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Making the world more accessible.
High-tech devices for children and
people with visual impairment



             PETRIC MARINA
             Master of Speech Pathology and Audiology
             BABES BOLYAI University
             Cluj Napoca, Romania
Low vision


     Low vision describes any condition of
diminished vision that is uncorrectable by
standard eyeglasses, contact lenses,
medication, or surgery that disrupts a
person’s ability to perform common age
appropriate visual tasks (Jutai et al., 2007).
Effects of low vision
   It is been considered that it affects four major areas:
           - the social and the emotional,
           - language,
           - cognitive and,
           - mobility and orientation.

   It is interesting to see the impact of those effects on the
    functioning and learning potential of the individual.

   The parent’s feelings will affect their relationship with each
    other and with the child and this in turn will influence the
    child’s emotional and social development.
     Regarding the language the researchers discovered some evidence of
      differences in language development in the area of:
    -the acquisition of the sound system or phonology
    -the syntactic use of words

    Visual impairment has an effect on the acquisition of concepts and
     meaning.

    The terms mobility and orientation have specific meaning for people
     who are visually impaired and for the professionals who work with
     this client group. Without clear vision children may experience
     difficulty in creating a mental map of their surroundings
Assistive technology

   Assistive technology is an interdisciplinary field of
    knowledge comprising products, resources,
    methodologies, strategies, practices, and services that
    aims to promote functionality for visually impaired
    people with regard to autonomy, independence, quality
    of life, and social inclusion


   Examples of assistive technologies for vision
    rehabilitation include handheld magnifiers; electronic
    vision enhancement systems; and mobility-related
    devices such as long canes and night-vision systems.
    These types of devices and
    interventions allow individuals with low
    vision to lead productive lives and to
    maintain their independence in everyday
    activities.

   Often, the success with an assistive
    device is determined by how satisfied the
    user is with it (Jutai, Fuhrer, Scherer, &
    DeRuyer, 2005).
   According to Raasch, Leat, Kleinstein, Bullimore, and
    Cutter (1997, p.289), effectiveness is ”the degree to with
    a desired or planned improvement is accomplished in
    the subjects’ usual environment”.

   The desired outcome of low vision rehabilitation is for
    individuals to attain the maximum function of any
    remaining vision they may have; increase their level of
    functional ability; increase their independence; and, as
    a result improve their quality of life (Agency for
    Healthcare Research and Quality Technology
    Assessment, AHRQ,2004; Jutai et al., 2005).
Closed circuit television (CCTV)
   CCTV’s tend to be used today for children with more
    severe visual impairment who require a higher degree of
    magnification than can be obtain from an optical type of
    device.

   It comprise a television camera mounted above an X-Y
    moveable table and connected to a video display monitor.

   A great advantage of the CCTV system is the ability to vary
    the illumination and contrast of the image produced. A
    child with a visual impairment will often prefer a higher
    contrast than exists on the original document
   In most cases the camera is fixed, pointing down
    towards the platform, requiring the object to be placed
    underneath the camera lens. There are available in
    either monochrome or color versions.

   More complex CCTV systems may provide additional
    features. They may be linked to a typewriter or
    interfaced with a computer.
   Limited evidence from one good-quality case
    series (Goodrich & Kirby, 2001), suggested that
    the participants' speed and duration of reading
    were significantly greater with CCTV systems than
    with prescribed optical devices.

   Moderately strong evidence indicates that
    electronic stand-mounted or handheld CCTVs can
    improve reading performance and are generally
    preferred by persons with low vision over
    standard non electronic optical devices (Jutai,
    Strong, Russell-Minda 2009).
http://www.youtube.com/watch?v=x6aTBrW1Qfs
   When people seek services because of visual impairment,
    they often state their need in terms of being able to resume
    reading or being able to travel independently.


   Before individuals could effectively use the device to read
    letters, bills , books, magazines, and other print materials they
    need a reading training, including the mechanics of using the
    device and the cognitive and perceptual strategies necessary
    to read with the device.

   To overcome the disability created by a severe visual
    impairment, people need a combination of interventions,
    including an appropriately prescribed device, training in its
    use, and other support services.
   Individuals who are visually impaired frequently
    encounter vision and accessibility-related
    challenges when using the Internet or
    performing other common computing
    functions.

   Some studies indicated that visual acuity and
    contrast sensitivity are significantly associated
    with the performance of computer tasks.

   Other studies shown that the sizes of icons and
    sets were significantly associated with the
    accuracy of performing computer tasks
   A larger icon size was significantly associated with a shorter
    time to complete tasks

   Adaptive technologies, such as text magnification, screen
    readers, and digital image enhancements (Leat, Omoruyi,
    Kennedy, & Jemigan, 2005) can help both to enhance and to
    substitute for the visual and sensory functions that are
    required during computer use.

