Designing for Diversity and Inclusion

A mosaic of many different faces and nationalities. Designing for diversity.Inclusive design is often misunderstood as designing specifically for people with disability. Similarly, the term “diversity and inclusion” is associated with people from diverse backgrounds. Designing for diversity means both – designing for as many people as possible across age, ability and background

Dan Jenkins makes an important point in his article – the number of excluded people is often underestimated and capability is frequently thought of in terms of “can do” and “can’t do”. However, this black and white approach doesn’t cater for those who “can do a bit” or “could do more” if the design was tweaked. But then there is the role of designers themselves.

The Role of Designers

A page from a report showing that more than 50% of designers are male, and 80% are white.How do we design for the full-spectrum of user experience, if the designers themselves do not present a variety of experience and perspectives? Inherent in their role, user experience designers, or UX designers, are required to design the overall experience of a person using the product.

Fabricio Teixeira and Caio Braga believe that diversity generates diversity. Touching on topics such as diversity in the design industry, inclusion, equality and equity and gender, this series of five articles explores design from within the industry to explore the impact that designers have on people’s lives.

There are five articles in the series, Design is diversity: it’s time to talk about our role as designers:

The benefits of a diverse team

Is diversity a problem in the design industry?

Celebrating our differences and showing you (truly) care about inclusion

The difference between Equality and Equity in design

Ladies That UX on women in design and diversity.

How “the user” frames what designers see

Front cover of book Anthropology in BusinessUniversality in design gets a mention in the Handbook of Anthropology in Business. Megan Neese’s chapter raises a good point about terminology in the business world. She says, “Marketing teams talk about consumers. Research teams talk about respondents. Engineering teams talk about targets. Designers talk about users. These terms tend to be used simultaneously and somewhat interchangeably in corporations…”. So finding common ground is not always easy when developing a product.

Neese’s chapter discusses the many layers needed in any design, such as, culture, function, regulations, industry initiatives, and social trends. It is thoughtfully written and easy to read.

How “the User” Frames What Designers See: What Cultural Analysis Does to Change the Frame” is in the Handbook of Anthropology in Business, 2016.

Diversity, Design and Usability

An infographic wheel with Designing for Diversity at the hub, and the different factors mentioned in the text around the hub.The term ‘Diversity’ is often thought of as a cultural thing just as ‘Accessibility’ is thought of as disability thing. The concept of universal design doesn’t separate these and doesn’t separate them from what’s considered mainstream. That’s the meaning of inclusion and inclusiveness. But let’s not get hung up on the words. 

Diversity covers gender, ethnicity, age, size and shape, income, education, language, culture and customs. There is no Mr or Ms Average – it’s a mythical concept. Dan Jenkins writes about diversity as inclusion for the Design Council and makes this observation;

“Often, it’s a perceived efficiency-thoroughness trade off – a variant of the 80:20 rule, that crudely suggests that you can get it right for 80% of the people for 20% of the effort, while it takes a further 80% of the effort to get it right for the remaining 20%. However, much of the time it is simply that the designers haven’t thought enough about the diversity of the people who wish to interact with the product that they are designing, often because it’s not in the culture of the company.”

Similarly to Kat Holmes, Jenkins says to think of capability on three levels:

1.    Permanent (e.g. having one arm)
2.    Temporary (e.g. an arm injury)
3.    Situational (e.g. holding a small child)

“The market for people with one arm is relatively small, however, a product that can be used by people carrying a small child (or using one of their arms Infographic wheel with Usability in the centre. The next ring has three factors: Sensory, Physical and Cognitive. The outer rim expands on these three aspect.for another task) is much larger. As such, designing for the smaller market of permanent exclusions is often a very effective way of developing products that make the lives of a much wider group of customers more flexible, efficient and enjoyable.”

Jenkins reminds us that all our capabilities will be challenged eventually, either permanently or temporarily. That’s why designers need to think of the one arm analogy in their design thinking. Excellent easy read article from the Design Council. Infographics are taken from the article.

