Plevoets & Van Cleempoel, 2019). Beyond conserving material resources, adaptive reuse contributes to reducing embodied carbon, supporting circular economy principles, and reinforcing the continuity of urban identity. As sustainability agendas increasingly prioritize the retention and transformation of existing building stock, adaptive reuse has become a central component of contemporary architectural practice.
Universities provide a particularly relevant context for adaptive reuse. Many higher education institutions, especially across Europe, occupy historic buildings originally designed for residential, religious, military, or civic purposes. Although these buildings contribute significantly to institutional identity and cultural heritage, they frequently present spatial configurations that differ considerably from the requirements of contemporary learning environments. Fixed structural systems, heritage protection regulations, circulation patterns, daylight conditions, and building services often limit the range of architectural interventions that can be undertaken. Consequently, architects must negotiate the relationship between conservation requirements and evolving educational needs while maintaining the historical integrity of existing buildings.
Traditionally, research on adaptive reuse has focused on environmental sustainability, heritage conservation, structural adaptation, economic feasibility, and life-cycle performance (Bullen & Love, 2011; Plevoets & Van Cleempoel, 2019). While these themes remain fundamental, growing attention has been directed toward the social dimension of adaptive reuse, recognizing that successful transformation extends beyond preserving buildings to creating environments that respond to contemporary patterns of occupation, well-being, and inclusion. Nevertheless, comparatively little research has examined how adaptive reuse can support cognitive accessibility and neuro-inclusive educational environments.
This gap is particularly significant because historic buildings often present environmental characteristics that influence cognitive experience. Complex circulation systems, irregular spatial sequences, inconsistent daylight distribution, limited flexibility, and inherited spatial hierarchies may increase the cognitive demands associated with orientation, wayfinding, and environmental interpretation. At the same time, historic architecture frequently provides qualities—including generous spatial proportions, rich materiality, access to daylight, and strong architectural identity—that can positively contribute to emotional comfort and user experience when carefully integrated into contemporary educational design. Adaptive reuse therefore presents both constraints and opportunities for neuro-inclusive architecture.
Rather than viewing heritage conservation and neuro-inclusive design as competing objectives, they may be understood as complementary components of evidence-informed architectural practice. Many interventions associated with neuro-inclusive environments—including improved spatial organization, flexible furniture systems, layered lighting strategies, intuitive circulation, acoustic enhancement, and biophilic integration—can be implemented primarily through interior architectural modifications without compromising historically significant structural elements. This approach enables architects to improve cognitive accessibility while respecting the authenticity and cultural value of existing buildings.
The complexity of adaptive reuse also reinforces the need for methodological rather than prescriptive design approaches. Unlike new construction, adaptive reuse projects rarely permit standardized architectural solutions because each building possesses unique structural systems, conservation requirements, spatial relationships, and environmental conditions. Consequently, architects require transferable methodologies that support consistent decision-making while allowing individual design responses to emerge from the specific characteristics of each project. Evidence-informed neuro-inclusive design therefore becomes particularly valuable within adaptive reuse because it provides a structured process for interpreting research in relation to context rather than prescribing predetermined architectural interventions.
This perspective is especially relevant for university learning environments, where pedagogical practices continue to evolve alongside increasing recognition of learner diversity. Contemporary educational spaces must support individual study, collaborative learning, informal interaction, digital technologies, and changing teaching methodologies within buildings that were often never intended for these purposes. Adaptive reuse therefore requires architectural approaches capable of balancing flexibility, heritage conservation, sustainability, and cognitive accessibility through coherent evidence-informed design processes rather than isolated environmental modifications.
2.5. Research Gap and Conceptual Positioning
The literature reviewed above demonstrates significant progress in understanding the relationships between architectural environments, learning, cognitive accessibility, and neurodiversity. Research in evidence-informed design has established that environmental characteristics influence health, well-being, and educational outcomes (Ulrich et al., 2008; Hamilton & Watkins, 2009; Barrett et al., 2015), while studies in neurodiversity have expanded architectural discourse beyond physical accessibility to include sensory, cognitive, and emotional dimensions of environmental experience (Steinfeld & Maisel, 2012; CAST, 2024). Similarly, adaptive reuse research has demonstrated the environmental and cultural value of transforming existing buildings to meet contemporary needs (Bullen & Love, 2011; Plevoets & Van Cleempoel, 2019). Collectively, these fields provide a strong foundation for the development of more inclusive learning environments.
