1. Purpose of this page
Kungratz was not built as a general reminder app that happens to be usable by older people. It was designed from the ground up for the elderly and for people living with the visual, motor, cognitive, hearing and neurological conditions that become more common with age. Almost every visible design choice, the colours, the type, the button shapes and placement, the way the alarm behaves, traces back to a specific condition it is meant to accommodate.
This document serves two purposes:
- It sets out, decision by decision, the design choices made for elderly and vulnerable users, the design, its purpose, and the scientific or standards-based reasoning behind it. This is the evidence base for the “designed with the elderly in mind” section of the website and the app.
- It provides the clinical justification for the sensitive Android permissions Kungratz requests (exact alarms, the battery-optimisation exemption, and re-scheduling after a restart). App stores review these permissions closely; this document shows why, for this audience, an ordinary notification does not work and these capabilities are the app’s core function rather than a convenience.
2. Who Kungratz Private is designed for
Kungratz is an adults-only (18+) application, designed with particular care for older users and their families. The conditions it deliberately accommodates fall into five groups:
- Vision, presbyopia (age-related long-sightedness), cataracts, glaucoma, age-related macular degeneration (AMD), reduced contrast sensitivity, and acquired colour-vision decline.
- Movement and dexterity, Parkinson’s disease, essential tremor, arthritis (osteo- and rheumatoid), and general loss of fine-motor control.
- Memory and thinking, age-related memory decline, mild cognitive impairment (MCI), and dementia including Alzheimer’s disease.
- Hearing, presbycusis (age-related hearing loss).
- Neurological / photosensitivity, the risk of photosensitive seizures.
Why this matters at scale: the World Health Organization estimates that at least 2.2 billion people live with a vision impairment, that around one in three people over 65 are affected by disabling hearing loss, and that more than 55 million people live with dementia worldwide, figures that rise steeply with age. Designing for these conditions is not a niche concern; it is the reality of the ageing population Kungratz serves.
3. The design decisions
Each table below groups the decisions by the group of conditions they primarily serve. Many decisions help across several groups (large high-contrast type helps low vision and cognition alike); they are listed under their main purpose.
A. Seeing the screen: vision (cataracts, glaucoma, AMD, presbyopia, low contrast sensitivity)
| Design decision | Purpose | Reasoning & scientific basis |
|---|---|---|
| Warm off-white canvas (#FDFBF6) used everywhere, never a harsh pure-white screen. | Presents all text and colour on a soft, low-glare background for cataracts, presbyopia and reduced contrast sensitivity. | The ageing lens and cataracts scatter light and cause glare, turning a pure-white screen into an uncomfortable glare source. A warm, very slightly dimmed canvas cuts glare while keeping text contrast extremely high. (The canvas was lightened further at the request of a real elderly user who found the earlier cream too dark.) |
| Deep navy text on the cream canvas, measured at 8.5:1 contrast. | Maximum legibility for AMD, glaucoma and reduced contrast sensitivity. | WCAG 2.1 asks for 4.5:1 (AA) and 7:1 (enhanced AAA, SC 1.4.6) for text. Navy-on-cream exceeds the enhanced AAA threshold, so text stays readable as contrast sensitivity declines with age. |
| Bold-only typography: body text is never smaller than 20sp; headings are 24-26sp; regular weight is not used anywhere. | Larger, heavier letterforms for failing near-vision and central-field loss (AMD). | Heavier, larger letterforms carry more stroke contrast, which aids reading when contrast sensitivity is reduced; the app enforces a bold minimum and never uses regular weight in the interface. |
