{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:38:32Z","timestamp":1792179512879,"version":"4.4.0"},"reference-count":48,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Rehabil Assist Technol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Indoor navigation remains a major challenge for people with visual impairments, affecting autonomy, safety, and quality of life. While navigation\u2011based assistive technologies leveraging artificial intelligence and mobile computing show promise, their adoption remains limited due to insufficient user-centered and context-aware design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to co-design Edge A-Eye, an inclusive artificial intelligence\u2013powered indoor navigation platform for people with visual impairment in Canada, using a participatory and interdisciplinary approach grounded in accessibility, rehabilitation, and human-centered design principles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From May 2024 to December 2025, we conducted research using an 8-step iterative co-design process. A total of 12 people with visual impairment and 2 specialists in vision rehabilitation participated in bilingual focus groups and semistructured interviews. A co-creation workshop gathered 21 stakeholders (users, clinicians, researchers, and industry partners). Successive prototypes were evaluated in controlled environments and real-world public settings. Data were analyzed thematically using an inductive-deductive approach informed by human-centered and inclusive design frameworks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Continuous stakeholder engagement reinforced the relevance and usability of the evolving prototypes. Participant feedback guided major design decisions, such as optimizing iPhone (Apple Inc) compatibility, excluding the gyroscope due to usability and battery constraints, and integrating hands-free navigation. The process also addressed cross-cutting issues such as digital accessibility, cybersecurity, universal design, and equitable access for users with varying technological literacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Edge A-Eye project demonstrates how a sustained participatory co-design approach can meaningfully shape assistive technology innovation. By integrating the expertise of people with visual impairment, clinicians, researchers, and industry partners at every stage, the resulting platform is better aligned with real-world needs, safety considerations, and user expectations. This work provides a replicable framework for developing inclusive, context-aware indoor navigation technologies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/81347","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:47:11Z","timestamp":1785739631000},"page":"e81347-e81347","source":"Crossref","is-referenced-by-count":1,"title":["Indoor Navigation for People With Visual Impairment in Canada: Participatory Co-Design and Interdisciplinary Study of the Edge A-Eye Platform"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7983-3798","authenticated-orcid":false,"given":"Soutongnoma Safiata","family":"Kabor\u00e9","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7329-1285","authenticated-orcid":false,"given":"Deborah","family":"Annan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0423-3907","authenticated-orcid":false,"given":"Prajjol Raj","family":"Puri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6667-8031","authenticated-orcid":false,"given":"Sergio","family":"Mejia Romero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0395-9249","authenticated-orcid":false,"given":"Nathalie","family":"Gingras\u2011Royer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0089-5090","authenticated-orcid":false,"given":"Justin","family":"Gauthier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4411-5426","authenticated-orcid":false,"given":"H\u1ed3ng","family":"Nhung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8066-0417","authenticated-orcid":false,"given":"Phuong Anh","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7767-7270","authenticated-orcid":false,"given":"Benoit","family":"Pelletier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9354-7544","authenticated-orcid":false,"given":"Kim Khoa","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5461-7693","authenticated-orcid":false,"given":"Hassane","family":"Alami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6274-6172","authenticated-orcid":false,"given":"Joseph Paul","family":"Nemargut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"issue":"2","key":"R1","doi-asserted-by":"publisher","first-page":"e130","DOI":"10.1016\/S2214-109X(20)30425-3","article-title":"Trends in prevalence of blindness and distance and near vision impairment over 30 years: an analysis for the Global Burden of Disease Study","volume":"9","author":"Bourne","journal-title":"Lancet Glob Health"},{"key":"R2","unstructured":"Vision impairment and blindness. World Health Organization. Feb 10, 2026. URL: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/blindness-and-visual-impairment [Accessed 15-05-2026]"},{"key":"R3","unstructured":"Cloutier E Grondin C L\u00e9vesque A . Canadian survey on disability, 2017: concepts and methods guide. Statistics Canada; Nov 28, 2018. URL: https:\/\/publications.gc.ca\/collections\/collection_2018\/statcan\/89-654-x\/89-654-x2018001-eng.pdf [Accessed 15-05-2026]"},{"issue":"2","key":"R4","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1080\/17483107.2020.1768308","article-title":"Aesthetics and the perceived stigma of assistive technology for visual impairment","volume":"17","author":"Dos Santos","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"7","key":"R5","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1080\/17483107.2020.1820086","article-title":"Usability of smartphone apps as reading aids for low vision patients","volume":"17","author":"da Silva","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"9","key":"R6","doi-asserted-by":"publisher","DOI":"10.3390\/s21093103","article-title":"A systematic review of urban navigation systems for visually impaired people","volume":"21","author":"El-Taher","journal-title":"Sensors (Basel)"},{"key":"R7","unstructured":"Assistive technologies [Article in French]. World Health Organization. URL: https:\/\/www.who.int\/fr\/activities\/preventing-noncommunicable-diseases\/assistive-technology [Accessed 15-05-2026]"},{"key":"R8","unstructured":"WHO & UNICEF. Global Report on Assistive Technology. 