Challenges in Developing Applications for Aging Populations

Elderly individuals can greatly benefit from the use of computer applications, which can assist in monitoring health conditions, staying in contact with friends and family, and even learning new things. However, developing accessible applications for an elderly user can be a daunting task for developers. Since the advent of the personal computer, the benefits and challenges of developing applications for older adults have been a hot topic of discussion. In this chapter, the authors discuss the various challenges developers who wish to create applications for the elderly computer user face, including age-related impairments, generational differences in computer use, and the hardware constraints mobile devices pose for application developers. Although these challenges are concerning, each can be overcome after being properly identified

Longitudinal Study of Two Virtual Cursors for People With Motor Impairments: A Performance and Satisfaction Analysis on Web Navigation

The lack of dexterity in the upper limbs of people with motor impairments may prevent the use of standard pointing devices, such as mice, to access graphical user interfaces. In these cases, pointing and clicking are usually performed by means of alternative devices such as joysticks, trackballs or standard keyboards. However, target acquisition can still be challenging for this group of people due to their physical condition. Based on previous works, we developed two virtual cursors: the novel cross cursor and the standard area cursor. They are devoted to assist two different groups of users with link selection within web pages: keyboard-only users, and joystick and trackball users, respectively. Both virtual cursors have been evaluated and compared with the original unassisted cursor in a longitudinal study. Eight people with motor impairments participated in an unsupervised experiment from their own personal computers at home. For a period of six weeks, each participant used both a virtual cursor and the original unassisted cursor to freely navigate the Web, and to perform predefined target acquisition tasks. Interaction data was automatically logged throughout the study along with subjective assessments concerning the usability of the virtual cursor being tested. Results show significant improvements for both virtual cursors in six of the seven cursor parameters studied, albeit with performance variations between some participants. The virtual cursors were extensively used for free web navigation and in their subjective assessments both were positively endorsed by participants who also put forward improvement suggestions for future developments

Combining mouse and keyboard events with higher level desktop actions to detect mild cognitive impairment

We present a desktop monitoring application that combines keyboard, mouse, desktop and application-level activities. It has been developed to discover differences in cognitive functioning amongst older computer users indicative of mild cognitive impairment (MCI). Following requirements capture from clinical domain experts, the tool collects all Microsoft Windows events deemed potentially useful for detecting early clinical indicators of dementia, with a view to further analysis to determine the most pertinent. Further requirements capture from potential end-users has resulted in a system that has little impact on users? daily activities and ensures data security from initial recording of events through to data analysis. We describe two experiments: firstly, volunteers were asked to perform a short set of known tasks; the second (ongoing) experiment is a longitudinal study, with the software currently successfully running on participants? computers

Conception d'un clavier musical pour entraîner les fonctions motrices et cognitives dans la maladie d'Alzheimer

La maladie d’Alzheimer (MA) est la cause la plus fréquente de démence chez les personnes âgées. Un traitement n’a pas encore été trouvé, mais des études montrent que la combinaison de thérapies pharmacologiques et non pharmacologiques (TNP) peut ralentir la progression des symptômes de la maladie. Parmi les TNP, la thérapie musicale active ou musicothérapie active (TMA) a été largement utilisée. Cependant, cette approche requiert une supervision constante pour que la thérapie soit exécutée correctement. L’utilisation de technologies adaptées aux besoins des personnes avec MA pourrait alors leur permettre de participer de manière autonome aux sessions de TMA. Ce mémoire de maîtrise s’organise autour de deux articles scientifiques. Le premier est une recension des écrits au sujet de la TMA utilisée en MA. Le deuxième article présente la démarche de co-conception d’un prototype du dispositif de clavier musical surdimensionné capable de guider les utilisateurs atteints de MA (stade léger) à travers des sessions de TMA qui comprennent des activités musicales,cognitives et motrices. Des études complémentaires devront évaluer les effets de l’utilisation de ce dispositif musical sur les différents symptômes de la MA. Cependant, le matériau présenté dans le premier article de la thèse (recension des écrits) et les données en lien avec le deuxième article (co-conception), tels que les témoignages des participants au stage léger de la MA et les prototypes créés, indiquent que l’utilisation de ce clavier peut potentiellement atténuer les symptômes associés à la MA et ainsi améliorer la qualité de la vie de cette population.Alzheimer’s disease (AD) is the most common cause of dementia in the elderly. A cure has not yet been found, but studies show that the combination of pharmacological and non-pharmacological therapies (NPT) can slow down the progression of the symptoms of the disease. Among the NPT, active music therapy (AMT) has been widely used to help relieve the symptoms of dementia. However,most AMT require constant supervision or guidance so that the person with AD can participate in the therapy session and perform it correctly. The use of technologies specifically designed to meet the needs of this population could allow them to autonomously participate in AMT sessions.This master’s thesis is organized into two articles, the first is a literature review regarding the application of AMT in AD. The second article presents the co-design process of an oversized musical keyboard that can guide users with mild AD through AMT sessions that integrate musical, cognitive and motor tasks. Further studies should evaluate the effects of using this device on different symptoms of Alzheimer’s disease. However, the results presented in the first article of the thesis and the observations from the interactions between the participants (with mild AD) and the prototypes provided during the co-design process indicate that the use of this keyboard has the potential to alleviate symptoms related to AD and, thus, improve the quality of life

