使用SpeechVive设备进行面对面和远程医疗治疗方式的比较
medRxiv : the preprint server for health sciences
|January 27, 2025
概括
SpeechVive设备改善了帕金森病患者的亲自沟通,但不是通过远程医疗. 远程医疗服务在发言长度和参与度方面显示出一些好处,尽管存在技术挑战.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 帕金森病 (PD) 通常会影响沟通,影响生活质量.
- 远程医疗是PD管理的一个不断增长的模式.
- 使用伦巴德效应的SpeechVive设备旨在增强PD的语音.
研究的目的:
- 为了比较SpeechVive设备在PD患者通过远程医疗与面对面交付时改善沟通的有效性.
- 使用实施科学设计来评估交付方式.
主要方法:
- 66名PD参与者被随机分为12周的面对面 (n=34) 或远程医疗 (n=32) 组.
- 语音参数 (SPL,发言长度,暂停频率/持续时间) 和心理社会措施在治疗前,中间和后被评估.
- 参与者提供了带有和没有SpeechVive设备的语音样本.
主要成果:
- 面对面的组显示设备的声音压力水平 (SPL) 增加;远程医疗组没有.
- 两组人都在使用该设备时减少了暂停时间.
- 远程医疗小组在治疗后表现出更长的发言时间和沟通参与度,与面对面的小组不同.
- 技术问题不成比例地影响了远程医疗数据收集.
结论:
- 在个人交付的SpeechVive设备产生了与之前的研究相似的结果.
- 远程医疗在改善PD患者的语音大声方面效率较低.
- 虽然远程医疗显示了一些心理社会益处,但技术限制影响了这项研究的研究结果.
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