While accessibility (a11y) guidelines exist for 3D games and virtual worlds, their applicability to extended reality (XR)’s unique interaction paradigms (e.g., spatial tracking, kinesthetic interactions) remains unexplored. XR practitioners need practical guidance to successfully implement a11y guidelines under real-world constraints. We present the first evaluation of existing 3D a11y guidelines applied to XR development through semi-structured interviews with 25 XR practitioners across diverse organization contexts. We assessed 20 commonly-agreed a11y guidelines from six major resources across visual, motor, cognitive, speech, and hearing domains, comparing practitioners’ development practices against guideline applicability to XR. Our investigation reveals that guidelines can be highly effective when designed as transformation catalysts rather than compliance checklists, but fundamental mismatches exist between existing 3D guidelines and XR requirements, creating both implementation barriers and design gaps. This work provides foundational insights towards developing a11y guidelines and support tools that address XR’s distinct characteristics.

Videos offer rich audiovisual information that can support people in performing activities of daily living (ADLs), but they remain largely inaccessible to blind or low-vision (BLV) individuals.In cooking, BLV people often rely on non-visual cues-such as touch, taste, and smell-to navigate their environment, making it difficult to follow UIST '25, September 28-October 01, 2025, Busan, Republic of Korea Ning et al.the predominantly audiovisual instructions found in video recipes.To address this problem, we introduce Aroma, an AI system that provides timely responses to the user based on real-time, contextaware assistance by integrating non-visual cues perceived by the user, a wearable camera feed, and video recipe content.Aroma uses a mixed-initiative approach: it responds to user requests while also proactively monitoring the video stream to offer timely alerts and guidance.This collaborative design leverages the complementary strengths of the user and AI system to align the physical environment with the video recipe, helping the user interpret their current state and make sense of the steps.We evaluated Aroma through a study with eight BLV participants and offered insights for designing interactive AI systems to support BLV individuals in performing ADLs.

Reading is a challenging task for low vision people. While conventional low vision aids (e.g., magnification) offer certain support, they cannot fully address the difficulties faced by low vision users, such as locating the next line and distinguishing similar words. To fill this gap, we present GazePrompt, a gaze-aware reading aid that provides timely and targeted visual and audio augmentations based on users’ gaze behaviors. GazePrompt includes two key features: (1) a Line-Switching support that highlights the line a reader intends to read; and (2) a Difficult-Word support that magnifies or reads aloud a word that the reader hesitates with. Through a study with 13 low vision participants who performed well-controlled reading-aloud tasks with and without GazePrompt, we found that GazePrompt significantly reduced participants’ line switching time, reduced word recognition errors, and improved their subjective reading experiences. A follow-up silent-reading study showed that GazePrompt can enhance users’ concentration and perceived comprehension of the reading contents. We further derive design considerations for future gaze-based low vision aids.

People watch livestreams to connect with others and learn about their hobbies. Livestreams feature multiple visual streams including the main video, webcams, on-screen overlays, and chat, all of which are inaccessible to livestream viewers with visual impairments. While prior work explores creating audio descriptions for recorded videos, live videos present new challenges: authoring descriptions in real-time, describing domain-specific content, and prioritizing which complex visual information to describe. We explore inviting livestream community members who are domain experts to provide live descriptions. We first conducted a study with 18 sighted livestream community members authoring descriptions for livestreams using three different description methods: live descriptions using text, live descriptions using speech, and asynchronous descriptions using text. We then conducted a study with 9 livestream community members with visual impairments, who shared their current strategies and challenges for watching livestreams and provided feedback on the community-written descriptions. We conclude with implications for improving the accessibility of livestreams.