FULLY ACCESSIBLE TOUCH SCREENS FOR THE BLIND AND VISUALLY IMPAIRED
Shaun K. Kane, Jeffrey P. Bigham and Jacob O. Wobbrock University of Washington
ABSTRACT
Recent advances in touch screen technology have increased the usability of 
touch screens for sighted users and prompted a wave of new touch screen-based 
devices. However, touch screens are still largely inaccessible to blind people 
because they require the user to visually locate objects on the screen. To 
address this problem, we developed an application called Slide Rule that uses 
audio output and gesture input to enable blind people to interact with touch 
screens. In this paper, we describe the design and development of Slide Rule, 
and a user study in which 10 blind people compared Slide Rule to a button-based 
Pocket PC. Results show that Slide Rule was significantly faster than the 
Pocket PC, and was preferred by 7 of 10 participants. Slide Rule has the 
potential to significantly increase accessibility on a wide range of touch 
screen devices.
BACKGROUND
Although touch screens have existed for decades, new advances in touch screen 
interfaces, as seen
1 2 in products such as Apple’s iPhone and Microsoft Surface , have renewed 
consumer interest in
touch interfaces. In addition to these devices, touch screens are increasingly 
being incorporated into
other devices, such as photocopiers and other office equipment, supermarket 
checkout kiosks,
airport ticket kiosks, automatic teller machines, elevator controls, and voting 
machines. These touch
screen interfaces offer several benefits to sighted users. One such advantage 
is the ability to present
varied interactive content in a single space. For example, a touch screen 
device can display a large-
size map or image, and pop up a keyboard only when needed, providing additional 
functionality in a
smaller space. Another advantage of touch screens is discoverability. Rather 
than requiring users to
remember control keys, touch screens allow users to see a list of options and 
tap the desired option.
However, touch screens can present significant accessibility barriers to blind 
users. Most touch screens provide no audio or tactile feedback, making it 
difficult or impossible to locate items on the screen.
Because of this, blind users may need to be shown the locations of on-screen 
objects by a sighted person, may need to use an alternative accessible 
interface (if available), or may be completely unable to use some technology. 
As more devices become touch screen-enabled, these accessibility barriers may 
prevent blind and visually impaired people from using consumer devices or 
performing essential job functions.
Some blind community groups have noticed this problem and have reached out to 
technology developers. Recently, Stevie Wonder visited the Consumer Electronics 
Show to remind device manufacturers to consider blind people when developing 
new products (1). However, very few
Figure 1. A blind person reads a list of email messages using Slide Rule on an 
Apple iPhone. Slide Rule uses audio output only and does not display 
information on the screen.
1       http://www.apple.com/iphone/
2       http://www.microsoft.com/surface/
ACCESSIBLE TOUCH SCREENS
touch screen-based devices currently provide any accessibility support for 
blind users. While some past research projects have attempted to increase the 
accessibility of touch screen-based systems (e.g. 2,3,4), these systems 
required both a touch screen and additional hardware, such as an external 
keypad or a tactile overlay. Since this hardware is not always available, these 
systems are not reliably accessible. Nokia is currently developing a touch 
screen with raised tactile buttons (5), but has not announced a release date 
for this product. The screen reader Mobile Speak3 provides access to touch 
screen-based mobile phones, but provides relatively little access to the touch 
screen. Mobile Speak primarily provides access through the phone keypad, but 
allows users to tap the four corners of the touch screen as additional buttons. 
Thus, Mobile Speak is not usable on phones that do not have at least some 
physical keys.
PROBLEM STATEMENT
Most current non-tactile touch screens cannot be easily used by the blind and 
visually impaired. These users may encounter several problems when attempting 
to interact with a touch screen: 1) lack of accessible audio or tactile 
feedback when performing actions; 2) lack of ability to determine the current 
state of the touch screen device; and 3) difficulty in selecting the desired 
item on screen. Slide Rule addresses these concerns by allowing users to 
gesture on a touch screen without visual feedback. Furthermore, while touch 
screen accessibility can be improved through the addition of tactile overlays, 
physical buttons, or other hardware, users cannot rely on this additional 
hardware being available for every touch screen. Thus, Slide Rule provides full 
touch screen accessibility using the touch screen only, and does not require 
any hardware buttons. Finally, a truly accessible touch screen solution should 
provide blind touch screen users with all of the advantages that sighted users 
have when interacting with touch screens, such as allowing the users to 
interact with different application layouts on a single screen, and allowing 
users to easily discover the features of the touch screen software, rather than 
needing to memorize the locations of on screen objects. Slide Rule provides 
accessible methods for exploring and using a variety of touch screen 
applications.
