Literaturnachweis - Detailanzeige
| Autor/inn/en | Ganzeboom, Mario; Bakker, Marjoke; Beijer, Lilian; Strik, Helmer; Rietveld, Toni |
|---|---|
| Titel | A Serious Game for Speech Training in Dysarthric Speakers with Parkinson's Disease: Exploring Therapeutic Efficacy and Patient Satisfaction |
| Quelle | In: International Journal of Language & Communication Disorders, 57 (2022) 4, S.808-821 (14 Seiten)
PDF als Volltext |
| Zusatzinformation | ORCID (Ganzeboom, Mario) |
| Sprache | englisch |
| Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
| ISSN | 1368-2822 |
| DOI | 10.1111/1460-6984.12722 |
| Schlagwörter | Diseases; Patients; Outcomes of Treatment; Speech Impairments; Game Based Learning; Speech Therapy; Aging (Individuals); Intelligibility; Audio Equipment; Feedback (Response); Preferences; Phonology; Pronunciation; Comparative Analysis; Speech Evaluation; Conventional Instruction; Vignettes; Rating Scales; Delivery Systems; Computer Software |
| Abstract | Background: The increasing need for speech therapy due to our ageing population raises the demand on therapeutical resources. To meet this demand, innovative delivery of speech training is required. eHealth applications may provide a solution, as intensified and prolonged training is only possible and affordable in patients' home environment. Aims: This study explores the effects on speech intelligibility of game-based speech training that provides automatic feedback on loudness, pitch and pronunciation. Additionally, we investigate how satisfied patients are with the game-based speech training and how they experience the automatic feedback. Furthermore, patients' preferences for game-based speech training compared with face-to-face training are explored. Methods and Procedures: Eight adult dysarthric speakers with Parkinson's disease (PD) completed a 4-week game-based speech training in their home environment. For each speaker, 24 speech utterances were audio recorded 4 weeks before (T1), immediately before (T2) and immediately after (T3) the training. All speech samples were rated on speech intelligibility by 10 untrained listeners, by comparing them with the corresponding utterances realized by a healthy speaker. Changes over time were analysed using a linear mixed-effects analysis. Patient satisfaction with the game and the automatic feedback was assessed using a questionnaire. The preferences of patients were collected using a paired comparisons procedure in which the patients were asked whether they would prefer game-based or face-to-face speech training in four hypothetical scenarios with different hypothesized levels of speech improvement. Outcomes and Results: While there was no significant difference in speech intelligibility ratings between T1 and T2, we did find one between T2 and T3. At T3, speech intelligibility was rated higher than at T2, indicating positive effects of the game-based speech training. Patients generally seemed satisfied with the game as average ratings were above 7 on a 10-point rating scale. Generally, patients agreed with the automatic feedback and could use it to positively change the way they spoke. Patients prefer the training that provides the highest hypothetical improvement, and thus do not prefer face-to-face above game-based therapy. Conclusions and Implications: The results of this study suggest that dysarthric speakers due to PD see game-based speech therapy as a valid alternative for face-to-face therapy and that it leads to an average improvement in speech intelligibility. For an optimal effect and user satisfaction it should preferably not be used in isolation but in combination with face-to-face training. In this manner, the strengths of both therapeutic deliveries can be harnessed. (As Provided). |
| Anmerkungen | Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us |
| Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
| Update | 2024/1/01 |
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