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		<rdfs:label>A Continuous-Speech Interface to a Decision-Support System: II. An Evaluation Using a Wizard-of-Oz Experiment</rdfs:label>
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		<property:Abstract rdf:datatype="http://www.w3.org/2001/XMLSchema#string">Objective:  Evaluate the performance of a continuous-speech interface to a decision-support system.Design:  We performed a prospective evaluation of a speech interface that matches unconstrained utterances of physicians with controlled-vocabulary terms from Quick Medical Reference (QMR).  We assessed the performance of the speech interface in two stages: in the real-time experiment, physician-subjects viewed audio-visual stimuli intended to evoke clinical findings, spoke a description of each finding into the speech interface, and then chose from a list generated by the interface the QMR term that most closely matched the finding.  Subjects believed that the speech recognizer decoded their utterances; in reality, a hidden experimenter typed utterances into the interface (Wizard-of-Oz experimental design).  Later, we replayed the same utterances through the speech recognizer and measured how accurately utterances matched with appropriate QMR terms using the results of the real-time experiment as the gold standard.Measurements:  We measured how accurately the speech-recognition system converted input utterances to text strings (recognition accuracy) and how accurately the speech interface matched input utterances to appropriate QMR terms (semantic accuracy).  Results:   Overall recognition accuracy was less than 50%.  However, using language-processing techniques that match keywords in recognized utterances to keywords in QMR terms, the semantic accuracy of the system was 81%.  Conclusions:   We found that reasonable semantic accuracy can be attained when language-processing techniques are used to accommodate for speech misrecognition.  We also found that the Wizard-of-Oz experimental design offered many advantages for this evaluation and believe that this technique may be useful to future evaluators of speech-input systems.</property:Abstract>
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