Skip to main content
Log in

Investigating input technologies for children and young adults with Down syndrome

  • Long paper
  • Published:
Universal Access in the Information Society Aims and scope Submit manuscript

Abstract

Using computers as an assistive technology for people with various types of physical and perceptual disabilities has been studied extensively. However, research on computer technology used by individuals with Down syndrome is limited. This paper reports an empirical study that investigated the use of three input techniques (keyboard and mouse, word prediction, and speech recognition) by children and young adults with Down syndrome and neurotypical children. The results suggest that the performance of the Down syndrome participants vary substantially. The high performing Down syndrome participants are capable of using the keyboard or the word prediction software to generate text at approximately 6 words per minute with error rates below 5%, which is similar to the performance of the younger neurotypical participants. No significant difference was observed between the keyboard condition and the word prediction condition. Recognition error rate observed under the speech input condition is very high for the Down syndrome participants. The neurotypical children achieved better performance than the participants with Down syndrome on the input tasks and demonstrated different preferences when interacting with the input techniques. Limitations of this study and implications for future research are also discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Abbeduto, L., Murphy, M.: Language, social cognition, maladaptive behavior, and communication in Down syndrome and fragile X syndrome. In: Rice, M.L., Warren, S.F. (eds.) Developmental Language Disorders: From Phenotypes to Etiologies. Erlbaum, Mahwah, NJ (2004)

    Google Scholar 

  2. Anson, D., Moist, P., Przywara, M., Wells, H., Saylor, H., Maxime, H.: The effects of word completion and word prediction on typing rates using on-screen keyboards. Assist. Technol. 18(2), 146–154 (2006)

    Article  Google Scholar 

  3. Buckley, S.J.: Living with Down Syndrome. Down Syndrome Issues and Information. The Down Syndrome Educational Trust, Portmouth, UK (2001)

    Google Scholar 

  4. Buckley, S.J.: Reading and Writing for Individuals with Down Syndrome—An Overview. Down Syndrome Issues and Information. The Down Syndrome Educational Trust, Portmouth, UK (2001)

    Google Scholar 

  5. Byrne, A.: Teaching reading to children with Down syndrome. Unpublished PhD Thesis. University of Portsmouth (1997)

  6. Chapman, R., Schwartz, S., Bird, E.R.: Language skills of children and adolescents with Down syndrome I: comprehension. J. Speech Hear. Res. 34, 1106–1120 (1991)

    Google Scholar 

  7. Chapman, R.S., Hesketh, L.J.: Behavioral phenotype of individuals with Down syndrome. Mental Retard. Dev. Disabil. Res. Rev. 6, 84–95 (2000)

    Article  Google Scholar 

  8. Chapman, R., Seung, J., Schwartz, S., Bird, E.R.: Language skills of children and adolescents with Down syndrome II: production deficits. J. Speech Lang. Hear. Res. 41, 861–873 (1998)

    Google Scholar 

  9. Collacott, R.A., Cooper, S.A., Branford, D., McGrother, C.: Behaviour phenotype for Down’s syndrome. Br. J. Psychiatry 172, 85–89 (1998)

    Article  Google Scholar 

  10. Dawe, M.: Desperately seeking simplicity: how young adults with cognitive disabilities and their families adopt assistive technologies. In: Proceedings of the ACM Conference on Human Factors in Computing Systems (CHI), pp. 1143–1152 (2006)

  11. Dawe, M.: Understanding mobile phone requirements for young adults with cognitive disabilities. In: Proceedings of the ACM Conference on Human Factors in Computing Systems (CHI), pp. 179–186 (2007)

  12. de Moreira, L.M., San Juan, A., Pereira, P.S., et al.: A case of mosaic trisomy 21 with Down’s syndrome signs and normal intellectual development. J. Intellect. Disabil. Res. 44, 91–96 (2000)

    Article  Google Scholar 

  13. Feng, J., Karat, C.-M., Sears, A.: How productivity improves in hands-free continuous dictation tasks: lessons learned from a longitudinal study. Interact. Comput. 17(3), 265–289 (2005)

    Article  Google Scholar 

  14. Feng, J., Lazar, J., Kumin, L., Ozok, A.: Computer usage by children with Down syndrome: challenges and future research. ACM Trans. Access. Comput. 2(3), 13–56 (2010)

    Article  Google Scholar 

  15. Harada, S., Landay, J., Malkin, J., Li, X., Bilmes, J.: The vocal joystick: evaluation of voice-based cursor control techniques. In: Proceedings of ASSETS 2006, pp. 197–204. Portland, Oregon (2006)

  16. Hu, R., Zhu, S., Feng, J., Sears, A.: Use of speech technology in real life environment. In: Proceedings of HCI International 2011. Orlando, Florida (2011)

  17. Kirijian, A., Myers, M.: Web fun central: online learning tools for individuals with Down syndrome. In: Lazar, J. (ed.) Universal Usability: Design Computer Interfaces for Diverse Users, pp. 195–230. Wiley, Chichester, UK (2007)

    Google Scholar 

  18. Koester, H., Levine, S.: Effect of a word prediction feature on user performance. Augment. Altern. Commun. 12(3), 155–168 (1996)

