Co-design & Design tools Archives

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.

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.

Essential 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.

Readability and colour choices

Colour contrasts can be deceiving because we are subject to optical illusions. The video below shows how two different shades of grey are actually the same. That’s why you can’t rely on judging contrast by eye. Fortunately there are colour checkers to help with colour choices especially for websites. And why do you need colour contrast checkers? Because more than 8% of the population has colour vision deficiency (colour blindness).

UPPER CASE is not good for readability

Colour choice is one factor in readability. Others include using sentence case. Using upper case or capitals does not convey important messages more urgently. The image shows that using upper case to indicate a low bridge did not stop a truck driver from driving under it. Upper case is harder to read because the shape of the words are unfamiliar.

A semi-trailer is stuck under a bridge with the warning "low bridge" in upper case.

Colours for reading and learning

The processes of how we read text has an impact on how we take in information. Colour coding can help readers quickly identify key information and assist their reading and writing. Colour coding has gained popularity in classrooms to support student learning and reading.

The title of this paper is, What Color Scheme is More Effective in Assisting Readers to Locate Information in a Color-Coded Article?

From the abstract

Color coding, a technique assigning specific colors to cluster information types, has proven advantages in aiding human cognitive activities, especially reading and comprehension. The rise of Large Language Models (LLMs) has streamlined document coding, enabling simple automatic text labeling with various schemes.

This has the potential to make color-coding more accessible and benefit more users. We conducted a user study assessing various color schemes’ effectiveness in LLM-coded text documents, standardizing contrast ratios to approximately 5.55:1 across schemes. Participants performed timed information-seeking tasks in color-coded scholarly abstracts.

Results showed non-analogous and yellow-inclusive color schemes improved performance, with the latter also being more preferred by participants. These findings can inform better color scheme choices for text annotation. As LLMs advance document coding, we advocate for more research focusing on the “color” aspect of color-coding techniques.

Website readability

The most accessible websites are those that have an Easy Read option. A good example is the My Allied Health Space. At the top of the home page is the symbol for Easy Read and this is where you click to turn it on. Below is first, the standard webpage followed by the Easy Read webpage.

My Allied Health Space home page with option for Easy Read at the top of the page.

Screenshot my allied health space in easy read format. — My Allied Health Space with Easy Read option turned on

Thanks to Dr Em Bould, Senior Research Fellow at Monash University for the inspiration for this post. Dr Bould has great advice on this topic based on research.

QDN’s Co-design principles

Co-design is the new buzzword in the field of disability. But co-design isn’t only about disability inclusion. It’s a design process that seeks the best design for the intended users. Including people from a diversity of backgrounds, ages, levels of capability and experience is good practice. It’s how you do universal design. But what is it exactly and how does it work?

The ultimate in co-design is to include users from design concept stage. The next best thing is to include users in testing the first prototype. Many design firms say budget and time constraints prevent them from implementing this highly iterative method. But how much does it cost to remedy poor design and lack of compliance?

Co-design should not be confused with community consultation which seeks opinions about a design. User testing is not a form of co-design either. Co-design is where designers and users share the power of designing together. Co-design processes work for developing products, buildings, websites, services, policies and guidelines.

Queenslanders with Disability Network (QDN) have published their Co-Design Principles. This document obviously focuses on people with disability and the Queensland context. Regulation, legislation and policies such as the state disability plan fill most pages.

Five values underpin QDN’s co-design principles and processes:

- - Authentic Voice – We ensure those with limited or no voice are heard and valued
  - Collaborative Action – We learn from collective experiences, values, and wisdom
  - Rights – We believe in a human rights approach
  - Respect – We value human difference and diversity
  - Resilience – We are here for the long term.

Co-design processes

A three page summary has the key points above and the co-design processes.