RATIONALE
As touch screens become more common in computers, mobile phones, and other 
electronic devices, blind and visually impaired users risk being excluded from 
using these devices. This exclusion could cause new and severe accessibility 
barriers for blind users, and could impair their ability to perform tasks at 
work, access information in public spaces, and share devices with sighted 
friends and family. Our vision for Slide Rule is to fully leverage the 
abilities of blind users, allowing them to interact with touch screen-based 
devices as efficiently as a sighted person. Many blind people are used to 
reading Braille documents with their fingers, and with using a screen reader to 
access a computer. Therefore, a blind person should be able to interact with 
touch screens, provided that the touch screen provides voice feedback. In 
practice, however, existing solutions either require additional hardware, or 
provide extremely limited access to the touch screen. Rather than building new, 
specialized hardware, we developed new ways of using a touch screen that enable 
blind and visually impaired people to efficiently access existing touch screen 
devices.
DESIGN
We followed a user-centered design process in developing Slide Rule. At the 
beginning of the project, we visited several blind community organizations, 
including the local chapter of the National Federation of the Blind and the 
Seattle Lighthouse, to discuss our ideas for the project and gauge interest in 
our work. After receiving positive feedback from these organizations, we
3       http://codefactory. es/en/products.asp? id=283
2
ACCESSIBLE TOUCH SCREENS
conducted a series of interviews with 8 blind4 mobile device users. Our 
interviews focused on informants’ current use of mobile devices, as well as 
their experiences with, and thoughts about, touch screen-based devices.
The results of these interviews are described in depth in a prior publication 
(6), and are summarized here. Overall, we found that many of our informants 
were excited by the idea of using an accessible touch screen, but had some 
concerns about them. Informants said that they rarely used touch screen 
devices, but occasionally needed to, such as when interacting with a microwave 
oven or a touch screen kiosk at work. However, these encounters with touch 
screens were often frustrating, and typically required the informant to ask for 
help from a sighted person to use the touch screen. Many informants said that 
they would like to use an accessible touch screen, but were concerned about 
being unable to find objects on the screen or accidentally performing some 
task, such a deleting a file.
Based on our interviews and early prototypes, we created a set of design 
principles for accessible touch screen systems, and used these principles to 
develop a prototype of Slide Rule. This prototype was tested iteratively by 3 
blind and 2 sighted colleagues. Feedback from this early evaluation was used to 
refine the design of Slide Rule and improve overall usability.
Design of Slide Rule
We developed a prototype version of Slide Rule on a mobile touch screen phone 
(Figure 1). This prototype uses speech and audio for output and touch for 
input, but does not provide visual feedback or use any physical buttons. We 
chose these strict constraints for our initial prototype to ensure that Slide 
Rule was fully accessible with minimum hardware requirements, requiring only a 
touch screen and audio output to function. Extending Slide Rule with physical 
buttons, tactile feedback, and visual output are exciting opportunities for 
future research.
Slide Rule provides access to four applications: 1) a home screen for starting 
other applications and accessing the current time; 2) a contact list for 
searching and dialing contacts; 3) an e-mail client; and 4) a music player. We 
chose these applications because they are often used on a mobile phone. Slide 
Rule provides uses gestures to interact with these applications (Fig. 2).
I
Figure 2. Slide Rule uses gestures to interact with applications. (1) Scanning 
with one finger is used to browse lists; (2) Tapping with a second finger 
selects items; (3) A flick gesture is used to flip between pages of items or a 
between songs; (4) Scanning with a finger in an Z-shape is used to browse 
hierarchical information, such as musical artists and song names.
