Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1177/1055665619873506 http://hdl.handle.net/11449/196761 |
Resumo: | Objective: Reliable perceptual and instrumental assessment of oral-nasal balance disorders is a persistent problem in speech-language pathology. The goal of the study was to evaluate whether nasalance-based preclassification of oral-nasal balance disorders improves listener agreement. Design: Retrospective listening study. Setting: Tertiary university hospital. Participants: Fifty-four randomly selected recordings of patients with repaired unilateral cleft lip and palate (UCLP). Three experienced speech-language pathologists participated as expert listeners. Interventions: Two listening experiments were based on nasalance scores and audio recordings of speakers with repaired UCLP. The speakers were preclassified as normal, hypernasal, hyponasal, or mixed based on their nasalance scores. Initially, the listeners determined the diagnostic category of the oral-nasal balance for 62 audio recordings (8 repeats). Six months later, they listened to 38 of the recordings (6 repeats) along with a spreadsheet indicating the nasalance-based categories for the oral-nasal balance. The listeners confirmed, or rejected and corrected, the nasalance-based preclassification. Main Outcome Measures: Intralistener, interlistener agreement, and agreement between listener categories and nasalance-based oral-nasal balance categories. Results: In the first study, the agreement between the listeners' diagnostic category and the nasalance-based category was 45.1% and the interlistener agreement was 36.7%. In the second study, the agreement between the listeners' category and the nasalance-based category was 67.1% (75% agreement for the correct nasalance-based categories and 41.7% for the misclassifications), and the interlistener agreement was 85.4%. Conclusions: Preclassification of oral-nasal balance disorders based on nasalance scores may help listeners achieve better diagnostic accuracy and higher agreement. |
id |
UNSP_cc6c473ad9dd03e557f1dab40ee38cce |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/196761 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Studynasalanceoral-nasal balancehypernasalityhyponasalitymixed nasalityassessmentObjective: Reliable perceptual and instrumental assessment of oral-nasal balance disorders is a persistent problem in speech-language pathology. The goal of the study was to evaluate whether nasalance-based preclassification of oral-nasal balance disorders improves listener agreement. Design: Retrospective listening study. Setting: Tertiary university hospital. Participants: Fifty-four randomly selected recordings of patients with repaired unilateral cleft lip and palate (UCLP). Three experienced speech-language pathologists participated as expert listeners. Interventions: Two listening experiments were based on nasalance scores and audio recordings of speakers with repaired UCLP. The speakers were preclassified as normal, hypernasal, hyponasal, or mixed based on their nasalance scores. Initially, the listeners determined the diagnostic category of the oral-nasal balance for 62 audio recordings (8 repeats). Six months later, they listened to 38 of the recordings (6 repeats) along with a spreadsheet indicating the nasalance-based categories for the oral-nasal balance. The listeners confirmed, or rejected and corrected, the nasalance-based preclassification. Main Outcome Measures: Intralistener, interlistener agreement, and agreement between listener categories and nasalance-based oral-nasal balance categories. Results: In the first study, the agreement between the listeners' diagnostic category and the nasalance-based category was 45.1% and the interlistener agreement was 36.7%. In the second study, the agreement between the listeners' category and the nasalance-based category was 67.1% (75% agreement for the correct nasalance-based categories and 41.7% for the misclassifications), and the interlistener agreement was 85.4%. Conclusions: Preclassification of oral-nasal balance disorders based on nasalance scores may help listeners achieve better diagnostic accuracy and higher agreement.MITACS Globalink Research AwardUniv Toronto, Dept Speech Language Pathol, 160-500 Univ Ave, Toronto, ON M5G 1V7, CanadaUniv Estadual Paulista, Speech Language & Audiol Dept, Marilia, SP, BrazilUniv Sao Paulo, Dept Speech Language & Audiol, Bauru, SP, BrazilUniv Sao Paulo, Hosp Reabilitacao Anomalias Craniofaciais, Bauru, SP, BrazilUniv Sao Paulo, Coll Dent Bauru, Bauru, SP, BrazilUniv Estadual Paulista, Speech Language & Audiol Dept, Marilia, SP, BrazilMITACS Globalink Research Award: IT07417Alliance Communications Group Division Allen PressUniv TorontoUniversidade Estadual Paulista (Unesp)Universidade de São Paulo (USP)Boer, Gillian deCastro Marino, Viviane Christina de [UNESP]Rillo Dutka, Jeniffer de CassiaPegoraro-Krook, Maria InesBressmann, Tim2020-12-10T19:55:25Z2020-12-10T19:55:25Z2020-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article448-457http://dx.doi.org/10.1177/1055665619873506Cleft Palate-craniofacial Journal. Lawrence: Alliance Communications Group Division Allen Press, v. 57, n. 4, p. 448-457, 2020.1055-6656http://hdl.handle.net/11449/19676110.1177/1055665619873506WOS:000525001800007Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCleft Palate-craniofacial Journalinfo:eu-repo/semantics/openAccess2021-10-23T09:55:29Zoai:repositorio.unesp.br:11449/196761Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-23T09:55:29Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study |
