Demonstration of Access Options for the Computer Paul

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Demonstration of Access Options for the Computer Paul Eklund, ATP November 3, 2016

Demonstration of Access Options for the Computer Paul Eklund, ATP November 3, 2016

North Carolina Assistive Technology Program • Agency under the Division of Vocational Rehabilitation Services

North Carolina Assistive Technology Program • Agency under the Division of Vocational Rehabilitation Services (DVRS) in the Department of Health and Human Services (DHHS) • Established under the federal Assistive Technology Act of 1998 as amended in 2004, to provide assistive technology services statewide to people of all ages and abilities • Website: www. ncatp. org • Services to all 100 counties in NC through 10 regional AT centers 2

NCATP Serves: • Individuals of all ages experiencing difficulty with daily living activities •

NCATP Serves: • Individuals of all ages experiencing difficulty with daily living activities • Children, young adults, adults and older adults • Family members/caregivers • Professionals in disability related fields • Employers/employees in private/public settings • NC residents with an interest in assistive technology • No Eligibility Requirements 3

NCATP Provides: Free Services: • Hands-on demonstrations of assistive technology (AT) devices • Short-term

NCATP Provides: Free Services: • Hands-on demonstrations of assistive technology (AT) devices • Short-term AT equipment loans • AT community resource information and referral to other programs • General awareness and overview of AT • Advocacy • Funding resource information Fee-based Services: • AT Assessment, training and consultation services • Agencies like DVRS/IL, VA, Schools, Workers Compensation, and other organizations can purchase technical assistance, AT assessments, training, consultation services, and specialized workshops. 4

NCATP Fee-based Services: To make a Referral: Go to www. ncatp. org or http:

NCATP Fee-based Services: To make a Referral: Go to www. ncatp. org or http: //www. ncatp. org/Landing_referral_links. htm • Click on “Assistive Technology Assessment and Training Referrals” • Need: ‘AT Referral for Services’ form, supporting documents, authorization for payment • Questions: 919 -233 -7075 or [email protected] nc. gov 5

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North Carolina Exchange Post: • A free online service to list and find used

North Carolina Exchange Post: • A free online service to list and find used AT in NC • Provides individuals with the opportunity to sell or donate assistive technology (AT) or post AT devices they need. • www. ncexchangepost. org or www. ncatp. org 7

What is Assistive Technology? • AT Device: Any item, piece of equipment or product

What is Assistive Technology? • AT Device: Any item, piece of equipment or product system whether acquired commercially off-the-shelf, modified, or customized that is used to increase or improve functional capabilities of individuals with disabilities. • AT Service: Any service that directly assists an individual with a disability in the selection, acquisition, or use of an assistive technology device. 8

Purpose of AT Assessment: • Match needs and capabilities of the individual to the

Purpose of AT Assessment: • Match needs and capabilities of the individual to the appropriate AT device or service… • Technology itself is not the goal but the individual’s participation in their chosen activities is… 9

Outline / Objectives 1. Who may benefit from AT for improved Computer Access? an

Outline / Objectives 1. Who may benefit from AT for improved Computer Access? an individual with ALS, CVA, MS, CP, TBI, SCI, etc… anyone having difficulty using a computer successfully… 2. What are the Options available? considerations for proper selection? estimated cost(s) and funding solutions…? 3. Demonstrate a few of the Options available for effective use of the computer 10

Computer Access What Tasks do you want to Accomplish? Get on Internet, Read Email,

Computer Access What Tasks do you want to Accomplish? Get on Internet, Read Email, Do my job, Homework, Research, Learn, Play Games, Communicate, Make Lists, Compose a Paper, Banking, Get Pictures, Draw, Make Movies, Design, Create, Listen to Music, etc. > Options to promote Independent Access using the computer… 11

Seeking Solutions for Computer Access • 1. Assess and consider the Positioning of the

