Full Issue: AccessWorld January 2009

Product Features

Product Features

Feature: Verizon Coupe cell phone.

Dedicated speed-dial keys for emergency numbers: Yes.

Supports picture and text messaging: Yes.

Built-in speakerphone: Yes.

Voice dialing for hands-free calling: Yes.

Headset Jack: Yes.

Alarm: Yes.

Calculator: Yes.

Calendar: Yes.

Vibrate mode: Yes.

Phonebook capacity: Up to 500 Contacts.

Multiple numbers per name: Yes, 5.

TTY compatible: Yes.

M3 hearing aid compatible: M4, T4 rating.

Talk time: Up to 216 minutes.

Standby Time: Up to 228 hours.

Feature: PANTECH breEZe.

Dedicated speed-dial keys for emergency numbers: Yes.

Supports picture and text messaging: Yes.

Built-in speakerphone: Yes.

Voice dialing for hands-free calling: No.

TTY compatible: Yes .

Talk time: Up to 180 minutes.

Standby time: Up to 250 hours.

Supports instant messaging: Yes.

Supports e-mail: Yes.

Web browser: Yes.

Camera: Yes.

Video capture: Yes.

Bluetooth capability: Yes.

Calculator: Yes.

Two phone modes: Easy and Advanced.

Product Information

Product: Coupe.

Manufacturer: UTStarcom, 1275 Harbor Bay Parkway, Alameda, CA 94502; phone: 510-864-8800.

Service Provider: Verizon Wireless: phone: 800-256-4646; web site: www.verizonwireless.com.

Price: $19.99 with a two-year service plan.

Product: breEZe.

Manufacturer: Pantech North America Headquarters, 5607 Glenridge Drive, Atlanta, GA 30342; Pantech Mobile Phones Customer Support: 800-962-8622; e-mail: HandsetHelp@Pantech.com.

Service Provider: AT&T Mobility, Glenridge Highlands Two, 5565 Glenridge Connector, Atlanta, GA 30342; phone: 800-331-0500.

Price: $99.99 with a two-year service plan and a $50 mail-in rebate.

If you would like to comment on this article, e-mail us at accessworld@afb.net.

Editor's Page

In this issue, Darren Burton evaluates the new iPod Nano with talking menus. Apple has released this new, accessible iPod, and has improved access to the latest version of iTunes on both the Macintosh and PC platforms. The article also discusses the I-Tell, a new product from Cobolt Systems that can connect to many of the Apple iPod products to create a spoken interface for accessing music on the iPod. Read about these new products.

Lee Huffman, of AFB TECH, reviews the Verizon Wireless Coupe phone and the PANTECH breEZe from AT&T, two cell phones that are marketed as having large fonts, bright screens, and easy-to-use features. These phones were designed for older persons, but they are also useful for people with low vision. Find out how we rate these phones and how they could be improved.

Deborah Kendrick interviews Mike May, president of Sendero Group, to learn how Sendero collaborated with Code Factory to create Mobile Geo, a GPS program that runs on cell phones. Instead of standing pat, May realized that his product needed to grow and work on different platforms. Read about how two companies worked together to make GPS technology more portable and available to many more people who are blind.

Bradley Hodges, of AFB TECH, writes about ScripTalk, a device that speaks information on prescription bottles. ScripTalk speaks the information that is stored on radio frequency identification tags to tell you vital information about the medicines that you need to take. Find out how this technology works and how well this device performed.

Jay Leventhal
Editor-in-Chief

Calendar

January 28–31, 2009

Assistive Technology Industry Association (ATIA) 2009 Conference

Orlando, FL

Contact: ATIA, 401 North Michigan Avenue, Chicago, IL 60611; phone: 877-687-2842 or 312-321-5172; e-mail: info@atia.org; web site: www.atia.org.

March 2–6, 2009

20th International Conference of the Society for Information Technology and Teacher Education

Charleston, SC

Contact: Conference Services, Association for the Advancement of Computing in Education, P.O. Box 3728, Norfolk, VA 23514; phone: 757-623-7588; e-mail: conf@aace.org; web site: http://site.aace.org/conf.

March 16–21, 2009

California State University at Northridge (CSUN) Center on Disabilities' 24th Annual International Conference: Technology and Persons with Disabilities

Los Angeles, CA

Contact: Center on Disabilities, CSUN, 18111 Nordhoff Street, BH 110, Northridge, CA 91330-8340; phone: 818-677-2578; e-mail: conference@csun.edu; web site: www.csun.edu/cod/conf/index.html.

July 3–8, 2009

National Federation of the Blind National Convention

Detroit, MI

Contact: National Federation of the Blind, 1800 Johnson Street, Baltimore, MD 21230; phone: 410-659-9314; e-mail: nfb@nfb.org; web site: www.nfb.org/nfb/national_convention_2008.asp.

July 4–11, 2009

American Council of the Blind National Convention

Orlando, FL

Contact: American Council of the Blind; phone: 202-467-5081; e-mail: info@acb.org; web site: www.acb.org/convention/info2009-1.html.

July 14–16, 2009

QAC Sight Village

Birmingham, UK

Contact: Queen Alexandra College; web site: www.qac.ac.uk/sightvillage/index.html.

October 28–31, 2009

Assistive Technology Industry Association (ATIA) 2009 Chicago Conference

Schaumburg, IL

Contact: ATIA, 401 North Michigan Avenue, Chicago, IL 60611; phone: 877-687-2842 or 312-321-5172; e-mail: info@atia.org; web site: www.atia.org.

Going New Places: Bringing Sendero GPS to the Cell Phone

In 1994, Mike May garnered attention in the blindness community and beyond with his laptop in a backpack that could tell him the roads and turns to take from, say, the Minneapolis airport to a desired hotel. That product was called Strider, and, dazzling as it was, skeptics wondered aloud if it would ever become something more than a prototype for the benefit of Mike May and maybe a few others. May was a man with a mission, though, and he could see clearly the benefit of wayfinding technology for people who are blind or have low vision. Today, most people who are visually impaired who use technology either own or are familiar with the concept of GPS (global positioning system) devices—and, indeed, many sighted people have these electronic homing pigeons on the dashboards of their cars. Through his company, Sendero Group, May has seen GPS devices for blind people shrink from the laptop in a backpack to HumanWare BrailleNote Classic to the smaller BrailleNote PK and now, with the company's newest collaborative effort with Code Factory, to the still-smaller Mobile Geo.

A professed lover of the BrailleNote PK himself, May said that his company recognized that the Sendero GPS product needed to grow, to offer blind people more choices. A software development kit was the next item on the agenda, rendering the Sendero GPS software an available platform for integrating into other products.

Beyond HumanWare's BrailleNote family of products, the next expansion was a collaboration with GW Micro, making GPS an option on the company's Braille Sense line of products. But the "holy grail," May said, was to go the way of the mainstream market, getting the software onto a handheld device.

Sendero GPS is a Windows-based product. Although the company sells and promotes both TALKS and Mobile Speak screen-reading programs for cell phones and PDAs (personal digital assistants), only Mobile Speak runs on both Symbian and Windows platforms. Thus, a dialogue with Code Factory of Spain, manufacturer of Mobile Speak, was begun.

After just one visit by Sendero staff to Code Factory's headquarters, it was clear that the two companies would work well together. It was a pleasure, May said, to work with a company that was so nimble and whose culture was so similar to that of the Sendero Group. "Once they finally put the project on the drawing board," May said, "things happened very quickly."

Today, Sendero's GPS, running with Code Factory's Mobile Speak, can run on some 300 Smartphones and PDAs, available through U.S. phone service providers AT&T, Nextel, Sprint, and Verizon. A phone or PDA is a personal device, May explained, requiring that a customer hold it and explore the buttons. Thus, customers purchase the handheld device of choice and then, from Sendero or Code Factory, purchase Mobile Geo to run on that phone or PDA.