   Software that enlarges text and graphics makes computers
    accessible to people even with severe visual impairments,
    and voice synthesizers open up the computer to totally blind
    individuals.
Computer accessibility

   Refers to the accessibility of a computer
    system to all people, regardless of
    disability or severity of impairment. It is
    largely a software concern;
   When software, hardware, or a
    combination of hardware and software, is
    used to enable use of a computer by a
    person with a disability or impairment,
    this is known as Assistive Technology.

   http://www.youtube.com/watch?v=I5-g3Rt3c2Q
Zoom Text

   ZoomText is a stand-alone piece of software
    designed for visually impaired people.

   It is available for the Microsoft Windows operating
    systems 2000, XP, Vista and Windows 7 and 8.

   The program allows you to see and hear
    everything on the computer screen as well as
    providing access to applications, documents,
    email and the Internet.
   ZoomText has dual monitor support and is capable of
    magnifying the screen up to 36 times; it also allows you
    to choose which part of the screen is magnified.

   Color controls help improve the clarity of the screen
    and mouse pointers can be resized.

   It also provides enhanced navigation capabilities to
    help the user to launch programs and find documents
    on the desktop and find the hypertext links and controls
    on web pages, find words or phrases.
   http://www.youtube.com/watch?v=htJ5jZnk6ZQ
Concerning the importance of using assistive
technology resources in educating students with
visual impairment, 84.2% of the teachers declared
that the resources were very important to enhance
reading and writing skills as well as to communicate
with the world on an equal basis (95.8%).
        In addition, they made information available and
the content of the teaching material more attractive than
the traditional resources (93.7%), improving the students’
quality of life, facilitating the learning process (91.7%), and
allowing them to rewrite correct texts (87.5%) with
autonomy and privacy (66.7%) .
References:
   Bennet, D. (1997). Low vision devices for children and young people with
    visual impairment. In Monson, H., McCall, S., Arter, C., Mclinden, M.,
    Stone, J. (ed) Visual Impairment. Access to Education for Children and
    Young People. London: David Fulton Publishers.
   Feritas Alvares et al., (August 2009). Assistive technology applied to
    education of student with visual impairment. Revista Panamericana de
    Salud Publica. Vol. 26., Issue 2, p 148-152.
   Goodrich, L.G., (March 1, 2003). Available and Emerging Technologies for
    People with Visual Impairment. Generation, Vol. 27, Issue 1, p 64.
   Jutai, W. J., Strong, G. J., Russell-Mind, E., (April 2009). Effectiveness of
    Assistive Technologies for Low Vision Rehabilitation: A systematic review.
    Journal of Visual Impairment & Blindness, Vol. 105. Issue 4, p 235-239. Pr
   Kingsley, M. (1997). The effect of a visual loss. In Monson, H., McCall, S.,
    Arter, C., Mclinden, M., Stone, J. (ed) Visual Impairment. Access to
    Education for Children and Young People. London: David Fulton Publishers.
   Márkus, B., (2011). E-Learning experience. Geographia technical, No 2,
    p45-55.
   http://en.wikipedia.org/wiki/Computer_accessibility
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  • 1. Making the world more accessible. High-tech devices for children and people with visual impairment PETRIC MARINA Master of Speech Pathology and Audiology BABES BOLYAI University Cluj Napoca, Romania
  • 2. Low vision Low vision describes any condition of diminished vision that is uncorrectable by standard eyeglasses, contact lenses, medication, or surgery that disrupts a person’s ability to perform common age appropriate visual tasks (Jutai et al., 2007).
  • 3. Effects of low vision  It is been considered that it affects four major areas: - the social and the emotional, - language, - cognitive and, - mobility and orientation.  It is interesting to see the impact of those effects on the functioning and learning potential of the individual.  The parent’s feelings will affect their relationship with each other and with the child and this in turn will influence the child’s emotional and social development.
  • 4. Regarding the language the researchers discovered some evidence of differences in language development in the area of: -the acquisition of the sound system or phonology -the syntactic use of words  Visual impairment has an effect on the acquisition of concepts and meaning.  The terms mobility and orientation have specific meaning for people who are visually impaired and for the professionals who work with this client group. Without clear vision children may experience difficulty in creating a mental map of their surroundings
  • 5. Assistive technology  Assistive technology is an interdisciplinary field of knowledge comprising products, resources, methodologies, strategies, practices, and services that aims to promote functionality for visually impaired people with regard to autonomy, independence, quality of life, and social inclusion  Examples of assistive technologies for vision rehabilitation include handheld magnifiers; electronic vision enhancement systems; and mobility-related devices such as long canes and night-vision systems.
  • 6. These types of devices and interventions allow individuals with low vision to lead productive lives and to maintain their independence in everyday activities.  Often, the success with an assistive device is determined by how satisfied the user is with it (Jutai, Fuhrer, Scherer, & DeRuyer, 2005).
  • 7. According to Raasch, Leat, Kleinstein, Bullimore, and Cutter (1997, p.289), effectiveness is ”the degree to with a desired or planned improvement is accomplished in the subjects’ usual environment”.  The desired outcome of low vision rehabilitation is for individuals to attain the maximum function of any remaining vision they may have; increase their level of functional ability; increase their independence; and, as a result improve their quality of life (Agency for Healthcare Research and Quality Technology Assessment, AHRQ,2004; Jutai et al., 2005).
