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Accessibility

· 13 checks — Landmarks, headings, alt text, forms, and link quality rolled into one auditable list.
SCORE
61
GRADE
D
FIX
5
REVIEW
5
PASS
3
INFO
0
Checks
13
3 PASS 5 REVIEW 5 FIX
D
Alt Text Quality
Action
4 of 41 images have issues
FIX
4 of 41 images have issues
Critical::
4 image(s) missing alt attribute
Images without alt text are invisible to screen readers.
Critical::
1 image-in-link without alt text
An image inside a link with no alt creates an empty link.
Info::
37 image(s) with good alt text
41 images 37 good alt text 4 missing
IssueCount
missing4 image(s)

Images without alt text are invisible to screen readers.

Why this matters

Each image without alt text is a WCAG 1.1.1 failure — invisible to screen-reader users, lost from Google Image Search.

Learn more ▾

WCAG 2.1 Level A requires text alternatives for non-decorative images. Empty alt='' is fine for decorative; meaningful images need descriptive text. Common fixes: CMS audit + bulk add, build-time linter (alt-text-required ESLint rule), CI gate on Lighthouse a11y score.

Source: WCAG 2.1 SC 1.1.1 / WebAIM Million Report

An image inside a link with no alt creates an empty link.

Why this matters

Image-only links with no alt create empty links — screen-reader users hear 'link' with no destination context.

Learn more ▾

An <a><img></a> with no img alt is the worst-case for accessibility: AT announces the link but can't describe where it goes. Either add alt to the image OR add aria-label to the link.

Source: WCAG 2.1 SC 2.4.4

D
Web Manifest
Action
Not found
FIX
Not found
Info::
No web manifest found
No manifest at standard paths (/manifest.json, /site.webmanifest). A manifest is optional but enables PWA features like home screen installation and standalone display.

No web manifest found.

D
Dark Mode Support
Action
No dark mode signals
FIX
No dark mode signals
Info::
No dark mode signals detected
Consider adding CSS with @media (prefers-color-scheme: dark) and <meta name='color-scheme' content='light dark'>.
Info::
Detection limited to meta tags and inline styles
External CSS files may contain prefers-color-scheme rules not visible to this scan.
Dark ModeNo Dark Mode Detected
color-scheme meta Not set ✗Dark theme-color Not set ✗CSS indicators Not detected ✗

Detection limited to meta tags and inline styles.

D
Print Stylesheet
Action
No print styles
FIX
No print styles
Info::
No print-specific styles detected
When users print this page, they get the screen layout including navigation and non-essential elements. Add @media print rules to hide navigation and optimize layout for paper.
Print Stylesheet No Print Styles
Print stylesheet Not found ✗Inline @media print Not detected ✗
F
Navigation UX
Action
1 navigation pattern(s)
FIX
1 navigation pattern(s)
Info::
Skip navigation link detected
Info::
2 navigation landmark(s) detected
Breadcrumbs
Search
Skip Link Skip link detected
Labeled Navigation 2 <nav> element(s)
Back to Top
Hamburger Menu
Sticky Navigation Cannot reliably detect (CSS-based)
2 of 6 testable patterns navigation patterns detected. Limited navigation support. Consider adding breadcrumbs, search, and skip link.
C
404 Error Page
Action
HTTP 404, custom page
REVIEW
HTTP 404, custom page
Info::
Correct 404 status code returned
Got: HTTP 404
Info::
Custom styled 404 page
404 Page Quality ✓ Custom 404 Page
Status Code HTTP 404 ✓Page Title JMIR Publications ✓Custom Styling ✓Navigation ✗Homepage Link ✗Search Form ✗
B
Favicon & Branding
14 icon(s) detected
REVIEW
14 icon(s) detected
Info::
favicon.ico present at site root
Info::
HTML icon links detected
Info::
Apple touch icon present
Info::
Multiple icon sizes detected
✓ favicon.ico Present
✓ PNG Icons Present
✓ Apple Touch Present
✗ SVG Favicon Missing
✗ Manifest Icons Missing
✓ Multiple Sizes Present
C
Color Contrast (Screenshot)
Action
20 text elements analyzed, 1 fail WCAG AA
REVIEW

Analyzes text contrast against the actual rendered page, including background images, gradients, and overlays that CSS-based tools cannot detect.

