SPEAK OUT! 後的溝通變化：帕金森氏症患者及其照護夥伴之觀點

// Communication Changes Following SPEAK OUT!: Perspectives of People With Parkinson's Disease and Their Care Partners

27名帕金森病（低動作性構音障礙）患者以遠距接受SPEAK OUT!，於三次治療前後完成CES（自評溝通有效性）與VHI‑10（語音障礙量表）評估｜患者在CES與VHI‑10均有顯著改善，13位照護者評分與患者自評的一致性未改變｜改善受認知（MoCA）、構音嚴重度與作業完成度調節，結果初步支持遠距SPEAK OUT!具臨床應用與提高可及性

// This study tested whether the SPEAK OUT! Therapy Program delivered via telehealth improves self-reported communicative effectiveness and voice function in people with Parkinson's disease (PwPD) with hypokinetic dysarthria, and whether patient factors or care partner ratings influence outcomes. Twenty-seven PwPD completed the program; CES and VHI-10 were measured at three pre- and three posttreatment points, 13 had care partner CES ratings, and linear mixed-effects models assessed change and moderators. Patients showed significant pre-to-post improvements on both CES and VHI-10, with gains moderated by cognition (MoCA), dysarthria severity, and homework completion. Care partner ratings did not change alignment with patient self-ratings, and findings provide preliminary support for SPEAK OUT! administered via telehealth.

Published 2026年9月9日