Listener agreement for auditory-perceptual ratings of dysarthria

Kate Bunton, Raymond D. Kent, Joseph R. Duffy, John C. Rosenbek, Jane F. Kent

Research output: Contribution to journalArticlepeer-review

94 Scopus citations


Purpose: Darley, Aronson, and Brown (1969a, 1969b) detailed methods and results of auditory-perceptual assessment for speakers with dysarthrias of varying etiology. They reported adequate listener reliability for use of the rating system as a tool for differential diagnosis, but several more recent studies have raised concerns about listener reliability using this approach. Method: In the present study, the authors examined intrarater and interrater agreement for perceptual ratings of 47 speakers with various dysarthria types by 2 listener groups (inexperienced and experienced). The entire set of perceptual features proposed by Darley et al. was rated based on a 40-s conversational speech sample. Results: No differences in levels of agreement were found between the listener groups. Agreement was within 1 scale value or better for 67% of the pairwise comparisons. Levels of agreement were lower when the average rating fell in the mid-range of the scale compared with samples that had an average rating near either of the scale endpoints; agreement was above chance level. No significant differences in agreement were found between the perceptual features. Discussion: The levels of listener agreement that were found indicate that auditory-perceptual ratings show promise during clinical assessment for identifying salient features of dysarthria for speakers with various etiologies.

Original languageEnglish (US)
Pages (from-to)1481-1495
Number of pages15
JournalJournal of Speech, Language, and Hearing Research
Issue number6
StatePublished - Dec 1 2007


  • Auditory-perceptual ratings
  • Dysarthria
  • Listener agreement

ASJC Scopus subject areas

  • Language and Linguistics
  • Linguistics and Language
  • Speech and Hearing


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