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Hack Ability:
 Open Source Assistive Tech
Liz Henry   linux.conf.au   2010
Hack Ability


  My wheelchair is a
  machine to get my body
  from one place to
  another.

I'd like for it to be easy to fix
and hack.

Like a bike or a car.
Hack Ability

You can find info on how to fix a
car

Or you can go to a car repair place

Anyone can start a car fixing
business

They're everywhere
Hack Ability


You can find out how to fix a
           bike

And there's little independent
  bike shops everywhere
Hack Ability

But you can’t find out
     how to fix a
     wheelchair

    Or build one
                        NOT!
Hack Ability

 Because rather than
 just being a tool like
  a bike or a car or a
       computer

   It's a MEDICAL
        DEVICE
Hack Ability

    YOU will likely be
      “disabled”

- have a significant physical
        impairment -

for around 8 years of your
           life
Hack Ability

✤   Hands are important

✤   RSI is hard

✤   People invent stuff to help with
    that

✤   It’s proprietary and expensive

✤   Or in out of print books and
    abandoned blogs
Hack Ability
   Everyone needs a voice

In the last few years, Dynavox
             bought:
  Eye Response Technologies
         Mayer Johnson
        Enkidu Research
          Blink Twice
          AND MORE

  Assisted and Augmented
Communication is big business
Hack Ability

✤   Why care now?

✤   Until you need it, you don’t
    care

✤   When you need it, you will be
    busy, poor, and in pain

✤   Don’t count on magic
    benevolence or immortality
    nanobots. Design and code for
    your future.
Hack Ability
 Why isn’t there more free/open
    source access hacking?

     * Medical expert model

* Charity model: PWD are passive
       recipients of charity

 * PWD are often isolated from
         community

 * Solutions are individual, and
        then aren't shared
Hack Ability

Your impaired body is under the control of
                  the

  MEDICAL INDUSTRIAL COMPLEX

     Your wheelchair repair manual
          or voice control hack

           might get you sued
          if someone is injured

   might violate copyright or a patent
    might ruin someone's PROFIT
Hack Ability
  YOU will need assistive technology

   YOU WILL WANT TO HACK IT.

        You'll need DIY attitude
                @ access

  You'll need open source information
      structures and communities

 Vision, speech, gaming making some
                 strides
but mobility mods aren't integrated with
          open source culture
Let’s Get
Physical
✤   I have a sometimes obvious
    physical impairment

✤   People ask me questions about
    “web accessibility”!

✤   Disabled = all disability in their
    minds

✤   So let’s look at the
    commonalities. How are
    software, web access, projects
    handled compared to physical
    mobility gadgets/inventions?
Physical Hacks:
The Tennis Ball Walker
✤   Common DIY hack

✤   Simple

✤   Cheap

✤   Effective

✤   Standard parts

✤   Easily noticed + copied

✤   Still necessary!
Easy Hacks


✤   Individual solutions

✤   Easy viral/info spread. People
    see it in public.

✤   No special skills, tools needed

✤   Crutch pockets and other
    carrying and gripping gadgets
Easy Hacks

✤   Crutch holders on a bike

✤   Lesson for inventors

    ✤   Don’t assume

    ✤   People’s abilities vary

    ✤   Sometimes from day to day

    ✤   Or hour to hour
Software !=easy

✤   Computer and web access is
    treated as an easy hack

✤   Bolt on the crutch holders!

✤   Add some alt tags!

✤   Stick hand controls on the gas
    pedal! (Be sure to patent that!)

✤   That creates many problems. It
    doesn’t make for a viable DIY
    or free/open source culture.
Easy Hacks

✤   Information hack can be simple

✤   Labelling tape has raised letters

✤   Control languages for voice
    activation (use another human
    language for a meta language)

✤   Address labels on your
    crutches

✤   Individual, doesn’t require
    systemic change
Complex Hacks
✤   Infrastructure changes

✤   Need strength, special tools

✤   Architectural mods

✤   Need maintenance

✤   (This is Miguel Valenzuela’s
    hydraulic $100 toilet lift)

✤   It’s a good hack: it’s not a
    viable ongoing project yet

✤   Still no pathway to make it one
Complex Hacks
✤   Ramps. Online how-to information is
    rare.

✤   Nonprofits, state/county govt.

✤   Detailed blueprints. Disassembly too.

✤   Regulations, how to hire contractors or
    find volunteer group to build it

✤   LOTS of meta information. Good!

✤   But it’s all Web 1.0. Hand coded html
    pages, no feedback, no path to change.