| A fixed palette of 13 highly-saturated, distinct colours, each with a verified black-or-white text pairing. | Colours stay distinguishable despite age- and disease-related colour-vision decline, and meaning is never carried by colour alone. | Ageing and glaucoma degrade blue-yellow discrimination. The palette relies on large blocks of high-luminance-contrast colour, always paired with a checked text colour, and never uses colour as the only signal (WCAG 1.4.1). |
| The alarm shows a large 120dp circular contact photo and the person’s name in 24sp bold. | A recognition aid, who is this reminder about, legible at arm’s length. | A large face plus a large name supports recognition (which is easier than recall) and remains readable for low-vision users without glasses. |
| The saved message (“wishes”) appears in a high-contrast white card in large bold text. | Makes the thing to act on unmistakable. | Isolating the key content on a white card at maximum contrast reduces the visual search effort for low-vision and cognitively-impaired users. |
B. Using the buttons: movement & dexterity (Parkinson’s, essential tremor, arthritis)
| Design decision | Purpose | Reasoning & scientific basis |
|---|---|---|
| One uniform large pill button everywhere, 55dp × 180dp, fully rounded, 22sp bold label. | A generous, consistent touch target for arthritic or tremoring hands. | The target comfortably exceeds the 48dp minimum touch target recommended by Android / Material accessibility guidance and aligns with WCAG target-size guidance (SC 2.5.5), reducing mis-taps caused by reduced fine-motor control. |
| Buttons are laid out in a staggered zig-zag, alternating left and right of the centre line, always starting top-left, with a wide empty gap down the middle. | Stops an involuntary movement from striking the wrong button. | For Parkinson’s disease and essential tremor, placing consecutive controls on opposite sides with dead space between them means a tremor is far less likely to land on the adjacent action. This is written into the app’s single button standard as an explicit “anti-mistap” rule. |
| Destructive actions (Delete) always sit furthest from the primary action, and the red “Back” control is always the bottom-most button. | Guards against accidental destructive or navigational taps and keeps every screen predictable. | Separating the “go” action from the destructive one is a standard error-prevention pattern (WCAG 3.3.4), doubly important where tremor and slower reactions are common. |
| A firing alarm is dismissed ONLY by a deliberate on-screen button tap, never by a stray touch anywhere else on the screen. | A fumbled grip or a resting palm cannot silence or dismiss the reminder. | Elderly users often pick a phone up awkwardly. Requiring an explicit, labelled action to dismiss protects the entire purpose of the reminder from an accidental touch. |
| Every screen keeps its buttons clear of the system navigation bar and scrolls when needed, so no button is ever hidden or overlapping, even at very large font sizes. | Every action stays reachable regardless of the user’s chosen (often enlarged) font size. | Older users frequently set the system font large; the layout adapts rather than pushing controls off-screen or under the nav bar where they would be mis-tapped. |
| Reminder-only: the app opens an empty chat with the person and invites a voice note or video, it never types or sends for you. | No typing is required to reach out, helpful for arthritis, tremor, low vision or low literacy. | Speaking a message is far easier than typing on a small keyboard for the target user, and it keeps the real human voice in the greeting. |
| Setting a reminder uses contact type-ahead, tappable occasion chips and a slimmed 5-step wizard. | Minimises the amount of typing and the number of steps needed. | Reducing text entry and step count lowers both the motor and the cognitive burden of setup. |
C. Remembering how it works: memory & thinking (memory decline, MCI, dementia)
| Design decision | Purpose | Reasoning & scientific basis |
|---|---|---|
| Each function has its own fixed colour, used consistently everywhere (green = go/send, red = back/stop, amber = remind me, and so on). | Users can recognise an action by its colour without having to read it, recognition instead of recall. | Memory impairment and dementia spare colour and shape recognition longer than text recall. A stable colour-to-action mapping lets a user operate the app from their memory of the colours. |
