Performance and Comfort in Sustained Reading with Tablet PC for Children

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Performance and Comfort in Sustained Reading with Tablet PC for Children Shun-nan Yang Yu-chi Tai John Hayes James Sheedy Vision Performance Institute Pacific University College of Optometry Vision Performance Institute A research consortium supporting Quality Sustainable Vision

Acknowledgement The study reported here was funded by the Interaction and Experience Research Group at Intel Corporation (Phil Corriveau & Rina Doherty) Lanen Vaughn helps with data collection and encoding. Vision Performance Institute A research consortium supporting Quality Sustainable Vision

Computer Display and Visual Comfort Accommodation stress has been the main source of visual discomfort in near viewing (Rempel et al., 2007). When viewing computer display, a closer distance is adopted, likely leading to discomfort (Tai et al., 2007). Young children can accommodate more than adults in near viewing (Duane, 1922), likely leading to greater accommodative stress in computer use. After 10 mins viewing, children s reading performance with PC is the same as paper, but greater discomfort with poorer acuity.

Specific Aims Measure performance, behavioral strategy, and viewing symptoms during sustained reading. Identify visual abilities impacting viewing performance and comfort.

Methods 25 novices (grades 2-3) and 25 advanced reader (grades 7-8) Read from paper and tablet PC (10.5 size) in two separate 60-minute reading sessions, with text format and device weight controlled for. They were allowed to adopt any posture and take as frequent breaks as they chose to. Viewing distance, reading performance, and visual/physical symptoms were analyzed in relation to gender, grade, near point of convergence (NPC), binocular acuity, and stereoacuity.

Testing Setting

Visual Abilities Near visual acuity of better eye (poorer: logmar >= 0, n = 19; better: logmar < 0, n = 31) Near point of convergence or NPC (nearer: < 8.5cm, n = 23; farther: >= 8.5 cm, n = 27) Stereoacuity (poorer: >= 30, n = 18; better: < 30, n = 32).

Visual Performance Viewing distance was measured every 2 mins and averaged for the first, second, and third 20-min intervals. Percentages of correct comprehension (one Q per page) and word recall (50% correct word, one each page), and reading speed (words/min for each page), were measured for each session.

Interactive Effects on Performance Factors Outcomes Grade Display Break VA SVA NPC Viewing Distance Adv > novice Adv All All Paper > PC Paper No break > break Better > poorer Far > Near Far > Near Text Comp. All Paper > PC PC Break > no brak Better > poorer Near > far Reading Speed Word recall Adv > novice Novice Paper > PC Paper > PC All Paper > PC Novice PC > paper Break > no break poorer Far > Near Near > Far Break Frequency Novice > Adv All PC > paper PC > paper Poorer > Better Poorer > better Near > far

Viewing distance (cm) 60 50 40 30 20 10 Novice Advanced 0 paper Display type pc

60 Novice Readers w/o break Viewing distance (cm) 50 40 30 20 10 with break 0 1 to 20 21 to 40 41 to 60 Time intervals

60 Advanced Readers w/o break Viewing distance (cm) 50 40 30 20 10 with break 0 1 to 20 21 to 40 41 to 60 Time intervals

Viewing distance (cm) 60 50 40 30 20 10 Near NPC Far NPC 0 1 to 20 21 to 40 41 to 60 Time intervals

Acuity and Break on Comprehension

Display and SVA on Word Recall 1.0 Poorer Better 0.8 Correate rate 0.6 0.4 0.2 0.0 paper Display PC

1.0 Nearer farther 0.8 Correate rate 0.6 0.4 0.2 0.0 paper Display computer

Reading speed (words/min) 240 220 200 180 160 140 120 100 80 60 40 20 0 Paper PC Novice Grade Advanced

Likelihood of Taking Break 100 90 80 Paper PC Percentage (%) 70 60 50 40 30 20 10 0 Novice Grade Advanced

0:57 0:50 Paper PC 0:43 Break time 0:36 0:28 0:21 0:14 0:07 0:00 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 Ranked Frequency

Viewing Symptoms Measurement: 1: no symptom at all 4: extreme symptom Severity: all significantly elevated after 60 minutes Dry eye (1.6 2.3) Eye sore (1.2 2.0) Eye strain (1.1 1.7) Eye fatigue (1.5 2.2) Neck ache (1.2 2.0) Arm and shoulder ache (1.1 1.6)

Interactive Effects on Symptoms Factors Grade Display Break VA SVA NPC Symptoms Dry eye Novice Poorer > better Sore eye All Novice No break Poorer > better Eye fatigue Eye strain Novice Advanced PC No break Poorer > better Better > poorer All Novice Poorer > better Near > far Neck ache Novice > adv PC > paper Arm/ shoulder ache Novice No break Far > Near

Gender and VA on Dry Eye

Grade and VA on Eye Fatigue

Grade and VA on Eye Strain

Display on Neck Ache 4 Paper PC Symptom score 3 2 1 pre-test Testing time post-test

Grade and Break on Arm/Shoulder Ache

Summary Reading performance is affected by display condition and visual abilities in sustained reading, though not in shorter reading. Sustained reading heightens all viewing symptoms; display type did not directly affect viewing symptoms. Visual abilities and behavioral strategies interact with display type to influence reading performance and viewing symptoms.

Implications Display quality influences viewing behaviors, depending on viewer s skills and visual abilities. Viewing symptoms either reflect the direct stress from weaker visual abilities, or from improper behaviors and weaker ability. Care should be taken to remedy the direct visual/physical stress and to alter viewing behaviors.