Assessing the Agreement of Hypernasality and Audible Nasal Emission Ratings Between Audio-Recordings and a Clinic Setting.

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Cleft Palate-Craniofacial Journal Pub Date : 2024-11-01 Epub Date: 2023-06-26 DOI:10.1177/10556656231185494

Jessica L Williams, Kelly N Cordero, Thomas J Sitzman

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Abstract

Assess agreement of hypernasality and audible nasal emission (ANE) ratings between audio-recordings and a clinic setting.

Cross-sectional study using retrospective clinical recordings.

Audio-recording ratings by two trained speech language pathologists.

Percent agreement and intra- and inter-rater reliability of perceptual ratings.

Intra-rater reliability (AC2) of 167 audio-recorded speech samples for the primary and secondary raters, respectively, was 0.82 and 0.79 for hypernasality; for ANE, it was 0.57 and 0.75. Inter-rater reliability was 0.77 for hypernasality and 0.63 for ANE. When comparing ratings made from audio-recording versus the original clinical ratings, intra-rater reliability was 0.85 and 0.61 (primary and secondary rater, respectively) for hypernasality and 0.21 and 0.34 for ANE.

Ratings for hypernasality made from audio recordings were consistent with clinical evaluation, while ratings of ANE were not. ANE ratings made from audio recordings may not be a valid measure of velopharyngeal insufficiency speech characteristics.

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评估音频记录和诊所环境对过度哮鸣音和可闻鼻音评级的一致性。

使用回顾性临床记录进行横断面研究，由两名经过培训的语言病理学家进行录音评分，评估感知评分的一致性百分比以及评分者内部和评分者之间的可靠性。在 167 个录音语音样本中，主要评分者和辅助评分者的评分者内部可靠性（AC2）分别为 0.82 和 0.79（高鼻音）；ANE 为 0.57 和 0.75。评分者之间的可靠性分别为 0.77 和 0.63。如果将录音评分与原始临床评分进行比较，高鼻音的评分者内部信度分别为 0.85 和 0.61（主要评分者和辅助评分者），ANE 的评分者内部信度分别为 0.21 和 0.34。从录音中得出的 ANE 评分可能不是衡量发展咽喉功能不全言语特征的有效方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.