Accessibility

Adults with intellectual and developmental disabilities (IDD) are increasingly transitioning from family homes towards semi-inde-pendent living. As parents hand off the role of primary caregiver, they face numerous challenges in arranging consistent and quality support. Our research centers on understanding these caregiving routines. By focusing on the unique lived experience of parents, who possess extensive explicit and tacit knowledge of their adult child's requirements, we aim to map the management of care they provide. This foundational understanding is essential to identifying how assistive technologies can effectively serve a key role in supporting adults with IDD in this transition. In this work, we interviewed 16 parents of adults with IDD beginning this transition to understand: 1) how they currently provide support for daily living and what makes their support effective; 2) what their experiences and perceptions are regarding the use of technology; and 3) how they envision assistive technology successfully integrating with their adult child's new home or with other supports to promote independence. Our thematic analysis produced four themes: common modes of support, inside the routine to support growth, the fragility of continuity of care across transitions, and participants' perceptions and experiences of assistive technology. Building on these findings, we derive four design principles for growth-oriented assistive technology. These include pre-transition onboarding to capture caregiver tacit knowledge; structured scaffolding towards long-term growth; adaptive sensing that responds to day-to-day variability; and customization for the individual balanced with consistency for the care network.

An important component of urban accessibility, particularly for wheelchair users and people with reduced mobility, is sidewalk compliance with measurable requirements. We test whether effective width, longitudinal slope, cross slope, and pavement condition can be assessed reliably from pedestrian-level imagery using vision-language models (VLMs). We present the first application of sampling-based conformal prediction (CP) for VLM-based accessibility assessment. We evaluate four VLMs on 514 sidewalk images from Seoul, South Korea, with field-measured ground truth. Conformal calibration attains the nominal 90% coverage for all models and attributes, but the calibrated regions differ in informativeness. Effective width yields the most informative estimates, with a mean interval half-width of about 1.0 m for the best model. Since every model overestimates width, asymmetric calibration shortens the intervals by up to 33% at unchanged coverage. Longitudinal slope is marginally informative, cross-slope intervals are too wide to resolve regulatory thresholds, and pavement-condition sets degenerate to all five grades (A-E) for three of the four models. Uncalibrated intervals from raw sampling dispersion cover only 17-47% of field-measured values at a nominal 90% level. Among the images with the most self-consistent responses, these intervals miss the field-measured value in up to 96% of cases. Response self-consistency is therefore not evidence of accuracy, and sampling dispersion cannot be interpreted as uncertainty until it has been calibrated against field-measured ground truth. No quantitative attribute reaches the precision required for general compliance assessment, but CP identifies from calibration data alone which attributes can support screening of segments far from the thresholds. We release the annotated pedestrian-level images and their corresponding field-measured attribute values.

This paper addresses the challenge of making complex healthcare information more accessible through automated Plain Language Adaptation (PLA). PLA aims to simplify technical medical language, bridging a critical gap between the complexity of healthcare texts and patients' reading comprehension. Recent advances in Large Language Models (LLMs), such as GPT and BART, have opened new possibilities for PLA, especially in zero-shot and few-shot learning contexts where task-specific data is limited. In this work, we leverage the capabilities of LLMs such as GPT-4o-mini, Gemini-1.5-pro, and LLaMA for text simplification. Additionally, we incorporate Mixture-of-Agents (MoA) techniques to enhance adaptability and robustness in PLA tasks. Key contributions include a comparative analysis of prompting strategies, finetuning with QLoRA on different LLMs, and the integration of MoA technique. Our findings demonstrate the effectiveness of LLM-driven PLA, showcasing its potential in making healthcare information more comprehensible while preserving essential content.

Generative AI (GenAI) tools are increasingly woven into how blind and low-vision (BLV) people communicate, not only with digital information, but with the physical world and with other people. Tools such as ChatGPT, Google Gemini, Be My AI, and Seeing AI translate visual and textual content into accessible form, and are beginning to substitute for interpersonal requests for help, such as asking a family member to read a label or describe a scene. Drawing on semi-structured interviews with 19 BLV participants, we examine GenAI as a communication intermediary and how it succeeds and fails as an alternative for reading, describing, and even asking another person for help. We also investigated what BLV users gain and risk when these tools take over that role. We conclude with design and policy implications for GenAI systems that communicate uncertainty honestly, protect information, and support BLV users' independence rather than substitute for it unsafely.

Multimodal AI, powered by Large Language Models (LLMs) and Vision-Language Models (VLMs), is transforming assistive technologies by enabling simultaneous processing of visual and textual data. This advancement holds significant promise for over 43 million visually impaired and neuro-divergent individuals worldwide who face persistent challenges in navigating indoor and outdoor environments due to limited spatial awareness and insufficient environmental cues. Existing navigation aids often lack comprehensive 3D scene understanding, relying on constrained route-based strategies that hinder user autonomy. In this paper, we introduce a novel end-to-end framework that integrates LLMs, VLMs and digital twin technologies to deliver a spatially cognitive navigation support for visually impaired and neuro-divergent users. Our system captures video input via standard mobile phone cameras, and employs SLAM3R to generate dense 3D point clouds from monocular RGB sequences in real-time. Our custom post-processing algorithm ensures accurate point cloud alignment across multiple viewpoints without requiring predefined reference points. This enhances the capabilities of SpatialLM to produce structured 3D representations, including architectural elements and oriented object bounding boxes. The enriched spatial data is then processed by a locally deployed LLM, which interprets 3D contexts to generate detailed scene descriptions and precise distance measurements between users and surrounding objects. We evaluated our approach across diverse video scenarios featuring various perspectives, looped walking views and captured in multiple environments. The evaluation results demonstrate consistent accuracy in 3D scene interpretation and object localisation, underscoring the potential of our system as a transformative assistive navigation solution that combines advanced visual perception with spatial reasoning