Much of Jenkins’ content is similar to Kat Holmes material and the Microsoft Inclusive Design Toolkit. There are three articles on this website that feature Kat Holmes:

Typewriters: A device for vision loss.

What does inclusion actually mean?  

What is the meaning of inclusion in inclusive technology?  

Also Kat Holmes book, Mismatch: How Inclusion Shapes Design,

Colour blindness not just genetic

Colour blindness is an eye condition that changes the way people see colours. It doesn’t seem like a big thing to people who have normal colour vision. But when it comes to reading things like maps, it matters a lot. Graphs, maps, diagrams and other graphic information types often rely on colour to differentiate between elements and features.

With genetic colour blindness, men are about 16 times more likely to be affected than women. Injury or disease can also affect the ability to see certain colours.

A pile of brightly coloured squares sit untidily on top of each other. The colours are very bright.

Apart from genetic reasons, some health conditions increase the risk of developing colour blindness later in life. Macular degeneration, glaucoma, diabetes, dementia, and Parkinson’s disease can all affect colour vision. Because it happens later in life it often gets unnoticed and undiagnosed. Some medications might affect colour vision too. For more, see My Vision guides.

You are at greater risk of colour blindness if you are a white male and have family members with colour blindness.

Red-green colour vision deficiency occurs in 1 in 12 males with Northern European ancestry. For women it’s 1 in 200.

A middle aged white man wearing glasses

The Axess Lab website has some great tips for making graphics more inclusive. For example, putting text into pie charts, and labelling goods with colours not just showing them. Colour contrast matters too as you can see in the picture below.

Pie chart with different colours and their respective labels.
A pie chart with labels
A group of people standing holding a pink banner with the words You are Not Alone, but you can't see the word NOT because it is in pale red and blends into the background colour
A serious colour contrast fail in real life

Colours that are accessible

Colour diagram showing the three different types of colour vision deficiency

Colour is an important part of designers’ creative work. When it comes to colour accessibility the creative path takes a few twists and turns. That’s because people who say they are ‘colour blind’ are not all the same. Most can see some colours, but not all of them. So how can designers choose colours that are accessible, especially in digital communications?

Adobe has a blog page that explains the importance of choosing colours. Four images show the three different versions of colour vision deficiency, which are:

  1. Protanopia: Referred to as “red weakness,” this variation of red/green color blindness results in individuals being unable to perceive red light.
  2. Deuteranopia: Also known as “green weakness,” this type of red/green color blindness renders people unable to perceive any green light.
  3. Tritanopia: People who suffer from blue/yellow color blindness have difficulty distinguishing between blue and yellow colors. This form of color blindness is far less common than its red and green counterparts.

Graphic designers will appreciate the colour wheels and ways to avoid a conflict of colours. Examples of good colour choices show that designs can still be attractive as well as functional. You can try out the online Material Design accessible colour tool that provides information on colour contrasts for visual material. 

Readability and colour choice

Colour choice is also a factor in readability. The video below shows how easily we can be deceived by our eyes. It shows how two different shades of grey are actually the same. That’s why you can’t rely on judging contrast by eye.

Inclusive energy efficient home renovations

A case study from the Netherlands describes an inclusive process for designing energy-efficient home renovations. A neighbourhood of 280 apartments is the subject of the study. With a mix of homeowners, renters and social housing tenants, it was essential to involve residents in the renovation process.

Several tall apartment buildings situated next to a canal.  Energy efficient home renovations.

Involving residents in major renovations is essential for bringing together the technical and social aspects of design.

The principles of civic and energy justice underpinned the approach to the project. Given that the resulting designs will largely be the same for every home, they need to be inclusive and considerate of ongoing energy costs for everyone. That means an inclusive design process is required.

Participatory action research

Expert stakeholders and six residents were interviewed and 50 residents were observed and interviewed during a tour of the demonstration apartment. Mutual learning was a key part of the iterative process involving prototypes.

