Human Voice as a Measure of Mental Load Level

Purpose: The aim of this study was to determine a reliable and efficient set of acoustic parameters of the human voice able to estimate individuals' mental load level. Implementing detection methods and real-time analysis of mental load is a major challenge for monitoring and enhancing human ta...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of speech, language, and hearing research language, and hearing research, 2018-11, Vol.61 (11), p.2722-2734
Hauptverfasser: Boyer, Stanislas, Paubel, Pierre-Vincent, Ruiz, Robert, El Yagoubi, Radouane, Daurat, Agnès
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 2734
container_issue 11
container_start_page 2722
container_title Journal of speech, language, and hearing research
container_volume 61
creator Boyer, Stanislas
Paubel, Pierre-Vincent
Ruiz, Robert
El Yagoubi, Radouane
Daurat, Agnès
description Purpose: The aim of this study was to determine a reliable and efficient set of acoustic parameters of the human voice able to estimate individuals' mental load level. Implementing detection methods and real-time analysis of mental load is a major challenge for monitoring and enhancing human task performance, especially during high-risk activities (e.g., flying aircraft). Method: The voices of 32 participants were recorded during a cognitive task featuring word list recall. The difficulty of the task was manipulated by varying the number of words in each list (i.e., between 1 and 7, corresponding to 7 mental load conditions). Evoked pupillary response, known to be a useful proxy of mental load, was recorded simultaneously with speech to attest variations in mental load level during the experimental task. Results: Classic features (fundamental frequency, its standard deviation, number of periods) and original features (frequency modulation and short-term variation in digital amplitude length) of the acoustic signals were predictive of memory load condition. They varied significantly according to the number of words to recall, specifically beyond a threshold of 3-5 words to recall, that is, when memory performance started to decline. Conclusions: Some acoustic parameters of the human voice could be an appropriate and efficient means for detecting mental load levels.
doi_str_mv 10.1044/2018_JSLHR-S-18-0066
format Article
fullrecord <record><control><sourceid>gale_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_02096143v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A569755948</galeid><ericid>EJ1196930</ericid><sourcerecordid>A569755948</sourcerecordid><originalsourceid>FETCH-LOGICAL-c527t-6c96b999eb57271d1572e96a8ef1a32a260aaea6ef9c053f49c94fa87fa2e2453</originalsourceid><addsrcrecordid>eNptkl9rFDEUxQdR7B_9BioDguhDapJJMsnjUqprGRFc9TXczd50p2QnNZkp-O2bZevWyiYP93DzOxdyOVX1itEzRoX4yCnT9nLRzb-TBWGaUKrUk-qYSamJYZQ_LZoaTkSj9VF1kvM1LYcJ9bw6amijG6bocUXm0waG-lfsHdaQa6i_IuQpYR19kcMIoe4irOoObzG8qJ55CBlf3tfT6uenix_nc9J9-_zlfNYRJ3k7EuWMWhpjcClb3rIVKwWNAo2eQcOBKwqAoNAbR2XjhXFGeNCtB45cyOa0-rCbu4Zgb1K_gfTHRujtfNbZbY9yahQTzS0r7Psde5Pi7wnzaDd9dhgCDBinbDnjrRGmZW1B3_6HXscpDeUnhZKMcc0lfaCuIKDtBx_HBG471M6kMq2URuhCkQPUFQ6YIMQBfV_aj_izA3y5K9z07qDh3T-GNUIY1zmGaezjkB-DYge6FHNO6PcbY9Ruo2IfomIXtshtVIrtzf0ypuUGV3vT32wU4PUOwNS7_fPFJWNGmULdAdClvKs</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2151128250</pqid></control><display><type>article</type><title>Human Voice as a Measure of Mental Load Level</title><source>MEDLINE</source><source>Education Source</source><source>Alma/SFX Local Collection</source><creator>Boyer, Stanislas ; Paubel, Pierre-Vincent ; Ruiz, Robert ; El Yagoubi, Radouane ; Daurat, Agnès</creator><creatorcontrib>Boyer, Stanislas ; Paubel, Pierre-Vincent ; Ruiz, Robert ; El Yagoubi, Radouane ; Daurat, Agnès</creatorcontrib><description>Purpose: The aim of this study was to determine a reliable and efficient set of acoustic parameters of the human voice able to estimate individuals' mental load level. Implementing detection methods and real-time analysis of mental load is a major challenge for monitoring and enhancing human task performance, especially during high-risk activities (e.g., flying aircraft). Method: The voices of 32 participants were recorded during a cognitive task featuring word list recall. The difficulty of the task was manipulated by varying the number of words in each list (i.e., between 1 and 