Theodoros Deborah, Russell Trevor G, Hill Anne, Cahill Louise, Clark Kathy
Department of Speech Pathology and Audiology, University of Queensland, Brisbane, Queensland, Australia.
J Telemed Telecare. 2003;9 Suppl 2:S66-8. doi: 10.1258/135763303322596318.
We have conducted a preliminary validation of an Internet-based telehealth application for assessing motor speech disorders in adults with acquired neurological impairment. The videoconferencing module used NetMeeting software to provide realtime videoconferencing through a 128 kbit/s Internet link, as well as the transfer of store-and-forward video and audio data from the participant to the clinician. Ten participants with dysarthria following acquired brain injury were included in the study. An assessment of the overall severity of the speech disturbance was made for each participant face to face (FTF) and in the online environment; in addition, a 23-item version of the Frenchay Dysarthria Assessment (FDA) (which measures motor speech function) and the Assessment of Intelligibility of Dysarthric Speech (ASSIDS) (which gives the percentage word and sentence intelligibility, words per minute and a rating of communication efficiency) were administered in both environments. There was a 90% level of agreement between the two assessment environments for the rating of overall severity of dysarthria. A 70-100% level of agreement was achieved for 17 (74%) of the 23 FDA variables. On the ASSIDS there was a significant difference between the FTF and online assessments only for percentage word intelligibility. These findings suggest that Internet-based assessment has potential as a reliable method for assessing motor speech disorders.
我们对一款基于互联网的远程医疗应用程序进行了初步验证，该程序用于评估患有后天性神经损伤的成年人的运动性言语障碍。视频会议模块使用NetMeeting软件，通过128 kbit/s的互联网链接提供实时视频会议，以及将存储转发的视频和音频数据从参与者传输给临床医生。该研究纳入了10名后天性脑损伤后患有构音障碍的参与者。对每位参与者进行了面对面（FTF）和在线环境下的言语障碍总体严重程度评估；此外，在两种环境下都实施了23项版本的Frenchay构音障碍评估（FDA）（用于测量运动性言语功能）和构音障碍言语可懂度评估（ASSIDS）（给出单词和句子可懂度百分比、每分钟单词数以及沟通效率评级）。两种评估环境在构音障碍总体严重程度评级上的一致性水平为90%。23个FDA变量中有17个（74%）的一致性水平达到了70 - 100%。在ASSIDS上，仅在单词可懂度百分比方面，FTF评估和在线评估之间存在显著差异。这些发现表明，基于互联网的评估有潜力成为评估运动性言语障碍的可靠方法。
