Examining the relationship between speech intensity and self-rated communicative effectiveness in individuals with XXXX and hypophonia.

@entity1 @entity191
PURPOSE: To examine the relationship between speech intensity and self-ratings of communicative effectiveness in speakers with @entity191 ( @entity191 ) and hypophonia. An additional purpose was to evaluate if self-ratings of communicative effectiveness made by @entity1 with @entity191 differed from ratings made by primary communication partners. METHODS: Thirty @entity1 with @entity191 and 15 healthy older adults completed the Communication Effectiveness Survey. Thirty primary communication partners rated the communicative effectiveness of his/her partner with @entity191 . Speech intensity was calculated for @entity1 with @entity191 and control @entity1 based on conversational utterances. RESULTS: Results revealed significant differences between groups in conversational speech intensity (p=.001). @entity1 with @entity191 self-rated communicative effectiveness significantly lower than control @entity1 (p=.000). Correlational analyses revealed a small but non-significant relationship between speech intensity and communicative effectiveness for @entity1 with @entity191 (r=0.298, p=.110) and control @entity1 (r=0.327, p=.234). Self-ratings of communicative effectiveness made @entity1 with @entity191 was not significantly different than ratings made by primary communication partners (p=.20). CONCLUSIONS: Obtaining information on communicative effectiveness may help to broaden outcome measurement and may aid in the provision of educational strategies. Findings also suggest that communicative effectiveness may be a separate and a distinct construct that cannot necessarily be predicted from the severity of hypophonia.