Existing theories derive neural scaling from data geometry or a specified data-model spectrum, but systems trained on the same data can scale differently when architecture or optimization changes the representations they can efficiently reach. We introduce Coupled Scaling, a task-conditioned framework in which finite-budget scaling depends on the relation between task structure and the geometry accessible to an architecture-optimization system. In a solvable mode-truncation model, loss separates into target energy outside architectural support and an unresolved supported tail. For an arbitrary priority order, the residual lies between the best-N supported tail and the tail beyond the largest completed high-value prefix. If the cumulative-tail and coverage log-rates are $γ_{A,T}$ and $ρ_{A,O,T}$, the residual exponent lies in $[ρ_{A,O,T}γ_{A,T},γ_{A,T}]$. Under bounded off-prefix gain, the completed prefix is rate-determining and $α_{A,O,T}=ρ_{A,O,T}γ_{A,T}$; for $a_{A,T,j}\asymp j^{-b_{A,T}}$, this gives $α_{A,O,T}=ρ_{A,O,T}(b_{A,T}-1)$. A fixed-kernel specialization derives the training-time exponent from the near-zero tail of a task-weighted spectral measure defined independently of the loss fit. The framework separates architectural support from finite-budget acquisition and motivates two tests: static task-relevant geometry should track loss at a common budget, while multiscale geometry should track coupling-specific exponent ordering, including reversal across contrasting tasks. An audit of released emergence trajectories identifies the controls needed for a direct factorial test that measures geometry separately from the scaling fit.

Computer-use agents are emerging as a paradigm for agentic human-AI interaction, combining language reasoning with multi-modal interface grounding to operate GUIs. Yet their effectiveness for blind screen-reader users in real-world desktop workflows remains unclear. We present a three-week diary study with 8 blind users using OLLA, a screen-reader-accessible CUA prototype, collecting 1,258 commands across 12 applications with screenshots, UI trees, model responses, and action traces. We evaluate GPT-5 during deployment and re-execute the same commands with four additional models. GPT-5 achieved the highest success rate at 52.5%. Trace analysis reveals grounding, planning, constraint-tracking, and termination failures, while interviews reveal beyond-automation needs.

Manufacturing complex soft pneumatic actuators remains challenging because geometric fidelity, compliance, structural integrity, and airtightness must be achieved simultaneously. This study presents a manufacturing-focused evaluation of several fabrication routes for complex pneumatic structures, including heat-shrink forming, silicone casting, powder- and liquid-based additive manufacturing, and fused deposition modeling (FDM). The processes were assessed through process screening, baseline fabrication, failure analysis, and process improvement to distinguish inherent process limitations from correctable manufacturing defects. Heat-shrink forming was limited by geometric conformity, casting by mold accessibility and bonded interfaces, powder-based methods by residual material trapped within enclosed passages, and digital light processing by the material properties and post-processing requirements of the investigated system. FDM provided the most adaptable route because its dominant defects could be progressively reduced through process optimization. The results further showed that airtightness depends not only on nominal wall thickness but also on extrusion-path architecture, while support-free geometry is important when access for internal post-processing is limited. These findings establish a practical design-for-manufacturing approach in which process selection is guided by the compatibility between actuator architecture and manufacturing constraints. The proposed approach provides practical guidance for developing complex, flexible, and airtight soft pneumatic actuators for soft robotic applications

Large language models (LLMs) are increasingly integrated into healthcare, education, public services, and everyday decision making. They should provide comparable assistance regardless of a user's literacy, communication style, or prompt-engineering expertise. However, existing research on prompt robustness primarily focuses on adversarial attacks, prompt injection, and prompt optimization, while overlooking whether semantically equivalent requests receive different responses simply because they are phrased differently. We refer to this accessibility challenge as "Prompt Privilege": users with greater prompting expertise systematically obtain better model performance despite expressing the same underlying intent. To address this problem, we present a unified framework for measuring and mitigating accessibility disparities in LLM interactions. We introduce Prompt Equity Score (PES), a quantitative metric for evaluating performance consistency across user populations, and Prompt Equity Transformer (PET), an LLM-based agent that automatically transforms user requests into semantically equivalent, accessibility-oriented prompts while preserving their intent. PET shifts prompt optimization from the user to the AI system, functioning as an intelligent accessibility layer between users and foundation models. Experiments on the MedQA benchmark demonstrate measurable prompt privilege, with statistically significant performance disparities between low-literacy and expert-prompting cohorts. Applying PET eliminates these disparities while preserving semantic fidelity, demonstrating that accessibility-oriented prompt normalization can improve equitable AI access. By introducing prompt privilege as a new dimension of AI accessibility and PET as a practical solution, this work advances system-centered accessibility and provides a foundation for more fair, trustworthy, and inclusive AI systems.

The rise of autonomous AI agents represents a major paradigm shift in how users interact with mobile devices. Frameworks such as MobileRun and Mobile-Use can autonomously navigate Android applications and execute complex multi-step tasks. To interpret user interfaces, these frameworks rely primarily on Android accessibility (A11y) trees and secondarily on visual screenshots. In this paper, we demonstrate that this architectural dependence on unsanitized accessibility metadata, together with visual input, introduces a systemic vulnerability to indirect prompt injection. We show that adversarial prompts can cause autonomous agents to abandon their original objectives, violate context boundaries, and perform unauthorized device actions. Our empirical evaluation demonstrates goal hijacking, context drift, and unauthorized actions across visually hidden and fully exposed attack scenarios. In aggregate, MobileRun reaches an attack success rate of 0.822 with Gemma4:31B, while Mobile-Use with Qwen3.6:35B reduces this to 0.150 but does not eliminate context drift or unauthorized actions. These findings reveal that current mobile agent frameworks fail to enforce semantic context boundaries, treating passive environmental text as trusted instructions. Finally, we present a taxonomy of these attacks and discuss the need for zero-trust input validation, dedicated security agents, and strict context isolation within mobile agent architectures.

