Perception of users with visual impairments regarding adverse events in the use of technologies for diabetes
DOI:
https://doi.org/10.17411/jacces.v16i1.639Abstract
The lack of usability in diabetes technologies can lead to adverse user events. Currently, the literature provides limited insight into the perceptions of individuals with diabetes and visual impairments who use blood glucose monitors. The objective of this research is to analyze the experiences of people with visual impairments in using diabetes technologies, to identify the occurrence of adverse events, and to propose strategies to mitigate risks. This exploratory study consisted of interviews with 10 visually impaired individuals with diabetes living in Brazil. The data were categorized according to adverse events, accessibility problems with the devices were identified, and strategies were proposed to improve usability. All participants consistently reported not using blood glucose monitors due to usability and accessibility challenges. Instead, they required support from another person to perform measurements or had to rely on health services, as they did not have access to technologies with audio features or tactile indicators for glucose monitoring. Involving users in comprehending technology-related problems is essential to generate evidence of challenges with real world data and establish strategies for technological improvements. The adverse events reported by participants were categorized as difficulties in use, inefficient design, and problems with the reliability of measurement results. Suggested improvements included audible feedback, higher display contrast, and tactile indicators on the device to enhance accessibility. Considering accessibility from the beginning of the project, developing technologies that consider inclusive design, involving users in a collaborative environment, and working in an interdisciplinary team in the Living Lab ecosystem aim to develop safer and more inclusive technologies for all people.
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