Attention was paid to diversity, accessibility of research materials and interview materials were both verbal and visual. Technical design features were part of the results, but values emerged from the process. These values were health, sustainability, property value, cost of living and comfort.

The paper goes into more detail on the findings and the process. As part of the process, researchers developed a renovation guide to help residents understand what the proposed changes mean for them. They acknowledged time constraints which meant residents did not have time to experience the apartment. Rather, they only had time to view it.

Recommendations

Recommendations for improving the process include:

  • Location. Any sessions should be in the neighbourhood and in an accessible venue.
  • Time. Different meeting and interview times will suit different people.
  • Invitations. The guide acts as an invitation but might not work for everyone.
  • Language. Dutch is a second language for some people so a session in English might be necessary.
  • Other options. Apart from meetings, phone and email should be available. Not everyone feels comfortable in a group.

The lessons from the paper could be applied in housing situations such as social housing and co-housing. It also adds to the literature on inclusive design and co-design, and participatory action research.

The title of the article is, Values arising from participatory inclusive design in a complex process. There are diagrams to illustrate the complexity of designing an entire home and it’s technical systems, indoor climate, the lives and values of residents, and connection to systems and services.

From the abstract

This paper addresses inclusive design in a situation of complexity and how to improve it. The focus is on the inclusive design of a complex process and its tools, which is increasingly an issue in systemic design challenges. The current situation of climate change means we need to work on sustainability and inclusion at the same time.

The paper presents a case study of an energetic renovation process and the stakeholders’ activities and views in it. In a research-through-design process, the paper traces the possibilities to intervene in the process with communication tools to increase inclusivity of both process and outcomes.

Energy efficiency and universal design

Are energy efficiency and universal design incompatible? Potentially. Energy efficiency has an engineering approach and universal design has a sociological approach. This is what makes them incompatible according to researchers in Belgium. Energy efficiency is a measurable product whereas universal design is a process. So how can they both be addressed in home renovations?  This was the topic of a conference paper in 2016.

Thinking has moved on and we now talk about sustainability from both perspectives and the importance of having both. However, this paper brings the concepts into the same conversation and highlights areas of potential conflict. The paper has some interesting and explanatory graphs and comparisons that are worth a look especially for academics and theorists. 

Roof of a house covered in solar panels

The title of the paper is, Energy Efficiency and Universal Design in Home Renovations – A Comparative Review

Danish Design Ladder and universal design

Discussing universal design and inclusive practice helps individuals to understand the concept of inclusion. But it’s organisational culture where the change is needed. Everyone has to have the same universal design mindset. The Danish Design Ladder is one way to apply universal design to organisations.

The 6 steps of the Danish Design Ladder
Extended Danish Design Ladder

Design isn’t just for products and websites. Design thinking is also good for designing business strategies and operations. It shapes the brand and business concept. In short, it is good for business, as Matt Davies says. 

The Danish Design Ladder is useful for understanding the power of design within organisations. Universal design thinking comes onto the ladder at Rung 3 – Design as a Process. 

Rungs of the Danish Design Ladder

1 Non-Design:  Design is invisible, product development is done by untrained designers. The user or customer has no part in decisions.

2 Design as Styling:  After the product is developed it is given to a designer to make it look nice. 

3 Design as Process:  This is where design is not the result but a way of thinking. Customers are now the focus of the design process. 

4 Design as Strategy:  Design is embedded in the leadership team to shape the overall business.

5 Design as Systemic Change:  Design is a way of changing systems to solve complex social problems.

6 Design as Culture:  Design is a common mindset, as a way to innovate, a way to listen and and a way to lead. 

An article by Bryan Hoedemaeckers, Are you getting the most out of Design explains more on this. The Ladder is a good way of conceptualising how to weave universal design thinking into the fabric of organisations. 