The starting place – Craft the question that reflects intent/purpose and invites inquiry.
Build the team – Get diversity and support inclusion
Discovery Phase – See the issue from different viewpoints, and perspectives. Hear from others including those who disagree
Pause and Reflect – Take time to pause and reflect on what you have learnt in the discovery phase and what you still don’t know before jumping to solutions
Sense-making – Look at the data, story, research, and evidence in their raw form and work together to make sense and meaning of what has been gathered
Generate options – Stage where sense-making starts to yield conclusions, ideas
and possibilities, and people get in the creative zone
Developing Prototypes – Generate as many ideas as possible and develop a working example of the policy, service, program, product, or scenario-based solution
Learning, reworking, and refining – Part of the learning cycle and reworks can produce ‘prototype’ – the solution for testing, piloting, or putting into action
Embed what works – Turn it into action and make it real. Keep people engaged and stay accountable.

The QDN website has more information about the organisation and their activities.

See other articles on co-design: The right to participate in co-design, and What does co-design mean? How does it work?

Consulting people with disability

Front cover Consulting with persons with disabilities. — Full guidelines

Consulting people with disability just needs careful planning. Yes, of course it takes time, but all consultation takes time. But it is always worth it because it saves time in rectifications later.

The United Nations Inclusion Strategy has guidelines for consulting persons with disabilities. The main guideline document is very detailed and links with the UN Convention Indicator 5. It covers representative organisations, when to consult, and how to do it. The Easy Read version is very helpful for everyone.

Front cover of Easy Read Guide Consulting people with disability. — Easy Read version

The Easy Read version has the key information. It covers the importance of consulting, taking part in decisions, and working with representative organisations. There are links to the 2030 Sustainable Development Goals with the promise of “leave no one behind”.

One key point in this version is that people with disability should be involved in decisions about everything – not just things to do with disability.

Some days don’t have 24 hours

Week has seven days and every day has 24 hours. We all know that. But some people don’t have the same amount of time available within 24 hours as others. And it isn’t a case of poor time management. Time gets stolen. So what does it mean when I say, “some days don’t have 24 hours”?

Sheri Byrne-Haber pinpoints the issues in her article in Medium about the disability time thief. Sometimes it’s a few moments here and there, and sometimes it a regular chunk.

This article shows why consulting with people with disability is not a matter of setting a date and time and sending out the invitation. The time of day and the place are really important considerations.

The title of Byrne-Haber’s article is We don’t all have the same 24 hours. Anyone who thinks that we do lives in a monster privilege bubble.

Understanding typefaces for accessibility

Example of typefaces images. — Image courtesy Medium

More people have difficulty reading than most people think. Low vision, dyslexia, low literacy, and learning disabilities are some of the reasons. Previous posts have covered the topic of plain language and Easy Read. But choosing the right typeface is also important for communicating successfully. Without understanding typefaces, things like colour contrast will make little difference.

Gareth Ford Williams explains key elements in his article. He says claims of some typefaces being more accessible than others are not backed up by evidence.

lower case 'i' and upper case 'L' and '1' look the same. — Gill Sans upper case ‘i’, lower case ‘L’ and ‘1’

Different typefaces provide different styles in how letters are formed. For example, Gill Sans upper case ‘i’ and lower case ”l’ and ‘1’ look the same. However, in Verdana they are distinct from each other.

Mirroring is something than young children do. For example, muddling ‘b’ and ‘d’ and ‘p’ and ‘q’. However, the letter flipping effect can be lifelong.

Spacing or ‘visual crowding’ is another consideration. Some typefaces have the same space between letters regardless of letter width. Helvetica is one example. Calibri has different spacing between letters. A wide letter like m has more space around it than an i or a t. In some cases the letters can look joined up such as ‘ol’ or ‘vv’. Tight letter spacing is not great for people with good vision either.

The article has several good examples to illustrate points made. The title is, A Gu ide to Understanding What Makes a Typeface Accessibl e. Williams makes the point that there is no one right typeface. As always, it depends on your audience. However, this article provides great insights into yet another aspect of communicating accessibly. The article is technical in some places.

Thanks to Dawn Campbell on Linked In for alerting me to this article.

Guide for body shape and size

How much do our body shapes and sizes differ? A lot. But if you only know a few different shapes and sizes, how will you know if your design is inclusive? A guide for body shape and size is a useful reference.

The Centre for Excellence in Universal Design in Ireland has a set of information sheets on body shape and size. They guide designers in how to apply these factors in their work to achieve more universally designed products and services.

