评估医学标题技术的作用,以支持听力损失患者的医生与患者沟通:混合方法试点研究
Sarah E Hughes1, Liang-Yuan Wu2, Lindsay J Ma1
1University of Michigan Medical School, Ann Arbor, MI, United States.
JMIR rehabilitation and assistive technologies
|January 15, 2026
概括
实时语音识别系统 (SRS) 对改善聋和听力障碍者 (DHH) 医疗保健沟通有希望. 这项技术被发现是可用的,值得信赖的,并且优于唇读,尽管有一些精度限制.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 可访问性技术 技术可访问性
背景情况:
- 医疗保健中的沟通障碍会对聋和听力障碍者 (DHH) 的安全,理解和自主性产生负面影响.
- 现有的语音识别系统 (SRS) 在日常生活中广泛使用,但在临床环境中未得到充分利用.
研究的目的:
- 评估一个实时的SRS设计用于DHH个体的临床使用.
- 评估系统的可用性,感知有效性和转录准确性.
主要方法:
- 一项试点研究涉及10名DHH成年人在模拟门诊接触中.
- 使用了融合平行混合方法设计,结合了定量可用性评级和定性访谈数据.
- 与使用文字错误率 (WER) 的专业成绩单相比,标记标题准确性,并注意到WER对临床术语的限制.
主要成果:
- 86%的人认为标题不会分散注意力,90%的人认为它们易于遵循和值得信赖,76%的人感到满意.
- 参与者报告说,在面具场景中,信心增加,焦虑减少,并更喜欢SRS而不是口唇阅读.
- 文字错误率 (WER) 从12.7%到22.8%不等,参与者对现实世界的整合表达了强烈兴趣.
结论:
- 通过SRS实时标题可以提高医疗保健的可访问性,并减少DHH个人的通信负担.
- 该系统被认为是功能有效和赋权,尽管医疗术语准确性的局限性.
- 未来的研究应该专注于现实世界的实施,特定领域的优化,以及超越转录保真度的以用户为中心的指标.
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