| A deliberately repetitive, predictable layout, the same controls in the same places on every screen. | Consistency reduces the effort of re-learning each screen. | Predictable, low-variation interfaces reduce cognitive load and disorientation for people with MCI or dementia. |
| When a recurring reminder has fired, it shows a green “Done, you remembered” marker and does not vanish. | Reassurance that the task was completed; avoids the “did I already do it?” anxiety loop. | For dementia, a persistent positive confirmation prevents repeated re-sending and the distress of uncertainty. An event that simply disappeared would remove that reassurance. |
| The app never sends anything automatically, it only reminds; the person always makes the final send. | Keeps the user in control and the greeting genuinely theirs. | A memory aid that prompts rather than acts keeps agency with the person. It also avoids the confusion of auto-sent messages the user does not remember sending. |
| Setup uses plain language, few steps, and a neutral date-of-birth age check with an elderly-friendly “I entered it by mistake” recovery. | Nobody is locked out by a confusing gate or a slip of the finger. | Forgiving, reversible flows respect the slower, more error-prone interaction typical of older users. |
D. Hearing the alarm: hearing (presbycusis)
| Design decision | Purpose | Reasoning & scientific basis |
|---|---|---|
| The reminder arrives with a sound the user picks for themselves during setup, played on the phone’s notification channel at the phone’s own notification volume. | An alert the person has chosen and can actually hear, rather than a fixed tone chosen for them. | Presbycusis affects the high frequencies first, so a tone one person hears clearly can be inaudible to another. Letting the user choose the sound means it can be set where that person still hears well. ⚠ It is deliberately not put on the alarm stream: an earlier version did that and it was removed, because a birthday reminder must never override the phone being on silent during a hospital visit or a funeral. |
| The phone vibrates when the reminder arrives, alongside the sound. | A felt signal for users with significant hearing loss. | Multimodal alerting, sound and vibration together, means the reminder can be noticed through either channel. |
| The reminder is posted at high importance, so Android shows it as a banner at the top of the screen rather than only in the notification tray. It can be dismissed like any other notification, and on the lock screen it appears without naming the person. | Seen even when it cannot be heard, without taking the phone over. | A prominent on-screen notice covers the case where the sound is inaudible. ⚠ An earlier version answered this with a full-screen takeover over the lock screen. It was removed, along with the two permissions behind it, in favour of a notice that is prominent rather than intrusive and that respects the phone’s silent and Do Not Disturb settings. Naming nobody on the lock screen keeps the person’s identity private to anyone who picks the phone up. |
E. Safety from seizures: neurological / photosensitivity
| Design decision | Purpose | Reasoning & scientific basis |
|---|---|---|
| The alarm’s colour animation is a slow, smooth gradient that drifts through the palette, about one colour every 3 seconds, a full cycle every 24 seconds. It never blinks, flashes or strobes. | Celebratory colour with no seizure risk. | Photosensitive epilepsy can be triggered by flashing faster than about 3 flashes per second (WCAG 2.3.1). This animation changes at roughly 0.3 changes per second, about a ten-fold safety margin, and the code carries an explicit warning never to speed it up without re-checking the guidance. |
| No flashing anywhere in the app; every transition is a smooth fade or drift. | A blanket no-strobe rule across the whole product. | Removing all strobing eliminates photosensitive-seizure risk everywhere, not only on the alarm screen. |
F. Making sure the reminder actually reaches the user: reliability
This last group of decisions is what makes the reminder dependable for someone who cannot afford to miss it. It is also the direct reason for the sensitive permissions justified in Section 4.
