1. SPEECH SAMPLES AND THEIR INFLUENCE ON SPEECH OUTCOME Gunilla Henningsson SWEDEN

2. How can we get comparable data sets? Two important variables to consider:  nature of the speech sample  type of speech data

4. TYPE OF SPEECH SAMPLE a variable influencing SPEECH OUTCOME

5. Clinical Experiences: assessment of speech samples based on syllable repetition : /papapa/ /pipipi/ spontaneous speech will result in different conclusions about the quality of the patient´s speech, i.e. on speech outcome

6. Speech sampling context(s): 1)automatic speech (counting, days of week, months of year, etc.) 2)memorized material (nursery rhymes, prayers, etc.) 3)syllable repetition 4)single words/articulation test 5)sentence repetition 6)oral reading of sentences 7)spontaneous connected speech

7. Regardless of which speech samples we are using there is in fact the individual target speech sounds on which we base our descriptions

9. Examples from the battery of The Universal Reporting Parameters shows the same thing: (1) hypernasality: high vowels, some vowels, glides, liquids (2) hyponasality: what else could we listen to but nasals? (3) atypical backing of dental/alveolar target to velar

10. individual target sounds in isolation are not to be recommended as speech samples. THUS: the individual target speech sounds must occur in a phonetic context

12. Two types of speech samples recommended for reporting: single (short) words – as the main speech sample single short sentences – as a supplementary type of speech sample

13. The main reason : Speech outcome is influenced not only by: the individual target speech sounds but also by the phonetic context of the target sound

14. Common specific requirements for the structure of speech material in terms of single words and short sentences: Birgit Hutters, phonetician,University of Copenhagen, Denmark Recommended by the Eurocran Speech Group

16. EUROCRAN: European Collaboration on Craniofacial Anomalies Webside: link to the Eurocran speech project : “Good Practice Archive for Speech” www.eurocran.org

17. Each language needs to work out a word list and a sentence list

19. With adaptation to the specific language: The specific requirements when the TARGET SOUND occurs in WORDS:

20. Single consonant inventory should include: all pressure consonants all or some non-pressure oral consonants one or more nasal consonants (+hyponasality)

22. Vowel inventory should include: all or some high vowels all or some low vowels some non-high/low vowels

23. As to phonetic context: the number of contextual sounds should be limited and the following should be avoided:

24.  pressure consonants within the word other than the target sound: ex g a t e, g ee s e, p ic k  nasal consonants: t e n, c a n, p i n

25. vowels of different height (in case of more vowels in the word): daddy, baby, potato

26. For 'target' consonants in clusters, due to loading of the vp- mechanism on target cons : include following types: clusters with non-maximum loading (i.e. oral non-pressure consonants: (sleep, flag) clusters with maximum loading (i.e. nasal consonants: snow, snail, small) other types of clusters

28. As to the position of the target consonants in the word, the consonant should occur in: 'strong position' other positions - if relevant for the consonant/language in question

29. 'Strong position' : where the target sound is: most distinctly articulated most easily recognizable minimally influenced by the context

31. Next requirement with regard to the number of representations of each target consonant: single target consonants: three times in 'strong position', twice in other positions in clusters: twice

32. Other requirements for the structure of the word list: the target consonants - and subsequently the words - should be randomly ordered high vowels should occur in approximately 10 of the words following a target consonant in 'strong position'

33. Ex from English word list, 3 year old children (Scandcleft project, Eurocran) target word target sound pea p- (ideal ex) doll d- (ideal ex) peep p- (target sound – twice - OK) kick k- (target sound - twice - OK) gate g- (velar + dental - not recommended)

34. SHORT SENTENCES: The following target consonants should occur in 'strong' and possibly other positions all single pressure consonants nasal consonant (+ hyponasality) others as required

36. With regard to vowels, the following is suggested vowel height should be taken into consideration when deciding on the phonetic content of the sentences

37. A few words of cross-linguistic comparisons Cleft Palate Craniofacial J: Sept 2004 Speech Outcome Following Treatment in Cross-Linguistic Cleft Palate Studies: Methodological Implications. Birgit Hutters, Gunilla Henningsson

38. The impact of the cleft condition will differ across languages depending on how vulnerable a language is in terms of: prevalence of high pressure consonants prevalence of high vowels

40. Two additional requirements for the target sounds intended for comparison - they should : be of similar phonetic content occur in similar phonetic context

41. We have two controlled speech samples we all should use: single short words short sentences

42. What about repeated syllables such as /pipipi/ ? No standardization for: the SLP´s rep behavior numbers of syllables used pronounciation of the vowel some syllable chains may be real words in some languages

44. What about automatic speech and memorized material ?

45. What about automatic speech cont. Should NOT be used within the battery of The Universal Reporting Parameters

46. What about spontaneous speech ? impossible to control from a universal aspect impossible to describe the base for the assessment the length of the speech will vary the phonetic context will vary the speech tempo will vary

47. However : spontaneous speech could still be assessed but in terms of intelligi- bility or with other rating scales. but once again: spontaneous speech should be rated and reported separated from single short words and short sentences

48. Assessment and rating of HYPERNASALITY from high vowels within short words - or from low vowels if this is the purpose of our assessment keep assessment and rating of high and low vowels separated

49. Hypernasality cont. Recommendation: assessment of 10 short words with high vowels The longer the speech samples with a mixture of vowels - the more difficult to listen to the individual vowels and rating of hypernasality

50. For the clinical speech assesment of an individual patient, the SLP is free to use whatever speech samples he/she likes, but they will not be usable within the battery of The Universal Reporting Parameters

51. The point is: in order to be able to report on speech outcome in a meaningful way - the require- ments for speech samples should be considered in the clinical assessment

52. Each cleft palate team within each language needs to establish : a word list as much as possible in accordance to the recommended requirements a sentence list as much as possible in accordance to the recommended requirements

53. How to elicit single word speech material?

54. Eurocran recommendations (1) parents must not interfere with the child´s talk naming of the word - first choice semantic prompting -next choice final choice : repetition of the word After each naming the SLP should repeat the target word

55. Further recommendations (2) the speech samples: tape recordings of high standard high quality equipment (see Eurocran recommendations) the target sound realisation: transcriptions from the recordings should be used for assessing cleft palate speech characteristics:

56. Further recommendations (3) This means that: each target speech sound realisation could include more than ONE speech characteristic (ex dental backing to velar + nasal emission)

57. Further recommendations (4) Words and sentences should include an established number of target speech sounds then: type of speech characteristics – AND number of correct and incorrect responses could be summed up and transferred into any scoring system

58. Further recommendations (5) CSAG (Great Britain) the ScandCleft Project (longitu- dinal, multicenter study:10 european cleft palate centres, 5 languages Swedish Articulation and Nasality Test: SVANTE (publ 2005)