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Assistive Technology for the Deaf and Hard of Hearing is special
technology Technology is the application of knowledge to reach practical goals in a specifiable and reproducible way. The word ''technology'' may also mean the product of such an endeavor. The use of technology is widely prevalent in medicine, scien ...
built to assist those who are
deaf Deafness has varying definitions in cultural and medical contexts. In medical contexts, the meaning of deafness is hearing loss that precludes a person from understanding spoken language, an audiological condition. In this context it is written ...
or suffer from
hearing loss Hearing loss is a partial or total inability to hear. Hearing loss may be present at birth or acquired at any time afterwards. Hearing loss may occur in one or both ears. In children, hearing problems can affect the ability to acquire spoken l ...
. Examples of such technology include
hearing aid A hearing aid is a device designed to improve hearing by making sound audible to a person with hearing loss. Hearing aids are classified as medical devices in most countries, and regulated by the respective regulations. Small audio amplifiers s ...
s, video relay services, tactile devices, alerting devices and technology for supporting communication.


Introduction

The
deaf Deafness has varying definitions in cultural and medical contexts. In medical contexts, the meaning of deafness is hearing loss that precludes a person from understanding spoken language, an audiological condition. In this context it is written ...
or hard of hearing community has a difficult time to communicate and perceive information as compared to hearing individuals. Thus, these individuals often rely on visual and tactile mediums for receiving and communicating information. The use of
assistive technology Assistive technology (AT) is a term for assistive, adaptive, and rehabilitative devices for Disability, people with disabilities and the elderly. Disabled people often have difficulty performing activities of daily living (ADLs) independently, ...
and devices provides this community with various solutions to their problems by providing higher sound (for those who are hard of hearing), tactile feedback, visual cues and improved technology access. Individuals who are deaf or hard of hearing utilize a variety of assistive technologies that provide them with improved accessibility to information in numerous environments. Most devices either provide amplified sound or alternate ways to access information through vision and/or vibration. These technologies can be grouped into three general categories: hearing technology, alerting devices, and communication support.


Hearing technology

Hearing technology can broadly be defined as any device utilized for improving the level of sound available to a listener. Hearing technology can further be divided into two general subcategories of
Assistive Listening Devices An assistive listening device (ALD) is part of a system used to improve hearing ability for people in a variety of situations where they are unable to distinguish speech in noisy environments. Often, in a noisy or crowded room it is almost impossi ...
or Personal Amplification.


Assistive listening devices

Assistive listening devices (ALD) can be utilized by individuals or large groups of people and can typically be accessed without the support of specific personnel. These devices typically are used to improve the signal-to-noise ratio (SNR) in any given situation. All ALDs utilize a transmitter that sends a person's voice or other sound source to a receiver that distributes the sound evenly throughout a room such as in theaters and churches or directly to an individual.


Frequency Modulation

With Frequency Modulation (FM) systems, the sound is transmitted on a specific frequency or channel similar to a radio. Th
Federal Federal Communications Commission (FCC)
has designated specific frequencies for these types of systems. There are now small receivers than can be connected directly to a person's hearing aids through Direct Audio Input (DAI). Any time an FM system is coupled to a hearing aid, special settings and connections are required from an audiologist. Sometimes when several FM based systems are used in the same building, there can be problems with cross over between rooms and channels.


Infrared

These systems utilize light waves to transmit sound from the transmitter to a special light sensitive receiver. The signal can be broadcast to a whole room through speakers or a person who wears an individual receiver. There must be a clear line of connection between the transmitter and receiver so that the light signal is not interrupted. The benefit of infrared systems is that they only work in the room where the transmitter and receiver are located resulting in significantly fewer issues with cross-over. These systems can be sensitive to external light sources or interfering objects.


Induction Loop

Induction loop systems utilize electromagnetic energy to transmit the signal. These systems can cover a small area with a loop placed under a rug or may be permanently installed within the walls or ceiling of larger areas like theaters, auditoriums, or churches.


Personal Amplification

Personal amplification is chosen specific to the needs of an individual based on their level of hearing and requires the support of an audiologist to determine candidacy for different devices and appropriately fit and adjust the chosen device.


Hearing Aid

Hearing aids A hearing aid is a device designed to improve hearing by making sound audible to a person with hearing loss. Hearing aids are classified as medical devices in most countries, and regulated by the respective regulations. Small audio amplifiers su ...
are electroacoustic devices which are designed to amplify sound for the wearer, usually with the aim of making speech more intelligible, and to correct impaired hearing as measured by audiometry. Some technologies also worth noting are
Cochlear implant A cochlear implant (CI) is a surgically implanted neuroprosthesis that provides a person who has moderate-to-profound sensorineural hearing loss with sound perception. With the help of therapy, cochlear implants may allow for improved speech unde ...
s and Bone Anchored Hearing Aid (BAHA), which serve a similar purpose to hearing aids.


Communication Support Technology

Following are some technologies employed by deaf and hard of hearing individuals for communication purposes.


Teletypewriters

Telecommunication Device for the Deaf (TDD), previously known as teletype machine (TTY), allows the user to place phone calls using text through a regular phone line. Each TDD has a keyboard with a text screen. A user either needs to connect with another person that has a TDD or use a relay service that can convert the text into voice for the hearing listener receiving the call. With the improvements in technology for phones, pagers, text devices and computer services, the use of the TDD has declined.