The overview of the guideline project explains the importance of considering body shape and size in designs. For governments and other institutions it helps with the selection and procurement of everyday products such as street furniture. Designing for the extremes of body shape and size affords extra convenience for all users. It also helps avoid user discomfort, embarrassment and even harm. There are five fact sheets

- - Background
  - Data
  - Design
  - Testing
  - Range

A related academic paper from 2014 takes body size and shape further and applies it to mobility devices. The guide to the circulation requirements for various wheeled mobility devices is from Denmark. It includes research on the spatial needs for parking as well as toilets and building entries as well as accessible paths of travel.

Charts with dimensions of the various mobility types is included and includes tables for children and the bariatric population. The guide also discusses the need to think to the future of mobility devices and not assume that the size and styles will remain the same.

Person-environment fit using the ICF

Making the environment fit for all regardless of capacity is an important goal for public health efforts. But valid methods for measuring accessibility are currently lacking. This study aims to address this lack. Using the ICF as a conceptual framework, a typology of person-environment fit was developed along three dimensions: 1) accessibility problem range and severity; 2) aspects of functioning; 3) environmental context.

Front cover of the ICF. Red with white text.

Abstract background:

Making the built environment accessible for all regardless of functional capacity is an important goal for public health efforts. Considerable impediments to achieving this goal suggest the need for valid measurements of accessibility and for greater attention to the complexity of person-environment fit issues.

To address these needs, this study aimed to provide a methodological platform, useful for further research and instrument development within accessibility research. This was accomplished by the construction of a typology of problematic person-environment fit constellations, utilizing an existing methodology developed to assess and analyze accessibility problems in the built environment.”

Download Typology of person-environment fit constellations: a platform addressing accessibility problems in the built environment for people with functional limitations.

Article by Björn Slaug, Oliver Schilling, Susanne Iwarsson, and Gunilla Carlsson

What does Co-design mean? How does it work?

The term co-design is being used more frequently, but what does co-design mean and how does it work? Well, that depends on the context. It could mean a design group working together. Nothing difficult about that concept. Or it could mean involving end users in the design process. This is where it gets more tricky and more questions arise.

At what point do you involve users? Which users do you involve? Will the users have the required knowledge and experience to contribute constructively? Will designers have the skills to be inclusive and listen to users? Participatory action research incorporates both designer and user learning. But these projects are necessarily long and usually have research funding attached. However, they usually produce knowledge and results useful in other settings.

A related concept is co-design in quality improvement, for example, in a hospital setting. Both staff and patients have a role to play in advancing quality improvement. Differing levels of understanding between staff and patients can lead to tokenism. So how can we equalise knowledge so that everyone’s contribution is constructive?

A research team in a Brisbane hospital grappled with this issue. Their research report is written in academic language and not easy to read. Nevertheless, they conclude that effective patient-staff partnerships require specific skills. Briefly, it means adapting to change, and generating new knowledge for continuous improvement.

A framework

The researches developed a framework that includes ten capabilities under three key headings.

1. Personal attributes:

- - Dedicated to improving healthcare
  - Self-aware and reflective
  - Confident and flexible

2. Relationships and communication attributes:

- - Working and learning as a team
  - Collaborating and communicating
  - Advocating for everyone

3. Philosophies/Models:

- - Organisational systems & policy
  - Patient and public involvement best practice
  - Quality improvement principles.

These nine points are connected with the overarching theme of sharing power and leadership.

Title of the article is, “Co-produced capability framework for successful patient and staff partnerships in healthcare quality improvement: results of a scoping review”.

Other posts on co-design include The right to participate and co-design, and Co-design is another skill set.

Inclusive Design Toolkit for designers

five members of the inclusive design group stand behind a table with the toolkit displayed. Each person is holding a card with a word. The words spell out 10 years inclusive design toolkit. — Left to right: Joy Goodman-Deane, Sam Waller, Mike Bradley, Ian Hosking, and John Clarkson.

The Inclusive Design Toolkit has proved to be an invaluable tool for designers since it’s inception in 2007. The updated version includes the exclusion calculator which shows how many potential users might be excluded. This makes it a great toolkit for designers in any field.

