Jung Seyoung, Jing Linye, Grigos Maria
Department of Communicative Sciences and Disorders, New York University, NY.
Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY.
Perspect ASHA Spec Interest Groups. 2022 Aug;7(4):1275-1283. doi: 10.1044/2022_persp-21-00332. Epub 2022 Jul 22.
Speech-language pathologists (SLPs) rely on auditory perception to form judgments on child speech. This can be challenging for graduate student clinicians with limited clinical experience as they often need to judge children's speech errors using their auditory perception. This study examined how consistently graduate student clinicians used a 3-point perceptual rating scale to judge child speech.
Twenty-four graduate student clinicians rated single words produced by children with typically developing speech and language skills and children with speech sound disorders. All participants rated the productions using a 3-point scale, where "2" was an accurate production, "1" was a close approximation, and "0" was an inaccurate production. Ratings were solely based on the auditory signal. These ratings were compared to a consensus rating formed by two experienced SLPs.
Graduate student clinicians reached substantial agreement with the expert SLP rating. They reached the highest percentage agreement when rating accurate productions, and the lowest agreement when rating inaccurate productions.
Graduate student clinicians reached substantial agreement with expert SLP rating in judging child speech using a 3-point scale when provided with detailed descriptions of each rating category. These results are consistent with previous findings on the role that clinical experience plays in speech error perception tasks and highlight the need for additional listening training in speech-language pathology graduate programs.
言语语言病理学家(SLP)依靠听觉感知对儿童言语形成判断。这对于临床经验有限的研究生临床医生来说可能具有挑战性,因为他们经常需要利用听觉感知来判断儿童的言语错误。本研究考察了研究生临床医生使用3分感知评定量表判断儿童言语的一致性程度。
24名研究生临床医生对具有典型言语和语言技能的儿童以及有语音障碍的儿童说出的单个单词进行评分。所有参与者使用3分制进行评分,其中“2”表示发音准确,“1”表示近似正确,“0”表示发音不准确。评分仅基于听觉信号。这些评分与两名经验丰富的言语语言病理学家形成的一致评分进行比较。
研究生临床医生与专家言语语言病理学家的评分达成了高度一致。他们在对准确发音进行评分时达成一致的百分比最高,而在对不准确发音进行评分时达成一致的百分比最低。
当为研究生临床医生提供每个评分类别的详细描述时,他们在使用3分制判断儿童言语方面与专家言语语言病理学家达成了高度一致。这些结果与先前关于临床经验在言语错误感知任务中所起作用的研究结果一致,并凸显了言语语言病理学研究生课程中额外听力训练的必要性。