Changes in Neurodivergent Employees’ Wellbeing and Workplace Outcomes Over Time with use of Digital Support Tool Brain in Hand – A Mixed-Methods Explorative Study

Purpose: Digital support tools may help address workplace barriers faced by neurodivergent employees, but evidence for their effectiveness remains limited. This study explored reported outcomes of use of Brain in Hand (BiH), an individualised digital support tool for neurodivergent people, using a mixed-methods design. Materials and Method: Eighteen employed neurodivergent adults (autistic and/or with ADHD) completed measures of anxiety and workplace productivity at baseline and 6 months. Qualitative interviews were conducted at both timepoints. Data were integrated with participant-defined goals and interpreted BiH engagement levels. Results: Many participants reported improvements in psychological wellbeing, daily structure and independence, and work outcomes. These changes aligned with reduced anxiety and increased self-rated productivity, particularly for those who engaged fully and whose pre-study goals were mostly met. Support-seeking confidence also emerged as a benefit for some participants. However, barriers to engagement limited positive outcomes for others. Conclusions: Findings suggest that BiH may effectively support many neurodivergent employees, but benefits depend on sustained engagement and enabling workplace environments. Person-centred integration of qualitative and quantitative data enhanced interpretive depth, helping to capture the varied workplace experiences of neurodivergent people engaging with digital interventions.