Expert Q&A: DRES Accessibility IT Group



Online technology is an evolving ecosystem for some disabilities (Stock image)

VINCE LARA: Jon, what does the DRES Accessibility IT Group do?

JON GUNDERSON: Our mission on campus is to help the university understand the accessibility of the online resources that the university creates and uses. Online information technology is still, really, a frontier in terms of digital barriers to people with disabilities. While it’s been an enabling technology for some types of disabilities, it’s still a barrier for other types of disabilities. And the history of UI in breaking barriers on disability is a big part of what motivates our group. Nick, did you want to talk a little bit about that?

NICHOLAS HOYT: Sure. I think another part of what Jon has just said is that we are carrying on the work that the founder of DRES—Tim Nugent—started. He was a pioneer in so many ways and was working in a context—the post-World War II era—helping veterans get access to higher education, and that took the form of a transportation system—the first bus system in this country with wheelchair lifts, and wheelchair access to buildings through ramps, and curb cuts, and things like that.

In the Accessible IT Group, we are carrying on that work, but obviously, things have changed. So much of our lives—our work lives and our personal lives—are now online, and we are trying to deal with this new environment in similar ways to what Dr. Nugent was doing. And with digital information technology—as Jon has mentioned, these barriers weren’t recognized immediately. The Accessible IT Group is trying to increase awareness of IT accessibility requirements and, in so doing, provide means—techniques—for reducing or getting rid of these barriers in information technology.

VINCE LARA: Let me ask you—I know the group is ostensibly housed in DRES. Does it work cross-campus? Do you work with other colleges and units?

JON GUNDERSON: Yes, most of our work is with other campus entities, with other Big Ten Universities and also international through our work with the W3C Web Accessibility Initiative. We are involved with web standards for accessibility—through the Web Accessibility Initiative—for over 20 years. I’ve been a working group member of the Accessible Rich Internet Applications Working Group. And the AInspector WCAG and FAE tools that we’ve built to help people understand accessibility are built on the foundations of the Web Content Accessibility Guidelines and the ARIA standards—ARIA stand for Accessible Rich Internet Application standards—for best practices for accessibility.

And one thing that makes our tools different than tools that you might find from other businesses or organizations, for one, is that they’re entirely open-source. And, more importantly, they’re designed to be educational—helping people understand the accessibility requirements, whereas other accessibility tools tend to be what I call “whack-a-mole” tools. You know, tell me where the problem is, and if I have enough time and resources, I’ll just start fixing things until I run out of time or I get everything fixed.

But unfortunately, being able to point to a particular place in the code or on a web page and fix things only addresses about 30% to 40% of accessibility requirements. So, many people, even though they might get zero errors with an automated tool, and they don’t understand the other requirements, may not have addressed the other 50% to 60% of the requirements related to having an accessible and inclusive website. I mean, we talk about accessibility, but it’s really about inclusiveness, making people with disabilities feel included in the Illinois experience.

When people talk about accessibility, it seems to be something like, oh, yeah, I met that criteria of being accessible. But if you don’t really understand the accessibility principles, like I’m satisfied some tool told me I don’t have any errors—but you still don’t know if you’re being inclusive by making the website usable. And maybe Lori could talk a little bit about some of her work with campus web developers or other campus organizations in terms of helping them understand accessibility. Lori?

LORI LANE: I’m involved with the Canvas Accessibility Working Group on campus. My role in that group is to do evaluation and assessment, look over what Canvas offers, and identify any issues that might come up related to accessibility barriers. I also analyze the accessibility checker they offer to see how it functions and notice any accessibility issues that it flags or doesn’t flag.

It’s a way to help the group make accessibility resources available for instructors who are developing courses and students with disabilities who are taking these courses. We help them improve the accessibility of Canvas within that group. That would be one example of a partnership.

Another example might be that I’m also involved with WebCon, the Web Conference planning committee. I’ve been on that committee for the last two years. And when COVID happened, of course, we were caught off guard and forced to cancel the in-person conference that we had been planning at that point. And we made the pivot, as so many did, to an online platform for our conference. And the committee was discussed different ways to make that change.

And one of the first experiences that we had with an online conference—was CVENT. Our committee was interested in talking about things that they liked about the platform, which they saw that seemed very interesting or flashy. I had to keep reminding the group that we had to consider accessibility. That was crucial for planning a successful conference, not just all the bells and whistles.

And so doing this conference online, and what an online conference platform would mean, is that a wider range of attendees with disabilities who might attend online; would not have been able to come in person. And we had to ensure that the platform we selected for the conference was accessible to all of them. And I took that opportunity to educate the rest of the committee on ways to keep that in mind and evaluate for some of those issues.

We ended up going with CVENT, which is the name of the conference platform that we used. And we worked closely with their developers from the CVENT team in making sure that our conference was as accessible as possible. I help other groups and entities across campus be more aware of their product and help improve the accessibility of what they offer and develop.

