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An Evaluation of Expedited Transcription Methods for School-Age Children's Narrative Language: Automatic Speech Recognition and Real-Time Transcription
Open accessAbstract
Purpose: This study examined the accuracy and potential clinical utility of two expedited transcription methods for narrative language samples elicited from school-age children (7;5–11;10 [years;months]) with developmental language disorder. Transcription methods included real-time transcription produced by speech-language pathologists (SLPs) and trained transcribers (TTs) as well as Google Cloud Speech automatic speech recognition. Method: The accuracy of each transcription method was evaluated against a gold-standard reference corpus. Clinical utility was examined by determining the reliability of scores calculated from the transcripts produced by each method on several language sample analysis (LSA) measures. Participants included seven certified SLPs and seven TTs. Each participant was asked to produce a set of six transcripts in real time, out of a total 42 language samples. The same 42 samples were transcribed using Google Cloud Speech. Transcription accuracy was evaluated through word error rate. Reliability of LSA scores was determined using correlation analysis. Results: Results indicated that Google Cloud Speech was significantly more accurate than real-time transcription in transcribing narrative samples and was not impacted by speech rate of the narrator. In contrast, SLP and TT transcription accuracy decreased as a function of increasing speech rate. LSA metrics generated from Google Cloud Speech transcripts were also more reliably calculated. Conclusions: Automatic speech recognition showed greater accuracy and clinical utility as an expedited transcription method than real-time transcription. Though there is room for improvement in the accuracy of speech recognition for the purpose of clinical transcription, it produced highly reliable scores on several commonly used LSA metrics. Supplemental Material: https://doi.org/10.23641/asha.15167355
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“One current challenge is that many automated speech recognition (ASR) systems (e.g., Google, Microsoft, IBM) are trained on adult speech samples, and often produce higher than acceptable error rates for children's speech (Hunte et al., 2021; Wu et al., 2019; but see Fox et al., 2021).”
From Early Identification of Language Disorders Using Natural Language Processing and Machine Learning: Challenges and Emerging Approaches (2025) · cites this paper as Fox et al., 2021
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Metadata
- Authors
- Fox, C. B., Israelsen-Augenstein, M., Jones, S., & Gillam, S. L.
- Affiliations
- Utah State University (US)
- Venue
- Journal of Speech, Language, and Hearing Research
- Published
- 2021-09-14
- Volume
- 64
- Issue
- 9
- Pages
- 3533-3548
- ISSN
- 1092-4388 (ISSN-L)
- 1558-9102
- OpenAlex
- W3194191636
- Cited by
- 25
- References
- 69
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 6 · 2023: 3 · 2022: 5
- FWCI
- 5.13
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Journal of Speech Language and Hearing Research (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Physical Sciences › Computer Science › Artificial Intelligence › Speech Recognition and Synthesis
- Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
- Keywords
- speech recognition, real-time transcription, narrative language, elementary school students, specific language impairment, language sample analysis, speech rate, transcription accuracy, word error rate, speech-language pathologists
- MeSH terms
- Child, Humans, Schools, Speech, Speech-Language Pathology, Speech Perception, Reproducibility of Results
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