Evidence map›Paper›PMID 30638310›Full record

ArticleAutism research : official journal of the International Society for Autism Research2019

How effective is LENA in detecting speech vocalizations and language produced by children and adolescents with ASD in different contexts?

Rebecca M Jones, Daniela Plesa Skwerer, Rahul Pawar, Amarelle Hamo, Caroline Carberry, Eliana L Ajodan, Desmond Caulley, Melanie R Silverman, Shannon McAdoo, Steven Meyer and 4 more

Open access · greenAbstract read
In one paragraph

Article in Autism research : official journal of the International Society for Autism Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. The use of Language ENvironment Analysis in autism research: A systematic review.Autism : the international journal of research and practice · 2025
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  8. Adaptive thresholding increases sensitivity to detect changes in the rate of skin conductance responses to psychologically arousing stimuli in both laboratory and ambulatory settings.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2024
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  13. Drug development for Autism Spectrum Disorder (ASD): Progress, challenges, and future directions.European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology · 2021
    Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Rebecca M JonesWeill Cornell Medicine, Center for Autism and the Developing Brain, White Plains, New York.ORCID 0000-0001-7830-7481
Daniela Plesa SkwererDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
Rahul Pawar
Amarelle HamoWeill Cornell Medicine, Center for Autism and the Developing Brain, White Plains, New York.
Caroline CarberryWeill Cornell Medicine, Center for Autism and the Developing Brain, White Plains, New York.
Eliana L AjodanWeill Cornell Medicine, Center for Autism and the Developing Brain, White Plains, New York.
Desmond Caulley
Melanie R SilvermanWeill Cornell Medicine, Center for Autism and the Developing Brain, White Plains, New York.
Shannon McAdooDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
Steven MeyerDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
Anne YoderDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
Mark ClementsSchool of Electrical and Computer Engineering, Georgia Institute of Technology, Atlanta, Georgia.
Catherine LordWeill Cornell Medicine, Center for Autism and the Developing Brain, White Plains, New York.
Helen Tager-FlusbergDepartment of Psychological and Brain Sciences, Boston University, Boston, Massachusetts.
Boston University · USCornell University · USGeorgia Institute of Technology · USUniversity of California, Los Angeles · US

Funding

Testing the efficacy of a novel intervention for minimally verbal children with P50DC013027 · NIDCD · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI SHINN-CUNNINGHAM, BARBARA · 2012 to 2016
$9.4M
Transitioning to Adulthood: A Prospective Longitudinal StudyR01HD081199 · NICHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI LORD, CATHERINE · 2015 to 2019
$3.1M
Eunice Kennedy Shriver National Institute of Child Health and Human Development HD081199NICHD NIH HHS R01 HD081199NIDCD NIH HHS P50 DC013027Simons Foundation 336363Simons Foundation 391635Simons Foundation 513775
6 · The paper itself

Abstract

The LENA system was designed and validated to provide information about the language environment in children 0 to 4 years of age and its use has been expanded to populations with a number of communication profiles. Its utility in children 5 years of age and older is not yet known. The present study used acoustic data from two samples of children with autism spectrum disorders (ASD) to evaluate the reliability of LENA automated analyses for detecting speech utterances in older, school age children, and adolescents with ASD, in clinic and home environments. Participants between 5 and 18 years old who were minimally verbal (study 1) or had a range of verbal abilities (study 2) completed standardized assessments in the clinic (study 1 and 2) and in the home (study 2) while speech was recorded from a LENA device. We compared LENA segment labels with manual ground truth coding by human transcribers using two different methods. We found that the automated LENA algorithms were not successful (<50% reliable) in detecting vocalizations from older children and adolescents with ASD, and that the proportion of speaker misclassifications by the automated system increased significantly with the target-child's age. The findings in children and adolescents with ASD suggest possibly misleading results when expanding the use of LENA beyond the age ranges for which it was developed and highlight the need to develop novel automated methods that are more appropriate for older children. Autism Research 2019, 12: 628-635. © 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Current commercially available speech detection algorithms (LENA system) were previously validated in toddlers and children up to 48 months of age, and it is not known whether they are reliable in older children and adolescents. Our data suggest that LENA does not adequately capture speech in school age children and adolescents with autism and highlights the need to develop new automated methods for older children.

Indexed as

AlgorithmsAdolescentAutism Spectrum DisorderChildChild, PreschoolFemaleHumansLanguage Development DisordersMaleReproducibility of ResultsSoftwareSpeechacoustic recordingsautism spectrum disorderautomated language detectioncommunicationLENA

Identifiers

PMID30638310
PMCPMC6988897
OpenAlexW2909824119

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.