临床评估与失联症有关的沟通语音参数:感知适应的影响
Vera Wolfrum1, Katharina Lehner2, Stefan Heim3,4,5
1Department of Neurology, Faculty of Medicine, RWTH Aachen University, Germany.
概括
语音语言治疗师 (SLT) 在评估患有脱节症的患者时表现出偏见,影响了语音可理解性评估. 需要使用替代的评估方法来提高患有脱节症 (PWD) 的人的准确性.
科学领域:
- 语音语言病理学 语言病理学
- 神经语言学是一种神经语言学.
- 临床听力学 临床听力学
背景情况:
- 语音可理解性评估对于患有脱节症 (PWD) 的人来说至关重要.
- 语音语言治疗师 (SLT) 通常评估PWD,具有可能影响评估的熟悉性.
- 听众适应效应可以影响PWD的感知语音参数.
研究的目的:
- 调查听众对失联症和特定患者的熟悉程度如何影响语音参数评估.
- 为了比较治疗SLT,不熟悉的专家和天真的听众所做的评估.
- 分析适应对理解力,自然性和听众努力的影响.
主要方法:
- 在20名残疾人中评估了可理解性,自然性和听众的努力.
- 语音样本由治疗SLT,不熟悉的失联症专家和众包的天真听众来评估.
- 采用线性混合模型,回归分析,网络分析和观察者一致性测量.
主要成果:
- 在所有被评估的参数中,失联症专家在所有被评估的参数中明显优于天真的听众.
- 治疗治疗师只在听众所感知的努力方面比不熟悉的专家有优势.
- 适应效应影响了所有参数,治疗师的反应与专家和天真听众不一致.
结论:
- 对PWD演讲的SLT评估受适应效益和潜在的治疗偏见的影响.
- 这些发现质疑治疗治疗师对自我评估的有效性.
- 鼓励开发和实施替代的客观评估方法.
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