VINCE LARA: Excellent. Thank you for that answer. Jon, or anyone who wants to answer this, can you explain, broadly, accessibility and its importance?

NICHOLAS HOYT: Jon and Lori, you may want to weigh in as well—but an analogy came to mind for me this morning, and that’s the analogy of when the printing press was invented. In order to make this new technology (at the time) work, people had to understand certain technical aspects of how to produce a book or other printed material. There was typesetting for example, and it involved the amount of ink needed to print each page. Too much ink, and it’s blurred. Not enough ink—it’s not visible.

But just as there were technical issues people had to understand in that era, there’s a similarity with the era of information technology—of digital technologies for information. There are ways that digital information can be made accessible to people regardless of their abilities. And going back to the printing press analogy—somewhere along the line, someone came up with the idea of using Braille. And Braille allowed people who were blind to be able to read the same texts that were being produced in printed format. Unfortunately, there was about a 400 year gap between the invention of the printing press and the invention of Braille.

Today, digital technology gives us the ability to publish something in a format that includes within it the information that someone—just to take an example, someone who is blind—that will help them be able to not only get to the information but to understand its structure—to be able to navigate around and through that document or that information. So hopefully, that’s a helpful analogy.

VINCE LARA: Absolutely. I love that analogy, actually. It helps me understand the basis—how that even arose. Very interesting, Nick. Thank you for explaining that.

LORI LANE: I was listening to what Nick was saying, and I wanted to add another example that I might use: our users with disabilities aren’t able to use a mouse, for example, and they’re dependent on the keyboard. That’s how they’re navigating the web page they’re on. Most of us have no problem using a mouse to access and navigate the internet.

But for people who depend on keyboard navigation only, when they use the Tab key to navigate to active elements on websites as a way to get where they’re trying to go—to the form controls or the search bar. It helps them navigate across a page or through content.

For example, if there aren’t any visual focus cues—something to show where the visual focus is at that moment or on what element it’s highlighted. We need something that clearly defines a link visually, for example, with an underline. If you use a mouse and hover over the element, you’ll see that underline pop up or something that indicates that this is a link. But for a keyboard-only user who can’t hover over with a mouse, they use the keyboard to navigate through, and they do not see any visual focus cues on the page and get stuck because there are no visual focus cues to lead them. They can’t go anywhere or get to the desired destination.

Web developers can put defined styles into their CSS files, for example, background colors, underlines, borders, and text colors—things that identify as a dynamic element. It’s one little CSS change that they can put in, and it dramatically increases the accessibility for someone who uses a keyboard and needs that visual focus. I hope that explains how to make it more accessible.

VINCE LARA: Oh, tremendously. It makes me understand that we’re not doing enough, clearly, on some of our text-only things. And so, absolutely. Thank you for really planting that seed for me.

JON GUNDERSON: I have a story about a blind student. When I first got started working with Illinois students on IT accessibility in the ’90s, I was helping a law student who was blind use LexisNexis. And the web wasn’t being used at that time, but LexisNexis had their own interface, and you could dial-up and get access to law information—almost any information from print materials on a wide variety of topics. And this student—and I think all law students had free access to LexisNexis, I believe this is true even today.

So working with the blind student to help them—they could access the information pretty well since it was primarily the old style character based interfaces, but it took them two to three times longer to access that same information, and there were still problems. It wasn’t ideal. Sometimes, some things weren’t possible.

But, you know, at that time, it cost $200 to $300 per hour to use LexisNexis. I don’t know if that’s still true or not. And so this student– people with disabilities—are used to having to spend more time—work harder—to get the same level of work done for their classes. But when they graduate, and they go try to get a job, a lot of first-year graduates are going to be doing law research—doing research for partners or other lawyers, in at least in the larger law firms.

And now, if it’s taking this student two to three times longer, they will be costing that law firm two to three times more to use that service. And now the law firm says, well, if I hire you, you’re going to be more expensive than other graduates because of the extra time you will be spending on line to do research—I mean, if you’re the top law student from Illinois that might be fine.

But if you’re not the top law student, or maybe towards the bottom of the class, well, maybe you’re going to be too expensive to hire because you’re taking too much time with Lexus/Nexus searches. Or, you know, after the first year and they see your bill is twice as high as other first-year law schools, or maybe more. That’s an economic disincentive to employ someone with a disability. So these are kind of the hidden costs of inaccessibility, and it affects career opportunities.

And to me, at that time, I said, it doesn’t have to be that way. It’s because we design these systems without thinking about accessibility. And just like curb cuts have helped more than just people who use wheelchairs to get into buildings and ramps and things, when we look at technology for accessibility, we’re helping usability for everybody—to use technology better and more efficiently.

