Digital Commons Network^™

Audiological Evaluation Of Persons With Dementia: A Systematic Review, Yehudis Hoch

Dissertations, Theses, and Capstone Projects

Background: Dementia and hearing loss are both prevalent, age-related conditions and recent research has established a correlation between the two. Audiological evaluations of persons with dementia are important due to a likely comorbidity of dementia and hearing loss, the detrimental effect that hearing loss has on cognition and cognitive tests, and because the similar presentation of the two conditions can cause hearing loss to be overlooked. Hearing loss intervention is critical for this population due to the positive effects that amplification has on cognition, social engagement, and listening effort. Despite the importance of hearing assessment and intervention, audiological evaluation of …

Development Of The Hearing Emotion/Activity Restrictions On Teenagers (Heart), Robin G. Axelrod

Dissertations, Theses, and Capstone Projects

DEVELOPMENT OF THE HEARING EMOTION/ ACTIVITY RESTRICTIONS ON TEENAGERS (HEART)

By: Robin Axelrod

Advisor: Barbara Weinstein

Background:

The Hearing Handicap Inventory for the Elderly is a self-assessment tool used to assess and quantify the impact of hearing loss on emotional and social wellness in the geriatric population. However, there is not an existing version for the teenage population. Hearing loss has the potential to impact social, emotional, and academic domains in the daily lives of teenagers with hearing loss. In this study, a new self-assessment tool called the Hearing Emotion/ Activity Restrictions on Teenagers (HEART) was created and distributed via …

Vestibular Correlates Of Cochlear Implantation, Danielle Lewis

Dissertations, Theses, and Capstone Projects

Previous research has illustrated that vestibular dysfunction is the most prevalent complication of cochlear implant (CI) surgery. There is substantial evidence of both short- and long-term vestibular dysfunction following CI surgery. The objective of this survey was to determine CI recipients’ expectation and satisfaction with their audiologists’ counseling regarding the possible vestibular effects of cochlear implantation. Survey participants included unilateral and bilateral adult CI recipients recruited through the NYC chapter of the Hearing Loss Association of America (HLAA), audiology-related Facebook groups, and Linked-In. The first 25 participants were offered a $20 Amazon gift card upon completion of the survey. The …

The Effect Of Personal Listening Devices On Subjective Hearing Status, Esther Feldman

Dissertations, Theses, and Capstone Projects

Long term or brief exposure to loud noise can trigger the onset of noise-induced hearing loss which can lead to a temporary (TTS) or permanent (PTS) shift in hearing threshold. Occupational noise, or recreational noise such as music can contribute to shifts in hearing levels. Listening to music in person at a concert or when listening on earphones/earbuds and streaming from a smartphone can produce sound pressure levels (SPL) high enough to lead to PTS, TTS, and associated symptoms. A survey of adults was conducted to gain insight into onset of self-perceived temporary hearing loss and tinnitus after short term …

The Impact Of Sport-Related Concussions On The Vestibular System Utilizing The Vestibular Ocular Motor Screening (Voms) Tool: A Systematic Review For Audiologists, Tina M. Ceriello

Dissertations, Theses, and Capstone Projects

Objective: This systematic review aims to analyze vestibular side effects of sport-related concussions (SRCs) based on differences such as age, gender, and/or sport when using the VOMS tool, and how audiologists may adapt practice for such individuals who have sustained SRCs.

Methods: A comprehensive search identified relevant articles using Google Scholar, ASHAWire, and other databases through the City University of New York (CUNY) Mina Rees Library website. Studies were included if SRCs were evaluated using the complete seven-item VOMS tool and had 25 or more participants. Studies were excluded if concussions were not sport-related, brain injuries were more severe than …

Exploring Hispanic Immigrant Parents Literacy Needs In Navigating Life With Children In The United States, Michelle Lowry

Seton Hall University Dissertations and Theses (ETDs)

The responsibility of raising a child is demanding on all parents, but immigrant parents with limited literacy skills in English may find parenting even more demanding than native born parents. Hispanic immigrant parents are rarely consulted about their literacy needs. Furthermore, they are often overlooked as experts on their own needs. Using two of the most widely accepted models of literacy, The Simple View of Writing and The Simple View of Reading, this study explored Hispanic immigrant parents' literacy needs in the United States. The current study was conducted on N=30 Hispanic Immigrant parents, ages early 30s to mid 70s. …

