Smith Laura E, Higginbotham D Jeffery, Lesher Gregory W, Moulton Bryan, Mathy Pamela
Aspire of WNY Inc, Getzuille, New York, USA.
Assist Technol. 2006 Spring;18(1):107-21. doi: 10.1080/10400435.2006.10131910.
A significant barrier to evidence-based practice in Augmentative and Alternative Communication (AAC) is the lack of validated performance measures that can be used by speech-language pathologists and rehabilitation engineers to evaluate the communication and device use of AAC consumers. Recently an effort has been made to develop automated data-logging techniques to facilitate the transcription and analysis of the AAC speaker's device use. A major source of error for the automated measurement of communication rate is the presence of excessive Inter-Selection Intervals (ISIs) (i.e., pause times), for which no communicative activity is occurring. The goal of this study was to develop an automated technique to filter out extreme ISIs, while preserving true communication rate performance. AAC data log files were obtained from seven individuals participating in a 1-month field trial of an AAC technology. Two temporal filtering techniques (arbitrary and individual) were compared for their ability to eliminate excessive ISIs. Results indicated that use of an individualized temporal filter was more sensitive to performance variability than use of an arbitrary temporal filter. Further, the individualized temporal filter elevated the participants' communication rate (measured by words per minute) by a factor of 1.8 to 34.5 greater than that of the unfiltered communication rate estimate. In addition, the first AAC communication rate performance estimates taken from the field are presented. Implications for further research and the valid use of automated data logging and analysis are discussed.
辅助与替代沟通(AAC)领域基于证据的实践面临的一个重大障碍是缺乏经过验证的性能指标,言语病理学家和康复工程师无法使用这些指标来评估AAC使用者的沟通和设备使用情况。最近,人们致力于开发自动数据记录技术,以促进对AAC使用者设备使用情况的转录和分析。自动测量沟通速率的一个主要误差来源是存在过多的选择间隔(ISI)(即停顿时间),在此期间没有发生任何沟通活动。本研究的目的是开发一种自动技术,以滤除极端的ISI,同时保留真实的沟通速率表现。从参与一项为期1个月的AAC技术现场试验的7名个体中获取了AAC数据日志文件。比较了两种时间过滤技术(任意和个性化)消除过多ISI的能力。结果表明,与使用任意时间过滤器相比,使用个性化时间过滤器对性能变异性更敏感。此外,个性化时间过滤器使参与者的沟通速率(以每分钟单词数衡量)比未过滤的沟通速率估计值提高了1.8至34.5倍。此外,还给出了从现场获取的首个AAC沟通速率性能估计值。讨论了对进一步研究以及自动数据记录和分析的有效使用的影响。