Event- and interval-based measurement of stuttering: a review

Int J Lang Commun Disord. 2015 Jan-Feb;50(1):14-30. doi: 10.1111/1460-6984.12113. Epub 2014 Jun 11.

Abstract

Background: Event- and interval-based measurements are two different ways of computing frequency of stuttering. Interval-based methodology emerged as an alternative measure to overcome problems associated with reproducibility in the event-based methodology. No review has been made to study the effect of methodological factors in interval-based absolute reliability data or to compute the agreement between the two methodologies in terms of inter-judge, intra-judge and accuracy (i.e., correspondence between raters' scores and an established criterion).

Aims: To provide a review related to reproducibility of event-based and time-interval measurement, and to verify the effect of methodological factors (training, experience, interval duration, sample presentation order and judgment conditions) on agreement of time-interval measurement; in addition, to determine if it is possible to quantify the agreement between the two methodologies

Methods & procedures: The first two authors searched for articles on ERIC, MEDLINE, PubMed, B-on, CENTRAL and Dissertation Abstracts during January-February 2013 and retrieved 495 articles. Forty-eight articles were selected for review. Content tables were constructed with the main findings.

Main contribution: Articles related to event-based measurements revealed values of inter- and intra-judge greater than 0.70 and agreement percentages beyond 80%. The articles related to time-interval measures revealed that, in general, judges with more experience with stuttering presented significantly higher levels of intra- and inter-judge agreement. Inter- and intra-judge values were beyond the references for high reproducibility values for both methodologies. Accuracy (regarding the closeness of raters' judgements with an established criterion), intra- and inter-judge agreement were higher for trained groups when compared with non-trained groups. Sample presentation order and audio/video conditions did not result in differences in inter- or intra-judge results. A duration of 5 s for an interval appears to be an acceptable agreement. Explanation for high reproducibility values as well as parameter choice to report those data are discussed.

Conclusions & implications: Both interval- and event-based methodologies used trained or experienced judges for inter- and intra-judge determination and data were beyond the references for good reproducibility values. Inter- and intra-judge values were reported in different metric scales among event- and interval-based methods studies, making it unfeasible to quantify the agreement between the two methods.

Keywords: accuracy; event-based measurement; inter-judge; interval-based measurement; intra-judge; stuttering.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Behavior Therapy / methods
  • Child
  • Humans
  • Observer Variation
  • Reproducibility of Results
  • Speech Production Measurement / methods*
  • Speech Production Measurement / statistics & numerical data
  • Speech Therapy / methods
  • Stuttering / classification*
  • Stuttering / diagnosis*
  • Stuttering / therapy