VINCE LARA: Oh, fantastic explanations from everyone. I really appreciate that. Lastly, I wanted to talk to you about—Jon, you had mentioned the software extensions, and I wanted to ask you if you could talk more about those and how they can be utilized.

JON GUNDERSON: Well, I think the latest extension we’ve worked on—maybe Nick could explain—but I think it’s a little bit different direction for us. We’ve been mostly focusing on tools to help people analyze websites for accessibility, but this new tool Nick’s been working on is really an assistive technology. It kind of speaks to what Lori Lane was talking about earlier in terms of providing keyboard navigation. So I’ll let Nick talk a little bit more about that project.

NICHOLAS HOYT: OK. Well, I will just begin by saying that the term “extension” generally refers to a web browser extension—something you can just add into the browser, and then its functionality is just there available to you. And of the tools Jon was referring to that do evaluation, probably the tool that we recommend first is a tool called AInspector WCAG, which is a Firefox browser extension. And that will allow you to evaluate—apply many different accessibility rules to the page, have those rules evaluated, and then get that feedback of—are there any aspects of the page that didn’t meet the requirements?

But since we had experience with creating browser extensions, we saw an opportunity with the latest extension, which is called the SkipTo Landmarks & Headings extension. We saw an opportunity for actually creating something that served a dual purpose. And primarily it allows people to navigate a web page by the headings and the landmarks on that page.

So headings have been around for a long time in the world of web development and HTML web pages. They define different sections of content, and they’re hierarchical—they can be of different levels. For example, a level-2 heading might define a major section of a document, and then there might be several level-3 headings under that that define subsections.

On the other hand, landmarks are relatively new. They’re defined by a more recent standard that Jon mentioned—the ARIA standard. Landmarks define regions on a page, which are common regions that users may want to navigate to or skip over. An example is the header region—oftentimes, the same header is there on page after page within a website, containing the website logo and often a site navigation menu. And people that are just using the Tab key to navigate the page starting from the beginning are going to– if they can’t skip over that header—have to tab through many, many links to get beyond it. The SkipTo extension allows a user to skip over the page header and go directly to some other region on the page.

Another very useful landmark is the main landmark. If you put the main content of the page into that region, the SkipTo extension will allow you to skip directly to it. It’s a replacement for the “skip to main content” link, but does not depend on the page actually containing that link.

In summary, the SkipTo extension give people who are using the keyboard—as I mentioned it’s serving a dual purpose–the ability to navigate the page through landmarks and headings very efficiently. And the other way it can be used—for example, a web developer who just wants to spot-check different pages to see if the heading structure makes sense—it’s useful to them as well. Or to anyone that is looking for information on a fairly complex web page—they can get a list of the headings and scroll directly through them, rather than having to scroll through a very long page with lots of visual distractions.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.

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McKechnie Family LIFE Home opening a milestone for Wendy Rogers



Jim and Karen McKechnie are the primary donors for the McKechnie Family LIFE Home

Even for someone as accomplished as Kinesiology and Community Health Professor Wendy Rogers, the night of Oct. 7 represented a milestone.

Rogers has so many appointments and affiliations—she is a Khan Professor of Applied Health Sciences; she directs the Collaborations in Health, Aging, Research, and Technology, or CHART, initiative in AHS; the Health Technology Education Program, which offers a one-of-a-kind master’s degree in health technology; and the Human Factors and Aging Laboratory—that during her introduction for the dedication of the McKechnie Family LIFE Home on Oct. 7, College of Applied Health Sciences Dean Cheryl Hanley-Maxwell had to pause and catch her breath.

But with all the federal funding Rogers has received and the collaborations she’s sparked, the McKechnie Family LIFE Home holds a special and unique place for her.

The McKechnie Family LIFE Home is a cutting-edge research center focused on innovations in home environments. This facility mimics existing home dwellings as well as provides space for the development of next generation smart homes that would allow people of all ages and abilities to live fuller, healthier, and autonomous lives.

“I am delighted that the name of the facility is the Family LIFE Home because that is what home is all about—family,” Rogers said during the dedication ceremony. “Family has always been at the heart of my life and my work. I am the youngest of six children. I grew up in a small house in Massachusetts—we had eight people in a three-bedroom home with one bathroom—imagine that. We had no choice but to be close.”

Rogers said that of her inspiration for creating a facility such as the LIFE Home is that because of the support of her and her siblings, her parents were able to continue living until their final days in the family home.

“I remember when my Dad was near the end of his life (back in 2005) and we were all coordinating his care, he said to me, “We need more of that smart technology of yours,”’ Rogers told attendees of the dedication ceremony, which included University of Illinois Chancellor Robert Jones and Jim and Karen McKechnie, the primary donors of the LIFE Home.

“After he died and my mom, was alone we certainly relied on technology tools to remain connected with her and to provide the support she needed,” Rogers said.

