Department of Communication Disorders, Faculty of Medicine, Tel-Aviv University, Located at Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Ono Academic College, Kiriat-Ono, Israel.
Folia Phoniatr Logop. 2023;75(6):456-469. doi: 10.1159/000533833. Epub 2023 Sep 19.
Tele-assessment (TA) has the potential to enhance access to speech therapy. This preliminary study aimed to investigate the impact of assessment mode (face-to-face [FTF] vs. TA) on the microstructure level and chosen topics of personal narratives produced by Arabic-speaking and Hebrew-speaking school-age children living in Israel. We also investigated whether performance variations, if evident, could be attributed to the children's language/culture.
Eighty-nine 10-year-old children, 38 Arabic-speaking and 51 Hebrew-speaking, living in Israel, participated in this study. Forty participants were assigned to a TA group (via Zoom) and 49 to a FTF group. All participants were assessed using the Global TALES protocol, generating six personal narratives each. The narratives were analyzed regarding the following microstructural measures: total number of words, total number of utterances (TNU), number of different words, and mean length of utterance in words (MLU-W). Additionally, each narrative was categorized into a topic according to the Global TALES protocol.
The analysis revealed no significant main effect of assessment mode on any of the microstructure measures. However, a significant interaction effect between language/culture and assessment mode was found for TNU and MLU-W, with a significant main effect for TNU exclusively in the Arabic narratives, with the Arabic-speaking children producing more utterances through FTF compared to TA. Across language/culture groups, there was a significant effect of assessment mode on the chosen topic. Additionally, there were significantly higher scores in the Hebrew compared to the Arabic narratives in all microstructure measures, and language/culture also influenced the chosen topics.
The results support the feasibility of TA mode for assessing personal narratives in school-aged children, using the Global TALES protocol. However, the results also suggest that TA results may be affected by the language/culture of the narrator. Finally, the findings highlight the potential influence of TA on the chosen topics of personal narratives, perhaps due to a decrease in the quality of communication in TA.
远程评估(TA)有可能增加获得言语治疗的机会。本初步研究旨在调查评估模式(面对面[FTF]与 TA)对以阿拉伯语和希伯来语为母语的以色列学龄儿童生成的个人叙事的微观结构层面和所选主题的影响。我们还调查了,如果存在表现差异,是否可以归因于儿童的语言/文化。
本研究共有 89 名 10 岁的儿童参与,其中 38 名讲阿拉伯语,51 名讲希伯来语,他们都居住在以色列。40 名参与者被分配到 TA 组(通过 Zoom),49 名参与者被分配到 FTF 组。所有参与者都使用全球 TALES 协议进行评估,生成每个参与者 6 个个人叙事。根据全球 TALES 协议,对这些叙事进行了以下微观结构测量的分析:总字数、总话语数(TNU)、不同单词数和单词平均长度(MLU-W)。此外,根据全球 TALES 协议,将每个叙事归入一个主题。
分析显示,评估模式对任何微观结构测量都没有显著的主效应。然而,在 TNU 和 MLU-W 方面发现了语言/文化和评估模式之间的显著交互效应,仅在阿拉伯语叙事中发现了 TNU 的显著主效应,与 TA 相比,阿拉伯语儿童通过 FTF 产生了更多的话语。在语言/文化组中,评估模式对所选主题有显著影响。此外,在所有微观结构测量中,希伯来语叙事的得分均显著高于阿拉伯语叙事,语言/文化也影响了所选主题。
这些结果支持使用全球 TALES 协议,通过 TA 模式评估学龄儿童个人叙事的可行性。然而,结果也表明 TA 结果可能受到叙述者语言/文化的影响。最后,研究结果强调了 TA 对个人叙事所选主题的潜在影响,这可能是由于 TA 中沟通质量下降所致。