{"doi":"10.3389/fpubh.2025.1586514","title":"Confronting the public health challenge of inaccessible COVID-19 home tests: insights from the RADx® Tech Accessibility Initiative","abstract":"COVID-19 home tests first distributed by the U.S. Government in early 2022 proved inaccessible to Americans with no vision, low vision, limited dexterity, and certain aging-related impairments. The National Institute of Biomedical Imaging and Bioengineering (NIBIB) leveraged a multimillion-dollar investment to address this challenge via the Rapid Acceleration of Diagnostics (RADx®) Tech Accessibility Initiative. What follows is a case study report on the March 2022-June 2023 implementation of this initiative, which was later expanded into a larger-scale program called RADx Tech III (September 2022-present). The initiative unveiled a substantial gap in resources guiding accessible product development and applied crisis response funding to bridge this gap. Beyond the primary goal of improving accessibility of COVID-19 home tests, the initiative was successful in developing an expert resource pool, documenting best practices for design of accessible home tests, and generating/validating a framework for future accessibility initiatives.","journal":"Frontiers in Public Health","year":2025,"id":568949,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9503,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1228404,"name":"Kim A. Noble","orcid":"0009-0002-8752-1724","position":1,"is_corresponding":false},{"id":1228886,"name":"Kevin Leite","orcid":null,"position":2,"is_corresponding":false},{"id":1228403,"name":"Maren Downing","orcid":"0000-0001-5121-4584","position":3,"is_corresponding":false},{"id":1228402,"name":"Samuel Dolphin","orcid":"0000-0002-4257-6708","position":4,"is_corresponding":false},{"id":756450,"name":"Mia Cirrincione","orcid":"0000-0001-6587-5674","position":5,"is_corresponding":false},{"id":987564,"name":"Brian Walsh","orcid":"0000-0002-8640-2187","position":6,"is_corresponding":false},{"id":756897,"name":"Emily B. Kennedy","orcid":null,"position":0,"is_corresponding":true}],"reference_count":8,"raw_metadata":null,"created_at":"2026-07-19T02:56:55.795846Z","pmid":"40630401","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}