Visual Feedback for Speech

(PVF Trial)

TM
Overseen ByTara McAllister, PhD
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: New York University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores how individuals use hearing and physical sensation to monitor their speech and whether visual feedback can enhance this process. Participants will perform speech tasks with altered sounds through headphones, sometimes accompanied by a visual display of their speech signal. The study aims to determine if visual feedback, known as Altered Auditory Feedback (AAF), assists those who rely more on hearing or physical sensation during speech. English-speaking adults aged 18 to 45 with no significant history of speech, language, or hearing issues may find this trial suitable. As an unphased trial, it offers participants the chance to contribute to foundational research that could improve speech therapy techniques.

Do I have to stop taking my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this method is safe for participants?

Past studies have shown that altered auditory feedback (AAF) is generally safe. Research has found that it can reduce stuttering in both adults and children without major side effects. Some individuals might experience minor speech interruptions or changes in speech speed, but these effects typically do not last long.

Visual-acoustic biofeedback, another component of the study, is also considered safe. Studies indicate that this method can improve speech without causing harm. It is often used to assist those who struggle with certain speech sounds and is generally well-tolerated.

Overall, both components of the treatment in this trial have been used safely in other contexts. However, as with any treatment, individual experiences may vary.12345

Why are researchers excited about this trial?

Researchers are excited about the Altered Auditory Feedback (AAF) technique because it offers a novel approach to improving speech by incorporating visual feedback. Unlike traditional speech therapy methods that focus solely on auditory cues, this technique enhances the experience with real-time visual-acoustic biofeedback. This combination allows individuals to see and hear their speech patterns simultaneously, potentially speeding up the learning process and leading to faster improvements in speech clarity. This dual feedback mechanism could revolutionize how we approach speech therapy, making it more interactive and effective.

What evidence suggests that this trial's treatments could be effective for improving speech tasks?

Research has shown that altering how people hear their own speech, known as altered auditory feedback (AAF), can quickly enhance fluency. Studies have found that AAF can reduce stuttering by 50-85% during reading tasks. This method changes the way individuals hear themselves, promoting smoother speech. In this trial, participants will experience AAF both with and without visual feedback.

Visual-acoustic biofeedback also effectively improves speech. Research indicates that most individuals see significant improvement in speech accuracy when using this technology. It provides visual cues about speech sounds, helping users correct mistakes in real-time. Together, these methods show promise in enhancing both fluency and accuracy in speech.26789

Who Is on the Research Team?

TM

Tara McAllister, PhD

Principal Investigator

New York University

Are You a Good Fit for This Trial?

This trial is for healthy adults aged 18 to 45 who speak English as their main language, have normal speech and hearing, and no history of speech, language, or hearing problems.

Inclusion Criteria

I am between 18 and 45 years old.
* Pass qualitative screening of speech, voice, and resonance based on connected speech sample
English is my main or equally main language, and I learned it by age 3.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Baseline

Participants complete two versions of an altered auditory feedback task without visual feedback to estimate auditory and somatosensory response parameters.

1 day
1 visit (in-person)

Treatment

Participants complete a standard adaptive altered auditory feedback task with simultaneous real-time visual-acoustic biofeedback.

1 day
1 visit (in-person)

Follow-up

Participants are monitored for any delayed effects or additional data collection post-treatment.

2-4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Altered Auditory Feedback (AAF)
  • Visual-Acoustic Biofeedback

Trial Overview

The study tests how people adapt their speech when what they hear through headphones is changed in real time. It compares performance with and without a visual display showing the speech signal to see who benefits most from visual feedback.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Altered Auditory Feedback With and Without Visual FeedbackExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

New York University

Lead Sponsor

Trials
249
Recruited
229,000+

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Trials
377
Recruited
190,000+

Citations

Immediate speech fluency improvement after application of ...

Altered auditory feedback (AAF) is a well-known method, producing immediate speech fluency improvement [1]. The most common method of altering auditory feedback ...

Effects of altered auditory feedback (AAF) on stuttering ...

On average, reduction in stuttering frequency during monologue speech production during the second laboratory assessment was 14% in comparison to 87% during the ...

Impact of auditory feedback alterations in individuals with ...

The conditions of masked and amplified auditory feedback resulted in speech benefits in both groups, decreasing the number of stuttering-like disfluencies. The ...

https://scholarworks.uvm.edu/bitstreams/08c0cc1d-d...

Altered auditory feedback (AAF) is a process by which an individual's auditory speech signal is electronically changed to temporarily increase the fluency ...

(PDF) Immediate Effect of Altered Auditory Feedback for ...

Results: There was a reduction in the frequency of disfluencies after the use of AAF. The severity of the disorder and age influence the effect, ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/16750562/

Altered auditory feedback and the treatment of stuttering

Several authors have suggested that devices delivering altered auditory feedback (AAF) may be a viable treatment for adults and children who stutter.

Altered auditory feedback and the treatment of stuttering

Several authors have suggested that devices delivering altered auditory feedback (AAF) may be a viable treatment for adults and children who stutter.

Impact of auditory feedback alterations in individuals ... - PMC

The conditions of masked and amplified auditory feedback resulted in speech benefits in both groups, decreasing the number of stuttering-like disfluencies.

DME.00030 Altered Auditory Feedback Devices for Fluency ...

Altered auditory feedback (AAF) devices are considered investigational and not medically necessary for the treatment of fluency disorders. Rationale. Fluency ...