Content Accessibility (CA11y): Highly Individualised Digital Content for Supporting Diverse Needs
Lead Research Organisation:
King's College London
Department Name: Informatics
Abstract
Our communication is increasingly mediated through the creation and consumption of digital content such as videos, podcasts and myriad forms of social media. Access to digital content has become integral to our social and civic participation in society. Much of this creation and consumption, however, is not equally accessed by all. People with accessibility needs face several challenges in accessing digital content and are therefore at risk of isolation. Accessibility capabilities for digital content are typically viewed through the lens of standards such as subtitles and audio description. While these are helpful for some users, digital content still introduces challenges for many with a range of diverse needs. This proposal aims to explore the design of bespoke accessibility solutions, based on a given individual's exact needs, to support access to digital content.
CA11y (Content Accessibility: Highly Individualised Digital Content for Supporting Diverse Needs) proposes a shift in how we consider the provision of accessible digital content. CA11y will envision and develop technologies that allow for highly-responsive content, unique to each individual's accessibility needs. Simultaneous, individual renderings of content will allow us to explore previously unconsidered accessibility solutions. For instance, for users who face challenges with speech, we might limit the background noise in a radio drama to make the actor's voice clearer. We might slow a news ticker to support easier comprehension. We might completely reconfigure content so that scenes with complex dialogue or textual descriptions are removed. Or, finally, we might change the visual contrast of individual onscreen elements (e.g. graphic overlays) to support ease of viewing.
The distribution of digital content via the internet, with accompanying metadata, means that content can respond to the end-user's requirements. This may be rendered to an individual's devices or needs, based on some rule-set or ontology. This concept is broadly termed Object-Based Media (OBM). Crucially, OBM enables an entirely individual rending of digital content for each end-user. While the distribution of digital content in such a way has been shown to offer novel exciting, responsive digital content experiences, little work has explored what this can mean for accessibility.
The highly individualised digital content afforded by concepts such as OBM provides transformative potential to support those with a range of diverse accessibility needs. CA11y will work with one such group - people with aphasia. Aphasia is a language impairment that affects one-third of stroke survivors. People with aphasia often have a range of complex accessibility needs due to specific challenges with language, notably listening, reading, speaking and writing. This means that they often can no longer engage with digital content, meaning they face a growing digital divide. The aforementioned accessibility standards such as subtitles and audio description do not cater to their needs. In CA11y, people with aphasia will support the co-design of an innovative range of technological prototypes to support their access needs through responsive, individualised digital content. CA11y will act as a radical first step in a new research field that seeks to support those with a range of access needs through highly individualised experiences, with users with aphasia acting as an exemplar for others with accessibility needs.
CA11y (Content Accessibility: Highly Individualised Digital Content for Supporting Diverse Needs) proposes a shift in how we consider the provision of accessible digital content. CA11y will envision and develop technologies that allow for highly-responsive content, unique to each individual's accessibility needs. Simultaneous, individual renderings of content will allow us to explore previously unconsidered accessibility solutions. For instance, for users who face challenges with speech, we might limit the background noise in a radio drama to make the actor's voice clearer. We might slow a news ticker to support easier comprehension. We might completely reconfigure content so that scenes with complex dialogue or textual descriptions are removed. Or, finally, we might change the visual contrast of individual onscreen elements (e.g. graphic overlays) to support ease of viewing.
The distribution of digital content via the internet, with accompanying metadata, means that content can respond to the end-user's requirements. This may be rendered to an individual's devices or needs, based on some rule-set or ontology. This concept is broadly termed Object-Based Media (OBM). Crucially, OBM enables an entirely individual rending of digital content for each end-user. While the distribution of digital content in such a way has been shown to offer novel exciting, responsive digital content experiences, little work has explored what this can mean for accessibility.