Institutions increasingly rely on browser lockdown, webcam monitoring, and behavioral analytics to secure high-stakes digital assessments, yet these mechanisms are commonly designed and evaluated independently and often overlook learner accessibility. This paper introduces Behaviorally-Adaptive Visual Diversion (BAVD), a theoretical framework in which a synthetic, non-semantic visual field is composited with assessment content and adaptively modulated according to observed candidate behavior. The underlying assessment content is never altered; only its visual presentation is modified to reduce the usefulness of unauthorized screen capture or screen sharing while remaining minimally intrusive for legitimate candidates. The framework further incorporates an accessibility-aware attenuation mechanism that reduces or suppresses diversion intensity for candidates with approved visual-processing accommodations. We formulate the model using a coupled dynamical-systems representation comprising a Diversion Field Generator, Rendering Tensor, Behavior Tensor, Composite Integrity Functional, and Multi-dimensional Entropy Model, and establish theoretical properties for content fidelity, rendering stability, entropy boundedness, integrity tracking, and closed-loop adaptation stability. The framework explicitly states its threat model, identifies deployment assumptions and limitations, and discusses the trade-off between accessibility and capture resistance. This work provides a mathematically grounded foundation for behaviorally adaptive and accessibility-aware assessment delivery and offers a basis for future empirical validation in trusted digital assessment platforms.

Extremely large-scale reconfigurable intelligent surface (XL-RIS)-assisted communication is regarded as a key enabling technology for future 6G networks. However, hybrid-field channel estimation for XL-RIS-assisted systems is challenging due to the high-dimensional cascaded channel and the coexistence of far-field and near-field propagation. In this case, traditional full-dimensional sparse recovery methods require a large cascaded dictionary and suffer from severe computational and storage burdens. To address these challenges, we develop a double-timescale channel estimation framework that decouples sparse dictionary representation and recovery. Then, by exploiting the quasi-static property of the channel at the base station (BS) and RIS side, we propose a Dirichlet kernel-based off-grid dictionary compression (DK-ODC) scheme for sparse representation, which reduces the dimension of the corresponding dictionary as well as mitigates BS-side angular off-grid error. Furthermore, for the dynamic channel at the user equipment (UE) and RIS side, we propose a subspace-aware incremental variational Bayesian learning (SI-VBL) algorithm, which enables incremental learning of sparse channels by exploiting the identified low-dimensional subspace and pruning threshold. Analysis and simulation results confirm that the proposed framework avoids full-dimensional Bayesian recovery and achieves a favorable tradeoff among estimation accuracy, computational complexity, and storage overhead.

Independent sidewalk mobility is essential for blind and visually impaired pedestrians (BVIPs), yet smartphone-based assistive navigation requires perception models that distinguish walkable sidewalks from adjacent unsafe regions. This study presents a safety-oriented semantic segmentation framework for future mobile guidance. We introduce SENSATION-DS, a chest-height pedestrian-view dataset with 2,752 image-mask pairs and nine-class navigation-relevant taxonomy. External urban and sidewalk datasets were harmonized to this label space, and five segmentation architectures were evaluated using staged target-domain adaptation with mask-conditioned synthetic images and Segment Anything Model 2 (SAM2) pseudo-labels. Models were assessed using mean Intersection over Union (mIoU), road- and sidewalk-specific metrics, Road-as-Sidewalk Error Rate as a proxy false-safe measure, and Android Open Neural Network Exchange benchmarking. Synthetic augmentation generally improved segmentation accuracy, whereas SAM2 pseudo-labels more consistently reduced Road-as-Sidewalk errors. UPerNet-MobileNetV3 achieved the highest offline mIoU (0.715 +/- 0.006), while DeepLabV3Plus-MobileNetV3 achieved the lowest Road-as-Sidewalk Error Rate (0.079) and highest Android runtime at 512x384 (7.383 FPS). These results show that assistive sidewalk perception should be evaluated jointly by segmentation accuracy, proxy false-safe behavior, and smartphone deployment feasibility, while real-world benefit requires validation with BVIP users. This evaluation supports selecting models that balance accurate perception, conservative error behavior, and practical runtime.

People with low vision often face challenges in performing everyday tasks that require interpreting visual information. We present \textbf{VisionAssist}, an open-source mobile application designed to improve independence by providing AI-powered visual assistance through a smartphone. The application integrates three complementary functionalities within a single interface. First, it enables users to locate specific objects by analyzing the live camera feed. Second, it generates spoken descriptions of captured images, allowing users to identify visual content such as food labels, documents, and everyday objects. Third, it integrates with the smartphone's contacts and calendar to facilitate emergency calls and provide voice-based reminders. The application supports hands-free interaction through voice commands and delivers all feedback using text-to-speech synthesis, making it fully accessible to users with visual impairments. By combining multiple assistive services into a unified platform and releasing the project as open-source software, the proposed solution aims to encourage community contributions and accelerate the development of accessible technologies. The source code is publicly available at: https://github.com/AOzlemC/LowVisionProject.git

When sighted practitioners author accessible data visualizations, they build navigation structures (the nodes, edges, and input bindings that govern how assistive technologies traverse an interface) entirely in code, with no visual representation. Without a representation to react to, practitioners cannot develop judgment about what makes navigation good or bad, and the quality ceiling of non-visual experiences is set by the absence of a feedback loop. We address this problem through longitudinal co-design with practitioners across cartography, design systems, and open-source visualization, and make three contributions. First, we introduce an Inspector that renders navigation graphs as interactive node-link diagrams, and a Dimensions API that expresses navigation in terms of data dimensions rather than explicit graph construction. Second we present Skeleton, a direct-manipulation authoring environment in which the properties of an accessible navigation structure are translated into visual representations authors can observe and manipulate. Key techniques include a dual-view editor that simultaneously shows the system's navigation model and the end user's spatial experience, a scaffolding engine that automates spatial node placement by repurposing a visualization rendering pipeline, a live label-template editor with real-time screen-reader-output preview, and a testing mode that makes traversal sequence visually trackable. Third, we evaluate Skeleton through an in-situ study with 8 practitioners across visualization design, engineering, and research. Making navigation structure visible changed how practitioners engaged with accessible design: they reconsidered the architecture of their own visualizations, attended to a broader range of input modalities, and shifted from treating accessibility as a compliance task to treating it as a design problem. (abstract shortened for arxiv)

