{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:51:15Z","timestamp":1792608675226,"version":"4.5.0"},"reference-count":57,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Purpose\/objective<\/jats:title>\n                    <jats:p>Despite legal mandates to provide appropriate accommodations for students with disabilities in the U.S., many report gaps between what they need and receive. This study examined the role of disability level, visibility, and demographic factors in predicting unmet academic accommodation needs and attitudes toward requesting accommodations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Research method\/design<\/jats:title>\n                    <jats:p>A sample of 409 adults who had had disabilities during their school years and who still had them completed an online survey assessing their current disability level, current disability visibility (invisible, semi-visible, or visible), unmet academic accommodation needs across all levels of schooling in aggregate, and current attitudes toward requesting academic accommodations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Individuals with invisible disabilities in comparison to those with semi-visible or visible disabilities reported unmet needs for having a quiet or sensory room, extended time to take tests and exams, sensory objects (e.g., fidget toys), and an Individualized Education Plan. However, those with visible and semi-visible disabilities reported unmet need for having an educational assistant or tutor, recording equipment or a portable notetaking device, a modified or adapted course curriculum, and a computer, laptop or tablet with specialized software or apps. After controlling for disability severity and demographic variables, individuals with more visible disabilities had lower unmet academic accommodation needs compared to those with an invisible disability, as well as more positive attitudes toward requesting accommodations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion\/implications<\/jats:title>\n                    <jats:p>Assisting students with disabilities\u2014especially those with invisible disabilities\u2014may enhance disabled students\u2019 experience of academic accommodations and empower them to advocate when those needs are unmet.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0342243","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T18:23:11Z","timestamp":1770661391000},"page":"e0342243","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Disability level and visibility: Associations with unmet academic accommodation needs and attitudes toward requesting accommodations"],"prefix":"10.1371","volume":"21","author":[{"given":"Bryan R.","family":"Christ","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6995-1942","authenticated-orcid":true,"given":"Bani","family":"Malhotra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Chapman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7988-6593","authenticated-orcid":true,"given":"Benjamin","family":"Ertman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2070-215X","authenticated-orcid":true,"given":"Paul B.","family":"Perrin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"pone.0342243.ref001","unstructured":"National Center for Education Statistics. Students with Disabilities. 2024. [Cited 2025 April 1]. https:\/\/nces.ed.gov\/programs\/coe\/indicator\/cgg\/students-with-disabilities"},{"issue":"3","key":"pone.0342243.ref002","doi-asserted-by":"crossref","DOI":"10.1080\/08856257.2018.1501966","article-title":"Which students need accommodations the most, and to what extent are their needs met by regular upper secondary school? 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ADHD","volume":"23","author":"GJ DuPaul","year":"2019","journal-title":"J Atten Disord"},{"issue":"3","key":"pone.0342243.ref012","first-page":"133","article-title":"Counselor intervention in the post-secondary planning of African American students with learning disabilities","volume":"7","author":"BA Durodoye","year":"2004","journal-title":"Prof Sch Couns"},{"key":"pone.0342243.ref013","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s10464-007-9094-3","article-title":"Disability, race\/ethnicity and gender: themes of cultural oppression, acts of individual resistance","volume":"39","author":"KE McDonald","year":"2007","journal-title":"Am J Community Psychol"},{"issue":"1","key":"pone.0342243.ref014","doi-asserted-by":"crossref","first-page":"27","DOI":"10.3233\/JVR-130665","article-title":"Efficacy of accommodations for students with disabilities in higher education","volume":"40","author":"N Schreuer","year":"2014","journal-title":"J Vocat 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Psychol"},{"key":"pone.0342243.ref021","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ridd.2017.04.003","article-title":"Describing heterogeneity of unmet needs among adults with a developmental disability: An examination of the 2012 Canadian Survey on Disability","volume":"65","author":"J Zwicker","year":"2017","journal-title":"Res Dev