Medicine and Health Sciences Commons^™

Services Provided To Aging Individuals With Intellectual Disabilities: Survey Of Speech Language Pathologists, Claire H. Gatewood

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: The present study explored current speech-language pathology service provision for aging individuals with intellectual disabilities in the United States, including areas and domains of services, factors restricting service provision, and reported knowledge and confidence of individuals within the field of speech-language pathology in providing services, to identify possible gaps of service and needed improvement.

Methods: Participants (n = 272) from across the United States completed an online survey to gather descriptive information about current speech-language pathology service provision for aging individuals with intellectual disabilities. Participants were recruited through state speech-language hearing associations and universities with speech-language pathology clinics …

Engaging Clinical End Users In The Development Of An Outcome Measurement Protocol For Pediatric Communicative Health Systems, Victoria Sherman, Danielle Glista, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: To develop a conceptual framework of the factors likely to influence clinicians' use of a new participation-focused outcome measurement protocol in a large paediatric speech-language pathology program.Method: A convenience sample of 27 end users (clinicians, managers) were recruited from Ontario, Canada's Preschool Speech and Language Program. Participants engaged in one virtual concept mapping session in groups of five to six during which they learned about the new protocol, and generated statements in response to a prompt asking them to identify factors that would influence their use of the protocol. Following all sessions, participants asynchronously sorted and …

Implementing Service-Learning Projects For The First Time During The Pandemic: Two Instructors’ Inspiration, Motivation And Goals, Lesley Sylvan, Robyn Becker

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

While much has been written about student experiences with service-learning and factors that sustain university instructors’ experiences in service-learning over time, less is understood about the contexts that prompt instructors to embark on their first experiences of incorporating service-learning into their teaching. The focus of this article is the experiences of two instructors, one tenure track faculty member and one adjunct faculty member, who incorporated service-learning projects into their classes for the first time during the 2020-2021 academic year. Both professors teach within a speech-language pathology graduate program. The timing and context of their first service-learning experiences are important because …

Clinical Feasibility, Utility, And Usability Of The Profile Of Preschool Communication: A Pilot Test In Community Settings, Barbara Jane Cunningham, Carly Cermak, Julianna Head, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

This study aimed to pilot test, assess usability and utility of, and identify barriers to implementation for the Profile of Preschool Communication (PPC) - a new data collection tool designed to support outcome monitoring in preschool speech-language programs and practice-based research. Methods. This pilot study was conducted with three sites in the Ontario Preschool Speech and Language (PSL) program. Twenty-three speech-language pathologists used the PPC for all outcome monitoring assessments for 2-3-months and provided feedback about their experience using it in practice. Then, 18 of the 23 speech-language pathologists completed online surveys to rate usability and utility, and report …

Intervention Goals For Preschoolers With Language Difficulties And Disorders A Scoping Review Using The Icf Framework, Elaine Kwok, Carly A. Cermak, Kathryn Hatherly, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: The primary aim of this scoping review was to categorize language therapy goals reported in intervention studies for preschoolers (i.e., children from 0 to 5;0 years old) with language difficulties and disorders within the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) framework. A secondary aim was to determine whether different therapy goals were reported for different language difficulty/disorder subtypes (i.e., comparing language difficulty/disorder associated with a biomedical condition to those without an associated biomedical condition).

Method: The scoping review followed Arksey and O’Malley’s (2005) guidelines. Articles were retrieved from speechBITE, with age (under …

The Process Of Telepractice Implementation During The Covid-19 Pandemic: A Narrative Inquiry Of Preschool Speech-Language Pathologists And Assistants From One Center In Canada, Elaine Yl Kwok, Jessica Chiu, Peter Rosenbaum, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Background: Many professional services were pressed to adopt telepractice in response to the global coronavirus SARS-CoV-2 (COVID-19) pandemic. The need to adopt a new service delivery approach quickly created different implementation challenges. This study explored the lived experiences of frontline clinicians who successfully transitioned their in-person speech-language therapy services to telepractice through an implementation science lens.

Methods: The study was conducted in partnership with one publicly funded program in Ontario, Canada that offers services to preschoolers with speech, language and communication disorders. Sixteen frontline speech-language pathologists and assistants at this organization shared their lived experience transitioning to telepractice during the …

Effect Of Flow Phonation Voice Exercises On Vocal And Aerodynamic Measures In Undergraduate Student Singers, Jorge A. Diaz

FIU Electronic Theses and Dissertations

This study examined the effects of Flow Phonation Voice Exercises on vocal measures in undergraduate student singers. Whereas these exercises have provided positive outcomes in individuals with vocal hyperfunction, the use of these exercises in potentially enhancing the singing voice has not been explored. A total of 10 participants were randomly assigned into an experimental group (n = 6), that received 5 sessions of the Flow Phonation Voice Exercises across 5 weeks, and a control group (n = 4) which did not receive the treatment. Changes in auditory-perceptual, acoustic, subjective respiratory, quality-of-life and fatigue related measures compared across two groups. …

