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Large Language Models for Stuttering Assessment and Therapy

17 september 2026 uppdaterad av: 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.

Studieöversikt

Studietyp

Observationell

Inskrivning (Faktisk)

5

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

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.

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Observationsmodeller: OTHER
  • Tidsperspektiv: CROSS_SECTIONAL

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Expert-Rated Quality of Large Language Model Responses
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

7 augusti 2026

Primärt slutförande (Faktisk)

6 september 2026

Avslutad studie (Faktisk)

6 september 2026

Studieregistreringsdatum

Först inskickad

17 september 2026

Först inskickad som uppfyllde QC-kriterierna

17 september 2026

Första postat (Faktisk)

22 september 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

22 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

17 september 2026

Senast verifierad

1 september 2026

Mer information

Termer relaterade till denna studie

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

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