The Voicemail Elicitation Task: Functional Workplace Language Assessment for Persons With Traumatic Brain Injury.
The Voicemail Elicitation Task: Functional Workplace Language Assessment for Persons With Traumatic Brain Injury.
复制标题
语音邮件诱导任务：针对脑外伤患者的功能性工作场所语言评估。
DOI：
10.1044/2019_jslhr-l-18-0466
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Cherney,LeoraR
中科院分区：
文献类型：
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作者：
Meulenbroek,Peter;Cherney,LeoraR
目的礼貌标记语是在对话中增强合作性的词语，是职业/工作交际中的重要组成部分。患有中度/重度创伤性脑损伤（TBI）的人在连接语音中未充分使用PM，并且存在就业稳定性问题。语音邮件启发任务（VET）是一种标准化的计算机语言抽样程序，测量角色扮演任务中的PM率。我们的目的是提供初步的数据，建立潜在的筛选评估工具，为专业/工作communication.MethodWe测量VET性能使用口语PM每分钟（PMPM）。我们提供了63人的数据。43名TBI患者（22-65岁，伤后≥ 1年）在受伤前从事中级工作，并在受伤后试图返回同一工作水平。20名TBI参与者没有保持工作> 1年（不稳定就业），23名参与者保持工作≥ 1年（稳定就业）。20名没有神经损伤史的对照组也完成了VET方案。我们使用单因素方差分析和事后分析的组间比较来分析数据。我们使用受试者工作特征曲线分析来计算灵敏度和特异性，以及一个最佳的截止值为筛选measure.ResultsGroup差异，F（2，60）= 19.59，p = 0.0001，η2= 0.376，被确定为不稳定就业的人与TBI执行较低的PMPM分数比稳定就业的TBI组和对照组。受试者工作特征曲线分析表明临界值为11.55 PMpM。特异性可接受（0.700，95% CI [0.499，0.901]）和灵敏度（0.696，95% CI [0.508，0.883]）的筛选工具，表明进一步评估的社会communication.ConclusionThe职业教育培训持有承诺，作为一个临床筛选工具，以确定人在社会沟通的风险-TBI后相关的工作不稳定性以及需要更全面的社会沟通评估。
PurposePoliteness markers (PMs) are words that enhance cooperativity in dialogue and are an essential component of professional/work communication. Persons with moderate/severe traumatic brain injury (TBI) underuse PMs in connected speech and have employment stability issues. The voicemail elicitation task (VET) is a standardized computerized language sampling procedure measuring PM rate in role-play tasks. Our purpose is to provide preliminary data establishing the potential of a screening assessment tool for professional/work communication.MethodWe measured VET performance using spoken PMs per minute (PMpM). We present data from 63 persons. Forty-three participants with TBI (22–65 years old, ≥ 1-year postinjury) worked in midlevel jobs before their injury and attempted work return after injury at the same job level. Twenty participants with TBI did not maintain work > 1 year (unstably employed), and 23 did maintain work for ≥ 1 year (stably employed). Twenty controls without history of neurological impairment working at the same job level also completed the VET protocol. We analyzed the data using between-group comparison with 1-way analysis of variance and post hoc analysis. We used receiver operating characteristic curve analysis to calculate sensitivity and specificity, as well as an optimal cutoff value for a screening measure.ResultsGroup differences,F(2, 60) = 19.59,p= .0001, η2= .376, were identified between unstably employed persons with TBI performing with lower PMpM scores than the stably employed TBI group and the control group. Receiver operating characteristic curve analysis indicated a cutoff score of 11.55 PMpM. There was acceptable specificity (0.700, 95% CI [0.499, 0.901]) and sensitivity (0.696, 95% CI [0.508, 0.883]) for a screening tool indicating further assessment of social communication.ConclusionThe VET holds promise as a clinical screening tool to identify persons at risk for social communication–related job instability after TBI and the need for a more comprehensive social communication assessment.