Mobile Technology How can iPads or smart phones help people with disabilities? Carrie Leonhart, M.S., CCC-SLP Augmentative Communication Services Coordinator Institute on Disabilities at Temple University Updated February 22, 2012

Pennsylvania’s University Center for Excellence in Developmental Disabilities Education, Research and Service

"For people without disabilities, technology makes things easier. For people with disabilities, technology makes things possible.” A program of the Institute on Disabilities at Temple University

Learning Objectives We canNOT learn: about every app available in-depth about apps for certain functional areas (e.g., communication, reading, math, navigation) enough for you to buy and use an iPad tomorrow with children

Learning Objectives We CAN learn: How and Why mobile technologies are used to support learning, therapy, and community integration? Examples and resources for: Built-in accessibility features Software applications (apps) to support: * Communication * Memory/Organization * Social Skills * Education * Functional Skills * More

Follow-Up Copy of Powerpoint & Resource Links www.CommunicatePA.wikispaces.com “Autism & Communication” page Note-Taking Ideas to Use/Share  Name of Apps to Explore I have ?s About  I’ll Share this Info With My Next Step Will Be  Other Notes

Mobile Technologies Portable, generic, easily-available devices that may run programs or “apps” that can be used by professionals and our consumers Includes: “Smart” phones Tablets Music players (iPod Touch) Game systems (Nintendo DS)

Mobile Technologies Each product varies by: Hardware (device, manufacturer) iPad by Apple Galaxy Tablet by Samsung Mobile Operating System (platform – Windows vs Mac) Apple, Google, Microsoft, Blackberry, Palm, etc.

What’s the difference? Where you buy the device “iTech” = Apple iTunes (internet, program) Where you buy the apps - From the device itself Android = various manufacturers platform from Google Android Market

Android Accessibility varies by phone/tablet Most have text-to-speech, vision, and hearing support Swype keyboard set-up allows sliding between keys (without picking up finger) Android Market has fewer apps (for now) Beginning to see specialized apps for education and communication Alexicom AAC, TapToTalk, Tobii Sono Flex, Voice4U

What is Assistive Technology? DEVICES Individuals with Disabilities Education Improvement Act (IDEA – 34CFR§300.5) “Any item, piece of equipment, or product system” “Whether acquired commercially off the shelf, modified, or customized” “That is used to increase, maintain, or improve the functional capabilities of a child with a disability”

Uses of Mobile Technologies For consumers, families, and/or professionals

Uses of Mobile Technologies Learning/Therapy Tool (Professional use) Use as therapy material Artic, phonology, language flashcards Social stories, video modeling Promote home practice or carry-over Use for Professional Data collection E-mail, documentation Assistive Technology (Family/student use) Use for communication AAC apps from low-tech (pic boards), to mid-tech (recordable buttons w/ pics), to high-tech (adv. language layouts w/ synthesized speech) Use for hearing, vision, fine motor, behavior, and MORE

Features to Consider for AT Portability Durability / Mounting Volume Battery Cost / Availability Lightweight! Not designed/tested for AT (See “Accessories”) Up to 10 hrs Relatively cheap and easy to purchase/repair

Features to Consider for AT Funding Most “Public” options (Medicaid, Private insurance, etc.) require that a device be “durable medical equipment” Currently excludes ALL mobile technology options Some success reimbursing apps as “dedicated software” Better luck with private funding, scholarships, PATF mini-grants, etc. So if it works as AT, how does student get one? School district policy? shared agreement with parents?

Pennsylvania Assistive Technology Foundation www.patf.us

DISCLAIMER! PIAT DOES NOT ENDORSE APPLE PRODUCTS OVER OTHER VENDORS

iTechnology

iPad

General Device Info iPod Touch 8-64 GB memory $199 - $399 new* Small size, one-handed use Built-in microphone* 2 Cameras* Wi-Fi compatible iPad 2* 16-64 GB memory $499 - $829 new* Larger size, two-handed use Built-in microphone 2 Cameras* Wi-Fi compatible Optional 3G data plan

iPhone 8-32 GB memory $199 and up new May find used, without a cell phone/data plan contract (e.g., eBay, Amazon) Refurbished from AT&T $49 Small size, one-handed use Built-in microphone, speaker, camera Wi-Fi compatible

iTech for Dummies www.dummies.com/how-to/content/ipad-for-dummies-cheat-sheet.html Power button Turn on/off Hold: Shutdown Home □ button Wakes up Screen Closes Apps Hold: Move/Delete Apps 2Tap: Shows Apps running in Background, Access Volume Volume button Turns up/down

