Accessibility

Assistive technology and adaptive technology

Assistive technology is the creation of a new device that assists a person in completing a task that would otherwise be impossible. Some examples include new computer software programs like screen readers, and inventions such as assistive listening devices, including hearing aids, and traffic lights with a standard color code that enables colorblind individuals to understand the correct signal.

Adaptive technology is the modification, or adaptation, of existing devices, methods, or the creation of new uses for existing devices, to enable a person to complete a task. Examples include the use of remote controls, and the autocomplete (word completion) feature in computer word processing programs, which both help individuals with mobility impairments to complete tasks. Adaptations to wheelchair tires are another example; widening the tires enables wheelchair users to move over soft surfaces, such as deep snow on ski hills, and sandy beaches.

Assistive technology and adaptive technology have a key role in developing the means for people with disabilities to live more independently, and to more fully participate in mainstream society. Recent research has demonstrated that tablet-based assistive technologies can enable adults with intellectual and motor disabilities to engage in independent leisure activities and video communication, enhancing social participation and autonomy. These programs use commercially available tablets and applications with simplified interfaces to support users in accessing media and making video calls with minimal assistance. In order to have access to assistive or adaptive technology, however, educating the public and even legislating requirements to incorporate this technology have been necessary.

The UN CRPD, and courts in the United States, Japan, UK, and elsewhere, have decided that when it is needed to assure secret ballot, authorities should provide voters with assistive technology.

The European Court of Human Rights, on the contrary, in case Toplak v. Slovenia ruled that due to high costs, the abandonment of the assistive equipment in elections did not violate human rights.

Employment

Accessibility of employment covers a wide range of issues, from skills training, to occupational therapy, finding employment, and retaining employment.

Employment rates for workers with disabilities are lower than for the general workforce. Workers in Western countries fare relatively well, having access to more services and training as well as legal protections against employment discrimination. Despite this, in the United States the 2012 unemployment rate for workers with disabilities was 12.9%, while it was 7.3% for workers without disabilities. More than half of workers with disabilities (52%) earned less than $25,000 in the previous year, compared with just 38% of workers with no disabilities. This translates into an earnings gap where individuals with disabilities earn about 25 percent less of what workers without disabilities earn. Among occupations with 100,000 or more people, dishwashers had the highest disability rate (14.3%), followed by refuse and recyclable material collectors (12.7%), personal care aides (11.9%), and janitors and building cleaners (11.8%). The rates for refuse and recyclable material collectors, personal care aides, and janitors and building cleaners were not statistically different from one another.

Surveys of non-Western countries are limited, but the available statistics also indicate fewer jobs being filled by workers with disabilities. In India, a large 1999 survey found that "of the 'top 100 multinational companies' in the country [...] the employment rate of persons with disabilities in the private sector was a mere 0.28%, 0.05% in multinational companies and only 0.58% in the top 100 IT companies in the country". India, like much of the world, has large sections of the economy that are without strong regulation or social protections, such as the informal economy. Other factors have been cited as contributing to the high unemployment rate, such as public service regulations. Although employment for workers with disabilities is higher in the public sector due to hiring programs targeting persons with disabilities, regulations currently restrict types of work available to persons with disabilities: "Disability-specific employment reservations are limited to the public sector and a large number of the reserved positions continue to be vacant despite nearly two decades of enactment of the PWD Act".

Expenses related to adaptive or assistive technology required to participate in the workforce may be tax deductible expenses for individuals with a medical practitioner's prescription in some jurisdictions.

Disability management

Disability management (DM) is a specialized area of human resources that supports efforts of employers to better integrate and retain workers with disabilities. Some workplaces have policies in place to provide "reasonable accommodation" for employees with disabilities, but many do not. In some jurisdictions, employers may have legal requirements to end discrimination against persons with disabilities.

