Medicine and Health Sciences Commons^™

Noun Clauses In Clinical Child Language Samples, Christine Beate Scoville

Theses and Dissertations

Noun clauses are grammatical constructions that are of relevance both to typical language development and impaired language development. These clauses have been part of published techniques for the clinical analysis of language samples, and computer software for the automated analysis of clinical language samples has attempted to identify noun clauses, with limited success. The present study examined the development and clinical use of noun clauses as well as the automated identification of these clauses. Two sets of language samples were examined. One set consisted of 10 children with specific language impairment (SLI) whose age ranged from 7;6 to 11;1 (years;months), …

Using Systematic And Engaging Early Literacy Instruction And Digital Books To Teach At-Risk Kindergarteners To Read Target Words, Audra Marie Hales

Theses and Dissertations

The purpose of this study was to examine the effects of using Systematic and Engaging Early Literacy (SEEL) intervention activities that incorporate digital books to teach kindergarteners to read. The study used a single-subject-multiple-baseline-across-behaviors design to compare kindergarten students' reading of comparable CVC words before and after intervention. Four students at-risk for reading difficulties were chosen for the study based on their performance on assessments and their teachers' recommendations. Students were divided into two dyads and received intervention three times a week for 25 minutes for approximately six weeks, or 18 total sessions. Baseline assessment data was collected prior to …

Perceptual, Acoustic, And Kinematic Effects Of Sentence-Initial, Single-Phoneme Prolongation In People Who Do And Do Not Stutter, Darrell Sharp Matthews

Theses and Dissertations

This study examined a sentence-initial one-second sound prolongation as a possible fluency-inducing condition in people who stutter. The effects of this prolongation technique on the single sentence utterances of five people who stutter (PWS) and five age- and gender-matched controls were investigated. Variables tested included stuttering percentages, speaking rate, duration of phonated intervals, and correlation between upper lip and lower lip/jaw. Results showed a non-significant trend for less stuttering to occur when participants used the prolongation technique. Significant findings included longer durations of phonated intervals and more negatively correlated upper- and lower-lip movements during the prolongation condition. Rate of speech …

Late-Life Body Mass Index And Dementia: An Integrative Literature Review, Sarah Slade, Patricia K. Ravert

Faculty Publications

Dementia and obesity are significant public health concerns. Alzheimer's disease affects 5.3 million adults, while 72.5 million adults are obese. Emerging evidence linking body mass index (BMI) and dementia suggest that, although a high BMI in midlife is associated with a greater risk for dementia, a high BMI in late life is considered protective and should not necessarily be considered a risk factor for dementia. Beginning in midlife, practitioners should trend patient BMI numbers. Major fluctuations during this time should be monitored and nutritional counseling and cognitive screenings offered to help patients maintain a healthy BMI and detect early cognitive …

The Correlation Between Spectral Moment Measures And Electropalatometric Contact Patterns For /T/ And /K/, Janelle Barrett

Theses and Dissertations

Spectral moment analysis has helped further our understanding of the spectral properties of obstruent speech production; however, the physiologic correlates of these spectral measures are not well understood. The aim of the present study was to examine the possible correlations between the linguapalatal contact patterns used to produce the stops /t/ and /k/ and the resulting spectral characteristics. Using spectral moment analysis and electropalatography, the real-word productions of eight speakers of American English were investigated. The spectral measures for the stop consonant tokens in the present study were found to be similar to data reported in previous research with adult …

Cost-Effective Asthma Treatments For Uninsured Or Underinsured Pediatric Patients, Karlen E. (Beth) Luthy, Emilianne Dougall, Renea L. Beckstrand

Faculty Publications

Nurse practitioners should constantly compare a medication's potential effect with its associated cost, thus identifying the most cost-effective treatment plan. Such an approach is warranted for both pediatric and adult patients. Prescribing medications for children who are uninsured or underinsured can be especially challenging, particularly for those patients diagnosed with a chronic health condition requiring routine treatment and follow-up. Asthma can be such a chronic illness for which the cost associated with treatment may become a barrier to compliance with the treatment plan. Cost-effective treatment options for asthma in the pediatric patient are presented.