Toilet Training And Teaching Self-Initiations To Children With Autism Who Use Augmentative And Alternative Communication, Darcy A. Douglass

Honors Capstones

Within this project, we address the challenges faced by individuals, particularly those with autism spectrum disorder (ASD), during toilet training, which often takes longer than neurotypical children. Practitioners who use traditional methods often overlook teaching children how to request bathroom use, especially among those who use augmentative and alternative communication (AAC) devices. Drawing from literature and expert recommendations, we summarize the importance of teaching independence in bathroom use for children with complex communication needs by incorporating their AAC devices when teaching toilet training.

Inspired by Perez et al. (2020), who demonstrated positive responses from individuals with ASD to reinforcement-based procedures, …

A Multi-State Look Into Early Intervention Speech-Language Pathologists’ Confidence Identifying And Diagnosing Autism, Adelaide Parr

Honors Capstones

Although autism can be reliably diagnosed by 18 months of age, long wait times and limited access to qualified providers prevent families from obtaining diagnostic services. Trained speech-language pathologists (SLPs) are qualified to diagnose autism, ideally as part of a multidisciplinary team. SLPs working on early intervention (EI) teams are well-situated to help close this diagnostic wait time gap. The purpose of this survey study was to explore EI SLPs’ experiences serving autistic children on their caseloads, confidence in identifying and diagnosing autism, and potential barriers/facilitators to increasing diagnostic confidence and decreasing wait times. 287 EI SLPs from 23 states …

Investigating Self-Perception Of Speech And Motivation For Return To Intervention For Post Cochlear Implantation In Young Adults, Madison Henry

Electronic Theses and Dissertations

Introduction: Cochlear Implants (CI) are designed to address severe to profound hearing loss. When implantation occurs after language develops, it is referred to as post-lingual (PL) implantation. Currently, no interventions have been identified to address the communication challenges that young adults with PL-CIs may face after they complete post-CI rehabilitation services. This study analyzes if an individualized intervention plan is beneficial for a person with PL-CIs when experiencing changing communication demands in the transition to college or the workforce. Methodology: Baseline assessments were conducted; the results of which allowed for the establishment of four co-constructed goals. These goals were targeted …

Pediatric Ototoxic Monitoring, Destiny Victoria Padilla

Capstones & Scholarly Projects

The prevalence of children living with cancer is estimated to be 129,221 in the United States (National Cancer Institute, 2022). The chemotherapy treatment that these children receive can cause ototoxicity, especially when platinum-based chemotherapy agents are used. Ototoxic monitoring is beneficial for patients undergoing chemotherapy treatment as it allows for treatment modification, dosage modification, early intervention, or auditory rehabilitation to take place based on the patient’s hearing status. This is especially important due to the effect hearing loss may have on children’s development and quality of life. There are several objective and behavioral auditory tests that can be used to …

Evaluating Auditory Processing In Adolescents And Adults Following A Sports-Related Concussion, Kelsey Danielle Kiesz

Capstones & Scholarly Projects

Sports-related concussions (SRCs) have gained increasing attention in recent years due to the long-lasting effects. While concussions have been extensively studied, the impact on auditory processing in adolescents and adults remains an under-evaluated area within audiology. This gap in research is noteworthy as audiologists are well-positioned to conduct auditory processing disorder (APD) testing, and post-concussion auditory deficits fall within the scope of their practice. This study addresses the lack of consensus on concussion definitions, limited accurate prevalence data, and the absence of guidelines for assessing auditory processing in post-concussion individuals in the audiology field. The research aims to provide a …

Ototoxicity Monitoring Protocols For Common Chemotherapeutics, Megan Pamela Kennedy

Capstones & Scholarly Projects

Cancer is a major public health concern and is increasingly prevalent worldwide. Sung et al. (2021) states that there were 19.3 million new cases of cancer across the globe, and almost 10 million deaths related to cancer in 2021. Sung et al. (2021) also notes that the United States accounts for 8% of all global cases, with an average of 1.7 million new cases annually. The top five most common adult cancers in the United States include: (1) breast, (2) prostate, (3) lung and bronchus, (4) colorectal, and (5) invasive melanoma of the skin. These cancers can be treated with …

The Role Of The Speech-Language Pathologist With Survivors Of Traumatic Brain Injury From Intimate Partner Violence And Providers’ Knowledge Of This Role, Nicolle Mcadams

Electronic Theses and Dissertations

Intimate partner violence occurs globally at alarming rates. Many experience adverse health impacts such as traumatic brain injury. Healthcare providers do not know the role of the speech-language pathologist, or the rehabilitation needs of survivors.

