Yıl: 2023 Cilt: 22 Sayı: 1 Sayfa Aralığı: 1 - 8 Metin Dili: İngilizce İndeks Tarihi: 23-05-2023

LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE

Öz:
Objective: Remote therapy and rehabilitation procedures have become popular in recent years, but the effects of audio and video streaming quality (AVSQ) and the listening effort (LE) have been neglected. Since increased LE and reduced AVSQ may have a diminishing effect on the use of cognitive resources depending on the communication environment or auditory skills, it is especially important in interventions related to hearing and speech-language disorders. The aim of our study is present the preliminary development process of a simple listening effort screening questionnaire (LESQ) that can support professionals in remote interventions. Material and Methods: 65 adult individuals with persistent developmental stuttering participated in this study. Participants filled out an 11-point Likert-type scale with 5 items related to LE and 3 items related to AVSQ. Participants attended three remote therapy sessions and filled out the LESQ. Average values obtained from three sessions were used for the analysis. Factor analysis and Cronbach’s alpha coefficient analysis were conducted for internal consistency of the inventory and correlation coefficients between LE and AVSQ item averages were calculated for the assessment of construct validity. Results: As a result of the reliability analysis, the last item in the LE subscale was removed from the final LESQ. Cronbach’s alpha coefficient for the 7-item LESQ, LE subscale, and AVSQ subscale were 0.87, 0.85, and 0.83, respectively. The factor analysis confirmed a two-factor construct with AVSQ and LE which explain 66.5% of the total variance. There was a statistically significant correlation between the LE and AVSQ sub-scales (r = 0.57). Conclusion: LESQ can be used as a screening tool for professionals planning to conduct remote therapies, especially for hearing and speech-language-related programs. Future studies that will include various disorders and therapy outcomes will be conducted.
Anahtar Kelime:

KONUŞMA, DİL VE İŞİTME BİLİMLERİNDE DİNLEME EFORU VE TELE SAĞLIK: DİNLEME EFORU TARAMA ANKETİNİN GELİŞTİRİLMESİNE İLİŞKİN ÖN BULGULAR

Öz:
Amaç: Uzaktan terapi ve rehabilitasyon uygulamaları son yıllarda gittikçe popülerleşmekle birlikte ses ve video aktarım kalitesinin (SVAK) ve dinleme eforunun (DE) bu süreçlerdeki etkisi yeterince değerlendirilmemiştir. Artan DE ve azalan SVAK, iletişim ortamına veya işitsel becerilere bağlı olarak bilişsel kaynakların kullanımını azaltıcı bir etkiye sahip olabileceğinden, özellikle işitme ve konuşma-dil bozukluklarına yönelik müdahalelerde önem taşımaktadır. Çalışmamızın amacı, profesyonellere uzaktan müdahalelerde destek olabilecek basit bir dinleme eforu tarama anketinin (DETA) ön geliştirme sürecini sunmaktır. Gereç ve Yöntemler: Çalışmaya kalıcı gelişimsel kekemeliği olan 65 yetişkin birey katılmıştır. Katılımcılar, DE ile ilgili 5 madde ve SVAK ile ilgili 3 maddeden oluşan ve 11 puanlık Likert tipi bir ölçeği doldurmuştur. Katılımcılar üç uzaktan terapi seansına katılmış ve her bir uygulamadan sonra DETA’yı tekrar doldurmuş ve analiz için bu üç seanstan elde edilen değerlerin ortalaması kullanılmıştır. Envanterin iç tutarlılığı için faktör analizi ve Cronbach alfa katsayısı analizi, yapı geçerliliğini değerlendirmek için ise DE ve SVAK alt ölçek madde ortalamaları arasındaki korelasyon katsayıları hesaplanmıştır. Bulgular: Güvenilirlik analizi sonucunda DE alt ölçeğindeki son maddenin DETA'dan çıkartılmasına karar verilmiştir. 7 maddelik DETA, DE alt ölçeği ve SVAK alt ölçeği için Cronbach alfa katsayısı sırasıyla 0.87, 0.85 ve 0.83 olarak elde edilmiştir. Faktör analizi, toplam varyansın %66,5'ini açıklayan SVAK ve DE ile iki faktörlü bir yapıyı doğrulamıştır. DE ve SVAK alt ölçekleri arasında istatistiksel olarak anlamlı bir korelasyon elde edilmiştir (r = 0.57). Sonuç: DETA, özellikle işitme ve konuşma-dil ile ilgili durumlarda uzaktan terapi yapmayı planlayan profesyoneller için bir tarama aracı olarak kullanılabilme açısından umut verici ön bulgular ortaya koymuştur. Gelecekte daha farklı bozuklukları ve müdahale programlarını içerecek daha büyük örneklemli çalışmalar planlanmaktadır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
  • 1. Blandford A, Wesson J, Amalberti R, AlHazme R, Allwihan R. Opportunities and challenges for telehealth within, and beyond, a pandemic. The Lancet Global Health. 2020;8(11):e1364-e5.
