Wednesday, November 20, 2019

How to 'See' When You Can’t

Assistive Technology for People Who are Blind or Have a Vision Impairment

Let’s 'See' What AT Can Do


Assistive technology plays an important part in the life of people with disabilities, but  universal design benefits all of us.  This is the first of a miniseries on assistive technology to assist you with the individuals you support.  

Essentially, two types of assistive technology (AT) are available for people with vision impairment: those that magnify and those that allow interaction with visual material through speech.  Magnification works for someone who still has some usable vision by allowing them to read and interact with their environment by making everything bigger. Screen readers and/or optical character recognition systems are examples of tools needed for people whose vision loss has reached a point that magnification will not work or is no longer practical. In other words, the magnification would have to be so big that it would be cumbersome to read a word or paragraph.
Thanks to recent technological advances, both of these types of AT are more streamlined and less cumbersome, as well as less costly than ever before.
Let’s take a look at some examples of magnification and other AT that you can talk to or that talks to you.

Magnification

A number of different items fall into this category, both stand-alone and hand-held such as: hand-held magnifiers, closed circuit televisions (CCTV’s), handheld CCTV’s, large-print keyboards, large monitors, and magnification software (such as ZoomText).

Because a number of people with vision impairments react strongly to light or glare and may have problems with contrast vision or the ability to see contrast between different shades of color, some of these magnifiers allow for different color contrast than normal. For example, you’re most likely reading this blogpost comprised of black letters on a white background. A person with magnification software with color contrast capability (such as ZoomText), may be reading yellow letters on a black background or any of a variety of other color schemes that work best for them. CCTV’s and handheld CCTV’s also have the ability to change color contrast as well as to magnify.


woman using magnification technology on a computer.Magnification devices are used for more than just reading; they can also be used to assist people with low vision to do self-care tasks such as trimming their nails or putting on make-up. Some magnification aids can also act as screen readers or text-to-speech when a person becomes fatigued from using magnification. These AT devices are also helpful to a person in the transition from magnification to screen readers and text-to-speech in the case of progressive vision loss.

Screen Readers, Optical Character Recognition, and 'Talking' Devices

Screen readers are software or built-in systems for a computer that enable a person who has no functional vision to access information on their computer screen. Examples of screen readers are JAWS and WindowEyes for a PC, which are separate software programs, and VoiceOver for Mac, which is built into Mac computers.


Optical Character Recognition Systems involve taking a picture of, scanning, and reading (or converting to Braille) material that is not on a computer or is not in a readable format for the screen reader. Examples are KNFB Reader for smartphones, Seeing AI for I-Phone, and OrCam MyEye.

In addition, talking devices, such as talking watches, talking thermometers, and talking thermostats allow those who cannot see to keep track of time and temperature. Another talking device is a glucometer, which makes it possible for a person be able to test their blood sugar; this is particularly critical for someone whose vision has been affected by diabetes.

Refreshable Braille Displays

Another category preferred by those who use Braille as their primary form of reading and writing are the Refreshable Braille Displays. With this portable device, a person can access information on their computer, phone, or tablet through a Braille display (controlled with pins) and a Braille keyboard. This allows them to read and write without hearing or speaking, and can be a critical piece of AT for someone who is both hearing impaired and visually impaired. The Braille Display receives information through a screen reader and converts to Braille rather than to a synthetic voice.

Smartphones and Tablets

If you are working with a person who has a vision impairment, and they have a smartphone, they already own a sophisticated piece of assistive technology that performs in ways that decades ago would never have seemed possible or affordable.
man leaning over a keyboard to see keys.

Smartphones have both built-in magnifiers (similar to a handheld CCTV) and screen readers (IPhone’s VoiceOver and Android’s TalkBack). Of the applications for persons who are blind, IPhone’s Seeing AI, which is free of charge, contains an optical character reader that reads print and handwriting, a money identifier, a color identifier, facial recognition capability, a light indicator, and product identification (through barcode recognition). Note that Seeing AI is only available for IPhones at the time of this writing, but an Android version is expected to be on the market.
Another feature IPhones have that Androids do not at this time is Voice Control – the ability for the person with a vision impairment to control the functions of their phone with their voice. A unique application available for both Android phones and IPhones is Be My Eyes. In this application, a sighted volunteer receives a video call from the person with a vision impairment and is able to literally be their eyes—to see an expiration date on a milk carton, help navigate in new surroundings, or see whatever the person needs to see.

On the topic of smartphones, BrailleWorks.com suggests the top five mobile apps for people who are blind or visually impaired.

Smart Speakers and Smart Home Assistants

Another piece of universal design technology, smart speakers, allow a person who is blind to obtain information that once required reading or viewing something. For example, the person can ask their smart speaker (which is connected to the internet) what time it is, what the weather is like outside, for a recipe, or to make a grocery list. Everyone benefits from universal design technology. Examples of smart speakers are Amazon Echo and Google Home.

You Can 'See' for Yourself 

Whether it is built-in accessibility on a smartphone, a free application, or built-in magnification on a computer, you may be able to assist someone on your caseload with accessing their world in a new way. While this is a great first step, don’t hesitate to talk with the person and their vocational rehabilitation counselor about an assistive technology evaluation. Identifying necessary assistive technology could help a job seeker meet their vocational goal.
While we’ve mentioned a number of different types of AT in this article, these are only a very small sampling and some suggestions of what is available. For more information, check out the resources below.

Resources