Situated Peer Coaching And Unfolding Cases In The Fundamentals Skills Laboratory, Deborah O. Himes, Patricia K. Ravert

Faculty Publications

Using unfolding case studies and situated peer coaching for the Fundamentals Skills Laboratory provides students with individualized feedback and creates a realistic clinical learning experience. A quasi-experimental design with pre- and post-intervention data was used to evaluate changes in student ratings of the course. An instrument was used to examine students' self-ratings and student comments about each lab. We found that students' ratings of the lab remained high with the new method and self-evaluations of their performance were higher as the semester progressed. Students appreciated the personalized feedback associated with peer coaching and demonstrated strong motivation and self-regulation in learning. …

Situated Peer Coaching And Unfolding Cases In The Fundamentals Skills Laboratory, Deborah O. Himes, Patricia K. Ravert

Faculty Publications

Using unfolding case studies and situated peer coaching for the Fundamentals Skills Laboratory provides students with individualized feedback and creates a realistic clinical learning experience. A quasi-experimental design with pre- and post-intervention data was used to evaluate changes in student ratings of the course. An instrument was used to examine students' self-ratings and student comments about each lab. We found that students' ratings of the lab remained high with the new method and self-evaluations of their performance were higher as the semester progressed. Students appreciated the personalized feedback associated with peer coaching and demonstrated strong motivation and self-regulation in learning. …

Oncology Nurses' Obstacles And Supportive Behaviors In End-Of-Life Care: Providing Vital Family Care, Renea L. Beckstrand, Joan Collette, Lynn Callister, Karlen E. (Beth) Luthy

Faculty Publications

Purpose/Objectives: To determine the impact of obstacles and supportive behaviors in end-of-life (EOL) care as perceived by hospital-based oncology nurses.

Design: A 69-item mailed survey.

Setting: National random sample.

Sample: 1,005 nurse members of the Oncology Nursing Society who had provided EOL care for patients with cancer.

Methods: Three mailings yielded 380 usable responses from 912 eligible respondents, resulting in a 42% return rate.

Main Research Variables: Size and frequency of EOL care obstacles and supportive behaviors for patients with cancer in a hospital setting.

Findings: Results of this research demonstrate the need for more EOL education and help in …

The Effect Of Intervention Using A Robot On The Social Engagement Behaviors Of Four Children With Autism In Interaction With An Unfamiliar Adult, Sarai Sophia Dodge

Theses and Dissertations

This study examined the effect of low doses of interactive therapy with a robot on the basic social engagement skills of four children with autism in interaction with an unfamiliar adult. The current study was part of a larger work investigating the effects of treatment incorporating a robot on the social engagement behaviors of children with autism. A single-subject, multiple-baseline research design was implemented and included four types of sessions: baseline, traditional intervention, intervention including the robot, and follow-up. Each participant received a total of 20 intervention sessions in addition to baseline and follow-up sessions. Intervention with the robot was …

An Acoustic Analysis Of Elements Of Contrastive Stress Produced By 8 To 10-Year-Old Children, Nicole Michelle Clover

Theses and Dissertations

Contrastive stress is an aspect of communication that can be used to highlight information, de-accent redundant information, and create distinctions between new and previously-provided information. Previous research has documented that adult speakers use relative changes in their vocal intensity, fundamental frequency (F0), and duration to mark contrastive stress in a sentence. However, less is understood about how and when children mark contrastive stress in their communication, thus the current study aims to examine a number of acoustic elements of contrastive stress in 8 to 10-year-old children. Speech samples were elicited from 20 children and analyzed to determine if the acoustic …

The Effect Of Utilizing A Humanoid Robot On Social Engagement Behaviors In Children With Autism During Interaction With A Familiar Adult, Alyssa Stabenow

