A lightly supervised approach to detect stuttering in children's speech

© 2018 International Speech Communication Association. All rights reserved. In speech pathology, new assistive technologies using ASR and machine learning approaches are being developed for detecting speech disorder events. Classically-trained ASR model tends to remove disfluencies from spoken utterances, due to its focus on producing clean and readable text output. However, diagnostic systems need to be able to track speech disfluencies, such as stuttering events, in order to determine the severity level of stuttering. To achieve this, ASR systems must be adapted to recognise full verbatim utterances, including pseudo-words and non-meaningful part-words. This work proposes a training regime to address this problem, and preserve a full verbatim output of stuttering speech. We use a lightly-supervised approach using task-oriented lattices to recognise the stuttering speech of children performing a standard reading task. This approach improved the WER by 27.8% relative to a baseline that uses word-lattices generated from the original prompt. The improved results preserved 63% of stuttering events (including sound, word, part-word and phrase repetition, and revision). This work also proposes a separate correction layer on top of the ASR that detects prolongation events (which are poorly recog-nised by the ASR). This increases the percentage of preserved stuttering events to 70%

Acoustic analysis in stuttering: a machine-learning study

BackgroundStuttering is a childhood-onset neurodevelopmental disorder affecting speech fluency. The diagnosis and clinical management of stuttering is currently based on perceptual examination and clinical scales. Standardized techniques for acoustic analysis have prompted promising results for the objective assessment of dysfluency in people with stuttering (PWS).ObjectiveWe assessed objectively and automatically voice in stuttering, through artificial intelligence (i.e., the support vector machine – SVM classifier). We also investigated the age-related changes affecting voice in stutterers, and verified the relevance of specific speech tasks for the objective and automatic assessment of stuttering.MethodsFifty-three PWS (20 children, 33 younger adults) and 71 age−/gender-matched controls (31 children, 40 younger adults) were recruited. Clinical data were assessed through clinical scales. The voluntary and sustained emission of a vowel and two sentences were recorded through smartphones. Audio samples were analyzed using a dedicated machine-learning algorithm, the SVM to compare PWS and controls, both children and younger adults. The receiver operating characteristic (ROC) curves were calculated for a description of the accuracy, for all comparisons. The likelihood ratio (LR), was calculated for each PWS during all speech tasks, for clinical-instrumental correlations, by using an artificial neural network (ANN).ResultsAcoustic analysis based on machine-learning algorithm objectively and automatically discriminated between the overall cohort of PWS and controls with high accuracy (88%). Also, physiologic ageing crucially influenced stuttering as demonstrated by the high accuracy (92%) of machine-learning analysis when classifying children and younger adults PWS. The diagnostic accuracies achieved by machine-learning analysis were comparable for each speech task. The significant clinical-instrumental correlations between LRs and clinical scales supported the biological plausibility of our findings.ConclusionAcoustic analysis based on artificial intelligence (SVM) represents a reliable tool for the objective and automatic recognition of stuttering and its relationship with physiologic ageing. The accuracy of the automatic classification is high and independent of the speech task. Machine-learning analysis would help clinicians in the objective diagnosis and clinical management of stuttering. The digital collection of audio samples here achieved through smartphones would promote the future application of the technique in a telemedicine context (home environment)

Automatic Screening of Childhood Speech Sound Disorders and Detection of Associated Pronunciation Errors

Speech disorders in children can affect their fluency and intelligibility. Delay in their diagnosis and treatment increases the risk of social impairment and learning disabilities. With the significant shortage of Speech and Language Pathologists (SLPs), there is an increasing interest in Computer-Aided Speech Therapy tools with automatic detection and diagnosis capability. However, the scarcity and unreliable annotation of disordered child speech corpora along with the high acoustic variations in the child speech data has impeded the development of reliable automatic detection and diagnosis of childhood speech sound disorders. Therefore, this thesis investigates two types of detection systems that can be achieved with minimum dependency on annotated mispronounced speech data. First, a novel approach that adopts paralinguistic features which represent the prosodic, spectral, and voice quality characteristics of the speech was proposed to perform segment- and subject-level classification of Typically Developing (TD) and Speech Sound Disordered (SSD) child speech using a binary Support Vector Machine (SVM) classifier. As paralinguistic features are both language- and content-independent, they can be extracted from an unannotated speech signal. Second, a novel Mispronunciation Detection and Diagnosis (MDD) approach was introduced to detect the pronunciation errors made due to SSDs and provide low-level diagnostic information that can be used in constructing formative feedback and a detailed diagnostic report. Unlike existing MDD methods where detection and diagnosis are performed at the phoneme level, the proposed method achieved MDD at the speech attribute level, namely the manners and places of articulations. The speech attribute features describe the involved articulators and their interactions when making a speech sound allowing a low-level description of the pronunciation error to be provided. Two novel methods to model speech attributes are further proposed in this thesis, a frame-based (phoneme-alignment) method leveraging the Multi-Task Learning (MTL) criterion and training a separate model for each attribute, and an alignment-free jointly-learnt method based on the Connectionist Temporal Classification (CTC) sequence to sequence criterion. The proposed techniques have been evaluated using standard and publicly accessible adult and child speech corpora, while the MDD method has been validated using L2 speech corpora

Apraxia World: Deploying a Mobile Game and Automatic Speech Recognition for Independent Child Speech Therapy