The challenge in running the Sendero GPS on a handset was primarily the limitations of a smaller keypad and, of course, the availability of voice-only, rather than voice and braille information, as with the BrailleNote products. "If you want to find the nearest Starbucks," May offered as an example, "you press the letter 'f' plus space bar on the BrailleNote, enter the text string for Starbucks, and press Enter. That's 10 keystrokes. On a phone's keypad, it could be 44."

Part of the solution to circumvent this lack of convenience is shortcuts. Every number from 0-9 on the phone keypad is a Sendero GPS shortcut. An additional advantage offered by a cell phone is the ability to vibrate. Thus, a variety of vibration patterns provide quick alert information to the user.

Knowing that many people who are blind are already familiar with the Morse code (because of the popularity of ham radios among them), it made sense to attach this system to the available vibrations to provide alerts. The combination of long and short signals to spell "CI" to alert the user to a new city, "T" for an upcoming turn, and so on renders the handset version more efficient and user-friendly. Pressing a single key on the keypad to find out the nearest intersection or turn is another work-around for the smaller keypad's limitations.

Which Way to Go with GPS Products?

Any product that runs the Sendero GPS software—a BrailleNote mPower, BrailleNote PK, Braille Sense, or any one of the 300 products on the market that is capable of running Mobile Geo—will have the same features. You can map a route to your next destination or just find out where you are currently exploring. You can stay indoors before you venture into the larger world and use the software to look around and find potential roads or points of interest. You can check distances or find out how fast you are walking or riding in a vehicle. The advantages, according to May, are mostly a matter of personal preference.

A blind person who prefers products with voice output will probably enjoy having his or her GPS software on a handset, whereas a person who prefers reading information in braille will be happier with a BrailleNote PK or Braille Sense. May said that he has three devices with him most of the time—a cell phone with Mobile Geo, another cell phone (Nokia N82) with the knfbReader software and Wayfinder Access, and a BrailleNote PK.

The "holy grail" now would be one handheld device to perform all the technological functions that are available to blind people on the go. Toward that end, May said that he looks forward to a time when the knfbReader software can run on a Windows-based phone or, conversely, when the Sendero GPS can run on a Symbian phone.

Meanwhile, the company that believes that "It is better to travel hopefully than to arrive" is constantly exploring opportunities for improving the tools that already exist.

If you would like to comment on this article, e-mail us at accessworld@afb.net.

Focusing on Cell Phones: A Review of the Coupe and breEZe for People with Low Vision

According to the U.S. Census Bureau, more than 37 million Americans are aged 65 or older. Of these 37 million older persons, 5.5 million are blind or have low vision. The Verizon Wireless Coupe phone and the PANTECH breEZe from AT&T have been designed for and marketed to this growing community of older persons with visual impairments, boasting of having large fonts, bright screens, and easy-to-use features.

The truth is that not only older persons appreciate these types of features. So do the 20 million Americans, of all ages, who say they have trouble reading even with the aid of their eyeglasses or contact lenses. The question concerning these phones is this: Are they really that much better suited to people with "aging eyes" than all the other cell phones on the market? This article examines these two phones, taking into consideration their physical design, features, and display-screen characteristics and the user manuals and accompanying documentation.

What is so important about the user manual and documentation? you may ask. The answer is a whole lot. Everyone, including people with visual limitations, needs to be able to read a user manual to learn about a phone's features and how to use them. When manuals are printed in small fonts; use italic or scripted fonts; or include small diagrams, pictures, or icons, they are more difficult to read.

Text presented in light colors and text printed over pictures are also difficult for people with visual impairments to read. Although it may be great to have phones with large buttons and bright screens, how useful are they if the instructions are not readable? I make this point because time and time again I see manuals printed in small fonts, and what manufacturers of all products need to understand is that the smaller the manual's fonts, the fewer people can read them. If you cannot read the manual, it only stands to reason that you cannot independently learn to use all the functions of the product.

The Verizon Coupe

Physical Description

The Coupe, made by UTStarcomm, is a 3.8 by 1.8 by 0.8-inch shiny black flip phone weighing 3.3 ounces. The Coupe has a monochrome 1.1-inch diagonal external display on the front, which displays the date and time information as well as signal and battery strength, and shows caller ID. The time is displayed in 16-point font, while the date and other text are displayed in 11-point font. A dedicated Voice-dial button and charger jack are on the Coupe's right side, and the volume rocker and headset jack are on the left.

The Verizon Coupe, showing the high-contrast display and number keypad.

Caption: The Verizon Coupe phone.

When you open the phone, you find a lighted number keypad and a 176- by 220-pixel color screen. Below the display is a row of three letters in red, "I," "C," and "E," which stand for In Case of Emergency. Each letter represents a button that can be assigned to an emergency number of your choice. To assign the number, you press the key and follow the voice prompts. Below the hinge of the phone are the navigation buttons. They consist of two soft keys; a four-way toggle that doubles as four user-defined shortcuts; a middle OK key; and then the Send, Clear, and End/Power keys. There are also a dedicated Speakerphone key and a 911 key. The buttons below the I, C, and E keys and just below the hinge of the phone are actually the Menu buttons.

Display Screen Characteristics

The menu interface is easy to understand, with larger-than-usual fonts for improved legibility. You can adjust the dialing font for a larger size, and there is a backlight timer for the display.

The majority of text on the display screen is in 11-point font, including the splash screen, menu items, and text messaging. When highlighted, the items in the main menu expand to a 14-point font, and the items in the subsidiary menus (including contacts) increase to a 12-point font. Also, the dates in the calendar are normally 7-point, but increase to 11-point font when a specific date is selected.

Features

Aside from the emergency keys, the Verizon Coupe is a fairly basic phone. In fact, there is no multimedia messaging, no Web browser, no Bluetooth capability, and no camera, but this can be a good thing if these are features that you would not want to use anyway. However, the phone does have a 500-entry address book, with room in each entry for five numbers. Each entry can be assigned a ring tone and an alert. Other features of the Coupe include a Speakerphone, vibrate mode, text messaging, a calendar, an alarm clock, a world clock, a notepad, a stopwatch, and a calculator. You also have a choice of 10 wallpapers, two menu styles, and greeting banners. The phone is also TTY- and hearing aid-compatible. The Coupe has a rated battery life of 3.6 hours of talk time and 9.5 days of standby time.

A Coupe feature that is helpful to people with low vision is the spoken menus option. This feature reads aloud the highlighted menu item as you scroll through the menus. Unfortunately, this feature does not work on all levels of menus. As you go deeper into the menus, the reading aloud feature is not available, although the audio feedback does work with text messaging.

Another Coupe feature that is helpful to people with low vision is voice dialing. This feature allows you to say the name of a person whose phone number is stored in your Contacts list, and the phone automatically dials the number for you. By using this feature, you do not have to negotiate the on-screen menus visually and scroll through your Contacts list to find the name of the person you want to call.

User Manual and Documentation

The documentation for the Coupe is presented in an easy-to-understand format. This is especially true for the All the Basics You Need to Get Started booklet. The majority of its text and the text of the User Guide are presented in a 12-point font. The text of the Understanding Your Service manual is printed in 11-point font. While not large print by any standard, these font sizes are actually larger than those of the manuals of many other cell phones.

What Would Make It Better for People with Low Vision?

It is clear that Verizon has made an effort to offer a phone for its customers who may have some "special" needs. There are, however, aspects of the phone that, if modified, would better meet the needs of customers with low vision. Many will appreciate the larger fonts and spoken menus, as well as the more simplified interface and the fact that the phone offers basic features. While the Coupe is a step toward increasing accessibility, modifications could be made to increase the phone's usability and accessibility to people with low vision.

