Cognitive Accessibility for Mentally Disabled Persons

Johansson, Stefan; Gulliksen, Jan; Lantz, Ann

doi:10.1007/978-3-319-22701-6_31

Cited by 8 publications

(21 citation statements)

References 11 publications

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“…Nine of the included studies [ 30 - 33 , 35 , 37 - 39 , 42 ] originated in the United States, 2 studies [ 34 , 40 ] in the United Kingdom, one [ 41 ] in Austria, and another [ 36 ] in Sweden as summarized in Table 1 . Over 62% (10/16) of the included publications [ 32 - 34 , 37 , 38 , 42 ] were published within the last 5 years, and the earliest [ 35 ] was published in 1998.…”

Section: Resultsmentioning

confidence: 99%

“…Nine of the included studies investigated the usability of Web-based resources [ 30 - 34 , 37 - 40 ] and multimedia tools [ 35 ]. One study focused on Internet use [ 41 ], one on the use of digital technologies [ 36 ], one on the development of a mobile phone system [ 30 ], and another on computer use [ 42 ] among PwMD. Eight of the included studies used qualitative methods [ 31 , 33 - 36 , 40 - 42 ], 3 [ 37 - 39 ] adopted a quantitative approach, and 2 [ 30 , 32 ] used mixed methods.…”

Section: Resultsmentioning

confidence: 99%

“…One study focused on Internet use [ 41 ], one on the use of digital technologies [ 36 ], one on the development of a mobile phone system [ 30 ], and another on computer use [ 42 ] among PwMD. Eight of the included studies used qualitative methods [ 31 , 33 - 36 , 40 - 42 ], 3 [ 37 - 39 ] adopted a quantitative approach, and 2 [ 30 , 32 ] used mixed methods. Seven studies used usability testing [ 30 - 33 , 37 - 39 ], 5 used interviews [ 32 , 33 , 35 , 41 , 42 ], 5 used focus groups [ 32 , 33 , 35 , 41 , 42 ], and single studies used observations [ 42 ], survey [ 30 ], and user testing.…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes for included studies ranged from 5 to >100 (mean 48). Overall, 11 studies [ 30 - 33 , 36 - 42 ] reported the age of participants, which ranged from 18 to at least 75 years. Three studies [ 37 , 39 , 40 ] used the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM IV), 1 [ 41 ] used the International Classification of Diseases, 10th revision (ICD-10), and the remaining studies did not mention the use of a classification of mental disorders.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies [ 37 , 39 , 40 ] used the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM IV), 1 [ 41 ] used the International Classification of Diseases, 10th revision (ICD-10), and the remaining studies did not mention the use of a classification of mental disorders. Samples including people with schizophrenia (69%) [ 30 , 32 , 35 - 39 , 41 , 42 ] were most common among the 13 included studies, followed by samples where participants were affected by depression (62%) [ 31 , 32 , 34 - 36 , 38 , 39 , 42 ], schizoaffective disorder (46%) [ 30 , 37 - 39 , 41 , 42 ], anxiety disorders (38%) [ 31 , 34 , 36 , 39 , 42 ], and bipolar disorder (38%) [ 32 , 36 , 38 , 40 , 42 ]. Single studies reported that participants had severe mental illness (SMI) (eg, schizophrenia, schizoaffective disorder, bipolar disorder, and major depression) [ 33 ], mental disorders [ 36 ], psychotic disorders [ 39 ], and substance use disorder [ 39 ] but did not state any particular mental disorder.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Barriers and Facilitation Measures Related to People With Mental Disorders When Using the Web: A Systematic Review

