Short answer

Establish and consistently apply a clear definition of accessibility throughout the entire design and development lifecycle of eHealth services, leveraging existing standards.

Field
User-Centred Design
Source
Journal of Medical Internet Research (2023)
Method
Scoping Literature Review
Evidence
Strong effect

The development and evaluation of eHealth services often neglect a clear definition and systematic application of accessibility guidelines, leading to suboptimal user experiences. This user-centred design research insight is drawn from a 2023 study published in Journal of Medical Internet Research. Using Scoping literature review, researchers explored how this design variable affects real-world outcomes. The key design takeaway: Establish and consistently apply a clear definition of accessibility throughout the entire design and development lifecycle of eHealth services, leveraging existing standards.

Study
User-Centred DesignRecentStrong effect

eHealth Accessibility: A Critical Gap in Development and Evaluation

The development and evaluation of eHealth services often neglect a clear definition and systematic application of accessibility guidelines, leading to suboptimal user experiences.

Journal of Medical Internet Research · 2023

01

Key Findings

  • 01Accessibility was inconsistently defined across studies, hindering objective measurement.
  • 02Existing accessibility guidelines and standards were underutilized in the development and evaluation processes.
  • 03There is a need for more structured guidance on incorporating accessibility into complex eHealth interventions.
02

Application

Design takeaway

Establish and consistently apply a clear definition of accessibility throughout the entire design and development lifecycle of eHealth services, leveraging existing standards.

How to apply

Before commencing an eHealth design project, conduct a thorough review of relevant accessibility standards and define how they will be integrated into user research, design, and testing phases.

Project actions

  • 01Clearly define your target users and their diverse needs regarding accessibility.
  • 02Research and reference established accessibility guidelines (e.g., WCAG) relevant to your project.
03

Method & Evidence

AimTo understand how accessibility is defined, developed, and evaluated within eHealth services.
MethodScoping Literature Review
ProcedureThe researchers conducted a comprehensive search of academic and grey literature to identify studies related to the accessibility of eHealth services. They analyzed the definitions of accessibility used, the methods for incorporating accessibility into development, and the approaches to evaluating it.
ContextDigital Health Services (eHealth)

Variables

IVDefinition of accessibility, use of accessibility guidelines/standards.
DVEffectiveness of eHealth service development and evaluation.
CVType of eHealth service, specific user groups targeted.
04

Strengths & Limitations

Strengths

  • +Comprehensive literature search methodology.
  • +Focus on a critical aspect of digital health service design.

Limitations

The availability and scope of accessibility testing tools can be a practical limitation. Ensuring a truly diverse user sample for testing can also be challenging.

Reliability & validity

The reliability of the review depends on the thoroughness of the literature search and the consistency of the analysis. Validity is enhanced by the broad scope of the review, but the interpretation of 'accessibility' across diverse studies might introduce some variability.

Think critically

Given the findings, how can designers proactively advocate for and implement robust accessibility measures even when organizational priorities may not explicitly demand it?

05

Design Principles

"Define, integrate, and evaluate accessibility systematically to ensure inclusive digital health solutions."

For designers and developers, this highlights a critical need to integrate robust accessibility frameworks from the outset of any digital health project. Failing to do so can exclude significant user populations and hinder the effective delivery of health information and services.

06

What This Means for Your Design

When making digital health tools (like apps or websites for health), designers often forget to clearly define what 'easy to use for everyone' means and don't use the official rules for making things accessible. This means some people might not be able to use them properly.

How to use in your project

  • 1.Reference this study when discussing the importance of defining and implementing accessibility in your design process, particularly if your project involves digital interfaces or health-related services.
07

Add to My Project

08

Quick Cite

Paragraph starter

This research highlights a significant challenge in eHealth development: the inconsistent definition and application of accessibility. To ensure our design is inclusive, we have adopted a clear definition of accessibility based on [mention specific standard, e.g., WCAG 2.1 AA] and will integrate these principles throughout our design and testing phases.

09

Source

Journal of Medical Internet Research

Development and Evaluation of eHealth Services Regarding Accessibility: Scoping Literature Review

journal · 2023

View source

Questions About This Research

What does the research say about ehealth accessibility: a critical gap in development and evaluation?
Establish and consistently apply a clear definition of accessibility throughout the entire design and development lifecycle of eHealth services, leveraging existing standards. Evidence: Journal of Medical Internet Research (2023).
Why does "eHealth Accessibility: A Critical Gap in Development and Evaluation" matter for design?
For designers and developers, this highlights a critical need to integrate robust accessibility frameworks from the outset of any digital health project. Failing to do so can exclude significant user populations and hinder the effective delivery of health information and services.
How can designers apply this research?
Establish and consistently apply a clear definition of accessibility throughout the entire design and development lifecycle of eHealth services, leveraging existing standards.
What were the main findings?
Accessibility was inconsistently defined across studies, hindering objective measurement.. Existing accessibility guidelines and standards were underutilized in the development and evaluation processes.. There is a need for more structured guidance on incorporating accessibility into complex eHealth interventions.
What research method was used?
Scoping Literature Review.
How strong is the evidence?
Evidence strength is rated Strong effect, based on a 2023 journal from Journal of Medical Internet Research.
What should I do differently in my next project?
Before commencing an eHealth design project, conduct a thorough review of relevant accessibility standards and define how they will be integrated into user research, design, and testing phases.
What are the limitations?
The review's findings are based on published literature, which may not capture all development practices. The definition of 'eHealth' itself can vary, potentially affecting the scope.