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ASHA 2017 11/11/17 rerc-aac.psu.edu 1 The Effects of Menu Location on Eye Gaze Fixation Patterns within AAC Visual Scene Displays Tara O’Neill, MS, CCC-SLP, Krista Wilkinson, PhD, Janice Light, PhD, Caroline Fehr Acknowledgements and Disclosures This project was supported, in part, by funding from: Penn State AAC Leadership Project, a doctoral training grant funded by U.S. Department of Education grant #H325D110008 Rehabilitation Engineering Research Center on Augmentative and Alternative Communication (The RERC on AAC), funded by grant #90RE5017 from the National Institute on Disability, Independent Living, and Rehabilitation (NIDILRR) within the Administration for Community Living (ACL) of the U.S. Department of Health and Human Services (HHS). I have no other relevant financial or nonfinancial relationship(s) within the products or services described, reviewed, evaluated or compared in this presentation. Visual scene displays (VSDs) A VSD is one type of AAC display in which representations of concepts are embedded in an integrated scene (e.g., photograph) Benefits of VSDs: Capture the social interactions in which children learn language Provide contextual and event-based support for language learning Wilkinson, Light & Drager, 2012 Yay! birthday cake Why examine eye gaze on VSDs? VSDs represent language concepts visually Therefore, it is important to understand how individuals that use AAC attend to, perceive, and make sense of the visual information of the display (Wilkinson & Jagaroo, 2004; Wilkinson, Light & Drager, 2012). How do we get this information? Fit visual cognition AAC VSD

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TheEffectsofMenuLocationonEyeGazeFixationPatternswithinAACVisualSceneDisplaysTaraO’Neill,MS,CCC-SLP,KristaWilkinson,PhD,JaniceLight,PhD,CarolineFehr

AcknowledgementsandDisclosuresThisprojectwassupported,inpart,byfundingfrom:• PennStateAACLeadershipProject,adoctoraltraininggrantfundedbyU.S.DepartmentofEducationgrant

#H325D110008• RehabilitationEngineeringResearchCenteronAugmentativeandAlternativeCommunication(TheRERCon

AAC),fundedbygrant#90RE5017fromtheNationalInstituteonDisability,IndependentLiving,andRehabilitation(NIDILRR) withintheAdministrationforCommunityLiving(ACL)oftheU.S.DepartmentofHealthandHumanServices(HHS).

•Ihavenootherrelevantfinancialornonfinancialrelationship(s)withintheproductsorservicesdescribed,reviewed,evaluatedorcomparedinthispresentation.

Visualscenedisplays(VSDs)AVSDisonetypeofAACdisplayinwhichrepresentationsofconceptsareembeddedinanintegratedscene(e.g.,photograph)

BenefitsofVSDs:• Capturethesocialinteractionsinwhich

childrenlearnlanguage• Providecontextual andevent-basedsupport

forlanguagelearning

Wilkinson,Light&Drager,2012

Yay!

birthdaycake

WhyexamineeyegazeonVSDs?•VSDsrepresentlanguageconceptsvisually•Therefore,itisimportanttounderstandhowindividualsthatuseAACattendto,perceive,andmakesenseofthevisualinformationofthedisplay(Wilkinson&Jagaroo,2004;Wilkinson,Light&Drager,2012).

•Howdowegetthisinformation?

Fitvisualcognition AACVSD

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Eye-trackingresearchtechnology•Eye-trackerrapidlysamplesthepositionoftheparticipants’eyeswhilelookingatanimage

•Dataprovidedallowsustoexaminewhatelementswithintheimagereceiveattentionandforhowlong(amongothervariables)

•*Note:thistechnologydiffersfromAACdevicesthatarecontrolledbyeyegazeaccess

Tobii T60

PreviousinvestigationofeyegazeinphotographsHumansinphotographsattractvisualattention,evenwhentheyaresmall,offset,andnexttopotentiallydistractingitemsinthebackground(Wilkinson&Light,2014)

TD DS IDD ASD

CurrentInvestigationFurtherspreviousresearchbyexaminingeyegazefixationpatternsonstimulithatresembleactualVSDs

children

sharedeventoractivity

Question:Inthesemoresociallycomplexscenescontainingtwochildrenengagedinasharedactivity,whatattractsattentionwithintheVSD?

Freeviewingfor5seconds

Participantsgroup number CA

(average)PPVTageequivalent(average)

ASD 16 14;7 4;2

DS 15 17;8 4;6

IDD 15 15;11 5;11

TD 20 4;1 5;1

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ParticipantsacrossgroupsareattendingtothemeaningfuleventswithintheVSD(childrenandsharedactivity).

Thebackgrounddoesnotserveasadistraction.

Evenwithhighersocialdemands(2humanfigures),wedonotseegazeaversionawayfromhumansinparticipantswithASD.

WhatattractsattentionwithintheVSD?

TD DS

ASD IDD

However,AACsystemsthatutilizeVSDsareoftenmorecomplexthanasinglepicture.

Particularly,childrenmustbeabletovisuallyattendtoandnavigatebetweenvariousdisplayswithina

dynamicdisplaysystem.