The Brisbane Olympic Games are less than 10 years away. There is talk of wanting them to be the most accessible games ever. The top three rungs of the Ladder, universal design as strategy, change and culture, will be essential for this outcome. The Legacy Strategy moves to the 4th step of the ladder, but the strategy is about places and things, not culture change. 

Australian researchers used the Danish Design Ladder in an action research project. The title of their paper is, Climbing the Design Ladder; Step by step. The researchers discuss other intermediate “steps” for bringing about culture change. The article is open access. 

Advances in Design for Inclusion

Front cover of the publication.

This book covers several topics in design: universal design; design for all; digital inclusion; universal usability; and accessibility of technologies regardless of users’ age, financial situation, education, geographic location, culture and language.

It has a special focus on accessibility for people with auditory, cognitive, neurological, and visual impairments, ageing populations, and mobility for those with special physical needs.

The title of the book is Advances in Design for Inclusion. It is an academic text, published by Springer, from the proceedings of the International Conference on Design for Inclusion held in Washington DC in July 2019. 

The chapters are diverse and specific. For example, yacht design;  automated vending machines; prisons; parking meters; garden objects; housing; city maps, built environment and much more. Chapters can be purchased separately if you don’t have institutional access.  

Easy English: Same as Easy Read?

Australian Easy English is for people with low or few literacy skills. It is not the same as Easy Read.

Girl sits with a book flicking pages and looking a little unhappy. She needs Books for Everyone.

According to Cathy Basterfield, Easy English is not the same as Easy Read. Her comparison of the two highlights some important differences.

Australian Easy English assumes almost no literacy skill. Material is presented with just three or four short sentences of 5 words on a page. Each sentence is accompanied by a relevant picture or graphic. This means there is a lot of white space which prevents visual confusion caused by lots of words. The aim of Easy English is to tell the reader what to do. It is not about conveying information.

Australian Easy Read on the other hand has an average of 10 words in a sentence. The document includes information which can make if difficult to find the “what to do” instruction. This format assumes a reading level of Grade 4. Unlike Easy English, images are used without headings and there is little white space.

44% of Australian adults do not have the literacy skills for everyday reading tasks such as reading product labels.

Rows of snack food line the supermarket shelves.
Black and white logo for easy read, has a tick and a open book

Long documents often have an Easy Read version which makes it easier for competent readers as well. After all, why read a long and complex report when you can get the same information with less words?

Making a document easy to read and understand is not itself an easy process. The development of Easy English and Easy Read is a mix of language, sentence structure, images and user testing. It’s a design challenge to analyse each element to see what works best.

Comparing the two

The examples below show some of the differences between Easy English and Easy Read. Cathy Basterfield has a succinct three page comparison of the two styles with clear examples.

page from Access Easy English on COVID.
Example of Easy English
A screenshot of the homepage of the website.
Example of Easy Read

More resources

Cathy Basterfield has developed several free Easy English versions of important information. She has a blog page that explains Easy English and Easy Read if you want to know more. 

Editor’s note: Even as a person with good literacy skills, I find Easy English a quick and easy way to understand the key points. I think much of the confusion in the community is due to politicians and others using lots of words when fewer would do, and speaking quickly. When journalists ask questions of politicians they add to the confusion because the politician says the same thing again only using different words. 

Universal design as ‘symbiosis’

Symbiosis is not a word usually associated with universal design, but it’s another way of looking at it. Symbiosis means interaction between two different organisms living in close physical association to the advantage of both.

An article from Malaysia uses symbiosis in the context of designs for the disabled body advantage the non-disabled body – it’s a win-win.

The article covers the usual introductory material about universal design and then moves into a discussion on indoor spaces. The research questions focus on the application of universal design to achieve integration.

The paper recounts three case studies to show how people with disability can get the same sense of belonging as non-disabled people. The use of materials, space function and space planning each have a role to play.

Case studies

Bill and Melinda Gates Discovery Center showing people looking at exhibits.

