{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:23:49Z","timestamp":1777706629830,"version":"3.51.4"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Effective communication with humans and automated voice assistants (AVA) is essential for full participation in modern life. Because AVA relies on intelligible speech, individuals with speech impairments, such as those treated for oral cavity cancer (OCC), may face barriers when interacting with AVA. We assessed self\u2010reported communication difficulty in patients treated for OCC related to AVA and humans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective cross\u2010sectional cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Out\u2010patient clinics in two tertiary care centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was conducted between July 2024 and March 2025 and included adults (\u226518 years) diagnosed with and surgically treated for OCC (experimental group) and those without speech impairments (controls). Participants completed the Speech Communication Experience Survey (SCES), which assessed perceived intelligibility when communicating with familiar partners, strangers, and AVA; and, as reported elsewhere, the Speech Handicap Index (SHI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 159 participants were included (69 OCC, 90 controls). OCC participants were more likely to report that familiar partners, strangers, and AVA \u201calmost always\u201d or \u201calways\u201d had difficulty understanding their speech (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05). Free flap reconstruction and maxillectomy were associated with greater reported communication difficulty. AVA usage frequency and overall opinions toward AVA did not significantly differ between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients treated for OCC report significantly greater difficulty being understood by both AVA and human listeners compared to controls. These perceptions may inform peri\u2010operative counseling and guide the development of more inclusive AVA technologies capable of accommodating diverse speakers.<\/jats:p>\n                    <jats:p>\n                      <jats:italic>Level of Evidence<\/jats:italic>\n                      : 3.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70193","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T15:42:07Z","timestamp":1773157327000},"page":"1298-1305","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient Perceived Experience of Automated Voice Assistants in Oral Cavity Cancer"],"prefix":"10.1002","volume":"174","author":[{"given":"Hannah","family":"Baratz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Renkert","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders University of Kentucky Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"McDaniel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery University of Kentucky Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1554-2385","authenticated-orcid":false,"given":"Yan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Quantitative Health Science, Division of Clinical Trials and Biostatistics Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Yeatts","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders University of Kentucky Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Hernandez","family":"Montealegre","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melvyn","family":"Yeoh","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Oral and Maxillofacial Surgery University of Kentucky Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5944-0543","authenticated-orcid":false,"given":"Mary","family":"Pietrowicz","sequence":"additional","affiliation":[{"name":"National Center for Supercomputing Applications and University of Illinois, Carle Illinois College of Medicine University of Illinois Urbana\u2010Champaign Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8515-2051","authenticated-orcid":false,"given":"Linda","family":"Yin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0904-2931","authenticated-orcid":false,"given":"Melina","family":"Windon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery University of Kentucky Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9638-7072","authenticated-orcid":false,"given":"Keiko","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders University of Kentucky Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3035-2077","authenticated-orcid":false,"given":"Diana","family":"Orbelo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head\u2010Neck Surgery Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"The Voice Catchers","author":"Turow J","year":"2021"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocae022"},{"key":"e_1_2_10_4_1","unstructured":"Global Voice Biometrics Market Analysis\/Forecast Report 2022\u20102028\u2014ResearchAndMarkets.com. 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