This article starts by discussing the state of the art in accessible interactive maps for use by blind and visually impaired (BVI) people. It then describes a behavioral experiment investigating the efficacy of a new type of low-cost, touchscreen-based multimodal interface, called a vibro-audio map (VAM), for supporting environmental learning, cognitive map development, and wayfinding behavior on the basis of nonvisual sensing. In the study, eight BVI participants learned two floor-maps of university buildings, one using the VAM and the other using an analogous hardcopy tactile map (HTM) overlaid on the touchscreen. They were asked to freely explore each map, with the task of learning the entire layout and finding three hidden target locations. After meeting a learning criterion, participants performed an environmental transfer test, where they were brought to the corresponding physical layout and were asked to plan/navigate routes between learned target locations from memory, i.e., without access to the map used at learning. The results using Bayesian analyses aimed at assessing equivalence showed highly similar target localization accuracy and route efficiency performance between conditions, suggesting that the VAM supports the same level of environmental learning, cognitive map development, and wayfinding performance as is possible from interactive displays using traditional tactile map overlays. These results demonstrate the efficacy of the VAM for supporting complex spatial tasks without vision using a commercially available, low-cost interface and open the door to a new era of mobile interactive maps for spatial learning and wayfinding by BVI navigators.

This article first reviews the pros and cons of current accessible indoor navigation systems and then describes a study using commercial smart devices to navigate routes through a complex building. Our interest was in comparing performance when using real-time narrative descriptions (system-aided condition) vs. a memory-based condition where the same narrative information was only provided to users from the route's origin. We tested two groups of blind and visually impaired (BVI) users, including people above and below 60 years of age, as well as a third sighted control group. Evaluating older BVI participants is important, as the majority of vision loss is age-related, yet navigation performance using access technology is rarely studied with this demographic. Behavioral results demonstrated that access to real-time (system-aided) information led to better navigation accuracy and greater confidence by blind users compared to the information-matched memory condition. Performance for blind participants over 60 years old was nearly identical with their younger peers—an important outcome supporting the efficacy of using navigational technologies by this fast-growing population. Route completion accuracy and requests for assistance did not reliably differ between blind and sighted participants when using the system, suggesting that access to narrative route information led to functionally equivalent navigation behavior, irrespective of visual status. Survey results revealed strong user support for real-time information and provided important guidance for future interface refinements.

Hypertension is a key modifiable risk factor for cardiovascular disease. The Mediterranean diet (MedDiet) may be associated with improvements in blood pressure. However, few studies have examined the association between MedDiet adherence and blood pressure in non-Mediterranean populations, and findings are mixed. We analyzed cross-sectional data (Wave 6) for 851 participants of the Maine-Syracuse Longitudinal Study. MedDiet adherence was calculated using food frequency questionnaire data and a literature-based MedDiet adherence score. Dependent variables included systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), and mean arterial pressure (MAP). Separate linear robust regression analyses revealed significant associations between MedDiet adherence and for SBP

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