Speech Intelligibility, Acceptability, and Communication-Related Quality of Life in Chinese Alaryngeal Speakers

Law, Ida K.-Y.; P.-M., Estella; Yiu, Eml

doi:10.1001/archoto.2009.71

Cited by 48 publications

(49 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Measures of “communication effectiveness” have been used to assess a variety of everyday situations for individuals with ALS (Ball, Beukelman, & Pattee, 2004) and PD (Donovan, Kendall, Young, & Rosenbek, 2008). Examples of other questionnaires that touch on communicative participation, among other topics include the Dysarthria Impact Profile (Walshe, Peach, & Miller, 2009) and Living with Neurologically Based Speech Difficulties (LwD) (Hartelius, Elmberg, Holm, Lovberg, & Nikolaidis, 2008) for dysarthria; The Communication Activity and Participation After Laryngectomy questionnaire (I. Law, Ma, & Yiu, 2009) for laryngectomy, and the Overall Assessment of the Speaker’s Experience of Stuttering (OASES) for stuttering (Yaruss & Quesal, 2006).…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Interference With Communicative Participation Across Communication Disorders in Adults

Baylor

Burns

Eadie

et al. 2011

Am J Speech Lang Pathol

115

126

View full text Add to dashboard Cite

Purpose To explore the similarities and differences in self-reported restrictions in communicative participation across different communication disorders in community-dwelling adults. Methods Interviews were conducted with 44 adults representing seven different medical conditions: spasmodic dysphonia, multiple sclerosis, stroke, stuttering, Parkinson’s disease, amyotrophic lateral sclerosis, and laryngectomy. This paper represents a secondary analysis of qualitative data collected in cognitive interviews during development of the Communicative Participation Item Bank. The data were analyzed to identify themes in participants’ experiences related to communicative participation. Results Participants described many situations in which they experienced interference in communicative participation. Two themes emerged from the data. The first theme was Interference is both “functional” and “emotional” in which participants defined interference as limitations in accomplishing tasks and emotional consequences. The second theme was “It depends” - Sources of interference in which participants described many variables that contribute to interference in participation. Participants had limited control of some variables such as symptoms and environmental contexts, but personal decisions and priorities also influenced participation. Conclusions Despite different impairments and activity limitations, participants described similar communicative participation restrictions. These similarities may have theoretical and clinical implications in terms of how we assess, treat and study the participation restrictions associated with communication disorders.

show abstract

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Interference With Communicative Participation Across Communication Disorders in Adults

Baylor

Burns

Eadie

et al. 2011

Am J Speech Lang Pathol

115

126

View full text Add to dashboard Cite

show abstract

“…Collectively, past research findings have suggested uncertainty relative to potential relationships between listener‐rated and patient‐reported outcomes; this uncertainty has persisted because very few studies have investigated both types of outcomes in the same group of speakers. Yet, even among the few studies that have been conducted, results have only revealed weak relationships between these measures . Meyer et al did not find any significant relationships between clinician‐rated speech intelligibility and patient‐reported outcomes in 16 individuals who had undergone total laryngectomy.…”

Section: Introductionmentioning

confidence: 99%

“…Although there are clear acoustic and listener‐rated differences among alaryngeal methods, there is some controversy about whether patient‐reported outcomes show similar results . Inconsistencies are revealed when different types of outcome measures are used.…”

Section: Introductionmentioning

confidence: 99%

“…Eadie et al similarly found weak relationships between listener ratings of both speech intelligibility and acceptability with patient assessments of voice‐related QOL. Law et al also examined relationships among listener‐rated speech intelligibility and acceptability measures with patient‐reported communication outcomes in 49 alaryngeal speakers. Participants included those who used tracheoesophageal, esophageal, and electrolaryngeal speech, as well as those who used pneumatic devices.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The relationship between communicative participation and postlaryngectomy speech outcomes

