Variability and Diagnostic Accuracy of Speech Intelligibility Scores in Children.

Purpose: We examined variability of speech intelligibility scores and how well intelligibility scores predicted group membership among 5-year-old children with speech motor impairment (SMI) secondary to cerebral palsy and an age-matched group of typically developing (TD) children. Method: Speech sam...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 58; no. 6; pp. 1695 - 1708
Autores principales: Hustad, Katherine C., Oakes, Ashley, Allison, Kristen
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Dec2015
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
      vid: 58
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      pub: American Speech-Language-Hearing Association
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        10.1044/2015_JSLHR-S-14-0365
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        atl: Variability and Diagnostic Accuracy of Speech Intelligibility Scores in Children.
      aug:
        au:
          Hustad, Katherine C.
          Oakes, Ashley
          Allison, Kristen
        affil:
          University of Wisconsin-Madison
          Waisman Center, University of Wisconsin-Madison
      su:
        Language acquisition
        Self-evaluation
        Children
        Cerebral palsy
        Comparative studies
        Confidence intervals
        Statistical correlation
        Probability theory
        Research evaluation
        Research funding
        Speech evaluation
        Speech disorders in children
        Statistics
        Mathematical variables
        Logistic regression analysis
        Receiver operating characteristic curves
        Descriptive statistics
      sug:
        subj:
          Language acquisition
          Self-evaluation
          Children
          Cerebral palsy
          Comparative studies
          Confidence intervals
          Statistical correlation
          Probability theory
          Research evaluation
          Research funding
          Speech evaluation
          Speech disorders in children
          Statistics
          Mathematical variables
          Logistic regression analysis
          Receiver operating characteristic curves
          Descriptive statistics
      ab: Purpose: We examined variability of speech intelligibility scores and how well intelligibility scores predicted group membership among 5-year-old children with speech motor impairment (SMI) secondary to cerebral palsy and an age-matched group of typically developing (TD) children. Method: Speech samples varying in length from 1-4 words were elicited from 24 children with cerebral palsy (mean age 60.50 months) and 20 TD children (mean age 60.33 months). Two hundred twenty adult listeners made orthographic transcriptions of speech samples (n = 5 per child). Results: Variability associated with listeners made a significant contribution to explaining the variance in intelligibility scores for TD and SMI children, but the magnitude was greater for TD children. Intelligibility scores differentiated very well between children who have SMI and TD children when intelligibility was at or below approximately 75% and above approximately 85%. Conclusions: Intelligibility seems to be a useful clinical tool for differentiating between TD children and children with SMI at 5 years of age; however, there is considerable variability within and between listeners, highlighting the need for more than one listener per child to ensure validity of an intelligibility measure.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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