Disabil"},{"issue":"9","key":"pone.0342243.ref022","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1097\/DBP.0000000000000489","article-title":"Do Children who sustain traumatic brain injury in early childhood need and receive academic services 7 years after injury?","volume":"38","author":"KM Kingery","year":"2017","journal-title":"J Dev Behav Pediatr"},{"key":"pone.0342243.ref023","author":"A Horton","year":"2021"},{"key":"pone.0342243.ref024","author":"LCK Johnstone","year":"2020"},{"issue":"1","key":"pone.0342243.ref025","first-page":"80","article-title":"The Impact of visibility of disability and gender on the self-concept of university students with disabilities","volume":"18","author":"MF Olney","year":"2005","journal-title":"J Postsecond Educ Disabil"},{"issue":"2","key":"pone.0342243.ref026","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1179\/2047387715Y.0000000011","article-title":"Social inclusion of children with complex needs in mainstream: does visibility and severity of disability matter?","volume":"62","author":"L Tuersley-Dixon","year":"2016","journal-title":"Int J Dev Disabil"},{"key":"pone.0342243.ref027","unstructured":"Centers for Disease Control and Prevention. Disability and Health - Disability Data | CDC. 2019. [Cited 2024 July 9]. https:\/\/www.cdc.gov\/dhds\/datasets\/index.html"},{"issue":"2","key":"pone.0342243.ref028","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/0304-3959(90)90068-O","article-title":"The pain disability index: psychometric properties","volume":"40","author":"RC Tait","year":"1990","journal-title":"Pain"},{"key":"pone.0342243.ref029","author":"L Barnard-Brak","year":"2010"},{"key":"pone.0342243.ref030","unstructured":"Government of Canada S. Canadian Survey on Disability - 2022. 2022. https:\/\/www23.statcan.gc.ca\/imdb\/p3Instr.pl?Function=assembleInstr&lang=en&Item_Id=1400719#qb1403287"},{"key":"pone.0342243.ref031","doi-asserted-by":"crossref","DOI":"10.4324\/9780203771587","volume-title":"Statistical power analysis for the behavioral sciences","author":"J Cohen","year":"2013","edition":"2"},{"key":"pone.0342243.ref032","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1037\/14805-018","article-title":"A power primer","volume-title":"(Methodological issues and strategies in clinical research, 4th ed)","author":"J Cohen","year":"2016"},{"key":"pone.0342243.ref033","article-title":"Making the invisible visible: let\u2019s discuss invisible disabilities","author":"ME Goodwin","year":"2020","journal-title":"HAPS Educ"},{"key":"pone.0342243.ref034","first-page":"99","article-title":"Beyond compliance: A systematic review of institutional barriers and supports for college students with invisible disabilities","volume":"52","author":"SF Jony","year":"2025","journal-title":"J Stud Pers Assoc Indiana Univ"},{"key":"pone.0342243.ref035","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1080\/09687599.2022.2113038","article-title":"When what is unseen does not exist: disclosure, barriers and supports for students with invisible disabilities in higher education","volume":"39","author":"A Mori\u00f1a","year":"2024","journal-title":"Disabil Soc"},{"key":"pone.0342243.ref036","author":"LA Newman","year":"2015"},{"issue":"5","key":"pone.0342243.ref037","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1177\/0022219414559648","article-title":"Accommodation Decision making for postsecondary students with learning disabilities: individually tailored or one size fits all?","volume":"49","author":"R Weis","year":"2016","journal-title":"J Learn Disabil"},{"issue":"2","key":"pone.0342243.ref038","first-page":"141","article-title":"Supporting the inclusion of students with moderate and severe disabilities in junior high school general education classes: The effects of classwide peer tutoring, multi-element curriculum, and accommodations","volume":"24","author":"J McDonnell","year":"2001","journal-title":"Educ Treat Child"},{"key":"pone.0342243.ref039","doi-asserted-by":"crossref","unstructured":"Talbott E, Trzaska A, Zurheide J. A systematic review of peer tutoring interventions for students with disabilities. 2017. p. 319\u201356.","DOI":"10.1002\/9781118768778.ch16"},{"issue":"3","key":"pone.0342243.ref040","article-title":"A relaxation station in every location","volume":"54","author":"K Maich","year":"2019","journal-title":"Interv Sch Clin"},{"key":"pone.0342243.ref041","first-page":"139","article-title":"Creating learning spaces that promote wellbeing, participation and engagement: Implications for students on the autism spectrum: Insights from research and practice","volume-title":"School spaces for student wellbeing and learning: Insights from research and practice","author":"B Saggers","year":"2019"},{"issue":"2","key":"pone.0342243.ref042","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1002\/pam.22282","article-title":"The Effects of Special Education on the Academic Performance of Students with Learning Disabilities","volume":"40","author":"AE Schwartz","year":"2021","journal-title":"J Policy Anal Manage"},{"issue":"4","key":"pone.0342243.ref043","article-title":"Is active learning accessible? 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