1.6. Subjects

1.6.1. Subject Recruitment and Procedures

Using a list of potential blind subjects provided by two O&M instructors in San Francisco, telephone contact was made and it was explained that subjects needed to be legally blind and be able to get to the test area themselves (the principal researcher has a vision impairment and could not offer to pick up subjects with a car).  Subjects were offered $50 each for their time and effort.   If interested, they were immediately assigned to one of the two test order conditions in an alternating fashion.   At that time, a phone interview was conducted on the pre-test questionnaire or an appointment was made to interview them later.   The phone interview took about 30-45 minutes.   At the end of the phone interview, a field test was scheduled and arrangements were made to meet them near the test site.   Subjects were asked to meet the experimenter away from the Caltrain test area, either at a bus stop, cab stand, or at the Light Rail station, all of which were nearby.   After the field test, subjects were taken away from the test area and offered a drink and a place to sit while the post-test interviews were given and recorded.  Subjects were then paid, signed a receipt, and were escorted to their requested mode of transportation for their return trip.   Thirty subjects were recruited and they all completed the entire experiment. 

1.6.2. Subject Classification and Analysis

Five subjects were from the Peninsula Center for the Blind (PCB) and seven were from the Living Skills Center (LSC).   Both these groups train living skills for the blind.   The LSC is mostly for young blind adults after high school age who want to be independent.   PCB also trains older people that become blind or vision-impaired.   The rest of the subjects were mostly employed and middle aged adults who were known to the two contact people who provided the subject list.  Some worked for the California Department of Rehabilitation, the Lighthouse for the Blind, or the Department of Veterans Affairs.   Several subjects were referred by other participants.   No one who worked for Smith-Kettlewell Eye Research Institute or had ties to Talking Signs® was used as a subject, although some were used in the pilot testing.  

Eleven subjects were female and 19 were male.   The average age was 37, ranging from 19 to 67.   The average education was midway between having some college and being a college graduate.  Five were high school graduates, eleven had some college, seven were college graduates, and seven had advanced degrees.   All subjects were legally blind, meaning they had either a corrected vision of 20/200 or less or had a restricted field of vision less than 20 degrees.  Sixteen were born blind (congenital blindness) and one was blind at age one.   The average amount of time that the 30 subjects had been blind was 29 years.  Many pathologies were represented.  Subjects reported macular degeneration, retinitis pigmentosa, optic nerve damage, cancer of the eye, retinopathy of prematurity, measles, albinism, cataracts, and glaucoma.   A wide range of visual acuity was reported, with 11 subjects having no perception at all and eight more having only light perception.   The other 11 subjects reported some type of useful vision; six reported they could see shapes, and five said they could see objects up close.  Four subjects could read large print, six could read large print with a magnifier, and 20 could not read print at all.  All those who could not read print and two who could (22) reported Braille skills.   
 
The impact of adaptive and assistive technology was quite evident.   All but one subject used some type of device to aid in reading.   They ranged from a simple magnifier (3) to CCTV, scanners, tapes, computer speech synthesizers, and Braille machines.   Three people reported slight hearing loss, though not enough to cause a problem with the auditory output of the RIAS.

1.6.3. Mobility Information and Experience

Four subjects did not use any aid in travel, 20 people used a cane as part of their normal travel, and 6 subjects normally used a guide dog.   Some of the dog users used a cane during the experiment.   Nineteen subjects reported having had an average of 2.5 years of Orientation and Mobility training on using transit.   Twenty-six subjects reported having had Orientation and Mobility training for independent travel skills, with an average training length of 3.7 years.
 
Twenty-four of the subjects had heard of Talking Signs ® before being contacted for the experiment.   Eleven had never tried them, and 19 said they had tried them “a few times.”  No one reported being a regular user. 
 
Fourteen subjects said they had never been to the experiment area, the Caltrain station at 4th and King.   Eleven reported being there “a few times,” and five said they had been there more often than that.

1.6.4. Distribution of Subject Characteristics across the Two Conditions

Experiments with people having vision loss are confounded by several factors.  First, it is hard to recruit large numbers of suitable subjects to conform to more common standards of statistical requirements, and, second, there is a large range of travel-related skills and characteristics of vision among members of this group.   The number of subjects in this experiment is actually much larger than many experiments conducted with blind individuals.   Even though the subjects were alternately assigned to the two conditions, with the small number of subjects (N=30), the large agreement of subject characteristics added to the validity of the conclusions.
 
