The experiences, needs and barriers of people with impairments related to usability and accessibility of digital health solutions, levels of involvement in the design process and strategies for participatory and universal design: a scoping review
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Objective: Globally, the number of digital health solutions is increasing, but they are not always designed with access and utilisation for people with impairments in mind. Development efforts have often not included the voice and requirements of people with impairments, who make up 15% of the world’s population, despite the fact that this can help ensure broad access and utilisation. Little attention to and limited inclusion of people with impairments in the development of digital health solutions results in continued and reinforced inequalities in health services provision for people with impairments. This review investigates the needs and barriers of people with impairments related to use of digital health solutions and strategies to foster user participation, access and utilisation of digital health solutions. Methods: This scoping review, based on the Joanna Briggs Institute Manual, had five phases: 1) identification of aim and research questions, 2) literature search in five databases (April/May 2020), 3) literature screening based on predetermined inclusion and exclusion criteria, 4) data extraction, and (5) reporting results. Results: The literature search resulted in 5968 sources, of which 25 met our inclusion criteria. People with impairments appreciate digital health solutions that are designed to meet their specific impairment-related challenges. The reported needs and barriers related to technological design varied depending on the individuals’ challenges. The literature reported different types of participatory co-design strategies to foster access and utilisation of digital health solutions. Conclusion: This scoping review support needs for increased awareness among developers to design solutions that meet people’s needs, contexts and states of health. By applying universal design as a strategy and including people with different types of impairments, starting in the idea creation phase of digital health solutions and throughout the development, developers can design solutions with better accessibility. Digital health solutions that are accessible and usable have a tremendous opportunity to foster health equity and achieve health promotion, prevention and self-care. This in turn can contribute to closing the gap between different population groups, reduce disparities and get the most from available healthcare services.
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Koon, L. M., Remillard, E. T., & Rogers, W. A. (2025) · The Gerontologist · doi:10.1093/geront/gnaf129 · Cited by 4 · see citing works
La importancia de las Barreras de acceso y equidad en la atención de los servicios de salud
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Best Practice for Inclusive Journey Mapping and Diversity in User Participation
Halbach, T., Fuglerud, K. S., & Schulz, T. W. (2023) · Lecture notes in computer science · doi:10.1007/978-3-031-35681-0_4 · Cited by 3 · see citing works
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Designing digital mental health interventions for older adults: a scoping review
Rajappan, D., Yin, R., Martinengo, L., & Car, L. T. (2026) · npj Digital Medicine · doi:10.1038/s41746-026-02523-7 · Cited by 3 · see citing works
Dinse, D., Haak, M., Nilsson, M., Karlsson, S., & Möller, U. (2023) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2023.2235130 · Cited by 3 · see citing works
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Settingbezogene Gesundheitsförderung und Prävention in der digitalen Transformation
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Real-Time Embedded Monitoring Technologies in Modern Healthcare Systems: A Survey
Meka, S. C., Achan, S., & Pettit, R. G. (2024) · IEEE International Symposium on Real-Time Distributed Computing (ISORC) · doi:10.1109/isorc61049.2024.10551333 · Cited by 3 · see citing works
Design of health technologies for users facing limitations: A scoping review
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A Call for Inclusion: Children With Intellectual Disabilities in Trauma Treatment Research
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Diabetes Technology Accessibility in Deaf and Hard of Hearing People With Diabetes
Litchman, M. L., MIRUS, K. A., Farovitch, L., Bray, A., Allen, N. A., & Elmore, C. E. (2025) · Journal of Diabetes Research · doi:10.1155/jdr/9944722 · Cited by 2 · see citing works
Burns, K., van Rensburg, C., Bloom, S., Villanueva, C., Ikihele, A., Blow, N., Vogranic, A., Crone, E. M., du Toit, C., Panisset, M. G., et al. (2026) · Journal of Medical Internet Research · doi:10.2196/89596 · Cited by 2 · see citing works
Increase Social Media Accessibility in Medical Education
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Inclusive waste separation: co-designed bins empowering visually impaired individuals
Srijuntrapun, P., & Sirirungruang, I. (2025) · Disability and Rehabilitation Assistive Technology · doi:10.1080/17483107.2025.2462168 · Cited by 2 · see citing works
Burridge, L. H., Jones, R., Borg, S. J., O’Loghlen, J., & Geraghty, T. J. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2192974 · Cited by 3 · see citing works