Seeking Solutions for Computer Access • 1. Assess and consider the Positioning of the individual and equipment? • 2. Is he/she able to use a standard keyboard and mouse? • 3. Would any of the features in “Accessibility Options” be option(s) to consider? • 4. Or, need an Alternative keyboard and/or mouse? • 5. If you have limited use of one or both of your hand(s), then what option(s) exist? • 6. What if I am not able to type or use my hands at all…? 12

Where to Start? • ASSESS, consider client positioning, especially if the individual is in

Where to Start? • ASSESS, consider client positioning, especially if the individual is in some type of mobility system… manual wheelchair, scooter, power chair? • If ambulatory, what about the chair and table heights – adjustable? • Use of a foot support? • Other factors to consider…? • We independently change our position frequently… • What is the Goal? What activity/task does the individual wish to accomplish? • Remember: the key to success – Client focused/centered 13

ASSESS and ACCESS • • • 14 Consideration of the client’s physical, visual, cognitive,

ASSESS and ACCESS • • • 14 Consideration of the client’s physical, visual, cognitive, and medical issues Functional use of hands, arms; contracture(s) present? RH or LH dominant? Categorize UE function: Poor Fair Good Very Good Trunk control: Poor Fair Good Very Good Trunk support provided? Yes No Categorize head control: Poor Fair Good Very Good Head support provided? Yes No Functional Vision? Poor Fair Good Very Good Auditory feedback needed? Yes No Comments ________________________________________________

Mouse Input In order to retrieve and/or send information from the computer, you need

Mouse Input In order to retrieve and/or send information from the computer, you need to be able to… Point Select Enter Text So… how do we ‘Point’ Typical way… we move the Mouse… 15

How do we ‘Select’? by Clicking 16

How do we ‘Select’? by Clicking 16

Mouse Clicking A mouse click is nothing more than a switch You are pushing

Mouse Clicking A mouse click is nothing more than a switch You are pushing or activating a button to make a selection

What is “Dwell”? Dwell is automatic clicking (or selecting) Software that allows you to

What is “Dwell”? Dwell is automatic clicking (or selecting) Software that allows you to aim and (dwell over) a target and select without clicking your mouse or switch

Keyboard Input • A keyboard is a device that allows one to place text

Keyboard Input • A keyboard is a device that allows one to place text into a target. 19

Accessibility Options – ‘Ease of Access Center’ • Below is screenshot of the Windows

Accessibility Options – ‘Ease of Access Center’ • Below is screenshot of the Windows page: 20

Accessibility Options – ‘Ease of Access Center’ • Good place to start is with

Accessibility Options – ‘Ease of Access Center’ • Good place to start is with the link in center of page: “Get recommendations to make your computer easier to use” Examples of suggested features: 1. Make the keyboard easier to use: Sticky. Keys 2. Make the mouse easier to use/see: Change Mouse pointer size/color 3. Make the computer easier to see: Change the size of Text and icons 4. Use the computer w/o keyboard: On. Screen Keyboard Speech Recognition (SR) 21

Alternative Keyboards 22

Alternative Keyboards 22

Alternative Mouse devices 23

Alternative Mouse devices 23

Alternative Input devices • • • 24 Headpointer Mouthstick Keyguard U-cuff Stylus

Alternative Input devices • • • 24 Headpointer Mouthstick Keyguard U-cuff Stylus

Alternative Click devices Switch Interface(s): • Swifty, USB ($ 80. ) • Switch Click

Alternative Click devices Switch Interface(s): • Swifty, USB ($ 80. ) • Switch Click USB ($135. ) These devices emulate a mouse or keyboard hit (default left mouse click) to a computer when activated. The device has a USB connection and switch input jack allowing you to attach your favorite switch to it. Note: Swifty will require a switch while Switch Click is also a switch. 25

Switch Options • There are many, many options available… too many to list: Buddy

Switch Options • There are many, many options available… too many to list: Buddy button Spec switch Pillow switch Candy corn switch Plate switch Eye brow switch Rocker switch BT switch 26

Demonstration: Alternative Devices • Keyboard(s) and Mouse/Input device • On. Screen Keyboard [option to