Aims: This scoping review aims to identify speech-language pathology services for survivors of intimate partner violence with a resulting traumatic brain injury, and knowledge of healthcare providers on the rehabilitation needs of this population. A search was completed in May to October 2023, resulting in a total of 13 articles reviewed.

Main contributions: Speech-language pathologists lack knowledge to provide services to intimate partner violence survivors …

Exploring Available Information On The Gut-Brain Axis And Alzheimer’S Disease For Clinicians Making Dietary Recommendations: A Scoping Review, Megan Gibson

Electronic Theses and Dissertations

Abstract: Alzheimer’s Disease (AD) is a complex neurodegenerative disease that requires interprofessional collaboration. Pharmacological options are currently ineffective, increasing the need for preventative strategies to combat the rise of AD. Considerations of gut-targeted interventions have increased as a key component in the prevention of AD, based on the understanding that the state of the gut microbiome can impact cognitive function through the pathway known as the gut-brain axis.

Methods: This scoping review explored information on the gut-brain axis in persons with AD. A comprehensive search was conducted in November 2023. Forty reviews and 13 human studies were analyzed.

Results: There …

Healthcare Provider’S Perceptions On Feeding Difficulties And Educational Practices In Infants With Neonatal Opioid Withdrawal Syndrome (Nows), Katelyn White

Electronic Theses and Dissertations

This study examined healthcare professionals’ perceptions on feeding difficulties experienced by infants with NOWS, the involvement of SLP in care, knowledge and experience levels of professionals, and trends in education and follow up care. A 34-question survey was developed to obtain data from participants involved in the care of exposed infants using the secure webbased RedCap™ platform. Nonparametric inferential statistics and descriptive analysis were used to interpret data. Feeding difficulties in infants exposed were reported by all respondents with SLP involvement reported by 42.2%. Results found that 51.9% of respondents were confident in their ability to educate families about feeding …

Perceptions Of Applied Behavior Analysis Therapy On Children With Autism Spectrum Disorder Via Social Media, Kaitlyn Drilling

Honors Thesis

The use of Applied Behavioral Analysis Therapy (ABA) on children with Autism Spectrum Disorder (ASD) is a controversial topic. Stakeholders have strong opinions, and the use of social media allows them to reach a bigger audience to share their perceptions. Stakeholders such as parents of children with ASD, adults with ASD who have been treated using ABA therapy, and ABA clinicians themselves may post on long-form social media such as Reddit or Facebook to ASD specific forums. These forums provide stakeholders with information, community, and support that they might not have otherwise. The perceptions of ABA on children with ASD …

Utilizing Special Interests: Developing A Storybook For A Minimally Speaking Autistic Child To Support Communication, Olivia Fordyce

Honors Projects

The purpose of my Honors Project is to develop a framework for designing a storybook that can be used as a communication tool with minimally speaking autistic children. The project answers two clinically relevant questions within the field of Speech-Language Pathology.

1. What do we know from prior literature about the use of storybooks to support communication in minimally speaking autistic children?
2. What factors are important to consider in designing a storybook for minimally speaking autistic children?

