Talk is an application for a mobile device that allows people with aphasia to capture and manage digital photographs to support face-to-face communication. Unlike any other augmentative and alternative communication device for people with aphasia, PhotoTalk focuses solely on image capture and organization and is designed to be used independently. Our project used a streamlined process with 3 phases: (1) a rapid participatory design and development phase with two speech-language pathologists acting as representative users, (2) an informal usability study with 5 aphasic participants, which caught usability problems and provided preliminary feedback on the usefulness of PhotoTalk, and (3) a 1 month field evaluation with 2 aphasic participants, which showed that both used it regularly and fairly independently, although not always for its intended communicative purpose. Our field study demonstrated PhotoTalk's promise in terms of its usability and usefulness in real life situations.

Cooking is a daily activity for many people. However, traditional text recipes are often prohibitively difficult to follow for people with language disorders, such as aphasia. We have developed a multi-modal application that leverages the retained ability of aphasic individuals to recognize image-based representations of objects, providing a presentation format that can be more easily followed than a traditional text recipe. Through a systematic approach to developing a visual language for cooking, and the subsequent case study evaluation of a prototype developed according to this language, we show that a combination of visual instructions and navigational structure can help individuals with relatively large language deficits to cook more independently.

Aphasia is an acquired communication deficit that impacts the different language modalities. PDAs have a form factor and feature set that suggest they could be effective communication tools for people with aphasia. An ethnographic study was conducted with one participant both to learn about communication strategies used by people with aphasia, and to observe how a PDA is incorporated into those strategies. The most significant usability issues found were file access and organization. A participatory design phase followed, resulting in a paper prototype of a file management system that addressed the key usability issues identified. The participatory approach continued during the implementation of a high-fidelity prototype.

Aphasia is a cognitive disorder that impairs speech and language. From interviews with aphasic individuals, their caregivers, and speech-language pathologists, the need was identified for a daily planner that allows aphasic users to independently manage their appointments. We used a participatory design approach to develop ESI Planner (the Enhanced with Sound and Images Planner) for use on a PDA and subsequently evaluated it in a lab study. This methodology was used in order to achieve both usable and adoptable technology. In addition to describing our experience in designing ESI Planner, two main contributions are provided: general guidelines for working with special populations in the development of technology, and design guidelines for accessible handheld technology.