Custom actions work well with VoiceOver and Switch Control. It is also a way of speeding up navigation, and grouping all actions available for an item in a single place, with Full Keyboard Access. Focus an item and use the shortcut Tab (⇥) + Z.

Do you know when a UI element is greyed out to show that it is disabled? Yes, there is an accessibility trait for that too: .notEnabled. VoiceOver will say “dimmed” after its accessibility label and Voice Control and Switch Control will skip it.