Evidence map›Paper›PMID 40784777›Full record

ArticleBMJ open2025

Bridging the digital divide for people with aphasia: a study protocol for codesigning web accessibility tools and guidelines.

Jennifer Lee, Peter Worthy, Ryan Deslandes, Bridget Burton, David A Copland, Phill Jamieson, Kim Barron, Leanne Togher, Kirstine Shrubsole, Ciara Shiggins and 5 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jennifer LeeQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia jennifer.lee1@uq.edu.au.ORCID http://orcid.org/0009-0007-8540-0271
Peter WorthyQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
Ryan DeslandesQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
Bridget BurtonQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
David A CoplandQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
Phill JamiesonQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
Kim BarronQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
Leanne TogherSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Kirstine ShrubsoleQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.ORCID http://orcid.org/0000-0002-7805-2447
Ciara ShigginsQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
Jessica CampbellQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.
Annie HillCentre for Research Excellence in Aphasia Recovery and Rehabilitation, Melbourne, Victoria, Australia.
Janet WilesSchool of Electrical Engineering and Computer Science, The University of Queensland, St Lucia, Queensland, Australia.
S Alexander HaslamSchool of Psychology, The University of Queensland, St Lucia, Queensland, Australia.
Sarah J WallaceQueensland Aphasia Research Centre, The University of Queensland, Herston, Queensland, Australia.ORCID http://orcid.org/0000-0002-0600-9343

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAphasia is a language impairment that affects one-third of people who experience a stroke. Aphasia can impact all facets of language: speaking, understanding, reading and writing. Around 60% of people with aphasia have persistent language impairments 1 year after their stroke, requiring ongoing healthcare and support. In recent years, the internet has become a key resource for the self-management of chronic health conditions. Navigating web content, however, requires language use, and as such, people living with aphasia are more likely to be excluded from digital health and support services. Web Content Accessibility Guidelines exist; however, they do not fully address the unique and diverse needs of people with aphasia, and a significant proportion of websites (over 90%) do not fully adhere to them. This protocol paper describes the first two stages of the METHODS AND ANALYSIS: The research will be conducted using experience-based codesign. In Stage 1a, focus groups will be held with (1) people with aphasia, (2) family members or significant others and (3) health professionals working with people with aphasia. Participants will be asked to share their experiences of accessing (or supporting a person with aphasia to access) healthcare, information and support services on the web. The nominal group technique (NGT) will be used to identify priorities for improving web accessibility for people with aphasia. Focus group data will be analysed using reflexive thematic analysis, and prioritisation data will be analysed using inductive qualitative content analysis. In Stage 1b, eight codesign workshops will be held with representatives of the three key stakeholder groups to iteratively codesign and develop a web-browser extension, training tools and guidelines to support web accessibility. ETHICS AND DISSEMINATION: Ethical clearance for Stage 1a and Stage 1b of this project has been approved by the University of Queensland Human Research Ethics Committee (Stage 1a approval number: 2023/HE000528, Stage 1b approval number: 2024/HE000721). The outcomes of this research will be disseminated in peer-reviewed journals and presented at national and international conferences. A dissemination and celebration event will be held at the completion of the project.

Indexed as

AphasiaDigital DivideInternetFocus GroupsGuidelines as TopicHumansResearch DesignStrokeCommunity-Based Participatory ResearchDigital TechnologySTROKE MEDICINE

Identifiers

PMID40784777
PMCPMC12336571

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.