Despite its non-visual interface, Slide Rule lays out objects on the screen 
spatially using linear lists (see Fig. 3). A user browses through lists of 
items by sliding their finger vertically across the touch screen. Touching the 
screen with a single finger will not perform any action, so users are safe to
4       In this research, we defined blind users as desktop screen reader users.
3
ACCESSIBLE TOUCH SCREENS
touch and explore the screen. Items on the screen are read as the user touches 
them. Slide Rule reads the first letter of each item, and then the full name of 
the item, allowing the user to quickly scan through a list. When the user 
wishes to select an item, she keeps her finger on the screen and touches 
anywhere on the screen with a second finger. This removes the need to tap 
accurately on the screen. These gestures are used throughout Slide Rule for 
browsing and selecting items.
The user can also search hierarchical data using an L-shaped gesture. For 
example, in the music player, scanning one’s finger down the left side of the 
screen lists available artists. Once the user has found the artist she is 
searching for, she can scan her finger to the right to search through songs by 
that artist (Figure 3). The user can also flick the screen to perform certain 
actions, including switching between songs (left, right), reading the current 
application and system status (down), or returning to the home screen (up). 
Finally, the user can physically rotate the device sideways to open an 
on-screen touch keyboard, although we did not evaluate this feature in our 
initial study.
DEVELOPMENT
Our prototype of Slide Rule is an Objective-C program running on an Apple 
iPhone or iPod Touch. This is a commercially available device that retails for 
approximately $200. No additional hardware is needed to run Slide Rule. Speech 
is generated in real time on the iPhone, but can also be pregenerated on a PC 
for better voice quality. Because the design of Slide Rule requires 
reformatting mobile device applications, we developed custom applications 
rather than using the device’s native programs. For evaluation purposes, Slide 
Rule applications use pre-generated content (e.g. contact names and e-mail 
messages), but a future version will connect to actual phone data. The Slide 
Rule application is not yet publicly released, but we intend to publish it on 
the iPhone App Store. This will allow a user to purchase an iPhone or iPod at a 
store, bring it home, install Slide Rule over the Internet, and begin using it 
immediately.
EVALUATION
Our criteria for evaluating Slide Rule were its ability to improve 
accessibility, its performance, and user satisfaction. To evaluate these 
criteria, we conducted a usability and performance evaluation in which 10 blind 
people performed tasks using both Slide Rule and a comparison device. Because 
the iPhone is completely inaccessible without Slide Rule, we could not use it 
for this comparison. Instead, our comparison device was a Pocket PC using the 
Mobile Speak screen reader. The Pocket PC provided both a touch screen and a 
4-way directional keypad, while Slide Rule used the touch screen only. 
Participants performed 3 tasks: dialing a specified contact, reading an email 
message from another specified contact, and playing a specified song. 
Participants performed five trials of each task on each device.
Tasks and devices were randomly ordered.
Overall, participants performed tasks faster with Slide Rule than with the 
Pocket PC. However, participants sometimes accidentally selected an item on the 
touch screen with Slide Rule, while they made no such selection errors with the 
Pocket PC. Fortunately, these accidentally selected items generally did not 
have negative effects for the user, and did not significantly
Figure 3. User performs an L-gesture by scanning their finger down a list of 
artists, then across a list of songs. Slide Rule says the first letter of each 
item to enable quick scanning.
4
ACCESSIBLE TOUCH SCREENS
reduce task speed. These errors can be addressed in future prototypes by 
requiring confirmation for potentially harmful actions, such as deleting a file.
We also asked participants to compare Slide Rule and the Pocket PC based on a 
number of factors. Although participants found the Pocket PC to be more 
familiar and somewhat easier to use, 7 out of 10 participants preferred Slide 
Rule overall. This result suggests that, despite participants’ familiarity with 
more traditional devices such as the Pocket PC, and despite the challenges of 
learning a new user interface, participants recognized the potential for Slide 
Rule to improve access to touch screens. One participant stated, “I’ve never 
seen a touch screen that accessible before, and that was pretty cool.” For more 
information on our study results, please refer to prior work (6).
DISCUSSION AND CONCLUSIONS
In this paper, we presented Slide Rule, a system that uses audio output and 
gesture input to provide full access to touch screens for blind and visually 
impaired users. Slide Rule is a software program that can be used on an 
existing touch screen device without any additional hardware buttons or 
accessibility modifications. Slide Rule’s design is based on interviews with 
blind computer users and on user-centered design with blind people. Our user 
study shows that blind users are able to complete tasks more quickly with Slide 
Rule than with a button-based Pocket PC, and that they prefer Slide Rule to the 
more familiar Pocket PC.
