AI Article Synopsis
- - The study evaluated the reliability of speech data from the Swedish quality registry for children with cleft lip and palate (CLP) at age 10, using a retrospective design involving 121 participants.
- - Six independent raters compared audio recordings against registry data to assess factors like the percentage of consonants correct (PCC) and velopharyngeal competence (VPC), using statistical methods to measure agreement.
- - Results showed excellent reliability for PCC and non-oral speech errors, with good to excellent rankings for quality indicators, while VPC showed varying levels of reliability that warrant cautious interpretation in research contexts.
Article Abstract
Objective: To assess the reliability of speech data and speech-related quality indicators in the Swedish quality registry for cleft lip and palate (CLP) at 10 years of age.
Design: Retrospective study.
Setting: University hospitals.
Participants: One hundred twenty-one 10-year-olds with unilateral or bilateral CLP.
Main Outcome Measures: Six independent raters reassessed audio recordings for comparison with registry data. For calculation of agreement, the single measures intraclass correlation coefficient (ICC) was used for percentage of consonants correct (PCC) and non-oral speech errors, quadratic weighted kappa for velopharyngeal competence (VPC), and percentage agreement and kappa for quality indicators. The results of the three to four raters with the highest intra-rater and inter-rater reliability were used for comparison with registry data.
Results: There was excellent agreement between registry data and reassessments for PCC (ICC, 0.93) and percentage of non-oral errors (ICC, 0.80). For VPC, one rater and registry data had good agreement (k, 0.704); the remaining cases had fair agreement (k, 0.476-0.554). The percentage agreement between registry data and reassessments for quality indicators ranged from fair to excellent. When calculated with kappa, agreement was good to excellent (mean of all k values, 0.67-0.70).
Conclusions: The CLP registry variables PCC and percentage of non-oral errors and the quality indicators and are reliable for use in clinical audits and research of 10-year-olds. The three-tier ratings of VPC have weaker reliability but can still be useful in more detailed analyses if interpreted with caution.
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| http://dx.doi.org/10.1177/10556656241287761 | DOI Listing |
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