It has been noted by researchers that where accommodations are in place for employees with disabilities, these frequently apply to individuals with "pre-determined or apparent disabilities as determined by national social protection or Equality Authorities", which include persons with pre-existing conditions who receive an official disability designation. One of the biggest challenges for employers is in developing policies and practises to manage employees who develop disabilities during the course of employment. Even where these exist, they tend to focus on workplace injuries, overlooking job retention challenges faced by employees who acquire a non-occupation injury or illness. Protecting employability is a factor that can help close the unemployment gap for persons with disabilities.

Transportation

Providing mobility to people with disabilities includes changes for public facilities like gently sloping paths of travel for people using wheelchairs and difficulty walking up stairs, or audio announcements for the blind (either live or automated); dedicated services like paratransit; and adaptations to personal vehicles. Major cities such as London, New York City, Boston and Toronto have made improvements to public transport to improve accessibility, with low-floor buses, elevators and ramps to provide access to stations and wide fare gates.

In transportation planning and researching, accessibility is defined by Dutch transport planner Karel Martens as the "ease with which destinations can be reached from a given location in space.”

Adapted automobiles for persons with disabilities

Automobile accessibility also refers to ease of use by disabled people. Automobiles, whether a car or a van, can be adapted for a range of physical disabilities. Foot pedals can be raised, or replaced with hand-controlled devices. Wheelchair hoists, lifts or ramps may be customized according to the needs of the driver. Ergonomic adaptations, such as a lumbar support cushion, may also be needed.

Generally, the more limiting the disability, the more expensive the adaptation needed for the vehicle. Financial assistance is available through some organizations, such as Motability in the United Kingdom, which requires a contribution by the prospective vehicle owner. Motability makes vehicles available for purchase or lease.

When an employee with a disability requires an adapted car for work use, the employee does not have to pay for a "reasonable adjustment" in the United Kingdom; if the employer is unable to pay the cost, assistance is offered by government programs.

Low floor

A significant development in transportation, and public transport in particular, to achieve accessibility, is the move to "low-floor" vehicles. In a low-floor vehicle, access to part or all of the passenger cabin is unobstructed from one or more entrances by the presence of steps, enabling easier access for the infirm or people with push chairs. A further aspect may be that the entrance and corridors are wide enough to accommodate a wheelchair. Low-floor vehicles have been developed for buses, trolleybuses, trams and trains.

A low floor in the vehicular sense is normally combined in a conceptual meaning with normal pedestrian access from a standard kerb (curb) height. However, the accessibility of a low-floor vehicle can also be utilised from slightly raising portions of kerb at bus stops, or through use of level boarding bus rapid transit stations or tram stops. The combination of access from a kerb was the technological development of the 1990s, as step-free interior layouts for buses had existed in some cases for decades, with entrance steps being introduced as chassis designs and overall height regulations changed.

Low-floor buses may also be designed with special height adjustment controls that permit a stationary bus to temporarily lower itself to ground level, permitting wheelchair access. This is referred to as a kneeling bus.

At rapid transit systems, vehicles generally have floors in the same height as the platforms but the stations are often underground or elevated, so accessibility there is not a question of providing low-floor vehicles, but providing a step-free access from street level to the platforms (generally by elevators, which may be restricted to disabled passengers only, so that the step-free access is not obstructed by non-disabled people taking advantage).

Accessibility planning for transportation in the United Kingdom

In the United Kingdom, local transport authorities are responsible for checking that all people who live within their area can access essential opportunities and services, and where gaps in provision are identified the local authorities are responsible for organizing changes to make new connections. These requirements are defined in the UK Community Planning Acts legislation and more detailed guidance has been issued by the Department for Transport for each local authority. This includes the requirement to produce an Accessibility Plan under Community Planning legislation and to incorporate this within their Local Transport Plan. An Accessibility Plan sets out how each local authority plans to improve access to employment, learning, health care, food shops and other services of local importance, particularly for disadvantaged groups and areas. Accessibility targets are defined in the accessibility plans, these are often the distance or time to access services by different modes of transport including walking, cycling and public transport.