  • 2. Jaspreet KD, Tara DH, Julie LL, Susan EM, Peterson EP, Kristen AB. Expansion of telehealth in primary care during the COVID-19 pandemic: benefits and barriers. J Am Assoc Nurse Pract. 2021;34(2):224-9.
  • 3. Mechanic OJ, Persaud Y, Kimball AB. Telehealth Systems. FL, USA: StatPearls Publishing; 2022.
  • 4. Mashima AP, Doarn CR. Overview of Telehealth Activities in Speech-Language Pathology. Telemedicine and e-Health. 2008;14(10):1101-17.
  • 5. Kelchner L. Telehealth and the treatment of voice disorders: A discussion regarding evidence. Perspectives on Voice and Voice Disorders. 2013;23(3):88-94.
  • 6. Mashima P, Birkmire-Peters D, Syms M, Holtel M, Burgess L, Peters L. Telehealth: Voice Therapy Using Telecommunications Technology. American journal of speech-language pathology / American Speech-Language Hearing Association. 2003;12:432-9.
  • 7. Rangarathnam B, Gilroy H, McCullough G. Do patients treated for voice therapy with telepractice show similar changes in voice outcome measures as patients treated face to-face. EBP Briefs. 2016;11(5):1-6.
  • 8. Constantinescu G, Theodoros D, Russell T, Ward E, Wilson S, Wootton R. Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application. International Journal of Language & Communication Disorders. 2010;45(6):630-44.
  • 9. Hill AJ, Theodoros DG, Russell TG, Cahill LM, Ward EC, Clark KM. An Internet-based telerehabilitation system for the assessment of motor speech disorders: A pilot study. Am J Speech Lang Pathol. 2006.
  • 10. Hill AJ, Theodoros DG, Russell TG, Ward EC. The redesign and re-evaluation of an internet-based telerehabilitation system for the assessment of dysarthria in adults. Telemedicine and e-Health. 2009;15(9):840-50.
  • 11. Grogan-Johnson S, Gabel RM, Taylor J, Rowan LE, Alvares R, Schenker J. A pilot exploration of speech sound disorder intervention delivered by telehealth to school?age children. International journal of telerehabilitation. 2011;3(1):31.
  • 12. Grogan-Johnson S, Schmidt AM, Schenker J, Alvares R, Rowan LE, Taylor J. A comparison of speech sound intervention delivered by telepractice and side-by-side service delivery models. Communication Disorders Quarterly. 2013;34(4):210-20.
  • 13. Hair A, Monroe P, Ahmed B, Ballard KJ, Gutierrez-Osuna R, editors. Apraxia world: A speech therapy game for children with speech sound disorders. Proceedings of the 17th ACM Conference on Interaction Design and Children; 2018.
  • 14. Carey B, O'Brian S, Onslow M, Block S, Jones M, Packman A. Randomized controlled non-inferiority trial of a telehealth treatment for chronic stuttering: The Camperdown Program. International journal of language & communication disorders. 2010;45(1):108-20.
