在CAPE-V语音质量的听觉感知评分中,临床重要差异最小
Julianna C Smeltzer1,2, Kaila L Stipancic3, Laura E Toles1
1Department of Otolaryngology-Head and Neck, Voice Center, The University of Texas Southwestern Medical Center, Dallas.
Journal of speech, language, and hearing research : JSLHR
|April 14, 2025
概括
这项研究建立了检测有意义的语音质量变化的门,使用共识听觉感知语音评估 (CAPE-V) 尺度. 这些发现有助于临床医生评估发声创伤性语音障碍患者的治疗有效性.
科学领域:
- 语音语言病理学 语言病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 声音科学 声音科学
背景情况:
- 评估语音质量变化对于患有音声创伤声病变的患者至关重要.
- 声音的共识听觉感知评估 (CAPE-V) 是语音评估的标准工具.
- 建立可靠的变化指标对于临床决策至关重要.
研究的目的:
- 确定听觉感知语音质量评级的最小可检测变化 (MDC) 和最小临床重要差异 (MCID).
- 将这些指标应用于共识声的听觉感知评估 (CAPE-V) 尺度:整体严重性,粗性,呼吸力和应变.
主要方法:
- 63名患有音声创伤声病变的患者在治疗前和治疗后提供了语音样本.
- 九名语音语言病理学家使用CAPE-V尺度和全球变化评级来评价语音样本.
- 使用内部测量器可靠性和标准测量误差计算MDC;使用接收器运行特征曲线确定MCID,以Jaeschke尺度为.
主要成果:
- 对整体严重性 (14.9毫米),粗性 (14.6毫米),气喘性 (12.1毫米) 和应变 (18.7毫米) 建立了最小可检测变化 (MDC) 值.
- 确定了总体严重程度 (16.5毫米),粗性 (16.5毫米) 和呼吸困难 (15.5毫米) 的最小临床重要差异 (MCID) 值.
- 由于潜在值小于MDC,无法获得对菌株的有效MCID值.
结论:
- 本研究提供了CAPE-V听觉感知语音评级的第一个已知的MDC和MCID值.
- 这些门为评估治疗患者的真实和有意义的语音质量改善提供了客观指导.
- 建议在不同人群中进行进一步的研究,并纳入患者报告的结果.
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