7, corresponding to 7 mental load conditions). Evoked pupillary response, known to be a useful proxy of mental load, was recorded simultaneously with speech to attest variations in mental load level during the experimental task. Results: Classic features (fundamental frequency, its standard deviation, number of periods) and original features (frequency modulation and short-term variation in digital amplitude length) of the acoustic signals were predictive of memory load condition. They varied significantly according to the number of words to recall, specifically beyond a threshold of 3-5 words to recall, that is, when memory performance started to decline. Conclusions: Some acoustic parameters of the human voice could be an appropriate and efficient means for detecting mental load levels.</description><identifier>ISSN: 1092-4388</identifier><identifier>EISSN: 1558-9102</identifier><identifier>DOI: 10.1044/2018_JSLHR-S-18-0066</identifier><identifier>PMID: 30383160</identifier><language>eng</language><publisher>United States: American Speech-Language-Hearing Association</publisher><subject>Acoustics ; Adult ; Amplitude (Acoustics) ; Anatomy ; Cognition ; Cognition &amp; reasoning ; Cognitive Ability ; Cognitive load ; Cognitive Processes ; Communication ; Difficulty Level ; Evaluation ; Experimental psychology ; Female ; Fundamental frequency ; Heart rate ; Human performance ; Humans ; Identification ; Information Processing ; International conferences ; Male ; Mechanics ; Memorization ; Memory ; Memory - physiology ; Memory and Learning Tests ; Mental Processes - physiology ; Middle Aged ; Motor Reactions ; Physics ; Physiology ; Psychological research ; Psychology ; Recall ; Recall (Psychology) ; Researchers ; Short Term Memory ; Speech ; Speech Acoustics ; Speech Production Measurement ; Vocabulary ; Voice ; Vowels ; Word lists ; Workloads</subject><ispartof>Journal of speech, language, and hearing research, 2018-11, Vol.61 (11), p.2722-2734</ispartof><rights>COPYRIGHT 2018 American Speech-Language-Hearing Association</rights><rights>Copyright American Speech-Language-Hearing Association Nov 2018</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-6c96b999eb57271d1572e96a8ef1a32a260aaea6ef9c053f49c94fa87fa2e2453</citedby><cites>FETCH-LOGICAL-c527t-6c96b999eb57271d1572e96a8ef1a32a260aaea6ef9c053f49c94fa87fa2e2453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,27905,27906</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1196930$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30383160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-tlse2.hal.science/hal-02096143$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Boyer, Stanislas</creatorcontrib><creatorcontrib>Paubel, Pierre-Vincent</creatorcontrib><creatorcontrib>Ruiz, Robert</creatorcontrib><creatorcontrib>El Yagoubi, Radouane</creatorcontrib><creatorcontrib>Daurat, Agnès</creatorcontrib><title>Human Voice as a Measure of Mental Load Level</title><title>Journal of speech, language, and hearing research</title><addtitle>J Speech Lang Hear Res</addtitle><description>Purpose: The aim of this study was to determine a reliable and efficient set of acoustic parameters of the human voice able to estimate individuals' mental load level. Implementing detection methods and real-time analysis of mental load is a major challenge for monitoring and enhancing human task performance, especially during high-risk activities (e.g., flying aircraft). Method: The voices of 32 participants were recorded during a cognitive task featuring word list recall. The difficulty of the task was manipulated by varying the number of words in each list (i.e., between 1 and 7, corresponding to 7 mental load conditions). Evoked pupillary response, known to be a useful proxy of mental load, was recorded simultaneously with speech to attest variations in mental load level during the experimental task. Results: Classic features (fundamental frequency, its standard deviation, number of periods) and original features (frequency modulation and short-term variation in digital amplitude length) of the acoustic signals were predictive of memory load condition. They varied significantly according to the number of words to recall, specifically beyond a threshold of 3-5 words to recall, that is, when memory performance started to decline. Conclusions: Some acoustic parameters of the human voice could be an appropriate and efficient means for detecting mental load levels.