Medicine and Health Sciences Commons^™

Validity Of A New Measure Of Phonemic Awareness That Does Not Require Spoken Responses In Children With Complex Communication Needs, Tiffany Chavers

USF Tampa Graduate Theses and Dissertations

Children with complex communication needs (CCN) routinely have difficulty attaining appropriate literacy skills. Two indicators of literacy development are the alphabetic principle and phonemic awareness (Byrne & Fielding-Barnsley, 1989). The acquisition of minimal literacy skills such as letter sound knowledge can give children with CCN the opportunity to communicate and generate their own messages, instead of being reliant on vocabulary provided by others. In order to identify appropriate intervention approaches, nonverbal assessments of phonological and phonemic awareness for individuals with CCN are needed.

The purpose of this study was to determine the reliability of the Dynamic Assessment of the Alphabetic …

Spa 6930 Billingual Assessment And Intervention, Maria Brea

Service-Learning Syllabi

No abstract provided.

The Effect Of Clinical Experience On Perceived And Self-Reported Empathy In Novice Speech- Language Pathology Clinicians, Erline Vieira Nakano

USF Tampa Graduate Theses and Dissertations

In the field of medicine, empathic providers have been found to bring numerous benefits to a clinical encounter as they are better able to elicit detailed and thorough case histories, build rapport and therapeutic alliance with patients, and foster greater compliance with treatment recommendations. Despite its multiple benefits, empathy has not been researched systematically within the field of speech-language pathology. In medical training, empathy has been found to decline by the time medical students are introduced to direct patient care. Currently, no information is available regarding the empathy trajectory of novice speech-language pathologists.

The goal of the current project was …

Recovery From Diffuse Brain Injuries: Two Case Studies., Alejandro E. Brice, Roanne G. Brice

USF St. Petersburg campus Faculty Publications

Subarachnoid hemorrhages (SAHs) are grave medical emergencies, whereas 30–50% of all SAHs may ultimately result in death. Subarachnoid hemorrhages share many resemblances with other neurological traumas such as a cerebral vascular accident, meningitis, and/or traumatic brain injury. Autoimmune encephalopathies (AE) occur when human antibodies assault the body’s cell surfaces and/or synaptic proteins. Consequently, widespread nervous system and diffuse brain involvement may occur. With subarachnoid hemorrhages and autoimmune encephalopathies, multiple areas of cognition and language can be impaired. Case studies in communication sciences and disorders are underutilized, yet are important in evidenced‐based practice. Speech-language pathologists in medical settings have worked with …

Hormone Replacement Therapy (Hrt) Modulates Peripheral And Central Auditory System Processing With Aging, Tanika Williamson

USF Tampa Graduate Theses and Dissertations

After the findings were reported for the Women’s Health Initiative (WHI) study in the past decade, there has been a significant decline in the overall use of hormone replacement therapy (HRT) among women. However, there are still millions of middle-aged, menopausal women in the U.S. who are currently undergoing hormone therapy. Their reasons for continuing treatment include relief of severe menopausal symptoms, aid in the management of osteoporosis and reduction in the risk of colon cancer (Ness et al., 2005). The purpose of the following investigation was to evaluate the impact of HRT on the central and peripheral auditory systems …

Discriminability And Perceptual Saliency Of Temporal And Spectral Cues For Final Fricative Consonant Voicing In Simulated Cochlear-Implant And Bimodal Hearing, Ying-Yee Kong, Matthew B. Winn, Katja Poelmann, Gail S. Donaldson

Communication Sciences and Disorders Faculty Publications

Multiple redundant acoustic cues can contribute to the perception of a single phonemic contrast. This study investigated the effect of spectral degradation on the discriminability and perceptual saliency of acoustic cues for identification of word-final fricative voicing in “loss” versus “laws”, and possible changes that occurred when low-frequency acoustic cues were restored. Three acoustic cues that contribute to the word-final /s/-/z/ contrast (first formant frequency [F1] offset, vowel–consonant duration ratio, and consonant voicing duration) were systematically varied in synthesized words. A discrimination task measured listeners’ ability to discriminate differences among stimuli within a single cue dimension. A categorization task examined …

Analyzing Spelling Errors By Linguistic Features Among Children With Learning Disabilities, Christine Johnson

USF Tampa Graduate Theses and Dissertations

In order to spell fluently and accurately, phonology, orthography, and morphology must be integrated and stored into long term memory (Berninger & Richards, in press; Berninger, Nagy, Tanimoto, Thompson, Abbott, 2015). Children with dysgraphia, dyslexia, and OWL-LD have specific deficits in linguistic processing that impede the cross-mapping of these linguistic elements. This study analyzes the frequency and nature of spelling errors produced by children with dysgraphia, dyslexia, and OWL-LD during an academic writing task in order to determine if known deficits in linguistic processing affect the type and severity of spelling errors made by these children.