These promising results demonstrate that Slide Rule can significantly improve 
the accessibility of touch screens for blind people, using everyday devices and 
without additional hardware. We are currently extending Slide Rule to include 
additional capabilities, including tactile feedback, hardware-based buttons, 
and visual output. We also intend to copy Slide Rule’s gesture input to other 
devices, including large-sized touch screens. We hope that Slide Rule can serve 
as a model for accessible interaction across a variety of touch screen devices, 
and help ensure that blind users are not cut off from this important and 
widespread technology.
ACKNOWLEDGEMENTS
We thank Sunny Consolvo, Intel Research, and the Washington Research Foundation 
for equipment used in the study, and Hesham Kamel for his feedback on early 
prototypes.
REFERENCES
1.      Carew, S. (2009). Touch-screen gadgets alienate blind. Reuters. 
http://www.reuters.com/article/newsOne/idUSTRE5080T320090109
2.      Vanderheiden, G.C. (1996). Use of audio-haptic interface techniques to 
allow nonvisual access to touchscreen appliances. Human Factors and Ergonomics 
Society Annual Meeting Proceedings, 40, 1266.
3.      Landau, S. and Wells, L. (2003). Merging tactile sensory input and 
audio data by means of the Talking Tactile Tablet. In Proceedings of 
EuroHaptics '03. New York: IEEE Computer Society, 414-418.
4.      Hill, D.R. and Grieb, C. (1988). Substitution for a restricted visual 
channel in multimodal computer-human dialogue. IEEE Transactions on Systems, 
Man and Cybernetics, 18(2), 285-304.
5.      Melanson, D. (2007). Nokia shows off Haptikos tactile touch screen 
technology. Engadget. 
http://engadget.com/2007/11/06/nokia-shows-off-haptikos-tactile-touch-screen-technology/
6.      Kane, S.K., Bigham, J.P. and Wobbrock, J.O. (2008). Slide Rule: Making 
mobile touch screens accessible to blind people using multi-touch interaction 
techniques. In Proceedings of ASSETS '08. New York: ACM Press, 73-80.
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ACCESSIBLE TOUCH SCREENS
CONTACT INFORMATION FOR FIRST AUTHOR
Shaun Kane
The Information School
Box 352840
University of Washington Seattle, WA 98195 USA
6
ACCESSIBLE TOUCH SCREENS
ALTERNATIVE TEXT DESCRIPTION FOR FIGURES
Figure 1. A blind person is holding a touch screen-based mobile device (Apple 
iPhone), and moving his finger across the screen. Slide Rule, our research 
prototype, reads a list of email messages as the user moves his finger Slide 
Rule uses audio output only, and no image is displayed on the screen.
Figure 2. Four images of an Apple iPhone, numbered (1) through (4). Each image 
shows a hand performing gestures on a touch screen to interact with Slide Rule. 
(1)The user moves her finger across the screen to browse a list of items; (2) 
The user taps with a second finger on the screen, while holding the first 
finger still, to select an item on screen; (3) The user interacts with Slide 
Rule by flicking her finger over the screen and to the right; (4) The user 
moves her finger down the left edge of the screen, then to the right, making an 
L-shape.
Figure 3. A diagram shows the spatial layout of items on Slide Rule’s screen. A 
line illustrates the path taken by the user’s finger as she selects a song 
using Slide Rule’s music player. The diagram shows what will be spoken as the 
user touches the screen, in sequence. First, the user scans her hand along the 
left edge of the screen. Slide Rule reads the following musical artists: “A”, 
“B”, “C, Charlie Parker”, and then “C, The Clash”. The user chooses The Clash, 
and begins to move her finger to the right. Slide Rule then reads the names of 
songs, in order: “One”, “Two, Brand New Cadillac”. The user selects the song 
Brand New Cadillac by The Clash.
7
ACCESSIBLE TOUCH SCREENS
VIDEO DEMONSTRATION
A video demonstration of Slide Rule is included with this submission. The Slide 
Rule demonstration video is also available on the web at 
http://vimeo.com/1928792
The video demonstration is presented both with and without audio descriptions. 
We chose to submit a version without descriptions so that the viewer can better 
hear the audio prompts from Slide Rule.
8

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