</description><subject>Acoustics</subject><subject>Adult</subject><subject>Amplitude (Acoustics)</subject><subject>Anatomy</subject><subject>Cognition</subject><subject>Cognition &amp; reasoning</subject><subject>Cognitive Ability</subject><subject>Cognitive load</subject><subject>Cognitive Processes</subject><subject>Communication</subject><subject>Difficulty Level</subject><subject>Evaluation</subject><subject>Experimental psychology</subject><subject>Female</subject><subject>Fundamental frequency</subject><subject>Heart rate</subject><subject>Human performance</subject><subject>Humans</subject><subject>Identification</subject><subject>Information Processing</subject><subject>International conferences</subject><subject>Male</subject><subject>Mechanics</subject><subject>Memorization</subject><subject>Memory</subject><subject>Memory - physiology</subject><subject>Memory and Learning Tests</subject><subject>Mental Processes - physiology</subject><subject>Middle Aged</subject><subject>Motor Reactions</subject><subject>Physics</subject><subject>Physiology</subject><subject>Psychological research</subject><subject>Psychology</subject><subject>Recall</subject><subject>Recall (Psychology)</subject><subject>Researchers</subject><subject>Short Term Memory</subject><subject>Speech</subject><subject>Speech Acoustics</subject><subject>Speech Production Measurement</subject><subject>Vocabulary</subject><subject>Voice</subject><subject>Vowels</subject><subject>Word lists</subject><subject>Workloads</subject><issn>1092-4388</issn><issn>1558-9102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkl9rFDEUxQdR7B_9BioDguhDapJJMsnjUqprGRFc9TXczd50p2QnNZkp-O2bZevWyiYP93DzOxdyOVX1itEzRoX4yCnT9nLRzb-TBWGaUKrUk-qYSamJYZQ_LZoaTkSj9VF1kvM1LYcJ9bw6amijG6bocUXm0waG-lfsHdaQa6i_IuQpYR19kcMIoe4irOoObzG8qJ55CBlf3tfT6uenix_nc9J9-_zlfNYRJ3k7EuWMWhpjcClb3rIVKwWNAo2eQcOBKwqAoNAbR2XjhXFGeNCtB45cyOa0-rCbu4Zgb1K_gfTHRujtfNbZbY9yahQTzS0r7Psde5Pi7wnzaDd9dhgCDBinbDnjrRGmZW1B3_6HXscpDeUnhZKMcc0lfaCuIKDtBx_HBG471M6kMq2URuhCkQPUFQ6YIMQBfV_aj_izA3y5K9z07qDh3T-GNUIY1zmGaezjkB-DYge6FHNO6PcbY9Ruo2IfomIXtshtVIrtzf0ypuUGV3vT32wU4PUOwNS7_fPFJWNGmULdAdClvKs</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Boyer, Stanislas</creator><creator>Paubel, Pierre-Vincent</creator><creator>Ruiz, Robert</creator><creator>El Yagoubi, Radouane</creator><creator>Daurat, Agnès</creator><general>American Speech-Language-Hearing Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T9</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>88J</scope><scope>8A4</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>CPGLG</scope><scope>CRLPW</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20181101</creationdate><title>Human Voice as a Measure of Mental Load Level</title><author>Boyer, Stanislas ; Paubel, Pierre-Vincent ; Ruiz, Robert ; El Yagoubi, Radouane ; Daurat, Agnès</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c527t-6c96b999eb57271d1572e96a8ef1a32a260aaea6ef9c053f49c94fa87fa2e2453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acoustics</topic><topic>Adult</topic><topic>Amplitude (Acoustics)</topic><topic>Anatomy</topic><topic>Cognition</topic><topic>Cognition &amp; reasoning</topic><topic>Cognitive Ability</topic><topic>Cognitive load</topic><topic>Cognitive Processes</topic><topic>Communication</topic><topic>Difficulty Level</topic><topic>Evaluation</topic><topic>Experimental psychology</topic><topic>Female</topic><topic>Fundamental frequency</topic><topic>Heart rate</topic><topic>Human performance</topic><topic>Humans</topic><topic>Identification</topic><topic>Information Processing</topic><topic>International conferences</topic><topic>Male</topic><topic>Mechanics</topic><topic>Memorization</topic><topic>Memory</topic><topic>Memory - physiology</topic><topic>Memory and Learning Tests</topic><topic>Mental Processes - physiology</topic><topic>Middle Aged</topic><topic>Motor Reactions</topic><topic>Physics</topic><topic>Physiology</topic><topic>Psychological research</topic><topic>Psychology</topic><topic>Recall</topic><topic>Recall (Psychology)</topic><topic>Researchers</topic><topic>Short Term Memory</topic><topic>Speech</topic><topic>Speech Acoustics</topic><topic>Speech Production Measurement</topic><topic>Vocabulary</topic><topic>Voice</topic><topic>Vowels</topic><topic>Word