    Article  Google Scholar 

  19. Koester, H.H., Levine, S.P.: Modeling the speed of text entry with a word prediction interface. IEEE Trans. Rehabil. Eng. 2(3), 177–187 (1994)

    Article  Google Scholar 

  20. Kumin, L.: Speech and language skills in children with Down syndrome. Mental Retard. Dev. Disabil. Res. Rev. 2, 109–116 (1996)

    Article  Google Scholar 

  21. Lazar, J.: Introduction to universal usability. In: Lazar, J. (ed.) Universal Usability: Design Computer Interfaces for Diverse Users, pp. 1–12. Wiley, Chichester, UK (2007)

    Google Scholar 

  22. Lazar, J., Feng, J., Hochheiser, H.: Research Methods in Human-Computer Interaction. Wiley, Chichester, UK (2010)

    Google Scholar 

  23. Lejeune, J., Gautier, M., Turpin, R.: Etude des chromosomes somatiques de neuf enfants mongoliens. Comptes Rendus de l’Académie de Sciences 248, 1721–1722 (1959)

    Google Scholar 

  24. Marcell, M., Falls, A.: Online data collection with special populations over the World Wide Web. Down Synd. Res. Pract. 7(3), 106–123 (2001)

    Article  Google Scholar 

  25. MacArthur, C.A.: Overcoming barriers to writing: computer support for basic writing skills. Read. Writ. Q. 15, 169–192 (1999)

    Article  Google Scholar 

  26. National Association for Down Syndrome.: Facts about Down syndrome. http://www.nads.org/pages_new/facts.html (2008). Accessed 25 August 2009

  27. Newell, A.F., Booth, L., Arnott, J., Beattie, W.: Increasing literacy levels by the use of linguistic prediction. Child Lang. Teach. Therapy 8(2), 138–187 (1992)

    Article  Google Scholar 

  28. Newell, A.F., Arnott, J., Booth, L., Beattie, W., Brophy, B., Ricketts, I.W.: Effect of “PAL” word prediction system on the quality and quantity of text generation. Augment. Altern. Commun. 8, 304–311 (1992)

    Article  Google Scholar 

  29. Raskind, M.H., Higgins, E.L.: Speaking to read: the effects of speech recognition technology on the reading and spelling performance of children with learning disabilities. Ann. Dyslexia 49(1), 251–281 (1999)

    Article  Google Scholar 

  30. Roizen, N.J.: Down syndrome and an associated medical disorders. Mental Retard. Dev. Disabil. Res. Rev. 2, 85–89 (1996)

    Article  Google Scholar 

  31. Roizen, N.J.: Down syndrome. In: Batshaw, M.L. (ed.) Children with disabilities, 5th edn, pp. 307–314. Paul H Brookles Publishing Co, Baltimore, MD (2005)

  32. Sears, A., Feng, J., Oseitutu, K., Karat, C.: Hands-free, speech-based navigation during dictation: difficulties, consequences, and solutions. Human Comput. Interact. 18(3), 229–257 (2003)

    Article  Google Scholar 

  33. Tam, C., Reid, D., Naumann, S., O’Keefe, B.: Perceived benefits of word prediction intervention on written productivity in children with spina bifida and hydrocephalus. Occup. Therapy Int. 9, 237–255 (2002)

    Article  Google Scholar 

  34. U.S Department of Education.: A Guide to the Individualized Education Program. http://ed.gov/parents/needs/speced/iepguide/index.html (2007). Accessed 7 April 2010

  35. Trnka, K., McCaw, J., Yarrington, D., McCoy, K.: User interaction with word prediction: the effects of prediction quality. ACM Trans. Access. Comput. 1(3), 1–34 (2009)

    Google Scholar 

  36. Venkatagiri, H.S.: Efficiency of lexical prediction as a communication acceleration technique. Augment. Altern. Commun. 9, 161–167 (1993)

    Article  Google Scholar 

  37. Wang, P.: A neuropsychological profile of Down syndrome: Cognitive skills and brain morphology. Mental Retard. Dev. Disabil. Res. Rev. 2, 102–108 (1996)

    Article  Google Scholar 

  38. Wishart, J.G.: Learning in young children with Down’s syndrome: Developmental trends. In: Rondal, J.A., Perera, J., Nadel, L., Comblain, A. (eds.) Down’s Syndrome Psychological Psychobiological and Socio-Educational Perspectives, pp. 81–96. Whurr, London (1996)

    Google Scholar 

  39. Wobbrock, J.O., Myers, B.A.: From letters to words: efficient stroke-based word completion for trackball text entry. In: Proceedings of the ACM SIGACCESS Conference on Computers and Accessibility (ASSETS), pp. 2–9 (2006)

  40. Zordell, J.: The use of word prediction and spelling correction software with mildly handicapped students. Closing Gap 9(1), 10–11 (1990)

    Google Scholar 

Download references

Acknowledgments

This work is supported by the General Endowment Fund of the Fisher College of Science and Mathematics at Towson University.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jinjuan Feng.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hu, R., Feng, J., Lazar, J. et al. Investigating input technologies for children and young adults with Down syndrome. Univ Access Inf Soc 12, 89–104 (2013). https://doi.org/10.1007/s10209-011-0267-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10209-011-0267-3

Keywords

Navigation