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Telepractice in speech-language pathology: Assessing remote speech discrimination.

Erika Squires1, Margaret Greenwald1

  • 1Department of Communication Sciences and Disorders, Wayne State University, 103 Prentis Building, 5201 Cass Avenue, Detroit, MI, USA.

Journal of Communication Disorders
|June 25, 2023
PubMed
Summary
This summary is machine-generated.

Remote speech discrimination using the Temple Assessment of Language and Short-term Memory in Aphasia (TALSA) is feasible for older adults. Non-word discrimination was poorer than word discrimination, highlighting TALSA

Keywords:
AssessmentSpeech discriminationTALSATelepractice

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Area of Science:

  • Speech-Language Pathology
  • Audiology
  • Gerontology

Background:

  • Remote assessments are increasingly utilized in speech-language pathology.
  • Evaluating auditory comprehension and speech perception remotely is crucial for individuals with aphasia.
  • The Temple Assessment of Language and Short-term Memory in Aphasia (TALSA) is a tool for assessing language and memory in aphasia.

Purpose of the Study:

  • To evaluate adult remote performance in speech discrimination using the TALSA.
  • To compare remote TALSA speech discrimination with remote NU-6 word repetition.
  • To assess participant self-perceived hearing ability via remote sessions.

Main Methods:

  • Sixty older adults completed TALSA speech discrimination for words and non-words via telephone.
  • Remote word repetition using Northwestern University (NU-6) lists was assessed in live and recorded voice conditions.
  • Forty-six participants completed hearing questionnaires via Zoom videoconference.

Main Results:

  • TALSA word discrimination performance was comparable to NU-6 word repetition.
  • NU-6 word repetition did not differ significantly between live and recorded voice conditions.
  • TALSA non-word discrimination was significantly worse than word discrimination and correlated with age and self-reported hearing ability.

Conclusions:

  • Remote administration of TALSA speech discrimination is viable for assessing auditory comprehension.
  • Participants showed expected better performance on word stimuli than non-words in remote assessments.
  • The non-word TALSA condition may identify speech perception impairments in telepractice and in-person evaluations.
  • Recorded stimuli for language and memory assessments, including TALSA, are suitable for telepractice, similar to live voice delivery.