That is Rogers’ goal for the McKechnie Family LIFE Home.

“Our vision is to develop technologies that can support quality of life in the home for everyone, people of all ages and abilities. We want to think about all of the activities that occur in the home from fundamental activities of daily living such as bathing, eating, mobility through to the enhanced activities of daily living such as social engagement, community participation, and lifelong learning.”

For Chancellor Jones, the opening of the facility was the culmination of what the university sought in bringing Rogers aboard.

“Professor Rogers, in some ways, today marks the completion of a full circle for the two of us,” Jones said. “I had the honor of speaking at your investiture ceremony just a few months after I came here to Illinois. You were recruited here under one of the initiatives laid out in the university’s Visioning Future Excellence strategic plan. And now, just four years later, we can draw a bright and clear line from that starting point to today’s dedication of the McKechnie Family LIFE Home.”

To an observer, the LIFE Home looks like someone’s home: it has two bedrooms, a bathroom, an open-concept kitchen—we all know, thanks to HGTV how popular that is these days—a living room, dining room and even some green space outside. But the LIFE Home is foremost a research facility. The site is available for use by researchers from within and outside the university, or for collabortions with companies who want to use the facility to conduct research and test new products.

You can find more information about the McKechnie Family LIFE Home here.

“It is a space in which researchers from across the campus, industry partners, healthcare providers, and community stakeholders can come together to develop and test technologies that support all dimensions of healthy, socially connected, independent living,” Dean Hanley-Maxwell said.

Chancellor Jones praised the McKechnies for their generosity and said, “I don’t think there are any more visible examples of the impact of private investment in public universities. These gifts are direct investments in ideas and in human potential. They are feeding the true heart of this college and this university.”

And as much as the dedication ceremony of the facility proved to be a key step, Rogers said there was much still to do.

“It really has been a labor of love –we are all passionate about improving people’s quality of life and believe in the potential of this space to support that mission. This is only the beginning.”

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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McCristal Lecture Focuses on Robots



Wendy Rogers at the 2021 McCristal Lecture.

Living independently requires the ability to perform what are called Activities of Daily Living, or ADLs. Fundamental ADLs include things such as bathing, eating, getting dressed, and so on. Instrumental Activities of Daily Living, or IADLs, include more complex activities such as paying bills, preparing meals, managing medications, and the like. In 1998, Dr. Wendy Rogers, Khan Professor of Applied Health Sciences, defined a third level of Activities of Daily Living that she called Enhanced Activities of Daily Living, or EADLs. Activities such as volunteering, taking part in community activities and engaging in hobbies enhance the quality of our lives.

Dr. Rogers, the 2021 King McCristal Distinguished Scholar in the College of Applied Health Sciences, focused her McCristal Lecture on designing robots that support successful aging related to the different kinds of activities. The lecture took place at the Fall College Meeting on August 17.

A world renowned scholar in the area of human factors and aging, Dr. Rogers has been collaborating on research related to human-robot interaction for more than 10 years, going back to her days as a professor of psychology and a principal investigator in the NIH-funded Center for Research and Education on Aging and Technology Enhancement at the Georgia Institute of Technology. Since joining AHS in 2017, she has conducted research under the auspices of the Collaborations in Health, Aging, Research, and Technology, or CHART, initiative, and also directs the recently opened McKechnie Family LIFE Home, where much of the research on health and wellness robots takes place.

When designing robots for successful aging, she said, it is important to consider the entire system. “We need to consider the characteristics of the human—their demographics, abilities, attitudes, and experiences,” she said. “We also need to think about the characteristics of the robot. What does it look like? Does it have a personality? What are its capabilities and functionalities? To what degree is it autonomous or being controlled?”

Developers also need to consider the characteristics of the task the robot and human are trying to do together, things such as how critical the task is, and whether it requires the robot and human to be co-located. Finally, the context of the interaction must be considered, whether the task is home-based or in a public setting, for example.

Dr. Rogers and her colleagues currently are investigating usability and other issues related to a robot developed by Hello Robot called Stretch. “We’ve been doing task analyses and prototyping different types of devices that Stretch could have at the end of its arm to perform different tasks, and comparing different types of control interfaces and control by different users,” she said. University of Illinois students soon will have the opportunity to participate in a competition in which they generate ideas for using Stretch to help people aging with long-term disabilities. The prize will be time with Stretch in the LIFE Home to further develop their ideas, guided by the LIFE Home’s expert staff.

Other Illinois research related to health and wellness robots includes designing socially assistive robots, robots with soft rather than rigid arms for telehealth applications, and robots that provide wayfinding assistance to individuals with visual impairments.

“We have made huge advancements in robotics in the last decade,” Dr. Rogers said, “but there’s still a lot more to be done.” And, she concluded, the McKechnie Family LIFE Home positions scholars at the University of Illinois really well to explore some of those questions.