Accessibility Planning was introduced as a result of the report "Making the Connections: Final Report on Transport and Social Exclusion". This report was the result of research carried out by the Social Exclusion Unit. The United Kingdom also has a "code of practice" for making train and stations accessible: "Accessible Train and Station Design for Disabled People: A Code of Practice". This code of practice was first published in 2002 with the objective of compliance to Section 71B of the Railways Act 1993, and revised after a public consultation period in 2008.

Some transport companies have since improved the accessibility of their services, such as incorporating low-floor buses into their stock as standard. In August 2021, South Western Railway announced the streamlining of their accessibility services, allowing passengers requiring assistance to inform the company with as little as 10 minutes' notice at all 189 stations on its network, replacing an older scheme wherein assisted journeys had to be booked six hours to a day in advance. The system will utilise clear signage at stations and QR codes, allowing customers to send details of the assistance they require and their planned journey to staff remotely.

Making public services fully accessible to the public has led to some technological innovations. Public announcement systems using audio induction loop technology can broadcast announcements directly into the hearing aid of anyone with a hearing impairment, making them useful in such public places as auditoriums and train stations.

Public space

The UN Convention on the Rights of Persons with Disabilities (2006) requires 'appropriate measures' to ensure people with disabilities are able to 'access, on an equal basis with others','the physical environment', 'transportation' and 'other facilities and services open or provided to the public'. This requirement also applies to 'roads' and 'transportation' as well as 'buildings, and other indoor and outdoor facilities'.

At the same time, promotion of active travel, or 'shared space' initiatives to pedestrianise city centres can introduce unintended barriers, especially for pedestrians who are visually impaired and who can find these environments confusing or even dangerous. It is important to have effective mechanisms to ensure that urban spaces are designed to be inclusive of pedestrians with disabilities. These can include early consultation with disabled persons or their representative organisations, and appropriate regulation of city planning.

Housing

Most existing and new housing, even in the wealthiest nations, lack basic accessibility features unless the designated, immediate occupant of a home currently has a disability. However, there are some initiatives to change typical residential practices so that new homes incorporate basic access features such as zero-step entries and door widths adequate for wheelchairs to pass through. Occupational Therapists are a professional group skilled in the assessment and making of recommendations to improve access to homes. They are involved in both the adaptation of existing housing to improve accessibility, and in the design of future housing. Lencare is an Australian supplier of accessibility-related equipment, including hand rails, bathroom accessories, ramps, and other products used in home modification contexts.

The broad concept of Universal design is relevant to housing, as it is to all aspects of the built environment. Furthermore, a Visitability movement begun by grass roots disability advocates in the 1980s focuses specifically on changing construction practices in new housing. This movement, a network of interested people working in their locales, works on educating, passing laws, and spurring voluntary home access initiatives with the intention that basic access become a routine part of new home construction.

Accessibility and "ageing in place"

Accessibility in the design of housing and household devices has become more prominent in recent decades due to a rapidly ageing population in developed countries. Ageing seniors may wish to continue living independently, but the ageing process naturally increases the disabilities that a senior citizen will experience. A growing trend is the desire for many senior citizens to 'age in place', living as independently as possible for as long as possible. Accessibility modifications that allow ageing in place are becoming more common. Housing may even be designed to incorporate accessibility modifications that can be made throughout the life cycle of the residents.

The English Housing Survey for 2018/19 found only 9% of homes in England have key features, such as a toilet at entrance level and sufficiently wide doorways, to deem them accessible. This was an improvement from 5% in 2005. More than 400,000 wheelchair users in England were living in homes which are neither adapted nor accessible.