Voice Carry Over Telephone

The Voice Carry Over Telephone (VCO) is used by those people who are unable to hear over the telephone but prefer to use their voice to communicate. VCO telephone calls must be made through a relay service. This connection allows the person with the hearing loss to speak to the other party and read their incoming message on the telephone's display screen. There is also a portable VCO device, which can be attached to cell phones, pay phones, or cordless phones. Varying state to state, this service may be free to the consumer—paid for but the government. This was a provision of the Americans with Disabilities Act. The relay service companies pick a date that works for the consumer, sets up the telecommunication system, and teaches them how to use it. A third party employee translates the incoming speech in real time for the consumer to read the message.


IP Relay Services

Similar to Voice Carry Over Telephone (VCO), The Internet Protocol (IP) Relay Service is used by Deaf or Hard of Hearing people can use the phone, but sometimes they cannot hear and don't understand voices on the phone. IP relay is accessible through the internet and allows the person to communicate by text. When a user calls someone, there is a third party person, called a communication assistant (CA), who will receive the user's call and the IP relay will go from the caller's computer to the other person's phone. The communication assistant will type to the deaf/hard of hearing person, who will in turn respond, and then the communication assistant will pass along the information to the person on the other end of the line.


Video Relay Services

Video relay service (VRS) or Video remote interpreting (VRI) is a type of video telecommunication service, which use communication devices such as
webcam A webcam is a video camera which is designed to record or stream to a computer or computer network. They are primarily used in videotelephony, livestreaming and social media, and security. Webcams can be built-in computer hardware or peripher ...
s or
videophone Videotelephony, also known as videoconferencing and video teleconferencing, is the two-way or multipoint reception and transmission of audio signal, audio and video signals by people in different locations for Real-time, real time communication. ...
s to provide sign-language and/or spoken language interpretation services. In many cases, getting an interpreter may take some time and they may not be immediately available. The VRI will provide an interpreter on the spot. The VRI has two parties, the deaf/hard of hearing person who is using the VRI, and the interpreter who is on the screen. The interpreter can be on a videophone, web camera, or computer screen. The interpreter will use the audio, while someone speaks and the person will interpret to the deaf person by sign language, and then if the deaf/hard of hearing wants to say something they will sign to the interpreter and the interpreter will use his/her voice to relay that message.


Real-Time Text

Real-time text Real-time text (RTT) is text transmitted instantly as it is typed or created. Recipients can immediately read the message while it is being written, without waiting. Real-time text is used for conversational text, in collaboration, and in live cap ...
(RTT) is transmitting text which the reader can automatically read even before the sender finishes the sentence. The Deaf community uses this as one of the ways to communicate. RTT allows the other person (receiver) to read the message immediately, without waiting for the message to be written. The idea is similar to the idea which a hearing person talks on the phone. They will talk continuously without any pauses and interruptions. The Deaf community uses RTT to have a continuous conversation. TDD devices, sometimes called TTY devices, are commonly used for RTT via a regular phone call. Text over IP (ToIP) is a type of RTT that uses IP networks natively.


Real Time Captioning

Real time captioning provides a typewritten account of all verbal information presented within a lecture, meeting, discussion or presentation. All of these systems require the skills of a trained captioner and specialized software or equipment such as a computer. They typically vary based on the amount of information represented within the visual display of information ranging from summaries to word for word transcription.


Communication Access Real Time Captioning

Also called open captioning, or real-time stenography, or simply real-time captioning, Communication Access Real Time Captioning (CART) is the general name of the system that court reporters, closed captioners and voice writers, and others use to convert speech to text. A trained operator uses keyboard or
stenography Shorthand is an abbreviated symbolic writing method that increases speed and brevity of writing as compared to longhand, a more common method of writing a language. The process of writing in shorthand is called stenography, from the Greek ''st ...
methods to transcribe spoken speech into written text. Speech to text software is used when voice writers provide CART.


C-Print

C-Print is a speech-to-text (captioning) technology and service developed at the
National Technical Institute for the Deaf The National Technical Institute for the Deaf (NTID) is the first and largest technological college in the world for students who are deaf or hard of hearing. As one of nine colleges within the Rochester Institute of Technology (RIT) in Rocheste ...
, a college of
Rochester Institute of Technology Rochester Institute of Technology (RIT) is a private research university in the town of Henrietta in the Rochester, New York, metropolitan area. The university offers undergraduate and graduate degrees, including doctoral and professional ...
. The system is successfully being used to provide communication access to individuals who are deaf or hard of hearing in many programs around the country. In addition to educational environments, C-Print also can be used in business and community settings, and with individuals with other disabilities, such as those with a visual impairment or a learning disability.


Remote Captioning

Rather than having a captioner physically present, the user can listen in using a phone, cell phone, or computer microphone which allows the captioner to transmit the text back to the consumer using a modem, internet or some other data connection.


Video Captioning

Video captions make video content more accessible to all audiences. The 21st Century Communications & Video Accessibility Act (CVAA), passed in 2010, legally requires content delivered by broadband, digital and mobile technology to be accessible to those with disabilities. The Federal Communications Commission (FCC) enforces compliance of the CVAA and clarifies the law when necessary.


References

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