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The relationship between communicative participation and postlaryngectomy speech outcomes
Tanya L Eadie1, Devon Otero1, Steven Cox2
1Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington.
Head & Neck
|December 30, 2015
Summary
Communicative participation strongly relates to patient-rated speech acceptability and voice handicap after laryngectomy. Patient-reported outcomes complement listener assessments for a comprehensive view of speech function.
Area of Science:
- Speech-Language Pathology
- Otolaryngology
- Rehabilitation Medicine
Background:
- Laryngectomy significantly impacts speech and communication.
- Understanding factors influencing post-laryngectomy speech outcomes is crucial for patient rehabilitation.
Purpose of the Study:
- To investigate the association between communicative participation and speech outcomes post-laryngectomy.
- To compare listener-rated and patient-rated speech intelligibility and acceptability.
Main Methods:
- Thirty-six laryngectomized individuals completed the Communicative Participation Item Bank (CPIB) and Voice Handicap Index-10 (VHI-10).
- Speech intelligibility and acceptability were assessed by listeners, while patients rated their own speech acceptability and voice handicap.
Main Results:
- Tracheoesophageal speakers were rated more intelligible and acceptable than electrolaryngeal speakers.
- Patients rated their speech acceptability higher than listeners did.
- Communicative participation showed stronger correlations with patient-rated outcomes than listener-rated outcomes.
Conclusions:
- Patient-reported outcomes provide valuable, complementary information to listener-based assessments.
- Focusing on communicative participation may enhance patient-centered voice rehabilitation strategies.
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