Bernard¹,

Sabariego²,

Cieza³

2016

J Med Internet Res

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BackgroundMental disorders (MDs) affect almost 1 in 4 adults at some point during their lifetime, and coupled with substance use disorders are the fifth leading cause of disability adjusted life years worldwide. People with these disorders often use the Web as an informational resource, platform for convenient self-directed treatment, and a means for many other kinds of support. However, some features of the Web can potentially erect barriers for this group that limit their access to these benefits, and there is a lack of research looking into this eventuality. Therefore, it is important to identify gaps in knowledge about “what” barriers exist and “how” they could be addressed so that this knowledge can inform Web professionals who aim to ensure the Web is inclusive to this population.ObjectiveThe objective of this study was to provide an overview of existing evidence regarding the barriers people with mental disorders experience when using the Web and the facilitation measures used to address such barriers.MethodsThis study involved a systematic review of studies that have considered the difficulties people with mental disorders experience when using digital technologies. Digital technologies were included because knowledge about any barriers here would likely be also applicable to the Web. A synthesis was performed by categorizing data according to the 4 foundational principles of Web accessibility as proposed by the World Wide Web Consortium, which forms the necessary basis for anyone to gain adequate access to the Web. Facilitation measures recommended by studies were later summarized into a set of minimal recommendations.ResultsA total of 16 publications were included in this review, comprising 13 studies and 3 international guidelines. Findings suggest that people with mental disorders experience barriers that limit how they perceive, understand, and operate websites. Identified facilitation measures target these barriers in addition to ensuring that Web content can be reliably interpreted by a wide range of user applications.ConclusionsPeople with mental disorders encounter barriers on the Web, and attempts have been made to remove or reduce these barriers. As forewarned by experts in the area, only a few studies investigating this issue were found. More rigorous research is needed to be exhaustive and to have a larger impact on improving the Web for people with mental disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Barriers and Facilitation Measures Related to People With Mental Disorders When Using the Web: A Systematic Review

Bernard¹,

Sabariego²,

Cieza³

2016

J Med Internet Res

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Co-creating Value with Cognitive Accessibility Features in Digital Services: Enablers and Barriers

Kärpänen

2024

Lecture Notes in Computer Science

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How have public healthcare providers in Sweden conformed to the European Union’s Web Accessibility Directive regarding accessibility statements on their websites?

Jonsson,

Gustavsson,

Gulliksen

et al. 2023

Univ Access Inf Soc

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The Web Accessibility Directive (WAD) is part of the European Union’s work for digital inclusion. The WAD obligates that public sector bodies’ websites meet accessibility standards and provide an accessibility statement on the website informing about inaccessible content, and a feedback mechanism for reporting accessibility issues or requesting inaccessible content in an accessible format. The objective of this study was to evaluate how healthcare providers in Sweden have applied accessibility statements on their websites as regulated by law. A descriptive study using a mixed methods approach was conducted, by quantitative descriptive data analysis of the healthcare providers’ accessibility statements compliance to requirements and qualitative data analysis of the written information provided in the accessibility statement. All but one of the 37 evaluated healthcare providers published an accessibility statement. None of the healthcare providers fully met the requirements for accessibility statements, and no one complied with the intention of the law, i.e. to provide accessible health information and eHealth services. There was no or minor progress between the first and the latest published accessibility statement. The possibility to declare no or partial compliance with the law, or claim disproportionate burden, and the lack of enforcement procedures, risk producing symbolic actions e.g., publishing accessibility statements without intention to abide by the law. We suggest that the directives for accessibility statements should be advanced regarding comprehensiveness, understandability, and usefulness. It is suggested that the assessment protocol developed for this study may be used for future evaluations of accessibility statements.

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Cognitive Accessibility for Mentally Disabled Persons

Cited by 8 publications

References 11 publications

Barriers and Facilitation Measures Related to People With Mental Disorders When Using the Web: A Systematic Review

Barriers and Facilitation Measures Related to People With Mental Disorders When Using the Web: A Systematic Review

Co-creating Value with Cognitive Accessibility Features in Digital Services: Enablers and Barriers

How have public healthcare providers in Sweden conformed to the European Union’s Web Accessibility Directive regarding accessibility statements on their websites?

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