Bill and Melinda Gates Discovery Centre

The first case study is the Bill and Melinda Gates Discovery Center in Seattle. The centre fosters a collaborative working environment to educate people about global issues including disability.

The second case study is the Cooper Hewitt Smithsonian Design Museum. This building is a studio of visual and accessible sensory experiences.

The third case study is Hazelwood School in the UK which transformed a school for children with disability into one for all children.

Hazelwood School

All three projects posed challenges to designers to find ways in which everyone could feel welcome and use the spaces. The article provides more detail on each case study and useful references.

The authors conclude that universal design played an important function in aiding architects to design for people with and without disability.

The purpose of universal design is to create symbiotic relationships between people

The title of the article is, Universal design (UD) in indoor space: Symbiosis between disabled bodies and abled bodies. The abstract uses some confusing language and terms, but the article follows universal design thinking. The links to the case studies are also worth a look.


Co-design in Health Care

Health care is a service and like any service, you want the best for your customers. Customer feedback is common with most services, but knowing the problems after the event is not very effective. The first step is setting up a process that is going to get the most useful design decisions. That means co-designing from the very beginning including co-designing the research method.

Entrance to the emergency section of a hospital.. Co-design in health care.

An inclusive design approach means listening.

A new paper documents the process of using an inclusive design approach to design the study. As a report of the process the paper necessarily includes many stories from participants. These stories are rich in information not limited by survey or interview formats and questions. It is up to the listener or researcher to guide these experiences into practical solutions.

The methods in this study are applicable to any public service, such as transport or education.

Storytelling and research design

Storytelling often goes beyond describing the immediate barriers and difficulties in using a service to reveal the impact on a person’s life.

“The inclusive design approach to the study was not rigid because inclusive design is about diversity, variability and complexity”

Three design exercises

The study reports on three options for design exercises:

Design Exercise Option One: co-designers talk about any part of the health care service that needs re-design. Then the group imagines a future where the barrier no longer exists.

Design Exercise Option Two: co-designers discuss their own or another’s experience during the Covid-19 pandemic.

Design Exercise Option 3: co-designers use the research centre’s “virtuous tornado” exercise. The virtuous tornado is a diagram with three circles, In the centre is the statement, “Like and Use”. The next ring has the statement “Don’t like or have difficulty using”. The outer ring has the statement “Can’t Use”. See the diagram below.

Three rings of a circle indicating the three statements.

Figure 1 from the report with the three options for activities

Co-design is a hot topic at the moment and this paper adds to the research and ideas of how to run co-design processes.

The title of the article is, Co-Design as Applied to Accessibility in Health Care and comes from researchers based in Canada.

Design toolkit for social inclusion

Inclusive Signs Toolkit front cover.
Front cover of the Toolkit.

Social inclusion is a complex topic mainly because it’s not something you can make and touch. It requires a new way of approaching design that avoids bias, stereotypes, and established methods. Emilio Rossi has developed a card-based toolkit to generate creative inclusive design concepts. It’s titled Inclusive Signs and is based on a visual card system. One set has a different picture or symbol, and the second set has text labels. The cards are used to stimulate creative thinking in brainstorming sessions.

A short video on the welcome page of the online version on the toolkit provides a great overview of the basic concepts. 

The first part of the handbook explains the background and how to use the the toolkit. The second part has 180 cards and a worksheet. The toolkit is useful for both design practitioners and educators. It would also be good in co-design processes. The goal is to stimulate deep reflections on social inclusion in all design processes.

Overview

Although disability is one of the topics, design for social inclusion goes further. It tackles issues of social wellbeing, rights, human values, and inequalities.  Designers often struggle to create inclusive products and services beyond access codes. Rossi says moving beyond access codes is crucial for enabling solutions.

The key is gaining insights in the design conception stage. “Otherwise designers will continue to use biased concepts in their creative practice. That is, designing what is known, rather than what may work.”

You can download the 120 MB PDF document.  The 60 descriptive cards have current keywords relating to social inclusion. The aim of the 120 visual cards is to stimulate reflection, emotion, and lateral thinking. The images provide both negative and positive representations. 