      Metropolitan Center for Independent Living, Minnesota
Complex Hacks
        Great potential.
     Giant legal disclaimers.
             NGOs.




Center for International Rehabilitation
Complex Hacks


✤   Complex open source access
    hacks need community

✤   Just as any open source project
    does

✤   Whether it’s hardware,
    gadgetry, or software.
Web access



✤   “The power of the Web is in its universality. Access by everyone
    regardless of disability is an essential aspect.” - Tim Berners-Lee

✤   Accessibility is still an afterthought.

✤   Accessibility for developers is important.
AAC and web access

✤   Software and web devs consider access to info and UIs

✤   Speech recognition, Text to speech

✤   Eye control, Switches

✤   Web site accessibility

✤   Software navigation

✤   In practice this often means bolting a crappy handrail onto a decently
    designed building. That sucks for everyone! Design with access in
    mind from the beginning.
Contributing to FLOSS

      “I hope to be able to read, browse the net, and even participate in
    conversations by email and messaging. Voice synthesizers allow local
   communications, and I am making use of a free service for ALS patients
which will create a synthetic model of my own natural voice, for future use.
I may even still be able to write code, and my dream is to contribute to open
 source software projects even from within an immobile body. That will be a
                  life very much worth living.” - Hal Finney
Accessibility
Projects
✤   Voice banking

✤   FestVox

✤   http://festvox.org/

✤   Screen readers -

✤   Firevox

✤   NVDA

✤   Fullmeasure.co.uk
Accessibility
Projects
✤   eViacam (Enable Viacam) Head
    Mouse

✤   control mouse with webcam
    and some head or finger
    control

✤   Any standard PC with
    webcam!

✤   GNU/Linux or Windows

✤   Great project!
Captioning!   ✤   YouTubeCC

              ✤   http://www.youtubecc.com/
Accessibility
Projects
✤   Eye tracking

✤   ITU Gaze Group

✤   IT University of Copenhagen

✤   GazeTalk. Multilingual eye-
    typing with prediction

✤   StarGazer, COGAIN

✤   EyeTube
Oneswitch

✤   http://
    www.oneswitch.org.uk/4/
    DIY/ Barrie Ellis. DIY site!

✤   Instructions to build, hack,
    integrate single switch devices

✤   Wheelchair controls, phones,
    games, computers, cameras

✤   http://mattschneider.com/
    general/simple-hands-free-
    camera-remote-hack
Accessibility
Projects
✤   GNOME projects for
    accessibility in Linux

✤   http://projects.gnome.org/
    accessibility/

✤   Cash for tasks completed.
    Good idea. Still active?      KDE: KMouth, KMagnifier

✤   http://live.gnome.org/Orca        Adept1 (not free)

✤   http://live.gnome.org/Orca/   Ophoenix (Ubuntu project)
    HowCanIHelp - Excellent
    guide to starting work!
“There’s something inherent in the
Bloggers, hackers,                    abundance of a digital world and
                                    dawning digital culture that requires,
testers, consultants                 even demands, openness on many
                                                  fronts.”

✤   Extreme users are excellent
    product designers and testers

✤   Experts on pushing systems to
    work in unusual ways,
    adapting them for new
    purposes

✤   Lifekludger.net - David N.                    Problems:
    Wallace                              * asking for volunteer work
                                            * work/benefits issues
✤   Glenda Watson Hyatt: http://
    www.doitmyselfblog.com/
Collect some
information
✤   Global Assistive Technology
    wiki

✤   OATS (Open Source Assistive
    Technology Software)

✤   AbilityNet

✤   Disapedia, Wikihow

✤   Instructables

✤   Wikipedia?
BBC Accessible
Newsreader

✤   Create a user

✤   Choose content blocks

✤   Scanning speed

✤   Audio and font size setttings

✤   The site then scans through
    navigation options. Good for
    one switch or gaze control.
Build it into FLOSS
platforms


✤   BBC scanning idea is good!

✤   Could build similar options
    into popular platforms like
    WordPress

✤   Or into operating systems?
    Rethinking navigation and
    control.
Tactile Maps

✤   Tactile Maps

✤   Mashup, maps for visually
    impaired

✤   Lighthouse for the Blind, SF

✤   $15 for businesses

✤   Free for California residents
    with visual impairment
Text only
geography

✤   What about a mashup of open
    street map and MUD/
    Interactive fiction style text
    descriptions of geographic
    locations?

✤   You are standing in front of the
    convention center. To the north
    there is a stairway and a ramp
    up to the city center plaza.
    There is a small mailbox here.
✤   Creating systems that PWD
Antifeatures!       can’t contribute to

                ✤   Information silos

                ✤   One-off solutions that aren’t
                    put into public domain
                    (student contests, charity, what
                    you might do for relatives)

                ✤   Exploiting vulnerable
                    populations, insurance, govt.