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External placements vital to students’ development



All SHS students are required to take part in external placements, which are essentially internships with an external organization (Photo by Brian Stauffer)

Students in the Department of Speech and Hearing Science in the College of Applied Health Sciences expect excellent instruction in the classroom. When they venture off campus, however, is when they get a better sense of the career paths they might choose.

All SHS students are required to take part in external placements, which are essentially internships with an external organization. For some students in the master’s program for Speech-Language Pathology, external placements might begin as early as their second semester, said Noa Hannah, director of the audiology and speech-language pathology clinic in SHS. On the audiology side, said Clinical Assistant Professor Sadie Braun, students are given external placements in the summer after their first year in the four-year program.

“I think that our external placements are really the first place that our students get a sense of what audiology is like in the real world,” Braun said. “I think that’s when a lot starts to gel between what they’re learning in their academic classes and what they’re doing in clinic—that starts to come together when they get to their external placements.”

Hannah, who joined the university in 2019 and became clinic director in 2020, agreed, calling external placements “pivotal.”

“They’re pivotal in their learning because there’s only so much we can teach within the clinic,” Hannah said. “Going out on these externals is about professionalism, but … it’s really about understanding different cultures—different cultures of schools, different cultures of hospitals, different supervisory styles than what we have here at the university. So it’s pivotal in their learning how to apply their skills to new patient populations as well as new environments.”

Braun said audiology students gain experience in environments that we just can’t simulate within the SHS clinic environment.

“For example, we send them to a hearing aid manufacturer to get experience with the manufacturer side of things, or to a private practice or a big hospital so they get to see different environments audiologists can practice in and figure out where they might want to start in their first job,” she said.

Hannah said external placements give students the opportunity to deal with different patient populations, such as patients with dementia or traumatic brain injuries, or patients who have had strokes.

Braun said the external placements also help students to increase their independence and competence in using their skills.

There are also benefits for the organizations, such as hospitals and clinics, in which the students are placed.

“I think a lot of professionals just appreciate having some input in shaping the future of our field,” Braun said. “And when we send our students who have more experience, like a third-year audiology student, sometimes they can utilize that student who can be more independent to get a little bit of extra work done themselves.”

Braun said the external placements can also be a job “pipeline,” as some students are hired right out of their fourth-year placements.

For some UIUC alumni, it is a chance to give back, Hannah said.

“I have heard that they want input into teaching the next generation and I think the other thing is, people like teaching. People like sharing their knowledge … a lot of professionals enjoy that part of their profession and maybe don’t get that opportunity as often as they would like. This is a way to give back to a program that’s helped them to be successful.”

Any organization that is willing to act as an external placement for students in the Department of Speech and Hearing Science is encouraged to email Noa Hannah.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Two AHS researchers receive Call To Action funding for 2021-22



Two projects led by AHS researchers received grants as part of the university’s 2021-2022 Call to Action to Address Racism & Social Injustice Research Program.

The first, with KCH Associate Professor Andiara Schwingel as the principal investigator, is entitled “Online Certificate Programs for Community Health Workers (CHW): From overlooked and under-researched employees to well-equipped frontline agents in the fight to reduce health disparities in communities of color.”

Using a community-based participatory research approach, Schwingel and her team—which includes KCH Assistant Professor Susie Aguinaga—plan to establish a coalition that includes CHWs, Illinois researchers, University of Illinois Extension, and the Illinois Community Health Workers Association (ILCHWA) to develop, evaluate, and disseminate online learning strategies through certificate programs that will train CHWs to address their community health needs. Funding for the project is $100,000.

Currently in Illinois, the researchers say, the CHW field largely depends on employer-provided on-the-job training. There is no standardization and the length and scope of training varies a great deal from employer to employer. The key deliverables include a series of online certificate programs available in both English and Spanish.

Other collaborators are Brandi Barnes, Research Development Manager, Interdisciplinary Health Sciences Institute; Jennifer McCaffrey, Assistant Dean, Family and Consumer Sciences, Illinois Extension; Ruby Mendenhall, Associate Professor in Sociology, African American Studies, Urban and Regional Planning, and Social Work; Leticia Boughton Price, CEO/President, Illinois Community Health Workers Association, and Wandy Hernandez-Gordon, Cofounder/VP, Illinois Community Health Workers Association.

The second, with RST Professor Monika Stodolska as the PI and RST Professor Kim Shinew as the co-PI, is entitled, “Combating Systemic Racism in Access to Nature, Open Spaces, and Parks and Recreation Resources.” Corky Emberson and Elsie Hedgspeth of the Urbana Park District are the community collaborators. The grant amount is $93,428.

The study will provide a formal evaluation of the steps undertaken by the Urbana Park District to better serve their residents of color, identify additional strategies UPD can employ to engage local residents of color, and create a road map for other public recreation and natural resource agencies across the U.S. on how to address systemic racism in access to nature and recreational resources among people of color.