| Design decision | Purpose | Reasoning & scientific basis |
|---|---|---|
| Reminders are scheduled as exact alarms that fire at the set time. | A birthday greeting has to arrive on the right day, at the right time. | Inexact or deferred alarms, which the operating system may batch hours later to save power, would defeat the purpose. This requires the exact-alarm capability (Section 4). |
| When it fires, the reminder uses a sound the user chose during setup, and one tap opens the whole occasion in large, calm type. | The elderly user actually notices it, and can act on it without hunting. | Standard pop-up notifications are transient and are routinely missed by older, low-vision or cognitively-impaired users. An earlier version answered this with a full-screen takeover over the lock screen. That was removed, along with the two permissions behind it, in favour of a reminder that respects the phone's silent and Do Not Disturb settings: it must never shout over a hospital visit or a funeral. The notice is made noticeable instead by a sound the user picks themselves, by naming the person rather than the app, and by opening onto one large uncluttered screen (Section 4). |
| The alarm fires reliably even when the phone has been idle for a long time or aggressive battery-saving is active. | The reminder is not silently killed by the phone. | OEM battery managers (notably on Samsung, Xiaomi and OPPO devices) suspend background apps and can drop scheduled alarms. A battery-optimisation exemption is needed for dependable delivery (Section 4). |
| All reminders are re-armed automatically after a reboot or a clock / time-zone change. | No reminder is lost because the phone restarted or the user travelled. | This requires the receive-boot-completed capability, with a daily safety re-check as a backstop. |
4. The clinical case for the sensitive permissions
| Permission | Why Kungratz needs it for the elderly | What fails for the user without it |
|---|---|---|
| SCHEDULE_EXACT_ALARM | Fire each reminder at the exact date and time it is due. | Android may delay the reminder by minutes or hours to save power, so a time-specific greeting arrives late or on the wrong day. |
| REQUEST_IGNORE_BATTERY_OPTIMIZATIONS | Ask to be exempt from battery optimisation so scheduled alarms are not suspended. | OEM power management can silently kill the pending alarm, and the reminder never fires at all. |
| RECEIVE_BOOT_COMPLETED | Re-schedule all reminders after the phone restarts. | Every pending reminder is lost on reboot until the app is manually reopened. |
| WAKE_LOCK | Briefly wake the device so the alarm can sound and show. | A sleeping phone may not raise the alert at the moment it is due. |
| POST_NOTIFICATIONS | Show the reminder on Android 13 and newer. | The operating system suppresses the app’s alerts entirely. |
Requested responsibly. Each of these is requested in context, with a plain-language explanation, at the moment it is needed, not silently at install. The exact-alarm capability, for example, is requested at runtime rather than auto-granted, precisely so the app is honest about what it uses and why.
What Kungratz Private deliberately does NOT do
The counterpart to asking for these capabilities is restraint everywhere else:
- Your reminder content, names, dates, photos and the messages you write, stays on your device. The single exception is a small encrypted safety copy carried by Android's own backup to your own Google account, so a lost phone does not erase everything. It deliberately contains no names, and we never receive it and cannot read it.
- The app never sends a message automatically. You always make the final tap to send, in your own words or your own voice.
- Contacts and Calendar access are optional and requested only on demand, are read-only, and the calendar read is filtered to birthday and anniversary events only.
- The app declares no camera, microphone, telephony or SMS permissions.
- The app no longer takes over the screen. An earlier version showed a full-screen alarm over the lock screen. It was removed, along with the two permissions behind it, so a reminder is now an ordinary notification that follows your phone's silent and Do Not Disturb settings.
- On the free version the app shows one advertisement, and it is ours, built into the app itself. No advertising network is involved, nothing is downloaded to choose it, no advertising identifier is read, and the app has no ability to determine your location. A subscription removes it. The permissions above are never used for data collection.
5. Evidence base
The design decisions above are grounded in recognised accessibility standards and in peer-reviewed research on age-related conditions. Every source listed here was individually read and checked to confirm that it supports the specific point for which it is cited.
Every link below was verified working (permanent DOI or official source where available). The full citations appear under each section below, so every claim carries its own visible proof; the complete audit trail is in the Appendix.
Seeing the screen: vision
- Contrast sensitivity declines by roughly 10% per decade after age 20 (Kaur & Gurnani, 2024).
- Older adults read more slowly, with more and longer fixations and more regressions (Li et al., 2019).
- Print size is a primary determinant of reading performance (Legge & Bigelow, 2011); larger type benefits older readers, with the best size depending on the device and task (Hou et al., 2022); digital displays let low-vision readers customise size, contrast and spacing (Legge, 2016).
- Typeface design, size and display polarity affect at-a-glance legibility for older readers (Dobres et al., 2016); prolonged screen viewing is associated with digital eye strain (Wolffsohn et al., 2023).
- WCAG requires 4.5:1 text contrast (AA, SC 1.4.3) and 7:1 for enhanced contrast (AAA, SC 1.4.6), and that colour is never the only means of conveying meaning (SC 1.4.1), W3C (2023).
