Navigation Training for Persons With Visual Disability Through Multisensory Assistive Technology: Mixed Methods Experimental Study.
Fabiana Sofia Ricci, Lorenzo Liguori, Eduardo Palermo and 2 others
PMID 39556804WHAT IT FOUND
In virtual reality with simulated vision loss, a haptic belt reduced collisions but increased task time and path length.
Audio beeps improved path smoothness. Combined cues were the most preferred, yet did not improve every navigation measure.
Key findings
01Haptic belt feedback was associated with fewer collisions but longer task completion time and longer trajectory length.
02Audio beep feedback was associated with improved trajectory smoothness but no significant change in collisions or completion time.
03Combined haptic and audio feedback showed a significant interaction on trajectory length (P = .04), and 40% (29/72) preferred this condition over audio-only (32%, 23/72) or haptic-only (18%, 13/72).
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How it was doneWhat they foundWhat it means for OTs
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What it does not show
All 72 participants were healthy adults with normal or corrected vision, not people with actual visual impairment. Older adults and people with pregnancy, psychiatric, cardiac, seizure, serious medical conditions, medical devices, or binocular vision abnormalities were excluded, limiting generalizability to many people with visual impairment. The vision loss simulation represented common symptoms such as peripheral vision loss, reduced contrast, altered color, and glare, based mainly on severe glaucoma, not all causes of visual impairment. Only one audio feedback design and one haptic belt actuator arrangement were tested. Participants received no training on the haptic belt or VR, so unfamiliarity may have affected performance. Collisions in VR had no real consequence, so participants may have behaved differently than in real street navigation. The analysis removed outliers, including 92 (31.9%) of 288 collision observations, because participants may have misunderstood or ignored feedback.
Declared interests
One author declared conflicts of interest related to intellectual property owned by New York University, as well as related advisory positions with equity and ad hoc compensation.
The easy way to misread this
Do not conclude that this system improves safe navigation for people with visual impairment. It was tested only in healthy adults with simulated vision loss, and haptic feedback reduced collisions but increased task time and path length.