Patient Perception of Speech Outcomes: The Relationship Between Clinical Measures and Self-Perception of Speech Function Following Surgical Treatment for Oral Cancer Purpose Treatment for oral cancer can result in speech impairments that can have varying impacts on patient quality of life. This study explored the relationship between clinical measures of speech impairment and the perception that patients had of this change in the early stage of recovery. Method This ... Clinical Focus
Newly Published
Clinical Focus  |   March 28, 2017
Patient Perception of Speech Outcomes: The Relationship Between Clinical Measures and Self-Perception of Speech Function Following Surgical Treatment for Oral Cancer
 
Author Affiliations & Notes
  • Gabriela Constantinescu
    Institute for Reconstructive Sciences in Medicine, Misericordia Community Hospital, Edmonton, Alberta, Canada
    Department of Communication Sciences and Disorders, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
  • Jana Rieger
    Institute for Reconstructive Sciences in Medicine, Misericordia Community Hospital, Edmonton, Alberta, Canada
    Department of Communication Sciences and Disorders, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada
  • Marcy Winget
    Stanford University School of Medicine, Stanford, California
  • Catherine Paulsen
    School of Public Health, University of Alberta, Edmonton, Alberta, Canada
  • Hadi Seikaly
    Faculty of Medicine and Dentistry, Division of Otolaryngology–Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication. ×
  • Correspondence to Gabriela Constantinescu: constant@ualberta.ca
  • Editor: Krista Wilkinson
    Editor: Krista Wilkinson×
  • Associate Editor: Katherine Verdolini Abbott
    Associate Editor: Katherine Verdolini Abbott×
Article Information
Speech, Voice & Prosodic Disorders / Hearing & Speech Perception / Special Populations / Speech, Voice & Prosody / Newly Published / Clinical Focus
Clinical Focus   |   March 28, 2017
Patient Perception of Speech Outcomes: The Relationship Between Clinical Measures and Self-Perception of Speech Function Following Surgical Treatment for Oral Cancer
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2016_AJSLP-15-0170
History: Received November 5, 2015 , Revised April 27, 2016 , Accepted October 5, 2016
 
American Journal of Speech-Language Pathology, Newly Published. doi:10.1044/2016_AJSLP-15-0170
History: Received November 5, 2015; Revised April 27, 2016; Accepted October 5, 2016

Purpose Treatment for oral cancer can result in speech impairments that can have varying impacts on patient quality of life. This study explored the relationship between clinical measures of speech impairment and the perception that patients had of this change in the early stage of recovery.

Method This was a quasi-experimental 1-group pre–post study design carried out on 10 patients with surgical intervention for oral cancer. Two clinical measures (word intelligibility and consonant phoneme error) and 2 patient-perception measures (Speech Handicap Index total score and Speech Handicap Index patient criteria score) were collected at preoperative and 1-month postoperative appointments.

Results Qualitative analysis revealed discordance between clinical and patient-perceived measures in 4 of 10 patients. Change in consonant phoneme error and change in word intelligibility were significantly correlated (r = .827). Furthermore, on average, statistically significant relationships were not found between clinical and patient-perceived measures or between the 2 patient-perception measures.

Conclusions Discordance between clinical and patient-perceived measures was observed in almost half of the sample, indicating that clinical tests did not fully explain the extent of impairment perceived by patients. Speech outcomes should focus on both types of measures, and patient perception outcomes should be carefully considered when recommending speech therapy.

Acknowledgment
This project was supported by a Covenant Health Research Grant.
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