Voting

Under the Convention on the Rights of Persons with Disabilities, states parties are bound to assure accessible elections, voting, and voting procedures. In 2018, the United Nations Committee on the Rights of Persons with Disabilities issued an opinion that all polling stations should be fully accessible. At the European Court of Human Rights, there are currently two ongoing cases about the accessibility of polling places and voting procedures. They were brought against Slovenia by two voters and the Slovenian Disability Rights Association. As of January 2020, the case, called Toplak and Mrak v. Slovenia, was ongoing. The aim of the court procedure is to make accessible all polling places in Europe.

Disability, information technology (IT) and telecommunications

Advances in information technology and telecommunications have represented a leap forward for accessibility. Access to the technology is restricted to those who can afford it, but it has become more widespread in Western countries in recent years. For those who use it, it provides the ability to access information and services by minimizing the barriers of distance and cost as well as the accessibility and usability of the interface. In many countries this has led to initiatives, laws and/or regulations that aim toward providing universal access to the internet and to phone systems at reasonable cost to citizens.

A major advantage of advanced technology is its flexibility. Some technologies can be used at home, in the workplace, and in school, expanding the ability of the user to participate in various spheres of daily life. Augmentative and alternative communication technology is one such area of IT progress. It includes inventions such as speech-generating devices, teletypewriter devices, adaptive pointing devices to replace computer mouse devices, and many others. Mobile telecommunications devices and computer applications are also equipped with accessibility features. They can be adapted to create accessibility to a range of tasks, and may be suitable for different kinds of disability.

The following impairments are some of the disabilities that affect communications and technology access, as well as many other life activities:

• Communication disorders;
• Hearing impairments;
• Visual impairments;
• Mobility impairments;
• A learning disability or impairment in mental functioning.

Each kind of disability requires a different kind of accommodation, and this may require analysis by a medical specialist, an educational specialist or a job analysis when the impairment requires accommodation.

• Job analysis

Examples of common assistive technologies

Mobility impairments

One of the first areas where information technology improved the quality of life for disabled individuals is the voice operated wheelchair. Quadriplegics have the most profound disability, and the voice operated wheelchair technology was first developed in 1977 to provide increased mobility. The original version replaced the joystick system with a module that recognized 8 commands. Many other technology accommodation improvements have evolved from this initial development.

Missing arms or fingers may make the use of a keyboard and mouse difficult or impossible. Technological improvements such as speech recognition devices and software can improve access.

Communication (including speech) impairments

A communication disorder interferes with the ability to produce clearly understandable speech. There can be many different causes, such as nerve degeneration, muscle degeneration, stroke, and vocal cord injury. The modern method to deal with speaking disabilities has been to provide a text interface for a speech synthesizer for complete vocal disability. This can be a great improvement for people that have been limited to the use of a throat vibrator to produce speech since the 1960s.

Hearing impairment

An individual satisfies the definition of hearing disabled when hearing loss is about 30 dB for a single frequency, but this is not always perceptible as a disability. For example, loss of sensitivity in one ear interferes with sound localization (directional hearing), which can interfere with communication in a crowd. This is often recognized when certain words are confused during normal conversation. This can interfere with voice-only interfaces, like automated customer service telephone systems, because it is sometimes difficult to increase the volume and repeat the message.

Mild to moderate hearing loss may be accommodated with a hearing aid that amplifies ambient sounds. Portable devices with speed recognition that can produce text can reduce problems associated with understanding conversation. This kind of hearing loss is relatively common, and this often grows worse with age.

The modern method to deal with profound hearing disability is the Internet using email or word processing applications. The telecommunications device for the deaf (TDD) became available in the form of the teletype (TTY) during the 1960s. These devices consist of a keyboard, display and modem that connects two or more of these devices using a dedicated wire or plain old telephone service.

Modern computer animation allows for sign language avatars to be integrated into public areas. This technology could potentially make train station announcements, news broadcasts, etc. accessible when a human interpreter is not available. Sign language can also be incorporated into film; for example, all movies shown in Brazilian movie theaters must have a Brazilian Sign Language video track available to play alongside the film via a second screen.