Designers should find the content of the toolkit interesting even if they don’t use it in practice or teaching. 

The online version of the Toolkit is also available in several languages. Below are three examples of the text cards.

Card reading shared visions and ideas.

Card reading yes, with, together, visible, for all.

This card reads, participation.

Essential elements of co-design

Ayoung man with a black beard and hair is talking to someone across a table with coloured paper and pens. We need elements of co-design.Co-design in an academic context is part of participatory action research, or PAR. It’s used to understand, inform and change the design of policies, programs and services. But what are the essential elements of co-design? As we know, community engagement or consultation is not the same as co-design. Including diverse stakeholder and user perspectives is essential for developing best practice.

Gabrielle Brand and her team have identified five core co-design principles in the field of health education. Briefly they are: inclusive, respectful, participative, iterative and outcomes focused. These principles apply in other fields too. 

Core co-design principles 

Inclusive: Involve key industry stakeholders and consumers from the initial proposal design. That includes the development and framing of learning focus to final educational outcome and delivery.

Respectful: Health care consumers are considered “experts by experience”. All input is equally valued in design, development and delivery of education.

Participative: The research process is open, responsive and empathetic in co-creating education. It generates new understandings of health and healthcare experiences.

Iterative: A cyclic, collaborative process that takes time. It embraces movement towards a shared education vision. It includes the risk of failure.

Outcomes focused: The focus is on achieving a shared educational outcome co-created during the co-design process.

Brand and her team used conversational interviews transcribed verbatim for analysis. An organic iterative approach to data analysis developed shared understandings. Artefacts were also used in the process for eliciting sensory triggers for participants and for developing vignettes. 

The article details part of a vignette to explain how it was used with learners. It’s based on a mother of an adult son with a psychosocial condition. Members of the research team benefited from knowing they had valuable and legitimate expertise on a research project. 

Title of the article is, A research approach for co-designing education with healthcare consumers. It has a mental health education focus, but the methods are applicable in other fields. 

One of the issues with co-design and PAR is passing ethics approval processes. When an ethics committee labels particular groups as ‘vulnerable’ they apply different approval criteria. However, including the voices of a broad range of people involves the participation of vulnerable groups. 

The end result of this kind of research is to “transform hierarchical health care relationships towards a more humanistic model of care”. 

From the abstract

Context: Community and consumer involvement in health professions education (HPE) is of growing interest among researchers and educators. It prepares health care graduates to effectively learn from, and collaborate with, people with lived experience of health issues. 

Approach: We describe the background to our work with health care consumers including the five core principles for successful co-design and how to apply them as a research approach in HPE.

We used arts and humanities-based teaching methodologies including engagement, meaning-making and translational education strategies. This illustrates how this research approach has been applied to reframe mental health education and practice in Australia. Furthermore, we share some reflective insights on the opportunities and challenges inherent in using a co-design research approach in HPE.

Conclusions: For the consumer voice to be embedded across HPE, there needs to be a collective commitment to curriculum redesign. This paper advances our understandings of the educational research potential of working with health care consumers to co-design rich and authentic learning experiences in HPE.

Co-design research approaches that partner with and legitimise health care consumers as experts by experience may better align education and health professional practice with consumers’ actual needs, an important first step in transforming hierarchical health care relationships towards more humanistic models of care.

Assoc Prof Gabrielle Brand is based at Monash University Peninsula Campus.

Health professional education research

Two New Zealand researchers in health science say it is time to apply universal design principles to health education research. They take the universal design principles that originated in architecture and translate them to universal design for research.

The researchers use the The three pillars of universal design for learning (UDL) as the means to crosswalk from architecture to research. The aim is to embrace and enact diversity in research design. This, of course, means engagement with people most often excluded from health education research. 

The title of the article is,  Designing for justice: How universal design theory could bolster health professional education research.

 

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