Department of Communication Sciences and Disorders, College of Health Science and Public Health, Eastern Washington University, Spokane, Washington, USA.
Department of Speech and Hearing Science, College of Applied Health Science, University of Illinois at Urbana-Champaign, Illinois, USA.
Clin Linguist Phon. 2022 Nov 2;36(11):1010-1028. doi: 10.1080/02699206.2021.1983021. Epub 2021 Oct 1.
Speech-language pathologists (SLPs) working in interdisciplinary craniofacial teams need to know how much their judgments of speech intelligibility could predict the patient's communication difficulties with non-clinical communicative partners. This study examines the relationship between experienced SLPs and naïve listeners in judgments of speech intelligibility in speakers with cleft palate. A speech perception study was conducted using speech samples from 20 speakers with velopharyngeal insufficiency (VPI) following cleft palate. Speech samples were presented to 70 naïve listeners and 10 SLPs who were experts in cleft palate treatment. Speech intelligibility scores from naïve listeners' orthographic transcriptions were obtained as the percentage of correctly identified words. Speech intelligibility scores from SLPs were obtained using a five-point rating scale. Spearman rank correlation indicated a very high level of overall agreement between naïve listeners and SLPs at the speaker level scores ( = -.94, < .001). While the listeners' judgment seems highly related across highly intelligible speakers, the differences in agreements increase when the speaker is unintelligible. The high correlations between scores for naïve listeners and SLPs suggest that speech intelligibility in children with VPI could be predicted by ratings done in the clinic by expert SLPs.
从事跨学科颅面团队工作的言语语言病理学家需要了解他们对言语可懂度的判断在多大程度上可以预测患者与非临床交流伙伴的交流困难。本研究考察了在腭裂患者的言语可懂度判断中，有经验的言语语言病理学家和无经验的听众之间的关系。使用 20 名患有腭咽闭合不全（VPI）的腭裂患者的语音样本进行了语音感知研究。语音样本呈现给 70 名无经验的听众和 10 名腭裂治疗专家的言语语言病理学家。无经验听众的正字法转录的语音可懂度得分作为正确识别单词的百分比获得。言语语言病理学家的语音可懂度得分使用五分制评分量表获得。Spearman 秩相关表明，在说话者水平得分上，无经验听众和言语语言病理学家之间的整体一致性非常高（ = -.94， <.001）。虽然听众的判断在高可懂度的说话者之间似乎高度相关，但当说话者难以理解时，一致性的差异会增加。无经验听众和言语语言病理学家评分之间的高相关性表明，通过专家言语语言病理学家在诊所进行的评估可以预测 VPI 儿童的言语可懂度。