RST undergraduate and graduate students will be involved in the study through interview/questionnaire development, data collection and analyses, and implementation and dissemination findings. The study’s primary deliverable, the Strategies to Address Racism and Social Injustice in Recreation (SARSIR) blueprint, will be integrated into the curriculum in general education and core courses (RST 120: Parks, Recreation and Environments, RST 230: Diversity in Recreation, Sport and Tourism, and RST 317: Designing Parks and Recreation Experiences) and students will be able to implement the blueprint through their experiential coursework and internships. 

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Aronoff’s R01 grant aimed at maximizing binaural benefits



Justin Aronoff’s study will provide insight into how the binaural auditory system combines signals from the two ears. (Photo provided)

Bilateral cochlear implants are used to provide hearing to both ears for deaf children and adults, as well as provide binaural hearing. But the benefits of bilateral implants can be hampered by poor integration of the devices’ left and right inputs. Thanks to an R01 grant, Department of Speech and Hearing Science associate professor Justin Aronoff has a plan to combat that.

Aronoff was awarded a $1.57 million grant from the National Institute on Deafness and Other Communication Disorders for his project “The contributions of interaurally correlated signals and interaurally symmetric place of stimulation for the binaural auditory system.” The proposed study will provide insight into how the binaural auditory system combines signals from the two ears and lay the groundwork for a shift in how and when clinicians program bilateral cochlear implant users’ devices to maximize binaural benefits.

Aronoff has just begun data collection, and recently gave a demonstration of some of the study’s testing, with research assistant Simin “Tina” Soleimanifar as the subject.

In Aronoff’s lab, Tina, who does not have a cochlear implant, sat next to a scope where she can see the signal that is coming out of a cochlear implant.

“The first thing that we need to do when we’re testing a cochlear implant patient is the same thing that you would do if you go into the (audiology) clinic,” Aronoff said. “And that’s basically setting what are the comfort and safety levels.”

As Aronoff explains, the simulations of cochlear implants are not really simulations of what it would sound like to cochlear implant users. “Most of them are just simulations of what it would sound like to only have 22 notes on your piano,” he said, “but everything has to be done on those 22 notes. That’s all you can hear. … (Renowned researcher) David Landsberger (said) listening with the cochlear implant is like playing the piano with a ping pong paddle.’ That you’re hitting a bunch of notes at once. And so if I turn off an electrode, that paddle gets a little wider for all the other notes. That’s the way to think about it.”

For Aronoff, the potential impact is deeply motivating. “Our ultimate aim is to improve speech perception in noise for cochlear implant users,” he said. “Being able to follow conversations in noisy environments is one of the biggest challenges they face, and we hope this technology can make a meaningful difference in their everyday lives.”

To understand what the signal from the cochlear implant actually is, you need to use a scope. Aronoff said the scope is connected to breakout boards, which allow him to tap the output from each electrode and put it on a scope and record it, to make sure the signal is what he thinks it is. Different devices have a different number of electrodes, Aronoff said. He was working with a cochlear device during this test run, which has 22 electrodes. During the test, he gradually increases the amount of stimulation until Tina can see something on the scope.

Aronoff compared the electrodes to shining a flashlight beam.

“As you walk away from a wall that you’re shining a flashlight beam on, the beam gets wider and wider. And these are fairly far away from the wall. What that means is if you have two flashlight beams right next to each other, they illuminate mostly the same spot on the wall. There’s a little difference on the edges, but they’re mostly overlapping. And that’s what’s happening as well with these electrodes. And so that’s why when you go from one electrode to the next, you’re stimulating most of the same neurons.”

One of the most important issues Aronoff hopes to tackle with this grant is about perception of interaural time differences (ITDs) and interaural level differences (ILDs), which limit the ability of bilateral cochlear implant users to localize sounds and understand speech in noisy environments.

“This is actually a big question of the grant,” he said. “We know for a pitch that it is very malleable. That over time whatever I tell you in your map, whichever electrodes get the same frequencies in the outside world will start sounding the same in terms of pitch. We don’t know if that’s true for ITDs and ILDs. That if the best electrodes paired together change over time or not. It definitely seems to be less malleable. We don’t know if it’s malleable at all. And that’s a big purpose of this grant, to see if that correlated input only affects the pitch that you hear, or if it’s affecting the entire auditory system.”

Another issue is that people who have two cochlear implants don’t always hear one coherent sound from the two ears. They will sometimes hear a left ear sound and a right ear sound, Aronoff said.

“If you’re listening over headphones and one of them is bad, the way to tell is you lift one up. You can’t be like, ‘Oh, I can hear it’s the left one that’s bad. You have to lift one up.’ That’s how well things fuse together into one perception. Now, for cochlear implant users, that’s often not the case. They often do not have things fusing together completely. And so that’s one thing that we look at. There’s big benefits to it.”