                ✤   Freaking out about liability

                ✤   Selling out to industry

                ✤   Examples from charities.
Arts for All

✤   Idealistic, cool, great!

✤   Golf carts, mowers, rotisserie
    motors, attach to walkers and
    chairs

✤   Patents + bad online store =
    limited and local
    implementation

✤   Could publish the plans as DIY,
    and still sell this stuff to
                                      FLOSS culture emergency!
    schools and so on.
Free
Wheelchairs
✤   Wheelchair Mission

✤   Neat invention

✤   Plastic lawn chairs, bike wheels
    in a kit, ship 500 to Uganda

✤   Unmaintainable, breakable

✤   Undermines local industry and
    market

✤   Thanks though...
Whirlwind
Wheelchair
International
✤   Rugged $200 chairs

✤   Partnering with local industry
    in Nicaragua, Guatemala

✤   Manufacturing, training for
    local repair industry

✤   Focus on sharing information

✤   But not completely free/open
    source design (yet) for various
    reasons.
3D Printers?


✤   3D Printers as materials get
    better may provide a pathway
    for inventors of stuff that will
    be useful for people with
    disabilities

✤   Ponoko, Shapeways
Further Thoughts
✤   Medical model of thinking of assistive devices, liability,
    greed have limited hardware and gadget development

✤   Spreading FLOSS philosophies and community/
    collaboration methods would help invention.

✤   The active FLOSS assistive tech projects out there are
    unusually vulnerable to loss of individual contributors,
    coordinators

✤   They’re also vulnerable to the power of the medical-
    industrial complex. Fight the power!

✤   Improve your software by considering extreme users.
Radicalize!

✤   Cross pollinate ideas

✤   physical inventions, hardware,
    needs more open sourciness!

✤   open source culture needs
    physical inventiveness,
    adaptations driven by
    necessity, of pwd

✤   Document projects, preserve
    information
IN THE FUTURE...
Will you be a sad lonely person fumbling to epoxy tennis balls onto the feet of your totally
World War II looking hospital walker ?
Or will you be hacking your burning man jetpack in a vibrant community that supports
serendipity and a culture of invention!
A DIY approach to

HACKING ABILITY

will help everyone


We'll invent cool shit


We'll open source our way out of
nursing home prisons run by the
medical industrial complex


and


The future will be awesome!!!



 Date

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Hackability: Free/Open Source Assistive Tech

