Medicine and Health Sciences Commons^™

Improving Diagnostic Outcomes For Individuals With Autism Spectrum Disorders Within The Hispanic Community In Bowling Green, Kentucky, Bethany Waddey

Mahurin Honors College Capstone Experience/Thesis Projects

Despite the importance of early identification and intervention of autism spectrum disorder (ASD), Hispanic children are significantly under-diagnosed with ASD in comparison to non-Hispanic, white children due to barriers to ASD identification in this population. The purpose of this research is to determine the levels of ASD knowledge in the Hispanic community in Bowling Green, the barriers that may contribute to why ASD is underdiagnosed in Hispanic children, and how to mitigate these barriers. This research analyzes the results of a survey, called the “Autism Spectrum Knowledge Scale- General Population Version”, administered to 51 participants from the Hispanic population of …

The Effects Of Augmentative & Alternative Communication On Children With Autism Spectrum Disorder: A Meta-Analysis, Sarah E. Maue

Linguistics Senior Research Projects

The purpose of this study was to examine the effects of Augmentative and Alternative Communication (AAC) on children with autism spectrum disorder (ASD). This study examined the question: “What is the role of Augmentative and Alternative Communication (AAC) devices in aiding individuals across the autism spectrum and what perspectives do parents of children across the autism spectrum have with regard to this technology?” This study involved interviewing a parent of an autistic child to glean her perspectives on AAC. The findings from this interview guided the meta-analysis research. Three main categories arose: benefits of AAC, disadvantages of AAC and parent …

Predicting Autism From Infant Characteristics: A Systematic Review, Alysha Y. Henrichs, Cynthia Cress Ph.D.

Honors Theses

A literature review was conducted of 73 articles to explore 12-month-old characteristics in infants that predicted later diagnosis with autism (ASD). Articles were reviewed if they discussed ASD, infants with siblings diagnosed with autism (high-risk) and/or infants later diagnosed with autism without known family history of ASD (low risk). Articles were not reviewed if the participants were 36 months or older at the start of the study. More factors were identified that discriminate characteristics associated with later ASD diagnosis in infants between 12-24 months compared to characteristics of infants below 12 months. Characteristics of infants under 12 months that were …

Promoting A Walk/Run Event To Expand Services For Individuals With Disabilities, Mckenzie Rodgers

Mahurin Honors College Capstone Experience/Thesis Projects

The Suzanne Vitale Clinical Education Complex (CEC) at WKU provides services to many individuals and families affected by autism spectrum disorders and other developmental delays and disabilities. As a nonprofit organization, the clinic relies heavily on donations and fundraisers as sources of income. One of the CEC’s primary fundraisers is the annual LifeSkills Run/Walk for Autism. This event is held each April during autism awareness month, at the Bowling Green Ballpark, providing an opportunity for the community to support the clinic in an enjoyable way.

For an honors capstone experience, the author promoted the 15th annual LifeSkills Run/Walk for Autism …

Perceptions Of Guilt Of Individuals With A Visible Communication Disorder Versus An Invisible Communication Disorder, Zoe Hochberg

Honors Scholar Theses

This study explored how communication disorders may impact listeners’ perception of guilt. More specifically, it looked at how visible communication disorders (e.g., stuttering) and invisible communication disorders (e.g., high functioning autism) are judged by the general public. 51 adults (18-71 years) participated in the study which asked them to view video recordings of narrative samples produced by an individual who stuttered (PWS), an individual with high-functioning autism (PHFA), and an individual with no communication disorder (PNCD). Participants were not informed of the individuals’ communication abilities (PWS, PHFA, or PNCD), but were told that one of the individuals had committed a …

Curriculum For Hippotherapy For Children With Autism, Brenna Schulte, Kristy Weissling

Honors Theses

Innovative effective forms of allied health therapies across disciplines including occupational therapy, physical therapy, and speech therapy are being continuously researched and implemented for people with a variety of disabilities. One form of therapy increasing in popularity is Hippotherapy (HPOT). There is a variety of terms related to hippotherapy. More broadly, Equine Assisted Therapy (EAT) is the use of horses to promote physical and mental health and can be utilized for a wide variety of disabilities, such as ADHD and Autism, as well as physical disabilities such as cerebral palsy. HPOT occurs when OT, PT, and ST professionals utilizes horse …