Amyotrophic lateral sclerosis (ALS) is a progressive and heterogeneous neurodegenerative disease in which predicting clinically meaningful milestones, such as assistive device use, remains challenging. We developed a time-to-event, digital-twin-inspired framework that integrates longitudinal ALS Functional Rating Scale-Revised (ALSFRS-R) trajectories with survival modeling to support individualized prediction of functional decline and assistive device utilization. We constructed a harmonized longitudinal dataset by integrating diagnosis records, ALSFRS-R assessments, activities of daily living, and demographic information, followed by preprocessing to ensure data quality, temporal alignment, and cohort consistency. Correlation-based clustering identified coherent functional domains spanning bulbar, upper limb, axial, lower limb, and respiratory systems. Generalized additive mixed models characterized nonlinear, domain-specific functional decline across all domains. In addition, a temporal machine learning model was developed to predict longitudinal functional decline and capture stage-dependent disease progression. Cox proportional hazards modeling further identified lower limb function, particularly walking and stair climbing, as the strongest predictors of earlier wheelchair access. Building on these results, we implemented a digital twin-inspired temporal machine learning-based time-to-event (TTE) model that generates individualized survival curves and dynamically predicts wheelchair-free survival. This framework provides a scalable, interpretable, and clinically actionable approach for linking ALS progression with personalized decision support, with applications in proactive care planning, clinical trial stratification, and precision medicine.

This paper presents the design and evaluation of a myoelectric tentacle-shaped prosthesis integrating electromyographic (EMG) control, sensorless object detection, and vibrotactile feedback. The objective was to develop a responsive and intuitive assistive device that adapts to various object shapes while providing sensory feedback to the user. The system relies on EMG signals to control the motion of a flexible, biomimetic structure whose curling geometry follows a logarithmic spiral, enabling it to coil around objects. To ensure stable control, the EMG signal is normalized and filtered, and a threshold-based method identifies user intention. Object contact is detected through a slope-based analysis of motor current, eliminating the need for external sensors, and a haptic feedback strategy based on cumulative vibrotactile stimulation conveys spatial information about the tentacle's configuration. The system was evaluated through quantitative and qualitative tests. The results demonstrate a low response time (77 ms on average), enabling smooth real-time interaction; an object-detection success rate above 90%, confirming robustness despite EMG variability; and an effective haptic feedback strategy that allowed users to reliably identify the folding zone of the tentacle. The proposed biomimetic design promotes further investigation of expressive artificial limbs by prioritizing expressive functionality over adherence to a predefined, anthropomorphic form factor.

Squint and cataract are major ocular disorders that majorly affect visual perception and interaction capability. This paper proposes a real-time video-based automated detection system for squint and cataract detection based on computer vision and image processing methods. The proposed system uses a media-pipe face-mesh (a 478-point facial landmark detection model) to extract geometric ocular features for multi-class squint classification. Simultaneously, The presence and severity cataract is estimated through grayscale intensity and histogram-based lens opacity analysis. The system records short video sequences with standard laptop or mobile cameras, which can be deployed at low costs and on a large scale. The experimental performance has shown great accuracy in the detection of squint (98.39%) and classification of cataract (96.90%). Besides automatic ocular analysis, the proposed framework is also made accessible for visual impairment inference which will be integrated with future adaptive user interface and Web accessibility systems for people with visual impairment.

Modern web applications increasingly expose accessibility barriers through interaction flows rather than static page snapshots. Keyboard traps, focus loss, modal leakage, delayed status updates, dynamic controls, and changing page regions often become observable only after users perform concrete actions. These behaviors are directly related to dynamic WCAG criteria, yet they remain difficult to automate because their assessment depends on runtime interaction evidence and is still commonly performed through manual inspection. We present Flow-A11y, a flow-aware accessibility testing system for interaction-dependent WCAG criteria. Given a target page and a natural-language scenario, Flow-A11y executes the flow in a real browser, records an ordered runtime trace, constructs criterion-specific evidence packets, gates unsupported judgments, and emits auditable findings grounded in resolvable runtime evidence. Evaluated on 19 real public-web scenarios covering 45 dynamic WCAG criteria, Flow-A11y achieves over ten times higher oracle agreement than a generic browser-agent audit, while its evidence-calibration layer improves fail precision from 23.5% to 41.4% and eliminates invalid evidence references. These results show that runtime traces provide actionable evidence for assessing interaction-dependent accessibility behavior. They demonstrate a practical path toward automating dynamic WCAG criteria that page-level scanners cannot assess and that have traditionally required manual evaluation.

Over 285 million people worldwide live with a visual impairment, for whom everyday tasks such as avoiding obstacles, locating personal belongings, recognizing familiar faces, or handling cash remain persistent obstacles to personal autonomy. Existing assistive applications are typically limited to recognizing predefined categories, depend heavily on cloud connectivity, or require dedicated hardware. We present VisionAId, an Android application that turns a commodity smartphone into a real-time visual assistant. The system integrates six on-device deep learning models (metric monocular depth estimation, instance segmentation, visual and facial embeddings, face detection, and a custom banknote detector) running entirely through ONNX Runtime, with an optional cloud large language model (Google Gemini Flash) used only for narrative scene description and automatic object labeling. A distinctive contribution is a few-shot pipeline for personal objects: the user photographs an object from several angles, and the system later locates that specific instance in the environment, guiding the user toward it with augmented-reality markers, spatial audio, and distance-proportional haptics. All feedback is multimodal (Romanian speech synthesis, voice commands, vibration). On a reference device (Samsung Galaxy S21 Ultra), INT8 quantization reduces depth latency from ~1200 ms to ~491 ms, the custom banknote detector reaches an mAP@50 of 0.986, and metric depth is calibrated to below 1 cm of error within 3 m.

Current operating systems expose interfaces optimized for human users but not for AI agents. Humans benefit from pixels, icons, windows, visual grouping, mouse movement, and keyboard shortcuts; AI agents instead need compact semantic state, grounded actions, and reliable feedback. As a result, many computer-use agents are forced to interpret screenshots, OCR output, and visual crops, introducing high token costs, visual ambiguity, latency, and coordinate uncertainty. This paper introduces LUMOS (Language Model Unified Machine-Readable Operating-System Semantics), a semantic interaction layer between AI agents and operating systems. LUMOS converts native accessibility metadata and browser UI structures into machine readable semantic blueprints with stable identifiers, roles, names, values, bounds, and action affordances. It also supports live semantic pointer grounding by querying the UI element under or near the cursor through operating-system automation APIs. An LLM then acts through an accessibility grounded observe act loop using constrained visible-UI primitives rather than application-specific scripts. LUMOS does not claim to replace visual agents; instead, it reduces dependence on screenshots when operating systems already provide semantic structure. These results suggest a path toward AI-native operating systems and machine-readable interaction layers.

