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. 2026 Aug 18;28:e91756. doi: 10.2196/91756

Table 2.

Speech task quality checklist.

Rule/issue Penalty
Noise

Minor background/microphone noise only before task starts OK

Noise during speech but intelligible 1 point

Noise interferes with understanding 2 points
Pauses and memory lapses

One substantial pause suggesting recall; sentence otherwise mostly correct 1 point

Multiple pauses or insertion of irrelevant words 2 points
Repetition

Limited repetition (3-5 words) 1 point

Excessive repetition or multiple complete attempts 2 points
Omissions

Missing 3-4 consecutive words 1 point

Omission of a substantial portion (eg, entire clause or sentence) 2 points
Multiple speakers

Two or more people speak simultaneously 2 points