  • 1. Hack Ability: Open Source Assistive Tech Liz Henry linux.conf.au 2010
  • 2. Hack Ability My wheelchair is a machine to get my body from one place to another. I'd like for it to be easy to fix and hack. Like a bike or a car.
  • 3. Hack Ability You can find info on how to fix a car Or you can go to a car repair place Anyone can start a car fixing business They're everywhere
  • 4. Hack Ability You can find out how to fix a bike And there's little independent bike shops everywhere
  • 5. Hack Ability But you can’t find out how to fix a wheelchair Or build one NOT!
  • 6. Hack Ability Because rather than just being a tool like a bike or a car or a computer It's a MEDICAL DEVICE
  • 7. Hack Ability YOU will likely be “disabled” - have a significant physical impairment - for around 8 years of your life
  • 8. Hack Ability ✤ Hands are important ✤ RSI is hard ✤ People invent stuff to help with that ✤ It’s proprietary and expensive ✤ Or in out of print books and abandoned blogs
  • 9. Hack Ability Everyone needs a voice In the last few years, Dynavox bought: Eye Response Technologies Mayer Johnson Enkidu Research Blink Twice AND MORE Assisted and Augmented Communication is big business
  • 10. Hack Ability ✤ Why care now? ✤ Until you need it, you don’t care ✤ When you need it, you will be busy, poor, and in pain ✤ Don’t count on magic benevolence or immortality nanobots. Design and code for your future.
  • 11. Hack Ability Why isn’t there more free/open source access hacking? * Medical expert model * Charity model: PWD are passive recipients of charity * PWD are often isolated from community * Solutions are individual, and then aren't shared
  • 12. Hack Ability Your impaired body is under the control of the MEDICAL INDUSTRIAL COMPLEX Your wheelchair repair manual or voice control hack might get you sued if someone is injured might violate copyright or a patent might ruin someone's PROFIT
  • 13. Hack Ability YOU will need assistive technology YOU WILL WANT TO HACK IT. You'll need DIY attitude @ access You'll need open source information structures and communities Vision, speech, gaming making some strides but mobility mods aren't integrated with open source culture
  • 14. Let’s Get Physical ✤ I have a sometimes obvious physical impairment ✤ People ask me questions about “web accessibility”! ✤ Disabled = all disability in their minds ✤ So let’s look at the commonalities. How are software, web access, projects handled compared to physical mobility gadgets/inventions?
  • 15. Physical Hacks: The Tennis Ball Walker ✤ Common DIY hack ✤ Simple ✤ Cheap ✤ Effective ✤ Standard parts ✤ Easily noticed + copied ✤ Still necessary!
  • 16. Easy Hacks ✤ Individual solutions ✤ Easy viral/info spread. People see it in public. ✤ No special skills, tools needed ✤ Crutch pockets and other carrying and gripping gadgets
  • 17. Easy Hacks ✤ Crutch holders on a bike ✤ Lesson for inventors ✤ Don’t assume ✤ People’s abilities vary ✤ Sometimes from day to day ✤ Or hour to hour
  • 18. Software !=easy ✤ Computer and web access is treated as an easy hack ✤ Bolt on the crutch holders! ✤ Add some alt tags! ✤ Stick hand controls on the gas pedal! (Be sure to patent that!) ✤ That creates many problems. It doesn’t make for a viable DIY or free/open source culture.
  • 19. Easy Hacks ✤ Information hack can be simple ✤ Labelling tape has raised letters ✤ Control languages for voice activation (use another human language for a meta language) ✤ Address labels on your crutches ✤ Individual, doesn’t require systemic change
  • 20. Complex Hacks ✤ Infrastructure changes ✤ Need strength, special tools ✤ Architectural mods ✤ Need maintenance ✤ (This is Miguel Valenzuela’s hydraulic $100 toilet lift) ✤ It’s a good hack: it’s not a viable ongoing project yet ✤ Still no pathway to make it one
  • 21. Complex Hacks ✤ Ramps. Online how-to information is rare. ✤ Nonprofits, state/county govt. ✤ Detailed blueprints. Disassembly too. ✤ Regulations, how to hire contractors or find volunteer group to build it ✤ LOTS of meta information. Good! ✤ But it’s all Web 1.0. Hand coded html pages, no feedback, no path to change. Metropolitan Center for Independent Living, Minnesota
  • 22. Complex Hacks Great potential. Giant legal disclaimers. NGOs. Center for International Rehabilitation
  • 23. Complex Hacks ✤ Complex open source access hacks need community ✤ Just as any open source project does ✤ Whether it’s hardware, gadgetry, or software.
  • 24. Web access ✤ “The power of the Web is in its universality. Access by everyone regardless of disability is an essential aspect.” - Tim Berners-Lee ✤ Accessibility is still an afterthought. ✤ Accessibility for developers is important.
  • 25. AAC and web access ✤ Software and web devs consider access to info and UIs ✤ Speech recognition, Text to speech ✤ Eye control, Switches ✤ Web site accessibility ✤ Software navigation ✤ In practice this often means bolting a crappy handrail onto a decently designed building. That sucks for everyone! Design with access in mind from the beginning.
  • 26. Contributing to FLOSS “I hope to be able to read, browse the net, and even participate in conversations by email and messaging. Voice synthesizers allow local communications, and I am making use of a free service for ALS patients which will create a synthetic model of my own natural voice, for future use. I may even still be able to write code, and my dream is to contribute to open source software projects even from within an immobile body. That will be a life very much worth living.” - Hal Finney
