Web-Delivered Assessment for Stroke Survivors Using Multimedia Technology

描述（由申请人提供）：中风是美国长期残疾的主要原因，确定最适合患者的诊断和治疗通常依赖于微妙的临床判断。评估实践的回顾表明，临床医生经常根据非标准的语音样本和粗略的主观印象对中风幸存者进行评估和治疗建议。大约有100万美国人由于中风而获得了言语或语言障碍，这为使用中风的言语模式为临床医生开发客观，易于使用的测量工具提供了机会。研究人员开发了一个原型软件系统，该系统已经确定了对中风变化敏感的客观语音测量。定量感知和声学措施已被确定为相关的鉴别诊断和严重程度估计。这项建议将联合收割机这项研究与互联网交付的力量，创造一个产品称为临床措施。ClinicalMeasures将支持可以在本地或远程进行的时间和空间分析，允许将音频和视频样本安全传输到外部站点，由受过培训的人员进行量化或由专家临床医生进行审查。虽然患者的临床医生将拥有在其诊所进行评估的工具，但该公司还将根据要求提供专家评估分析。使用简单的菜单激活选项，临床医生可以捕获患者数据进行分析，或通过安全的互联网服务传输到公司服务器，由专家进行远程分析，并将最终评估结果返回给临床医生进行患者评估。配备了这个工具，临床医生将能够获得客观和公正的措施，用于鉴别诊断，严重程度估计和治疗计划。预计将对常规中风康复、远程康复和临床研究产生相当大的影响。研究人员将进行临床研究，以确定中心目标措施的效率和有效性。由于预期产品的效率、价格实惠以及目前无法获得客观临床指标，预计将对全球临床实践和临床研究产生重大影响。公共卫生相关性：该建议与公共卫生相关，为临床医生提供了一种易于使用和广泛可用的工具，以获得对斯托克幸存者的客观和公正的评估。

DESCRIPTION (provided by applicant): Stroke is a leading cause of long-term disability in the United States and determining the diagnosis and treatment best suited to a patient often relies on subtle clinical judgments. Reviews of assessment practices indicate that clinicians often base evaluation and treatment recommendations for stroke survivors on non-standard speech samples and cursory subjective impressions. Approximately one million Americans have acquired a speech or language disorder as a result of stroke, providing the opportunity for using speech patterns from stroke to develop an objective, easy-to-use measurement tool for clinicians. The researchers have developed a prototype software system that has identified objective speech measures that are sensitive to variations in stroke. Quantitative perceptual and acoustic measures have been identified that are relevant to both differential diagnosis and severity estimation. This proposal will combine this research with the power of Internet delivery to create a product called ClinicalMeasures. ClinicalMeasures will support analyses that can be conducted locally or remotely in time and space, allowing secure transmission of audio and video samples to external sites for quantification by trained personnel or review by expert clinicians. While a patient's clinician will have the tools to perform the assessment at his or her clinic, the company will also provide expert assessment analysis upon request. Using simple menu activation choices, a clinician can capture patient data for analysis or transmission via secure Internet services to the company server for remote analysis by experts, with the final assessment returned to the clinician for patient evaluation. Equipped with this tool, clinicians will be able to obtain objective and unbiased measures for use in differential diagnosis, severity estimation, and treatment planning. Considerable impact is expected on routine stroke rehabilitation, tele-rehabilitation, and clinical research. The researchers will conduct clinical investigations to establish efficiency and validity of central target measures. Due to the efficiency of the envisioned product, its affordability, and the present inaccessibility of objective clinical measures, substantial impact is expected on both clinical practice and clinical research worldwide. PUBLIC HEALTH RELEVANCE: This proposal is relevant to the public health by providing an easy-to-use and widely available tool for clinicians to obtain objective and unbiased assessments of stoke survivors.