Design and Usability Evaluation of Speech Rehabilitation APP Interface for Patients with Parkinson’s Disease

Lo, Hsin-Chang; Tang, Shih‐Tsang; Wei, Wan-Li; Chuang, Ching-Chang

doi:10.1007/978-3-319-58700-4_6

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Although the number of studies is limited compared to real time teletherapy provided by therapists, there are a few that have confirmed the usefulness and effectiveness of app-based therapies [5,[18][19][20]. These include reports of significant improvements in pronunciation and speech volume in people with PD who received speech therapy using a homegrown software [20]. This finding is in line with our results and illustrates the potential of mHealth app as a feasible approach to speech rehabilitation.…”

Section: Principal Findingssupporting

confidence: 89%

“…Previous studies indicate that the integration of mHealth technology into therapy is an optimized clinical pathway for patients [17]. Although the number of studies is limited compared to real time teletherapy provided by therapists, there are a few that have confirmed the usefulness and effectiveness of app-based therapies [5,[18][19][20]. These include reports of significant improvements in pronunciation and speech volume in people with PD who received speech therapy using a homegrown software [20].…”

Section: Principal Findingsmentioning

confidence: 99%

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Feasibility, Satisfaction and Effectiveness of a Smartphone Application-based Voice and Speech Training Program for Parkinson’s Disease: Single Arm Pretest-Posttest Study (Preprint)

Lee,

Kim,

Kim

2024

Preprint

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BACKGROUND The majority of people with Parkinson's disease experience difficulties with voice and speech with disease progression, which leads to speech therapy. However, given their increasingly limited mobility, face-to-face speech therapy might be inaccessible. These accessibility issues can be addressed by an mHealth app. OBJECTIVE This study was conducted to examine the feasibility, satisfaction, and effectiveness of a smartphone-based application for voice and speech therapy in patients with Parkinson's disease. METHODS A single-arm, rater-blinded, pretest-posttest study was conducted between September to November, 2023. PD patients with voice and speech problems who have no problem with using Android smartphone were recruited. Participants downloaded the researcher-developed mHealth app on their smartphone and participated in a patient-tailored 5-week home-based speech training program. To verify feasibility, adherence was monitored and satisfaction was assessed by a phone survey at the end of the app use. Acoustic analysis and auditory-perceptual assessments were evaluated for effectiveness. RESULTS Thirty patients were initially recruited, but two of them withdrew. Twenty-five participants completed all the training sessions while three dropped out. The adherence was above 90% in twenty participants, 70-90% in four and below 70% in four. Satisfaction was 75% among the twenty-four people who participated in the survey. Significant improvement were observed in all acoustic measures and in the speech -language pathologist’s auditory-perceptual assessments after app use. The maximum phonation time increased from 11.15 seconds before use to 14.01 seconds after use (P =.003). The average vocal intensity increased from 71.59dB before use to 73.81dB after use in both sustained phonation and reading tasks (P<.001). Improvements in voice quality were observed in all components of the GRBAS(P <.001). In addition, 58.33% of participants in the survey reported improved voice after app use. CONCLUSIONS This study demonstrates that home-based, self-training speech therapy provided through an mHealth app can be a feasible solution for patients with Parkinson's disease.

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Section: Principal Findingssupporting

confidence: 89%

Section: Principal Findingsmentioning

confidence: 99%

Feasibility, Satisfaction and Effectiveness of a Smartphone Application-based Voice and Speech Training Program for Parkinson’s Disease: Single Arm Pretest-Posttest Study (Preprint)

Lee,

Kim,

Kim

2024

Preprint

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“…Although the number of studies is limited compared to teletherapy, there are a few that have confirmed the usefulness and effectiveness of appbased therapies 5,16-18 . These include reports of significant improvements in pronunciation and speech volume in people with PD who received speech therapy using a homegrown software 18 .…”

Section: Discussionmentioning

confidence: 99%

Feasibility, satisfaction and effectiveness of a smartphone application-based voice and speech training program for Parkinson’s disease.

Kim,

Lee,

Kim

2024

Preprint

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As Parkinson’s disease (PD) progresses, individuals often experience voice and speech difficulties. However, physical limitations can make in-person speech therapy challenging. These accessibility issues can be addressed by an mHealth application. We developed an Android-based speech therapy application and verified its feasibility, satisfaction, and effectiveness. Thirty PD patients with mean age of 68.04 ± 7.81 years who reported voice and speech problems and had no difficulty using a mobile phone were recruited. Two patients withdrew, 25 completed the use of the app and three discontinued midway. Among 25 patients, twenty showed an adherence rate of over 90% and four showed 70-90%. After using the app, 75% reported satisfaction and 58% noted an improvement in their voice. Significant improvements were observed in all acoustic measures and auditory-perceptual assessments after app use. This indicates that the mobile health application we developed is not only suitable for older people with PD but also highly satisfactory.

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Systematic Literature Review of the Applications Development Aimed at Language Skills Stimulation in Children

Carvajal-Vargas,

Astudillo-Rodriguez,

Crespo-Martínez

et al. 2024

Lecture Notes in Networks and Systems

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Design and Usability Evaluation of Speech Rehabilitation APP Interface for Patients with Parkinson’s Disease

Cited by 3 publications

References 8 publications

Feasibility, Satisfaction and Effectiveness of a Smartphone Application-based Voice and Speech Training Program for Parkinson’s Disease: Single Arm Pretest-Posttest Study (Preprint)

Feasibility, Satisfaction and Effectiveness of a Smartphone Application-based Voice and Speech Training Program for Parkinson’s Disease: Single Arm Pretest-Posttest Study (Preprint)

Feasibility, satisfaction and effectiveness of a smartphone application-based voice and speech training program for Parkinson’s disease.

Systematic Literature Review of the Applications Development Aimed at Language Skills Stimulation in Children

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