A systematic review of group intervention for acquired dysarthria in adults

Whillans, Chelsea; Lawrie, Melissa; Cardell, Elizabeth; Kelly, Crystal; Wenke, Rachel

doi:10.1080/09638288.2020.1859629

Cited by 12 publications

(10 citation statements)

References 65 publications

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“…Finally, the qualitative evaluations stressed the added benefits the group treatment provided for both speech and psychosocial factors, similar to previous research on group interventions (cf. Whillans et al [30] for a review). In addition, we identified specific benefits of the peer led design as reflected in the reports of positive changes to social roles in terms of having to take charge of the session.…”

Section: Discussionmentioning

confidence: 99%

“…Whillans et al [30] for a review). In addition, we identified specific benefits of the peer led design as reflected in the reports of positive changes to social roles in terms of having to take charge of the session.…”

Section: Effectivenessmentioning

confidence: 99%

“…An alternative model of care that addresses the demands on clinician's time is group therapy. A recent systematic review on the benefits of this model in acquired dysarthria [30] found that it may increase treatment intensity and be potentially more cost-effective. The authors also highlight the increased opportunities for socialization, support, and integration of more client-driven goals into the activities, and how the practice in more naturalistic contexts as well as the social aspects of group intervention can facilitate better generalization of treatment targets and potentially also motor learning.…”

Section: Introductionmentioning

confidence: 99%

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ClearSpeechTogether: a rater blinded, single, controlled feasibility study of speech intervention for people with progressive ataxia

Lowit

Cox

Loucas

et al. 2022

Preprint

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BackgroundProgressive ataxias frequently lead to speech disorders and consequently impact on communication participation and psychosocial wellbeing. Whilst recent studies demonstrate the potential for improvements in these areas, these treatments generally require intensive input which can reduce acceptability of the approach.A new model of care – ClearSpeechTogether – is proposed which maximises treatment intensity whilst minimising demands on clinician. This study aimed to establish feasibility and accessibility of this approach and at the same time determine the potential benefits and adverse effects on people with progressive ataxias.MethodThe study targeted people with progressive ataxia and mild-moderate speech and gross motor impairment. ClearSpeechTogether consisted of four individual sessions over two weeks followed by 20 patient-led group sessions over four weeks. All sessions were provided online. Quantitative and qualitative data were collected for evaluation.ResultsNine participants completed treatment. Feasibility and acceptability were high and no adverse effects were reported. Statistical tests found significantly reduced vocal strain, improved intelligibility for reading, and increased participation and confidence. Participant interviews highlighted the value of group support, from psychosocial perspectives and in supporting speech strategy internalisation and generalisation.DiscussionClearSpeechTogether presented an effective intervention in a small group of people with progressive ataxia. It matched or exceeded the outcomes previously reported for intensive, individual therapy while minimising clinician time demands. Furthermore, its unique peer led group intervention design appeared effective in addressing intractable psychosocial issues. ClearSpeechTogether is potentially cost-effective, providing intensive delivery with few clinician sessions, thus maximising the input available from health care providers.

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Section: Discussionmentioning

confidence: 99%

Section: Effectivenessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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ClearSpeechTogether: a rater blinded, single, controlled feasibility study of speech intervention for people with progressive ataxia

Lowit

Cox

Loucas

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…An alternative model of care that addresses the demands on clinician’s time is group therapy. A recent systematic review on the benefits of this model in acquired dysarthria [ 32 ] found that it may increase treatment intensity and be potentially more cost-effective. The authors also highlight the increased opportunities for socialization, support and integration of more client-driven goals into the activities, and how practice in more naturalistic contexts as well as the social aspects of group intervention can facilitate better generalization of treatment targets and potentially also motor learning.…”