Rapid Assessment Of Problem Solving For Kids (Raps-K), Hannah Perdew

Mahurin Honors College Capstone Experience/Thesis Projects

The Rapid Assessment of Problem Solving (RAPS) is a clinical assessment of verbal problem solving skills created by Dr. Robert Marshall and colleagues (Marshall, 2003). The assessment, originally developed for adults, is based on the well-known twenty questions game. The clinician administering the assessment chooses a target picture and the participant asks yes or no questions to eliminate incorrect answers and, eventually, identify the target picture. Question asking efficiency, indicated by the number of choices eliminated, is considered to reflect levels of cognitive functioning, specifically problem solving. Recently, the RAPS has been utilized with typically developing children and children with …

Through Children's Eyes: Teaching Inclusivity And Understanding Of Communication Disorders With Children's Books, Rachel Peavler

Mahurin Honors College Capstone Experience/Thesis Projects

“Through Children’s Eyes” is a series of children’s books that focus on describing different aspects of four different communication disorders. The topics covered in the books include augmentative and alternative communication (AAC), autism spectrum disorder (ASD), dementia, and dysfluency. The illustrations were drawn and colored by hand, and the text and background were added digitally. The goal of this project was to create materials to effectively inform and instruct children about the nature of various cognitive, speech, and developmental differences to foster greater understanding of and tolerance towards people with communication differences.

Differentiated Social Skills Curriculum For Individuals With Cognitive Impairments, Morgan Bails, Tricia Larkin, Ann Beck

Graduate Independent Studies - Communication Sciences and Disorders

While communication may seem simple and inherent to many individuals while interacting with family, friends, or co-workers, communication may be more challenging for individuals with cognitive impairments. Whether the difficulty is related to expressive language, receptive language, semantics, pragmatics, etc., any deficits in these areas can create difficulty for individuals while socializing with others in their environment. Social skills intervention for individuals with cognitive impairments is imperative so that these individuals are able to communicate as effectively as possible in numerous settings with various communication partners. Individuals with Autism Spectrum Disorder (ASD) may have difficulty with social skills in particular …

Brief Report: A Mobile Application To Treat Prosodic Deficits In Autism Spectrum Disorder And Other Communication Impairments: A Pilot Study, Elizabeth Schoen Simmons, Rhea Paul, Frederick Shic

Communication Disorders Faculty Publications

This study examined the acceptability of a mobile application, SpeechPrompts, designed to treat prosodic disorders in children with ASD and other communication impairments. Ten speech-language pathologists (SLPs) in public schools and 40 of their students, 5-19 years with prosody deficits participated. Students received treatment with the software over eight weeks. Pre- and post-treatment speech samples and student engagement data were collected. Feedback on the utility of the software was also obtained. SLPs implemented the software with their students in an authentic education setting. Student engagement ratings indicated students' attention to the software was maintained during treatment. Although more testing is …

The Use Of Theatre To Develop Social And Communication Behaviors For Students With Autism, Suzanne Reading, James Reading, Robert J. Padgett, Samantha Reading, Pete Pryor

Scholarship and Professional Work - Communication

Social and communication behaviors are often a focus of instruction for individuals with autism. A theatre rehearsal and production process is challenging and joyful work that nurtures the development of social and language skills. This study evaluated and described social and language behaviors for students with autism both before and after a 10-week theatre experience. The results indicated that, when compared with a control group, the students with theatre experiences had significant and positive changes in the development of social and language skills. Most particularly, these students had significant improvement in social responsiveness, acknowledgement of the perspective of others, and …

Vocabulary Comprehension In Children With Autism, Melissa A. Pierro

FIU Electronic Theses and Dissertations

An open question in autism research is how to assess language abilities in this population. We investigated language development in monolingual and bilingual children with varying degrees of autism, ages 3 to 9, with the aim of better understanding vocabulary comprehension. Two different methodologies were used: the Receptive One-Word Picture Vocabulary Test (ROWPVT) and eye-tracker technique.