CoUIM: crossover user interface model for inclusive computing

Persons with disabilities can face considerable challenges accessing many computing systems, such as cloud computing. We created six low-cost user interfaces using: keyboard-based, touchable, speech-based, touch-less gesture, tactile, and then combined them all in one user interface termed Crossover User Interface Model (CoUIM). We measured inclusiveness, error occurrence, user performance, and user satisfaction though an IRB approved study of twenty-nine participants. We chose Xen cloud platform to evaluate our research. We focused on three groups of users: persons with no disability, persons with blind and visually impairment (B/VI), and persons with motor-impairment. When we combined several interactions in one user interface, results improved for persons with disability. Using CoUIM improved inclusiveness, error rate, user performance and even user satisfaction. Persons with motor disability needed a little more time to complete the same tasks in our study. In particular, we show that persons with blind and visually impairment (B/VI) can compete on equal footing with their sighted peers based on error rate and time to complete the tasks using CoUIM

Assisted Interaction for Improving Web Accessibility: An Approach Driven and Tested by Userswith Disabilities

148 p.Un porcentaje cada vez mayor de la población mundial depende de la Web para trabajar, socializar, opara informarse entre otras muchas actividades. Los beneficios de la Web son todavía más cruciales paralas personas con discapacidades ya que les permite realizar un sinfín de tareas que en el mundo físico lesestán restringidas debido distintas barreras de accesibilidad. A pesar de sus ventajas, la mayoría depáginas web suelen ignoran las necesidades especiales de las personas con discapacidad, e incluyen undiseño único para todos los usuarios. Existen diversos métodos para combatir este problema, como porejemplo los sistemas de ¿transcoding¿, que transforman automáticamente páginas web inaccesibles enaccesibles. Para mejorar la accesibilidad web a grupos específicos de personas, estos métodos requiereninformación sobre las técnicas de adaptación más adecuadas que deben aplicarse.En esta tesis se han realizado una serie de estudios sobre la idoneidad de diversas técnicas de adaptaciónpara mejorar la navegación web para dos grupos diferentes de personas con discapacidad: personas conmovilidad reducida en miembros superiores y personas con baja visión. Basado en revisionesbibliográficas y estudios observacionales, se han desarrollado diferentes adaptaciones de interfaces web ytécnicas alternativas de interacción, que posteriormente han sido evaluadas a lo largo de varios estudioscon usuarios con necesidades especiales. Mediante análisis cualitativos y cuantitativos del rendimiento yla satisfacción de los participantes, se han evaluado diversas adaptaciones de interfaz y métodosalternativos de interacción. Los resultados han demostrado que las técnicas probadas mejoran el acceso ala Web y que los beneficios varían según la tecnología asistiva usada para acceder al ordenador