Physical Design
  1. The phone itself can be difficult to open, especially if a person has limited manual dexterity. I have no dexterity problems, but found the phone awkward to open. A protruding edge that is easy to find and feel would help a great deal.
  2. The charging jack on the side of the phone needs to stand out more visually and tactilely. If the jack cover were white, it would stand out better from the black phone. As it is, it is difficult to feel with your fingers and difficult to open. You need to use your fingernail to open the jack's cover. People who have reduced sensation in their fingers may not even be able to open the cover.
  3. The dialing pad of the phone is black, as is the phone, which can be a problem for people with low vision. In addition to having dialing buttons with large, labeled, backlit numerals, the buttons also need to contrast highly with their surroundings to make them easier to see.
  4. The Send, Clear, and End Call buttons are narrow and can be hard to press. A wide finger could easily press the wrong button.
  5. The 911 button is located close to the End Call button—too close, in fact. It would be easy accidentally to call 911 instead of pressing the button to end your call. Moving this emergency button to a more out-of-the-way place on the dialing pad would help ensure that customers would not press it inadvertently.
  6. While it stands out well both visually and tactilely, the volume rocker on the side of the phone is also very sensitive. Several times while using the phone, I inadvertently turned the volume up and down during a call.
  7. The I, C, and E emergency buttons can be confusing for some people, who may try to press them to activate the main menu. It may seem logical to some people because the I key is just under the word "Menu" on the screen.
  8. Another suggestion is to have tone feedback for the user when dialing buttons are pressed.
Screen Display Characteristics
  1. It is somewhat disappointing that the screen does not set to a high-contrast and large-font setting that you would think would be standard for baby boomers and elderly people; you can set up these options manually, but they are buried within menus. My question is this: Why not have then as the default? If you want the fonts smaller, make that the setting to change.
  2. A brightness setting would also be a helpful addition.
Features
  1. Having spoken menus available for all the menus of the phone, especially the Contacts list, would greatly increase the phone's accessibility to people with low vision. Many people with low vision appreciate, if not rely on, the auditory confirmation of the words they are trying to read on a phone's display screen.
User Manual and Documentation
  1. While the Quick Start and documentation are presented in an easy-to-understand format, and it is easy to look up information about the phone, it would be better if the print were in a larger font. The American Printing House for the Blind recommends at least an 18-point font for people with low vision.
  2. The icons that are used in the documentation to indicate particular buttons also need to be larger. The print in the picture of the buttons is smaller than the standard type and, thus, is harder to read.
  3. More specific instructions for entering information into the phone and text messaging need to be included in the Quick Start guide. This information also needs to be more clearly explained in the User Manual. Older persons and others who are unfamiliar with these tasks need more simplified instructions to understand and use these features.

The PANTECH breEZe from AT&T

Physical Description

Measuring 4 inches by 2 inches by 0.7 inches and weighing 3.4 ounces, the breEZe is a slim flip phone with a white pearlescent finish. There is a 1.04-inch diagonal screen on the outside that displays the date, time, and caller ID. Flip the handset open to see its three quick-dial buttons labeled 1, 2, and 3, which can be assigned for emergency or speed dial purposes. These buttons are set below a 2.2-inch 250k colors TFT LCD screen. The lighted keypad buttons are fairly large. On the side of the handset, there is a slender volume rocker and a charging port/nonstandard headphone jack.

Pictures of the breEZe phone from the side, front, back, and the open phone.

Caption: The breEZe.

Below the hinge of the phone are the navigation buttons. They consist of two soft keys, a four-way toggle that doubles as user-defined shortcuts, a middle OK key, a Speakerphone key, and a Camera button. The dedicated Camera button is a helpful feature that eliminates the need to navigate through several menus to take a picture. The Send, Clear, and End/Power keys are at the top of the standard dialing pad, which is separated from the navigation buttons by the silver faceplate that surrounds the keypad area.

Display Screen Characteristics

The breEZe has two interfaces from which you can choose: Easy and Advanced. Both interfaces can be set to larger fonts for improved legibility, and there is a backlight timer and brightness adjustment for the display.

When set to large fonts, the majority of text is in 11-point font, which includes the text buttons at the bottom of the screen, the main menu items (when highlighted, these items become 13-point font), and texting. However, all menus that are accessed immediately after the main menu have item choices in 15-point font. The next level of item choices is in 11-point font. The only exceptions are the options under contacts and phone settings, both of which are in 9-point font. The date on the main screen is in 8-point font, while the time is in 14-point font.

Features

As I mentioned before, the breEZe has two interfaces from which you can choose. The Easy mode is a text-based menu interface that provides access to the most commonly used features. The Advanced mode uses an icon format for navigating the system and provides access to the advanced features.

The breEZe has all the features you would expect to find on a midrange phone. There is a calendar, calculator, VGA camera, photo and video albums, an alarm clock, stopwatch, business card setup, note pad, and voice memo, as well as text messaging, e-mail, and instant-messaging programs. The phone has 21.3MB of memory for pictures, ringtones, and games, and the Obigo web browser can handle basic Web pages. The phone also comes with several demo games and Bluetooth and TTY capabilities.

As I previously mentioned, the breEZe also has a Speakerphone and three quick-call keys that can be used for emergency or frequently dialed numbers. It offers 3 hours of talk time and 250 hours of standby time.

User Manual and Documentation

The Quick Start Guide for the breEZe is printed in an accordion-style fold-out brochure. Its main text is printed in 8-point font, and the gray-colored subtext is in 7-point font. There are also some "fine print" and disclaimers in 6-point font. The majority of the information and instructions in the User Guide are printed in 10-point font.

The Quick Start Guide and User Manual have small pictures, diagrams, and icons within the text that are not readable by many people with low vision, and the light blue and gray type does not provide sufficient contrast that many people with low vision need to read text.

What Would Make It Better for People with Low Vision
Physical Design
  1. The keypad buttons on the breEZe need to contrast better with their surroundings to make them easier to see. Black would provide a higher contrast and make the buttons stand out more sharply than does the gray faceplate that surrounds them.
  2. The headphone jack/charging port on the side of the phone needs to stand out more visually and tactilely. If the jack cover were black, it would stand out better from the white phone. The engraved icons on its cover are extremely small as well, and would not be visible to a person with even a minor degree of vision loss. As it is, the jack's cover is difficult to feel with your fingers and to open. You need to use your fingernail to open the jack's cover. People with reduced sensation in their fingers may not be able to open the cover to charge the phone.
  3. The three quick-dial keys below the screen need to contrast more sharply with their surroundings. For example, if they were black or red with white numerals, more people with low vision would be able to see them more clearly.
  4. If you are accustomed to taking pictures with a cell phone, it may take some getting used to with the breEZe because the camera lens is awkwardly placed. If you are not careful, you may cover it with your finger.
  5. The volume rocker on the side of the phone could be more tactile as well. A better tactile distinction between the Up and Down volume buttons would make the buttons easier to find and use.
  6. Placing a traditional nib at the center of the 5-key would assist users with orientation. This phone uses a raised line along the top of the 5-key. Because the raised line is located so close to the space between the 2- and 5-keys, it is more difficult to feel.
Screen Display Characteristics
  1. While the breEZe has a good-quality display, it is disappointing that the screen does not default to a large-font setting; you can set that option manually, but it is buried within menus.
  2. It seems odd that the items in the second layer of menus are actually larger than the items in the Main menu. I am all for making all fonts as large as possible in every situation. If there is room to make the letters larger, I say, "just do it." For example, even though the numbers that are displayed on the breEZe's screen while you are dialing are extra large, there is room on the screen to make them much larger. So why not make them larger?
Features
  1. Having spoken menus available for all the menus of the phone would greatly increase the phone's accessibility to people with low vision. As I mentioned previously, many people with low vision appreciate or rely on the auditory confirmation of the words that they are trying to read on the phone's display screen.
  2. Creating a phone in which you can select the level of features you want, either a basic or more advanced set of features, is an interesting idea and may work well for many. After they use the phone for a while and become more accustomed to it, some people may want to switch from the Easy to the Advanced mode. At the same time, if a person will use only the basic features, having two modes may make it more complicated and confusing if, for some reason, the modes setting becomes changed.
  3. The breEZe phone claims to be easy to use, and while I would not say it is difficult, I will say that it is no easier to use than most other phones with a moderate level of features.
User Manual and Documentation
  1. This phone is supposed to be for those who may want or need a phone with large buttons, larger screen fonts, and high-contrast displays. So, why is the Quick Start Manual, the document that you consult to get started using the product, printed in 6-, 7-, and 8-point font, which the majority of this phone's intended market cannot even read? The print definitely needs to be in larger fonts.
  2. The icons that are used in the documentation to indicate particular buttons also need to be larger. The print in the picture of the buttons is smaller than the standard type and thus is harder to read. Using light colors for text also makes it more difficult to read and should be avoided.
  3. More specific instructions for entering information into the phone and text messaging need to be included in the Quick Start Guide. This information also needs to be clearly explained in the User Manual. People who are unfamiliar with these tasks need simplified instructions to understand and use these features.