Citations that back this section
- Kaur, Kirandeep, and Bharat Gurnani. "Contrast Sensitivity." StatPearls, StatPearls Publishing, 2024. https://www.ncbi.nlm.nih.gov/books/NBK580542/
- Li, Sha, et al. "Adult Age Differences in Effects of Text Spacing on Eye Movements During Reading." Frontiers in Psychology, vol. 9, 2019, art. 2700. https://doi.org/10.3389/fpsyg.2018.02700
- Legge, Gordon E., and Charles A. Bigelow. "Does print size matter for reading? A review of findings from vision science and typography." Journal of Vision, vol. 11, no. 5, 2011, art. 8. https://doi.org/10.1167/11.5.8
- Hou, Guanhua, et al. "How to design font size for older adults: A systematic literature review with a mobile device." Frontiers in Psychology, vol. 13, 2022, art. 931646. https://doi.org/10.3389/fpsyg.2022.931646
- Legge, Gordon E. "Reading Digital with Low Vision." Visible Language, vol. 50, no. 2, 2016, pp. 102-125. https://pmc.ncbi.nlm.nih.gov/articles/PMC5726769/
- Dobres, Jonathan, et al. "Utilising psychophysical techniques to investigate the effects of age, typeface design, size and display polarity on glance legibility." Ergonomics, vol. 59, no. 10, 2016, pp. 1377-1391. https://doi.org/10.1080/00140139.2015.1137637
- Wolffsohn, James S., et al. "TFOS Lifestyle: Impact of the digital environment on the ocular surface." The Ocular Surface, vol. 28, 2023, pp. 213-252. https://doi.org/10.1016/j.jtos.2023.04.004
Using the buttons: movement & dexterity
- People with motor-control disabilities keep reducing tap errors as targets grow to about 30 mm, where users without disabilities plateau around 20 mm (Chen et al., 2013).
- Larger touch targets with adequate spacing lower error rates and reaction time for older adults (Jin et al., 2007), and are recommended for people with Parkinson's disease to accommodate tremor, alongside reducing reliance on typing (Nunes et al., 2016).
- Touchscreen text entry is slow and error-prone for older adults and is worsened by hand tremor, support for offering a spoken voice note instead of typing (Nicolau & Jorge, 2012).
- Minimum touch-target guidance is 48 dp (Material Design) and is addressed by WCAG 2.5.5 Target Size, Google; W3C.
Citations that back this section
- Chen, Karen B., et al. "Touch screen performance by individuals with and without motor control disabilities." Applied Ergonomics, vol. 44, no. 2, 2013, pp. 297-302. https://pmc.ncbi.nlm.nih.gov/articles/PMC3572909/
- Jin, Z. X., Thomas Plocher, and Liana Kiff. "Touch Screen User Interfaces for Older Adults: Button Size and Spacing." Universal Access in Human-Computer Interaction (UAHCI 2007), Lecture Notes in Computer Science, vol. 4554, Springer, 2007. https://doi.org/10.1007/978-3-540-73279-2_104
- Nunes, Francisco, et al. "User interface design guidelines for smartphone applications for people with Parkinson’s disease." Universal Access in the Information Society, vol. 15, no. 4, 2016, pp. 659-679. https://doi.org/10.1007/s10209-015-0440-1
- Nicolau, Hugo, and Joaquim Jorge. "Elderly text-entry performance on touchscreens." Proceedings of the 14th International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS ’12), 2012, pp. 127-134. https://doi.org/10.1145/2384916.2384939
Remembering how it works: memory & thinking
- Amnestic mild cognitive impairment involves working-memory deficits that impair learning and encoding (Price et al., 2010).
- Visual methods aid communication and comprehension for people with cognitive impairment (Chen et al., 2022).
- Consistent, simple, well-guided interfaces are recommended for neurodegenerative disease to prevent disorientation (Ben-Sadoun et al., 2018).
- Prospective memory, remembering to carry out an intended action, is impaired early in Alzheimer's disease (Lecouvey et al., 2019).
