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Table 4 The focus group participants’ recommendations of the design of the SALIG device for persons with cognitive impairment presented according to the seven principles for universal design

From: First steps in designing an all-in-one ICT-based device for persons with cognitive impairment: evaluation of the first mock-up

The seven principles for universal design

The focus group participants recommendations of the design (n = 14)

1. Equitable use

The design should not stigmatise

The design should be attractive to the users

The design should be age-relevant

2. Flexibility in use

Flexible design

Compatible with other types of technologies

3. Simple and intuitive use

Require minimal new learning

Easy to use and understand

Self-instructive

Not require a chain of actions

Step-by-step instructions should be easy to understand

Give feedback on all actions

Consistent navigation and design

Do not use one button for two functions

Arrows and drop lists should not be used

Require minimal maintenance

4. Perceivable information

Display only necessary and relevant information

Clear and simple text

Text message displayed in the middle of the screen

Colour alone should not carry information

Similar language and concepts

Large, easy to understand standardised graphical symbols

Blinking, animated icons or graphics should not be used

Headlines included in pictures

Upper and lowercase letters

Same font

Italic font should not be used

Possibility to choose large fonts

Clear letter spacing between each character

Shadow effect should not be used

Light background with black text

High level of contrast

Buttons should be clear and large

Colour shifting should not be used

Patterned background should not be used

Good sunlight readability

Different modes for reminders (alarm signal, text or voice message)

Different ways of being alerted (light, jingle

Good sound quality

Possibility to adjust volume

Clear indication for low battery level

5. Tolerance for error

Provide warnings of hazards and errors

Give visual or/and verbal feedback for each step that is performed

Must be reliable and robust

Give guidance questions that could be answered by yes/no buttons or voice commands

Prevent mistakes

Correct errors

6. Low physical effort

Comfortable to use

Possibility to adjust the pressure sensitivity of the touch-screen

Cause a minimum of fatigue and be easy to handle for people with decreased physical strength and inferior fine motor coordination

7. Size and space for approach and use

Have a cover that allows variations in hand and grip size