title: The relationship between communicative participation and postlaryngectomy speech outcomes.
abstract: The purpose of this study was to examine relationships between communicative participation and postlaryngectomy speech outcomes, including listener-rated speech intelligibility and acceptability, and patient-rated speech acceptability and voice handicap.
  
  
  
  Thirty-six laryngectomized individuals completed the Communicative Participation Item Bank (CPIB) short form and the Voice Handicap Index-10 (VHI-10). They provided recordings from the Sentence Intelligibility Test (SIT) and a reading passage, and rated their own speech acceptability. Forty-eight inexperienced listeners transcribed the SIT sentences to derive intelligibility scores. Eighteen additional listeners judged the speech acceptability using the rating scales.
  
  
  
  Listeners judged tracheoesophageal speakers as significantly more intelligible and acceptable than electrolaryngeal speakers (p < .05). Speech acceptability was significantly more acceptable to speakers than listeners (p < .05). Weak, nonsignificant relationships were found between communicative participation and listener-rated outcomes. Stronger, significant relationships were found between communicative participation and self-rated speech acceptability and voice handicap (p < .05).
  
  
  
  Patient-reported communication outcomes are complementary to listener-rated outcomes. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1955-E1961, 2016.
authors.affiliation: Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington.
authors.forename: Tanya L
authors.initials: TL
authors.lastname: Eadie
authors.affiliation: Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington.
authors.forename: Devon
authors.initials: D
authors.lastname: Otero
authors.affiliation: Health and Rehabilitation Sciences, Western University, London, Ontario, Canada.
authors.forename: Steven
authors.initials: S
authors.lastname: Cox
authors.affiliation: Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington.
authors.forename: Jordan
authors.initials: J
authors.lastname: Johnson
authors.affiliation: Rehabilitation Medicine, University of Washington, Seattle, Washington.
authors.forename: Carolyn R
authors.initials: CR
authors.lastname: Baylor
authors.affiliation: Rehabilitation Medicine, University of Washington, Seattle, Washington.
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Yorkston
authors.affiliation: Health and Rehabilitation Sciences, Western University, London, Ontario, Canada.|Department of Otolaryngology Head and Neck Surgery, Western University, London, Ontario, Canada.
authors.forename: Philip C
authors.initials: PC
authors.lastname: Doyle
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D013065:Speech Intelligibility; D013068:Speech Production Measurement; D014831:Voice; D014833:Voice Quality
keywords: communication; intelligibility; outcomes; speech outcomes; total laryngectomy