Speech Signals in Stuttering

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-17
SponsorUniversity of Pittsburgh

About this trial

The purpose of this research study is to understand how speech and language are processed in the brain. This study will provide information that may help with the understanding how speech and language are processed in children and whether there may be differences between children who stutter and children who do not stutter. This project will evaluate these neural processes for speech signals in children who stutter and control subjects through a battery of behavioral speech and language tests, electroencephalography-based (EEG) tasks, functional magnetic resonance imaging (fMRI), and computational modeling.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Speaks English as primary language

Language abilities within the typical range

Cognitive abilities within the typical range

No contraindications for MRI

Disqualifiers

Taking medication that alters neural function

Cognitive skills below the typical range

Major medical illness

Not a fluent speaker of English

Trial design

Design model

Single group

Treatments tested in this trial

  • Speech sound stimulation

    Behavioral

    Behavioral-, electrophysiological-, and magnetic resonance imaging-based speech sound testing

Treatment groups

600 Participants
are divided into 1 treatment group
Group A: Speech sound stimulationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Speech Sound Identification

Behavioral responses will be measured for the syllable identification task in quiet and in the presence of background noise. Children will respond as quickly as possible to identify which speech sound they heard. Within and between group analyses will be conducted between children who stutter and control subjects. Drift diffusion models (DDMs) will be used to aggregate the behavioral responses of accuracy and reaction time to evaluate bias toward more accurate or faster responses as well as change in response behaviors over time in each group.

Time frame
1 Session (up to 2 hours)
2

Frequency Following Responses (EEG)

Frequency following responses (FFRs) will be collected and used to quantify neural encoding of fast temporal cues in auditory stimuli, including speech sounds. FFRs (70-1500 Hz) will be elicited by syllables. FFRs will be elicited in quiet conditions and in the presence of a competing background story. FFRs will be measured for magnitude. Decoding of FFRs elicited by syllables using support vector machine classifiers will be analyzed. Within and between group analyses will be conducted between children who stutter and control subjects.

Time frame
1 Session (up to 30 minutes)
3

Temporal Response Functions (EEG)

Temporal response function (TRFs) analysis directly compares a continuously varying stimulus, such as continuous speech, to EEG data. The relationship between the continuous speech and EEG signals will be estimated as a continuous wave describing how a change in a continuous speech feature relates to changes in the EEG signal. The EEG data predicted by the TRF are compared to the real, observed EEG data via correlation, resulting in a measure of fitness (Pearson's r) for how well the stimulus explains the observed neural activity. Multivariate linear ridge regression using leave-one-out-cross validation method, to prevent over-fitting the data, will be utilized to compare the predicted and obtained EEG. Higher correlations between the predicted and obtained EEG reflect better cortical encoding of the speech envelope. Within and between group analyses will be conducted between children who stutter and control subjects.

Time frame
1 Session (up to 1 hour)
4

Blood-oxygen level dependent activation (functional magnetic resonance imaging)

Brain activation patterns indexed by blood-oxygen level dependent (BOLD) fMRI signals will be analyzed. BOLD responses will be estimated separately for each participant for each functional task. Study-level outcomes include main effects of group (children who stutter vs. controls), group by region interactions, and group by network (auditory, speech motor, and attention) interactions. Drift diffusion models (DDMs) will be used to aggregate the behavioral responses of accuracy and reaction time (e.g. during the categorization the sounds such as /ba/ or /da/) to evaluate bias toward more accurate or faster responses as well as change in response behaviors over time in each group.

Time frame
1 Session (up to 2 hours)

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Pittsburgh

Lead sponsor

University of Michigan

Collaborator

National Institute on Deafness and Other Communication Disorders (NIDCD)

Collaborator

Northwestern University

Collaborator