We examined whether the eye-tracker could help in the assessment of these children because it does not require the child to point during the test. Four typically developing control children, 14 monolingual English children with moderate/mild autism, and 4 children (2 monolingual English, 2 …

Acoustic Differences In The Imitation Of Prosodic Patterns In Children With Autism Spectrum Disorders, Joshua J. Diehl, Rhea Paul

Communication Disorders Faculty Publications

In research, it has been difficult to characterize the prosodic production differences that have been observed clinically in autism spectrum disorders (ASD). Moreover, the nature of these differences has been particularly hard to identify. This study examined one possible contributor to these perceived differences: motor planning. We examined the ability of children and adolescents with ASD to imitate prosodic patterns in comparison to a group with learning disabilities (LD) and a typically developing (TD) comparison group. Overall, we found that both the ASD and LD groups were significantly worse at perceiving and imitating prosodic patterns than the TD comparison group. …

Sally J. Rogers And Geraldine Dawson: Review Of Early Start Denver Model For Young Children With Autism: Promoting Language, Learning And Engagement (Book Review), Rhea Paul

Communication Disorders Faculty Publications

Book review by Rhea Paul:

Rogers, Sally R. and Geraldine Dawson. Early Start Denver Model for Young Children with Autism: Promoting Language, Learning and Engagement. New York: Guilford Press, 2010. 9781606236321; 9781606234914 (pbk.)

Out Of The Mouths Of Babes: Vocal Production In Infant Siblings Of Children With Asd, Rhea Paul, Yael Fuerst, Gordon Ramsay, Kasia Chawarska, Ami Klin

Communication Disorders Faculty Publications

Background: Younger siblings of children with autism spectrum disorders (ASD) are at higher risk for acquiring these disorders than the general population. Language development is usually delayed in children with ASD. The present study examines the development of pre-speech vocal behavior in infants at risk for ASD due to the presence of an older sibling with the disorder. Methods: Infants at high risk (HR) for ASD and those at low risk, without a diagnosed sibling (LR), were seen at 6, 9, and 12 months as part of a larger prospective study of risk for ASD in infant siblings. Standard clinical …

The Neural Underpinnings Of Prosody In Autism, Inge-Marie Eigsti, Jillian Schuh, Einar Mencl, Robert T. Schultz, Rhea Paul

Communication Disorders Faculty Publications

This study examines the processing of prosodic cues to linguistic structure and to affect, drawing on fMRI and behavioral data from 16 high-functioning adolescents with autism spectrum disorders (ASD) and 11 typically developing controls. Stimuli were carefully matched on pitch, intensity, and duration, while varying systematically in conditions of affective prosody (angry versus neutral speech) and grammatical prosody (questions versus statement). To avoid conscious attention to prosody, which normalizes responses in young people with ASD, the implicit comprehension task directed attention to semantic aspects of the stimuli. Results showed that when perceiving prosodic cues, both affective and grammatical, activation of …

Phonological Accuracy And Intelligibility In Connected Speech Of Boys With Fragile X Syndrome Or Down Syndrome, Elizabeth Barnes, Joanne Roberts, Steven Long, Gary E. Martin, Mary C. Berni, Kerry C. Mandulak, John Sideris

Speech Pathology and Audiology Faculty Research and Publications

Purpose: To compare the phonological accuracy and speech intelligibility of boys with fragile X syndrome with autism spectrum disorder (FXS-ASD), fragile X syndrome only (FXS-O), Down syndrome (DS), and typically developing (TD) boys.

Method: Participants were 32 boys with FXS-O (3–14 years), 31 with FXS-ASD (5–15 years), 34 with DS (4–16 years), and 45 TD boys of similar nonverbal mental age. We used connected speech samples to compute measures of phonological accuracy, phonological process occurrence, and intelligibility.

Results: The boys with FXS, regardless of autism status, did not differ from TD boys on phonological accuracy and phonological …

Defining Spoken Language Benchmarks And Selecting Measures Of Expressive Language Development For Young Children With Autism Spectrum Disorders, Helen Tager-Flusberg, Sally Rogers, Judith Cooper, Rebecca Landa, Catherine Lord, Rhea Paul, Mabel Rice, Carol Stoel-Gammon, Amy Wetherby, Paul Yoder

Communication Disorders Faculty Publications

Purpose: The aims of this article are twofold: (a) to offer a set of recommended measures that can be used for evaluating the efficacy of interventions that target spoken language acquisition as part of treatment research studies or for use in applied settings and (b) to propose and define a common terminology for describing levels of spoken language ability in the expressive modality and to set benchmarks for determining a child's language level in order to establish a framework for comparing outcomes across intervention studies.
Method: The National Institute on Deafness and Other Communication Disorders assembled a group of researchers …

Pragmatic Assessment In Autism Spectrum Disorders: A Comparison Of A Standard Measure With Parent Report, Brian Reichow, Shawn Salamack, Rhea Paul, Fred Volkmar, Ami Klin

Communication Disorders Faculty Publications

The purpose of this study was to investigate the concurrent validity of subtests on the Comprehensive Assessment of Spoken Language (CASL) by comparing them with the assessment of communication and social skills on the Vineland Adaptive Behavior Scales (Vineland). The participants were 35 children and adolescents with higher functioning autism spectrum disorders (ASD) who had received both the CASL and the Vineland. Results of the study suggest that the Pragmatic Judgment and Inferences subtests of the CASL appeared to document the difficulties that individuals with ASD had in adaptive use of language for communication.

