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Large Language Models for Stuttering Assessment and Therapy

17 september 2026 bijgewerkt door: Esra EROL, Istanbul Gelisim University

Alignment of Large Language Model Responses on Stuttering Definition, Assessment, and Therapy With Clinical Practice Guidelines: A Multi-Model Comparison

This observational study aims to compare the quality of responses generated by four large language models (ChatGPT, Claude, Google Gemini, and Grok-4.20) to questions about stuttering. The study focuses on three main areas: general information about stuttering, clinical assessment, and therapy. A total of nine questions were developed based on evidence-based clinical practice guidance, including the American Speech-Language-Hearing Association (ASHA) Practice Portal. Each question is presented to each language model in separate sessions, and the generated responses are recorded for evaluation.

Five speech-language therapists with clinical experience in stuttering independently evaluate the model-generated responses. Each response is rated for relevance, accuracy, clarity, completeness, and consistency using a 5-point Likert scale. The responses are also compared with guideline-based reference information. The study does not involve any clinical intervention or treatment of patients. The aim is to determine how closely large language model responses align with current clinical practice guidance and to identify their potential strengths and limitations when used as informational or clinical support tools in the field of stuttering.

Studie Overzicht

Studietype

Observationeel

Inschrijving (Werkelijk)

5

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

    • Istanbul
      • Istanbul, Istanbul, Turkije (Türkiye), 34310
        • Istanbul Gelisim University

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

The study population consisted of adult speech-language therapists in Türkiye who were actively working in the field of stuttering and fluency disorders. Five speech-language therapists with clinical experience in stuttering were purposively selected to independently evaluate responses generated by four large language models to standardized questions concerning stuttering information, assessment, and therapy.

Beschrijving

Inclusion Criteria:

  • Having an undergraduate or postgraduate degree in speech and language therapy.
  • Actively practicing clinically in the field of stuttering/fluency disorders.
  • Voluntarily agreeing to participate in the study.
  • Completing the evaluation form in full.

Exclusion Criteria:

  • Not having active clinical experience in the field of stuttering.
  • Incomplete completion of the evaluation form.
  • Withdrawal of voluntary participation during the evaluation process.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Observatiemodellen: OTHER
  • Tijdsperspectieven: CROSS_SECTIONAL

Cohorten en interventies

Groep / Cohort
Interventie / Behandeling
Expert Speech-Language Therapists

Five speech-language therapists with clinical experience in stuttering independently evaluated responses generated by four large language models (ChatGPT, Claude, Google Gemini, and Grok-4.20). The responses addressed nine questions covering general information about stuttering, clinical assessment, and therapy. Each response was rated for relevance, accuracy, clarity, completeness, and consistency using a 5-point Likert scale.

ChatGPT responses to nine standardized questions on stuttering information, assessment, and therapy were generated in separate sessions and recorded for independent expert evaluation. Questions were repeated under comparable conditions to allow assessment of response consistency.

Claude responses to nine standardized questions on stuttering information, assessment, and therapy were generated in separate sessions and recorded for independent expert evaluation. Questions were repeated under comparable conditions to allow assessment of response consistency.

Google Gemini responses to nine standardized questions on stuttering information, assessment, and therapy were generated in separate sessions and recorded for independent expert evaluation. Questions were repeated under comparable conditions to allow assessment of response consistency.

Grok-4.20 responses to nine standardized questions on stuttering information, assessment, and therapy were generated in separate sessions and recorded for independent expert evaluation. Questions were repeated under comparable conditions to allow assessment of response consistency.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Expert-Rated Quality of Large Language Model Responses
Tijdsspanne: During the single cross-sectional expert evaluation conducted over approximately 1 month

Responses generated by four large language models (ChatGPT, Claude, Google Gemini, and Grok-4.20) to nine standardized questions about stuttering were independently evaluated by five speech-language therapists with clinical experience in stuttering. Each response was rated using a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree) across five criteria: relevance, accuracy, clarity, completeness, and consistency. Responses were evaluated against guideline-based reference information derived from evidence-based clinical practice guidance. Higher scores indicate better response quality and closer alignment with clinical practice guidance. Mean scores were calculated for each large language model and each evaluation criterion.

During the single cross-sectional expert evaluation conducted over approximately 1 month

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

7 augustus 2026

Primaire voltooiing (Werkelijk)

6 september 2026

Studie voltooiing (Werkelijk)

6 september 2026

Studieregistratiedata

Eerst ingediend

17 september 2026

Eerst ingediend dat voldeed aan de QC-criteria

17 september 2026

Eerst geplaatst (Werkelijk)

22 september 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

22 september 2026

Laatste update ingediend die voldeed aan QC-criteria

17 september 2026

Laatst geverifieerd

1 september 2026

Meer informatie

Termen gerelateerd aan deze studie

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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