Using large language models to accelerate communication for eye gaze typing users with ALS.

Cai, Shanqing; Venugopalan, Subhashini; Seaver, Katie; Xiao, Xiang; Tomanek, Katrin; Jalasutram, Sri; Morris, Meredith Ringel; Kane, Shaun et al. · Nat Commun · 2024

case_series · Level IV

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Abstract

Accelerating text input in augmentative and alternative communication (AAC) is a long-standing area of research with bearings on the quality of life in individuals with profound motor impairments. Recent advances in large language models (LLMs) pose opportunities for re-thinking strategies for enhanced text entry in AAC. In this paper, we present SpeakFaster, consisting of an LLM-powered user interface for text entry in a highly-abbreviated form, saving 57% more motor actions than traditional predictive keyboards in offline simulation. A pilot study on a mobile device with 19 non-AAC participants demonstrated motor savings in line with simulation and relatively small changes in typing speed. Lab and field testing on two eye-gaze AAC users with amyotrophic lateral sclerosis demonstrated text-entry rates 29-60% above baselines, due to significant saving of expensive keystrokes based on LLM predictions. These findings form a foundation for further exploration of LLM-assisted text entry in AAC and other user interfaces.

Medical subject headings