Using Real-time Speech Translation for Medication Therapy Management of Spanish S

描述(申请人提供)：这项SBIR研究的目的是开发和评估实时语音翻译系统，以促进主要说西班牙语的糖尿病患者的药物治疗管理(MTM)。我们计划通过(1)在两家提供糖尿病MTM的社区卫生诊所收集1000名MTM从业者与患者的互动作为开发数据，(2)使用这些数据，研究处理大范围和长话语的方法，并为该领域建立系统，以及(3)在来自相同诊所的100名从业者与患者互动上测试和评估所产生的系统。该SBIR研究方案的具体目标是：1)高精度地处理大范围的区域。在第一阶段，我们展示了我们可以为小域名建立非常精确的系统(98%+)。在第二阶段，我们将调查能否在涵盖所有MTM交互作用的大范围领域实现这种高水平的准确性。2)处理很长的话语。在第一阶段，我们成功地展示了包含2个概念(10-15个单词)的发音。在第二阶段，我们的目标是将这一能力扩展到处理至少5个概念的序列。3)患者教育支持。我们在第一阶段观察到，药剂师花了相当多的时间来复习该领域的基本概念或想法(使用胰岛素、均衡膳食、锻炼等)。翻译系统将得到扩展，以支持MTM方法的患者教育部分。该项目解决了英语水平有限的拉美裔美国人中日益严重的糖尿病管理问题。拟议翻译系统的开发和测试将实现以下成果：为社区诊所部署成本较低的翻译替代方案；向非西班牙语英语健康专业志愿者开放社区诊所大门，以参与糖尿病患者的护理；通过确保在访问期间理解MTM的建议，加强医生访问的回教部分；展示大规模临床语音翻译系统的可行性，从而为许多更多领域建立系统。

DESCRIPTION (provided by applicant): The purpose of this SBIR study is to develop and evaluate a real-time speech translation system to facilitate Medication Therapy Management (MTM) of patients with diabetes who primarily speak Spanish. We plan to accomplish this by (1) Collecting 1000 MTM practitioner-patient interactions as development data in two Community Health Clinics that provide MTM for diabetes, (2) using the data, research approaches to handling large domains and long utterances, and build the system for the domain, and (3) test and evaluate the resulting system on 100 practitioner-patient interactions from the same clinics. The specific aims in this SBIR research proposal are to: 1) Handle large domain with high accuracy. In Phase I, we showed that we can build very accurate systems (98 %+) for small domains. In Phase II we will investigate whether that high level of accuracy can be achieved for a large domain that covers the full range of MTM interactions. 2) Handle very long utterances. In phase I we showed success with utterances that contained 2 concepts (10-15 words). In Phase II our goal is to extend that capability to handle a sequence of at least 5 concepts. 3) Patient education support. We observed in Phase I that pharmacists spend considerable time going over basic concepts or ideas in the domain (use of insulin, balanced meal, exercising, etc.). The translation system will be extended to support the patient education component of the MTM approach. This project addresses the growing problem of diabetes management among Hispanics with Limited English Proficiency (LEP). The development and testing of the proposed translation system will achieve: deployment of a lower-cost translation alternative for community clinics; opening of community clinic doors to non-Spanish- speaking English language health professional volunteers to participate in diabetes patient care; enhancement of the Teach-back component of the practitioner visit by ensuring comprehension of MTM recommendations during the visit; and demonstrate the viability of large scale clinical speech translation systems creatin the possibility of systems for many additional domains.