2022. URL: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/17a1cbf6-be26-466c-9fca-ab80eeb2d192\/content [Accessed 29-05-2026]"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Giudice NA Legge GE . Blind navigation and the role of technology. In: The Engineering Handbook of Smart Technology for Aging, Disability, and Independence. John Wiley & Sons, Inc; 2008:479-500. [doi: 10.1002\/9780470379424]","DOI":"10.1002\/9780470379424.ch25"},{"issue":"4","key":"R10","doi-asserted-by":"publisher","first-page":"e489","DOI":"10.1016\/S2214-109X(20)30488-5","article-title":"The Lancet Global Health Commission on Global Eye Health: vision beyond 2020","volume":"9","author":"Burton","journal-title":"Lancet Glob Health"},{"issue":"2","key":"R11","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1111\/opo.12778","article-title":"Design considerations for the ideal low vision aid: insights from de-brief interviews following a real-world recording study","volume":"41","author":"Golubova","journal-title":"Ophthalmic Physiol Opt"},{"issue":"9","key":"R12","doi-asserted-by":"publisher","DOI":"10.1167\/jov.20.9.3","article-title":"Everyday visual demands of people with low vision: a mixed methods real-life recording study","volume":"20","author":"Starke","journal-title":"J Vis"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Pissaloux E Velazquez R . Mobility of Visually Impaired People: Fundamentals and ICT Assistive Technologies. Springer; 2026. [doi: 10.1007\/978-3-031-91550-5]","DOI":"10.1007\/978-3-031-91550-5"},{"key":"R14","unstructured":"Wiener WR . Foundations of Orientation and Mobility. Vol 2. AFB Press; 2010. URL: https:\/\/www.aph.org\/product\/foundations-of-low-vision-clinical-and-functional-perspectives-2nd-edition\/"},{"key":"R15","unstructured":"Corn AL Erin JN . Foundations of Low Vision: Clinical and Functional Perspectives. AFB Press; 2010. URL: https:\/\/www.aph.org\/product\/foundations-of-low-vision-clinical-and-functional-perspectives-2nd-edition\/"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Goldschmidt M . Orientation and mobility training to people with visual impairments. In: Pissaloux E Velazquez R , editors. Mobility of Visually Impaired People. Springer; 2026:385-408. [doi: 10.1007\/978-3-031-91550-5_14]","DOI":"10.1007\/978-3-031-91550-5_14"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2023.1238158","article-title":"Assessing the implementation of user-centred design standards on assistive technology for persons with visual impairments: a systematic review","volume":"4","author":"Ortiz-Escobar","journal-title":"Front Rehabil Sci"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Keates S Clarkson J . Countering design exclusion. In: Countering Design Exclusion. Springer; 2004:140-156. [doi: 10.1007\/978-1-4471-0013-3_11]","DOI":"10.1007\/978-1-4471-0013-3_11"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.2196\/70694","article-title":"Challenges and opportunities of the human-centered design approach: case study development of an assistive device for the navigation of persons with visual impairment","volume":"12","author":"Chavarria","journal-title":"JMIR Rehabil Assist Technol"},{"issue":"4","key":"R20","doi-asserted-by":"publisher","first-page":"627","DOI":"10.1038\/s42256-025-01018-6","article-title":"Human-centred design and fabrication of a wearable multimodal visual assistance system","volume":"7","author":"Tang","journal-title":"Nat Mach Intell"},{"issue":"1","key":"R21","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-020-0528-9","article-title":"Research co-design in health: a rapid overview of reviews","volume":"18","author":"Slattery","journal-title":"Health Res Policy Syst"},{"key":"R22","unstructured":"ISO 9241-210:2019 ergonomics of human-system interaction \u2013 part 210: human-centred design for interactive systems. International Organization for Standardization. 2019. URL: https:\/\/www.iso.org\/standard\/77520.html [Accessed 15-05-2026]"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Sanders EBN . From user-centered to participatory design approaches. In: Design and the Social Sciences. CRC Press; 2002. [doi: 10.1201\/9780203301302]","DOI":"10.1201\/9780203301302"},{"issue":"4","key":"R24","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1080\/14606925.2025.2477929","article-title":"Uncovering facilitators and constraints in co-design with visually impaired children: a sociomateriality perspective","volume":"28","author":"Rong","journal-title":"Des J"},{"issue":"7","key":"R25","doi-asserted-by":"publisher","DOI":"10.3390\/s25072213","article-title":"Technological advancements in human navigation for the visually impaired: a systematic review","volume":"25","author":"Casanova","journal-title":"Sensors (Basel)"},{"issue":"1","key":"R26","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-024-00573-3","article-title":"Community-based participatory-research