One other point I will be making in my upcoming articles is the need to have clearly labeled chargers for devices. We have so many chargeable gadgets today that it is difficult to be sure which charger goes with which device. All chargers for all devices need to be clearly labeled with large-print stickers to make it easier to keep track of which charger powers which product.

The Bottom Line

Verizon and AT&T have both taken steps to increase the accessibility and usability of their products for people who have aging eyes or some degree of vision loss, and their efforts are appreciated. I would encourage them to incorporate the suggestions in this article into future phones.

As the American population and its eyes age, there will be an increasing market and demand for phones with large fonts; high-contrast screens; and large, labeled buttons. It is important for phone companies to make sure that these types of phones are not only available, but properly promoted and publicized so people will know they are available.

When I went into my local Verizon store, the Coupe was not on display. I asked about it, and the sales clerk said that the store had a couple of Coupes in the back, but none on the store's shelves. In the local AT&T store, the breEZe was on display, but in the back corner.

If you are in the market for a cell phone with these types of features, definitely check out the Coupe and breEZe. Be proactive and ask for these phones by name; also ask to see other phones with similar features. Ask the sales clerks to set the large fonts setting and any other settings, such as brightness or contrast, that may help you better read a phone's screen before you decide to buy a particular phone.

At the time of publication, we learned that the Coupe is being phased out of Verizon's product line. It is being replaced by the Samsung Knack, which has similar features.


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View the Product Features as text

Now Speaking: Apple Adds Speech Output to the iPod Nano

In the September 2008 issue of AccessWorld, I opened my article on digital audio players by telling you it was the last in a series of articles on the subject. However, just about the same time that the article was being posted, some exciting news about iPods prompted me to write another article. I received an e-mail message from Apple announcing a new iPod Nano with talking menus. Apple also announced improvements in the accessibility of its iTunes software on both the Macintosh and PC platforms. At about the same time, a couple of our colleagues in the blindness community called AFB TECH (www.afbtech.org) to tell us about the I-Tell, a new product from Cobolt Systems that can connect to many of the Apple iPod products to create a spoken interface for accessing music on the iPod. This article details our experiences in the AFB TECH lab examining these new products. I start with the new Nano and its accessibility advancements. Next, I discuss iTunes on the Mac using its built-in VoiceOver screen reader, as well as on the PC using the JAWS, Window-Eyes, and System Access To Go screen-access products. I then cover our testing of the I-Tell product and end with a section on other updates, news, and announcements regarding accessible digital audio players.

The New iPod Nano 4th Generation

The exciting news about the iPod Nano 4th Generation is that Apple has designed it to be accessible to people with visual impairments. It has speech output for accessing nearly all its menus and functions and speaks the names of all your songs and other content that you load onto it. This built-in accessibility comes at the same price paid by the general public, with no added costs, or blindness tax, that we often have to pay to use today's technology.

A person's hand operating an iPod Nano. The menu shows that Music has been selected.

Caption: A hand holding an iPod Nano.

Priced at $149.99 for the 8 GB model or $199.99 for the 16 GB model, the new iPod Nano 4th Generation measures 3.6 inches tall by 1.5 inches wide by 0.24 inches thick and weighs 1.3 ounces. It has a sleeker feel than the 3rd Generation Nano, with an elliptical shape rather than squared edges on the sides. If you were to look straight at the top or bottom panels, you would see an elliptical shape instead of a rectangular shape. The 4th Generation is also taller and narrower than its predecessor, but has the same ports and controls. Below the high-contrast color display screen, it still has Apple's patented click wheel, which consists of a center Select button surrounded by a larger circle. The click-wheel concept comes into play when you want to adjust the volume or scroll through a menu or song list. Instead of pressing buttons to accomplish these tasks, you simply run your finger along the outer circle. You move your finger clockwise to increase the volume or to move forward in a list of menu items and counterclockwise to decrease the volume or to move back in the menu list. You hear an audible click sound as you increase the volume by each unit or as you go from one menu item to another. The center button is used to select a menu item. You can also press in on the click wheel at the 12:00, 3:00, 6:00, and 9:00 positions for other menu-navigation and music-management functions.

The top panel of the Nano has a slider switch for locking the click wheel, so it is not inadvertently clicked while in your pocket or purse. The bottom panel has a headphone jack on the right and a long, slim port for connecting the Nano to your computer via its proprietary USB cord. You connect the Nano to your PC to charge it and to load songs and other content.

What Is the Nano's Voice Like?

The voice of the Nano's speech synthesis depends on whether you are using a Mac or a PC to load songs. If you are using a Mac, the Nano's voice will be the voice you are using with VoiceOver, the Mac's built-in screen reader. By the way, Alex, which is VoiceOver's default speech synthesizer, is, in my opinion, the best synthesizer that is available. I still love the Eloquence synthesizer I use on my PC, but Alex is the most natural-sounding speech synthesizer I have used. If you are using a PC, the Nano's voice will be one of Microsoft's voices that come with the Windows operating systems. You can go to the Windows Control Panel and choose the Speech control to choose among the Mary, Mike, or Sam voices. Although those voices may not be the quality you are used to, they are not bad, and they are easy to get used to.

When discussing the new Nano with a representative from Apple, I learned that the Nano does not actually have built-in text-to-speech capabilities. Instead, spoken audio is generated using the synthesized voice of the computer, and downloaded as audio files along with the music. This saves space on the iPod, and it also lets you add a new voice any time you want—even in another language—just by loading a compatible voice on your computer.

Although the Nano's voice is not enabled out of the box, it is automatically enabled when you connect it to your computer and go through the initial setup process. The voice will also use the speech settings that you have set on your computer, such as speed and pitch, but you cannot adjust these settings on the Nano. To change the speech settings, you first have to turn off the voice using the Nano's menus, then adjust the voice to your liking on the computer, and finally reconnect the Nano to the PC to reload the audio files with your new settings.

What Does the Voice Support?

Although the voice does not support every single feature and function of the new Nano, it does support all the major ones. It reads all the main menu items, which include Music, Videos, Photos, Podcasts, Extras, Settings, Shuffle Songs, and Now Playing. Other than Extras, it supports all the menus and features that are related to these items, except for just a few of the Settings—those that relate to the time and date and choosing to have certain menu items not appear. The Extras—alarms, calendars, clocks, contacts, games, notes, and stopwatch—are not yet supported by speech. There is also a Search tool in the music menu that is not supported by speech. It is used to do a keyword search for songs and is useful especially when you have filled up your Nano with thousands of songs. Although the voice tells you when the battery is low, there is no way to query the current battery level. And during our testing, when it warned us of a low battery, the battery was actually almost dead, so we would have been out of luck if we had not been near our computer to recharge it. Similarly, you have to have the Nano connected to your computer and use iTunes to find out how much memory you have left.

Even though there are some limitations, Apple has done a great job of providing speech support for this Nano. It does a great job of supporting the features related to listening to music, which is, of course, the main function of the iPod. You can browse your collection by playlist, artist, album, song, genre, and composer, and you can stop playing at any time and press the center Select button to learn the song's title and artist. The Nano also supports listening to books from Audible.com. One of the really nice features of the Nano's spoken menus is what Apple calls "ducking," which automatically lowers the volume of the music if you access the menus while listening to music. Then, the music volume is automatically brought back up to the previous listening level. It's a small thing, but it makes a real difference in the intelligibility of the voice, so you don't miss something you were trying to hear.