The highly individualised digital content afforded by concepts such as OBM provides transformative potential to support those with a range of diverse accessibility needs. CA11y will work with one such group - people with aphasia. Aphasia is a language impairment that affects one-third of stroke survivors. People with aphasia often have a range of complex accessibility needs due to specific challenges with language, notably listening, reading, speaking and writing. This means that they often can no longer engage with digital content, meaning they face a growing digital divide. The aforementioned accessibility standards such as subtitles and audio description do not cater to their needs. In CA11y, people with aphasia will support the co-design of an innovative range of technological prototypes to support their access needs through responsive, individualised digital content. CA11y will act as a radical first step in a new research field that seeks to support those with a range of access needs through highly individualised experiences, with users with aphasia acting as an exemplar for others with accessibility needs.
Publications
Filip Bircanin
(2025)
Sounds Accessible: Envisioning Accessible Audio-Media Futures with People with Aphasia
| Description | AdvoKit: An Aphasia-Led Toolkit For Navigating Public Services |
| Amount | £4,999,978 (GBP) |
| Organisation | Engineering and Physical Sciences Research Council (EPSRC) |
| Sector | Public |
| Country | United Kingdom |
| Start | 03/2025 |
| End | 08/2025 |
| Description | Aphasia Re-connect |
| Organisation | Aphasia Re-Connect |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | Aphasia Reconnect are a specialist aphasia charity. We regularly attend the centre to conduct research and support the community. The PDRA on the project volunteers here; enabling close collaboration with the end-community. |
| Collaborator Contribution | The partners have enabled us access to users with aphasia work closely with. We conduct design and texting work with this community regularly. People with aphasia regularly suggest new technologies, which we build/explore with them. In doing so, members at the charity gain experience in engaging with research which can support other members of their community, which has an impact on confidence (e.g. acting as advocates) as well as therapeutic outcomes (e.g. practising explaining complex ideas). |
| Impact | Further grant submissions with the charity (Future Leaders Fellowship, AHRC grant) |
| Start Year | 2023 |
| Description | BBC Research and Development |
| Organisation | British Broadcasting Corporation (BBC) |
| Department | BBC Research & Development |
| Country | United Kingdom |
| Sector | Public |
| PI Contribution | We work with BBC R&D to shape our focus and get feedback on ideas for accessible digital content. |
| Collaborator Contribution | BBC contribute knowledge and advise on 'real world' possibilities of the concepts we propose. |
| Impact | Not yet. |
| Start Year | 2023 |
| Description | Dyscover |
| Organisation | Dyscover |
| Country | United Kingdom |
| Sector | Charity/Non Profit |
| PI Contribution | We conduct research at Dyscover with their members with aphasia to co-design more accessible platforms for digital content. |
| Collaborator Contribution | Dyscover conducts recruitment of users with aphasia and advises on various aphasia-related topics. These people with aphasia at the centre then support the co-design work, which is mutually beneficial for them -- e.g. to create technologies that will positively impact other people with aphasia. |
| Impact | Several papers accepted/published as a result of co-designing technologies with people with aphasia at the Dyscover centre. |
| Start Year | 2023 |
| Description | Invited Speaker to University of Guelph |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Postgraduate students |
| Results and Impact | Timothy Neate gave a talk about the CA11y project at the University of Guelph. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Invited Talk at University of Glasgow |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Postgraduate students |
| Results and Impact | Talk about CA11y project to postgraduate students and staff at the university of Glasgow. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Invited Workshop at London Institute for Healthcare Engineering |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Timothy Neate gave a workshop for around 15 academics and practitioners in the NHS and SMEs on design methods for working with populations with communication impairments; methods which we have refined on CA11y. 100% of attendees said they would recommend to a colleague and the qualitative feedback praised the topic and learnings: e.g. "Excellent overview of the topic and insight. Good group sessions. Well planned and put together". They were keen to consider how the approaches could be used in their work. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Invited panellist ``Future of Accessibility Research'' |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Postgraduate students |
| Results and Impact | Timothy Neate took place in an invited panel at McGill University called ``Future of Accessibility Research'', in particular he discussed the needs of users with aphasia in the context of audiovisual media. |
| Year(s) Of Engagement Activity | 2024 |
