I have not dealt with Adobe Acrobat proper in years, but I wonder if it doesn't have an accessibility wizard just like Adobe Reader DC does. In Reader DC running the accessibility wizard at install makes interacting with a screen reader and Reader itself much easier.
Brian - Windows 10 Home, 64-Bit, Version 1809, Build 17763
Explanations exist; they have existed for all time; there is always a well-known solution to every human problem — neat, plausible, and wrong.
~ H.L. Mencken, AKA The Sage of Baltimore