Technology is woven into every aspect of our lives. It impacts how we converse, how we learn and how we spend our free time. It is argued that innovations in assistive technology continue to minimise the gap between disability and ability. From the very first wheelchair hundreds of years ago, to emerging developments in smart home devices, technology continues to create services that provide an easier life for disabled people.
Online platforms and the growing availability of online services offer opportunities for education, entertainment and access to services. The growing relevance of social media platforms allows those living with disabilities to share their experiences and form online communities. And with this platform comes an opportunity for accurate representation and education into the issues people with disabilities may face. Additionally, smarter home technologies allow increased independence for individuals with limited mobility, and may begin to shape the way in which we care for vulnerable people.
However, technology is an ever changing landscape, and with accessibility often becoming an afterthought, it can begin to exclude the very people it should benefit most. So, is there an opportunity for our understanding of access and accessibility to develop, or is there a potential for accessibility and promotion of ability to be left behind?
Smart home technology is also beginning to shape how we treat and care for those with disabilities. Increasingly, smart home devices are becoming a way to allow those with intellectual disabilities to live independently and safely. One report details how remote services such as motion sensors, live video and communication devices are all being utilised to monitor individuals and connect them to a remote carer who can contact and assist them at any time. Technology like this allows individuals who need specialised care to still maintain a level of independence and normality in their own home. (Tassé, Wagner and Kim, 2020)
Furthermore, changes in how we care for individuals with disabilities could potentially reduce the amount of staff required, a welcome opportunity for more efficient use of limited resources in the wake of an ageing population. In a recent report by the UK Government Office for Science, these concerns for care are highlighted; ‘PSSRU projections from 2015 suggest that between 2015 and 2035, the number of people aged 65 and over who require unpaid care will grow by more than one million’. Based on these projections, more friends and family than ever will be required to take on unpaid care on top of their own responsibilities, presenting risks to their own mental and physical wellbeing. Introducing smart home technology into how we care for individuals with disabilities has the potential to reduce this need and free up caring responsibilities for friends and family. (Government Office for Science, 2016)
Although Smart Home technology has many benefits for those with disabilities, it can also provide new types of risk. One anticipated risk of this technology is the impact on security and privacy for these individuals, especially since those with intellectual disabilities and members of the elderly population are amongst the most vulnerable in society. There is significant risk with using this type of technology in the treatment of dementia patients or those with significant intellectual disabilities as they cannot give informed consent to this type of technology. Without informed consent, this could be seen as depriving them of the right to a private life and liberty. While the recent introduction of legislation in the form of the mental capacity act serves to safeguard people, there is a risk that use of technology such as video streams is disproportionate to the risk of serious harm to vulnerable people. Legally it could be argued that for some people who cannot consent, CCTV monitoring is a breach of their personal privacy when they are not necessary and proportionate to the risk of harm.
In addition to the consideration of the proportionality of these technologies in relation to the client, it is also essential that caregivers are informed where these systems have been put in place. The use of covert technologies to monitor caring practices could be seen as a breach of their right to a private life under the UN convention on human rights and the data protection regulations.
Conversely, CCTV surveillance footage can be used as a way to monitor and safeguard vulnerable people. An example of this is in the ongoing trial into the treatment of patients in Muckamore Hospital. In this case, CCTV video footage was reviewed as part of the trial and helped to identify the abuse inflicted by carers onto their patients. Providing a safeguard for vulnerable individuals against unfit practice. (Carroll, 2022)
If this technology is properly documented and considered, it has the potential to both minimise a staff presence and safeguard vulnerable people. However, if there is not significant enough reason, or the individual(s) are not able to provide informed consent, this could be in breach of their privacy and liberty, and therefore render the technology unnecessarily invasive.
Designing with inclusivity in mind has the potential to positively impact everyone. Subtitles were first invented to allow those with hearing impairments to follow videos, but they are now frequently adopted as a solution for watching a video in a noisy environment. Text messaging was first created as an alternative to calls for deaf people, but is now a feature heavily used by all of us in our daily lives. These pieces of accessibility have been widely adopted by many people as they provide solutions to a range of problems, problems that would otherwise remain unsolved.