The present study analyzed …

Large Cross-Sectional Study Of Presbycusis Reveals Rapid Progressive Decline In Auditory Temporal Acuity, Erol J. Ozmeral, Ann C. Eddins, Robert Frisina Sr., David A. Eddins

Communication Sciences and Disorders Faculty Publications

The auditory system relies on extraordinarily precise timing cues for the accurate perception of speech, music, and object identification. Epidemiological research has documented the age-related progressive decline in hearing sensitivity that is known to be a major health concern for the elderly. Although smaller investigations indicate that auditory temporal processing also declines with age, such measures have not been included in larger studies. Temporal gap detection thresholds (TGDTs; an index of auditory temporal resolution) measured in 1071 listeners (aged 18–98 years) were shown to decline at a minimum rate of 1.05 ms (15%) per decade. Age was a significant predictor …

Construction And Evaluation Of Rodent-Specific Rtms Coils, Alexander D. Tang, Andrea S. Lowe, Andrew R. Garrett, Robert Woodward, William Bennett, Alison J. Canty, Michael I. Garry, Mark R. Hinder, Jeffery J. Summers, Roman Gersner, Alexander Rotenberg, Gary Thickbroom, Joseph P. Walton, Jennifer Rodger

Communication Sciences and Disorders Faculty Publications

Rodent models of transcranial magnetic stimulation (TMS) play a crucial role in aiding the understanding of the cellular and molecular mechanisms underlying TMS induced plasticity. Rodent-specific TMS have previously been used to deliver focal stimulation at the cost of stimulus intensity (12 mT). Here we describe two novel TMS coils designed to deliver repetitive TMS (rTMS) at greater stimulation intensities whilst maintaining spatial resolution. Two circular coils (8 mm outer diameter) were constructed with either an air or pure iron-core. Peak magnetic field strength for the air and iron-cores were 90 and 120 mT, respectively, with the iron-core coil exhibiting …

Effects Of A Novel Right Brain Intervention On Stuttering In Familiar And Structured Speech Tasks, Josalyn Elizabeth Perry

USF Tampa Graduate Theses and Dissertations

Over 3 million Americans are disfluent due to developmental stuttering. Current evidence-based treatments typically consist of a rigorous schedule of intensive therapy, followed by the need for maintenance of skills, placing high demands on self-monitoring of one’s speech at all times. Relapse after treatment is very common, at 84%. The demand for further research into treatment possibilities for stuttering is on the forefront. Previous research has connected neural activations in people who stutter (PWS) and people with chronic nonfluent aphasia. The aim of this study was to determine if a novel intervention, based on a treatment for anomia, would change …

Tongue Twisters Quantified: Ultrasound Analysis Of Speech Stability And Speech Errors, Karen Reddick

USF Tampa Graduate Theses and Dissertations

This thesis investigates errors on speech sounds (or phonemes) produced in laboratory speech stimuli designed to generate phonological onset errors. The present study adds to the literature on phonological speech errors with an instrumental analysis of tongue posture during speech error production and an investigation of the nature of speech errors as unintended variation in articulation.

This study utilized ultrasound instrumentation to visualize speech errors made on velar and alveolar stop consonants at the point of stop closure. Two types of errors were of interest, categorical errors and gradient errors. Categorical errors are those that are heard by the listener …

Static And Dynamic Spectral Acuity In Cochlear Implant Listeners For Simple And Speech-Like Stimuli, Benjamin Anderson Russell

USF Tampa Graduate Theses and Dissertations

For cochlear implant (CI) listeners, poorer than normal speech recognition abilities are typically attributed to degraded spectral acuity. However, estimates of spectral acuity have most often been obtained using simple (tonal) stimuli, presented directly to the implanted electrodes, rather than through the speech processor as occurs in everyday listening. Further, little is known about spectral acuity for dynamic stimuli, as compared to static stimuli, even though the perception of dynamic spectral cues is important for speech perception.