Is the Click Wheel Easy to Use?

Although the click wheel takes a bit of getting used to, it can be used effectively by a person who is blind or has low vision. However, with the Nano's new sleek design, the click wheel has become slightly more difficult to identify and use tactilely. There is not quite as much tactile differentiation between the wheel and the panel and between the wheel and the center Select button. You will have to get used to navigating with the click wheel and not accidentally move past your desired menu item when you move your finger to the center Select button. Although the tactile nature of the click wheel is not perfect, I have been able to use it effectively with minimal practice.

I usually set the lock switch to its locked position to make sure that I do not accidentally hit the click wheel to turn it on while it is in my pocket. I also lock it if I am active while listening to music, either walking at the lake or working out at the gym. That also helps to avoid one minor problem that is related to the "Accelerometer," which is an interesting new feature of the new Nano. The Accelerometer senses the Nano's movement and acts accordingly. If you are watching a video and turn the Nano sideways, it adjusts the video 90 degrees on the display to provide a wide angle or landscape view of the video. Another nice feature of the Accelerometer is that if you shake your Nano, it sets it to shuffle and plays your songs in random order. However, the problem with the Accelerometer is that it can interrupt your music with speech. If you are listening to music, it displays information about the current song, such as its name, artist, and album. If you turn it sideways, it displays the album cover and album information for the current song. The problem is that if you turn it sideways, it also interrupts the music and says "cover flow," and it says "now playing" when you turn it back. Locking the switch at the top of the Nano avoids that interruption.

A Couple of Problems We Experienced

We experienced a couple of strange problems while testing, and although they probably will not occur with all Nanos, we have to report them.

First, I loaded some random music from my collection of MP3 and iTunes music onto my new Nano set up with our Mac computer. Occasionally, the Nano would not speak the name of a song, artist, or album as I scrolled through the music. We tested the same tracks on another Nano set up with a PC, and the same thing occurred, but slightly differently. For example, the same album would have a few missing track names, but they would be different songs from those on the Mac Nano. However, I have to admit that the collection of music that I have stored on my computer comes from a wide variety of sources, including various Internet downloads, various versions of iTunes downloads, ripping commercial CDs, and Tivo recordings from live television performances, and some of it is music collected during user studies in our lab. Some of it is also fairly old, so my digital music may not be in the best shape. Although we could not figure out any logic behind what names would not be spoken, it could well have been due to the condition of my digital music collection. We did some additional testing with new music purchased from iTunes, Amazon, and Emusic and ripped music from newly purchased commercial CDs, but the Nano had no problems reading the names of any of that music.

The second problem occurred with the Nano we set up with a PC, but this is a general issue, not an accessibility issue. On the second day of testing, we connected it to the PC, and the iTunes software reported that it had been set up with a Mac and had to be reformatted. However, reformatting the Nano did not help. We called support at 800-APL-CARE (275–2273) and were told to update to Windows XP Service Pack 3. When updating did not solve the problem, we called support again and were told to update to iTunes 8.0.1 and then reformat again. That suggestion solved the problem, and it has not occurred since.

Overall, we found support to be good. When we could not figure out how to import music from a thumb drive, the agents at 800-APL-CARE talked us right through to the solution. Apparently, you first have to copy the music onto your PC.

Documentation at Apple's New Accessibility Page

When Apple launched the new Nano, it also launched its new accessibility Web page at www.apple.com/accessibility. This page has a wealth of information about the accessibility of Apple's products, and you can learn more about the Nano there, including setup instructions and the online manual. The manual is in PDF format, but has been designed to be accessible to screen readers. I found it to be more accessible than most PDF documents I have come across, but I sometimes had to change the reading order of the document. You should be able to access all the information if you know the techniques for using your screen reader with Adobe Reader. Adobe's user guide for accessing PDF documents with screen readers can be found at www.adobe.com/accessibility/products/reader.

Low Vision Accessibility

The Nano 4th Generation features a high-contrast color screen, and you can adjust the font size between a standard 10-point font and the large 12-point font. The large size is still too small for most people with low vision to read, but combined with the high-contrast display, it may be OK for a person with mild low vision or someone who is not wearing eyeglasses. Others can rely on the speech output of the Nano. The Nano comes in many bright colors, all of which contrast well with the white click wheel. The center Select button is the same color as the panel of the iPod, again contrasting well with the click wheel for easy visual orientation.

Improvements in the Accessibility of iTunes

With the release of iTunes 8.0 in September 2008, and continuing with the versions versions 8.0.1 and 8.0.2, Apple has made significant improvements in the accessibility of the iTunes software. iTunes is used to manage music and other media on your computer, including playing music, videos, and podcasts; listening to Internet radio stations; ripping and burning CDs; creating playlists; and purchasing media from the iTunes Store. It is also what you use to load music and other media onto your iPod, so the iTunes improvements go hand in hand with the Nano improvements.

The iTunes software performs virtually flawlessly on the Mac with VoiceOver. The only problem we experienced, and a minor problem at that, occurred during the initial setup and registration process. The combo box for choosing your state of residence was not speaking properly; Apple is aware of the problem and may have fixed it by now. The last time I reported on testing iTunes on a Mac, you could not independently purchase albums from the iTunes Store, but you can do so now. You can also access the podcasts, videos, and radio stations and independently manage the media on your iPod, adding and deleting songs and other media whenever you like. The nice thing that my lab colleagues and I noticed is how crisply iTunes and VoiceOver interact together. You get instant feedback and reaction to all your keystrokes and commands, with no delays. I could figure out how to access everything my sighted colleagues could, which is pretty rare with today's technology.

On a PC, prior to version 8.0, iTunes did not work with screen readers unless you were using JAWS in conjunction with the J-Tunes scripts purchased from T&T Consultancy for $75. In developing iTunes 8.0, Apple worked with GW Micro, makers of Window-Eyes, to implement Microsoft Active Accessibility (MSAA) to improve its compatibility with screen readers. We tested it with Window-Eyes 7.1, JAWS 10 beta, and System Access To Go (SATOGO), Serotek's Internet-based screen reader that is available on any PC at any time.

We tested the initial iTunes setup and iTunes Store account-registration process with Window-Eyes and JAWS and found these processes to have some fairly major problems. We could not independently change the status of checkboxes, and many combo boxes did not work either. After we obtained sighted assistance to get everything set up and registered, things began to look better. Although it was not perfect, iTunes did show significant improvements in accessibility. We were able to use Window-Eyes, SATOGO, and JAWS to perform the major tasks of organizing and playing music and purchasing tracks and albums from the music store. However, we experienced some serious lag times between keystroke commands and a speech response, especially with Window-Eyes and JAWS. We also sometimes lost focus while navigating through iTunes with all three screen readers. We could not access all the features that a sighted user could, and we did not have the same level of access that we experienced on the Mac with VoiceOver. We had the most success with SATOGO, since Serotek was aggressively working on the bugs while we were testing, often contacting us to report updates.

Although iTunes access is not yet perfect on the PC side, Apple has laid the groundwork, and the screen-reader manufacturers are working on it. In our AFB TECH lab, we simply took a snapshot when this new baby was born, but the baby is growing fast. All the companies involved are working hard to address all the issues, and it will be getting better.

We also tested iTunes 8 with JAWS 10 beta and J-Tunes 4.0, the latest version of scripts from T&T Consultancy. That combination produced excellent results, on a level with the Mac and VoiceOver. However, it comes at a cost of an extra $75 and a moderate investment in time to learn all the commands. Even so, if you are a JAWS user and want full access to iTunes, then the J-Tunes scripts are for you.

The I-Tell from Cobolt Systems

Available from Cobolt Systems in the United Kingdom (www.cobolt.co.uk), the I-Tell provides access to the music features of an iPod. It works with all of Apple's iPod products, except for the iPod Touch and the iPod Shuffle, but the Shuffle is already accessible because it has no screen.