Citations that back this section
- Price, Sarah E., et al. "Learning and memory in amnestic mild cognitive impairment: Contribution of working memory." Journal of the International Neuropsychological Society, vol. 16, no. 2, 2010, pp. 342-351. https://doi.org/10.1017/S1355617709991391
- Chen, Annie T., et al. "The use of visual methods to support communication with older adults with cognitive impairment: A scoping review." Geriatric Nursing, vol. 46, 2022, pp. 52-60. https://doi.org/10.1016/j.gerinurse.2022.04.027
- Ben-Sadoun, Grégory, et al. "Recommendations for the Design of Serious Games in Neurodegenerative Diseases." Frontiers in Aging Neuroscience, vol. 10, 2018, art. 13. https://doi.org/10.3389/fnagi.2018.00013
- Lecouvey, Grégory, et al. "An Impairment of Prospective Memory in Mild Alzheimer’s Disease: A Ride in a Virtual Town." Frontiers in Psychology, vol. 10, 2019, art. 241. https://doi.org/10.3389/fpsyg.2019.00241
Hearing the alarm: hearing
- Presbycusis affects the high frequencies first (Cheslock & De Jesus, 2023).
- Vibrotactile (haptic) cues help people with high-frequency hearing loss follow speech, support for pairing sound with vibration (Kohler et al., 2024).
- A systematic review of assistive alerting for deaf and hard-of-hearing people found vibration and visual signals are the predominant, effective means of conveying sound events, support for pairing the sound with vibration and a visible on-screen notice (Mohammed & Cavus, 2024).
Citations that back this section
- Cheslock, Megan, and Orlando De Jesus. "Presbycusis." StatPearls, StatPearls Publishing, 2023. https://www.ncbi.nlm.nih.gov/books/NBK559220/
- Kohler, Izzy, et al. "Cross-Modal Sensory Boosting to Improve High-Frequency Hearing Loss: Device Development and Validation." JMIRx Med, vol. 5, 2024, art. e49969. https://doi.org/10.2196/49969
- Mohammed, Hemin B. M., and Nadire Cavus. "Utilization of Detection of Non-Speech Sound for Sustainable Quality of Life for Deaf and Hearing-Impaired People: A Systematic Literature Review." Sustainability, vol. 16, no. 20, 2024, art. 8976. https://doi.org/10.3390/su16208976
Safety from seizures: neurological
- Flashing faster than about three times per second is a recognised seizure hazard, and transitions to or from saturated red add risk (Harding et al., 2005; Fisher et al., 2022); saturated/red light is a potent trigger (Takahashi et al., 2001); colour is an independent factor in visual photosensitivity (Parra et al., 2007); high-contrast striped patterns can precipitate seizures (Wilkins et al., 2005).
- WCAG 2.3.1 (Three Flashes or Below Threshold) sets the standard, W3C. Kungratz's alarm changes colour about 0.3 times per second, roughly ten times below the three-per-second limit.
Citations that back this section
- Harding, Graham F. A., et al. "Photic- and pattern-induced seizures: expert consensus of the Epilepsy Foundation of America Working Group." Epilepsia, vol. 46, no. 9, 2005, pp. 1423-1425. https://doi.org/10.1111/j.1528-1167.2005.31305.x
- Fisher, Robert S., et al. "Visually sensitive seizures: an updated review by the Epilepsy Foundation." Epilepsia, vol. 63, no. 4, 2022, pp. 739-768. https://doi.org/10.1111/epi.17175
- Takahashi, Yukitoshi, et al. "Optical filters inhibiting television-induced photosensitive seizures." Neurology, vol. 57, no. 10, 2001, pp. 1767-1773. https://doi.org/10.1212/WNL.57.10.1767
- Parra, Jaime, et al. "Is colour modulation an independent factor in human visual photosensitivity?" Brain, vol. 130, no. 6, 2007, pp. 1679-1689. https://academic.oup.com/brain/article/130/6/1679/296661
- Wilkins, Arnold J., et al. "Characterizing the patterned images that precipitate seizures and optimizing guidelines to prevent them." Epilepsia, vol. 46, no. 8, 2005, pp. 1212-1218. https://doi.org/10.1111/j.1528-1167.2005.01405.x
Reaching the user reliably
- Android power management (Doze, App Standby and background restrictions) defers or suppresses background jobs and alarms to save battery, Google, Android developer documentation.