Developing Cultural Responsive Care: Children With Cleft Lip And Palate And Their Families, Brenda Louw

ETSU Faculty Works

The aim of this presentation is to report on the application and outcomes of an ETSU Cultural Competency grant awarded in 2021.The purpose of the grant was to allow students enrolled in CDIS 5240 (M.Sc. SLP Program) the opportunity to demonstrate understanding of multicultural multilingual issues and their application in the assessment and treatment of children with cleft lip and palate to better prepare them for the workforce, contribute to meeting the requirements of American Speech-Language Hearing Association (ASHA), and most importantly ensure that Hispanic children and other culturally and linguistically diverse (CALD) children with CLP receive improved services to …

A Survey Of Slp Graduate Students Pre- And Post-Telepractice Training During The Covid-19 Pandemic, Kelly Allison Frost

Masters Theses & Specialist Projects

Many university programs in speech-language pathology who offer clinical training as part of their graduate program, transitioned to a telepractice service delivery model in response to the COVID-19 pandemic. The purpose of the current research project was to survey graduate student opinions and perspectives on the telepractice service delivery model before and after training. Graduate students enrolled in a SLP distance program at WKU participated in a summer clinical internship and were asked to complete pre- and post-surveys about their remote clinical experience. Pre- and postsurveys were completed by 27 graduate students who were enrolled in the summer clinical internship …

Implementing Evidence-Based Assessment Practices For The Monitoring Of Spoken Language Outcomes In Children Who Are Deaf Or Hard Of Hearing In A Large Community Program, Barbara Jane Cunningham, Janis Oram Cardy, Olivia Daub University Of Western Ontario

PRECISe Preschool Speech and Language Publications

The purpose of this quality improvement pilot was to evaluate the effectiveness of an online learning module for (a) changing speech-language pathologists’ perceptions about outcome monitoring and assessment protocols for children who are deaf or hard of hearing and (b) supporting speech-language pathologists’ understanding of evidence-based protocols to be implemented in their community-based program. Using principles of integrated knowledge translation and the Ottawa Model of Research Use, an online learning module was designed to support the implementation of evidence-based assessment protocols for these children in a large publicly funded program in Ontario, Canada. A pre–post study was then conducted with …

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 …

Qualitative Case Review Of A Male With Down Syndrome, Mary Josephine Hoyer

Mahurin Honors College Capstone Experience/Thesis Projects

Down syndrome is the most common chromosomal condition in the United States. In the United States, about one of every 700 babies is diagnosed with Down syndrome. The purpose of this study was to assess pre-existing data on a 13-year-old male with a diagnosis of Down syndrome to contribute to research on this chromosomal abnormality. The individual received speech and language related services at Western Kentucky University beginning in 2007. Through analysis of previously collected data, the researcher created a qualitative case review that identified the progress of an individual with Down syndrome and emphasized what attributed to his progress. …

Narratives Of Expert Speech-Language Pathologists: Defining Clinical Expertise And Supporting Knowledge Transfer, Natalie F. Douglas, Katie Squires, Jacqueline Hinckley, Erline V. Nakano

HPD Articles

Clinical expertise is a component of evidence-based practice; however, relatively little attention has been paid to this phenomenon in the professional literature of speech-language pathology. This may have negative impacts on the training of pre-professional and novice speech-language pathologists. The purpose of this study was to examine professional narratives of expert Speech-Language Pathologists (SLPs) to consider applications for knowledge transfer between expert clinicians and novice clinicians. Collection of the professional narratives of 10 expert SLPs were obtained through in-depth interviews. Interviews were transcribed and coded for themes. Themes that impacted expertise in SLP included: training; work sites; individual and clinician …

Using Implementation Science To Engage Stakeholders And Improve Outcome Measurement In A Preschool Speech-Language Service System, Barbara Jane Cunningham, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

This tutorial presents one example of collaborative implementation research in a preschool speech-language service system - Ontario Canada’s Preschool Speech and Language Program. Working collaboratively with stakeholders including policy makers, managers, and speech-language pathologists (SLPs), four webinar modules were developed to support implementation of the Focus on the Outcomes of Communication Under Six (FOCUS), a new participation-focused outcome measurement tool in pediatric speech-language pathology. The webinar modules were pilot tested at two community sites to determine whether they were effective at increasing SLPs’ knowledge, perceptions, and intentions for practice. The Knowledge-to-Action framework was used to inform all phases of this …

The Importance Of Interprofessional Education To Develop Successful Interprofessional Collaborative Teams In Healthcare, Christina Sebastiao

Senior Honors Projects

Many individuals live with chronic illnesses, various disabilities, and other complex needs that require an array of medical services from multiple disciplines within the healthcare field. To address the medical, behavioral and social needs of these patients, there has been an emphasis on providing treatment through interprofessional collaborative teams and interprofessional practice (IPP). These teams consist of multiple health professionals from various disciplines.