  • 15. Jahromi ME, Ahmadian L. Evaluating satisfaction of patients with stutter regarding the tele-speech therapy method and infrastructure. International journal of medical informatics. 2018;115:128-33.
  • 16. Wilson L, Onslow M, Lincoln M. Telehealth Adaptation of the lidcombe program of early stuttering intervention. 2004.
  • 17. Mosley CL. Designing and Implementing a Comprehensive Telehealth Aural Rehabilitation Program for Adult Cochlear Implant Recipients. Perspectives of the ASHA Special Interest Groups. 2021;6(6):1504-12.
  • 18. Malawer A. Telepractice?the Future of Aural Rehabilitation?is Here. Leader Live. 2020.
  • 19. Lee W, Lee J. Development of Web-Based Platform for Auditory Rehabilitation. Audiology and Speech Research. 2018;14(1):23-34.
  • 20. Keck CS, Doarn CR. Telehealth Technology Applications in Speech-Language Pathology. Telemedicine and e-Health. 2014;20(7):653-9.
  • 21. Weerathunge HR, Segina RK, Tracy L, Stepp CE. Accuracy of Acoustic Measures of Voice via Telepractice Videoconferencing Platforms. Journal of Speech, Language, and Hearing Research. 2021;64(7):2586-99.
  • 22. Vecchio RP. Theoretical and empirical examination of cognitive resource theory. Journal of Applied Psychology. 1990;75(2):141.
  • 23. Baddeley A. Working memory. Curr Biol. 2010;20(4):136- 40.
  • 24. Pichora-Fuller MK, Kramer SE, Eckert MA, Edwards B, Hornsby BW, Humes LE, et al. Hearing Impairment and Cognitive Energy: The Framework for Understanding Effortful Listening (FUEL). Ear Hear. 2016;37 Suppl 1:5s 27s.
  • 25. Amlani AM, Russo TA. Negative Effect of Acoustic Panels on Listening Effort in a Classroom Environment. J Am Acad Audiol. 2016;27(10):805-15.
  • 26. Peng ZE, Wang LM. Listening Effort by Native and Nonnative Listeners Due to Noise, Reverberation, and Talker Foreign Accent During English Speech Perception. J Speech Lang Hear Res. 2019;62(4):1068-81.
  • 27. Prodi N, Visentin C, Peretti A, Griguolo J, Bartolucci GB. Investigating Listening Effort in Classrooms for 5- to 7-Year Old Children. Lang Speech Hear Serv Sch. 2019;50(2):196- 210.
  • 28. Rakerd B, Seitz PF, Whearty M. Assessing the cognitive demands of speech listening for people with hearing losses. Ear Hear. 1996;17(2):97-106.
  • 29. Hicks CB, Tharpe AM. Listening Effort and Fatigue in School-Age Children With and Without Hearing Loss. Journal of Speech, Language, and Hearing Research. 2002;45(3):573-84.
  • 30. Strand JF, Brown VA, Merchant MB, Brown HE, Smith J. Measuring Listening Effort: Convergent Validity, Sensitivity, and Links With Cognitive and Personality Measures. J Speech Lang Hear Res. 2018;61(6):1463-86.
  • 31. Giuliani NP, Brown CJ, Wu Y-H. Comparisons of the Sensitivity and Reliability of Multiple Measures of Listening Effort. Ear and Hearing. 2020.
  • 32. Parmanto B, Lewis AN, Jr., Graham KM, Bertolet MH. Development of the Telehealth Usability Questionnaire (TUQ). Int J Telerehabil. 2016;8(1):3-10.
  • 33. Yip MP, Chang AM, Chan J, MacKenzie AE. Development of the Telemedicine Satisfaction Questionnaire to evaluate patient satisfaction with telemedicine: a preliminary study. Journal of Telemedicine and Telecare. 2003;9(1):46-50.
  • 34. Byrd CT, Croft R, Gkalitsiou Z, Hampton E. Clinical utility of self-disclosure for adults who stutter: Apologetic versus informative statements. J Fluency Disord. 2017;54:1-13.