Government documents in India are predominantly issued in regional languages such as Marathi, creating substantial accessibility barriers for non-native readers, interstate administrative bodies, and policy analysts. Although recent advances in neural machine translation have improved sentence-level translation quality, existing systems largely neglect document structure, formatting integrity, and domain-specific terminology, thereby limiting their applicability to official documentation. This paper presents a structure-preserving Marathi-to-English government document translation framework capable of performing end-to-end document transformation while maintaining layout fidelity. The proposed system integrates layout-aware optical character recognition, coordinate-based text extraction, large language model based translation, and structured document reconstruction through HTML representations. By enforcing spatial alignment constraints and preserving hierarchical document elements, the framework ensures structural consistency between the source and translated documents. Experimental evaluation on real-world Marathi government PDFs demonstrates improved structural preservation, translation coherence, and terminological consistency compared to conventional text-only translation pipelines. The proposed framework contributes toward scalable multilingual accessibility solutions for e-governance and administrative document processing.

Multimodal Large Language Models (MLLMs) have redefined visual understanding by combining vision encoders with large-scale language models. This unified architecture enables strong performance on tasks like image captioning, visual question answering, and multimodal dialogue, often in zero- and few-shot settings. Their general-purpose capabilities and flexible interfaces make MLLMs a promising foundation for real-world vision-language applications. Assistive AI aims to help users interact with their environments through natural language. These scenarios demand robust visual recognition, contextual reasoning, and multilingual comprehension-capabilities that MLLMs are believed to offer. However, their effectiveness in assistive settings remains to be fully understood. In this work, we explore whether MLLMs can support Assistive AI by evaluating state-of-the-art models on real-world tasks: recognizing everyday objects like currency, answering questions based on scene text, and reading visually presented content across multiple languages. To this end, we developed a system, NetraLink, using a head-mounted GoPro to capture real-world egocentric data, and collected a benchmark covering these assistive scenarios. Our findings provide a comprehensive diagnostic of current MLLMs, highlighting their strengths and limitations in enabling assistive technologies grounded in visual perception and language interaction.

Artificial intelligence (AI) can enhance what people who use augmentative and alternative communication (AAC) are able to do with their systems. However, evaluating AI-powered AAC interfaces can be difficult. People are intersectional beings and current evaluation metrics can struggle to capture the multifaceted and nuanced desires people may have for their AAC. We explore the complicated nature of six AAC problem spaces, explore how AI might be used in these spaces, and suggest more robust methods of evaluation that take the intersectional nuances of people into account. We also discuss broader issues that arise across these problem spaces and how they could be addressed using our proposed evaluation methods.

For a wheelchair user, a standard blue line on a map is often a broken promise. While platforms like OpenStreetMap (OSM) successfully capture where a path is, they frequently fail to convey how it physically feels to travel on it. This information barrier is problematic for wheelchair users. To solve this issue, we present OmniPath, a system that moves from passive mapping to proactive environmental auditing. Our framework fuses the network topology of OSM with the submeter precision of high-density aerial LiDAR (USGS 3DEP) to create a high-fidelity 3D model of the pedestrian environment. Rather than simply routing a user, our agent virtually traverses the network, analyzing the surface in 0.5 meter increments. It rigorously quantifies physical friction points specifically running slope, cross slope, and vertical discontinuities against ADA compliance standards, calculating a weighted severity score to categorize hazards from Mild'' to Critical.'' To ensure real world reliability, we validated the system against 200 physical ground truth field surveys across the National Mall using stratified random sampling. The framework demonstrated strong diagnostic reliability for high-severity hazards, achieving F1-scores of 0.60 for Severe and 0.58 for critical categories. By automating this micro-scale inspection, OmniPath identifies the ``invisible'' barriers that standard maps miss, effectively transforming a static dataset into accessibility data source that anticipates accessibility challenges before the user ever leaves home.

Current Generative AI (GenAI) interfaces remain largely constrained to chatbox interaction, which can impose high cognitive demands on users and create substantial barriers for people with intellectual disabilities (ID), including prompt formulation difficulties, response overload, and limited mechanisms to assess information reliability. To explore alternative interaction models for cognitive accessibility, we conducted a cross-disciplinary co-design challenge in which two student cohorts (Computer Science and Industrial Design) developed interface concepts from the same set of functional requirements (e.g., prompt scaffolding, structured output, GUI-based refinement, transparency, and personalization). Comparing the resulting proposals reveals both convergence on foundational requirements (notably initial calibration, proactive prompting, and direct manipulation of response fragments) and complementary contributions that outline a multi-layered support system. Computer Science teams primarily produced structural scaffolding, emphasizing predictability, navigability, and trust through mechanisms such as reliability indicators, explicit sources, and context management for long conversations. Industrial Design teams emphasized experiential scaffolding, focusing on pacing, attention guidance, multimodality, and proactive agency, including step-by-step response flows, focus modes, and assistant-like integrations. We synthesize these findings into a dual-layer scaffolding framework that expands the design space for cognitively accessible GenAI interaction beyond chat-centric models and motivates future work on expert refinement, technical feasibility, and empirical validation with users with ID.

Human-robot collaboration (HRC) combines the complementary strengths of humans and robots to improve task efficiency. However, many existing collaborative systems rely on hand-engineered pipelines, limiting their scalability and flexibility for new tasks. In this work, we show that models trained end-to-end with imitation learning, specifically vision-language-action (VLA) models, can support collaborative manipulation, and characterize the key factors affecting their real-world performance. We evaluate two state-of-the-art models and identify a failure mode of action-chunking policies in implicit HRC, where demonstration action leakage (i.e., action chunks crossing latent task transitions) can cause premature assistive behavior. We find that this issue increases with longer execution horizons and occurs in real-world collaborative VLA systems, such as when a robot attempts to hand over a tool before the person is ready. We propose an inference-time steering method to mitigate these erroneous assistive actions while preserving policy performance. Finally, through a 16-participant user study on a long-horizon collaborative assembly task, we show that steering enables a longer execution horizon while mitigating premature assistance, leading to faster collaboration and fewer failures compared to a shorter-horizon policy.