Section: Introductionmentioning

confidence: 99%

ClearSpeechTogether: a Rater Blinded, Single, Controlled Feasibility Study of Speech Intervention for People with Progressive Ataxia

et al. 2022

View full text Add to dashboard Cite

Background Progressive ataxias frequently lead to speech disorders and consequently impact on communication participation and psychosocial wellbeing. Whilst recent studies demonstrate the potential for improvements in these areas, these treatments generally require intensive input which can reduce acceptability of the approach. A new model of care—ClearSpeechTogether—is proposed which maximises treatment intensity whilst minimising demands on clinician. This study aimed to establish feasibility and accessibility of this approach and at the same time determine the potential benefits and adverse effects on people with progressive ataxias. Method This feasibility study targeted people with progressive ataxia and mild-moderate speech and gross motor impairment. ClearSpeechTogether consisted of four individual sessions over 2 weeks followed by 20 patient-led group sessions over 4 weeks. All sessions were provided online. Quantitative and qualitative data were collected for evaluation. Results Nine participants completed treatment. Feasibility and acceptability were high and no adverse effects were reported. Statistical tests found significantly reduced vocal strain, improved reading intelligibility and increased participation and confidence. Participant interviews highlighted the value of group support internalisation of speech strategies and psycho-social wellbeing. Discussion ClearSpeechTogether presented a feasible, acceptable intervention for a small cohort of people with progressive ataxia. It matched or exceeded the outcomes previously reported following individual therapy. Particularly notable was the fact that this could be achieved through patient led practice without the presence of a clinician. Pending confirmation of our results by larger, controlled trials, ClearSpeechTogether could represent an effective approach to manage speech problems in ataxia.

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“…YSARTHRIA is a neurological motor speech disorder characterized by an individual's loss of control of their motor subsystems [1]. Symptoms of dysarthria can vary significantly depending on the underlying cause and severity that may result in speech produced be moderately slurred or severely unintelligible as the disease progresses [2].…”

Section: Introductionmentioning

confidence: 99%

Speech Vision: An End-to-End Deep Learning-Based Dysarthric Automatic Speech Recognition System

Shahamiri

2021

IEEE Trans. Neural Syst. Rehabil. Eng.

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Dysarthria is a disorder that affects an individual's speech intelligibility due to the paralysis of muscles and organs involved in the articulation process. As the condition is often associated with physically debilitating disabilities, not only do such individuals face communication problems, but also interactions with digital devices can become a burden. For these individuals, automatic speech recognition (ASR) technologies can make a significant difference in their lives as computing and portable digital devices can become an interaction medium, enabling them to communicate with others and computers. However, ASR technologies have performed poorly in recognizing dysarthric speech, especially for severe dysarthria, due to multiple challenges facing dysarthric ASR systems. We identified these challenges are due to the alternation and inaccuracy of dysarthric phonemes, the scarcity of dysarthric speech data, and the phoneme labeling imprecision. This paper reports on our second dysarthric-specific ASR system, called Speech Vision (SV) that tackles these challenges by adopting a novel approach towards dysarthric ASR in which speech features are extracted visually, then SV learns to see the shape of the words pronounced by dysarthric individuals. This visual acoustic modeling feature of SV eliminates phonemerelated challenges. To address the data scarcity problem, SV adopts visual data augmentation techniques, generates synthetic dysarthric acoustic visuals, and leverages transfer learning. Benchmarking with other state-of-the-art dysarthric ASR considered in this study, SV outperformed them by improving recognition accuracies for 67% of UA-Speech speakers, where the biggest improvements were achieved for severe dysarthria.

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A systematic review of group intervention for acquired dysarthria in adults

Cited by 12 publications

References 65 publications

ClearSpeechTogether: a rater blinded, single, controlled feasibility study of speech intervention for people with progressive ataxia

ClearSpeechTogether: a rater blinded, single, controlled feasibility study of speech intervention for people with progressive ataxia

ClearSpeechTogether: a Rater Blinded, Single, Controlled Feasibility Study of Speech Intervention for People with Progressive Ataxia

Speech Vision: An End-to-End Deep Learning-Based Dysarthric Automatic Speech Recognition System

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