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DDK Acoustic Analysis and Swallowing Indicators (AAP-DDK)

29 mai 2026 mis à jour par: Chen-Fu Hung, Kaohsiung Medical University

Acoustic Analysis of Performance in Diadochokinetic (DDK) Tasks and Swallowing Function Indicators Among Adults Across Different Age Groups

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.

Aperçu de l'étude

Statut

Pas encore de recrutement

Description détaillée

This is a cross-sectional observational study examining the relationship between diadochokinetic (DDK) speech performance and swallowing function in community-dwelling adults aged 18 years and older. Participants will complete a single study visit, during which demographic and health-related information will be collected, the EAT-10 swallowing self-assessment will be administered, the Repetitive Saliva Swallowing Test (RSST) will be performed, and short DDK speech recordings of /pa/, /ta/, and /ka/ will be obtained in a quiet setting. Acoustic features will be extracted from the recordings and analyzed together with RSST and EAT-10 results to explore age-related differences and to develop a predictive screening model for swallowing risk. All data will be de-identified, securely stored, and retained according to study requirements.

Type d'étude

Observationnel

Inscription (Estimé)

720

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

  • Nom: HUNG C F Kaohsiung Medical University, MASTER
  • Numéro de téléphone: #2646 #614 +8867-3121101
  • E-mail: gabino00076@gmail.com

Lieux d'étude

    • Taiwan
      • Kaohsiung City, Taiwan, Taïwan, 807
        • Department of Sports Medicine, Kaohsiung Medical University, Taiwan
        • Contact:
        • Contact:
          • L Y GUO Professor and Dean of the college of Health Sciences, Doctorate
          • Numéro de téléphone: #2646 #624 +8867-3121101
          • E-mail: yuen@kmu.edu.tw
        • Sous-enquêteur:
          • C F HUNG, Master

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

Méthode d'échantillonnage

Échantillon non probabiliste

Population étudiée

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.

La description

Inclusion Criteria:

  • 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.

Exclusion Criteria:

  • 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.
  • 5.Any other condition deemed unsuitable for participation by the investigators.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

Cohortes et interventions

Groupe / Cohorte
Age-Based Cohort
Community-dwelling adults aged 18 years and older who complete a single study visit including demographic questionnaire, EAT-10, RSST, and DDK speech recordings. This is an observational cohort with no intervention, and data will be analyzed by age group.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Repetitive Saliva Swallowing Test Classification
Délai: Day 1
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.
Day 1

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Eating Assessment Tool-10 Total Score
Délai: Day 1
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.
Day 1
Diadochokinetic Speech Rate
Délai: Day 1
Rate of repeated diadochokinetic speech productions of /pa/, /ta/, and /ka/. The rate will be reported as syllables per second.
Day 1
Diadochokinetic Speech Fundamental Frequency
Délai: Day 1
Fundamental frequency (F0) extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. Fundamental frequency will be reported in Hertz (Hz).
Day 1
Diadochokinetic Speech First Formant Frequency
Délai: Day 1
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).
Day 1
Diadochokinetic Speech Second Formant Frequency
Délai: Day 1
Second formant frequency (F2) extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. F2 reflects the second resonance frequency of the vocal tract and will be reported in Hertz (Hz).
Day 1
Diadochokinetic Speech Jitter
Délai: Day 1
Jitter extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. Jitter reflects short-term cycle-to-cycle variability in fundamental frequency and will be reported as a percentage.
Day 1
Diadochokinetic Speech Shimmer
Délai: Day 1
Shimmer extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. Shimmer reflects short-term variability in voice amplitude and will be reported in decibels (dB).
Day 1
Diadochokinetic Speech Harmonics-to-Noise Ratio
Délai: Day 1
Harmonics-to-noise ratio (HNR) extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. HNR reflects the ratio of periodic harmonic energy to noise energy in the voice signal and will be reported in decibels (dB).
Day 1
Diadochokinetic Speech Root Mean Square Amplitude
Délai: Day 1
Root mean square (RMS) amplitude extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. RMS amplitude reflects the average acoustic energy of the speech signal and will be reported in normalized amplitude units.
Day 1
Diadochokinetic Speech Zero-Crossing Rate
Délai: Day 1
Zero-crossing rate (ZCR) extracted from repeated diadochokinetic (DDK) speech recordings of /pa/, /ta/, and /ka/. ZCR reflects the rate at which the speech signal changes sign over time and will be reported as the number of zero crossings per second.
Day 1

Autres mesures de résultats

Mesure des résultats
Description de la mesure
Délai
Participant Age
Délai: Day 1
Age of participants collected at baseline, reported in years.
Day 1
Participant Sex
Délai: Day 1
Sex of participants collected on Day 1, reported as male or female according to the study case report form.
Day 1
Education Level
Délai: Day 1
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.
Day 1
Body Mass Index
Délai: Day 1
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.
Day 1
Dentition Status
Délai: Day 1
Dentition status of participants collected at day 1, categorized as natural dentition, partial denture, full denture, or other.
Day 1
Dry Mouth Frequency
Délai: Day 1
Self-reported frequency of dry mouth symptoms collected at day 1, categorized as never, occasionally, frequently, or always.
Day 1
Smoking History
Délai: Day 1
Self-reported smoking history collected at baseline, categorized as never smoker, former smoker, or current smoker.
Day 1
Medical History
Délai: Day 1
Self-reported medical history collected at day 1 and categorized as none, hypertension, hyperglycemia, hyperlipidemia, or gastrointestinal disease (such as gastroesophageal reflux disease).
Day 1

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Les enquêteurs

  • Chaise d'étude: GUO L Y Professor and Dean of the College of Health Sciences, Departme, Ph. D., Department of Sports Science, Kaohsiung Medical University, Taiwan

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Estimé)

15 juin 2026

Achèvement primaire (Estimé)

9 avril 2030

Achèvement de l'étude (Estimé)

9 avril 2030

Dates d'inscription aux études

Première soumission

22 mai 2026

Première soumission répondant aux critères de contrôle qualité

29 mai 2026

Première publication (Réel)

4 juin 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

4 juin 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

29 mai 2026

Dernière vérification

1 mai 2026

Plus d'information

Termes liés à cette étude

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

OUI

Description du régime IPD

De-identified individual participant data collected during the trial, including baseline characteristics, intervention-related measures, and outcome data, will be shared with a data dictionary.

Délai de partage IPD

De-identified individual participant data (IPD) and supporting information will be available starting 2 years after publication of the primary study results and will remain accessible for 5 years.

Critères d'accès au partage IPD

De-identified individual participant data and related supporting documents will be made available only to qualified researchers affiliated with academic institutions, medical organizations, or public health agencies. Requesters must submit a detailed research proposal and evidence of ethical approval. Access will be granted subject to approval by the study team.

Type d'informations de prise en charge du partage d'IPD

  • PROTOCOLE D'ÉTUDE
  • SÈVE
  • CIF
  • ANALYTIC_CODE
  • RSE

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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