- An empirical study of Android battery-optimisation APIs found they cause delayed notifications and suspended background tasks that developers struggle to work around (Marimuthu et al., 2021).
- Medication-reminder apps are frequently hard for older adults to use, small buttons, poor visibility and unreliable reminders, underlining why a reminder's delivery must be robust and unmissable (Stuck et al., 2017).
Citations that back this section
- Google Developers. "Optimize for Doze and App Standby (Background Optimization)." Android Developers Documentation. https://developer.android.com/topic/performance/background-optimization
- Marimuthu, Chandrasekar, Sridhar Chimalakonda, and K. Chandrasekaran. "How do open source app developers perceive API changes related to Android battery optimization? An empirical study." Software: Practice and Experience, vol. 51, no. 4, 2021, pp. 691-710. https://doi.org/10.1002/spe.2928
- Stuck, Rachel E., et al. "Medication Management Apps: Usable by Older Adults?" Proceedings of the Human Factors and Ergonomics Society Annual Meeting, vol. 61, no. 1, 2017. https://doi.org/10.1177/1541931213601769
Scale and standards
- Vision loss and hearing loss are among the modifiable risk factors for dementia (Livingston et al., Lancet standing Commission, 2024).
- The WHO estimates at least 2.2 billion people live with a vision impairment, over 55 million with dementia, and around one in three people over 65 with disabling hearing loss, WHO, World Report on Vision (2019) and fact sheets on Dementia (2023) and Deafness and hearing loss (2024).
- Accessibility standards: WCAG 2.2 (W3C, 2023); EN 301 549 V3.2.1 (ETSI, 2021); ISO 25556:2025 (ISO); Material Design accessibility (Google).
Citations that back this section
- Livingston, Gill, et al. "Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission." The Lancet, vol. 404, no. 10452, 2024, pp. 572-628. https://doi.org/10.1016/S0140-6736(24)01296-0
- World Health Organization. World Report on Vision. WHO, 2019. https://www.who.int/publications/i/item/9789241516570
- World Health Organization. "Dementia." WHO Fact Sheets, 2023. https://www.who.int/news-room/fact-sheets/detail/dementia
- World Health Organization. "Deafness and hearing loss." WHO Fact Sheets, 2024. https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss
- World Wide Web Consortium (W3C). Web Content Accessibility Guidelines (WCAG) 2.2. W3C Recommendation, 2023. https://www.w3.org/TR/WCAG22/
- European Telecommunications Standards Institute (ETSI). EN 301 549 V3.2.1: Accessibility requirements for ICT products and services. 2021. https://www.etsi.org/deliver/etsi_en/301500_301599/301549/03.02.01_60/en_301549v030201p.pdf
- International Organization for Standardization. ISO 25556:2025 Ageing societies, General requirements and guidelines for ageing-inclusive digital economy. ISO, 2025. https://www.iso.org/standard/82401.html
- Google Developers. "Accessibility (Material Design / Android)." Android Developers Documentation. https://developer.android.com/guide/topics/ui/accessibility
6. In short
Disclaimer
This document describes design intent and the standards and clinical knowledge that informed it. It is not a medical or clinical validation study. Kungratz is a reminder aid, not a medical device, and must not be relied upon for any time-critical, medical or safety-critical purpose. The accessibility measures described are intended to make the app easier and safer to use for older adults and people with the conditions named; they do not diagnose, treat or manage any condition.
Appendix, citation validation log
Every source in this document was checked twice: that it is a real, published work (confirmed by its DOI or official URL), and that its content supports the specific point for which it is cited (confirmed by reading the paper's full text or peer-reviewed abstract). This log records that check.