et al. 2015

View full text Add to dashboard Cite

BACKGROUND This study examined relationships between communicative participation and post-laryngectomy speech outcomes including: a) listener-rated speech intelligibility and acceptability; and b) patient-rated speech acceptability and voice handicap. METHODS Thirty-six laryngectomized individuals completed the Communicative Participation Item Bank short form and the Voice Handicap Index-10. They provided recordings from the Sentence Intelligibility Test (SIT) and a reading passage, and rated their own speech acceptability. Forty-eight inexperienced listeners transcribed the SIT sentences to derive intelligibility scores. Eighteen additional listeners judged speech acceptability using rating scales. RESULTS Listeners judged tracheoesophageal speakers significantly more intelligible and acceptable than electrolaryngeal speakers (p < .05). Speech acceptability was significantly more acceptable to speakers than listeners (p < .05). Weak, non-significant relationships were found between communicative participation and listener-rated outcomes. Stronger, significant relationships were found between communicative participation and self-rated speech acceptability and voice handicap (p < .05). CONCLUSIONS Patient-reported communication outcomes are complementary to listener-rated outcomes.

show abstract

“…[7] Further, studies investigating intelligibility and acceptability characteristics between TE and ES speakers have also reported TE speakers' speech to be more intelligible and acceptable compared to ES speakers. [8][9][10][11][12][13][14] Most of the above mentioned studies which have compared TE and ES modes of alaryngeal speech have used different speakers for each speaking mode, and generally report large inter-participant variability among the participants within each mode. Although such an approach is useful in investigating the obvious differences between TE and ES modes, the differences noticed in those studies, between two alaryngeal modes, can also be influenced by other factors such as differences in the anatomy of voice source (placement of PE segment), differences in the length of the vocal tract, articulation ability, and speaking proficiency.…”

Section: Introductionmentioning

confidence: 99%

Comparison of esophageal and tracheoesophageal speech modes in dual-mode alaryngeal speakers

2014

View full text Add to dashboard Cite

Objective:The main purpose of this study was to compare different speech related parameters in dual-mode esophageal and tracheoesophageal speakers. A second purpose was to compare the speech characteristics of these (tracheo) esophageal speakers with age-and gender matched controls. Materials and Methods: Four male laryngectomees who were profi cient esophageal and tracheoesophageal speakers provided audio recordings of sustained vowels and connected speech using both alaryngeal methods. The participants from the control group also followed the same procedure. From the recorded samples, fundamental frequency (F0), maximum phonation duration (MPD), formant frequencies, and speech rate related parameters were extracted. Results: Although there was no statistically signifi cant difference between the two alaryngeal modes for any of the measured parameters, the absolute fundamental frequency and MPD values were higher in TE mode. However, when compared to controls, both the alaryngeal modes depicted signifi cantly shorter MPD values, higher fi rst formant frequency values, slower speech rate, and higher frequency of pauses. Conclusion: The results suggest that most group differences found between esophageal and tracheoesophageal speech in the past may be due to large inter-subject variability, and that within speakers, similarity is more between esophageal and tracheoesophageal speech than with laryngeal speech. These results have implications for understanding the pseudoglottic voice mechanism. and the person is taught to articulate movements with the sound of the vibrator. Because of the mechanical sounding voice and high cost constraints, this method is not preferred by many laryngectomy participants. Esophageal speech is produced by either injecting or insufflating air through the esophagus, and by making pharyngo-esophageal (PE) segment vibrate, whereas in TE speech, a puncture is made between the trachea and esophagus and a small silicon prosthesis is inserted into this opening. This prosthesis allows the air to pass from lungs to upper esophagus through a one-way valve action. Hence, like normal laryngeal voicing, TE speech is pulmonary driven, i.e. air from lungs is used to vibrate the PE segment. Because of the air supply from lungs, TE speech is supposed to result in longer phonation time and ORIGINAL ARTICLEAccess this article online Access this article online Website: Website: www.laryngologyandvoice.org

show abstract

Speech Intelligibility, Acceptability, and Communication-Related Quality of Life in Chinese Alaryngeal Speakers

Abstract: In speech rehabilitation after laryngectomy, QOL and speech intelligibility and acceptability should be considered together to find a balance that is acceptable to the patient.

Cited by 48 publications

References 20 publications

A Qualitative Study of Interference With Communicative Participation Across Communication Disorders in Adults

A Qualitative Study of Interference With Communicative Participation Across Communication Disorders in Adults

The relationship between communicative participation and postlaryngectomy speech outcomes

Comparison of esophageal and tracheoesophageal speech modes in dual-mode alaryngeal speakers

Contact Info

Product

Resources

About