Custom actions are also great for actions that are executed with a gesture that is overridden by VoiceOver. Think of the unread, flag and archive hidden options that you can make visible by swiping left/right on a message row in the Mail app.
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If an image does not convey additional information, maybe it's just used to make the UI look more attractive, it makes sense for VoiceOver to skip it. UIKit: set isAccessibilityElement to false. SwiftUI: create a decorative image explicitly.
You can add an observer to listen for changes in the content size category, in case it is more convenient than overriding traitCollectionDidChange(_:).
Guidelines from Apple: Begin with a verb that explains the results of the action. Avoid using the imperative form of a verb because that can make it sound like a command. Don’t include the action type. Don’t include the control. https://developer.apple.com/documentation/objectivec/nsobject-swift.class/accessibilityhint