Demonstration: Alternative Devices • Keyboard(s) and Mouse/Input device • On. Screen Keyboard [option to use mouse click, switch (click), or dwell] • Switch Interface: Swifty USB [using a switch to perform L and/or R mouse click] 27

Speech Recognition • Dragon Naturally Speaking • Dragon Dictation (Mac) • Windows SR Microphone

Speech Recognition • Dragon Naturally Speaking • Dragon Dictation (Mac) • Windows SR Microphone Options: 1. 2. 3. 28 Noise-cancelling headset, USB Buddy Desktop, USB Bluetooth

Dragon Naturally Speaking • Tips for Improving SR Accuracy: 29 a. Utilize good (or

Dragon Naturally Speaking • Tips for Improving SR Accuracy: 29 a. Utilize good (or very good) quality noise-cancel microphone and explain need for proper positioning of the headset mic b. Quiet area c. Perform at least 1 Training/Reading script ASAP so as to allow the SR program to match your individual voice characteristics with the included 7000 word vocabulary. The Dragon software program offers a variety of Training scripts d. Speak clearly and naturally e. Speak all punctuation

DNS: Talking to my Computer • We would like you to read aloud for

DNS: Talking to my Computer • We would like you to read aloud for a few minutes while the computer listens to you and learns how you speak. When you have finished reading, we'll make some adjustments, and then you will be able to talk to your computer and see the words appear on your screen. In the meantime, we would like to explain why talking to a computer is not the same as talking to a person and then give you a few tips about how to speak when dictating. • Understanding spoken language is something that people often take for granted. Most of us develop the ability to recognize speech when were very young. We’re already experts at speech recognition by the age of three or so. 30

Windows SR: Talking to my Computer • We would like you to read aloud

Windows SR: Talking to my Computer • We would like you to read aloud for a few minutes while the computer listens to you and learns how you speak. When you have finished reading, we'll make some adjustments, and then you will be able to talk to your computer and see the words appear on your screen. In the meantime, we would like to explain why talking to a computer is not the same as talking to a person and then give you a few tips about how to speak when dictating. • Understanding spoken language is something that people often take for granted. Most of us develop the ability to recognize speech when were very young. We’re already experts at speech recognition by the age of three or so. 31

Head Mouse / Tracker • Program(s) that allow an individual to move/point the mouse

Head Mouse / Tracker • Program(s) that allow an individual to move/point the mouse cursor using head movements… select can be accomplished via ‘Dwell’ or ‘Click’ 1. Camera Mouse 2. Smart. Nav AT 3. Head. Mouse Nano 4. Tracker Pro • Typical methodology: • Camera-based (IR) • Reflective dot • Translates into cursor control 32 ( free ) ( $499. ) ( $995. )

Head Mouse / Tracker • Other wearable assistive devices: • Glassouse Mouse w/Bite Click

Head Mouse / Tracker • Other wearable assistive devices: • Glassouse Mouse w/Bite Click • Quha Zono gyroscopic air mouse – can be placed on user’s head, glasses, hat, hand, etc. • Quad. Joy – mouth-controlled computer mouse • Jouse 33

Camera Mouse • Camera Mouse is a free program that enables you to control

Camera Mouse • Camera Mouse is a free program that enables you to control the mouse pointer on your computer screen just by moving your head. • To use Camera Mouse you need a Windows computer and a webcam. Demonstration … free program Camera Mouse usi ng a Web. Cam 34

Smart. Nav 4: AT • “The Smart. Nav 4 AT is a total hands-free

Smart. Nav 4: AT • “The Smart. Nav 4 AT is a total hands-free mouse solution. With built-in Dwell Clicking Software and a free On-screen Keyboard created by Lake Software. ” • Good for individuals with spinal cord injuries, muscular dystrophy, ALS, etc. • Refer their ‘Getting Started Guide’: • Since there can be a small learning curve to using the Smart. Nav, the following tips and tricks will help get you up and going quickly. • Head Movement • You should not need to move your head much to control the cursor; by customizing the different features the Smart. Nav can easily deliver a smooth and pixel precise mouse experience. The biggest thing to remember is to remain relaxed and comfortable, do not tense up and try to control the cursor; just sit back and let your small natural head movements do the work for you. 35

