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Cleft Audit Protocol for Speech (CAPS-A): A Comprehensive Training Package for Speech Analysis

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Title: Cleft Audit Protocol for Speech (CAPS-A): A Comprehensive Training Package for Speech Analysis
Language: English
Authors: Sell, D., John, A., Harding-Bell, A.
Source: International Journal of Language & Communication Disorders. 2009 44(4):529-548.
Availability: Informa Healthcare. Telephone House, 69-77 Paul Street, London, EC2A4LQ, UK. Tel: 800-354-1420; e-mail: healthcare.enquiries@informa.com; Web site: http://informahealthcare.com/action/showJournals
Peer Reviewed: Y
Physical Description: PDF
Page Count: 20
Publication Date: 2009
Document Type: Journal Articles
Reports - Research
Descriptors: Listening, Continuing Education, Congenital Impairments, Interrater Reliability, Correlation, Listening Skills, Program Design, Program Evaluation, Speech Therapy, Allied Health Personnel, Training, Speech Communication, Guidelines, Audio Equipment
DOI: 10.1080/13682820802196815
ISSN: 1368-2822
Abstract: Background: The previous literature has largely focused on speech analysis systems and ignored process issues, such as the nature of adequate speech samples, data acquisition, recording and playback. Although there has been recognition of the need for training on tools used in speech analysis associated with cleft palate, little attention has been paid to this issue. Aims: To design, execute, and evaluate a training programme for speech and language therapists on the systematic and reliable use of the Cleft Audit Protocol for Speech-Augmented (CAPS-A), addressing issues of standardized speech samples, data acquisition, recording, playback, and listening guidelines. Methods & Procedures: Thirty-six specialist speech and language therapists undertook the training programme over four days. This consisted of two days' training on the CAPS-A tool followed by a third day, making independent ratings and transcriptions on ten new cases which had been previously recorded during routine audit data collection. This task was repeated on day 4, a minimum of one month later. Ratings were made using the CAPS-A record form with the CAPS-A definition table. An analysis was made of the speech and language therapists' CAPS-A ratings at occasion 1 and occasion 2 and the intra- and inter-rater reliability calculated. Outcomes & Results: Trained therapists showed consistency in individual judgements on specific sections of the tool. Intraclass correlation coefficients were calculated for each section with good agreement on eight of 13 sections. There were only fair levels of agreement on anterior oral cleft speech characteristics, non-cleft errors/immaturities and voice. This was explained, at least in part, by their low prevalence which affects the calculation of the intraclass correlation coefficient statistic. Conclusions & Implications: Speech and language therapists benefited from training on the CAPS-A, focusing on specific aspects of speech using definitions of parameters and scalar points, in order to apply the tool systematically and reliably. Ratings are enhanced by ensuring a high degree of attention to the nature of the data, standardizing the speech sample, data acquisition, the listening process together with the use of high-quality recording and playback equipment. In addition, a method is proposed for maintaining listening skills following training as part of an individual's continuing education. (Contains 3 tables.)
Abstractor: As Provided
Number of References: 48
Entry Date: 2010
Accession Number: EJ869156
Database: ERIC
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  Data: Cleft Audit Protocol for Speech (CAPS-A): A Comprehensive Training Package for Speech Analysis
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  Data: <searchLink fieldCode="SO" term="%22International+Journal+of+Language+%26+Communication+Disorders%22"><i>International Journal of Language & Communication Disorders</i></searchLink>. 2009 44(4):529-548.
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  Data: Informa Healthcare. Telephone House, 69-77 Paul Street, London, EC2A4LQ, UK. Tel: 800-354-1420; e-mail: healthcare.enquiries@informa.com; Web site: http://informahealthcare.com/action/showJournals
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  Data: 10.1080/13682820802196815
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  Data: 1368-2822
– Name: Abstract
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  Data: Background: The previous literature has largely focused on speech analysis systems and ignored process issues, such as the nature of adequate speech samples, data acquisition, recording and playback. Although there has been recognition of the need for training on tools used in speech analysis associated with cleft palate, little attention has been paid to this issue. Aims: To design, execute, and evaluate a training programme for speech and language therapists on the systematic and reliable use of the Cleft Audit Protocol for Speech-Augmented (CAPS-A), addressing issues of standardized speech samples, data acquisition, recording, playback, and listening guidelines. Methods & Procedures: Thirty-six specialist speech and language therapists undertook the training programme over four days. This consisted of two days' training on the CAPS-A tool followed by a third day, making independent ratings and transcriptions on ten new cases which had been previously recorded during routine audit data collection. This task was repeated on day 4, a minimum of one month later. Ratings were made using the CAPS-A record form with the CAPS-A definition table. An analysis was made of the speech and language therapists' CAPS-A ratings at occasion 1 and occasion 2 and the intra- and inter-rater reliability calculated. Outcomes & Results: Trained therapists showed consistency in individual judgements on specific sections of the tool. Intraclass correlation coefficients were calculated for each section with good agreement on eight of 13 sections. There were only fair levels of agreement on anterior oral cleft speech characteristics, non-cleft errors/immaturities and voice. This was explained, at least in part, by their low prevalence which affects the calculation of the intraclass correlation coefficient statistic. Conclusions & Implications: Speech and language therapists benefited from training on the CAPS-A, focusing on specific aspects of speech using definitions of parameters and scalar points, in order to apply the tool systematically and reliably. Ratings are enhanced by ensuring a high degree of attention to the nature of the data, standardizing the speech sample, data acquisition, the listening process together with the use of high-quality recording and playback equipment. In addition, a method is proposed for maintaining listening skills following training as part of an individual's continuing education. (Contains 3 tables.)
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        Value: 10.1080/13682820802196815
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      – SubjectFull: Congenital Impairments
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      – TitleFull: Cleft Audit Protocol for Speech (CAPS-A): A Comprehensive Training Package for Speech Analysis
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