The reading order of a PDF document determines how the document will be read aloud with a screen reader.

You can fix PDF documents that have not been properly tagged during the export from Microsoft Word by adding the tags with Adobe Acrobat.

Adding alternate (alt) text to your images will make your Microsoft Word documents more accessible to people who have visual impairments. This will also make any PDF documents created from your Microsoft Word documents more accessible as well. 
The alt text is a description of the image that can be read to someone who has a visual impairment by screen reader software.

The use of styles to create headings and lists in Microsoft Word can benefit people with cognitive disabilities by making the content easier to scan and by allowing you to split long documents into smaller segments. Headings can also be converted to bookmarks when you export your PDF document from Microsoft Word. These bookmarks can provide additional navigation to people who rely on a screen reader to access the PDF document.

When reading a web page, most screen readers will announce the number of items on a list if the list has been properly marked up with HTML list tags.The use of properly marked up lists is especially helpful for the navigation on a website. This kind of list can improve usability for screen reader users by letting them know the number of pages available on the site.

Including a skip navigation or skip to content link at the top of your web pages will improve navigation on your website for screen reader users and for those who can only use the keyboard for navigation. This kind of link will let a screen reader or keyboard user skip the navigation and other repetitive elements of a web page and go directly to the main content section of that page.

When you specify the language of web page you make it easier for screen readers to properly read the content to people who speak languages other than English. In Dreamweaver, you can specify a language for the entire page or for specific sections of the page.

Link titles provide additional information about a link when you hover over that link with your mouse. However, not everyone who visits your website can benefit from link titles. For this reason, you should only use link titles for supplementary information about a link. Information that is critical for understanding the link should be included in the page text itself.

Most screen readers support a keyboard shortcut for navigating the content on a web page using headings. This feature can provide additional navigation for people with visual impairments who use screen readers to browse the web. Headings also separate the content on a web page into more manageable sections for people with cognitive disabilities.

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