Text to Speech on iPod or Text Size Changes?

Hello all,
I work at a museum which uses iPod's as the basis for audio guide tours. Today, I met a person who could not use the iPod because they were almost blind.
I am trying to find out if there is a way to have "text to speech" like in the Mac OS. Or if not, is there a way to have the text made larger in the menus.
I have found applications like iSpeak It that let you take text to speech bites into iTunes, but nothing better.
If I could find a way to help this situation, that would be wonderful for many people who use audio guides and are vision impaired.
Cheers!

I thought that perhaps that I might be able to do something like make the iPod screen have a white text on black mode (like in the Mac OS X accessability mode), would this be possible?
Can anyone else think of anything when using an iPod to help vision impaired people to use an iPod?
Cheers,
Nicholas

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