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A multi-media, computer-based method for stroboscopy rating training

B J Poburka1, D M Bless

  • 1Mankato State University, Minnesota 56002-8400, USA.

Journal of Voice : Official Journal of the Voice Foundation
|February 13, 1999
PubMed
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Computer-aided instruction (CAI) effectively trained inexperienced individuals in stroboscopic examination ratings, improving agreement among raters. Experienced raters did not show similar improvements with this training method.

Area of Science:

  • Laryngology
  • Medical Education
  • Speech-Language Pathology

Background:

  • Training methods for stroboscopic examination ratings lack standardization, leading to inconsistent inter- and intrajudge agreement.
  • Computer-aided instruction (CAI) offers a controlled environment to standardize and enhance learning factors.

Purpose of the Study:

  • To evaluate the efficacy of computer-aided instruction (CAI) in training individuals to achieve accurate and reliable visuo-perceptual judgments of stroboscopy.
  • To assess the impact of CAI on both experienced and inexperienced raters.

Main Methods:

  • Subjects (experienced and inexperienced) rated 45 stroboscopic samples before and after CAI.
  • Training involved 4 to 5 hours of computer-aided instruction.
  • Interjudge agreement was measured against a panel of expert raters.

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Main Results:

  • Inexperienced subjects showed improved interjudge agreement after CAI training.
  • Experienced subjects did not demonstrate significant improvement in agreement following CAI.
  • Rating parameters involving movement assessment were more challenging than structure assessment for all groups.

Conclusions:

  • CAI is a viable tool for training novice raters in stroboscopic examinations, enhancing diagnostic consistency.
  • CAI may not be as effective for experienced clinicians, suggesting a need for tailored training approaches.
  • Objective assessment of vocal fold movement in stroboscopy remains a complex skill requiring further refinement in training protocols.