Howell Peter
Department of Psychology, Centre for Human Communications, Institute of Cognitive Neuroscience, and Institute of Movement Neuroscience, University College London, Gower St., London WC1E 6BT.
Stammering Res. 2005 Jan 1;1(4):364-374.
Conventional clinical procedures for assessment of stuttering are reported to have poor reliability. Time interval analysis procedures have been reported to produce greater reliability than the conventional procedures. In time interval procedures, successive intervals of the same duration are extracted from a sample of speech and judged by participants as stuttered or fluent. There is a problem insofar as the amount of speech judged stuttered depends on the length of the interval used. This problem is illustrated in an experiment in which 1-s and 5-s intervals were drawn from the same samples of speech and judged by participants as stuttered or fluent. It is also shown that the problem of lack of sensitivity when longer intervals are used is more acute for individuals who exhibit severe stuttering. Since ability to detect changes in stuttering rate is dependent on the length of interval used (as well as stuttering severity), the procedure can highlight or disguise changes in stuttering rate depending on parameterization of interval length and choice of participants to study. Thus, use of different length intervals across studies can distort whether particular treatments have an effect on speech control. Therefore, it is concluded that time interval analysis, as it is currently used, is an unsatisfactory procedure. If a standard-length interval could be agreed, comparison across studies or analyses would be possible.
据报道,用于评估口吃的传统临床程序可靠性较差。据报道,时间间隔分析程序比传统程序具有更高的可靠性。在时间间隔程序中,从语音样本中提取相同持续时间的连续间隔,并由参与者判断为口吃或流畅。存在一个问题,即被判断为口吃的语音量取决于所使用间隔的长度。在一项实验中说明了这个问题,在该实验中,从相同的语音样本中提取了1秒和5秒的间隔,并由参与者判断为口吃或流畅。还表明,对于表现出严重口吃的个体,使用较长间隔时缺乏敏感性的问题更为严重。由于检测口吃率变化的能力取决于所使用间隔的长度(以及口吃严重程度),该程序可以根据间隔长度的参数化和研究参与者的选择来突出或掩盖口吃率的变化。因此,不同研究中使用不同长度的间隔可能会歪曲特定治疗是否对言语控制有影响。因此,得出的结论是,目前使用的时间间隔分析是一种不令人满意的程序。如果能够商定一个标准长度的间隔,那么跨研究或分析的比较将是可能的。