Built-In Accessibility Settings  General  Accessibility Voice Over Zoom White on Black Mono Audio Speak Auto-Text Triple Click functions Go to Home, Turn on Voice Over, etc Video Captioning

Built-In Accessibility Settings  General  Accessibility Assistive Touch Allows one-tap access to ALL device functions including rotation, shaking, volume changes and even gestures Helps use multi-touch features even if using stylus (or otherwise difficult to use gestures)

Accessories Protective Speaker Case iMainX (iPod Touch), iAdapter (iPad) Mounting System On case, Flexible (Modular Hose) Other Stylus (Stylus Socks), keyboard, keyguard (app-specific)

Access Touch screen does not require pressure (only contact) for selection May be helpful for physical limitations Alternate access methods developing Switch interfaces available (Bluetooth &/or iTech) MUST be built-in to app by developer Activate on release Scanning

Use fingerless gloves Can rest or drag hand on screen and use fingers to activate Use touch screen gloves Have conductive patches (usually on thumb and finger)

Management Issues Learning about iPad basics Local Apple store, teachwithyouripad.wikispaces.com General Settings  Restrictions Lock from Adding, Removing, In-App Purchases How to prevent it being a toy Game Time Limit app Policy on loading games, videos, music? BubCap prevents from accessing home button (to switch between apps)

Game Time Limit Price: $0.99 Target: Productivity / Behavior Other Info: Allows adult to set passcode and time limit Alarm interrupts ANY app after designated time, requires passcode to turn off

Management Issues Whose iTunes account? IT, Admin, Staff, Consumer Who can add? Must have iTunes log-in If you customize, does it save? Or transfer to that app on other devices? All agency’s devices the same? How to update? Sync Carts now available

Applications (Apps) Are like programs on your computer You load each app (program) from iTunes Some apps are specific for iPod Touch, iPhone, and/or iPad Other apps exist for Android, Blackberry, etc. Cost ranges from free - $999 You get what you pay for (usually)

Things to Consider for AT What is the cost of the application? Can it be backed-up to a computer? Can it be used for multiple people? Does it require internet access? Wifi vs. Data plan (monthly charge) Is it accessible? Teamwork: Explore, Network, Learn, and Share what you know!

Things to Consider for AT Feature Matching for App Determine Consumer’s Need (SETT process) Determine appropriate technology (see Chart) DON’T find the app, then make it work for the student Ex: Proloquo2Go is NOT for everyone Try it out with consumer Rating scale Aligned with Curriculum, Evidence-Based, Ease of Use, etc.

Clinical Feature Matching Chart http://childrenshospital.org/clinicalservices/Site2016/Documents/PDFofFeatureChart.pdf

Purpose of Use Output Speech Settings (Customization) Representation / Symbols (Customization) Display (Customization) Feedback Features (Customization) Rate Enhancement Features (Customization) Access (Customization) Required Motor Competencies Support Miscellaneous (Customization)

Contact for Permission to Use Educational Rating scale Rate 1-4 for: Curriculum Connection, Authenticity, Feedback, Differentiation, User Friendliness, Student Motivation, Reporting

Overview of Apps More than 425,000 applications available on iTunes Applications are constantly being added Impossible for one person to track everything Developers are beginning to target individuals with special needs

Apps for Special Education Must have an iTunes account Go to: http://www.apple.com/itunes/ Click on Download iTunes Click on App Store For “Special Education” section, http://bit.ly/kqxu62

Communication

Communication Apps Features: What’s the cost? What comes pre-loaded? Ranges from 4 to 100s of content buttons Can you edit (add/change) it? Can you edit/save online? Can you share your work? What symbols does it use? Drawings, Digital Photos, Text Only Does it have support? Trouble-shooting? Tutorials? excited

PhraseBoard $0.00 Medical content w/ keyboard Editing (canNOT add/change) Text, Picture of body parts Built-in drawing tool Save text phrases Point to text, NO voices (similar to “low-tech” board)

A 1000 Words $0.99 Travel-related content in 12 categories Editing (canNOT add/change) Digital photos, NO labels Point to pictures, NO voices (similar to “low-tech” board)

Locabulary Lite $0.00 / ? General, Location-related content (uses GPS), keyboard Editing (can add/change) Text, Few drawings Enlarge font Save “My Phrases” Recorded Fe/Male, TTS voices

