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Progressive dysarthria and augmentative and alternative communication in conversation: Establishing the reliability of the Dysarthria-in-Interaction Profile

Bloch, SJ; Tuomainen, J; (2017) Progressive dysarthria and augmentative and alternative communication in conversation: Establishing the reliability of the Dysarthria-in-Interaction Profile. International Journal of Language and Communication Disorders , 52 (1) pp. 3-9. 10.1111/1460-6984.12258. Green open access

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Abstract

Background: The Dysarthria-in-Interaction Profile’s potential contribution to the clinical assessment of dysarthria-in-conversation has been outlined in the literature but its consistency of use across different users has yet to be reported. / Aims: To establish the level of consistency across raters on four different interaction categories. That is, how reliable clinicians are when rating a series of videos. A secondary aim was to investigate the relationship between raters’ estimates of dysarthric speech intelligibility and their rating of each dyad’s overall interaction. / Methods and Procedures: Ten UK speech and language therapists rated independently a series of 40 video samples featuring people with progressive dysarthria in conversation with family members. An equal number of video samples were selected from a collection of recordings featuring four different types of interactional relationship. / Outcomes and Results: The results show that practicing speech and language therapists are able to rate consistently, and with a high degree of agreement, a series of everyday conversation videos featuring dyads with progressive dysarthria and presenting at different interaction levels. The results also indicate that speech intelligibility does not predict the level of impairment in the interaction in a systematic way suggesting that conversation contains elements that are not directly related to speech intelligibility. / Conclusions and Implications: Further work is required to establish the clinical functionality of this tool but the results presented here support the development of this conversation profiling system, particularly for people experiencing significant intelligibility problems but remaining highly interactive/communicative.

Type: Article
Title: Progressive dysarthria and augmentative and alternative communication in conversation: Establishing the reliability of the Dysarthria-in-Interaction Profile
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/1460-6984.12258
Publisher version: http://dx.doi.org/10.1111/1460-6984.12258
Language: English
Additional information: This is the peer reviewed version of the following article: Bloch, SJ; Tuomainen, J; (2016) Progressive dysarthria and augmentative and alternative communication in conversation: Establishing the reliability of the Dysarthria-in-Interaction Profile. International Journal of Language and Communication Disorders, which has been published in final form at: http://dx.doi.org/10.1111/1460-6984.12258. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html#terms).
Keywords: dysarthria; progressive neurological disorders; conversation analysis; motor speech disorders
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Language and Cognition
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Speech, Hearing and Phonetic Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/1476992
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