To ensure IPP teams are efficient and effective in the workplace, the application of interprofessional education (IPE) is key. The goal of IPE is to increase competency in interdisciplinary collaborative skills in students and future practitioners. In …

Language Sampling Methods For Early Adolescents With Specific Language Impairment, Anna Mckay

Mahurin Honors College Capstone Experience/Thesis Projects

One essential component of clinical practice in the field of speech-language pathology is eliciting language to assess an individual’s communication abilities. Language becomes more sophisticated during the adolescent stage of development, particularly in the areas of vocabulary and complexity of sentence structures used. The current protocols used to evaluate adolescents are limited in their ability to elicit and analyze language samples, resulting in decreased effectiveness of identifying adolescents with language disorders. Preliminary data was collected at Western Kentucky University in 2018 regarding a new language sampling technique, the Dixit Method (DM), to elicit more lexically diverse language than standard interview …

Creating Head Space: Using Spaced Retrieval Practice To Teach Cranial Nerves To Graduate Slp Students, Rachel K. Johnson, Anne M.P. Michalek, Corrin Richels

Communication Disorders & Special Education Faculty Publications

The purpose of this study was to investigate the effectiveness of spaced retrieval practice on graduate speech-language pathology (SLP) student’s long-term retention of cranial nerves. This is a quasi-experimental design study using a repeated measures and between group design where the control group was not randomly assigned. The accuracy and quality of cranial nerve knowledge was measured in graduate SLP students who did not practice spaced retrieval (control), and those who practiced spaced retrieval for three (EG1) or four (EG2) semesters. The quality and accuracy of cranial nerve knowledge improved significantly for both experimental groups compared to the control group. …

Improving The Interprofessional Relationship Between Nurses And Speech-Language Pathologists: A Pilot Study, Christina Hamling, Kristy Weissling

Honors Theses

The research presented in this thesis explores the impact of interprofessional education on undergraduate nursing and speech-language pathology students with an overall goal of improving the interprofessional relationship between the two fields. Utilizing quantitative and qualitative methods in the form of a pre-test, educational materials, live guided observation, and post-tests, the researchers found an increase in the nursing students ’ ability to identify the role of the speech-language pathologist in a medical setting (knowledge). There was also an increase in the speech-language pathology students’ ability to understand how and when to communicate with nurses in a medical setting (knowledge).

Post-Concussion Services In Speech-Language Pathology: Awareness, Attitudes, And Training In Concussion For Currently Practicing Slps, Colin Misich, Michael Fraas

WWU Honors College Senior Projects

The purpose of this study was to determine the level of knowledge that currently practicing speech-language pathologists possess on the subject of concussion, their awareness for the risks and consequences associated with concussion, as well as the training they have received in providing rehabilitative services to clients who have suffered a concussion and the degree of confidence they feel in their ability to provide such services.

The Slps Role In Caring For The Adult And Geriatric Populations, Courtney M. Andrews

ETSU Faculty Works

• Define the SLP role with patients commonly seen in primary care
• Duplicate SLP knowledge to help in primary care
• Evaluate the role of the SLP as part of the multidisciplinary team

Promoting Consistent Use Of The Communication Function Classification System (Cfcs), Barbara Jane Cunningham, Mary Jo Hidecker, Nancy Thomas-Stonell, Peter Rosenbaum

PRECISe Preschool Speech and Language Publications

Purpose: We developed a Knowledge Translation (KT) intervention to standardize the way speech-language pathologists working in Ontario Canada’s Preschool Speech and Language Program (PSLP) used the Communication Function Classification System (CFCS). This tool was being used as part of a provincial program evaluation and standardizing its use was critical for establishing reliability and validity within the provincial dataset.

Method: Two theoretical foundations – Diffusion of Innovations and the Communication Persuasion Matrix – were used to develop and disseminate the intervention to standardize use of the CFCS among a cohort speech-language pathologists. A descriptive pre-test/post-test study was used to evaluate the …

What’S The Evidence For Involving Parents In Intervention For Speech Sound Disorders?, Eleanor Sugden, Elise Baker, Natalie Munro, A. Lynn Williams

ETSU Faculty Works

This systematic overview examines the evidence base for parent involvement in intervention for phonology-based speech sound disorders. Of the 175 identified papers, 61 reported including parents and/or home-based tasks in intervention. However, insufficient detail reported within these papers limits replication and implementation. The clinical and research implications are discussed.

The Assessment And Treatment Of Prosodic Disorders And Neurological Theories Of Prosody, Joshua J. Diehl, Rhea Paul

Communication Disorders Faculty Publications

In this article, we comment on specific aspects of Peppe´ (Peppe´ , 2009). In particular, we address the assessment and treatment of prosody in clinical settings and discuss current theory on neurological models of prosody. We argue that in order for prosodic assessment instruments and treatment programs to be clinical effective, we need assessment instruments that: (1) have a representative normative comparison sample and strong psychometric properties; (2) are based on empirical information regarding the typical sequence of prosodic acquisition and are sensitive to developmental change; (3) meaningfully subcategorize various aspects of prosody; (4) use tasks that have ecological validity; …