SmallTalk (Aphasia) $0.00 Medical content w/ videos Sound, word, exercise examples Editing (canNOT add/change unless synced with Lingraphica) Drawings Photos, Videos Male or Female version

Expressionist $9.99 120 expressions in 7 categories, 1000+ nouns Editing (can add/change) Cartoons, digital photos, text labels Pre-recorded voice

iCommunicate $34.99 / 49.99 100+ photos in ABC order Storyboards (4x10) for schedules & Task Completion Editing (can add/change) Digital photos, SymbolStix (10,000), text labels Recordable or Male TTS voice

MyTalk 0 / $39.99 (+ subscribe) Basic example to customize Editing (can add/change) Public Library 1000+ Drawings, Pictures, & Sounds Pre-recorded, recordable or TTS in-app purchase Scanning MyTalkTools.com

MyTalk Online Workspace subscription $9/mo, $75/yr, $175/3yrs, FREE with ASHA # Software for programming Choose # of buttons in grid Can have message window Organize in folders, Link Home Screen

TapSpeak Sequence $29.99 1-button sequenced msg Editing (can add/change) Shapes, text labels Import photos In-app purchase PCS symbols Recordable Tap vs Touch input ConleySolutions.com/wordpress TapSpeak Button, Choice

Proloquo2Go $189.99 "VocaSpace” folders of 7000+ items Ultralingua’s Grammatica for conjugation List or Grid view Message Window Keyboard w/ word prediction Scanning?

Proloquo2Go Editing (can add/change) Automatically adjust appearance Button size, Color, Background Photos, SymbolStix (8,000), text labels 4 synthesized voices Adjust rate, pitch, inflection Proloquo2Go.com

TouchChat Suite $149.99 4 Page Layouts Primary (8-16 button, children) VocabPC (Gail Van Tatenhove; 12 button, young-adults w/ DD) MultiChat 15 (15 button, emerging school-aged) Spelling (keyboard w/ word predict) Options for words, phrases, sentences, & visual scenes Message Window

TouchChat Suite Editing (can add/change) Windows Editor ($59) iShare ($59/6 mo) Button size, Color, Background Photos, 10,000 symbols, text labels 5 synthesized voices Adjust rate, pitch, inflection Tilt to display text screen Silver-kite.com/touchChat

TouchChat Suite In-app Purchases WordPower ($149, Nancy Inman) 24 button, word or phrase-based for grammatical sentences iEssence ($99, PRC) Test-based for literate adults

Tobii Sono Flex $99.99 Grid Layouts Core words (800 “used daily”) Fitzgerald Key color-coding Topic-Based vocab (50 contexts) Message Window 5 synthesized voices Adjust rate, pitch, inflection

Tobii Sono Flex Editing (can add/change) Button size, Color, Photos, 11,000 SymbolStix symbols, text labels On Apple, Android, & PCs (via Tobii Communicator software) www.tobii.com/en/assistive-technology/global/products/software/sono-flex

Text-To-Speech Features Spell Check vs. Word Prediction Speech Adjust speed, pitch Size Of text Of keyboard (Portrait vs. Landscape) Of “function” buttons Saving/Storing/Organizing Messages Scanning? Highlights?

Basic TTS QWERTY keyboard with text-to-speech (1 synthesized voice) Basic spell check “Save” Libary NEOJulie, Kate, Paul ($0) SpeakIt ($1.00) Multiple voices, rotates, saves & sends voice files

Verbally FREE Keyboard with word prediction QWERTY L vs R Handed Core Words & Phrases No “save” feature Synthesized Fe/Male voices

Assistive Chat $24.99 QWERTY Keyboard with word prediction Easy-to-use control (Speak, Clear, Add) buttons Saves Recent or Favorite messages Synthesized Fe/Male, Child voices

Story Kit Price: FREE Target: Reading (Communication?) Other Info: Can record your own voice reading Use as visual supports or social stories

Pictello Price: $14.99 Target: Communication (Social? Reading?) Other Info: Has TTS voices or record own voice reading Use as visual supports or social stories Easy to navigate and program (read all text vs. top/bottom line)

Whiteboard /Chalkboard Price: FREE Target: Writing (Communication?) Other Info: Can draw/write without holding pen or applying pressure May allow colors, saving, or sharing (via e-mail)

SPEECH (ARTIC, FLUENCY, VOICE)

Articulation Speaking of speech.com

Fluency Speaking of speech.com

Voice Speaking of speech.com

Social PRAGMATICs

Social Skills Speaking of speech.com

Model Me Going Places Price: FREE Target: Social Skills Other Info: Slideshow of appropriate behavior for 6 community locations To be used with DVDs www.modelmekids.com

