1. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth NIHSeniorHealth ~ A Talking Web Simon Liu Director, Information Systems National Library of Medicine June 4, 2004

2. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth Agenda NIHSeniorHealth- A Service to Seniors Visual Impairment Problems NIH/NLM Approach Technical Challenges User Experience Next Steps

3. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth NIHSeniorHealth – A Service to Seniors Consistent side menu Visual location cues Large buttons Consistent placement Large, simple images illustrate content or activity

4. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth NIHSeniorHealth – Health Information Contents Text Images Videos Test your knowledge quizzes Frequently asked questions (FAQs) Topics Breast cancer Colorectal cancer Lung cancer Prostate Cancer Alzheimers Disease Caring for Someone with Alzheimers Disease Exercise for Seniors Hearing loss Balance problems Arthritis

5. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth Visual Impairment in the U.S. (I) Source: Statistics on Vision Impairment - A Resource Manual (April 2002) Lighthouse International, http://www.lighthouse.org/researchstats.pdfhttp://www.lighthouse.org/researchstats.pdf

6. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth 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/)http://www.who.int/en/

7. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth Todays 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

8. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth NLM Approach & Advantages (I) Contrast Display Text Narration Text Magnification

9. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth NLM Approach & Advantages (II) Server-based services Zero code clients Multiple browsers Multiple platforms User-controlled magnification, narration & contrast Servers/NLM Clients/Users Servers/NLM

10. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth 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

11. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth User Experience NIHSeniorHealth FeedbackTesting

12. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth Future Direction - Technology Natural Voice Human Voice Speech Recognition Personalization Select a Voice Rate Fast Medium Slow

13. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth Diabetes (NIDDK) Macular Degeneration (NEI) Low vision Glaucoma Cataracts Diabetic Retinopathy Osteoporosis (NIAMS) Pagets 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

14. U.S. NATIONAL LIBRARY OF MEDICINE NATIONAL INSTITUTE ON AGING NATIONAL INSTITUTES OF HEALTH NIHSeniorHealth Q & A http://nihseniorhealth.gov/