A pilot study of online assessment of childhood speech disorders

We investigated the feasibility of assessing childhood speech disorders via an Internet-based telehealth system (eREHAB). The equipment provided videoconferencing through a 128 kbit/s Internet link, and enabled the transfer of pre-recorded video and audio data from the participant to the online clinician. Six children (mean age = 5.3 years) with a speech disorder were studied. Assessments of single-word articulation, intelligibility in conversation, and oro-motor structure and function were conducted for each participant, with simultaneous scoring by a face to face and an online clinician. There were high levels of agreement between the two scoring environments for single-word articulation (92%), speech intelligibility (100%) and oro-motor tasks (91%). High levels of inter- and intra-rater agreement were achieved for the online ratings for most measures. The results suggest that an Internet-based assessment protocol has potential for assessing paediatric speech disorders.

[1]  M. Onslow,et al.  Availability, access, and quality of care: Inequities in rural speech pathology services for children and a model for redress , 2002 .

[2]  Raymond D. Kent Hearing and Believing , 1996 .

[3]  C. Sheard,et al.  Reliability and agreement of ratings of ataxic dysarthric speech samples with varying intelligibility. , 1991, Journal of speech and hearing research.

[4]  M. Onslow,et al.  Telehealth adaptation of the Lidcombe Program of Early Stuttering Intervention: five case studies. , 2004, American journal of speech-language pathology.

[5]  Annie J. Hill,et al.  Assessment of motor speech disorders online: A pilot study , 2003, Journal of telemedicine and telecare.

[6]  B. Dodd,et al.  Diagnostic Evaluation of Articulation and Phonology , 2002 .

[7]  A. McCullough,et al.  Viability and effectiveness of teletherapy for pre-school children with special needs. , 2001, International journal of language & communication disorders.

[8]  M. Snowling,et al.  Educational consequences of developmental speech disorder: Key Stage 1 National Curriculum assessment results in English and mathematics. , 2004, The British journal of educational psychology.

[9]  Jeff Carpenter,et al.  Two year results of a pilot study delivering speech therapy to students in a rural Oklahoma school via telemedicine , 2002, Proceedings of the 35th Annual Hawaii International Conference on System Sciences.

[10]  Annie J. Hill,et al.  An Internet-based telerehabilitation system for the assessment of motor speech disorders: a pilot study. , 2006, American journal of speech-language pathology.