The primary goal of the current study was to examine spectral acuity in CI listeners, and a comparison group of normal hearing (NH) …

Effects Of A Novel Right Brain Intervention On Stuttering Frequency In Unfamiliar Speech Tasks, Chelsea Beatrice Stewart

USF Tampa Graduate Theses and Dissertations

Developmental stuttering persists in approximately 1% of the United States population. Stuttering has been shown to impact overall quality of life. The present study examines the effects of a Novel Right Brain Intervention on two female participants with persistent developmental stuttering. The aim of the study was to determine whether encouraging greater activation of the right hemisphere, specifically the pre-SMA, via complex left-handed movements, prior to speech production, would lead to a reduced stuttering frequency and severity in people who stutter (PWS). It was hypothesized that each participant would reduce stuttering symptoms and behaviors following the intervention due to the …

Analysis Of Patterns In Handwritten Spelling Errors Among Students With Various Specific Learning Disabilities, Laura Ann Winkler

USF Tampa Graduate Theses and Dissertations

Students diagnosed with specific learning disabilities struggle with spelling accuracy, but they do so for different reasons. For instance, students with dysgraphia, dyslexia, and oral-written language learning disability (OWL-LD) have distinct areas of weakness in cognitive processing and unique difficulties with the linguistic features necessary for accurate spelling (Silliman & Berninger, 2011). This project considered the spelling errors made by such students to determine if their unique learning profiles lead to distinct misspelling patterns.

Academic summaries handwritten by 33 students diagnosed with dysgraphia (n=13), dyslexia (n=15), and OWL-LD (n=5) were analyzed for type/complexity and …

Interspeech Posture In Spanish-English Bilingual Adults, Merrily Rose Shary

USF Tampa Graduate Theses and Dissertations

Interspeech posture (ISP) is a term used to define the position of a person’s articulators when they are preparing to speak. Research suggests that ISP may be representative of a speaker’s phonological knowledge in a particular language, as determined empirically with ultrasound measures of the tongue in English-French bilinguals (Wilson & Gick, 2014). It is possible, therefore, that measuring ISP could be a diagnostic tool for determining phonological knowledge in bilingual speakers. However, more information on ISP in typical adult bilingual speakers is needed before diagnostic claims can be made. For example, ISP is believed to be language specific, and …

Assessing Excessive Noise Exposure Of Music-Oriented Nightclub Employees, Aiyanna Fitzgerald

USF Tampa Graduate Theses and Dissertations

Much research has gone into noise-induced hearing loss (NIHL) and the effects of high intensity noise levels on the hearing mechanism of individuals. A study by the National Institutes of Health has established that high intensity sounds can cause hearing damage of either a temporary, or worse, a permanent nature; regardless of the age of the person. While sound levels below 75 decibels are considered comparatively harmless and have been found not to cause any kind of permanent hearing loss; sound levels greater than 85 decibels and regular exposure of approximately 8 hours per day, on an average, has been …

Systematic Replication Of The Effects Of A Supplementary, Technology-Assisted, Storybook Intervention For Preschool Children With Weak Vocabulary And Comprehension Skills, Charles R. Greenwood, Judith J. Carta, Elizabeth S. Kelley, Gabriela Guerrero, Na Young Kong, Jane Atwater, Howard Goldstein

Communication Sciences and Disorders Faculty Publications

In 2013, Spencer, Goldstein, Sherman, et al. reported the promising effects of a supplemental, technology-assisted, storybook intervention (Tier 2) containing embedded instruction targeting the oral language learning of preschool children at risk for delays. We sought to advance knowledge of the intervention by replicating it in a new sample and examining children’s responses to the narrator’s instructional prompts and associations with learning outcomes. Results indicated that children were highly successful in responding with the narrator’s task-management prompts (i.e., turn the page), particularly after the first book. Children were much less proficient in correctly responding to the narrator’s word-teaching prompts …

The Effects Of Sensorineural Hearing Impairment On Asynchronous Glimpsing Of Speech, Erol J. Ozmeral, Emily Buss, Joseph W. Hall Iii

Communication Sciences and Disorders Faculty Publications

In a previous study with normal-hearing listeners, we evaluated consonant identification masked by two or more spectrally contiguous bands of noise, with asynchronous square-wave modulation applied to neighboring bands. Speech recognition thresholds were 5.1–8.5 dB better when neighboring bands were presented to different ears (dichotic) than when all bands were presented to one ear (monaural), depending on the spectral width of the frequency bands. This dichotic advantage was interpreted as reflecting masking release from peripheral spread of masking from neighboring frequency bands. The present study evaluated this effect in listeners with sensorineural hearing loss, a population more susceptible to spread …

The Effects Of Acoustic Bandwidth On Simulated Bimodal Benefit In Children And Adults With Normal Hearing, Sterling W. Sheffield, Michelle Simha, Kelly N. Jahn, René H. Gifford

Communication Sciences and Disorders Faculty Publications

Objectives—The primary purpose of this study was to examine the effect of acoustic bandwidth on bimodal benefit for speech recognition in normal-hearing children with a cochlear implant (CI) simulation in one ear and low-pass filtered stimuli in the contralateral ear. The effect of acoustic bandwidth on bimodal benefit in children was compared to the pattern of adults with normal hearing. Our hypothesis was that children would require a wider acoustic bandwidth than adults to 1) derive bimodal benefit, and 2) obtain asymptotic bimodal benefit.