The I-Tell connected by cable to the iPod Classic, while the user's hand operates the remote control.

Caption: iPod Classic plugged into the I-Tell.

Priced at 59 British pounds (about 115 U.S dollars when we purchased it in September 2008), the I-Tell measures roughly 4.5 inches by 1.5 inches by 0.5 inches and weighs 1.8 ounces. Like many digital audio players, it has a 5-way control at the top and two volume buttons below the 5-way control. It has a headphone jack at the bottom, beside the cable to connect it to your iPod. It has no visual display.

The I-Tell is a small remote control that connects to the port on the bottom of the iPod, and then you connect your headphones to the jack on the bottom of the I-Tell. It accesses only the music features of the iPod, so if you are interested in videos or podcasts, you should look to the new Nano. However, it does a good job of accessing the music on iPods. It uses a speech synthesizer that may not be the best one on the market, but it is easy to get used to its voice and learn to use it. Cobolt has an accessible manual on its Web site and other alternate formats available on request. The manual is short and simple and lets you easily get started using the I-Tell. The I-Tell has no battery, and you do not have to recharge it. It draws its power from the iPod, so you may have to recharge your iPod slightly more often.

All the I-Tell's controls are easy to identify and use tactilely, and the device is easy to use in general. I found it to be a high-quality product and a great solution for accessing older versions of iPods. It worked perfectly with my 4 GB Nano 3rd Generation, but when I connected it to my 80 GB iPod Classic, I found one problem that sometimes occurred. I had about 40 GB of songs on it (about 12,000 songs), and it would sometimes quit speaking while scrolling through the huge list of songs and artists, and I had to reset it and start over. It also takes much longer to scroll through a long list of artists, albums, or songs because you have to press a button for each artist, album, or song. With the iPod, you can zip your finger around the click wheel to move quickly through thousands of songs. Also, it is a bit bulky and takes away from the portability of your iPod, so I found that I did not like using it at the gym, but I did like using it at home.

Update on Other Players

In my previous articles, I have mentioned that we should soon see a new BookCourier and a new player from Plextor. As of mid-November, no new BookCourier was on the market yet. However, the new Plextalk Pocket is available, and it will be evaluated in a future issue of AccessWorld. I received an e-mail message from the manufacturer of the new VI Player in the United Kingdom, announcing that it was available from the online store of the Royal National Institute for Blind People beginning in November at http://onlineshop.rnib.org.uk.

I also heard from Independent Living Aids, announcing that it started selling the new Milestone 312 as of mid-December 2008. You can learn more about it at www.independentliving.com or by sending an e-mail message to techsupport@independentliving.com.

The Victor Reader Stream from HumanWare is up to version 2.0, with more voices and languages from which to choose, a simplified system for loading books, and updated music features.

The Bottom Line

It is obviously great news that Apple has improved the accessibility of its iPod Nano and iTunes products, and that improvement mirrors the continuing improvement in its VoiceOver screen reader, which is free and built in to all new Mac computers. I know that many of us are still disappointed in the lack of accessibility we have to Apple's popular iPhone, but Apple has to be commended for its improvements in the iPod and iTunes. It is also worth noting that the Nano is Apple's number 1 iPod product and not some also-ran that Apple improved to throw us a bone. We also know that the overall accessibility and usability of iTunes will continue to improve as the screen-reader manufacturers have more time to work on it. We also know from an agreement between Apple and the state of Massachusetts that the iTunes U functionality that is used by many colleges and universities will continue to be improved.

The I-Tell product is another improvement in our access to iPods, and it worked well on all the iPods we tested it with, although if you are looking for a new iPod, I would certainly suggest the new iPod Nano 4th generation. The I-Tell is the best choice if you want to access an iPod that you already have. You could also buy an older iPod from somewhere like eBay and use the money you save to purchase the I-Tell.

Product Information

Product: iPod Nano 4th Generation.

Manufacturer: Apple Computer, 1 Infinite Loop, Cupertino, CA 95014; phone: 408-996-1010; Customer Relations: 800-767-2775; web sites: www.store.apple.com or, for iPod service and support, www.apple.com/support/ipod.

Price: $149 with 8 gigabytes of hard disk space; $199 with 16 gigabytes of hard disk space.

Product: iTunes.

Manufacturer: Apple Computer, 1 Infinite Loop, Cupertino, CA 95014; web site: www.apple.com/itunes/download.

Price: Free.

Product: J-Tunes.

Manufacturer: T&T Consultancy, Advantage House, Trentham Business Quarter, Bellringer Road, Trentham, Stoke-on-Trent, ST4 8GB, United Kingdom; phone: +44 (0) 1782 644141; web site: www.tandt-consultancy.com/j-tunes.html.

Price: $75.

Product: VoiceOver.

Manufacturer: Apple Computer, 1 Infinite Loop, Cupertino, CA 95014; web site: www.apple.com/itunes.

Price: Included at no cost in Mac OS X.

Product: I-Tell.

Manufacturer: Cobolt Systems, Old Mill House, Mill Road, Reedham, Norwich, Norfolk, NR13 3TL, England; phone: (44) 1493-700172; e-mail: cobolt@compuserve.com; web site: www.cobolt.co.uk.

Price from Cobolt: £59.

U.S. Distributor: Maxi-Aids, 42 Executive Boulevard., Farmingdale, NY 11735; phone: 800-522-6294; web site: www.maxiaids.com.

Price: $149.95.

This product evaluation was funded by the Teubert Foundation, Huntington, West Virginia.

If you would like to comment on this article, e-mail us at accessworld@afb.net.

VoiceOver Review

Dear Editor:

I have just read "An Evaluation of VoiceOver, the Macintosh Screen Reader" and thought it excellent. I am a former Mac and outSPOKEN user, and this article makes me want a new Mac that much more.

Christopher Peppel

To the Editor:

I wanted to thank you for including Jim Denham's review of VoiceOver in the November issue of AccessWorld. As you will undoubtedly recall, I was a staunch critic of AccessWorld's previous review. I do feel that Jim's examination of VoiceOver was quite good. I've just read through it and essentially agree with everything he said.

I would imagine you approached the idea of doing another review of VoiceOver with some trepidation, given past experience. I appreciate your decision and approach.

Thanks again,

Slau

Dear AccessWorld:

Jim Denham's review of VoiceOver is not only excellent, it had an immediate impact at our company, 7-128 Software.

We just ported our entire inventory of 18 blind-accessible games to the Mac. None of these games uses VoiceOver. We use a different text-to-speech engine for self-voicing. However, it's clear that we need to work with VoiceOver. Jim's article is where we'll start.

John Bannick

Chief Technical Officer

7-128 Software

www.7128.com

TV in Stereo

["TV or Not TV: The Accessibility of Digital Television Converter Boxes"] talks about the minor difference in signal quality between using a coax to connect to the TV versus the three RCA cables. My family tells me that they did discern a difference in picture quality. More important to me, though, was that the audio from the Ensignia box via the coaxial cable was monaural. Using RCA cables gave me full stereo audio as well as a better signal-to-noise ratio. If you're at all an audiophile, the RCA cables are the way to go if your TV or sound system permits it.

Jerry Weichbrodt

AccessWorld News

New Bookshare Site

This month, Bookshare.org launched a new web site. The new site includes features members have been waiting for, such as navigation by headings; skip to content links; drop-down menus for the main navigation; the ability for members with low vision to enlarge text fonts; the ability to change the number of characters per line in a braille book to match your braille display; more search options; and more. To check out the improvements and explore Bookshare's ever-growing library, visit www.bookshare.org.