In this paper, we present a novel set of related models for semantic segmentation of node-link diagrams. These diagrams are frequently used to represent mathematical graphs, relationships between concepts, and flowcharts. Such diagrams are difficult to access non-visually; while some assistive interfaces have been designed for node-link diagrams, they rely upon a machine-readable representation of the diagram, whereas such diagrams will generally be made available as bitmap images. Our compact deep learning models show excellent quantitative and qualitative performance on a large synthetic dataset of node-link diagrams, reaching per-pixel accuracy over 93%.

Demand for older-adult and patient care is growing rapidly as populations age worldwide. Foundation models are increasingly being integrated into robots and interactive agents, with the promise of more flexible communication and personalized assistance. However, care settings require reliable and workflow-compatible systems with accountable human oversight, and it remains unclear whether current embodied systems can translate technical advances into clinical impact. This Perspective synthesizes foundation model-based care robots across three areas: design features, user experience, and evidence for care-related outcomes. Current systems most commonly use foundation models as conversational and reasoning layers within voice-centered socially assistive embodiments, while multimodal grounding and physical autonomy remain limited. Empirical evaluations report positive usability and engagement benefits, but reliability failures persist across the interaction pipeline such as hallucinations and conversational breakdowns. Evidence for care impact remains concentrated in proximal outcomes such as cognitive engagement and participation, with limited evidence for validated clinical or care-related changes. We argue that future research should transition toward care-specific evaluation standards, accountable autonomy, and integration into care workflows to support more responsive and responsible care technologies.

Vision-language models map visual features into a shared embedding space through learned projection layers, yet it remains unclear how these transformations alter the structure of visual information. This study examines changes in representation through spatial-frequency accessibility, measured by the linear recoverability of band-limited Fourier energy from model representations. To isolate effects beyond dimensionality reduction, we introduce Residual Spectral Loss (RSL), which evaluates changes relative to a dimension-matched random projection baseline. To reduce confounding effects from optimization, the analysis uses pretrained models with all parameters frozen. The experimental results show consistent frequency-dependent changes in accessibility across CLIP and DINOv2 on ImageNet and MS-COCO datasets. Spectral accessibility follows a non-monotonic trajectory across depth, peaking at intermediate layers before decreasing toward the output representation. The final transformation differs across architectures: CLIP's learned projection is spectrally neutral, with changes explained by compression, whereas DINOv2's [CLS] pooling induces a structured loss across the spectrum. These findings identify intermediate layers and pooling mechanisms as primary drivers of spectral transformation in modern vision encoders.

Assessing built-environment interaction, such as wheelchair accessibility, is difficult because real-world mobility is shaped by distributed, context-dependent, and temporary barriers that are hard to capture at scale. To support scalable assessment, this paper examines whether vision-language models (VLMs) can identify accessibility barriers from Google Street View (GSV) imagery. We propose an expert-guided retrieval-augmented framework that combines GSV images, ADA-informed guidance, and expert-derived rubrics to evaluate accessibility dimensions. We collect a campus-scale dataset at the University of Florida, linking 407 unique GSV locations with GPS-derived wheelchair dwell behavior as a mobility-friction signal. Results show that VLM ratings are both negatively correlated and distributionally similar with dwell time, indicating partial but consistent alignment with a behavioral proxy for mobility friction. Visual cue analysis shows that certain environmental objects, such as curb ramps and crosswalks, are associated with higher VLM accessibility scores, while alignment remains limited for subtle surface conditions, transient obstructions, and viewpoint-dependent barriers. Overall, our findings show the potential of expert-guided VLMs for scalable accessibility assessment aligning with sensor-derived indicators of real-world wheelchair navigation.

This study investigates how UX research (UXR) principles, combined with Large Language Model (LLM)-supported analysis, can be used to improve the quality of requirements for mobile learning systems designed for learners with cognitive disabilities. Using the UXR Point-of-View (PoV) pyramid as a methodological framework, the study progressed through four stages: foundational structuring of psychological, behavioral, and design layers; structured validation using the DeLone and McLean Information Systems Success Model and Quality Function Deployment (QFD); insight consolidation through the development of nine Cognitive Accessibility UXR Play Cards; and stakeholder-specific PoV articulation to support interdisciplinary communication. LLM-supported synthesis was integrated to assist in theme clustering, requirement refinement, and hypothesis formulation under human oversight. Findings suggest that many usability and engagement challenges in mobile learning originate from ambiguous or under-specified requirements rather than interface design alone. By embedding cognitive accessibility principles into measurable and technically traceable requirements, the proposed Cognitive Accessibility UXR Playbook provides a structured pathway for aligning theory, system architecture, and stakeholder strategy.

As large language models (LLMs) demonstrate increasing competence in synthesizing functional user interfaces, a fundamental question emerges in accessibility computing: \textit{how far can AI-driven accessibility systems go?} This paper introduces the \textit{Accessibility Capability Boundary} (ACB), a formal framework for reasoning about the operational limits and expansion potential of autonomous accessibility systems, and grounds this theory in a real-world systems artifact. We model accessibility not as a binary compliance property but as a dynamic, multidimensional capability space constrained by measurable variables including deployment latency, cognitive load, infrastructure dependency, offline persistence, interaction complexity, and adaptability. We argue that AI-generated, browser-native systems constructed as single-file HTML artifacts leveraging standard browser APIs may dramatically shift the ACB outward by reducing deployment friction to near-zero and enabling rapid, context-specific interface adaptation. We ground our theoretical framework in the analysis of two real-world exploratory prototypes. The first is an AI-generated browser-native accessibility interface deployed for a blind user in Nepal. The second is a fully functional, open-source webcam alignment assistant for visually impaired users, serving as a concrete systems artifact. Through formal definitions, propositions, and a comparative evaluation matrix, we characterize the regions of the accessibility capability space that such systems can and cannot reach. We further identify remaining computational, infrastructural, and verification constraints that constitute the hard boundaries of this paradigm. This work contributes a theoretical foundation for understanding the scalable limits of autonomous accessibility computing and proposes a research agenda for future work in accessibility-aware AI systems.