Design—Nineteen children (6–12 years) and ten adults with normal hearing participated in the study. Speech recognition …

Velar–Vowel Coarticulation In A Virtual Target Model Of Stop Production, Stefan A. Frisch, Sylvie M. Wodzinski

Communication Sciences and Disorders Faculty Publications

Velar–vowel coarticulation in English, resulting in so-called velar fronting in front vowel contexts, was studied using ultrasound imaging of the tongue during /k/ onsets of monosyllabic words with no coda or a labial coda. Ten native English speakers were recorded and analyzed. A variety of coarticulation patterns that often appear to contain small differences in typical closure location for similar vowels was found. An account of the coarticulation pattern is provided using a virtual target model of stop consonant production where there are two /k/ allophones in English, one for front vowels and one for non-front vowels. Small differences in …

The Role Of Continuous Low-Frequency Harmonicity Cues For Interrupted Speech Perception In Bimodal Hearing, Soo Hee Oh, Gail S. Donaldson

Communication Sciences and Disorders Faculty Publications

Low-frequency acoustic cues have been shown to enhance speech perception by cochlear-implant users, particularly when target speech occurs in a competing background. The present study examined the extent to which a continuous representation of low-frequency harmonicity cues contributes to bimodal benefit in simulated bimodal listeners. Experiment 1 examined the benefit of restoring a continuous temporal envelope to the low-frequency ear while the vocoder ear received a temporally interrupted stimulus. Experiment 2 examined the effect of providing continuous harmonicity cues in the low-frequency ear as compared to restoring a continuous temporal envelope in the vocoder ear. Findings indicate that bimodal benefit …

The Effect Of Noise Fluctuation And Spectral Bandwidth On Gap Detection, Joseph W. Hall Iii, Emily Buss, Erol J. Ozmeral, John H. Grose

Communication Sciences and Disorders Faculty Publications

Experiment 1 investigated gap detection for random and low-fluctuation noise (LFN) markers as a function of bandwidth (25–1600 Hz), level [40 or 75 dB sound pressure level (SPL)], and center frequency (500–4000 Hz). Gap thresholds for random noise improved as bandwidth increased from 25 to 1600 Hz, but there were only minor effects related to center frequency and level. For narrow bandwidths, thresholds were lower for LFN than random markers; this difference extended to higher bandwidths at the higher center frequencies and was particularly large at high stimulus level. Effects of frequency and level were broadly consistent with the idea …

Attention Demands Of Language Production In Adults Who Stutter, Nathan D. Maxfield, Wendy L. Olsen, Daniel Kleinman, Stefan A. Frisch, Victor S. Ferreira, Jennifer J. Lister

Communication Sciences and Disorders Faculty Publications

Objective: We investigated whether language production is atypically resource-demanding in adults who stutter (AWS) versus typically-fluent adults (TFA).

Methods: Fifteen TFA and 15 AWS named pictures overlaid with printed Semantic, Phonological or Unrelated Distractor words while monitoring frequent low tones versus rare high tones. Tones were presented at a short or long Stimulus Onset Asynchrony (SOA) relative to picture onset. Group, Tone Type, Tone SOA and Distractor Type effects on P3 amplitudes were the main focus. P3 amplitude was also investigated separately in a simple tone oddball task.

Results: P3 morphology was similar between groups in the simple task. In …

Anticipatory Coarticulation And Stability Of Speech In Typically Fluent Speakers And People Who Stutter, Stefan A. Frisch, Nathan Maxfield, Alissa Belmont

Communication Sciences and Disorders Faculty Publications

This project replicates and extends previous work on coarticulation in velar-vowel sequences in English. Coarticulatory data for 46 young adult speakers, 23 who stutter and 23 who do not stutter show coarticulatory patterns in young adults who stutter that are no different from typical young adults. Additionally, the stability of velar-vowel production is analysed in token-to-token variability found in multiple repetitions of the same velar-vowel sequence. Across participants, identical patterns of coarticulation were found between people who do and do not stutter, but decreased stability was found in velar closure production in a significant subset of people who stutter. Other …