Despite these advances, several important limitations remain.
First, existing research continues to be highly fragmented across disciplinary boundaries. Evidence relevant to neuro-inclusive architecture is distributed across environmental psychology, education, neuroscience, healthcare design, human factors, and architectural research. Although each discipline has generated valuable insights, these findings are often presented independently, making it difficult for architects to translate interdisciplinary evidence into coherent design strategies. Recent reviews similarly observe that research concerning architecture and neurodivergent users remains fragmented, with limited integration into practical architectural methodologies (Roos et al., 2022).
Second, much of the literature focuses on individual environmental variables rather than integrated architectural decision-making. Numerous studies investigate lighting, acoustics, thermal comfort, visual complexity, furniture, or spatial organization separately. While these investigations provide important empirical evidence, architectural practice rarely involves decisions concerning isolated environmental characteristics. Instead, architects must continuously balance multiple, interacting design variables while responding simultaneously to functional requirements, user needs, technical constraints, heritage considerations, sustainability objectives, and project-specific conditions. Consequently, the profession requires methodologies capable of synthesizing diverse forms of evidence rather than collections of independent design recommendations.
Third, although neuro-inclusive design has gained increasing recognition, relatively few studies examine how neuro-inclusive principles can be systematically applied across different architectural contexts. Existing publications frequently present exemplary projects, conceptual frameworks, or recommendations for specific building types, yet comparatively little attention has been given to methodological transferability. This limitation is particularly important because architectural design is inherently contextual; effective solutions depend upon the characteristics of individual buildings, users, and educational activities. As Young and Cleveland (2022) argue, learning environments should be understood through the affordances they create for different forms of activity rather than through fixed spatial typologies. This perspective reinforces the need for architectural methodologies that remain consistent in principle while allowing context-sensitive design responses.
A further gap exists at the intersection of adaptive reuse and neuro-inclusive educational design. While adaptive reuse has become an increasingly important strategy for sustainable architectural development, most research continues to emphasize conservation practice, environmental performance, structural adaptation, and economic feasibility. Comparatively little attention has been devoted to understanding how historic university buildings can be transformed into cognitively accessible learning environments without compromising their architectural identity. Given that many universities occupy historic buildings originally designed for purposes other than contemporary education, this represents an important yet underexplored area of architectural research.
Finally, current literature provides limited guidance regarding the translation of research evidence into architectural practice. Reviews of inclusive educational environments increasingly highlight the importance of environmental quality, sensory experience, participation, and integrated design processes (Alterator et al., 2022). However, architects still lack practical methodological frameworks that demonstrate how these principles can systematically inform design development from project analysis through architectural intervention. This disconnect between research production and professional application represents one of the principal barriers to implementing evidence-informed neuro-inclusive design within everyday architectural practice.
The present study addresses these limitations by positioning neuro-inclusive design as an evidence-informed architectural methodology rather than as a collection of environmental recommendations. Building upon a previously developed conceptual framework (Attaianese et al., 2025), the research investigates how five interconnected principles—Sensory Regulation, Lighting Control, Spatial Predictability, Flexibility, and Emotional Comfort—can systematically guide architectural reasoning across multiple adaptive reuse university learning environments. Rather than evaluating the effectiveness of individual design interventions, the study examines the transferability of an evidence-informed decision-making process, demonstrating how consistent methodological principles can generate context-specific architectural solutions under different spatial, pedagogical, and conservation conditions.
Accordingly, the principal contribution of this research lies in the development and comparative application of a transferable process of evidence-to-design translation. Transferability is not understood as the replication of architectural form but as the consistent application of evidence-informed reasoning across diverse contexts. By comparatively applying the same methodological framework to three adaptive reuse university learning environments with different functions and spatial characteristics, this study contributes simultaneously to evidence-informed design, neuro-inclusive architecture, and adaptive reuse while strengthening the connection between interdisciplinary research and architectural practice.