U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
NIHSeniorHealth ~ A Talking Web
Simon LiuDirector, Information SystemsNational Library of Medicine
June 4, 2004
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
Agenda
• NIHSeniorHealth- A Service to Seniors
• Visual Impairment Problems
• NIH/NLM Approach
• Technical Challenges
• User Experience
• Next Steps
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
NIHSeniorHealth – A Service to Seniors
•Consistent side menu•Visual location cues
•Large buttons•Consistent placement
•Large, simple images illustrate content or activity
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
NIHSeniorHealth – Health Information
Contents
• Text• Images• Videos• Test your knowledge quizzes• Frequently asked questions
(FAQs)
Topics
• Breast cancer • Colorectal cancer • Lung cancer• Prostate Cancer• Alzheimer’s Disease• Caring for Someone with
Alzheimer’s Disease• Exercise for Seniors• Hearing loss• Balance problems• Arthritis
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
Visual Impairment in the U.S. (I)
Source: Statistics on Vision Impairment - A Resource Manual (April 2002)Lighthouse International, http://www.lighthouse.org/researchstats.pdf
17%15%
17%
26%
0%
5%
10%
15%
20%
25%
30%
Total 45-64 65-74 75+
Age Group
Percent of Americans age 45+ with a Self-Reported Vision Problem by Age
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
Visual Impairment in the U.S. (II)
• Numbers are based on 2000 census• There are an estimated 180 million people worldwide who have a
visual impairment, (2001, WHO, http://www.who.int/en/)
16,700,000
9,300,000
3,100,0004,300,000
-
2,000,000
4,000,000
6,000,000
8,000,000
10,000,000
12,000,000
14,000,000
16,000,000
18,000,000
Total 45-64 65-74 75+Age Group
Number of Americans age 45+ with a Self-Reported Vision Problem by Age
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
Today’s Technology & Disadvantages
Screen Readers- Window Eyes- JAWS for Windows- outSPOKEN
Braille Displays- Braille Terminal
Screen Magnifiers- Zoom Text- MAGic- BIGGY
Speech Recognition- NaturallySpeaking- IBM ViaVoice
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
NLM Approach & Advantages (I)
ContrastDisplay
TextNarration
TextMagnification
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
NLM Approach & Advantages (II)
• Server-based services• Zero code clients• Multiple browsers • Multiple platforms• User-controlled
magnification, narration & contrast
Servers/NLM
Clients/Users
Clients/Users
Servers/NLM
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
Technical Challenges & Tradeoffs
• Heterogeneous environment – Over 40 combinations of browses & platforms
• Performance – Speed of voice delivery• Quality – Compressed audio quality• Consistency – Consistent look & feel
and standard templates • Content management – Content
creation, review & publishing
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
User Experience
NIHSeniorHealthFeedbackTesting
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
Future Direction - Technology
Natural Voice Human Voice
Speech RecognitionPersonalization
Select a Voice Rate• Fast• Medium• Slow
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
• Diabetes (NIDDK)• Macular Degeneration (NEI)• Low vision• Glaucoma• Cataracts• Diabetic Retinopathy• Osteoporosis (NIAMS)• Paget’s disease• Falls and fractures (NIA)• Sleep and aging• End of life care (NINR)• Stroke (NINDS)
• Congestive Heart Failure (NHLBI)
• Heart Disease• Complementary and Alternative
Medicine (NCCAM)• Dietary Supplements (ODS)• Shingles (NIAID)• Medicare and Medicaid (CMS)• Oral Health and Dental Care
(NIDCR)• Sensory loss (NIDCD)• Aphasia
Future Direction - Contents
U.S. NATIONAL LIBRARY OF MEDICINENATIONAL INSTITUTE ON AGING
NATIONAL INSTITUTES OF HEALTHNIHSeniorHealth
Q & A
http://nihseniorhealth.gov/