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Cited by 3Cleft Lip and Palate ResearchLanguage Development and DisordersVoice and Speech Disorders

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

The Feasibility of Cross-Linguistic Speech Evaluation in the Care of International Cleft Palate Patients

Stoehr, Jenna R., Park, Eugene, Reddy, Narainsai K., Rychlik, Karen, Raj, Bharat, Gosain, Arun K.·2022·Journal of Craniofacial Surgery
DOI 10.1097/scs.0000000000008645
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Abstract

ABSTRACT: Many patients with cleft palate in developing countries never receive postoperative speech assessment or therapy. The use of audiovisual recordings could improve access to post-repair speech care. The present study evaluated whether English-speaking speech-language pathologists (SLPs) could assess cleft palate patients speaking an unfamiliar language (Tamil) using recorded media. Recordings obtained from Tamil-speaking participants were rated by 1 Tamil-speaking SLP and 3 English-speaking SLPs. Ratings were analyzed for inter-rater reliability and scored for percent correct. Accuracy of the English SLPs was compared with independent t tests and Analysis of Variance. Sixteen participants (mean age 14.5 years, standard deviation [SD] 7.4 years; mean age of surgery of 2.7 years, SD 3.7 years; time since surgery: 10.8 years, SD 5.7 years) were evaluated. Across the 4 SLPs, 5 speech elements were found to have moderate agreement, and the mean kappa was 0.145 (slight agreement). Amongst the English-speaking SLPs, 10 speech elements were found to have substantial or moderate agreement, and the mean kappa was 0.333 (fair agreement). Speech measures with the highest inter-rater reliability were hypernasality and consonant production errors. The average percent correct of the English SLPs was 60.7% (SD 20.2%). English SLPs were more accurate if the participant was female, under eighteen, bilingual, or had speech therapy. The results demonstrate that English SLPs without training in a specific language (Tamil) have limited potential to assess speech elements accurately. This research could guide training interventions to augment the ability of SLPs to conduct cross-linguistic evaluations and improve international cleft care by global health teams.

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Crossref · 10.1097/scs.0000000000008645

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Metadata

Authors
Stoehr, J. R., Park, E., Reddy, N. K., Rychlik, K., Raj, B., & Gosain, A. K.
Affiliations
  • Northwestern University (US)
  • Lurie Children's Hospital (US)
  • Jawaharlal Institute of Post Graduate Medical Education and Research (IN)
Corresponding author
  • Stoehr, Jenna R.
  • Park, Eugene
  • Gosain, Arun K.
ORCID
Venue
Journal of Craniofacial Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2022-03-11
Volume
33
Issue
5
Pages
1413-1417
ISSN
1049-2275 (ISSN-L)
DOI
10.1097/scs.0000000000008645
OpenAlex
W4221079657
Cited by
3
References
35
Citations by year
2025: 1 · 2024: 1 · 2023: 1
FWCI
0.45
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Craniofacial Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Dentistry › Oral Surgery › Cleft Lip and Palate Research
  • Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
  • Health Sciences › Health Professions › Speech and Hearing › Voice and Speech Disorders
Keywords
cleft palate, speech-language pathologists, inter-rater reliability, hypernasality, audiovisual recordings, global health, bilingualism
MeSH terms
Adolescent, Child, Preschool, Cleft Palate, Feasibility Studies, Female, Humans, India, Linguistics, Speech, Reproducibility of Results

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