Speech rhythm entrainment in the context of dysarthria

构音障碍背景下的言语节奏夹带

• 批准号: 9303557
• 负责人: Stephanie Anna Borrie
• 金额: $ 15.07万
• 依托单位: UTAH STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-03-01 至 2020-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9303557
• 关键词: Address; Attention; Behavior; Characteristics; Clinical; Communication; Comprehension; Data Set; Development; Discipline; Dysarthria; Engineering; Evaluation; Frequencies; Goals; Individual; Intervention; Joints; Knowledge; Laboratories; Link; Measurable; Measures; Methodology; Methods; Modeling; Motor; Outcome; Participant; Performance; Population; Problem Solving; Reading; Severities; Social Functioning; Speech; Speech Pathology; Statistical Models; Task Performances; Testing; Time; Work; base; clinical practice; clinically relevant; cognitive function; deviant; indexing; motor control; novel; predictive modeling; remediation; signal processing; success; tool

PROJECT SUMMARY/ABSTRACT Conversational entrainment describes the propensity for dialogue partners to modify their behaviour to more closely align with one another. While the adaptive mechanisms underlying the tendency to entrain are not yet well understood, there is abundant evidence that entrainment is not only a robust communication phenomenon but is a crucial facilitator of successful communication, both in message comprehension and establishing personal rapport between conversational partners. Entrainment has been studied widely across many disciplines, however it has received limited attention in the field of speech pathology, where its implications may have direct clinical relevance. Problems with speech motor control interfere with the conversational rhythm, and we are just beginning to explore how this impacts measures of entrainment. We provide preliminary evidence that dysarthria disrupts speech entrainment in a simple laboratory-based reading task [1] and in face-to-face conversation [2]; and that the degree of entrainment correlates with a measure of communicative efficiency [2]. These data set the stage for investigating entrainment in the speech rhythm domain as an important variable in dysarthria, one that may have predictive or even causative effects on conversational success. This proposal aims to develop, validate, and evaluate a translational method for the study of speech entrainment in the context of dysarthria, starting with the test case of hypokinetic dysarthria and its well-documented motor limitations and deviant speech rhythm characteristics. First, we develop and validate an automated method that, exploiting tools from signal processing engineering, quantifies entrainment in task-oriented conversations between healthy participants along relevant speech rhythm features (SA1). We then evaluate the ability of our method to identify and characterize the relationship between an objective measure of communicative efficiency (joint task performance) and speech rhythm entrainment measures in the conversations between healthy participants (SA2). Finally, we evaluate our method on a set of task-oriented conversations involving partners with hypokinetic dysarthria (SA3). Successful completion of this project will demonstrate proof-of-concept for our automated method and inform the development of an R01 proposal to perform a large scale evaluation of entrainment, and meaningful clinical implications, in a broader range of dysarthria types and severities. Conversational abilities in the context of dysarthria represent a critical knowledge gap in the field, as well as a potential target for remediation that is currently not commonly addressed in clinical practice. The long-term goal of this line of work is to develop a clinical tool to assess entrainment deficits and identify potential intervention targets in the management of dysarthria. Thus, the work completed in this proposal and a subsequent R01 may allow extension of dysarthria management into the realm of conversation—advancing clinical practice and outcomes for this population.

项目总结/摘要 会话诱导描述了对话伙伴改变行为的倾向， 彼此紧密地联系在一起。虽然夹带倾向背后的适应机制还没有 众所周知，有大量的证据表明，夹带不仅是一个强大的通信现象， 而且是成功沟通的关键促进者，无论是在信息理解还是建立 谈话伙伴之间的个人融洽关系。夹带已经在许多领域得到了广泛的研究， 学科，但是，它在言语病理学领域受到了有限的关注， 可能有直接的临床意义。语言运动控制的问题会干扰对话 节奏，我们刚刚开始探索这如何影响夹带的措施。我们提供 初步证据表明，构音障碍在一项简单的实验室阅读任务中破坏了言语夹带[1] ”[2]这是一个比喻，一个比喻。 沟通效率[2]。这些数据为研究语音节奏中的夹带奠定了基础 结构域作为构音障碍的一个重要变量，可能对构音障碍有预测甚至致病作用。 成功的对话该提案旨在开发、验证和评估一种翻译方法， 构音障碍背景下的言语夹带研究，从运动功能减退的测试案例开始 构音障碍及其有据可查的运动限制和异常语音节奏特征。第一、 我们开发并验证了一种自动化方法，利用信号处理工程的工具， 量化健康参与者之间的任务导向的对话中的夹带沿着相关的讲话 节律特征（SA 1）。然后，我们评估我们的方法识别和表征关系的能力 在客观衡量交际效率（联合任务表现）和言语节奏之间 健康参与者之间的对话中的夹带措施（SA 2）。最后，我们评估我们的 方法对一组任务导向的对话，涉及合作伙伴与运动功能减退性构音障碍（SA 3）。 该项目的成功完成将证明我们的自动化方法的概念验证，并告知 制定R 01建议，以进行大规模的夹带评价，并进行有意义的临床研究。 影响，在更广泛的构音障碍类型和严重程度。会话能力的背景下， 构音障碍代表了该领域的一个关键知识缺口，也是一个潜在的补救目标， 目前在临床实践中不常见。这项工作的长期目标是开发一个 临床工具，以评估夹带赤字和确定潜在的干预目标，在管理 构音障碍因此，本提案中完成的工作和随后的R 01可能允许延长构音障碍 管理进入对话领域，推进临床实践和成果，为这一人口。