Assessment & Research

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

Jones et al. (2019) · Autism research : official journal of the International Society for Autism Research 2019
★ The Verdict

LENA's automated counts are too inaccurate to trust for tracking speech in school-age kids and teens with autism.

✓ Read this if BCBAs running language assessments with clients over age 5.
✗ Skip if Clinicians who only treat toddlers or use live observer data.

01Research in Context

01

What this study did

The team tested LENA, a small recorder that claims to count child speech. They taped 5- to young learners with autism at home and in clinic.

Then they hand-checked every vocalization LENA said it heard. They wanted to know how often the device was right.

02

What they found

LENA missed or mis-labeled more than half of the kids' sounds. Accuracy fell as kids got older.

In short, the counts were too wrong to trust.

03

How this fits with other research

Stewart et al. (2018) show aided AAC modeling helps the same age group speak more. If you use LENA to track that growth, you may miss real gains.

Van Houten et al. (1980) warned that no single language measure is enough for autism. LENA's poor fit keeps that warning alive.

Nuebling et al. (2024) link brainstem markers to core autism traits. LENA can't spot those biology-based patterns, so use it only for quick screeners, not deep answers.

04

Why it matters

If you need solid data on speech growth in school-age clients, hand scoring or paired observers still beat LENA. Save the device for rough estimates with toddlers, and always back it up with other measures.

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Pair any LENA recording with a 10-minute human count sample to check its error rate before you trust the numbers.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
negative

03Original 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.

Autism research : official journal of the International Society for Autism Research, 2019 · doi:10.1002/aur.2071