ASH Technologies Names American Dealer

ASH Technologies, based in County Kildare, Ireland, has been an innovator and distributor of portable video magnification products since 1984. The company recently named Eschenbach Optik of America its exclusive North American distribution partner. ASH Technologies' product line of portable devices includes the Quicklook Classic, Quicklook Zoom and Quicklook Focus, Liberty Solo, and Fusion. The company's transportable desktop video solutions include Prisma, Presto, Eclipse, and the new Horizon range of products. Eschenbach Optik of America, based in Ridgefield, Connecticut, manufactures and sells a variety of magnification solutions and conducts training for people with low vision. To learn more about the ASH Technologies product line or its new North American distributor, visit the web sites, www.ashlowvision.com or www.eschenbach.com, or phone Eschenbach Optik of America at 800-487-5389.

Largest Mainstream Tech Show Showcases Products that Blind People Can Use

The international Consumer Electronics Show (CES), held January 6–11, 2009, in Las Vegas, features one booth highlighting "vision-free" products—that is, mainstream technology that happens to be usable without sight. Among the products honored by CES is Mobile Geo, the collaboration of Sendero Group and Code Factory, which puts the popular Sendero GPS and Mobile Speak together in a package spelling accessible wayfinding on some 300 commercially available Smartphones and PDAs (personal digital assistants). Such products as talking tape measures and high-end radios will be on hand to be examined with or without sight at the Sands TechZone booth 72044. The icing on the cake is that the world-renowned singer–songwriter Stevie Wonder will also be on hand at booth 72044 to help celebrate the availability of such accessible products.

Freedom Scientific Releases JAWS 10

Freedom Scientific recently released the English version of JAWS 10, the most recent version of the company's popular screen-reading software, with enhancements that the company says will expand employment and educational opportunities for computer users who are blind. New features in JAWS 10 that the company highlighted are AutoForms Mode, JAWS Tandem, support for iTunes, and RealSpeak Direct Solo.

AutoForms mode is designed to assist users who are blind to navigate the Internet and Firefox and promises to render easier access to HTML and PDF pages. JAWS Tandem provides JAWS users with remote access, enabling one JAWS user to access the computer of another for training or troubleshooting. The RealSpeak Direct Solo Synthesizer is said to be more responsive than is the SAPI 5 option in JAWS 8 and 9.

Training materials and 17 DAISY titles are available for JAWS and MAGic when users use the Check for Updates feature in either program. To learn more, download sample RealSpeak voices, or download DAISY training materials, visit the web site, www.freedomscientific.com, or phone 800-444-4443.

ViewPlus Collaboration with Design Science, Good News

For mathematicians, math students, and teachers who are blind, a collaboration between ViewPlus Technologies and Design Science sounds like good news. Using the Tiger Software Suite from ViewPlus and a Tiger Braille embosser, along with MathType from Design Science, the new option makes it possible to create custom math documents in Microsoft Word. Users can insert equations from MathType into a Word document, add desired text and graphics, and translate the document to braille in one easy step. Equations appear in both braille and ink, allowing sighted readers to follow along. The documents can then be embossed using a Tiger embosser for high-resolution tactile output. Translation to the Nemeth code and LtTeX is currently available, and additional math codes will become available in 2009.

For more information about Design Science and MathType, visit the web site, www.dessci.com. To learn more about the Tiger Software and Tiger embosser, visit the web site, www.viewplus.com.

Serotek Releases System Access 3.0

The company that was the first to introduce remote access to computer users who are blind has just released System Access 3.0, bringing new features and improving some old ones to this popular screen-reading software. Perhaps the most newsworthy addition is the product's full support of 64-bit operating systems, which, according to a recent announcement, will enable the average user to buy any Netbook or other 64-bit-based product off the shelf and know that it can be accessible.

Other features include voice-over capabilities (enabling users to have conversations for training or just chatting online without the addition of Skype or other third-party software), compatibility with the ALVA BC640 Braille Display, continued support of the onboard client supporting instant messaging through MSN or AOL Instant Messenger, and a host of ways to have fun with a computer.

"Computers aren't just for work any more," stated a recent Serotek announcement. To back up the claim, System Access provides full support for iTunes 8 and has forged a collaboration with All In Play, the company that brings online games to blind and sighted players alike.

"Combine System Access support for Anagram Tag, Texas Hold'em, Crazy Eights, and the classic game of poker with the crisp clarity of the System Access Mobile network chat system," the company announcement said, "and you'll have accessibility and entertainment wherever you go."

To upgrade or test-drive System Access 3.0, visit the web site www.satogo.com or www.serotek.com.

Access to Prescription Information with ScripTalk

Of the many topics that AccessWorld has reported on, few are of more importance than technology that provides independent access to medically necessary information. While workplace accessibility is of economic and professional importance and lifestyle technology allows equal enjoyment of the digital age, maintaining health and physical independence may be the most important.

AFB TECH has reported in the past about vitally important access to equipment for monitoring blood sugar. In this article, we bring you information about a new class of medically related technology. Unlike talking blood-glucose meters, which provide equal access to medical technology through speech output, prescription medication devices provide independent access to print information that sighted individuals rely on for identifying and using prescription medications.

This article discusses a relatively new product from En-Vision America and provides some background on the technology that is used to support this important device. A future article will share the thoughts and observations of some individuals who use the technology and pharmacists who provide accessible medication labeling to their customers.

RFID: The Technology Behind ScripTalk

Radio frequency identification (RFID) is the name of a special class of computer memory chips. If most of us have heard of these ultrasmall storage devices, about the size of a small grain of rice, it is probably in the context of the technology that large retailers use to track inventory. For the purpose of providing independent access to prescription medication containers, En-Vision America has moved RFID from the warehouse to your house.

RFID chips share some important characteristics with the computer chips that are more common. They can receive and store data, they do not require power to have their data read, and they are able to store any type of file. Unlike more familiar memory formats, RFID chips do not need to be physically connected to a computer or other device to communicate their data. This "hands-free" connection is possible because radio waves, or RF, excite the chip, causing it to resonate. Once the resonating chip is placed near a receiver, a sensitive and specialized radio-like device can read the data that are stored on the chip.

In comparison to more familiar computer storage devices, the amount of data that can be saved on an RFID chip is limited. Despite this limitation, sufficient amounts of data can be held on RFID chips to represent a small file, similar to an ultrasmall word-processing file.

RFID technology falls into the category of technology that is occupied by highly specialized hardware devices doing specific tasks. If the specialized RFID reading device is designed with text-to-speech technology, it is easy to understand how data that are captured on the RFID chip can be read by the device and announced in the same manner as a text file is read on a traditional computer by a screen reader.

This is a quick explanation of how individual RFID chips can each contain the information on the label for a single medication. When the medication container is placed on the special ScripTalk Station, the RFID technology inside the unit can read the data that are associated with the medication package.

How Are Medications Labeled?

As with most transactions in the modern era, picking up a prescription at the pharmacy involves the generous application of computer technology. Of particular interest to us is the behind-the-scenes system that modern pharmacies use to track medications for customers. When preparing each prescription, the pharmacist usually consults a database of all medications. In addition to providing specific information of interest to the pharmacist, the computer system is used to enter the text information that will appear on the printed label that is placed on the medication container. Once the package information is ready, the pharmacist uses a computer printer to create the physical label.

Like traditional computer chips, RFID chips can receive files. An encoding unit in a participating pharmacy is connected to the computer system that the pharmacist uses to print the label and other print information for each prescription. In addition to the printed version of the medication information, a copy of the same information is sent from the computer to a ScripTalk Encoder and stored, as a file, on the RFID chip. This file is a duplicate of the print information that is associated with the prescription.

Each chip is contained in a quarter-size adhesive label. Typically, these round labels are placed on the bottom of pill bottles containing the medication. For packages of other sizes and dimensions, the label can be placed on the side or bottom of the package. After the RFID label is encoded, it is attached to the medication container and given to the customer for use on the ScripTalk Station.

ScripTalk Station

En-Vision America developed a special-purpose piece of hardware to take advantage of RFID technology in order to allow independent, nonvisual identification of prescription medication information. The system uses synthetic speech technology to announce the prescription information to individuals who are not able to read the conventional printed information that is associated with a prescription. In addition, the information can be reviewed, much as a word-processing file can be reread on a computer.