I conducted a literature review exploring adapted storybooks and autistic children’s special interests to answer the project questions. Informed by this knowledge, I have …

Different Error Patterns Of /L/ In Children And Speech-Language Pathologists' Perception And Treatment, Grace E. Lemoine

LSU Master's Theses

Children often simplify target speech sounds using phonological processes, or common developmental error patterns. However, some children produce less common error patterns that differ from common errors. In the current study, less common errors involving /l/ sounds were studied as the phoneme /l/ is a sound that is subject to frequent misarticulations in young children and perceptual confusion among listeners. The current study focused on less common errors because studies have suggested that atypical errors can indicate weak phonological representations and poor phonological awareness skills, which can have long-term effects on children’s literacy skills. Therefore, the aim of the current …

”To Be Or Not To Be – It’S Good”: Actor And Student Experiences In A Drama Club For People With Aphasia, Jade K. Hannan

Senior Theses

Individuals with aphasia, a disorder caused by damage to the brain’s language network, confront a variety of social and emotional struggles. While leaving their cognition largely intact, aphasia tremendously impacts a person’s ability to communicate confidently, fracturing their social network and contributing to feelings of loneliness and frustration. To address this persistent need in the chronic aphasia population, the Play on Words drama club at the University of South Carolina provides a forum for people with aphasia (PWA) to engage in dramatic exercises focused on non-verbal communication of emotions, ideas, and stories, culminating the production of an original devised play. …

Trauma-Informed Educational Practices: Perceptions Of Undergraduate Communication Sciences And Disorders Students, Lindsey J. Knussmann

Honors College Theses

Trauma is a prevalent issue among college students, with lasting negative effects on mental health, physical well-being, and academic performance. Despite this, literature exploring the application of trauma-informed education practices (TIEPs), specifically within the field of communication sciences and disorders (CSD), is limited. The purpose of this study was to address this literature gap by exploring which TIEPs CSD students find most beneficial.

Undergraduate students majoring in CSD participated in this research, rating the helpfulness of 12 TIEPs. Most participants reported perceiving all TIEPs as at least “very helpful”. These data represent a step toward improved understanding of the effects …

Language Beliefs And Practices Of Caregivers In The Deep South, Maria Maldonado

LSU Master's Theses

The 30 million word gap refers to the disparity in early language exposure between low socioeconomic status (SES) children and their higher SES peers; a gap that is thought to negatively impact children’s language development and future academic success. Although many early intervention approaches have proven effective in promoting language development among low SES children, they often fall short in terms of cultural responsiveness, which in turn affects caregiver buy-in. Culturally and linguistically diverse children disproportionately live in poverty, as such there is a need for research to inform more responsive interventions that take a strengths- based approach and build …

Exploring Attrition And Linguistic Shifts: The Impact Of Covid-19 And Anti-Asian Discrimination On The East And Southeast Asian Diaspora, Amy Wan-Ling Lin

University Honors Theses

This thesis investigates the complex interplay of language and identity among speakers of East Asian and Southeast Asian languages in the United States, within the context of the COVID-19 pandemic and the concurrent rise in anti-Asian hate. The study adopts a mixed-methods approach to delve into these complexities, guided by three research questions exploring changes in language use since the onset of the pandemic, changes in perspective on language identity since the onset of the pandemic, and the effect of geopolitical climate, specifically the rise in Asian hate, on language use and perspective on language identity. The qualitative methodology employed …

Validation Of A Virtual Auditory Space, And Its Use To Investigate How Pitch And Spatial Cues Contribute To Perceptual Segregation Of Auditory Streams, Nima Zargarnezhad

Electronic Thesis and Dissertation Repository

The human auditory system can decompose complex sound mixtures into distinct perceptual auditory objects through a process (or processes) known as Auditory Scene Analysis. Pitch and spatial cues are among the sound attributes known to influence sequential streaming (Plack 2018). In this project, the fidelity of a virtual acoustic space (the Audio Dome) in reproducing precisely located sound sources with a 9^th-order ambisonics algorithm was validated. The estimated horizontal Minimum Audible Angles aligned with previously reported values (Mills 1958) homogeneously across the space, and a robust low-frequency presentation was identified. Then, the Audio Dome was utilized to test …

How Phonological And Syntactic Overlap Impact Cognate Processing Speeds In Bilinguals, Ella Marie Peterson

Undergraduate Theses, Professional Papers, and Capstone Artifacts

This paper investigates individuals who are proficient in two languages (bilinguals) and the speeds at which bilinguals process cognates (words with comparable form and meaning across languages). This paper cites two ongoing experiments: The Language Identification (LID) task and the Self-Paced Listening (SPL) task. Findings from the LID suggest that phonological overlap in cognates facilitates bilingual language processing speeds, when cognates are presented in isolation. Findings from the SPL suggest that syntactic overlap in cognates also facilitates bilingual language processing speeds, when cognates are presented in sentences. These findings are significant in that the tasks present cognates to participants in …