title |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study |
spellingShingle |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study Boer, Gillian de nasalance oral-nasal balance hypernasality hyponasality mixed nasality assessment |
title_short |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study |
title_full |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study |
title_fullStr |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study |
title_full_unstemmed |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study |
title_sort |
Nasalance-Based Preclassification of Oral-Nasal Balance Disorders Results in Higher Agreement of Expert Listeners' Auditory-Perceptual Assessments: Results of a Retrospective Listening Study |
author |
Boer, Gillian de |
author_facet |
Boer, Gillian de Castro Marino, Viviane Christina de [UNESP] Rillo Dutka, Jeniffer de Cassia Pegoraro-Krook, Maria Ines Bressmann, Tim |
author_role |
author |
author2 |
Castro Marino, Viviane Christina de [UNESP] Rillo Dutka, Jeniffer de Cassia Pegoraro-Krook, Maria Ines Bressmann, Tim |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Univ Toronto Universidade Estadual Paulista (Unesp) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Boer, Gillian de Castro Marino, Viviane Christina de [UNESP] Rillo Dutka, Jeniffer de Cassia Pegoraro-Krook, Maria Ines Bressmann, Tim |
dc.subject.por.fl_str_mv |
nasalance oral-nasal balance hypernasality hyponasality mixed nasality assessment |
topic |
nasalance oral-nasal balance hypernasality hyponasality mixed nasality assessment |
description |
Objective: Reliable perceptual and instrumental assessment of oral-nasal balance disorders is a persistent problem in speech-language pathology. The goal of the study was to evaluate whether nasalance-based preclassification of oral-nasal balance disorders improves listener agreement. Design: Retrospective listening study. Setting: Tertiary university hospital. Participants: Fifty-four randomly selected recordings of patients with repaired unilateral cleft lip and palate (UCLP). Three experienced speech-language pathologists participated as expert listeners. Interventions: Two listening experiments were based on nasalance scores and audio recordings of speakers with repaired UCLP. The speakers were preclassified as normal, hypernasal, hyponasal, or mixed based on their nasalance scores. Initially, the listeners determined the diagnostic category of the oral-nasal balance for 62 audio recordings (8 repeats). Six months later, they listened to 38 of the recordings (6 repeats) along with a spreadsheet indicating the nasalance-based categories for the oral-nasal balance. The listeners confirmed, or rejected and corrected, the nasalance-based preclassification. Main Outcome Measures: Intralistener, interlistener agreement, and agreement between listener categories and nasalance-based oral-nasal balance categories. Results: In the first study, the agreement between the listeners' diagnostic category and the nasalance-based category was 45.1% and the interlistener agreement was 36.7%. In the second study, the agreement between the listeners' category and the nasalance-based category was 67.1% (75% agreement for the correct nasalance-based categories and 41.7% for the misclassifications), and the interlistener agreement was 85.4%. Conclusions: Preclassification of oral-nasal balance disorders based on nasalance scores may help listeners achieve better diagnostic accuracy and higher agreement. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-10T19:55:25Z 2020-12-10T19:55:25Z 2020-04-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1177/1055665619873506 Cleft Palate-craniofacial Journal. Lawrence: Alliance Communications Group Division Allen Press, v. 57, n. 4, p. 448-457, 2020. 1055-6656 http://hdl.handle.net/11449/196761 10.1177/1055665619873506 WOS:000525001800007 |
url |
http://dx.doi.org/10.1177/1055665619873506 http://hdl.handle.net/11449/196761 |
identifier_str_mv |
Cleft Palate-craniofacial Journal. Lawrence: Alliance Communications Group Division Allen Press, v. 57, n. 4, p. 448-457, 2020. 1055-6656 10.1177/1055665619873506 WOS:000525001800007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Cleft Palate-craniofacial Journal |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
448-457 |
dc.publisher.none.fl_str_mv |
Alliance Communications Group Division Allen Press |
publisher.none.fl_str_mv |
Alliance Communications Group Division Allen Press |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1799964374045032448 |