Thisisoftenachievedthroughtheuseofanavigationmenuwithlinkstosubsequentpages.

Navigationmenu•Lightetal(2011)foundthatyoungchildrenwereabletosuccessfullynavigateAACtechnologieswhenthenavigationmenuwas:• (1)Availableatalltimes• (2)Includedthumbnails(smallerimages)ofactualdisplays

Question:WhatattractsattentioninthesevisuallycomplexstimulithatincludebothamainVSDandanavigationmenu?

ParticipantsacrossgroupsattendtoboththemainVSDandthenavigationmenu.

MoretimeisspentonthemainVSDthanthemenu.

LargeandprominenthumanfiguresinVSDdidnotprecludeattentiontomenu

SmallhumanfiguresinmenudidnotdistractfromVSD

TD DS

ASD IDD

Whatattractsattentionintheentiredisplay?(mainVSDandmenu)

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LocationofthenavigationmenuQuestion:How,ifatall,doesthelocationofthenavigationmenuaffectvisualattentiontotheelementswithintheVSD?

Dependentvariable=percentageoffixationtime

57% 53% 52% 54%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

100%

TD ASD DS IDD

Percentageoffixationtimeonthechildren

18% 23% 16% 18%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

100%

TD ASD DS IDD

Percentageoffixationtimeontheactivity

Question:Whatpercentageoffixationtimedoparticipantsspendonthechildren andsharedactivitywhenthenavigationmenuisonthetop?

ParticipantsacrossgroupsspendagreaterpercentageoffixationtimeonthechildrencomparedtothesharedactivitywithintheVSDinthebartopcondition.

49%

35%

56% 45%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

100%

TD ASD DS IDD

Percentageoffixationtimeonthechildren

35% 44%

27% 37%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

100%

TD ASD DS IDD

Percentageoffixationtimeonsharedactivity

Participantsinmostgroups(withtheexceptionofASD)spendmoretimeonthechildrencomparedtothesharedactivityinthebarbottomcondition.

Question:Whatpercentageoffixationtimedoparticipantsspendonthechildren andsharedactivitywhenthenavigationmenuisonthebottom?

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

100%

TD ASD DS IDD

Percentageoffixationtimeonthechildren

top bottom

0%

20%

40%

60%

80%

100%

TD ASD DS IDD

Percentageoffixationtimeonsharedactivity

top bottom

WiththeexceptionofparticipantswithDS,participantsacrossgroupsspendmoretimefixatingonthechildreninthemenutopconditioncomparedtomenubottom

Participantsacrossallgroupsspendmoretimeonthesharedactivityinthemenubottomconditioncomparedtothemenutopcondition.

WeverifiedthatthispatternwastrueregardlessofthecontentsofthemainVSD.Inotherwords,itwasnotduetothepicturesthemselves,butratherbecauseofthelocationofthemenu.

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ImplicationsforAACsystemdesign(1)HumanfiguresandasharedactivityshouldbeincludedaskeyelementsinAACVSDs• Theseelementsattractvisualattention,evenamongindividualswithASD• Backgroundisnotdistracting• VSDswiththeseelementsarenotvisuallyoverwhelming

ClinicalImplications(2)Wecanchangepatternsofvisualattentionbasedonthelocationofthenavigationmenu• Dependingonthelocationofthemenu,wemaypromotevisualattentionto

differentelements

LimitationsandfutureanalysesLIMITATIONS

•Smallsamplesizeslimitgenerality

•Didnotexamineeffectofexperience

•Examinedonlytwobarlocationconditions

•Didnotexaminecuedviewingdata

FUTUREANALYSESANDRESEARCH

•Useofmorefunctional,ecologicallyvalidtasks

•Examinerelationshipbetweeneyegazeandactualselection(viamotorresponse)

•Examineleftandrightmenulocations

•Examinecuedviewingdata

ReferencesLight,J.,Jakobs,T.,Drager,K.,Chew,K.,Guthrie,S.,Mellman,L.,&Riley,K.(2011).TheeffectsofAACtechnologieswithjustintimeprogrammingonthecommunicationofchildrenwithcomplexcommunicationneeds.Manuscriptinpreparation.Wilkinson,K.M.,&Light,J.(2014).Preliminarystudyofgazetowardhumansinphotographsbyindividualswithautism,Downsyndrome,orotherintellectualdisabilities:Implicationsfordesignofvisualscenedisplays. AugmentativeandAlternativeCommunication, 30,130-146.doi:10.1044/1092-4388(2011/10-0098)Wilkinson,K.M.,&Jagaroo,V.(2004).ContributionsofprinciplesofvisualcognitivesciencetoAACsystemdisplaydesign. AugmentativeandAlternativeCommunication, 20,123-136.doi:10.1080/07434610410001699717Wilkinson,K.M.,Light,J.,&Drager,K.(2012).Considerationsforthecompositionofvisualscenedisplays:Potentialcontributionsofinformationfromvisualandcognitivesciences. AugmentativeandAlternativeCommunication, 28,137-147.doi:10.3109/07434618.2012.704522

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Questions?