Gurevich Naomi, Scamihorn Sydney L
Eastern Illinois University, Charleston.
Am J Speech Lang Pathol. 2017 Aug 15;26(3):873-892. doi: 10.1044/2017_AJSLP-16-0112.
Speech-language pathologists (SLPs) who work with adults with dysarthria were surveyed to investigate trends of clinical practice for assessing speech intelligibility.
Two hundred ninety-six SLPs responded to an online survey October 22-November 30, 2015.
Findings showed that 35% of SLPs lacked access to any standardized assessments of intelligibility, with 66% of these implicating cost as the main reason. Work settings played a role, as all SLPs working in Veterans Affairs hospitals and 97% of SLPs working in university or research clinics reported access to at least one formal assessment. Even with access to formal tools to measure intelligibility, most SLPs preferred less formal measures. It is surprising to note that many SLPs reported using physical examinations (e.g., of cranial nerves and oral mechanisms) to measure speech intelligibility.
Results indicate the need to increase SLP familiarity with, and access to, currently available standardized assessments, as well as to improve education regarding the fundamental need to rate speech to assess intelligibility. Clinicians may also benefit from new standardized methods to objectively assess intelligibility that are accessible, practical, and efficient.
对为构音障碍成人患者提供服务的言语语言病理学家（SLP）进行调查，以探究评估言语清晰度的临床实践趋势。
2015年10月22日至11月30日，296名言语语言病理学家回复了一项在线调查。
结果显示，35%的言语语言病理学家无法获得任何标准化的清晰度评估工具，其中66%表示成本是主要原因。工作环境起到了一定作用，因为所有在退伍军人事务医院工作的言语语言病理学家以及97%在大学或研究诊所工作的言语语言病理学家报告称可以使用至少一种正式评估工具。即便能够使用正式的清晰度测量工具，大多数言语语言病理学家仍更喜欢不太正式的测量方法。值得注意的是，许多言语语言病理学家报告称使用体格检查（如检查颅神经和口腔机制）来测量言语清晰度。
结果表明有必要提高言语语言病理学家对现有标准化评估工具的熟悉程度并增加其获取途径，同时改善关于通过评定言语来评估清晰度这一基本需求的教育。临床医生也可能会从新的标准化方法中受益，这些方法能够客观地评估清晰度，且易于获取、实用且高效。