Production Of Syllable Stress In Speakers With Autism Spectrum Disorders, Rhea Paul, Nancy Bianchi, Amy Augustyn, Ami Klin, Fred Volkmar

Communication Disorders Faculty Publications

This paper reports a study of the ability to reproduce stress in a nonsense syllable imitation task by adolescent speakers with autism spectrum disorders (ASD), as compared to typically developing (TD) age-mates. Results are reported for both raters’ judgments of the subjects’ stress production, as well as acoustic measures of pitch range and duration during stressed and unstressed syllable production. Results reveal small but significant differences between speakers with ASD and typical speakers in both perceptual ratings of stress and instrumental measures of duration of syllables. The implications of these findings for understanding prosodic deficits in ASD are discussed.

Auditory Processing Disorder, Rhea Paul

Communication Disorders Faculty Publications

A response from the editor is presented in response to a question on on the nature of auditory processing disorder (APD) in children.

Adaptive Behavior In Autism And Pervasive Developmental Disorder-Not Otherwise Specified: Microanalysis Of Scores On The Vineland Adaptive Behavior Scales, Rhea Paul, Stephanie Miles, Domenic Cicchetti, Sara Sparrow, Ami Klin, Fred Volkmar, Megan Coflin, Shelley Booker

Communication Disorders Faculty Publications

The purpose of this study is to provide a microanalysis of differences in adaptive functioning seen between well-matched groups of school-aged children with autism and those diagnosed as having Pervasive Developmental Disorder-Not Otherwise Specified, all of whom functioned in the mild to moderate range of intellectual impairment. Findings indicate that the major area of difference between children with autism and those with Pervasive Developmental Disorder-Not Otherwise Specified, was expressive communication; specifically, the use of elaborations in syntax and morphology and in pragmatic use of language to convey and to seek information in discourse. Linear discriminant function analysis revealed that scores …

Speech And Prosody Characteristics Of Adolescents And Adults With High-Functioning Autism And Asperger Syndrome, Lawrence D. Shriberg, Rhea Paul, Jane Mcsweeny, Ami Klin, Donald Cohen, Fred Volkmar

Communication Disorders Faculty Publications

Speech and prosody-voice profiles for 15 male speakers with High-Functioning Autism (HFA) and 15 male speakers with Asperger syndrome (AS) were compared to one another and to profiles for 53 typically developing male speakers in the same 10- to 50-years age range. Compared to the typically developing speakers, significantly more participants in both the HFA and AS groups had residual articulation distortion errors, uncodable utterances due to discourse constraints, and utterances coded as inappropriate in the domains of phrasing, stress, and resonance. Speakers with AS were significantly more voluble than speakers with HFA, but otherwise there were few statistically significant …

Irritability In Autistic Children Treated With Fenfluramine, Fred Volkmar, Rhea Paul, Donald J. Cohen, B. Shaywitz

Communication Disorders Faculty Publications

Letter to the Editor in response to a report by Geller et al. The article presented preliminary results suggesting the possible usefulness of fenfluramine (a substituted phenylethylamine widely used as an appetite suppressant) in the treatment of infantile autism (July 15, 1982, issue). The rationale for the use of this agent rests on its ability to lower peripheral-blood levels of serotonin and on the observation that a substantial minority of autistic persons have elevated peripheral-blood serotonin levels. The report emphasized the preliminary nature of the results in a small sample of three young autistic boys with elevated serotonin levels.

Communication Development And Its Disorders: A Psycholinguistic Perspective, Rhea Paul, Donald J. Cohen

Communication Disorders Faculty Publications

There is a reciprocal relationship between the study of language disorders and research in normal language development. Recent studies in normal acquisition have led to a model of language development that includes not only linguistic achievements, but the development of social and cognitive abilities that lay the basis for the transition from prelinguistic communication to the use of conventional forms. This model has been applied to the study of developmental disorders of language learning. Such a model allows the more puzzling disorders of language development, such as childhood aphasia and primary autism, to be placed in a framework that predicts …