Seeking advice on how to help someone with diabetic neuropathy navigate their iOS device

By Moopie Curran, 15 May, 2024

Forum
iOS and iPadOS

Hi,
I'm seeking advice on how I can best help a student of mine who has diabetic neuropathy navigate her iPhone. She is a fairly new iPhone user, and she really seems to be having trouble tapping the screen. Because she has neuropathy, she isn't sure how hard she's tapping the screen. Having never had neuropathy, I'm not sure what work-arounds there are for people with this condition when it comes to working with an iPhone. Any tips and tricks are welcome, because I really want to help her excel at using her iPhone.

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Comments

By Brian on Friday, May 17, 2024 - 19:48

Without asking for too much personably identifiable information, I do have some questtions for you.
1. Is your student visually impaired at all? I only ask because I do not believe you mentioned that, and we have all kinds of visitors here.
2. Is your student elderly, middle aged, or younger? Not asking for exact age, just an idea of where they are at in their life.
3. How long has she been dealing with diabetic neuropathy,?
4. If you answered yes to the first question, how long has she been visually impaired?

Thanks in advance. 🙂

By Moopie Curran on Friday, May 17, 2024 - 19:48

Yes, she is totally blind, I believe she was born blind. I'd guess her to be middle to elderly age, maybe in the ball park of between 45 and 75, I honestly don't go around asking my students their ages, lol. I'm not sure how long she's had neuropathy, but based on several things that she's said, I suspect she's been dealing with it for a while.

I hope this helps.

By Brian on Friday, May 17, 2024 - 19:48

Is this her first smart phone? Also, does she have any other type of Assistive Technology such as a Smart TV, a tablet, an Alexa device, etc?

If this is her first piece of AT, you are likely going to have an uphill battle. I do not say this to be cruel, just giving you the facts.

Here is my advice for you and for her. Sit with her if need be, and listen to as many YouTube videos as you can on VoiceOver tutorials. Start with the basics and once she has gotten a handle on that, elevate to some of the more advanced gestures and such.

There are also a few options under the Settings > Accessibility page that may help her with Touch.

Next, you can adjust the time it takes between taps, before a double-tap is registered, this setting is at the bottom of the Settings > Accessibility > VoiceOver screen. This way she can take a bit of time getting used to the tap and swipe gestures.

Finally, Siri is your bestest friend. While not perfect, she can do a lot with the builtin voice assistant. A, lot!

I hope that is somewhat helpful for you. 😎

By Brad on Friday, May 17, 2024 - 19:48

It's meant to be getting a huge much needed overhall this year, for now you can make calls and send messages, check the weather, and without voiceover that's about it, oh, you can set alarms too.

You can set up calinder appointments and search the web, kind of, but you need to use voiceover to view them.

By Brian on Friday, May 17, 2024 - 19:48

You can also ask Siri:
- What's my battery at? (for battery status)
- What time is it?
- What is the date?
- Any events today/this week/this month? (for calendar appointments)
- Latest sport scores for (insert team here).
- Call (insert person here).
- Text (insert person or people here).
- Facetime audio or facetime video (person or people here).
- Play (book title) on Kindle/Audible.

And heaps more.

It has its shortcomings, but it is not without its usefulness. 😀

Edit: Edited because the preview button hates me. 😣

By Moopie Curran on Friday, May 17, 2024 - 19:48

Bluetooth keyboard might be the way to go for her, now that you mention it. I don't have a hable 1, they're quite pricy, and they have their own set of shortcuts. Is there a good, standard bluetooth keyboard that I can recommend for her? I suspect she will want to put zot dots or something on the f and the j keys so she can better identify them. I have several folding keyboards that I like, but I suspect the tactile sticker dots would prevent it from closing totally.

By Moopie Curran on Friday, May 17, 2024 - 19:48

It's a shame siri can't add new contacts, I find it to be a royal pain creating them and showing my students how to create them, sheesh. I hope Apple allows Siri to create contacts in iOS 18, that's for sure. That would be very helpful not only for an experienced iPhone user like me, but especially for my students.

By Brian on Friday, May 17, 2024 - 19:48

Loc or location dots are very small, like a standard sized braille bump. Excellent for compact items like folding/rolling keyboards, and other collapsable electronics.

By Brad on Friday, May 17, 2024 - 19:48

I just used a standard keyboard that I found on amazon.

By CuriousNetEntity on Friday, May 17, 2024 - 19:48

I have been exploring options for similar problems recently. I think a bluetooth keyboard is a good idea, but she might need to test some in order to figure out what might work for her. She might need nice clicky keys. I don't have any up-to-date suggestions about keyboards. Mine is old.

She might also try Voice Control. The default commands for VoiceOver and Voice Control are impossibly long and difficult, but I have made custom voice commands to make it easier. Let me know if you want that custom commands file. Also if you want more info on it. Voice Control worked fine with my iPhone 13, but was too sluggish to make me happy on an iPad with only an a12 instead of an a15 processor.

Disclaimer: I do not have neuropathy or finger dexterity problems, but I am totally blind. I just explore options because I volunteer with a group helping certain blind people with technology. I never suggest things I haven't pretty thoroughly tested myself. In fact I think I need to write a message to Apple Accessibility to suggest a very necessary command they have left out of Voice Control for VoiceOver users. That is "Move to Item at Center" which can have a keyboard shortcut assigned to it, but not a Voice Command.

Also, remember that gestures can be customized. If she can not perform some gestures it will make using the device less efficient, but there is a good chance she can do enough to be worth using it if certain gestures are reassigned.

Another idea I had that may or may not work at all is to have her practice preforming the gestures against your hand if you are trainer her in-person. You could possibly give feedback on wether the pressure and number of fingers seems right. I don't know if she could then tell the difference between correct pressure and gestures and movements that aren't likely to work.