Conover Company Price: 4 Sampler / $0.99 Target: Life, Social, Math, Literacy, & Work Skills Other Info: 42 Applications, 4 Samplers Video instructions & models User & Administrator accts www.conovercompany.com

Language Development

Kindergarten.com Price: FREE / $0.99 Target: Vocabulary Other Info: Based on ABA / VB Flash cards (20+), Problem-Solving, Receptive ID (feature, function, class), Listening Lotto Kindergarten.com

Sentence Builder Price: $3.99 Target: Grammar Other Info: Provides visual stimulus and multiple choices options for building grammatical sentences

House of Learning Price: $5.99 Target: Language Other Info: Developed by SLP (SmartyEars) 12 interactive scenes and several characters Target vocabulary, prepositions and following directions

ABC Speller Price: Free Target: Reference Other Info: Must be connected to the internet to view the definitions

Dictionary.com Price: Free Target: Reference Other Info: No Internet Connection needed for basic use Internet connection needed for “Word of the Day” and audio pronunciations

FreeSaurus   Price: Free Target: Reference Other Info: Free Thesaurus, also includes a dictionary Must be connected to a Wi-Fi server to use this tool.

SimpleMind Xpress – Mind Mapping Price: Free / $6.99 Target: Literacy Other Info: Create a mindmap / graphic organizer to organize thoughts Color Schemes can be changed Maps can be converted to a JPEG

MindNode Price: $9.99 Target: Literacy Other Info: Create a graphic organizer / mindmap to organize thoughts Color Schemes can be changed

iTranslate Price: Free Target: Foreign Languages Other Info: Uses WiFi Type the word or phrase in the top box, choose the language, and hit “Translate”

iSign Lite Price: $0 / $4.99 Target: American Sign Language Other Info: Favorites can be saved Includes a free quiz Unlock “full” version to include 800 signs

Sign 4 Me Price: $9.99 Target: American Sign Language Other Info: Will sign a typed word or phrase

THERE’S AN APP FOR THAT?!? http://www.youtube.com/watch?v=EhkxDIr0y2U&

PROFESSIONAL APPS

Professional - Misc Speaking of speech.com

Percentally Price: $2.99 Target: Data Collection Other Info: Calculates %ages from tallies Share data in GoogleDoc or e-mail Can set audio feedback for tallies

IEP Checklist Price: FREE Target: Administration Other Info: Provides info for federal requirements for documentation Allows recording or note-taking From Parent Educational Advocacy Training Center (PEATC)

SLP Goal Bank Price: $14.99 Target: Administration Other Info: Sample Goals Guide for writing “SMART” approp. goals Allows you to edit/add to keep own database

FINE MOTOR SKILLS

ABC/123 Tracer Price: FREE / $1.99 Target: Draw / Fine Motor (Early Ed? Phonics?) Other Info: States letter name and sound after tracing, ABC includes short decodable words

Jigsaw Puzzles Price: $1.99 Target: Fine Motor, Time Wasting Other Info: Choose from 12, 24, 48, or 96 pieces Drag with finger to recreate picture (40 built-in or import your own)

Word Wizard Price: $2.99 Target: Literacy, Fine Motor Other Info: Move letters Choice of Fe/Male voice speaks each letter-sound, the word, and/or the sentence Can enter spelling words for practice – gives hints by letter

Notability Price: $0.99 Target: Note-taking Other Info: Records audio while typing or writing with a stylus Can send notes to printer, email or Dropbox

Organization, Behavior, Functional Living skills

Task Me Out Price: $1.99 Target: Cognitive – Lists Other Info: Choose from 4 categories (priorities) Break down big tasks into small pieces Repeating tasks Set reminders (pop-up, e-mail)

My Homework Price: Free Target: Scheduling Other Info: Assignments can be organized by class Notes for each assignment Assignment details can be emailed

Time Timer Price: $4.99 Target: Behavior, Timer Other Info: Hour or minute (NO second) increments shown in red Time “disappears” as it runs out Set “end” sound

Task Timer: The Anti-Procrastination Timer Price: $1.99 Target: Behavior, Timer Other Info: Hour, minute, or second increments shown in pie Section gets smaller as time runs out Pop-up chooses “Take a Break” or “Keep Going” at end

Talking Timer Price: $0.99 Target: Behavior, Vision, Timer Other Info: Hour, minute, or second increments Set “Voice Prompt” to announce time left Adjust to announce every time, or only last __ seconds