19 pass 1 fail WCAG AA
option Help
4.15:1
#000000
on
#1E70C2
needs 4.5:1 (normal text)
16px · above the fold
Show all checked elements (20)
ElementRatioRequiredFGBGResult
h1 Journal of Medical I…18.88:13.0:1
#000000
#F1F3F5
Pass
h2 Recent Articles18.88:13.0:1
#000000
#F1F3F5
Pass
h2 Open for Peer Review18.88:13.0:1
#000000
#F1F3F5
Pass
h2 We are working in pa…18.88:13.0:1
#000000
#F1F3F5
Pass
h2 This journal is inde…18.88:13.0:1
#000000
#F1F3F5
Pass
h2 Journal of Medical I…18.88:13.0:1
#000000
#F1F3F5
Pass
h3 Resource Centre18.88:13.0:1
#000000
#F1F3F5
Pass
h3 Browse Journal18.88:13.0:1
#000000
#F1F3F5
Pass
h3 About18.88:13.0:1
#000000
#F1F3F5
Pass
h3 Connect With Us18.88:13.0:1
#000000
#F1F3F5
Pass
h3 Get Table of Content…18.88:13.0:1
#000000
#F1F3F5
Pass
title Journal of Medical I…21.00:14.5:1
#000000
#FFFFFF
Pass
a Skip to Main Content21.00:14.5:1
#000000
#FFFFFF
Pass
a Skip to Footer21.00:14.5:1
#000000
#FFFFFF
Pass
span Accessibility settin…21.00:14.5:1
#000000
#FFFFFF
Pass
label Select options21.00:14.5:1
#000000
#FFFFFF
Pass
option Articles21.00:14.5:1
#000000
#FFFFFF
Pass
option Help4.15:14.5:1
#000000
#1E70C2
Fail
label Global search18.88:14.5:1
#000000
#F1F3F5
Pass
a Career Center18.88:14.5:1
#000000
#F1F3F5
Pass

Methodology: The top 20 text elements by font size were checked. Background color was sampled from the desktop screenshot using a 5-point pattern. WCAG 2.1 AA requires 4.5:1 for normal text and 3:1 for large text.

B
Lighthouse Accessibility Audits
Score 88/100 — 4 failing, 28 passed
REVIEW
88

Accessibility

These checks highlight opportunities to improve the accessibility of your web app. Automatic detection can only detect a subset of issues and does not guarantee the accessibility of your web app, so manual testing is also encouraged.

Names and labels

When a button doesn't have an accessible name, screen readers announce it as "button", making it unusable for users who rely on screen readers. Learn how to make buttons more accessible.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
div.container > div.corporate > div.corporate__mobile-menu > button div.container > div.corporate > div.corporate__mobile-menu > button

Informative elements should aim for short, descriptive alternate text. Decorative elements can be ignored with an empty alt attribute. Learn more about the `alt` attribute.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
li > p > a > img.image_resized li > p > a > img.image_resized
ul > li > p > img ul > li > p > img

These are opportunities to improve the semantics of the controls in your application. This may enhance the experience for users of assistive technology, like a screen reader.

Contrast

Low-contrast text is difficult or impossible for many users to read. Learn how to provide sufficient color contrast.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
our 5 partners div.enzuzo-notification-text > div.enzuzo-notification-desc > span > a#ez-tcf-notification-message-vendors-link
Privacy Policy ↗ div.enzuzo-notification-text > div.enzuzo-notification-desc > span > a#notificationPolicyLink
Manage preferences div.ez-consent > div#ez-cookie-notification > div.enzuzo-notification-buttons > a#notificationManagerLink

These are opportunities to improve the legibility of your content.

