Update (4/21/2026) - On April 20, 2026, the Justice Department issued an interim final rule extending compliance deadlines for web content and mobile application accessibility. The new deadline for full compliance with Title II of the Americans with Disabilities Act is April 26, 2027. UK’s Office of Legal Counsel is currently reviewing and will provide university guidance. Upon receipt of guidance, PRS will contact investigators with a revised timeline for updating their research materials.
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According to the UK's Office of Campus Accessibility and ADA, all digital resources must comply with the global standard Web Content Accessibility Guidelines (WCAG) version 2.1 level AA. Web content (including digital documents like PDF and presentations) that students, patients or the public have access to must be accessible.
It is the responsibility of the investigator to ensure participant recruitment materials meet accessibility requirements before they are submitted for Public Relations Review (PRR).
For investigators using Participant Recruitment Services (PRS) to create research recruitment materials, the PRS team will ensure all ADA requirements are met, before submitting them for Public Relations Review on your behalf. See FAQ 6 for more information.
Materials that do not meet accessibility requirements will be returned to investigators to update. Please make these updates in your original files, so when you edit those files in the future, you have taken care of common issues with alternative text for images/QR codes, document titles, etc.
General guidelines:
- Provide alternative text for non-text elements
- Alternative text: Commonly known as alt text, this is descriptive text that conveys the meaning of an image in digital content.
- Images: Add descriptive alt text to necessary images, charts and graphics.
- Decorative Elements: Mark purely decorative images so they are ignored by assistive technologies (i.e. backgrounds).
- See Section 508 guidance on alt text.
- Use proper document structure
- Headings: Utilize built-in heading styles to create a logical hierarchy, aiding navigation for screen readers.
- Lists: Employ standard list formatting for ordered and unordered lists.
- Tables: Use tables to present data, not for layout purposes, and include clear headers.
- Ensure proper reading order
- Verify content flows in a logical reading order, especially in PDFs, to ensure it is read correctly by screen readers.
- Use descriptive hyperlinks
- Write meaningful link text clearly indicating the destination or purpose.
- Instead of link text that says “click here,” use “Visit our site for the full details of this research study.”
- Maintain accessibility during file conversion
- When converting documents to PDF, ensure accessibility features (like tags and alt text) are preserved. Use the “Save As” or “Export” functions with accessibility options enabled.
- Properly title your PDFs. A PDF’s internal title (metadata) often differs from its filename because it is set during document creation (e.g., in Word) and does not update when the file is renamed. Accessibility tools identify the file by this title. To change the title, select File/Properties/Description in Adobe Acrobat.
- Open PDF in Adobe Acrobat and use the “check for accessibility” option to verify that your PDF meets accessibility requirements.
- After conducting the accessibility test and making appropriate corrections to all materials being submitted, please attach a screenshot of the accessibility test results to the CCTS/CRSO submission form.
For more details and links to specific guidance for Microsoft, Google and Adobe Acrobat, review UK’s “Creating Accessible Documents” guidance.
Adobe Acrobat:
Adobe Acrobat guidance: create and verify PDF accessibility: https://helpx.adobe.com/acrobat/using/create-verify-pdf-accessibility.html?trackingid=KACNN#AltTextNoContent
How to run an Accessibility check:
- All Tools
- View more
- Prepare for accessibility
- Check for accessibility
- Click “Start checking”
Once it creates the report it will appear in the right pane. Click the > to see the details for each category that shows issues. On any issue you can right click “Explain” to be sent to documentation that describes how/where to fix the issue.
Most common issues:
Missing or wrong Document Title
- Document title should be more descriptive than the file name, use something like: “Caregiver Research Study Flyer” (You can change this in File, Document properties, Title)
Logical reading order
- Click the tag icon to see the Accessibility Tags panel.
- It will often tell you to check reading order manually.
- Change the number scheme of the headers (example H2, H6). These need to go from small numbers (H2) — tells screen reader to read it first — to big numbers, but do not skip any numbers. (Changing this will not change the font size on the flyer.) To change the Header, right click on the item, choose “Properties” and select a different Header number, and choose “Close.”
- Check that bulleted lists <L> are associated with the right headers, if not, you can drag and drop the list under the appropriate header.
Empty tags
- You can delete empty tags within the Accessibility Tags panel if they are not associated with any content.
QR codes:
While Quick Response (QR) codes offer a convenient link to information, users with disabilities may need alternative ways to access the same content. Provide a text alternative or URL link adjacent to the QR code.
Provide appropriate alt text for the QR code describing where the QR code link takes you/for what purpose.
Alt text examples:
- “QR code links to the research study details webpage.”
- “QR code links to research study sign-up form.”
Social Media:
Providing alt text for social media posts, including images, happens at the point those resources are uploaded. Please refer to accessibility guidance for the social media tool you use to post.
Canva:
Templates and resources for participant recruitment advertising will be made available through Canva shortly. A step-by-step deep dive into the accessibility process is available on Canva’s website.
Users can also run their own accessibility checks. In Editor mode, Select File/Accessibility/Check Design Accessibility. Canva will evaluate your design based on accessibility criteria and return suggestions for improvement.