The Impact Of Lingual Resistance Training In Two Individuals With Amyotrophic Lateral Sclerosis: A Case Series, Raele Donetha Robison

USF Tampa Graduate Theses and Dissertations

Introduction: Amyotrophic Lateral Sclerosis (ALS) is a fatal and progressive disease characterized by the deterioration of motor neurons within the body. This degeneration leads to bulbar dysfunction in the form of an impaired ability to communicate and swallow. Currently, bulbar dysfunction is treated via compensatory methods aimed at maximizing comfort and safety that include environmental adaptations, augmentative and assistive communication and gastrostomy tube placement to replace speech and oral feeding. The role of active intervention is controversial in this patient population and no investigations have examined the potential role lingual exercise might play in ALS bulbar management. The purpose of …

Validity Of A Nonspeech Dynamic Assessment Of Phonological Awareness In Children From Spanish-Speaking Backgrounds, Bianca Angelica Loreti

USF Tampa Graduate Theses and Dissertations

Literacy development in Spanish-speaking children is a growing concern in the United States (Invernizzi, 2009). Phonological awareness is a predictor of literacy achievement in most alphabetic languages (Anthony et al., 2011; Davison & Brea-Spahn, 2012; Durgunoğlu, Nagy, & Hancin-Bhatt, 1993; Goikoetxea, 2005). Bilingual children with complex communication needs (CCN) demonstrate increased difficulties in speaking, reading, and writing, making learning two languages a difficult task (Toppelberg, Snow, & Tager-Flusberg, 1999). Literacy attainment in bilingual individuals who have CCN is important to improve their overall language development and communication interaction skills (Harrison-Harris, 2002). A valid and reliable phonological awareness assessment that does …

Script Training: The Role Of Written Cues, Hallie Cohen

USF Tampa Graduate Theses and Dissertations

Script training is a technique that allows persons with acquired speech and language disorders, such as nonfluent aphasia, to have islands of fluent speech during which they can speak about a topic without pausing or having word-finding errors. Scripts relevant to specific functional situations are written and practiced until memorized. Script training delivered verbally has been effective with clients with aphasia but the role of written cues in the training has not been explored. Therefore the purpose of this study was to compare the effectiveness of script training taught verbally, or verbally with a written script, in persons with aphasia. …

Mindfulness Attributes As Predictors Of Treatment Outcomes In Children Who Stutter, Jenna Lee Graepel

USF Tampa Graduate Theses and Dissertations

A recent U.S.-based survey (Boyle et al,. 2011) estimated stuttering prevalence in American children ages 3-17 years at 1.6% or 1 in 63 children. In comparison to the reported 1 in 68 school age children living with Autism Spectrum Disorder (Centers for Disease Control and Prevention, 2010), stuttering affects nearly as many. These estimates suggest that Speech-Language Pathologist (SLPs) should increasingly develop their skill sets for identifying and providing interventions for children who stutter.

The evidence base for school-age fluency intervention, while promising, leaves much room for further development (Nippold, 2011). The majority of current interventions revolve around the traditional …

Outcomes Of A Combined Mindfulness, Stuttering Modification, And Fluency Shaping Intervention For Children Who Stutter, Jennifer Kordell

USF Tampa Graduate Theses and Dissertations

A week-long intervention for five school-age children who stutter was implemented using techniques of fluency shaping, stuttering management, and mindfulness training. The purpose of this study was to investigate if children who stutter stuttered less frequently, stuttered with less struggle, and demonstrated changes in mindfulness measures after the completion of this week-long intervention. Pre- to post-treatment measures were analyzed by individual and group-level results. A comparative analysis between reading and narrative tasks was also performed. Findings indicate that three out of five children reduced the total number of disfluencies during the reading task, and two children reduced this total during …

Hesitation Rate As A Speaker-Specific Cue In Bilingual Individuals, Jamie Lynn Armbrecht

USF Tampa Graduate Theses and Dissertations

Hesitation use is common among all speakers, regardless of whether they are engaged in their dominant or non-dominant language (Fehringer & Fry, 2007; Reed, 2000). The question is whether a bilingual speaker will engage in the same types of hesitations in both languages. If hesitation patterns can be identified consistently across speakers regardless of language, their use as an acoustic cue for speaker identification may be possible. This study examines differences in hesitation use across languages and speaking contexts (reading vs. conversation) in bilingual speakers.

Twenty Spanish-English bilinguals (ages 19 -31 years) were tested as part of a larger speaker …