Petersen, L. S., Sorknæs, A. D., Nielsen, H. H., & Nielsen, C. (2024) · Health Informatics Journal · doi:10.1177/14604582241270795 · Cited by 2 · see citing works
A health promotion programme for young people with intellectual disabilities during the pandemic
Pázmány, V., Barabás, Á., & Erdei, R. J. (2022) · Fogyatékosság és társadalom. · doi:10.31287/ft.en.2022.2 · Cited by 2 · see citing works
Radiological Services for People with Disabilities
Navarro-Ballester, A., & Fernández-García, P. (2025) · Springer eBooks · doi:10.1007/978-3-031-40858-8_474-1 · Cited by 2 · see citing works
Community Tele-Paramedicine to Improve Telehealth Access for Underserved Populations
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Examples of Implementing Digital Assistive Technologies in the Open Labor Market
Reinersmann, A., Heinz-Jakobs, M., Bicker, E., & Röcker, C. (2025) · Communications in computer and information science · doi:10.1007/978-3-031-94156-6_17 · Cited by 1 · see citing works
Assessment of the “MND-Prism” smartphone application as a tool for self-management
Neville, S. A., Ziser, L., Henders, A. K., Milne, J., Ngo, S. T., Packer, R. L., & Steyn, F. J. (2025) · Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration · doi:10.1080/21678421.2025.2511119 · Cited by 1 · see citing works
Zhao, J., Su, C., Zhu, X., Cai, C., Liu, W., & Ma, X. (2025) · Journal of Medical Internet Research · doi:10.2196/79587 · Cited by 1 · see citing works
An Eye-Tracking Study on Text Accessibility and Comprehension in University Students
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Reuter, A., Gustavsson, C., & Johansson, S. (2026) · Universal Access in the Information Society · doi:10.1007/s10209-026-01319-6 · Cited by 1 · see citing works
Ramos-Silva, A., Cruz, B. D., Fernandez-Llimos, F., Gouvêa, T., Sandes, V. S., Medeiros, G., Portella, P., Guerra, A., & Elisangela Costa, L. I. M. A. (2026) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2026.05.006 · Cited by 1 · see citing works
Chilunjika, S. R. T., & Ngulube, P. (2026) · Cogent Social Sciences · doi:10.1080/23311886.2026.2686470 · Cited by 1 · see citing works
Centering disability in digital health: perspectives and actionable approaches to accessibility
Touchett, H. N., Arredondo, K., Day, S. C., Salgado, B., Bay, K. G., Lindsay, J., & Skelton, F. (2026) · Frontiers in Digital Health · doi:10.3389/fdgth.2026.1923565 · Cited by 1 · see citing works
Godecharle, E., Totté, K., van den Brink, W. J., Mujagic, Z., Zhang, J., West, R., van der Horst, D., Scherpenzeel, M., Scheithauer, T. P. M., van den Broek, T., et al. (2026) · Digestive Diseases and Sciences · doi:10.1007/s10620-026-10212-4 · Cited by 1 · see citing works
User Insights for Better and More Inclusive Online Public Services: A Survey Study
Halbach, T., Fuglerud, K. S., & Snaprud, M. (2022) · Studies in health technology and informatics · doi:10.3233/shti220818 · Cited by 1 · see citing works
Self-citation시각장애학생이 포함된 초등교과 모의수업에서 예비 특수교사들이 보편적 학습설계 원리를 적용한 내용 분석*
박, 순. (2024) · 특수교육 저널 : 이론과 실천 · doi:10.19049/jsped.2024.25.2.07 · Cited by 1 · see citing works
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Math Lesson on Counting 3D Printed Geometric Shapes in an Inclusive Class
Dimitrova, M., Chehlarova, N., Bogdanova, G. T., Krastev, A., Sabev, N., & Noev, N. (2025) · Lecture notes in networks and systems · doi:10.1007/978-3-031-83520-9_32 · Cited by 2 · see citing works
Use of digital healthcare among people living with disabilities
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User-Centered Design for Digital Patient-Navigation Tools in Oncology: Scoping Review
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The Role of Experiential Knowledge for Inclusive Design Practices
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Bridging the Gap: Enhancing Digital Accessibility for Medicaid Populations in Telehealth Adoption
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Optimizing Participant Engagement in Cyberhealth Co-Design: Course-of-Action Framework Analysis
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A Conceptual Framework for Evaluating Accessible Onboarding ExperiencesPreprint
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- Authors
- Henni, S. H., Maurud, S., Fuglerud, K. S., & Moen, A.
- Affiliations
- University of Oslo (NO)
- Norwegian Computing Center (NO)
- Corresponding author
- Henni, Silje Havrevold
- Venue
- BMC Public Health
- Published
- 2022-01-06
- Volume
- 22
- Issue
- 1
- Pages
- 35-35
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC8734131
- OpenAlex
- W4205132659
- Cited by
- 141
- References
- 56
- Citations by year
- 2026: 44 · 2025: 41 · 2024: 28 · 2023: 22 · 2022: 6
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Funders
- Universitetet i Oslo
- Norges Forskningsråd (rcn-foriss-286854)
- Topics
- Social Sciences › Human Factors and Ergonomics › Digital Accessibility for Disabilities
- Social Sciences › Demography › Technology Use by Older Adults
- Physical Sciences › Computer Science › Human-Computer Interaction › Usability and User Interface Design
- Keywords
- digital health solutions, people with impairments, accessibility, usability, universal design, participatory design, co-design, user involvement in design, health equity, health disparities, health promotion
- MeSH terms
- Universal Design, Humans
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