  • 8. Closed circuit television (CCTV)  CCTV’s tend to be used today for children with more severe visual impairment who require a higher degree of magnification than can be obtain from an optical type of device.  It comprise a television camera mounted above an X-Y moveable table and connected to a video display monitor.  A great advantage of the CCTV system is the ability to vary the illumination and contrast of the image produced. A child with a visual impairment will often prefer a higher contrast than exists on the original document
  • 9. In most cases the camera is fixed, pointing down towards the platform, requiring the object to be placed underneath the camera lens. There are available in either monochrome or color versions.  More complex CCTV systems may provide additional features. They may be linked to a typewriter or interfaced with a computer.
  • 10. Limited evidence from one good-quality case series (Goodrich & Kirby, 2001), suggested that the participants' speed and duration of reading were significantly greater with CCTV systems than with prescribed optical devices.  Moderately strong evidence indicates that electronic stand-mounted or handheld CCTVs can improve reading performance and are generally preferred by persons with low vision over standard non electronic optical devices (Jutai, Strong, Russell-Minda 2009).
  • 12. When people seek services because of visual impairment, they often state their need in terms of being able to resume reading or being able to travel independently.  Before individuals could effectively use the device to read letters, bills , books, magazines, and other print materials they need a reading training, including the mechanics of using the device and the cognitive and perceptual strategies necessary to read with the device.  To overcome the disability created by a severe visual impairment, people need a combination of interventions, including an appropriately prescribed device, training in its use, and other support services.
  • 13. Individuals who are visually impaired frequently encounter vision and accessibility-related challenges when using the Internet or performing other common computing functions.  Some studies indicated that visual acuity and contrast sensitivity are significantly associated with the performance of computer tasks.  Other studies shown that the sizes of icons and sets were significantly associated with the accuracy of performing computer tasks
  • 14. A larger icon size was significantly associated with a shorter time to complete tasks  Adaptive technologies, such as text magnification, screen readers, and digital image enhancements (Leat, Omoruyi, Kennedy, & Jemigan, 2005) can help both to enhance and to substitute for the visual and sensory functions that are required during computer use.  Software that enlarges text and graphics makes computers accessible to people even with severe visual impairments, and voice synthesizers open up the computer to totally blind individuals.
  • 15. Computer accessibility  Refers to the accessibility of a computer system to all people, regardless of disability or severity of impairment. It is largely a software concern;  When software, hardware, or a combination of hardware and software, is used to enable use of a computer by a person with a disability or impairment, this is known as Assistive Technology.  http://www.youtube.com/watch?v=I5-g3Rt3c2Q
  • 16. Zoom Text  ZoomText is a stand-alone piece of software designed for visually impaired people.  It is available for the Microsoft Windows operating systems 2000, XP, Vista and Windows 7 and 8.  The program allows you to see and hear everything on the computer screen as well as providing access to applications, documents, email and the Internet.
  • 17. ZoomText has dual monitor support and is capable of magnifying the screen up to 36 times; it also allows you to choose which part of the screen is magnified.  Color controls help improve the clarity of the screen and mouse pointers can be resized.  It also provides enhanced navigation capabilities to help the user to launch programs and find documents on the desktop and find the hypertext links and controls on web pages, find words or phrases.  http://www.youtube.com/watch?v=htJ5jZnk6ZQ
  • 18. Concerning the importance of using assistive technology resources in educating students with visual impairment, 84.2% of the teachers declared that the resources were very important to enhance reading and writing skills as well as to communicate with the world on an equal basis (95.8%). In addition, they made information available and the content of the teaching material more attractive than the traditional resources (93.7%), improving the students’ quality of life, facilitating the learning process (91.7%), and allowing them to rewrite correct texts (87.5%) with autonomy and privacy (66.7%) .
  • 19. References:  Bennet, D. (1997). Low vision devices for children and young people with visual impairment. In Monson, H., McCall, S., Arter, C., Mclinden, M., Stone, J. (ed) Visual Impairment. Access to Education for Children and Young People. London: David Fulton Publishers.  Feritas Alvares et al., (August 2009). Assistive technology applied to education of student with visual impairment. Revista Panamericana de Salud Publica. Vol. 26., Issue 2, p 148-152.  Goodrich, L.G., (March 1, 2003). Available and Emerging Technologies for People with Visual Impairment. Generation, Vol. 27, Issue 1, p 64.  Jutai, W. J., Strong, G. J., Russell-Mind, E., (April 2009). Effectiveness of Assistive Technologies for Low Vision Rehabilitation: A systematic review. Journal of Visual Impairment & Blindness, Vol. 105. Issue 4, p 235-239. Pr  Kingsley, M. (1997). The effect of a visual loss. In Monson, H., McCall, S., Arter, C., Mclinden, M., Stone, J. (ed) Visual Impairment. Access to Education for Children and Young People. London: David Fulton Publishers.  Márkus, B., (2011). E-Learning experience. Geographia technical, No 2, p45-55.  http://en.wikipedia.org/wiki/Computer_accessibility