An Exploration Of Dress Codes In Speech-Language Pathology Graduate Programs, Brumbaugh Klaire

All Theses, Dissertations, and Capstone Projects

This investigation utilized a qualitative approach to explore dress code policy in twelve Midwestern master’s in speech-language pathology programs. After a written policy review, the clinic directors associated with each program were interviewed. Following the interview, the clinic directors sent a survey to the graduate students to complete (n = 74). Findings suggest that the dress codes in speech pathology should consider concepts related to client perception, discipline, financial responsibility, and safety when considering their dress codes. Information related to how to use the findings to support all students is discussed.

The Impact Of Technological Innovation On Deaf And Hard Of Hearing Communities, Mickayla Cooper Kwakye-Ndlovu

Honors College Theses

Over the past couple of decades, significant shifts have occurred in technological development. Among these advancements, the smartphone has emerged as an integral part of people’s daily lives, serving as a powerful tool for accessibility and global connectivity. This literature review explores the ways in which everyday communication technology is utilized by Deaf and Hard of Hearing (DHH) individuals and examines the impact of its development on these communities. The goal of the work is to investigate how the evolution of modern smartphones contributes to breaking down communication barriers for DHH communities. This review focuses on smartphone features that enhance …

Impact Of Covid-19 On Individuals With Aphasia: Effects On Quality Of Life And Communication, Kaci L. Gammon

Honors College Theses

Speech-language pathologists (SLPs) help people with aphasia (PWA) manage their communication symptoms and become more independent by supporting them linguistically and emotionally. During COVID-19, speech and language services were not as readily available to PWA due to quarantine restrictions resulting in isolation within this population. Individuals with aphasia had to redirect and find a new way to function daily. This study explored factors that affected quality of communication and quality of life for PWA during the pandemic, including technology, living situation, timing of stroke, and speech-language pathology services. Through an online survey, PWA from across the country expressed how their …

Numerical Investigation Of Subglottal Stenosis Effects On Human Voice Production, Dariush Bodaghi

Electronic Theses and Dissertations

This dissertation aimed to advance knowledge of how subglottal stenosis impacts voice production physiology. An in-house fluid-structure-acoustic interaction approach based on the hydrodynamic/acoustic splitting technique was employed. This technique was rigorously verified for simulating phonation by matching the acoustic behavior to a compressible flow solver for phonation-relevant geometries. Simulations of an idealized 2D vocal tract model demonstrated the effects of supraglottal acoustic resonance on vocal fold kinematics and glottal flow waveform. Results showed that the acoustic coupling between higher harmonics and formats generated pressure oscillations, modifying vocal fold dynamics and glottal flow rate.

A major novelty was the incorporation and …

The Evolution Of The Role Of Speech-Language Pathologists In The Nicu: Are Educational Programs Supporting The Change?, Melanie Spinnie

Honors College Theses

The purpose of this thesis was to determine the progressive roles of speech-language pathologists (SLP) in performing feeding and swallowing interventions in preterm infants in the neonatal intensive care unit (NICU) and evaluate the education SLPs receive regarding this topic, as well as how this can affect their work in the NICU and what changes in curriculum and experience should be made for SLPs to best serve this fragile population. SLPs have not always been the primary providers in this field, so it is crucial to understand these established roles and how they have changed and will continue to change. …

Word Reading, Reading Comprehension, And Eye Movements During Reading In Chinese Persons With Aphasia, Xiaobin Wang

<strong> Theses and Dissertations </strong>

Individuals with aphasia (IWA) often exhibit challenges in single word reading as well as in reading comprehension. Recently, eye-tracking technology has become instrumental in delving deeper into reading behaviors. Specifically, it has illuminated the differences in word reading and comprehension abilities among aphasic English speakers. However, there is a noticeable scarcity of research focusing on these aspects among Chinese IWA. The current study aimed to contrast the abilities of Chinese IWA and neurotypical controls in reading single words, with an emphasis on types like regular, irregular, and pseudowords, and reading comprehension abilities. Further, this study investigated the patterns of eye …