Reading behaviors and text-to-speech technology perceptions of people with aphasia

ABSTRACT

People with aphasia often have reading impairments that affect participation in daily activities. Text-to-speech (TTS) devices are technology-based supports that can facilitate processing of written materials. The purpose of this study was to gather information about the reading behaviors and TTS technology perceptions of people with aphasia who had first learned about system features and options. Sixteen people with chronic aphasia participated in single, one-on-one instructional and guided practice sessions using TTS systems. They answered close-ended questions about current reading behaviors and materials and ways they believed these would change given TTS system access. Participants reported reading at home and community locations. Most read calendars, newspapers, magazines, and mail. Participants who did not read lengthy materials – such as newspapers, magazines, and novels – indicated their interest in these materials would likely increase given TTS support. Although participants did not predict substantial comprehension changes given TTS support, most expressed interest in the technology after learning about it. Thus, people with aphasia perceive TTS systems as helpful for comprehending lengthy materials. Given modest predictions about comprehension benefits, presenting TTS as one of several support strategies is an appropriate recommendation.

KEYWORDS:

• aphasia
• assistive technology
• comprehension
• reading
• text-to-speech

Clinical trials registry number

#01446r.

Disclosure of interest

The authors received funding in the form of salary support from the National Institute on Deafness and other Communication Disorders of the National Institutes of Health under award number 1R15DC015579 to support completion of this work.

Additional information

Funding

Research reported in the manuscript was supported by the National Institute on Deafness and other Communication Disorders of the National Institutes of Health under award number [1R15DC015579]. The content is solely the responsibility of the authors and does not necessarily represent the view of the National Institutes of Health.