The benefit of having bilateral cochlear implants is more than just having a backup if one implant goes out, Aronoff said. They will allow you to hear better in noisy environments.

“If you’re listening to someone who’s across the table from you and there’s background noise, being able to spatially separate out where are the speakers from everyone else helps you. And having two ears gives you that ability. If you only have one ear, you cannot tell something’s coming from the left or the right. So two ears is really what you need. And most cochlear implant users can localize reasonably well. Not as good as normal hearing listeners, but reasonably well. So that’s a big benefit of having two ears as well. There’s other things in terms of when someone comes up on one side of you. If it’s on the side that doesn’t have a cochlear implant, you might not even know they’re talking to you. There’s a lot of benefits of having two instead of one.

Getting a good measure of fusion has been one of the more challenging aspects of the project, Aronoff said, since fusion is a central idea to the grant, and because everyone has a different idea of what fusion means.

“A lot of the other things are largely predicated on this idea that you hear it as a coherent sound,” he said. “You can’t localize a sound if it sounds like it’s coming from both ears. And so, yeah, fusion is very central to this grant. And so we have a lot of experiments where we are looking at that fusion and how different things affect it. “

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu

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I-Health student Cecilia Kattan discusses her internship



Cecilia Kattan, left, aspires to be a physician’s assistant

Q: Where did you complete your internship and what was your experience?

A: I completed my internship at the Champaign-Urbana Public Health Department in partnership with the maternal & child health department and community nutrition initiatives. My role at my internship was a hybrid of administration and observation. Some examples of projects I completed are: social media management, breastfeeding incentive program with the peer lactation consultant, coordinating with sponsors for the Mommy and Baby Expo, created an employer breastfeeding friendly certification toolkit, and led a grant proposal and presentation for the Carle HealthMaker Lab. I was also given the opportunity to shadow WIC consultations.

Q: How did you apply for the internship?

A: I applied via the C-UPHD internship website, followed by an interview with the director of the department, Valerie Koress.

Q: What did you learn from the internship?

A: I was given insight on how public health departments operate and allocate resources efficiently. In addition, I got an up-close look into the racial disparities experienced in our community and aided in the progression of initiatives to fill those healthcare gaps.

Q: What was your biggest takeaway from the experience?

A: My biggest takeaway was realizing the different levels of organizations that contribute to community health and the discrepancy in funding.

Q: Is this internship closely related to the field you are hoping to work in?

A: My internship gave me valuable experience working in maternal and child health, since women’s health is an interest of mine. As a future Physician Assistant I will be able to understand the value of non-clinical grassroots initiatives. In addition, community service is one of my intrinsic pillars. Therefore, I hope to participate in some of these initiatives in my future career.

Q: Would you like to share any other information that might be helpful for future I-Health students?

A: You get out what you put into your internship. My role was not clearly defined for me since I was the first intern since the arrival of the new director. Hence, I made it a point to do weekly check-ins with my preceptor, Valerie, to ensure I was being helpful. Remember to use your voice and advocate for yourself to ensure you have a valuable experience.

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Kinesiology student Jackie Buczkowski talks about her internship



Jackie Buczkowski demonstrates different exercises for patients.

Q: Where did you complete your internship and what was your experience?

A: I completed my internship at Active Rehab Clinics in Bucktown, a neighborhood in Chicago, Illinois. Initially, I began shadowing the head chiropractor of the clinic and his assistant. I observed the chiropractor while he worked hands-on with his patients and observed his assistant while he coached the patients through various exercises pertaining to their injury. After two to three months of observation, I began working with patients myself. I was taught the Burdenko Method which consists of a series of exercises used to treat patients on land and in water. Throughout the fall 2020 semester, I worked with patients at the clinic in Bucktown as well as out of Lutheran General Hospital in Park Ridge, Illinois.

Q: How did you apply for the internship?

A: Since I completed my internship during the summer and fall of COVID-19, I did not apply for this internship as a student conventionally would. My cousin is a patient of the chiropractor and asked if he was allowing students to shadow during this time. However, when I have shadowed previous physical therapists I would typically reach out through email. I have also dropped off my resume at a few different locations to see if they would allow me to shadow. More often than not they would agree! Since physical therapists understand shadowing is a requirement in order to apply to PT school, they are very understanding and willing to help.

Q: What did you learn from the internship?

A: This internship was the most fulfilling internship I’ve had so far. I learned to trust my judgment and to not be embarrassed of being incorrect or struggling to learn something new. I was often quizzed and asked questions before being told the answer. This style of teaching helped stimulate my brain which overall felt more interactive. I wasn’t simply watching passively but rather actively engaging in assessing a patient.

Q: What was your biggest takeaway from the experience?