  • 27. Accessibility Projects ✤ Voice banking ✤ FestVox ✤ http://festvox.org/ ✤ Screen readers - ✤ Firevox ✤ NVDA ✤ Fullmeasure.co.uk
  • 28. Accessibility Projects ✤ eViacam (Enable Viacam) Head Mouse ✤ control mouse with webcam and some head or finger control ✤ Any standard PC with webcam! ✤ GNU/Linux or Windows ✤ Great project!
  • 29. Captioning! ✤ YouTubeCC ✤ http://www.youtubecc.com/
  • 30. Accessibility Projects ✤ Eye tracking ✤ ITU Gaze Group ✤ IT University of Copenhagen ✤ GazeTalk. Multilingual eye- typing with prediction ✤ StarGazer, COGAIN ✤ EyeTube
  • 31. Oneswitch ✤ http:// www.oneswitch.org.uk/4/ DIY/ Barrie Ellis. DIY site! ✤ Instructions to build, hack, integrate single switch devices ✤ Wheelchair controls, phones, games, computers, cameras ✤ http://mattschneider.com/ general/simple-hands-free- camera-remote-hack
  • 32. Accessibility Projects ✤ GNOME projects for accessibility in Linux ✤ http://projects.gnome.org/ accessibility/ ✤ Cash for tasks completed. Good idea. Still active? KDE: KMouth, KMagnifier ✤ http://live.gnome.org/Orca Adept1 (not free) ✤ http://live.gnome.org/Orca/ Ophoenix (Ubuntu project) HowCanIHelp - Excellent guide to starting work!
  • 33. “There’s something inherent in the Bloggers, hackers, abundance of a digital world and dawning digital culture that requires, testers, consultants even demands, openness on many fronts.” ✤ Extreme users are excellent product designers and testers ✤ Experts on pushing systems to work in unusual ways, adapting them for new purposes ✤ Lifekludger.net - David N. Problems: Wallace * asking for volunteer work * work/benefits issues ✤ Glenda Watson Hyatt: http:// www.doitmyselfblog.com/
  • 34. Collect some information ✤ Global Assistive Technology wiki ✤ OATS (Open Source Assistive Technology Software) ✤ AbilityNet ✤ Disapedia, Wikihow ✤ Instructables ✤ Wikipedia?
  • 35. BBC Accessible Newsreader ✤ Create a user ✤ Choose content blocks ✤ Scanning speed ✤ Audio and font size setttings ✤ The site then scans through navigation options. Good for one switch or gaze control.
  • 36. Build it into FLOSS platforms ✤ BBC scanning idea is good! ✤ Could build similar options into popular platforms like WordPress ✤ Or into operating systems? Rethinking navigation and control.
  • 37. Tactile Maps ✤ Tactile Maps ✤ Mashup, maps for visually impaired ✤ Lighthouse for the Blind, SF ✤ $15 for businesses ✤ Free for California residents with visual impairment
  • 38. Text only geography ✤ What about a mashup of open street map and MUD/ Interactive fiction style text descriptions of geographic locations? ✤ You are standing in front of the convention center. To the north there is a stairway and a ramp up to the city center plaza. There is a small mailbox here.
  • 39. Creating systems that PWD Antifeatures! can’t contribute to ✤ Information silos ✤ One-off solutions that aren’t put into public domain (student contests, charity, what you might do for relatives) ✤ Exploiting vulnerable populations, insurance, govt. ✤ Freaking out about liability ✤ Selling out to industry ✤ Examples from charities.
  • 40. Arts for All ✤ Idealistic, cool, great! ✤ Golf carts, mowers, rotisserie motors, attach to walkers and chairs ✤ Patents + bad online store = limited and local implementation ✤ Could publish the plans as DIY, and still sell this stuff to FLOSS culture emergency! schools and so on.
  • 41. Free Wheelchairs ✤ Wheelchair Mission ✤ Neat invention ✤ Plastic lawn chairs, bike wheels in a kit, ship 500 to Uganda ✤ Unmaintainable, breakable ✤ Undermines local industry and market ✤ Thanks though...
  • 42. Whirlwind Wheelchair International ✤ Rugged $200 chairs ✤ Partnering with local industry in Nicaragua, Guatemala ✤ Manufacturing, training for local repair industry ✤ Focus on sharing information ✤ But not completely free/open source design (yet) for various reasons.
  • 43. 3D Printers? ✤ 3D Printers as materials get better may provide a pathway for inventors of stuff that will be useful for people with disabilities ✤ Ponoko, Shapeways
  • 44. Further Thoughts ✤ Medical model of thinking of assistive devices, liability, greed have limited hardware and gadget development ✤ Spreading FLOSS philosophies and community/ collaboration methods would help invention. ✤ The active FLOSS assistive tech projects out there are unusually vulnerable to loss of individual contributors, coordinators ✤ They’re also vulnerable to the power of the medical- industrial complex. Fight the power! ✤ Improve your software by considering extreme users.
  • 45. Radicalize! ✤ Cross pollinate ideas ✤ physical inventions, hardware, needs more open sourciness! ✤ open source culture needs physical inventiveness, adaptations driven by necessity, of pwd ✤ Document projects, preserve information
  • 46. IN THE FUTURE... Will you be a sad lonely person fumbling to epoxy tennis balls onto the feet of your totally World War II looking hospital walker ?
  • 47. Or will you be hacking your burning man jetpack in a vibrant community that supports serendipity and a culture of invention!
  • 48. A DIY approach to HACKING ABILITY will help everyone We'll invent cool shit We'll open source our way out of nursing home prisons run by the medical industrial complex and The future will be awesome!!! Date