Head. Mouse Nano • Head. Mouse® Nano provides hands-free access to a computer, tablet

Head. Mouse Nano • Head. Mouse® Nano provides hands-free access to a computer, tablet or Speech Generating Device (SGD). • Head. Mouse replaces the standard computer mouse for people who cannot use or have limited use of their hands. The Head. Mouse translates natural movements of a user's head into directly proportional mouse pointer movement – move your head and the mouse pointer moves as well. The Head. Mouse has a wireless optical sensor which tracks a tiny disposable target worn by the user on his/her forehead, glasses, or even a hat. It works just like a computer mouse, with the mouse pointer being controlled by head movement. • The Head. Mouse will track head movement with the user comfortably located anywhere in front of his/her computer display. With Head. Mouse Nano's high tracking resolution, pixel precise control is available to everyone. This precision allows a user to perform such tasks as drawing, photo editing, graphic illustration, and Computer Aided Design (CAD). 36

Head. Mouse Extreme • Wireless controlled Head Mouse that connects to the computer, tablet

Head. Mouse Extreme • Wireless controlled Head Mouse that connects to the computer, tablet or speech generating device through a USB port and operates using standard mouse drivers. No special software is required. The Head. Mouse is powered by the host device, over the USB connection. • With the Head. Mouse and an onscreen keyboard a person with disabilities can use any application – everything begins with access. Demonstration… Head. Mouse Extreme 37

Using Dragon with Head Mouse • Can perform web search(es) using dual programs •

Using Dragon with Head Mouse • Can perform web search(es) using dual programs • Is helpful for scrolling on a web page • Can be helpful with MS Excel spreadsheets, esp. using voice to move cursor – speak command “Tab”, and/or to make appropriate selection within the drop down menus… • What else? Demonstration… using Dragon Naturally Speaking with the Head. Mouse Extreme 38

Mouse Emulation • Will allow a power wheelchair (PWC) user to utilize their driver

Mouse Emulation • Will allow a power wheelchair (PWC) user to utilize their driver control, i. e. , joystick, to operate their computer mouse • Quantum (Pride), Permobil, Invacare and Sunrise Medical • Older PWC models may require either a control module and/or an electronic upgrade – ask your WC vendor • Today’s world of Technology will allow PWC user to access mobile devices through their driver control… No Demo available 39

Eye Tracker/Gaze • Tobii. Dynavox PC Eye Go The Tobii Dynavox PCEye Go is

Eye Tracker/Gaze • Tobii. Dynavox PC Eye Go The Tobii Dynavox PCEye Go is a peripheral eye tracker that enhances computer accessibility with the speed, power and accuracy of gaze interaction. The device replaces the standard mouse, allowing you to navigate and control a desktop or laptop computer using only your eyes. • Typical methodology: Invisible IR light on the surface of the eye reflection on the pupil that the eye control camera can track The software correlates reflected light and the computer mouse with info collected during calibration 40 NOTE: The PCEye Go has been replaced by the Tobii Dynavox PCEye Mini

Summary • Start with the client • Consider client positioning and computer workstation layout

Summary • Start with the client • Consider client positioning and computer workstation layout • Assess his/her ability to effectively use an input device (mouse) meaning demonstrated ability to ‘Point’ (Move) and to ‘Select’ (Click) as well as Keyboard Input/entry • Evaluate alternative keyboard(s), mouse • Would SR be an option to consider? • Given client has limited or no UE function, consider Head tracking or other alternative input device • Mouse emulation for PWC user • Device trial(s) via local AT Center

Questions / Answers Paul Eklund, ATP WFBH Medical Plaza-Miller, 131 Miller Street, W-S 336.

Questions / Answers Paul Eklund, ATP WFBH Medical Plaza-Miller, 131 Miller Street, W-S 336. 716. 8030 paul. [email protected] nc. gov www. ncatp. org 42

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