Visible text labels that do not match the accessible name can result in a confusing experience for screen reader users. Learn more about accessible names.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Peer Review Me div.peer-review-cards > div.peer-review-card > div.peer-review-footer > a.btn
Get Alerts div.container > div.row > div.email-subscribtion-button > a
○Interactive controls are keyboard focusable
○Interactive elements indicate their purpose and state
○The page has a logical tab order
○Visual order on the page follows DOM order
○User focus is not accidentally trapped in a region
○The user's focus is directed to new content added to the page
○HTML5 landmark elements are used to improve navigation
○Offscreen content is hidden from assistive technology
○Custom controls have associated labels
○Custom controls have ARIA roles
●`[aria-*]` attributes match their roles
●`[aria-hidden="true"]` is not present on the document `<body>`
●`[role]`s have all required `[aria-*]` attributes
●`[role]` values are valid
●`[aria-*]` attributes have valid values
●`[aria-*]` attributes are valid and not misspelled
●Form elements have associated labels
●`[user-scalable="no"]` is not used in the `<meta name="viewport">` element and the `[maximum-scale]` attribute is not less than 5.
●Select elements have associated label elements.
●`button`, `link`, and `menuitem` elements have accessible names
●ARIA attributes are used as specified for the element's role
●`[aria-hidden="true"]` elements do not contain focusable descendents
●Elements use only permitted ARIA attributes
●Document has a `<title>` element
●`<frame>` or `<iframe>` elements have a title
●`<html>` element has a `[lang]` attribute
●`<html>` element has a valid value for its `[lang]` attribute
●Links are distinguishable without relying on color.
●Links have a discernible name
●Lists contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
●List items (`<li>`) are contained within `<ul>`, `<ol>` or `<menu>` parent elements
●No element has a `[tabindex]` value greater than 0
●Touch targets have sufficient size and spacing.
●Heading elements appear in a sequentially-descending order
●Skip links are focusable.
●Document has a main landmark.
●Deprecated ARIA roles were not used
●Identical links have the same purpose.
○`[accesskey]` values are unique
○Elements with `role="dialog"` or `role="alertdialog"` have accessible names.
○ARIA input fields have accessible names
○ARIA `meter` elements have accessible names
○ARIA `progressbar` elements have accessible names
○Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.
○`[role]`s are contained by their required parent element
○Elements with the `role=text` attribute do not have focusable descendents.
○ARIA toggle fields have accessible names
○ARIA `tooltip` elements have accessible names
○ARIA `treeitem` elements have accessible names
○The page contains a heading, skip link, or landmark region
○`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
○Definition list items are wrapped in `<dl>` elements
○ARIA IDs are unique
○No form fields have multiple labels
○`<html>` element has an `[xml:lang]` attribute with the same base language as the `[lang]` attribute.
○Input buttons have discernible text.
○`<input type="image">` elements have `[alt]` text
○The document does not use `<meta http-equiv="refresh">`
○`<object>` elements have alternate text
○Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
○`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
○`[lang]` attributes have a valid value
○`<video>` elements contain a `<track>` element with `[kind="captions"]`
○Tables have different content in the summary attribute and `<caption>`.
○All heading elements contain content.
○Uses ARIA roles only on compatible elements
○Image elements do not have `[alt]` attributes that are redundant text.
○Tables use `<caption>` instead of cells with the `[colspan]` attribute to indicate a caption.
○`<td>` elements in a large `<table>` have one or more table headers.
A
Landmark Structure
7 landmarks
PASS
7 landmarks
Info::
<main> landmark present
Info::
2 <nav> landmark(s) found
Warning::
2 of 2 <nav> elements are unlabeled
Multiple navigations need aria-label to distinguish them for screen readers.
Info::
Skip navigation link present
Page Structure — as a screen reader sees it
BANNER header NAV MAIN CONTENTINFO footer

Multiple navigations need aria-label to distinguish them for screen readers.

Why this matters

Some <nav> elements lack aria-label — screen-reader users hear 'navigation' multiple times with no way to distinguish them.

Learn more ▾

When a page has multiple <nav> regions (primary, footer, breadcrumb), each needs aria-label or aria-labelledby. AT users navigate by landmark; identical 'navigation' announcements force them to enter each one to discover purpose.

