About this trial
This study examines whether simple speech tasks and a swallowing screening test can help identify swallowing risk in adults of different ages. Participants will complete basic questions, a swallowing self-assessment, a saliva swallowing test, and short voice recordings of rapid syllables. The study is non-invasive, takes about 75 minutes, and may help develop an easy, low-cost screening tool for early swallowing problems.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
1.Community-dwelling adults aged 18 years or older, with no upper age limit.
2.Ability to communicate in Mandarin or Taiwanese and understand the study procedures.
3.Willingness to provide written informed consent.
4 .Ability to complete the DDK tasks and RSST.
Disqualifiers
1.Presence of acute respiratory infection, upper respiratory inflammation, or other acute conditions that may significantly affect speech or swallowing.
2.Impaired consciousness, significant cognitive deficits, or inability to understand the study procedures.
3.Recent surgery or radiotherapy involving the oral cavity or pharynx that affects speech or swallowing.
4.Severe hearing impairment that prevents understanding of instructions.
Trial population
The study population consists of community-dwelling adults aged 18 years and older, with no upper age limit, who are able to communicate in Mandarin or Taiwanese, provide informed consent, and complete DDK tasks, RSST, and EAT-10 assessment. Participants will be recruited from community organizations and related settings in the Kaohsiung-Pingtung region. The study uses a single-visit observational design with age-based subgroup analyses and no intervention.
Trial design
Cohort
Cross-sectional
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Repetitive Saliva Swallowing Test Classification
Classification of swallowing function based on the Repetitive Saliva Swallowing Test (RSST). Participants will be classified as having normal RSST performance if they complete greater than or equal to 3 swallows in 30 seconds, and abnormal RSST performance if they complete fewer than 3 swallows in 30 seconds.
Secondary outcomes
Eating Assessment Tool-10 Total Score
Total score on the Eating Assessment Tool-10 (EAT-10), a 10-item self-report questionnaire used to assess swallowing-related symptoms. The total score ranges from 0 to 40, where higher scores indicate worse swallowing-related symptoms. A score of 3 or higher suggests possible swallowing difficulty.
Diadochokinetic Speech Rate
Rate of repeated diadochokinetic speech productions of /pa/, /ta/, and /ka/. The rate will be reported as syllables per second.
Diadochokinetic Speech Fundamental Frequency
Fundamental frequency (F0) extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. Fundamental frequency will be reported in Hertz (Hz).
Diadochokinetic Speech First Formant Frequency
First formant frequency (F1) extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. F1 reflects the first resonance frequency of the vocal tract and will be reported in Hertz (Hz).
Other outcomes
Participant Age
Age of participants collected at baseline, reported in years.
Participant Sex
Sex of participants collected on Day 1, reported as male or female according to the study case report form.
Education Level
Highest level of education completed by participants collected at baseline, categorized as primary school or below, junior high school, senior high school, or college or above.
Body Mass Index
Body mass index (BMI) calculated from measured height and weight at baseline. Height will be measured in meters and weight in kilograms; BMI will be reported in kg/m².
Locations
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Sponsors and contacts
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