The Impact of Lexical and Articulatory Factors in the Automatic Selection of Test Materials for a Web-Based Assessment of Intelligibility in Dysarthria.

Purpose: The clinical assessment of intelligibility must be based on a large repository and extensive variation of test materials, to render test stimuli unpredictable and thereby avoid expectancies and familiarity effects in the listeners. At the same time, it is essential that test materials are s...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 64; pp. 2196 - 2213
Autores principales: Lehner, Katharina, Ziegler, Wolfram
Formato: Artículo
Publicado: American Speech-Language-Hearing Association 2021 Supplement
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        10.1044/2020_JSLHR-20-00267
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        atl: The Impact of Lexical and Articulatory Factors in the Automatic Selection of Test Materials for a Web-Based Assessment of Intelligibility in Dysarthria.
      aug:
        au:
          Lehner, Katharina
          Ziegler, Wolfram
        affil: Clinical Neuropsychology Research Group, Institute of Phonetics and Speech Processing, Ludwig Maximilians University, Munich, Germany
      su:
        Germany
        Crowdsourcing
        Internet
        Psychology
        Communicative disorders
        Phonetics
        Intelligibility of speech
        Dysarthria
        Lexical grammar
        Articulation (Speech)
        Vocabulary tests
        Transcription (Linguistics)
        Sentences (Grammar)
        Phonological awareness
        Physiological aspects of speech
        Rehabilitation centers
        Research methodology
        Mathematical models
        Regression analysis
        Random forest algorithms
        Inter-observer reliability
        Descriptive statistics
        Statistical sampling
        Listening
      sug:
        subj:
          Crowdsourcing
          Internet
          Psychology
          Communicative disorders
          Phonetics
          Germany
          Internet Publishing and Broadcasting and Web Search Portals
          Wired Telecommunications Carriers
          Other Individual and Family Services
          Residential Mental Health and Substance Abuse Facilities
          Psychiatric and Substance Abuse Hospitals
          Marketing Research and Public Opinion Polling
          Intelligibility of speech
          Dysarthria
          Lexical grammar
          Articulation (Speech)
          Vocabulary tests
          Transcription (Linguistics)
          Sentences (Grammar)
          Phonological awareness
          Physiological aspects of speech
          Rehabilitation centers
          Research methodology
          Mathematical models
          Regression analysis
          Random forest algorithms
          Inter-observer reliability
          Descriptive statistics
          Statistical sampling
          Listening
      ab: Purpose: The clinical assessment of intelligibility must be based on a large repository and extensive variation of test materials, to render test stimuli unpredictable and thereby avoid expectancies and familiarity effects in the listeners. At the same time, it is essential that test materials are systematically controlled for factors influencing intelligibility. This study investigated the impact of lexical and articulatory characteristics of quasirandomly selected target words on intelligibility in a large sample of dysarthric speakers under clinical examination conditions. Method: Using the clinical assessment tool KommPaS, a total of 2,700 sentence-embedded target words, quasirandomly drawn from a large corpus, were spoken by a group of 100 dysarthric patients and later transcribed by listeners recruited via online crowdsourcing. Transcription accuracy was analyzed for influences of lexical frequency, phonological neighborhood structure, articulatory complexity, lexical familiarity, word class, stimulus length, and embedding position. Classification and regression analyses were performed using random forests and generalized linear mixed models. Results: Across all degrees of severity, target words with higher frequency, fewer and less frequent phonological neighbors, higher articulatory complexity, and higher lexical familiarity received significantly higher intelligibility scores. In addition, target words were more challenging sentenceinitially than in medial or final position. Stimulus length had mixed effects; word length and word class had no effect. Conclusions: In a large-scale clinical examination of intelligibility in speakers with dysarthria, several wellestablished influences of lexical and articulatory parameters could be replicated, and the roles of new factors were discussed. This study provides clues about how experimental rigor can be combined with clinical requirements in the diagnostics of communication impairment in patients with dysarthria.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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