Source: WAI-ARIA Authoring Practices

A+
Heading Hierarchy
12 headings
PASS
12 headings
Info::
Single H1 present
  • H1 Journal of Medical Internet Research
  • H2 The leading peer-reviewed journal for digital medicine and health and health care in the internet age.
  • H2 Recent Articles
  • H2 Preprints Open for Peer Review
  • H2 We are working in partnership with
  • H2 This journal is indexed in
  • H2 Journal of Medical Internet Research ISSN 1438-8871
  • H3 Resource Centre
  • H3 Browse Journal
  • H3 About
  • H3 Connect With Us
  • H3 Get Table of Contents Alerts
A+
Form Accessibility
All 61 controls labeled
PASS
All 61 controls labeled
Info::
61 control(s) properly labeled
61 controls
61 labeled
0 placeholder only
0 unlabeled
ControlTypeLabelMethod
#corporate__search-selectselectSelect optionsfor/id
#corporate__global-searchtextSearch articles fieldaria-label
#nav-yearselectYear:for/id
#ez-cookie-preferences--marketingcheckboxmarketing Togglefor/id
#ez-cookie-preferences--analyticscheckboxanalytics Togglefor/id
#enzuzo-tcf-legit-interest-purpose-toggle--1checkboxStore and/or access information on a devicefor/id
#enzuzo-tcf-purpose-toggle--1checkboxStore and/or access information on a devicefor/id
#enzuzo-tcf-legit-interest-purpose-toggle--2checkboxUse limited data to select advertisingfor/id
#enzuzo-tcf-purpose-toggle--2checkboxUse limited data to select advertisingfor/id
#enzuzo-tcf-legit-interest-purpose-toggle--3checkboxCreate profiles for personalised advertisingfor/id
#enzuzo-tcf-purpose-toggle--3checkboxCreate profiles for personalised advertisingfor/id
#enzuzo-tcf-legit-interest-purpose-toggle--4checkboxUse profiles to select personalised advertisingfor/id
#enzuzo-tcf-purpose-toggle--4checkboxUse profiles to select personalised advertisingfor/id
#enzuzo-tcf-legit-interest-purpose-toggle--5checkboxCreate profiles to personalise contentfor/id
#enzuzo-tcf-purpose-toggle--5checkboxCreate profiles to personalise contentfor/id
#enzuzo-tcf-legit-interest-purpose-toggle--6checkboxUse profiles to select personalised contentfor/id
#enzuzo-tcf-purpose-toggle--6checkboxUse profiles to select personalised contentfor/id
#enzuzo-tcf-legit-interest-purpose-toggle--7checkboxMeasure advertising performancefor/id
#enzuzo-tcf-purpose-toggle--7checkboxMeasure advertising performancefor/id
#enzuzo-tcf-legit-interest-purpose-toggle--8checkboxMeasure content performancefor/id
#enzuzo-tcf-purpose-toggle--8checkboxMeasure content performancefor/id
#enzuzo-tcf-legit-interest-purpose-toggle--9checkboxUnderstand audiences through statistics or combinations of data from different sourcesfor/id
#enzuzo-tcf-purpose-toggle--9checkboxUnderstand audiences through statistics or combinations of data from different sourcesfor/id
#enzuzo-tcf-legit-interest-purpose-toggle--10checkboxDevelop and improve servicesfor/id
#enzuzo-tcf-purpose-toggle--10checkboxDevelop and improve servicesfor/id
#enzuzo-tcf-legit-interest-purpose-toggle--11checkboxUse limited data to select contentfor/id
#enzuzo-tcf-purpose-toggle--11checkboxUse limited data to select contentfor/id
#enzuzo-tcf-feature-toggle--1checkboxUse precise geolocation datafor/id
#enzuzo-tcf-feature-toggle--2checkboxActively scan device characteristics for identificationfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--1checkboxStore and/or access information on a devicefor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--1checkboxStore and/or access information on a devicefor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--2checkboxUse limited data to select advertisingfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--2checkboxUse limited data to select advertisingfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--3checkboxCreate profiles for personalised advertisingfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--3checkboxCreate profiles for personalised advertisingfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--4checkboxUse profiles to select personalised advertisingfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--4checkboxUse profiles to select personalised advertisingfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--5checkboxCreate profiles to personalise contentfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--5checkboxCreate profiles to personalise contentfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--6checkboxUse profiles to select personalised contentfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--6checkboxUse profiles to select personalised contentfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--7checkboxMeasure advertising performancefor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--7checkboxMeasure advertising performancefor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--8checkboxMeasure content performancefor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--8checkboxMeasure content performancefor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--9checkboxUnderstand audiences through statistics or combinations of data from different sourcesfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--9checkboxUnderstand audiences through statistics or combinations of data from different sourcesfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--10checkboxDevelop and improve servicesfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--10checkboxDevelop and improve servicesfor/id
#enzuzo-tcf-publisher-purpose-legint-toggle--11checkboxUse limited data to select contentfor/id
#enzuzo-tcf-publisher-purpose-consent-toggle--11checkboxUse limited data to select contentfor/id
#enzuzo-tcf-vendor-legit-interest-toggle--32checkboxXandr, Inc.for/id
#enzuzo-tcf-vendor-toggle--32checkboxXandr, Inc.for/id
#enzuzo-tcf-vendor-legit-interest-toggle--81checkboxPulsePoint, Inc.for/id
#enzuzo-tcf-vendor-toggle--81checkboxPulsePoint, Inc.for/id
#enzuzo-tcf-vendor-legit-interest-toggle--541checkboxDeepIntent, Inc.for/id
#enzuzo-tcf-vendor-toggle--541checkboxDeepIntent, Inc.for/id
#enzuzo-tcf-vendor-legit-interest-toggle--755checkboxGoogle Advertising Productsfor/id
#enzuzo-tcf-vendor-toggle--755checkboxGoogle Advertising Productsfor/id
#enzuzo-tcf-vendor-legit-interest-toggle--1063checkboxDoceree UK Limitedfor/id
#enzuzo-tcf-vendor-toggle--1063checkboxDoceree UK Limitedfor/id
All checks on this page are automated. Results are estimates - run targeted manual reviews when the score affects a release decision.

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