Robot guide dogs offer navigation assistance that greatly expands the independent mobility of the visually impaired, but their effective use requires subtle human-robot coordination that is difficult for users to learn from generic verbal instructions. To tackle this challenge, we present CANINE, an automated coaching system that trains users for interactive navigation with a robot guide dog, through personalized, adaptive verbal feedback. CANINE decomposes a complex coordination task into sub-skills and operates at two levels. At the high level, it decides what to train by tracking the learner's proficiency across sub-skills using knowledge tracing and prioritizing training on the weakest areas. At the low level, CANINE decides how to train each sub-skill by observing each human practice episode, using foundation models to infer the underlying causes of errors, and generating targeted verbal corrections adaptively. A controlled study with blindfolded participants, treated as a proxy population for quantitative evaluation, demonstrates that CANINE significantly improves both learning efficiency and final navigation performance compared to generic verbal instructions. We further validate CANINE through a retention study and an exploratory case study. The retention study shows lasting skill improvement after two weeks. The case study confirms CANINE's effectiveness in training a visually impaired user, while revealing additional design considerations for real-world deployment. Both are well aligned with the findings of the controlled study. Project page: https://cunjunyu.github.io/project/canine/

We report on the ongoing development of arXiv's HTML Papers offering, available on every new TeX/LaTeX submission since its initial release in 2023. The main highlights from 2025 and early 2026 are: (i) community-driven improvements to HTML fidelity and service health, with roughly half of 6,000 user reports resolved; (ii) corpus-scale conversion work aimed at 90% error-free HTML (currently 75%); (iii) initial MathML 4 Intent annotations for accessible speech output; (iv) an in-progress Rust port of LaTeXML, reducing compute costs and enabling faster previews on submission. The arXiv HTML Papers project remains experimental, but is gradually maturing as we better understand the needs of arXiv's readers and the technical opportunities presented by new standards and by advances in programming languages and AI.

Assistive agents for Blind and Visually Impaired (BVI) users require accessibility alignment as a first-class design objective. Despite rapid progress in agentic AI, most systems are designed and evaluated under assumptions of sighted interaction, low-cost verification, and tolerable trial-and-error, leading to systematic failures in assistive scenarios that cannot be resolved by model scaling or post-hoc interface adaptations alone. Drawing on an analysis of 778 assistance task instances from prior work, we show that current agentic AI remain prone to failure in assistive scenarios due to mismatches between sighted-user design assumptions and the verification, risk, and interaction constraints faced by BVI users. We argue that accessibility should be treated as an alignment problem rather than a peripheral usability concern. To this end, we introduce accessibility alignment and propose a lifecycle-oriented design pipeline for accessibility-aligned assistive agents, spanning user research, system design, deployment and post-deployment iteration. We conclude that BVI-centered assistive tasks provide a critical stress test for agentic AI and motivate a broader shift toward inclusive agent design.

Visual impairment affects hundreds of millions of people worldwide, severely limiting their ability to navigate urban environments safely and independently. While wearable assistive devices offer a promising platform for real-time hazard detection, existing approaches rely on task-specific vision pipelines that lack flexibility and generalizability. In this work, we propose an event map framework based on visual question answering that leverages Vision-Language Models (VLMs) for pedestrian scene description and hazard identification across diverse real-world environments, using a three-level hierarchical query structure to enable fine-grained scene understanding without task-specific retraining. Model responses are aggregated into a weighted risk scoring system that maps street segments into four discrete safety categories, producing navigable risk-aware event maps for route planning. To support evaluation and future research, we introduce a geographically diverse dataset spanning 20 cities across six continents, comprising over 800 annotated images and 18,000 answered questions. We benchmark four VQA architectures -ViLT, LLaVA, InstructBLIP, and Qwen-VL- and find that generative Multimodal Large Language Models (MLLMs) substantially outperform classification-based approaches, with Qwen-VL achieving the best overall balance of precision and recall. These results demonstrate the viability of MLLMs as a flexible and generalizable foundation for assistive navigation systems for visually impaired people.

This research paper addresses the limitations of current mobile accessibility services like TalkBack, which provide manual gesture-based sequential feedback to BVI users. Motivated by the promise of large language models (LLMs), this paper introduces Insight, an Android accessibility service that provides natural language interaction and real-time summarization of the screen. The paper performs a within-subject experimental study with users to compare Insight and TalkBack on usability factors. Results show Insight reduced mental effort and task time, and was preferred because of its dialogue interface, but users felt the need for interruption management. Results show LLM-based interfaces can significantly improve mobile accessibility, and describe the potential of hybrid solutions combining gesture and dialogue modalities towards more inclusive design.

Large Language Models (LLMs) perform strongly on many language tasks, but their capability in structurally constrained, accessibility-critical modalities such as Braille remains unclear. We evaluate state-of-the-art LLMs on bidirectional Korean-Braille translation using a human-annotated dataset. Despite expectations that multilingual, instruction-tuned models can generalize to Braille via text representations, we find consistently poor, unstable outputs and substantial disagreement with human judgments. These results point to missing Braille-aware tokenization and weak alignment between Korean and Braille patterns. In contrast, supervised fine-tuning of a small model (T5-small) on the same data yields large and stable gains over zero-shot and prompted LLM baselines across standard metrics (SacreBLEU, ChrF++, CER, BLEU, ROUGE-L, METEOR, CIDEr). Our findings reveal a systematic limitation of current LLMs and demonstrate the effectiveness of modest task-specific supervision.

