|
KMID : 1036820180230030703
|
|
Communication Sciences & Disorders
2018 Volume.23 No. 3 p.703 ~ p.712
|
|
|
The Cleft Audit Protocol for Speech?Augmented-Korean Modification: Reliability Test
|
|
Ha Seung-Hee
|
|
|
Abstract
|
|
|
Objectives: There is no formal assessment protocol specialized for speech disorders related to cleft palate in Korea. This study aimed to develop an assessment tool for cleft palate speech of Korean-speaking children and to examine the inter-rater and intra-rater reliability.
Methods: The preliminary version of the assessment tool was developed based on the Cleft Audit Protocol for Speech-Augmented. A modified version of the assessment tool was made through examination of validity by experts of cleft palate speech. Thirty-three undergraduate students majoring in speech-language pathology participated as raters in the reliability test on the use of the modified version. They assessed speech samples from 8 children with cleft palate on two separate occasions. Intraclass correlation coefficients were used for inter-rater and intra-rater reliability tests and calculated by 12 sections of the assessment tool.
Results: Inter-rater reliability was rated as moderate for two sections, good for five sections, and excellent for three sections. Developmental errors and compensatory nasal articulation errors were rated as poor interrater reliability. Intra-rater reliability was rated as moderate for four sections. Compensatory co-articulation and audible nasal emission were rated as poor intra-rater reliability, whereas speech intelligibility and hypernasality were rated as good intra-rater reliability.
Conclusion: The rationale for the sections which showed low inter-rater and intra-rater reliability were discussed. The results have implications in the direction and caution of listener training for the use of the modified version of the assessment tool. The study suggested that the modified version can be usefully and reliably used for assessing cleft palate speech following appropriate training.
|
|
|
KEYWORD
|
|
|
Cleft palate speech, Korean modification, Reliability
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|