Abstract
Reading is slow and difficult for people with central vision loss who must rely on their peripheral vision. It has been shown that practicing on a letter-recognition task can increase peripheral reading speed, and that the training-related improvement is attributable mainly to reduced crowding. Since there is a high degree of variability in the vision conditions across people with central vision loss, a one-size-fits-all training protocol may not be adequate or appropriate for these patients. In this study, we target two aspects of training-training task and individual customization, and propose a training paradigm that focuses on reducing crowding and tailors training for each individual using an adaptive method. Seven normally-sighted adults were trained with four daily sessions of identifying crowded letters presented at various positions 10° below fixation in a pre/post design. During the training, a dynamic cue (jitter motion) was applied to target letters to modulate crowding. Amplitude of motion was varied on a block by block basis according to individual performance to maintain task difficulty near a pre-defined level (80% accuracy in letter recognition). We found that motion amplitude gradually reduced as training progressed, indicating a reduction in crowding. Following training, reading speed (measured using RSVP method) showed a significant improvement in both the trained (49%) and untrained (50%) visual fields. Despite showing similar improvement as observed in the previous training studies, our adaptive training method demands less effort and, most importantly, offers customization for each individual trainee.