Touch Screens for the Older User

It has been 20 years since Ben Schneiderman predicted that there would be an increase in the use of touch screen applications yet it has been only in recent years that this prediction has come to pass. The concept of a touch screen computer was first introduced in 1965 by E.A. Johnson who described the possibilities of touch screen technology to support air traffic controllers. In this article Johnson describes how the touch display coupled to a computer can be considered as a keyboard, a novel approach at the time. Touch screens were brought into the public domain in 1971 by Elographics, Inc. which instigated the development of public touch screen technology such as automated teller machines (ATMs) and information kiosks (Brown et al., 2011). Another milestone in the history of touch technology was the introduction of the personal touch screen computer, HP-150, developed by Hewlett-Packard in 1983 (Sukumar, 1984). The purpose of this early design was to offer individuals an intuitive technology option. Although touch screen systems have maintained this intuitiveness and ease of use over the years, problems that existed with early systems still provide challenges for designers and developers to this day. Document type: Part of book or chapter of boo

“As Usual, I Needed Assistance of a Seeing Person”: Experiences and Challenges of People with Disabilities and Authentication Methods

According to the World Health organization, about 16% of the world’s population live with a disability. While they could benefit from digital products and services, users with disabilities often face severe accessibility issues: tasks can only be completed with difficulty, a considerable investment of time, or with assistance of technologies or other people. Further, to access these products and services, they need to authenticate. The accessibility of authentication methods for users with disabilities has not been studied in depth. We use an accessible study design to conduct 13 semi-structured interviews with people with physical, hearing, visual, cognitive, or multiple impairments to better understand the accessibility issues they face when using knowledge- or token-based, and biometric authentication. Our qualitative content analysis shows that none of the commonly available authentication methods is fully accessible to participants, causing them to abandon services or develop workarounds that reduce their own security and privacy. Our results also reveal the role of assistive technologies and human assistants in the authentication experience of users with disabilities. We conclude by encouraging fellow researchers and practitioners to reflect on assisted access when designing security mechanisms, to include people with disabilities using accessible study designs, and to keep in mind that accessible security is about more than usability – to further benefit users without disabilities as well

Rekindling the love of books - a pilot project exploring whether e-readers help people to read again after a stroke

Background E-readers may facilitate reading in aphasia through “aphasia-friendly” features such as altering text size and formatting (Worrall et al, 2005), and text-to-speech functions. However, no previous research has examined whether e-readers help people with aphasia to read. Aims This project explored: • whether people with aphasia can learn to use e-readers following a brief period of training • whether e-reader training improves reading comprehension • whether e-readers increase participation in and enjoyment of reading activities Method and procedures In phase one, available e-readers were compared using an expert evaluation against a set of criteria, to identify the model with optimum accessibility features and fewest potential barriers. The Kindle Keyboard 3G TM (Amazon) was selected for trialling in phase two. Four people with self-reported reading difficulties post-stroke participated in phase two. All had mild or mild-moderate aphasia. Four one-hour training sessions aimed to trial accessibility features, identify helpful features, and teach independent operation of these. A repeated measures design was used. Outcome measures assessed reading comprehension (Gray Oral Reading Tests, Bryant & Wiederholt, 2001) and confidence and emotions associated with reading (Reading Confidence and Emotions Questionnaire, Cocks et al., 2013). Matched texts were used to compare reading comprehension using printed texts and the e-reader. Usability evaluations explored independence in e-reader use and acceptability of the technology. Participation in reading activities and reading enjoyment were explored using qualitative exit interviews. Outcomes and results Participants’ reading comprehension on the Kindle, as measured by the GORT-4, did not improve following training and did not exceed comprehension of printed texts. However, reading confidence improved significantly for three of the participants (RCEQ: p<.05, p<.01 and p<.005). Analysis of exit interviews and usability evaluations indicates that three out of four participants preferred reading on the Kindle to printed texts. These participants read more frequently on the Kindle than they had done before the training, and the technology enabled them to access more challenging texts (e.g. novels). They appreciated different features of the Kindle. Two participants experienced difficulties operating the technology, one of whom would have benefited from a longer training period. Conclusions This pilot study suggests that a short block of e-reader training led to improvements in reading confidence, participation and enjoyment. E-readers were not shown to enhance reading comprehension. Larger-scale investigations are warranted to further investigate whether and how e-readers facilitate reading for people with aphasia