Speech Amplification Device Usage in Hypophonia: Spontaneous Speech Intelligibility.

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Title: Speech Amplification Device Usage in Hypophonia: Spontaneous Speech Intelligibility.
Authors: Knowles, Thea1 thea@msu.edu, Ramani, Sai Aishwarya1, Castillo-Allendes, Adrián1,2, Page, Allyson3,4, Jog, Mandar5, Adamsc, Scott G.4,5
Source: American Journal of Speech-Language Pathology. May2026, Vol. 35 Issue 3, p1119-1135. 17p.
Subject Terms: *Data analysis, *Voice disorders, *Intelligibility of speech, *Audiometry, *Simulation methods in education, *Visual perception, *Psychological tests, Statistical models, Noise, Task performance, Questionnaires, Spouses, Parkinson's disease, Voice disorder treatment, Assistive listening systems, Parkinsonian disorders, Mean length of utterance, Statistics, Calibration, Data analysis software, Confidence intervals, Transducers
Abstract: Purpose: The primary purpose of this study was to evaluate the effect of three different types of speech amplification devices on spontaneous speech intelligibility of people with hypophonia secondary to Parkinson's disease or parkinsonism. Method: Twenty-one individuals with hypophonia described pictures aloud to their primary communication partner in four device and two noise conditions. Device conditions included no device, a portable wired speech amplifier, a wireless stationary amplifier, and a one-way personal communication system. Noise conditions included quiet and 65-dB multitalker background noise. Speech intelligibility was evaluated from the perspective of two listener groups, familiar communication partners and naive listeners, as a function of device type and noise. Results: Overall, all three devices were associated with improved intelligibility, especially in noise and for longer utterances for both listener groups. Intelligibility was highest for the personal communication system and lowest for the portable wired amplifier. These results for spontaneous speech patterned similarly to those for read sentences reported for these same talkers and listeners in Knowles et al. (2020). Conclusions: Speech amplification devices demonstrate measurable improvements in intelligibility of spontaneous speech in individuals with hypophonia. Findings add to a growing body of evidence of the potential effectiveness of speech amplification as a management tool for hypophonia. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Speech Amplification Device Usage in Hypophonia: Spontaneous Speech Intelligibility.
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  Data: <searchLink fieldCode="AR" term="%22Knowles%2C+Thea%22">Knowles, Thea</searchLink><relatesTo>1</relatesTo><i> thea@msu.edu</i><br /><searchLink fieldCode="AR" term="%22Ramani%2C+Sai+Aishwarya%22">Ramani, Sai Aishwarya</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Castillo-Allendes%2C+Adrián%22">Castillo-Allendes, Adrián</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Page%2C+Allyson%22">Page, Allyson</searchLink><relatesTo>3,4</relatesTo><br /><searchLink fieldCode="AR" term="%22Jog%2C+Mandar%22">Jog, Mandar</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Adamsc%2C+Scott+G%2E%22">Adamsc, Scott G.</searchLink><relatesTo>4,5</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. May2026, Vol. 35 Issue 3, p1119-1135. 17p.
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  Data: *<searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Voice+disorders%22">Voice disorders</searchLink><br />*<searchLink fieldCode="DE" term="%22Intelligibility+of+speech%22">Intelligibility of speech</searchLink><br />*<searchLink fieldCode="DE" term="%22Audiometry%22">Audiometry</searchLink><br />*<searchLink fieldCode="DE" term="%22Simulation+methods+in+education%22">Simulation methods in education</searchLink><br />*<searchLink fieldCode="DE" term="%22Visual+perception%22">Visual perception</searchLink><br />*<searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+models%22">Statistical models</searchLink><br /><searchLink fieldCode="DE" term="%22Noise%22">Noise</searchLink><br /><searchLink fieldCode="DE" term="%22Task+performance%22">Task performance</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Spouses%22">Spouses</searchLink><br /><searchLink fieldCode="DE" term="%22Parkinson's+disease%22">Parkinson's disease</searchLink><br /><searchLink fieldCode="DE" term="%22Voice+disorder+treatment%22">Voice disorder treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Assistive+listening+systems%22">Assistive listening systems</searchLink><br /><searchLink fieldCode="DE" term="%22Parkinsonian+disorders%22">Parkinsonian disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mean+length+of+utterance%22">Mean length of utterance</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Calibration%22">Calibration</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Transducers%22">Transducers</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The primary purpose of this study was to evaluate the effect of three different types of speech amplification devices on spontaneous speech intelligibility of people with hypophonia secondary to Parkinson's disease or parkinsonism. Method: Twenty-one individuals with hypophonia described pictures aloud to their primary communication partner in four device and two noise conditions. Device conditions included no device, a portable wired speech amplifier, a wireless stationary amplifier, and a one-way personal communication system. Noise conditions included quiet and 65-dB multitalker background noise. Speech intelligibility was evaluated from the perspective of two listener groups, familiar communication partners and naive listeners, as a function of device type and noise. Results: Overall, all three devices were associated with improved intelligibility, especially in noise and for longer utterances for both listener groups. Intelligibility was highest for the personal communication system and lowest for the portable wired amplifier. These results for spontaneous speech patterned similarly to those for read sentences reported for these same talkers and listeners in Knowles et al. (2020). Conclusions: Speech amplification devices demonstrate measurable improvements in intelligibility of spontaneous speech in individuals with hypophonia. Findings add to a growing body of evidence of the potential effectiveness of speech amplification as a management tool for hypophonia. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1044/2026_AJSLP-24-00435
    Languages:
      – Code: eng
        Text: English
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        PageCount: 17
        StartPage: 1119
    Subjects:
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Voice disorders
        Type: general
      – SubjectFull: Intelligibility of speech
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Simulation methods in education
        Type: general
      – SubjectFull: Visual perception
        Type: general
      – SubjectFull: Psychological tests
        Type: general
      – SubjectFull: Statistical models
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      – SubjectFull: Noise
        Type: general
      – SubjectFull: Task performance
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Spouses
        Type: general
      – SubjectFull: Parkinson's disease
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      – SubjectFull: Voice disorder treatment
        Type: general
      – SubjectFull: Assistive listening systems
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      – SubjectFull: Parkinsonian disorders
        Type: general
      – SubjectFull: Mean length of utterance
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Transducers
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    Titles:
      – TitleFull: Speech Amplification Device Usage in Hypophonia: Spontaneous Speech Intelligibility.
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            – D: 01
              M: 05
              Text: May2026
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              Y: 2026
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