First Then Price: $9.99 Target: Behavior, Schedule Other info: Full, Split, or List Views Short written text with “Stock” or imported image Record Sound (read instructions)

iPrompts Price: $49.99 Target: Behavior Other info: Includes timers, schedules, and choice boards Does NOT read/record choices Use existing picture library or import own pictures

Simple Grocery List Price: FREE Target: Cognitive – Lists Other Info: Can have multiple lists Easy to add new items “Check Off” completed items Can include aisle where item is found in store

Picture Planner Price: $0 Target: Cognitive - Schedule Other Info: Schedule is made using a computer. Schedule is then downloaded / synced to the mobile device $199 for computer software

Time Logger

http://www.youtube.com/watch?v=jQP0gkPnEcY

Community Sidekick Price: $9.99 Target: Cognitive – Safety Other Info: Automated emails are sent at specified (5, 15, 30, or 60 minute) intervals. Sent to designated friend or caregiver Provides map location with links to precise place in community.

Counting Bills & Coins Price: FREE Target: Life Skills Math Other Info: Teaches basic money counting Making change Matching amounts Other money skills

HEARING & VISION

Vision Supports Must have built-in camera Magnification Vision Supports Scan and recognize: denominations of money colors More?

Hearing Must have microphone in device and wear headphones Amplifiers NOT hearing aids comparable to PocketTalker Hearing screenings NOT yet validated

TELE - COMMUNICATION

Text Free Price: Free Target: Telecommunication Other Info: Uses WiFi User must register to create a log-in account Messages can be linked to an email address

Captioning Captioning of cell communications lets users with hearing loss SEE what is being spoken by the other party, while still using their residual hearing and speech Clear Captions FREE

Video Phone Can be used as video phone if there is a front-facing camera Newest generations (iPad 2, iPhone 4, iTouch 4) Built-in application is Face-Time (FREE)

Reading

Text Reading All products allow for reading text-based books on the iPad Each have varying visual adjustments and note taking capabilities. Kindle  iBooks Kobo  Iceburg Nook  Google Books Stanza

Audiobooks Some applications have audio only, or a combination of audio and text! Audiobooks vBookz Overdrive InDaisy Audible

Interactive Books Beautiful interactive books with text and activities For young children and young at heart Many with puzzles, auto play, word activities and other learning games Price Range: $0.99 - $20.00

Reinforcement Fun! Sequencing Cause-Effect

Magic Piano Price: Free / $0.99 (HD) Target: Music Other Info: Adjustments for easy to advanced use Proof? Play 0-1:15 www.youtube.com/watch?v=yYo5dCeBZYA

iTech Resources CommunicatePA.wikispaces.com Website, E-mail listserv Discussion Board “iTechnology” List of PIAT’s loaded apps View presentation and handout Providers (SLPs in PA who work with AAC)

60 Minutes on Autism Apps http://www.cbsnews.com/video/watch/?id=7385686n&tag=contentBody;storyMediaBox

Learning Objectives We CAN learn: How and Why mobile technologies are used to support learning, therapy, and community integration? Examples and resources for: Built-in accessibility features Software applications (apps) to support: * Communication * Memory/Organization * Social Skills * Education * Functional Skills * More

Case Study Example You work with a K student with Down syndrome. She uses about 5 vocalizations, 10 modified signs and points to 10-15 objects to request items. She doesn’t yet understand how to use photos or pictures to communicate. Her parents bought her an iPod Touch with Proloquo2Go over winter break and sent it to school with her. Any concerns with feature-matching skills to apps?

FOR INFORMATION contact: PIAT - Pennsylvania’s Initiative on Assistive Technology 411S Student Center 1755 N 13th Street Philadelphia, PA 19122 OR your regional center Tel: 800-204-7428 (voice) 866-268-0579 (TTY) Fax: 215-204-9371 Email: ATinfo@temple.edu Web: www://disabilities.temple.edu/piat

AT Resources Free Device Loan Programs in PA PAttan http://www.pattan.net/supportingstudents/shorttermloan.aspx Open to “registered” educational and EI personnel, for Pennsylvanians 3-21 PIAT AT Lending Library http://www.disabilities.temple.edu/atlend For all Pennsylvanians with disabilities, of all ages

Your Turn After today, I will do/think about (topic) differently. I will tell (person) information I learned in today’s presentation I need (resources) to help me follow-through on today’s action plan.

Wrap-Up Questions? Comments? Fill out and return the Evaluation Form Thank You!