Healthy Communication Partners Modify Their Speech When Conversing With Individuals With Parkinson's Disease.

Purpose For individuals with Parkinson's disease (PD), conversational interactions can be challenging. Efforts to improve the success of these interactions have largely fallen on the individual with PD. Successful communication, however, involves contributions from both the individual with PD and their communication partner. The current study examines whether healthy communication partners naturally engage in different acoustic-prosodic behavior (speech compensations) when conversing with an individual with PD and, further, whether such behavior aids communication success. Method Measures of articulatory precision, speaking rate, and pitch variability were extracted from the speech of healthy speakers engaged in goal-directed dialogue with other healthy speakers (healthy-healthy dyads) and with individuals with PD (healthy-PD dyads). Speech compensations, operationally defined as significant differences in healthy speakers' acoustic-prosodic behavior in healthy-healthy dyads versus healthy-PD dyads, were calculated for the three speech behaviors. Finally, the relationships between speech behaviors and an objective measure of communicative efficiency were examined. Results Healthy speakers engaged in speech characterized by greater articulatory precision and slower speaking rate when conversing with individuals with PD relative to conversations with other healthy individuals. However, these adaptive speech compensations were not predictive of communicative efficiency. Conclusions Evidence that healthy speakers naturally engage in speech compensations when conversing with individuals with PD is novel, yet consistent with findings from studies with other populations in which conversation can be challenging. In the case of PD, these compensatory behaviors did not support communication outcomes. While preliminary in nature, the results raise important questions regarding the speech behavior of healthy communication partners and provide directions for future work.

Conversational Coordination of Articulation Responds to Context: A Clinical Test Case With Traumatic Brain Injury.

Purpose Coordination of communicative behavior supports shared understanding in conversation. The current study brings together analysis of two speech coordination strategies, entrainment and compensation of articulation, in a preliminary investigation into whether strategy organization is shaped by a challenging communicative context-conversing with a person who has a communication disorder. Method As an initial clinical test case, an automated measure of articulatory precision was analyzed in a corpus of spoken dialogue, where a confederate conversed with participants with traumatic brain injury (n = 28) and participants with no brain injury (n = 48). Results Overall, the confederate engaged in significant entrainment and high compensation (hyperarticulation) in conversations with participants with traumatic brain injury relative to significant entrainment and low compensation (hypoarticulation) in conversations with participants with no brain injury. Furthermore, the confederate's articulatory precision changed over the course of the conversations. Conclusions Findings suggest that the organization of conversational coordination is sensitive to context, supporting synergistic models of spoken dialogue. While corpus limitations are acknowledged, these initial results point to differences in the way in which speech strategies are realized in challenging communicative contexts, highlighting a viable and important target for investigation with clinical populations. A framework for investigating speech coordination strategies in tandem and ideas for advancing this line of inquiry serve as key contributions of this work.

Syncing Up for a Good Conversation: A Clinically Meaningful Methodology for Capturing Conversational Entrainment in the Speech Domain.

Purpose Conversational entrainment, the phenomenon whereby communication partners synchronize their behavior, is considered essential for productive and fulfilling conversation. Lack of entrainment could, therefore, negatively impact conversational success. Although studied in many disciplines, entrainment has received limited attention in the field of speech-language pathology, where its implications may have direct clinical relevance. Method A novel computational methodology, informed by expert clinical assessment of conversation, was developed to investigate conversational entrainment across multiple speech dimensions in a corpus of experimentally elicited conversations involving healthy participants. The predictive relationship between the methodology output and an objective measure of conversational success, communicative efficiency, was then examined. Results Using a real versus sham validation procedure, we find evidence of sustained entrainment in rhythmic, articulatory, and phonatory dimensions of speech. We further validate the methodology, showing that models built on speech signal entrainment measures consistently outperform models built on nonentrained speech signal measures in predicting communicative efficiency of the conversations. Conclusions A multidimensional, clinically meaningful methodology for capturing conversational entrainment, validated in healthy populations, has implications for disciplines such as speech-language pathology where conversational entrainment represents a critical knowledge gap in the field, as well as a potential target for remediation.