J Telemed Telecare - Assessing children's speech intelligibility and oral structures, and functions via an Internet-based telehealth system.

Tópicos

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Resumo

We examined the validity and reliability of an Internet-based telehealth system for screening speech intelligibility and oro-motor structure, and function in children with speech disorders. Twenty children aged 4-9 years were assessed by a clinician in the conventional, face-to-face (FTF) manner; simultaneously, they were assessed by a second clinician via the videoconferencing system using a 128-kbit/s Internet connection. Speech intelligibility in conversation was rated and an informal assessment of oro-motor structure and function was conducted. There was a high level of agreement between the online and FTF speech intelligibility ratings, with 70% exact agreement and 100% close agreement (within ? point on a 5-point scale). The weighted kappa statistic revealed very good agreement between raters (kappa = 0.86). Data for online and FTF ratings of oro-motor function revealed overall exact agreement of 73%, close agreement of 96%, moderate or good strength of agreement for six variables (kappa = 0.48-0.74), and poor to fair agreement for six variables (kappa = 0.12-0.36). Intra- and inter-rater reliability measures (ICCs) were similar between the online and FTF assessments. Low levels of agreement for some oro-motor variables highlighted the subjectivity of this assessment. However, the overall results support the validity and reliability of Internet-based screening of speech intelligibility and oro-motor function in children with speech disorders.

Resumo Limpo

examin valid reliabl internetbas telehealth system screen speech intellig oromotor structur function children speech disord twenti children age year assess clinician convent facetofac ftf manner simultan assess second clinician via videoconferenc system use kbit internet connect speech intellig convers rate inform assess oromotor structur function conduct high level agreement onlin ftf speech intellig rate exact agreement close agreement within point point scale weight kappa statist reveal good agreement rater kappa data onlin ftf rate oromotor function reveal overal exact agreement close agreement moder good strength agreement six variabl kappa poor fair agreement six variabl kappa intra interrat reliabl measur icc similar onlin ftf assess low level agreement oromotor variabl highlight subject assess howev overal result support valid reliabl internetbas screen speech intellig oromotor function children speech disord

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