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Bridging the digital divide for people with aphasia: a study protocol for codesigning web accessibility tools and
Jennifer Lee1,2,3, Peter Worthy4,2,5, Ryan Deslandes4,2,3
1Queensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia jennifer.lee1@uq.edu.au.
BMJ Open
|August 10, 2025
Summary
This project aims to improve web accessibility for individuals with aphasia, a common post-stroke language impairment. It will develop a browser extension and guidelines to make online health information more accessible.
Area of Science:
- Neurology
- Human-Computer Interaction
- Health Informatics
Background:
- Aphasia, a language impairment affecting one-third of stroke survivors, significantly hinders access to online health information.
- Existing web accessibility guidelines inadequately address the needs of individuals with aphasia, leading to digital exclusion.
- Over 90% of websites fail to adhere to current accessibility standards, exacerbating the problem for this population.
Purpose of the Study:
- To codesign and develop a web-browser extension to re-render webpages into an 'aphasia-friendly' format.
- To create training tools for users and health professionals to customize the browser extension.
- To establish guidelines for creating communication-accessible websites.
Main Methods:
- Experience-based codesign methodology involving people with aphasia, family members, and health professionals.
- Stage 1a: Focus groups to identify priorities for web accessibility using nominal group technique and qualitative analysis.
- Stage 1b: Codesign workshops to iteratively develop the browser extension, training tools, and guidelines.
Main Results:
- Focus groups and codesign workshops will yield user-centered requirements for web accessibility tools.
- Development of a functional web-browser extension tailored for aphasia-friendly web navigation.
- Creation of practical training materials and comprehensive guidelines for accessible web design.
Conclusions:
- The 'Bridging the Digital Divide' project will enhance digital inclusion for people with aphasia.
- Developed tools and guidelines will empower individuals with aphasia to access vital online health information and support.
- This research addresses a critical gap in digital health accessibility, promoting equitable access to information for stroke survivors.