The news bulletin from the Engineering Design Centre that produces the Toolkit and other resources has information on:

- The tenth anniversary of the Inclusive Design Toolkit and what has been achieved in that time.
- New exclusion calculator for better assessment for vision and dexterity.
- E-commerce image guidelines for mobile phone viewing.
- Impairment simulator software for vision and hearing is now very handy for showing how vision impairments look and sound.

The Engineering Design Centre has made great progress in inclusive design. It began by working with business to show the benefits of including as many people as possible in the design. The design team continue to break new ground keeping users at the centre of the process.

An article in the Inclusive Design Toolkit Bulletin explains how a student redesigned the chip packet for easier opening. A beer and a packet of chips is a simple pleasure for most. But if you can’t open the chip packet then not so pleasurable. This is a problem for more people than you might think.

Two gadgets to help designers, gloves and glasses, are available. Using a pack of Post-it Notes, Sam Waller demonstrates in the video below how many people will find it impossible to remove the cellophane wrapping. A good example of including people with low vision and/or arthritis is good for everyone and increases market size.

Tool for overcoming bias in design

Everyone has a bias. Our biases can lead us to fall into the traps that create unintended barriers or inconveniences for users. Recognising biases in our outlook is the key to countering them in design processes. Airbnb Design has a tool for overcoming bias in design.

It’s a human trait to hold on to initial evidence more strongly than information we gather later on. Then we fit our interpretation of the world to match that initial evidence, regardless of what else we might learn as time passes. This can prevent the process of designing inclusively.

Airbnb Design partnered with journalists from News Deeply and came up with a toolkit for designers. Another Lens is a research tool for conscientious creatives. “We believe that both designers and journalists have the responsibility to shine a light on their bias by asking the right questions, seeking conflicting viewpoints, and expanding their lens to build inclusive, global solutions”.

Three principles underpin the thinking process: balance your bias, consider the opposite and embrace a growth mindset. All good principles for universal design thinking. The website tool is simple to use, poses critical questions and provides the thinking behind it.

It’s the way the brain processes things

Dr Belina Liddell argues that culture may affect the way your brain processes everything. And that is important. The term “culture” is a very complex web of dynamic systems – beliefs, language and values, and also religion, socio-economic status and gender may play a part too.

Liddel explains how culture makes a difference to the way we not only perceive things intellectually, but visually as well. All this is from the emerging field of cultural neuroscience. Now we have new acronym to deal with, WEIRD – Western, Educated, Industrialised, Rich, Democratic. The article also discusses refugee populations. See the ABC science website for more on this interesting article.

Standard for accessible standards

All standards should ensure they meet the goals of the UN Convention on the Rights of Persons with Disabilities. So there is a Standard for developing Standards documents to be inclusive, accessible and universally designed. ISO Guide 71 shows how to do this. On day two of UD2021 Conference, Emily Steel explained how the international Standard for accessible Standards documents.

The international standard has done all the thinking for us. The document guides standards committees as they write and update standards for their specific industry or profession. It is also useful for any committee developing guides or standards for accessibility and universal design. So, we don’t have to re-invent the wheel.

The Guide’s use of the the term “accessibility” relates closely to universal design. “The extent to which products, systems, services, environments and facilities can be used by people from a population with the widest range of characteristics and capabilities to achieve a specified goal in a specified context of use”.

ISO Guide 71 Accessibility Goals

The Guide has two main parts. The first describes user needs and 11 accessibility goals. These are similar to the 8 Goals of Universal Design. The second describes human characteristics and abilities, and design considerations.

1. 1. Suitability for the widest range of users
  2. Conformity with user expectations
  3. Support for individualisation
  4. Approachability
  5. Perceivability
  6. Understandability
  7. Controllability
  8. Usability
  9. Error tolerance
  10. Equitable use
  11. Compatibility with other systems.

Guide 71 was adapted by the European standards authority and is titled, CEN-CENELEC Guide 6. It is basically the same information. You can see a previous post about this document.

There is also an Accessibility Masterlist by Gregg Vanderheiden. It’s a collaborative resource for understanding access features in digital applications. Also worth a look.

Category: Co-design & Design tools