PMID- 37195724
OWN - NLM
STAT- MEDLINE
DCOM- 20230818
LR  - 20240202
IS  - 1558-9110 (Electronic)
IS  - 1058-0360 (Print)
IS  - 1058-0360 (Linking)
VI  - 32
IP  - 4S
DP  - 2023 Aug 17
TI  - The Multilevel Word Accuracy Composite Scale: A Novel Measure of Speech 
      Production in Childhood Apraxia of Speech.
PG  - 1866-1883
LID - 10.1044/2023_AJSLP-22-00166 [doi]
AB  - PURPOSE: The Multilevel word Accuracy Composite Scale (MACS) is a novel 
      whole-word measure of speech production accuracy designed to evaluate behaviors 
      commonly targeted in motor-based intervention for childhood apraxia of speech 
      (CAS). The MACS yields a composite score generated through ratings of segmental 
      accuracy, word structure maintenance, prosody, and movement transition. This 
      study examined the validity of the MACS through comparison to established 
      measures of speech accuracy. Reliability was also examined within and between 
      practicing speech-language pathologists (SLPs). METHOD: The MACS was used to rate 
      117 tokens produced by children with severe CAS. Ratings were performed in the 
      laboratory setting by two expert raters and by practicing SLPs (N = 19). 
      Concurrent validity was estimated through comparison of expert MACS ratings 
      (i.e., MACS score and each component rating) to measures of speech accuracy 
      (percent phoneme correct and the 3-point scale) using correlational analyses. 
      Reliability was examined between expert raters and across SLP raters using the 
      intraclass correlation coefficient to examine interrater reliability of expert 
      ratings, in addition to inter- and intrarater reliability of SLP ratings. 
      RESULTS: Correlation analyses between MACS ratings (i.e., MACS score and 
      component ratings) and existing measures of speech accuracy revealed small to 
      large positive correlations between measures. Reliability analyses revealed 
      moderate to excellent reliability for MACS ratings performed by expert raters and 
      between (interrater) and within (intrarater) SLP raters. CONCLUSIONS: Analyses of 
      concurrent validity indicate that the MACS aligns with established measures, yet 
      contributes novel elements for rating speech accuracy. Results further support 
      the MACS as a reliable measure for rating speech accuracy in children with severe 
      speech impairment for ratings performed by expert raters and practicing 
      clinicians.
FAU - Case, Julie
AU  - Case J
AUID- ORCID: 0000-0002-2914-0491
AD  - Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, 
      NY.
FAU - Wang, Emily W
AU  - Wang EW
AD  - Department of Communicative Sciences and Disorders, New York University, New 
      York.
FAU - Grigos, Maria I
AU  - Grigos MI
AUID- ORCID: 0000-0002-6292-0318
AD  - Department of Communicative Sciences and Disorders, New York University, New 
      York.
LA  - eng
GR  - R01 DC018581/DC/NIDCD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20230517
PL  - United States
TA  - Am J Speech Lang Pathol
JT  - American journal of speech-language pathology
JID - 9114726
SB  - IM
MH  - Child
MH  - Humans
MH  - Speech
MH  - Reproducibility of Results
MH  - *Apraxias/diagnosis
MH  - *Communication Disorders
MH  - *Speech-Language Pathology/methods
PMC - PMC10561970
EDAT- 2023/05/17 13:09
MHDA- 2023/08/18 06:42
PMCR- 2024/02/01
CRDT- 2023/05/17 11:43
PHST- 2023/08/18 06:42 [medline]
PHST- 2023/05/17 13:09 [pubmed]
PHST- 2023/05/17 11:43 [entrez]
PHST- 2024/02/01 00:00 [pmc-release]
AID - 23814764000300140072 [pii]
AID - 10.1044/2023_AJSLP-22-00166 [doi]
PST - ppublish
SO  - Am J Speech Lang Pathol. 2023 Aug 17;32(4S):1866-1883. doi: 
      10.1044/2023_AJSLP-22-00166. Epub 2023 May 17.