During preparation, a larger draft bibliography of 71 entries was independently audited. Nine could not be found in any database and were removed as unverifiable; a further group of genuine papers were removed because, on reading, they did not support the claim to which they had been attached. The 34 sources below are those that passed both checks. The Basis column shows whether support was confirmed from the paper's full text, its peer-reviewed abstract, or (for standards) the official publication.
| # | Source | Point it supports | Basis |
|---|---|---|---|
| 1 | Kaur & Gurnani, 2024, StatPearls | Contrast sensitivity declines about 10% per decade after age 20 | Full text |
| 2 | Li et al., 2019, Frontiers in Psychology | Older adults read more slowly, with more and longer fixations and regressions | Full text |
| 3 | Legge & Bigelow, 2011, Journal of Vision | Print size is a primary determinant of reading performance | Abstract |
| 4 | Hou et al., 2022, Frontiers in Psychology | Larger fonts help older readers; the best size depends on device and task | Full text |
| 5 | Legge, 2016, Visible Language | Digital displays let low-vision readers customise size, contrast and spacing | Full text |
| 6 | Dobres et al., 2016, Ergonomics | Typeface design, size and display polarity affect at-a-glance legibility | Abstract |
| 7 | Wolffsohn et al., 2023, The Ocular Surface | Prolonged screen viewing is associated with digital eye strain | Abstract |
| 8 | Chen et al., 2013, Applied Ergonomics | Motor-disabled users keep improving to 30 mm targets (others plateau ~20 mm) | Full text |
| 9 | Jin, Plocher & Kiff, 2007, UAHCI (LNCS) | Larger buttons and spacing lower error rate and reaction time for older adults | Abstract |
| 10 | Nunes et al., 2016, Univ. Access in the Information Society | Parkinson's UI: larger targets, adequate spacing, reduced reliance on typing | Full text |
| 11 | Nicolau & Jorge, 2012, ACM ASSETS | Elderly touchscreen text entry is slow and error-prone, worsened by tremor | Abstract |
| 12 | Price et al., 2010, J. Int. Neuropsychological Society | Amnestic MCI involves working-memory deficits that impair encoding | Abstract |
| 13 | Chen et al., 2022, Geriatric Nursing | Visual methods aid communication and comprehension in cognitive impairment | Abstract |
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| 17 | Kohler et al., 2024, JMIRx Med | Vibrotactile cues help people with high-frequency hearing loss | Abstract |
| 18 | Mohammed & Cavus, 2024, Sustainability | Vibration and visual are the predominant effective alerts for the hearing-impaired | Abstract |
| 19 | Harding et al., 2005, Epilepsia | Flashing at 3/sec or more, and saturated red, are seizure hazards | Abstract |
| 20 | Fisher et al., 2022, Epilepsia | Visually-provoked seizure thresholds (expert review) | Abstract |
| 21 | Takahashi et al., 2001, Neurology | Saturated/red light is a potent photosensitive-seizure trigger | Abstract |
| 22 | Parra et al., 2007, Brain | Colour is an independent factor in visual photosensitivity | Abstract |
| 23 | Wilkins et al., 2005, Epilepsia | High-contrast striped patterns can precipitate seizures | Abstract |
| 24 | Google, Android developer documentation | Doze / App Standby / background restrictions suppress alarms and jobs | Full text |
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| 26 | Stuck et al., 2017, HFES Annual Meeting | Medication apps: small buttons, poor visibility, unreliable reminders | Full text |
| 27 | Livingston et al., 2024, The Lancet | Vision and hearing loss are modifiable dementia risk factors | Abstract |
| 28 | WHO, World Report on Vision, 2019 | At least 2.2 billion people have a vision impairment | Official |
| 29 | WHO, Dementia fact sheet, 2023 | More than 55 million people live with dementia | Official |
| 30 | WHO, Deafness and hearing loss, 2024 | Around 1 in 3 people over 65 have disabling hearing loss | Official |
| 31 | W3C, WCAG 2.2, 2023 | Contrast, target-size and three-flash success criteria | Official |
| 32 | ETSI, EN 301 549 V3.2.1, 2021 | ICT accessibility requirements standard | Official |
| 33 | ISO, ISO 25556:2025 | Ageing-inclusive digital economy standard | Official |
| 34 | Google, Material Design accessibility | 48 dp minimum touch-target guidance | Official |
Verification performed 9 July 2026. Full citations with links are in the References list above.