Visual impairments

A wide array of technology products is available to assist with visual impairment. These include screen magnification for monitors, screen-reading software for computers and mobile devices, mouse-over speech synthesis for browsing, braille displays, braille printers, braille cameras, and voice-activated phones and tablets.

One emerging product that will make ordinary computer displays available for the blind is the refreshable tactile display, which is very different from a conventional braille display. This provides a raised surface corresponding to the bright and dim spots on a conventional display. An example is the Touch Sight Camera for the Blind.

Speech Synthesis Markup Language and Speech Recognition Grammar Specification) are relatively recent technologies intended to standardize communication interfaces using Augmented BNF Form and XML Form. These technologies assist visual impairments and physical impairment by providing interactive access to web content without the need to visually observe the content. While these technologies provides access for visually impaired individuals, the primary benefactor has been automated systems that replace live human customer service representatives that handle telephone calls.

Cognitive impairments

Cognitive accessibility refers to a system or application being suitable for use by individuals with developmental disabilities (DD) or intellectual disabilities (ID). Generally, this also includes users that don't have these deficits. Systems specifically designed for users with ID are often referred to as adapted (aka assistive technology), and such systems may not be helpful for non-disabled persons. Systems that are usable for persons with ID are often referred to as adaptable. Adapted systems may include simplified interfaces and internal logic. One such system is the 'Simple Wikipedia.' A system that is adaptable may include travel ticket dispensers and user interfaces with dual modes (standard and expert). Design for cognitive accessibility is often bounded by defining users with abilities above certain levels.

Most of the supporting work for design for cognitive accessibility is for adapted systems, a subset of assistive technology. There have been some attempts to support adaptable systems, but not much progress has been made

Problem framing: One of the most daunting problems with any sort of project involving access by cognitively disabled persons is understanding the end users. Also, in many instances, systems for this group of end-users also involve a secondary group of caregivers. Both groups need to have their needs and wants carefully considered.

Standards There are several frameworks and standards to guide developers for adapted systems. Most notable are the ISO group and Resna. Examples of these standards: RESNA - ANSI/RESNA CA-1:2016 ISO - ISO-TC173-WG10_N238_ISO 21801-1 2020 As well as parts of the World Wide Web Consortium's WAI-IG, and WebAIM's Cognitive accessibility design considerations. Microsoft and other design frameworks and tools have also published sets of guidelines.

Web accessibility

International standards and guidelines

There have been a few major movements to coordinate a set of guidelines for accessibility for the web. The first and most well known is The Web Accessibility Initiative (WAI), which is part of the World Wide Web Consortium (W3C). This organization developed the Web Content Accessibility Guidelines (WCAG) 1.0 and 2.0 which explain how to make Web content accessible to everyone, including people with disabilities. Web "content" generally refers to the information in a Web page or Web application, including text, images, forms, and sounds. (More specific definitions are available in the WCAG documents.)

The WCAG is separated into three levels of compliance, A, AA and AAA. Each level requires a stricter set of conformance guidelines, such as different versions of HTML (Transitional vs Strict) and other techniques that need to be incorporated into coding before accomplishing validation. Online tools allow users to submit their website and automatically run it through the WCAG guidelines and produce a report, stating whether or not they conform to each level of compliance. Adobe Dreamweaver also offers plugins which allow web developers to test these guidelines on their work from within the program.

The ISO/IEC JTC1 SC36 WG7 24751 Individualized Adaptability and Accessibility in e-learning, education and training series is freely available and made of 3 parts: Individualized Adaptability and Accessibility in e-learning, education and training, Standards inventory and Guidance on user needs mapping.

Another source of web accessibility guidance comes from the US government. In response to Section 508 of the US Rehabilitation Act, the Access Board developed standards to which U.S. federal agencies must comply in order to make their sites accessible. The U.S. General Services Administration has developed a website where one can take online training courses for free to learn about these rules.

