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在临床实践中实施远程声学语音记录和分析的观察和思考。

Observations and Considerations for Implementing Remote Acoustic Voice Recording and Analysis in Clinical Practice.

机构信息

UCSF Voice and Swallowing Center, Department of Otolaryngology Head and Neck Surgery, University of California San Francisco, San Francisco, California.

UCSF Voice and Swallowing Center, Department of Otolaryngology Head and Neck Surgery, University of California San Francisco, San Francisco, California.

出版信息

J Voice. 2024 Jan;38(1):69-76. doi: 10.1016/j.jvoice.2021.06.011. Epub 2021 Aug 6.

DOI:10.1016/j.jvoice.2021.06.011
PMID:34366193
Abstract

OBJECTIVES/HYPOTHESIS: Remote voice recording and acoustic analysis allow for comprehensive voice assessment and outcome tracking without the requirements of travel to the clinic, in-person visit, or expensive equipment. This paper delineates the process and considerations for implementing remote voice recording and acoustic analysis in a high-volume university voice clinic.

STUDY DESIGN

Clinical Focus.

METHODS

Acoustic voice recordings were attempted on 108 unique patients over a 6-month period using a remote voice recording phone application. Development of the clinical process including determining normative data in which to compare acoustic results, clinician training, and clinical application is described. The treating Speech Language Pathologists (SLPs) were surveyed 2 months after implementation to assess ease of application, identify challenges and assess implementation of potential solutions.

RESULTS

Of 108 unique patients, 83 patients were successful in completing the process of synchronous remote acoustic voice recording in conjunction with their SLP clinician. The process of downloading the application, setting up, and obtaining voice recordings was most commonly 10-20 minutes according to the 8 SLPs surveyed. Challenges and helpful techniques were identified.

CONCLUSIONS

Remote acoustic voice recordings have allowed SLPs to continue to complete a comprehensive voice evaluation in a telepractice model. Given emerging knowledge about the viability of remote voice recordings, the success in obtaining acoustic data remotely, and the accessibility of a low-cost app for SLPs makes remote voice recordings a viable option to facilitate remote clinical care and research investigation.

摘要

目的/假设:远程语音记录和声学分析允许全面的语音评估和结果跟踪,而无需前往诊所、亲自访问或使用昂贵的设备。本文阐述了在大容量大学语音诊所中实施远程语音记录和声学分析的过程和注意事项。

研究设计

临床重点。

方法

在 6 个月的时间里,使用远程语音记录电话应用程序对 108 名独特的患者尝试进行了声学语音记录。描述了临床流程的开发,包括确定用于比较声学结果的规范数据、临床医生培训和临床应用。在实施后 2 个月对治疗性言语语言病理学家 (SLP) 进行了调查,以评估应用的易用性、确定挑战并评估潜在解决方案的实施情况。

结果

在 108 名独特的患者中,83 名患者成功完成了与他们的 SLP 临床医生同步进行远程声学语音记录的过程。根据接受调查的 8 名 SLP 的说法,下载应用程序、设置和获取语音记录的过程通常需要 10-20 分钟。确定了挑战和有用的技术。

结论

远程声学语音记录使 SLP 能够继续在远程实践模式下完成全面的语音评估。鉴于关于远程语音记录可行性的新知识、在远程获得声学数据的成功以及 SLP 可获得低成本应用程序,远程语音记录是促进远程临床护理和研究调查的可行选择。

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