Another example is touch screen technology. Contrary to popular belief, Apple did not invent the touch screen technology used in the first iPhone. This technology actually originated from the University of Delaware where it was created by Wayne Westerman and John Elias. The technology was developed as a solution to the difficulties Wayne Westerman faced using a traditional keyboard as someone that suffered from carpal tunnel syndrome. Carpal tunnel Syndrome is pressure on a nerve in your wrist. It causes tingling, numbness and pain in your hand and fingers. This syndrome caused difficulties when using a traditional keyboard as it required him to press down heavily on the keys. The solution was TouchStream, a large touchpad with a keyboard printed on it, that allowed him to gently touch the keys, and scroll using two fingers on a touchpad. This technology was completely bought over by Apple and implemented into iPhone technology, the basis of which we still use to this day.
Furthermore, voice control technology has unique benefits for those that have a physical impairment or have limited mobility as it requires limited movement. This technology also benefits able bodied people, as it is a highly convenient and practical solution to physically completing an action. Another example is the utensils company OXO. OXO began when Sam Farber noticed his wife Betsy struggling to hold a potato peeler with her mild arthritis. Together they created their own peeler, designed for ease of use and comfort. He would then go on to create a range of utensils on the same basis, which have now been adopted in many households regardless of needs because of how comfortable and easy they were to use. By designing with inclusivity in mind, we identify and solve more problems than if we designed without these considerations, and by default, the outcomes are considerably more user friendly. (Fox, 2018)
This quote is from Tim Berners-Lee, W3C Director and Inventor of the World Wide Web, speaking of the importance of accessibility in 1997. Today, 70% of UK websites still remain inaccessible, potentially excluding one in five people in Northern Ireland that have a disability. With so many sites failing to meet guidelines, many disabled people are completely excluded from accessing these websites, and businesses and services are potentially missing out on 20% of potential customers due to inaccessibility. Based on these figures, there is still a significant disconnect between the world wide web and access.
There are, however, a few people trying to bridge this gap, and more recently, there has been a growing focus on universal design.
Tech giant Google is one company focused on making a difference. In early December, Google made headlines when it opened its first UK research and development centre focused on developing technology to help those with disabilities. The centre was opened in collaboration with numerous local charities like the Royal National Institute of Blind People (RNIB), the Royal National Institute of Deaf People (RNID) and Everyone Can, a charity that helps those with disabilities through assistive technology. This centre is a step in the right direction. Google is a huge company with massive industry influence and this research and development centre displays their commitment to creating accessible experiences, an example for other industry giants to follow. With more investment in accessible technology and a growing commitment to creating accessible experiences Google is paving the way to a more universally accessible future. (Bleakey, 2022)
Technology encompasses all aspects of our lives. It provides unprecedented access to information and education and facilitates opportunities for connection and conversation. Technology demonstrates the potential to liberate those with disabilities through allowing them to gain access to parts of life they were previously excluded from. The shift to online services can offer those with disabilities the opportunity to manage their decisions independently online without depending on caregivers. Furthermore, social media has become a lifeline for those isolated and provides unique opportunities for activism and accurate representation. Emerging developments in smart home technology provides unique benefits for those with limited mobility and developments in motion sensor and video monitoring devices has the potential to revolutionise how we care and provide safeguards for vulnerable individuals.
As our technological landscape grows and expands, some companies are embracing universal design and the benefits this can bring. By designing with accessibility in mind, these companies provide more considered, user friendly solutions that solve a range of problems.
Although we now have the ability to provide accessible experiences that benefit everyone, the evidence suggests that accessibility is oftentimes an afterthought. Inaccessibility continues to exclude those with disabilities from being able to freely access services and information. 70% of UK websites remain inaccessible, and the accessibility of many major social media sites also remains low, excluding those with disabilities from forming communities and contributing to online discourse.
Furthermore, with new developments in smart home technology shaping how we care for vulnerable individuals, we are presented with new risks to privacy and security. Video monitoring can jeopardise our right to a private life, and if informed consent cannot be given, these technologies may be unnecessarily invasive.
Technology has the ability to liberate individuals with disabilities and provide them with increased independence and increased access to services. However, there is still ample opportunity for our understanding of access to grow. For technology to fully facilitate liberation, accessibility must become an essential consideration in the design process. In addition, it is essential that we continue to safeguard vulnerable individuals and provide them with technology solutions that are proportionate to the risk of harm they present to themselves.
Without considered and thoughtful attention to accessibility and the needs of those with disabilities, we are limited in what we can achieve with technology. But there is opportunity for meaningful change. More voices are advocating for accessible experiences than ever before, and with an increased focus on universal design principles and user centred research, we have the potential to create an accessible future for everyone.