Systems and methods for adjusting user interface elements based on user accuracy and content consumption are disclosed. According to an aspect, a method includes receiving user input for interacting with one or more elements presented by a user interface. The method also includes determining an estimate of user accuracy for correctly selecting the one or more elements. Further, the method includes determining a rate of consumption of content presented by the user interface. The method also includes adjusting one of a position and size of at least one of the elements based on the estimate of user accuracy and the rate of consumption of content.