A: My biggest takeaway from this experience is understanding that every patient is different. What might work for one patient may not work for the other. Although you’re taught to go by the book in some cases, you may need to think outside the box in other scenarios. It was fascinating for me to see the chiropractor and his assistant not only assess the part of the body that was injured or had pain but to go beyond that and see if another part of the body was actually causing that pain. For example, if a young athlete was having pain in her knee, they would rehab her hip and build strength there.

Q: Is this internship closely related to the field you are hoping to work in? 

A: This internship is closely related to the field I want to go into which is physical therapy. Although I shadowed a licensed chiropractor, he also specializes in rehabilitation. In my previous experiences I shadowed physical therapists at hospitals and chain outpatient clinics such as Athletico, however, this experience was different because it was a privately owned clinic. In many ways this faces its own challenges because billing and scheduling is in your control. I was able to see the “behind the scenes” of what owning your own business might look like.

Q: Would you like to share any other information that might be helpful for future Kinesiology students?

A: The advice I recommend to any Kinesiology student is to reach out to any company or any specific person you’d like to shadow or intern for! Internships are truly the best opportunity to figure out whether or not you really want to go into a certain field. I’ve shadowed many physical therapists and have learned something new from each of them. They inspire me to finish school and start doing what I believe to be the best career there is for me. With a bachelor’s in Kinesiology there are many career paths you can take and you want to find which fits you best!

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University of Illinois designated as Purple Heart university



(from left) Dean Cheryl Hanley-Maxwell, Chancellor Robert Jones and Chez’s Garrett Anderson

The University of Illinois was designated Friday as a Purple Heart university, awarded the honor because of the university’s longstanding commitment to military veterans.

“This university has a tradition unlike any other that goes far beyond just remembering those who lost their lives in service,” Chancellor Robert Jones said. “This has been a place of world-changing ideas, innovations and, sometimes just plain old hard-headed determination to help those who come home to find success in their educational hopes and to lead lives and careers of impact after they earn their degree.”

Illinois was the first university to call for compulsory military training at all land grant colleges, as part of the Morrill Act of 1862, and developed the first post-secondary disability support service program in the world for Veterans. Established by Dr. Tim Nugent, this program allowed injured World War II veterans to use their GI Bill benefits for higher education.

In 2015, UIUC opened the doors at the Chez Veterans Center to provide an open, welcoming space for all student veterans and military-connected communities.

“During my tenure as dean of the College of Applied Health Sciences, I have had many opportunities to feel proud of leading such an outstanding unit. Today, that pride deepens with this truly humbling recognition by the Military Order of the Purple Heart,” said AHS Dean Cheryl Hanley-Maxwell.

“The commitment of this college and this university to helping wounded veterans pursue their degrees goes back more than 70 years, when Dr. Timothy Nugent established the very first support program in higher education for World War two veterans with disabilities. At a time when people in wheelchairs were not expected or encouraged to attend college and dream of careers, Dr. Nugent said, “Why not?”’

The Chez Veterans Center is the largest, most comprehensive facility of its kind in the United States, and serves more than 550 military-connected students.

“AHS continues to be the unwavering force pushing us forward to do more and to find new and better ways to open doors of access and success to the student-veterans who trust this university with their academic futures,” Chancellor Jones said.

The event was well-attended and VIPs included Matt Janes from the office of Congressman Rodney Davis; State Senator Scott Bennett; State Senator Chapin Rose; State Representative Mike Marron; State Representative Brad Halbrook, Champaign Mayor Deborah Frank Feinen, members of the Chez Veterans Center advisory board, and members of the Veterans Assistance Commission and Department of Veterans Affairs.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Alumni Spotlight—Tim Clary



Q. Why did you pick AHS?

A: In high school, I knew I wanted to be an Athletic Director/Coordinator, and AHS provided the pathway to doing that with Sports Management. 

Q: Which professors had the most impact on you?

A; Dr. (Michael) Raycraft: A personable man that would lead with honesty but connect on a level that helped you understand the intricate complexities within RST. Also, Nuno Ribeiro: he was a man that helped me a ton even after I graduated. He taught me about his life experiences and how they shaped his life in hopes it could influence mine. 

Q: What course did you most enjoy?

A: Two courses equally, both taught by Dr. Raycraft. One, Sports Management and two, Sports Ethics. 

Q: Did you enter AHS knowing your career path, or did AHS help you decide?

A: I entered knowing I wanted to be in athletics in some capacity. 

Q: What was your favorite on-campus experience?

A: Most of my time was taken up by athletics; I did appreciate the study sessions in the underground library prepping for some of the harder courses (Research Methods). 

Q: What does AHS mean to you?

A: I’m thankful for my time in AHS. Led by many wonderful professors and provided the path to achieving my goal of becoming an athletic director one day. 

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu

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College of Applied Health Sciences
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Champaign, IL 61820
(217) 333-2131