Even when setting a view as modal for accessibility, you may notice that VoiceOver's focus stays in the same place, instead of moving to the presented view. You can post a screen changed notification and pass the view that should get the focus.

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If your watch app has good VoiceOver support, chances are you'll also have good Assistive Touch support. But an improvement you can make is to implement a quick action (triggered with a double pinch) when there is a main action you can perform.

Manual testing is crucial. And therefore, reducing friction to let you start your testing process can be a huge help. Selecting some accessibility shortcuts will do that, putting most of iOS' accessibility features at a triple-click of a button.

All the accessibility capabilities you can check for, have counterpart notification names you can observe in case the user changes its preferences while using your app. https://x.com/dadederk/status/1577435144129892352