Table 1.2 shows certain variables that could impact the equitable distribution across the two conditions.   One subject with rapidly deteriorating vision insisted that he be able to perform the field test while blindfolded.   He said it would give him a better idea of how the system would help him in the future, and so, for the field test only, he was treated as a totally blind subject (no useful vision).   Significance tests were conducted on the characteristics below, and no significant difference was found between the characteristics of subjects assigned to the two conditions.

Table 1. 2   Distribution of Subject Characteristics across the 2 Conditions

Subject Characteristics

Condition

1

Condition

2

 

Regular

Method

With

RIAS

 

NRIAS 1st

RIAS 1st

Gender ratio

60% M

67% M

Age

34

39

Congenitally  (born) blind

10

7

Age at onset of blindness (non- congenital)

18.8

18.1

Education completed (median)

Some Col.

Some Col.

Years legally blind

28.2

29.3

Subjects, no useful vision

11

9

Subjects, see some shape

2

4

Subjects, see some objects

2

2

Independent travel (mobility rating)

1.9

1.7

General sense of direction  (mobility rating)

2.4

1.9

Mobility in new environment (rating)

2.9

2.7

Frequency of learning a new route (rating)

3.7

3.7

Familiarity with Talking Signs® (rating)

1.8

1.5

Familiarity with Caltrain station (rating)

1.5

1.9

 

  1.6.5. Training with Remote Infrared Audible Signage

All subjects received about 10 to 15 minutes of training using Talking Signs®.  An explanation was given as to how the transmitter sends a conical beam of light that carries a message that the receiver picks up and speaks to the user (see Section 2.4 for details).  They practiced finding the edges of the transmitted cone by moving the receiver and finding where the message finally disappeared at the top, bottom, and both side edges of the cone.  A transmitter that was not on the route was used for this purpose, and subjects practiced walking and following the beam to this site three times.   Next, each person was taken to another location not on the route and practiced walking toward this transmitter.   A portable transmitter was then attached to a light pole away from the route, and they made three more walks to locate the pole.   These last two transmitters were close enough that subjects could receive signals from both while standing at a central location.   Here they learned how to orient themselves between two signals.   The initial explanation and these nine practice walks were the only training each received.   Other experiments using non-directional acoustical sounds have required many weeks or months of training to teach auditory localization (Easton & Bentzen, 1999) . 

1.6.6. Sighted Subjects for Baseline

The major purpose of the experiment was to document how people with vision impairments performed tasks with their regular method and when using location-based infrared transmitted auditory signage.   However, some data were obtained from sighted subjects to use as a baseline comparison.  Clark-Carter et al.   (1986) suggests that the best way to test different navigation aids is to compare walking times.  By extension, the walk times of the blind subjects are compared with that of a sighted person to better compare the degree of restriction imposed by the absence of vision.   The field experiment at the Caltrain station was based on tasks requiring searching and walking.   Baseline walk times were obtained from two sighted subjects.   The first subject was a research assistant who had never been to the test site before.  He was blindfolded and taken to the start point.   Here, the blindfold was removed, and he performed the field tasks.  Walk times, requests for help, and errors were recorded.   Since it was his first exposure to the environment, several errors were made, as was expected.  His times represented a first-time sighted user (FTSU).   To obtain a baseline of error-free walk times, the principal researcher, who was very familiar with the environment, walked the route.   His times represented a familiar sighted user (FSU).   The FTSU was younger and taller and his walk times were often a few seconds faster than the FSU, but since he was unfamiliar with the area, he did not always walk a direct path and a few times were much longer, so that the total time for the FSU were less than for the FTSU.   APPENDIX 1 shows the times for these two sighted users.  

The effect of vision loss on transfer making behavior was studied by asking a series of questions about perceived behavior when making a decision to transfer.  In order to compare those responses, 30 sighted people were interviewed.   On the daily public transit ride to and from the experiment site, the principal investigator looked for sighted people of the same sex and general age range as that day’s test subjects, who were then asked if they were regular users of transit, and, if so, were told of the experiment.   They were asked the same six questions that were asked of the blind test subjects about transfer making behavior.   This group represented sighted users (SU).

 
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