through co-design: supporting collaboration from all sides of disability","volume":"10","author":"Benz","journal-title":"Res Involv Engagem"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2022.1014375","article-title":"Barriers and facilitators for the sustainability of digital health interventions in low and middle-income countries: a systematic review","volume":"4","author":"Kabor\u00e9","journal-title":"Front Digit Health"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1017\/dsj.2025.10009","article-title":"Participatory design: a systematic review and insights for future practice","volume":"11","author":"Wacnik","journal-title":"Des Sci"},{"key":"R29","unstructured":"Universit\u00e9 de Montr\u00e9al. Montr\u00e9al Declaration for a Responsible Development of AI. 2018. URL: https:\/\/declarationmontreal-iaresponsable.com\/la-declaration\/"},{"issue":"20","key":"R30","doi-asserted-by":"publisher","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","author":"World Medical Association","journal-title":"JAMA"},{"key":"R31","unstructured":"Pullin G . Design Meets Disability. The MIT Press; 2011. ISBN: 9780262516747"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.2196\/47220","article-title":"Developing a mobile app with a human-centered design lens to improve access to mental health care (Mentallys Project): protocol for an initial co-design process","volume":"12","author":"Vial","journal-title":"JMIR Res Protoc"},{"issue":"6","key":"R33","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1016\/j.destud.2014.06.001","article-title":"Applying user centred and participatory design approaches to commercial product development","volume":"35","author":"Wilkinson","journal-title":"Design Studies"},{"issue":"5","key":"R34","doi-asserted-by":"publisher","first-page":"480","DOI":"10.3109\/17483107.2016.1151953","article-title":"Principles for fostering the transdisciplinary development of assistive technologies","volume":"12","author":"Boger","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"1","key":"R35","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.intcom.2005.06.003","article-title":"User needs analysis and requirements engineering: theory and practice","volume":"18","author":"Lindgaard","journal-title":"Interact Comput"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Barontini F . User-centered indoor navigation system for the visually impaired. In: Wearable Haptic Devices for Realistic Scenario Applications. Springer; 2025:79-107. [doi: 10.1007\/978-3-031-70539-7_5]","DOI":"10.1007\/978-3-031-70539-7_5"},{"issue":"1","key":"R37","doi-asserted-by":"publisher","DOI":"10.1186\/s40900-021-00252-7","article-title":"A generative co-design framework for healthcare innovation: development and application of an end-user engagement framework","volume":"7","author":"Bird","journal-title":"Res Involv Engagem"},{"issue":"6","key":"R38","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated Criteria for Reporting Qualitative Research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"issue":"3","key":"R39","doi-asserted-by":"publisher","first-page":"319","DOI":"10.2307\/249008","article-title":"Perceived usefulness, perceived ease of use, and user acceptance of information technology","volume":"13","author":"Davis","journal-title":"MIS Q"},{"key":"R40","unstructured":"The KTH Innovation Readiness Level. URL: https:\/\/kthinnovationreadinesslevel.com [Accessed 15-05-2026]"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Alizada M Lampinen A Idestam-Almquist P et al. Smartphone-based indoor navigation for blind and visually impaired people. In: AAATE 2025 Proceedings. Springer; 2025. [doi: 10.1007\/978-3-032-01628-7_14]","DOI":"10.1007\/978-3-032-01628-7_14"},{"issue":"5","key":"R42","first-page":"99","volume":"Hors-s\u00e9rie","author":"Savoie-Zajc","journal-title":"Rech Qual"},{"key":"R43","doi-asserted-by":"publisher","DOI":"10.2196\/73380","article-title":"Perspectives from canadian people with visual impairments in everyday environments outside the home: qualitative insights for assistive technology development","volume":"12","author":"Puri","journal-title":"JMIR Rehabil Assist Technol"},{"issue":"4","key":"R44","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1108\/QRJ-D-18-00035","article-title":"Qualitative research: deductive and inductive approaches to data analysis","volume":"18","author":"Azungah","journal-title":"QRJ"},{"issue":"2","key":"R45","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","journal-title":"Qual Res Psychol"},{"key":"R46","unstructured":"Patton MQ . Developmental Evaluation: Applying Complexity Concepts to Enhance Innovation and Use. Guilford Press; 2011. ISBN: 9781606238721"},{"key":"R47","doi-asserted-by":"crossref","unstructured":"Southwick D Resch G Ratto M . Chapter 30: iterative prototyping and co-design. In: Knowledge, Innovation and Impact. Springer; 2021:231-238. [doi: 10.1007\/978-3-030-34390-3_30]","DOI":"10.1007\/978-3-030-34390-3_30"},{"issue":"6","key":"R48","doi-asserted-by":"publisher","first-page":"8236","DOI":"10.3390\/s120608236","article-title":"An indoor navigation system for the visually impaired","volume":"12","author":"Guerrero","journal-title":"Sensors (Basel)"}],"container-title":["JMIR Rehabilitation and Assistive Technologies"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:47:16Z","timestamp":1785739636000},"score":1,"resource":{"primary":{"URL":"https:\/\/rehab.jmir.org\/2026\/1\/e81347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":48,"URL":"https:\/\/doi.org\/10.2196\/81347","relation":{},"ISSN":["2369-2529"],"issn-type":[{"value":"2369-2529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,31]]},"article-number":"v13i2e81347"}}