AFB TECH evaluated the ScripTalk Station in October 2008. All observations and measurements were made by AFB TECH staff who are familiar with a wide variety of products that use text-to-speech technology.

In the Box

The ScripTalk Station is packaged in a custom soft, zippered pouch. Resembling an insulated lunch bag, the rectangular carrier includes a large central compartment that is filled by the ScripTalk Station in its original box, as well as a side pouch. A shoulder strap is also included.

Opening the main compartment reveals a sturdy box with ScripTalk Station and the En-Vision America toll-free phone number in braille in the upper right-hand corner. This is the only braille labeling included in the package. Inside the box is a plastic tray that contains the ScripTalk unit. Beneath the tray is a second tray in which the documentation, in conventional print and on CD; power supply; and two AA batteries and power adapter are shipped. A sample prescription container is also included for demonstration and learning purposes.

Documentation

The documentation for ScripTalk can be accessed in three ways. The included CD contains an audio file of the documentation. A print version is also included in the package. By pressing and holding the oval Read key on the ScripTalk device, the documentation can be read directly from the Station. The audio recording of the documentation provided on the CD is a recording of a synthesized computer voice reading the material. The voice is of a high quality, in our opinion. The same voice appears to be used by the device, and when you listen to the instructions after holding the Read key, the same audio file is read. The print documentation is printed in regular type. Unfortunately, no large-print information is included with the unit.

We found the documentation to be easy to follow. It describes ScripTalk in a logical order. This is a simple device, and the documentation is well written and easy to follow.

Getting Started

After ScripTalk was removed from its plastic packaging, it was easy to locate the connector for the included power adapter on the back of the unit. It was also easy to locate the battery compartment on the underside of the unit and to install the batteries. The battery compartment includes the conventional spring-loading design, making it easy to orient the two AA batteries correctly. Note that regular, disposable batteries are used. ScripTalk does not use a rechargeable system.

The device is between one and two inches thick. Its footprint is semicircular, and it is about the size of half a salad plate. The top of the unit contains three easy-to-feel controls, near the front edge. In addition to the Read key, which can be identified by a prominent nib, the Next and Previous keys are arrow shaped. They point down and up and are to the left and right of the Read key, respectively. The bulk of the top surface is flat and contains the speaker, which is surrounded by two rings of nibs or bumps. These nibs are used to orient the medication container above the speaker, which also contains the electronic sensor that reads the ScripTalk data.

Moving from the top of the unit, the front edge has a single control. An On/Off/Volume control can be located by moving from the Read key downward across the front surface. Sliding this control to the left turns the unit on. After the unit is on, the same control adjusts the volume.

The back of the ScripTalk Station has two round openings through which the power cord and an earphone can be attached. The power cord uses the larger of these connection points. An earphone is not included in the package with the Station, but any standard 3.5-millimeter earphone will work.

First Impressions

Within a few minutes of unpacking ScripTalk, the device was reading prescription information in a clear, easy-to-understand female voice. Sliding the On/Off/Volume control activated the unit with three short beeps and a longer beep. The synthesized voice announced "ScripTalk Station ready," and a final tone sounded. Placing the medication container within the circle of nibs directly above the speaker and pressing the Read key caused the unit immediately to beep three times and for the voice to announce "Patient, David Raystrick."

Following the patient's name, all the information associated with the sample prescription was read in sequence by ScripTalk. The voice was well modulated and provided information at a pleasant pace. Note that the rate of speech can be changed.

After reciting all the information associated with the sample medication, a sequence of beeps signaled that the system had finished with that particular medication. Pressing the Read key again caused the information to be repeated. Note that after 15 seconds, the system reset, removing the last information from memory.

Navigation and Repeating Information

Since the information that ScripTalk presents is contained in a particular format, the sequence of information is standardized for all prescriptions. The Next and Back keys allow you to navigate the information, not unlike reviewing a computer file with a screen reader.

The order of information that is included is "Patient," "Medication," "Instructions," "Prescription Date," "Refills Remaining," "Prescriber," "To Reorder This Prescription," "Prescription Number," and "Other Information." In addition to navigating through the information, the Read key can be used to start and stop speech. Note that after 15 seconds, information is removed from memory, requiring a rescan of the container.

In our experience, navigation was smooth and well controlled. The Up and Down arrows were easy to locate and use, with a solid feel to the control as it was pressed. The speech was responsive and did not repeat or lose position while navigating the information. When the system required a rescan, the voice announced the status as having no prescription and prompted me to rescan the prescription.

Scanning Prescriptions

The prescription can be scanned in one of two ways. By placing a container within the circular ring of dots and pressing and releasing the Read key, identification of the prescription is immediate. Alternatively, the Read key can be pressed with no prescription on the unit. A series of short beeps indicates that you can place the prescription container on the top of the unit. As long as the container is placed in the appropriate location before the beeps end, the system will read the information. This may be of particular importance to those who are not able to use both hands to orient the container in the correct location and to press the Read key at the same time.

Availability

The issues and circumstances surrounding the adoption of ScripTalk are something of a "chicken-and-egg" scenario. Before the technology is useful, a reasonable number of pharmacies must have the encoding units in operation. No one will want home stations until the pharmacies have decoders and so forth. At this time, one large group of individuals has immediate access to ScripTalk Station technology—any person who is blind or has low vision who receives medication services from the Veterans Administration may request a ScripTalk Station immediately. The Veterans Administration pharmacies that supply prescriptions will encode all future prescriptions for use with ScripTalk. In addition, Michigan-based J and B Medical announced that it would provide ScripTalk tagging for its nationwide customers. The announcement was made in July, and at press time, J and B Medical is implementing the process.

Some independent and regional pharmacies have installed the necessary equipment. Wallgreens is conducting a pilot program in northwest Indiana. For information about participating ScripTalk pharmacies in your area, contact En-Vision America. Consumer organizations of blind people, including the American Counsel of the Blind and the National Federation of the Blind, are aggressively reaching out to pharmacies in many communities to place ScripTalk technology in the communities.

Additional Observations

Despite a high level of sophistication, ScripTalk keeps a simple task—identifying prescriptions and reading their associated information—a simple matter. The fit and finish of the device are solid. The current generation of ScripTalk uses a relatively natural female voice. Earlier versions included a male voice which, while familiar to users of screen readers, was not especially natural for some who were not accustomed to synthetic speech.

ScripTalk can be placed on a flat surface, such as a table or counter top. It remains in place while in use, thanks to four small rubber feet. An alternative placement is on a wall using two keyhole slots on the ScripTalk Station and the included mounting template and screws.

AFB TECH staff had an opportunity to demonstrate the ScripTalk Station to five persons who are blind or have low vision in the Huntington, West Virginia, community. These persons are typical of the bulk of users who have moderate experience with high-tech devices. Each of them was able to use the device easily. They also found that listening to the ScripTalk's voice was easy and that navigating the prescription information was straightforward.

The Bottom Line

The ScripTalk Station was designed to do a single job, and it does it very well, indeed. The design of the device indicates a great deal of forethought and insight by En-Vision America. The speech in current units is of the highest quality available. All controls are solid and contribute to an overall quality that is often lacking in special-purpose devices.

The documentation, read by synthetic speech, may not be as desirable as listening to a human reader. At the same time, having the documentation onboard is helpful, especially since CDs and print documents can be lost after time.

As the first of its kind of technology, ScripTalk has set a high standard for all future devices that intend to offer comprehensive, independent access to prescription information. We encourage pharmacies to recognize the critical need for customers who are blind or have low vision to have full and independent access to medication information and to embrace technology that provides such access.

Product Ratings

Packaging: 4.

Documentation: 3.

Fit and finish: 4.

Speech quality: 4.

Navigation and controls: 5.

Accuracy: 5.

Product Information

Product: ScripTalk.

Manufacturer: En-Vision America, 1845 West Hovey Avenue, Normal, IL 61761; phone: 800-890-1180 or 309-452-3088; web site: www.envisionamerica.com.

Price: $195.

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