lists</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boyer, Stanislas</creatorcontrib><creatorcontrib>Paubel, Pierre-Vincent</creatorcontrib><creatorcontrib>Ruiz, Robert</creatorcontrib><creatorcontrib>El Yagoubi, Radouane</creatorcontrib><creatorcontrib>Daurat, Agnès</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>Linguistics Collection</collection><collection>Linguistics Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Social Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Journal of speech, language, and hearing research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boyer, Stanislas</au><au>Paubel, Pierre-Vincent</au><au>Ruiz, Robert</au><au>El Yagoubi, Radouane</au><au>Daurat, Agnès</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1196930</ericid><atitle>Human Voice as a Measure of Mental Load Level</atitle><jtitle>Journal of speech, language, and hearing research</jtitle><addtitle>J Speech Lang Hear Res</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>61</volume><issue>11</issue><spage>2722</spage><epage>2734</epage><pages>2722-2734</pages><issn>1092-4388</issn><eissn>1558-9102</eissn><abstract>Purpose: The aim of this study was to determine a reliable and efficient set of acoustic parameters of the human voice able to estimate individuals' mental load level. Implementing detection methods and real-time analysis of mental load is a major challenge for monitoring and enhancing human task performance, especially during high-risk activities (e.g., flying aircraft). Method: The voices of 32 participants were recorded during a cognitive task featuring word list recall. The difficulty of the task was manipulated by varying the number of words in each list (i.e., between 1 and 7, corresponding to 7 mental load conditions). Evoked pupillary response, known to be a useful proxy of mental load, was recorded simultaneously with speech to attest variations in mental load level during the experimental task. Results: Classic features (fundamental frequency, its standard deviation, number of periods) and original features (frequency modulation and short-term variation in digital amplitude length) of the acoustic signals were predictive of memory load condition. They varied significantly according to the number of words to recall, specifically beyond a threshold of 3-5 words to recall, that is, when memory performance started to decline. Conclusions: Some acoustic parameters of the human voice could be an appropriate and efficient means for detecting mental load levels.</abstract><cop>United States</cop><pub>American Speech-Language-Hearing Association</pub><pmid>30383160</pmid><doi>10.1044/2018_JSLHR-S-18-0066</doi><tpages>13</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1092-4388
ispartof Journal of speech, language, and hearing research, 2018-11, Vol.61 (11), p.2722-2734
issn 1092-4388
1558-9102
language eng
recordid cdi_hal_primary_oai_HAL_hal_02096143v1
source MEDLINE; Education Source; Alma/SFX Local Collection
subjects Acoustics
Adult
Amplitude (Acoustics)
Anatomy
Cognition
Cognition & reasoning
Cognitive Ability
Cognitive load
Cognitive Processes
Communication
Difficulty Level
Evaluation
Experimental psychology
Female
Fundamental frequency
Heart rate
Human performance
Humans
Identification
Information Processing
International conferences
Male
Mechanics
Memorization
Memory
Memory - physiology
Memory and Learning Tests
Mental Processes - physiology
Middle Aged
Motor Reactions
Physics
Physiology
Psychological research
Psychology
Recall
Recall (Psychology)
Researchers
Short Term Memory
Speech
Speech Acoustics
Speech Production Measurement
Vocabulary
Voice
Vowels
Word lists
Workloads
title Human Voice as a Measure of Mental Load Level
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-20T00%3A34%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Human%20Voice%20as%20a%20Measure%20of%20Mental%20Load%20Level&rft.jtitle=Journal%20of%20speech,%20language,%20and%20hearing%20research&rft.au=Boyer,%20Stanislas&rft.date=2018-11-01&rft.volume=61&rft.issue=11&rft.spage=2722&rft.epage=2734&rft.pages=2722-2734&rft.issn=1092-4388&rft.eissn=1558-9102&rft_id=info:doi/10.1044/2018_JSLHR-S-18-0066&rft_dat=%3Cgale_hal_p%3EA569755948%3C/gale_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2151128250&rft_id=info:pmid/30383160&rft_galeid=A569755948&rft_ericid=EJ1196930&rfr_iscdi=true