Children with speech sound disorders typically improve pronunciation quality by undergoing speech therapy, which must be delivered frequently and with high intensity to be effective. As such, clinic sessions are supplemented with home practice, often under caregiver supervision. However, traditional home practice can grow boring for children due to monotony. Furthermore, practice frequency is limited by caregiver availability, making it difficult for some children to reach therapy dosage. To address these issues, this dissertation presents a novel speech therapy game to increase engagement, and explores automatic pronunciation evaluation techniques to afford children independent practice. Children with speech sound disorders typically improve pronunciation quality by undergoing speech therapy, which must be delivered frequently and with high intensity to be effective. As such, clinic sessions are supplemented with home practice, often under caregiver supervision. However, traditional home practice can grow boring for children due to monotony. Furthermore, practice frequency is limited by caregiver availability, making it difficult for some children to reach therapy dosage. To address these issues, this dissertation presents a novel speech therapy game to increase engagement, and explores automatic pronunciation evaluation techniques to afford children independent practice. The therapy game, called Apraxia World, delivers customizable, repetition-based speech therapy while children play through platformer-style levels using typical on-screen tablet controls; children complete in-game speech exercises to collect assets required to progress through the levels. Additionally, Apraxia World provides pronunciation feedback according to an automated pronunciation evaluation system running locally on the tablet. Apraxia World offers two advantages over current commercial and research speech therapy games; first, the game provides extended gameplay to support long therapy treatments; second, it affords some therapy practice independence via automatic pronunciation evaluation, allowing caregivers to lightly supervise instead of directly administer the practice. Pilot testing indicated that children enjoyed the game-based therapy much more than traditional practice and that the exercises did not interfere with gameplay. During a longitudinal study, children made clinically-significant pronunciation improvements while playing Apraxia World at home. Furthermore, children remained engaged in the game-based therapy over the two-month testing period and some even wanted to continue playing post-study. The second part of the dissertation explores word- and phoneme-level pronunciation verification for child speech therapy applications. Word-level pronunciation verification is accomplished using a child-specific template-matching framework, where an utterance is compared against correctly and incorrectly pronounced examples of the word. This framework identified mispronounced words better than both a standard automated baseline and co-located caregivers. Phoneme-level mispronunciation detection is investigated using a technique from the second-language learning literature: training phoneme-specific classifiers with phonetic posterior features. This method also outperformed the standard baseline, but more significantly, identified mispronunciations better than student clinicians

Models and analysis of vocal emissions for biomedical applications

This book of Proceedings collects the papers presented at the 3rd International Workshop on Models and Analysis of Vocal Emissions for Biomedical Applications, MAVEBA 2003, held 10-12 December 2003, Firenze, Italy. The workshop is organised every two years, and aims to stimulate contacts between specialists active in research and industrial developments, in the area of voice analysis for biomedical applications. The scope of the Workshop includes all aspects of voice modelling and analysis, ranging from fundamental research to all kinds of biomedical applications and related established and advanced technologies

Teaching child development principles to parents: A cognitive-developmental approach

Dissertation (Ed.D.)--Boston University, 1983The purpose of this study was to determine if a 12-week course would result in increased parental awareness and improved perceptions of parental behavior. The format included child development information and group problem solving of parent-child conflict dilemmas. A pre/post control group design was used with equivalent voluntary groups. The statistical techniques employed to analyze the data were the analysis of covariance and the t-test for correlated samples. The treatment group consisted of 11 parents and their 16 children while the control group comprised 11 parents and their 14 children. The Newberger (1977) Parental Awareness Scale (PAS) was administered to both sets of parents subsequent to the program and to the treatment group parents four months later. A modified version of the Schaefer (1965) Children's Reports of Parental Behavior Inventory (CRPBI) was administered to the parents and children of both groups. Analysis of the results of the PAS indicated that parents in the treatment group significantly increased their levels of parental awareness upon termination of the program (p<.03) and made further significant gains following a four month hiatus (p<.05). The results of the modified CRPBI indicated that parents perceived themselves as improving in their behavior to a significant level (p<.05) upon completion of the program but did not make likewise gains when retested four months later. The children of the parents of both groups failed to perceive improved behavior on the part of their parents. These results tentatively indicate that cognitive-structural growth can occur over time when the original stimulus conditions which facilitated it have been removed. It also appears that cognitive-developmentally oriented parent intervention is conducive to such growth. [TRUNCATED

An epidemiological study of malajustment in childhood

MD ThesisThe object of this thesis is to present an epidemiological study of maladjustment in children drawn from a sample population. The work has been carried out as part of a more extensive longitudinal study of morbidity in childhood which has come to be known as the Newcastle Thousand Families Survey. Before describing the work upon which this thesis is based I would like to desoibe briefly the historical development of the present concepts of maladjustment and the approach to its study and treatment. In order to appreciate the background of the present work it will also be necessary to give some account of the City of Newcastle, from which the sample was drawn, and of the development of the Thousand Families Survey

Pacific Symposium on Biocomputing 2023

The Pacific Symposium on Biocomputing (PSB) 2023 is an international, multidisciplinary conference for the presentation and discussion of current research in the theory and application of computational methods in problems of biological significance. Presentations are rigorously peer reviewed and are published in an archival proceedings volume. PSB 2023 will be held on January 3-7, 2023 in Kohala Coast, Hawaii. Tutorials and workshops will be offered prior to the start of the conference.PSB 2023 will bring together top researchers from the US, the Asian Pacific nations, and around the world to exchange research results and address open issues in all aspects of computational biology. It is a forum for the presentation of work in databases, algorithms, interfaces, visualization, modeling, and other computational methods, as applied to biological problems, with emphasis on applications in data-rich areas of molecular biology.The PSB has been designed to be responsive to the need for critical mass in sub-disciplines within biocomputing. For that reason, it is the only meeting whose sessions are defined dynamically each year in response to specific proposals. PSB sessions are organized by leaders of research in biocomputing's 'hot topics.' In this way, the meeting provides an early forum for serious examination of emerging methods and approaches in this rapidly changing field