  • 35. Healey EC, Gabel RM, Daniels DE, Kawai N. The effects of self-disclosure and non self-disclosure of stuttering on listeners' perceptions of a person who stutters. J Fluency Disord. 2007;32(1):51-69.
  • 36. McGill M, Siegel J, Nguyen D, Rodriguez S. Self-report of self-disclosure statements for stuttering. J Fluency Disord. 2018;58:22-34.
  • 37. Gatehouse S, Noble W. The Speech, Spatial and Qualities of Hearing Scale (SSQ). Int J Audiol. 2004;43(2):85-99.
  • 38. Hart SG, editor NASA-task load index (NASA-TLX); 20 years later. Proceedings of the human factors and ergonomics society annual meeting; 2006: Sage publications Sage CA: Los Angeles, CA.
  • 39. Kaiser HF. An index of factorial simplicity. Psychometrika. 1974;39(1):31-6.
  • 40. Thurstone LL. Multiple-factor analysis; a development and expansion of The Vectors of Mind. Chicago, USA: University of Chicago Press.; 1947.
  • 41. Tavakol M, Dennick R. Making sense of Cronbach's alpha. International journal of medical education. 2011;2:53.
  • 42. Hughes SE, Watkins A, Rapport F, Boisvert I, McMahon CM, Hutchings HA. Rasch Analysis of the Listening Effort Questionnaire-Cochlear Implant. Ear and Hearing. 2021;42(6):1699-711.
  • 43. Moulin A, Vergne J, Gallego S, Micheyl C. A New Speech, Spatial, and Qualities of Hearing Scale Short-Form: Factor, Cluster, and Comparative Analyses. Ear Hear. 2019;40(4):938-50.
  • 44. Peelle JE. Listening Effort: How the Cognitive Consequences of Acoustic Challenge Are Reflected in Brain and Behavior. Ear Hear. 2018;39(2):204-14.
  • 45. Picou EM, Ricketts TA, Hornsby BW. How hearing aids, background noise, and visual cues influence objective listening effort. Ear Hear. 2013;34(5):e52-64.
APA Yüksel M, MUTLU A (2023). LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. , 1 - 8.
Chicago Yüksel Mustafa,MUTLU Ayşe İlayda LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. (2023): 1 - 8.
MLA Yüksel Mustafa,MUTLU Ayşe İlayda LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. , 2023, ss.1 - 8.
AMA Yüksel M,MUTLU A LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. . 2023; 1 - 8.
Vancouver Yüksel M,MUTLU A LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. . 2023; 1 - 8.
IEEE Yüksel M,MUTLU A "LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE." , ss.1 - 8, 2023.
ISNAD Yüksel, Mustafa - MUTLU, Ayşe İlayda. "LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE". (2023), 1-8.
APA Yüksel M, MUTLU A (2023). LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. KBB-Forum, 22(1), 1 - 8.
Chicago Yüksel Mustafa,MUTLU Ayşe İlayda LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. KBB-Forum 22, no.1 (2023): 1 - 8.
MLA Yüksel Mustafa,MUTLU Ayşe İlayda LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. KBB-Forum, vol.22, no.1, 2023, ss.1 - 8.
AMA Yüksel M,MUTLU A LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. KBB-Forum. 2023; 22(1): 1 - 8.
Vancouver Yüksel M,MUTLU A LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE. KBB-Forum. 2023; 22(1): 1 - 8.
IEEE Yüksel M,MUTLU A "LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE." KBB-Forum, 22, ss.1 - 8, 2023.
ISNAD Yüksel, Mustafa - MUTLU, Ayşe İlayda. "LISTENING EFFORT AND TELEHEALTH IN SPEECH, LANGUAGE AND HEARING SCIENCES: PRELIMINARY FINDINGS ON THE DEVELOPMENT OF THE LISTENING EFFORT SCREENING QUESTIONNAIRE". KBB-Forum 22/1 (2023), 1-8.