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Autism is a neurodevelopmental disability that impacts one’s social communication and interaction. When left unsupported, this can increase the amount of loneliness felt by autistic people. Communication technology, such as AAC, can be helpful in supporting social communication, especially when co-designed with autistic people. We conducted a series of design workshops to co-design a new AAC system specifically supporting social communication. In this paper, we focus on the accessibility issues that were identified when running our workshops and provide recommendations on how to improve the process. We found that it is critical to build support for information processing time into the workshops, include a variety of AAC stakeholders, and create a shared vocabulary between the workshop participants to make design workshops more accessible to autistic adults. 

Text input on mobile devices without physical keys can be challenging for people who are blind or low-vision. We interview 12 blind adults about their experiences with current mobile text input to provide insights into what sorts of interface improvements may be the most beneficial. We identify three primary themes that were experiences or opinions shared by participants: the poor accuracy of dictation, difficulty entering text in noisy environments, and difficulty correcting errors in entered text. We also discuss an experimental non-visual text input method with each participant to solicit opinions on the method and probe their willingness to learn a novel method. We find that the largest concern was the time required to learn a new technique. We find that the majority of our participants do not use word predictions while typing but instead find it faster to finish typing words manually. Finally, we distill five future directions for non-visual text input: improved dictation, less reliance on or improved audio feedback, improved error correction, reducing the barrier to entry for new methods, and more fluid non-visual word predictions. 

Conversational systems rely heavily on speech recognition to interpret and respond to user commands and queries. Despite progress on speech recognition accuracy, errors may still sometimes occur and can significantly affect the end-user utility of such systems. While visual feedback can help detect errors, it may not always be practical, especially for people who are blind or low-vision. In this study, we investigate ways to improve error detection by manipulating the audio output of the transcribed text based on the recognizer's confidence level in its result. Our findings show that selectively slowing down the audio when the recognizer exhibited uncertainty led to a 12% relative increase in participants' ability to detect errors compared to uniformly slowing the audio. It also reduced the time it took participants to listen to the recognition result and decide if there was an error by 11%. 

We explore a method for presenting word suggestions for non-visual text input using simultaneous voices. We conduct two perceptual studies and investigate the impact of different presentations of voices on a user's ability to detect which voice, if any, spoke their desired word. Our sets of words simulated the word suggestions of a predictive keyboard during real-world text input. We find that when voices are simultaneous, user accuracy decreases significantly with each added word suggestion. However, adding a slight 0.15s delay between the start of each subsequent word allows two simultaneous words to be presented with no significant decrease in accuracy compared to presenting two words sequentially (84% simultaneous versus 86% sequential). This allows two word suggestions to be presented to the user 32% faster than sequential playback without decreasing accuracy. 

Augmentative and alternative communication (AAC) is a field of research and practice that works with people who have a communication disability. One form AAC can take is a high-tech tool, such as a software-based communication system. Like all user interfaces, these systems must be designed and it is critical to include AAC users in the design process for their systems. A participatory design approach can include AAC users in the design process, but modifications may be necessary to make these methods more accessible. We present a two-part design process we are investigating for improving the participatory design for high-tech AAC systems. We discuss our plans to refine the accessibility of this process based on participant feedback. 

Communication Brain-Computer Interfaces (cBCIs) represent a crucial technological advancement for individuals with severe motor disabilities as they offer a direct pathway to express their thoughts and needs without physical movement. These systems commonly leverage the P300 ERP, a distinct neural response approximately 300-500ms after a novel stimulus. Language modeling presents a promising approach to enhancing the performance and usability of cBCIs. However, integrating language models with cBCI systems presents unique challenges, including balancing model complexity with real-time processing requirements and optimizing system performance parameters. This study utilizes simulations of online cBCI data to investigate the impact of different language models on typing rate and accuracy. 

Abstract Objective.The RSVP Keyboard is a non-implantable, event-related potential-based brain-computer interface (BCI) system designed to support communication access for people with severe speech and physical impairments. Here we introduce inquiry preview (IP), a new RSVP Keyboard interface incorporating switch input for users with some voluntary motor function, and describe its effects on typing performance and other outcomes.Approach.Four individuals with disabilities participated in the collaborative design of possible switch input applications for the RSVP Keyboard, leading to the development of IP and a method of fusing switch input with language model and electroencephalography (EEG) evidence for typing. Twenty-four participants without disabilities and one potential end user with incomplete locked-in syndrome took part in two experiments investigating the effects of IP and two modes of switch input on typing accuracy and speed during a copy-spelling task.Main results.For participants without disabilities, IP and switch input tended to worsen typing performance compared to the standard RSVP Keyboard condition, with more consistent effects across participants for speed than for accuracy. However, there was considerable variability, with some participants demonstrating improved typing performance and better user experience (UX) with IP and switch input. Typing performance for the potential end user was comparable to that of participants without disabilities. He typed most quickly and accurately with IP and switch input and gave favorable UX ratings to those conditions, but preferred standard RSVP Keyboard.Significance.IP is a novel multimodal interface for the RSVP Keyboard BCI, incorporating switch input as an additional control signal. Typing performance and UX and preference varied widely across participants, reinforcing the need for flexible, customizable BCI systems that can adapt to individual users. ClinicalTrials.gov Identifier: NCT04468919.