1. A system comprising: a computer-readable memory storing executable instructions; and one or more processors in communication with the computer-readable memory, wherein the one or more processors are programmed by the executable instructions to at least: generate text to be presented to a user, wherein the text comprises a sequence of items; generate an audio presentation using the text; associate a plurality of identifiers with the sequence of items, wherein each item of the sequence of items is associated with at least one identifier of the plurality of identifiers; transmit, to a client device, the audio presentation and the plurality of identifiers; receive, from the client device: audio data comprising a user utterance; and a first identifier of the plurality of identifiers; perform speech recognition on the user utterance to obtain speech recognition results; identify a first item, of the sequence of items, based at least partly on the first identifier and the speech recognition results; and perform an action based at least partly on the first item.