SUS: A System Unusable for Twenty Percent of the Population
Summary
Key Insights
-
•
Screen readers require highly structured and semantically correct web content to enable efficient navigation for blind users.
-
•
Screen reader users often customize speed and voice settings to consume information at 400-800 words per minute, much faster than typical speech.
-
•
Alternative navigation devices, such as head mice and switch systems, rely on precise physical control and can be hindered by environmental factors like vibrations.
-
•
Current think-aloud usability testing methods create cognitive overload for assistive technology users, as they must manage device output, researcher communication, and narration simultaneously.
-
•
Travel and physical accessibility barriers severely limit the participation of people with disabilities in traditional usability labs.
-
•
Assistive technologies are highly personalized, so standard lab setups often fail to support users’ customized configurations, reducing test validity.
-
•
Standard System Usability Scale (SUS) questions inadequately capture the unique needs and experiences of assistive technology users.
-
•
Fable’s Accessible Usability Scale (AUS) adapts SUS questions to reflect assistive technology usage, improving relevance and accuracy.
-
•
Preliminary AUS results show screen reader users rate usability lower than magnification users, reflecting the greater complexity and demands of screen reader use.
-
•
Inclusive research requires adapting methods to account for varied assistive technologies, emphasizing flexibility and one-size-does-not-fit-all approaches.
Notable Quotes
"What screen readers allow us to do is to jump directly to bits of content that we are interested in to replicate the visual experience of skimming a web page."
"Most screen reader users prefer robotic voices so they can speed up the speech and read much faster than typical people."
"Alternative navigation includes things like switch systems, voice dictation, and head mice to replace standard keyboard and mouse."
"Traveling to a research lab can take longer than the research session itself for people with physical disabilities due to specialty transit."
"Every piece of assistive technology is highly customized for the individual, so labs often fail to replicate users’ ideal setups."
"The standard SUS question about needing a technical person to use the system is frustrating because many assistive tech users are very technical themselves."
"The question who are most people is confusing when applied to assistive technology users in usability scales."
"John Rucklin said if your questionnaire isn’t relevant, you can devise your own — and that’s what we did with the Accessible Usability Scale."
"Screen reader users scored in the low to mid 50s on our scale while magnification users scored around 70 and alternative navigation users around 60."
"Inclusive design is about one size fits one, not one size fits all, especially in research methodologies."
Or choose a question:
More Videos
"Our library includes thousands of hours of videos created by over eleven hundred people."
Louis RosenfeldAbout the Rosenverse
March 15, 2026
"We decided these would be the social norms now, and we just went for it."
Ilana LipsettAnticipating Risk, Regulating Tech: A Playbook for Ethical Technology Governance
December 10, 2021
"Change is a team sport; meaningful systemic change requires partnerships and advocacy from bottom to top."
Aletheia DelivreNew Shapes and Emerging Identities for Design Ops
September 11, 2025
"Saying on budget is every project goal, and in design it can be the hardest, especially with ever-changing requirements."
Kristin Sundermeyer Tygre MorehartDesign Ops Metrics
September 30, 2021
"David Nicholson is our in-house scribe who produces wonderful sketch notes throughout the conference."
Bria AlexanderOpening Remarks
March 28, 2023
"Without automation, none of these tools are talking to each other, and operational overhead for your Ops and DPM teams is actually absurd."
Candace MyersStandardizing Design at Scale
September 9, 2022
"Those first hires establish the tone of the entire design ops discipline moving forward."
Courtney KaplanTaking it to the next level: Career paths in DesignOps
November 8, 2018
"Before AI, research teams spent over a quarter of their time consulting about research questions, often repeating themselves."
Mike OrenImproving Democratized Research with CustomGPTs and Gems
February 25, 2026
"You don’t build in Figma or Photoshop and handoff anymore, you build in code alongside AI agents that generate working components."
Erika FlowersThe Handoff is Dead: Design-Led Engineering with AI Agents
March 4, 2026