Hello,
Have you tested the TParamXX controls to be accessible. It's easy via Ctrl-WinKey-Enter to enable narrator in Windows 10+.
One thing, you need a way to edit items in the list because they can't see where to click. Having a key available to edit an item (simulate click on link) would be great. Having something is better than nothing, I know it could be more complicated with multiple links on a single line, perhaps hot keys like 1,2,3 of which to edit or simulate click on..
Of course there is the whole windows accessibility api at Accessibility () - Win32 apps | Microsoft Learn to make the controls fully accessible. perhaps in the future?