Web accessibility aims to ensure that web content and services are usable by people with diverse abilities. In recent years, Large Language Models (LLMs) have been increasingly explored to support accessibility-related tasks on the web, such as content generation, issue detection, and remediation. However, little is known about the characteristics of these approaches, the accessibility issues they target, the standards they follow, and how they are evaluated. In this paper, we present a systematic literature review of 38 peer-reviewed studies that investigate the use of LLMs in web accessibility contexts. We begin by performing a comprehensive search of scientific publications to identify relevant studies. We then conduct a comparative analysis to examine the accessibility tasks addressed, the LLM models and prompting strategies employed, the system architectures adopted, the accessibility issues and guidelines considered, and the evaluation methods used across studies. Our findings show that most studies apply LLMs to text-centric and structurally explicit accessibility tasks, with WCAG serving as the primary reference framework and limited consideration of cognitive accessibility guidelines (COGA). The reviewed approaches predominantly rely on general-purpose LLMs and prompt-based interactions, while evaluation practices vary widely and often lack direct involvement of users with disabilities. We envision this review as a consolidated reference for researchers and practitioners seeking to understand the current landscape of LLM-supported web accessibility, and as a foundation to guide future research and tool development in this area.

Drawing on crip theory, this paper proposes cripping AI as a guiding framework to center lived disability experiences in AI research and development. Moving beyond calls to make AI "accessible" to people with disabilities, cripping AI seeks to: (1) reveal and dismantle ableist assumptions embedded in how AI is imagined, designed, and evaluated; (2) center disabled ways of knowing (i.e., cripistemologies); (3) respect disabled labor in co-creating accessible practices. We demonstrate how to apply our framework with three cases: deafness and sign language AI, blindness and visual assistive AI, and stuttering and speech AI. We end by outlining three directions for future work, including cripping AI with diverse human bodyminds, across the entire AI pipeline and ecosystem, and in collaboration with other justice-oriented AI efforts.

Older adults living alone have a number of challenges, and robots can help with some of them--by providing reminders, initiating activity, or offering comfort. As part of developing a cat robot with limited assistive functions, we designed a set of nonverbal communication signals, both auditory (cat sounds) and visual (icons on a small display). To evaluate these signals we used a mixed-methods, user-centered approach. After a pilot study, a focus group with older adults suggested revisions to the initial signal set. A large-sample online experiment then tested whether adults over the age of 65 could accurately infer the robot's communicative intentions. When both visual and auditory signals were present, accuracy was high. When visual signals were absent, accuracy often decreased; when auditory signals were absent, accuracy sometimes increased. So the auditory signals were less helpful, except when the robot conveyed strong sentiments (e.g., purring while being petted).

AI agents that interact with graphical user interfaces (GUIs) require effective observation representations for reliable grounding. The accessibility tree is a commonly used text-based format that encodes UI element attributes, but it suffers from redundancy and lacks structural information such as spatial relationships among elements. We propose A11y-Compressor, a framework that transforms linearized accessibility trees into compact and structured representations. Our implementation, Compressed-a11y, applies a lightweight and structured transformation pipeline with modal detection, redundancy reduction, and semantic structuring. Experiments on the OSWorld benchmark show that Compressed-a11y reduces input tokens to 22% of the original while improving task success rates by 5.1 percentage points on average.

Web accessibility rests on static standards and developer compliance. That model frays in platforms where content is user-generated: photos arrive blurry or off-frame, descriptions skip size and condition, and page structure shifts from listing to listing. Drawing on six studies conducted between 2022 and 2025 with blind, low-vision, and older adult users of customer-to-customer (C2C) marketplaces, I argue that generative UI can produce adapted interfaces at the point of use, addressing barriers that static design cannot anticipate. Three interventions from this program -- HTML regeneration for screen readers, conversational guidance for older sellers, and audio-guided photo framing for blind sellers -- demonstrate how runtime generation can bridge gaps that standards leave open. I outline what these findings imply for HCI practice: generative UI extends beyond the screen, complements rather than replaces ability-based design, and shifts the designer's role from specifying layouts to specifying policies. This is an expanded arXiv version of a position paper accepted at the CHI 2026 workshop "What does Generative UI mean for HCI Practice?"

Indoor navigation remains a critical accessibility challenge for the blind and low-vision (BLV) individuals, as existing solutions rely on costly per-building infrastructure. We present an agentic framework that converts a single floor plan image into a structured, retrievable knowledge base to generate safe, accessible navigation instructions with lightweight infrastructure. The system has two phases: a multi-agent module that parses the floor plan into a spatial knowledge graph through a self-correcting pipeline with iterative retry loops and corrective feedback; and a Path Planner that generates accessible navigation instructions, with a Safety Evaluator agent assessing potential hazards along each route. We evaluate the system on the real-world UMBC Math and Psychology building (floors MP-1 and MP-3) and on the CVC-FP benchmark. On MP-1, we achieve success rates of 92.31%, 76.92%, and 61.54% for short, medium, and long routes, outperforming the strongest single-call baseline (Claude 3.7 Sonnet) at 84.62%, 69.23%, and 53.85%. On MP-3, we reach 76.92%, 61.54%, and 38.46%, compared to the best baseline at 61.54%, 46.15%, and 23.08%. These results show consistent gains over single-call LLM baselines and demonstrate that our workflow is a scalable solution for accessible indoor navigation for BLV individuals.

Subtitles are essential for video accessibility and audience engagement. Modern Automatic Speech Recognition (ASR) systems, built upon Encoder-Decoder neural network architectures and trained on massive amounts of data, have progressively reduced transcription errors on standard benchmark datasets. However, their performance in real-world production environments, particularly for non-English content like long-form Italian videos, remains largely unexplored. This paper presents a case study on developing a professional subtitling system for an Italian media company. To inform our system design, we evaluated four state-of-the-art ASR models (Whisper Large v2, AssemblyAI Universal, Parakeet TDT v3 0.6b, and WhisperX) on a 50-hour dataset of Italian television programs. The study highlights their strengths and limitations, benchmarking their performance against the work of professional human subtitlers. The findings indicate that, while current models cannot meet the media industry's accuracy needs for full autonomy, they can serve as highly effective tools for enhancing human productivity. We conclude that a human-in-the-loop (HITL) approach is crucial and present the production-grade, cloud-based infrastructure we designed to support this workflow.