Procjena razumljivosti govora djece s orofacijalnim rascjepom

master's thesis

• Title (english): Evaluation of speech intelligibility in children with orofacial clefts
• Author: Ema Nikšić
• Mentor: Draženka Blaži (mentor)
• Mentor: Dora Knežević (komentor)
• Committee member: Draženka Blaži (predsjednik povjerenstva)
• Committee member: Dora Knežević (član povjerenstva)
• Committee member: Ana Leko Krhen (član povjerenstva)
• Granter: University of Zagreb; Faculty of Education and Rehabilitation Sciences; Zagreb
• Defense date and country: 2024-09-17, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Speech Therapy

Abstract

Razumljivost govora važna je mjera ishoda logopedske terapije kod osoba s orofacijalnim rascjepom. Procjenu razumljivosti najčešće provode stručnjaci koji se bave spomenutom problematikom. S namjerom da se postignuti ciljevi u terapiji evaluiraju u stvarnom okruženju, poželjno je dodati procjenu laika. Proučavanjem razlike među ovim procjenama dobiva se uvid u uspješnost terapije, kao i u smjernice za daljnje postavljanje ciljeva. Sve navedeno provodi se s namjerom poboljšanja kvalitete života pojedinca s oroafcijalnim rascjepom. Stoga je cilj ovog istraživanja bio ispitati postoji li razlika između laika i logopeda u procjeni razumljivosti govora kod djece s orofacijalnim rascjepom. Također, ispituje se povezanost godina radnog staža logopeda s procjenom razumljivosti govora. U istraživanju je sudjelovalo petero djece s orofacijalnim rascjepom u dobi od 5 do 7 godina. Skupinu odraslih ispitanika činilo je 20 logopeda (zaposlenih u različitim sustavima) i 20 laika. Ispitni materijal za djecu s orofacijalnim rascjepom sastojao se od dva zadatka. Prvi zadatak podrazumijeva imenovanje, a riječi variraju od jednostavne do složenije fonološke strukture. Drugi zadatak uključuje prepričavanje priče prema audiovizualnom prikazu. Ispitni materijal za odrasle skupine ispitanika također se sastojao od dva zadatka. Prvi podrazumijeva fonemsku transkripciju riječi te prepoznavanje njihove semantičke varijante na temelju snimljenog govornog uzorka. Drugi zadatak sastoji se od četiri kratka pitanja te od ljestvice za procjenu razumljivosti spontanog govora. Dobiveni rezultati pokazuju da postoji statistički značajna razlika u procjeni govora djece s orofacijalnim rascjepom između laika i logopeda. Logopedi su govor procjenjivali razumljivijim nego što su to činili laici. Međutim, nije utvrđena povezanost između godina radnog staža logopeda i procjene razumljivosti govora. Logopedi s duljim radnim stažem nisu procijenili govor razumljivijim od logopeda s kraćim radnim stažem. Ovim istraživanjem želi se podići svjesnost o važnosti provođenja ovog tipa procjene. Također, ističe se potreba uključivanja svakodnevnih komunikacijskih partnera pri procjeni razumljivosti govora kod navedene populacije, a u svrhu donošenja odluke o završetku logopedske terapije.

Abstract (english)

Speech intelligibility is an important outcome measure of speech therapy for people with orofacial cleft. Intelligibility assessment is most often carried out by experts. With the intention of evaluating therapy goals in real life, it is beneficial to add the assessment of naive listeners. Studying the difference between these assessments provides insight into the success of therapy, as well as into guidelines for new goals. All of the above is carried out with the intention of improving the quality of life of an individual with an orofacial cleft. The aim of this research is to examine whether there is a difference between naive listeners and speech-language pathologists in the assessment of speech intelligibility in children with orofacial clefts. Furthermore, the study investigated whether there is a correlation between the years of work experience of speech-language pathologists and the assessment of speech intelligibility. Five children with orofacial clefts between the ages of 5 and 7 participated in the research. The listening panel consisted of twenty speech-language pathologists (employed in different work places) and twenty naive listeners. Speech samples of children were collected through two tasks. The first one is a naming task in which phonological structure of the words varies from simple to more complex ones. The second task involves retelling the story according to the audiovisual presentation. The listening panel also had two tasks. In the first task participants needed to phonemically transcribe the words and write down their semantic variants. The second task consists of four short questions and a four-point rating scale for assessing intelligibility of spontaneous speech. The obtained results show that there is a statistically significant difference in the assessment of the speech of children with orofacial clefts between naive listeners and speech-language pathologists. Expert listeners assessed the speech as more comprehensible than the naive listeners did. However, no correlation was found between the years of work experience and the assessment of speech intelligibility. Speech-language pathologists with longer working experience did not evaluate speech as more intelligible than the ones with shorter working experience. This research aims to raise awareness of the importance of conducting such assessment. Also, it highlights the need to include everyday communication partners when it comes to assessing the speech intelligibility of the mentioned population, for the purpose of making a decision to end speech therapy.

• Keywords: orofacijalni rascjepi; razumljivost govora; logopedi; laici
• Keywords (english): orofacial clefts; speech intelligibility; speech-language pathologists; naive listeners
• Language: croatian
• URN:NBN: urn:nbn:hr:158:363580
• Study programme: Title: University graduate study of Speech and Language Pathology; Study programme type: university; Study level: graduate; Academic / professional title: sveučilišni magistar/magistra logopedije (sveučilišni magistar/magistra logopedije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-10-17 11:43:48