Web accessibility features

Examples of accessibility features include:

• WAI-AA compliance with the WAI's WCAG
• Semantic Web markup
• (X)HTML Validation from the W3C for the page's content
• CSS Validation from the W3C for the page's layout
• Compliance with all guidelines from Section 508 of the US Rehabilitation Act
• A high contrast version of the site for individuals with low vision, and a low contrast (yellow or blue) version of the site for individuals with dyslexia
• Alternative media for any multimedia used on the site (video, flash, audio, etc.)
• Simple and consistent navigation
• Device independent
• Reducing Cognitive load for decision making

While WCAG provides much technical information for use by web designers, coders and editors, BS 8878:2010 Web accessibility – Code of Practice has been introduced, initially in the UK, to help site owners and product managers to understand the importance of accessibility. It includes advice on the business case behind accessibility, and how organisations might usefully update their policies and production processes to embed accessibility in their business-as-usual. On 28 May 2019, BS 8878 was superseded by ISO 30071-1, the international Standard that built on BS 8878 and expanded it for international use.

Another useful idea is for websites to include a web accessibility statement on the site. Initially introduced in PAS 78, the best practice for web accessibility statements has been updated in BS 8878 to emphasise the inclusion of: information on how disabled and elderly people could get a better experience of using the website by using assistive technologies or accessibility settings of browsers and operating systems (linking to "BBC My Web My Way" can be useful here); information on what accessibility features the site's creators have included, and if there are any user needs which the site does not currently support (for example, descriptive video to allow blind people to access the information in videos more easily); and contact details for disabled people to be able to use to let the site creators know if they have any problems in using the site. While validations against WCAG, and other accessibility badges can also be included, they should be put lower down the statement, as most disabled people still do not understand these technical terms.

Education and accessibility for students

Equal access to education for students with disabilities is supported in some countries by legislation. It is still challenging for some students with disabilities to fully participate in mainstream education settings, but many adaptive technologies and assistive programs are making improvements. In India, the Medical Council of India has now passed the directives to all the medical institutions to make them accessible to persons with disabilities. This happened due to a petition by Satendra Singh founder of Infinite Ability.

Students with a physical or mental impairment or learning disability may require note-taking assistance, which may be provided by a business offering such services, as with tutoring services. Talking books in the form of talking textbooks are available in Canadian secondary and post-secondary schools. Also, students may require adaptive technology to access computers and the Internet. These may be tax-exempt expenses in some jurisdictions with a medical prescription.

Accessibility of assessments

It is important to ensure that the accessibility in education includes assessments. Accessibility in testing or assessments entails the extent to which a test and its constituent item set eliminates barriers and permits the test-taker to demonstrate their knowledge of the tested content.

With the passage of the No Child Left Behind Act of 2001 in the United States, student accountability in essential content areas such as reading, mathematics, and science has become a major area of focus in educational reform. As a result, test developers have needed to create tests to ensure all students, including those with special needs (e.g., students identified with disabilities), are given the opportunity to demonstrate the extent to which they have mastered the content measured on state assessments. Currently, states are permitted to develop two different types of tests in addition to the standard grade-level assessments to target students with special needs. First, the alternate assessment may be used to report proficiency for up to 1% of students in a state. Second, new regulations permit the use of alternate assessments based on modified academic achievement standards to report proficiency for up to 2% of students in a state.

To ensure that these new tests generate results that allow valid inferences to be made about student performance, they must be accessible to as many people as possible. The Test Accessibility and Modification Inventory (TAMI) and its companion evaluation tool, the Accessibility Rating Matrix (ARM), were designed to facilitate the evaluation of tests and test items with a focus on enhancing their accessibility. Both instruments incorporate the principles of accessibility theory and were guided by research on universal design, assessment accessibility, cognitive load theory, and research on item writing and test development. The TAMI is a non-commercial instrument that has been made available to all state assessment directors and testing companies. Assessment researchers have used the ARM to conduct accessibility reviews of state assessment items for several state departments of education.