Theses and Dissertations

This study focused on intervention using a humanoid robot to facilitate social engagement and joint attention in four children with autism. Intervention was conducted over a three month period, with each child receiving pre-testing, intervention, and post-testing. Intervention was based on the SCERTS model (Prizant, Wetherby, Rubin, & Laurent, 2003). Pre- and post-testing involved interactions with a parent, a familiar adult interaction, a less-familiar adult interaction, and a triadic interaction. This study focuses on the baseline and follow-up testing from the interaction with the familiar adult. Following a period of traditional intervention, sessions involving a humanoid robot (named Troy) were …

The Effects Of Utilizing A Robot On The Social Engagement Behaviors Of Children With Autism In A Triadic Interaction, Kristi Anne Blanchard

Theses and Dissertations

The study presents the use of a humanoid robot to facilitate social engagement behaviors in four children with autism. These children were enrolled in a semester long treatment program based on components of the SCERTS model designed to facilitate social communication (Prizant, 2003). Following baseline, children received intervention sessions with and without the robot. During sessions involving the robot, each child would participate in a 10 minute interaction (as part of a 50 minute sessions) using a robot to facilitate interaction with a graduate clinician or parent. The interactions were recorded and analyzed for occurrences of social engagement behaviors. This …

Effect Of Serum Vitamin D Levels On Cardiovascular Mortality And Cardiovascular Disease Risk, Aaron S. Bennion, Karlen E. Luthy, Donna S. Freeborn, Renea L. Beckstrand

Student Works

Vitamin D deficiency is prevalent across all geographic areas, age groups, and seasons and is increasing in incidence. Vitamin D receptors have been found to be present in almost every body cell and tissue. Clinical research has alluded to a preventive effect of vitamin D supplementation on cardiovascular disorders such as myocardial infarction, hypertension, and dyslipidemia. Furthermore, a low serum vitamin D level has been associated with an increased risk for cardiovascular disease. This paper examines the association between serum vitamin D levels and cardiovascular disease mortality and risk.

Outcomes Of A Social Communication Intervention On The Use Of Emotion Words, Amy Tucker Cornett

Theses and Dissertations

Children with language impairment (LI) have often been identified as having social communication breakdowns. A number of these problems are likely the result of deficits in emotional competence. This thesis examines a social communication intervention designed to target the emotional competence of children with LI. Three elementary school-aged children with LI were recruited to receive twenty, 20-minute intervention sessions over the course of four months. Each intervention session involved a combination of activities targeting emotion recognition and emotion inferencing using story retell, story exploration, story enactment, perspectives charts, journal entries, emotion labeling, and personalization. These activities revolved around Mercer Mayer's …

Development Of Psychometrically Equivalent Speech Audiometry Materials For Measuring Speech Recognition Thresholds In Native Tagalog Speakers, Brandon Brian Taylor

Theses and Dissertations

In addition to the use of pure-tones for testing hearing, speech signals are highly valuable diagnostic tools for identifying and evaluating hearing impairment. Speech audiometry involves the implementation of such signals in the measurement of hearing acuity. One aspect of speech audiometry involves assessment of the speech recognition threshold (SRT) which evaluates an individual's ability to hear and understand speech. While live speech has been used in the past to assess SRT, recorded materials are preferred and have been shown to be advantageous over live speech. High-quality digitally recorded speech audiometry materials have been available in English for some time, …

Relationship Of Demographic Characteristics And Bmi With Health Literacy In Pacific Islander Care-Giving Adults, Sharla E. Morgan

Theses and Dissertations

Purpose: Health literacy and obesity are major global issues. Vulnerable populations, such as those with low health literacy, have the highest rates of obesity. Native Hawaiian and other Pacific Islander (NHOPI) nations have the highest prevalence of obesity in the world. This study describes the relationship between health literacy and demographic variables in a sample of NHOPI caregiving adults. Methods: We conducted a correlational study of 364 NHOPI adults. Each was a caregiver of at least one NHOPI child. Data were collected at grocery stores and a preschool in two Hawaiian Islands (n=209) and at NHOPI events in Utah (n=155). …

Effect Of A Humanoid Robot During Therapy On Responding To Joint Attention With Children With Autism Spectrum Disorder, Katherine Lowe

Theses and Dissertations

This study examined the use of a humanoid robot to engage two children with Autism Spectrum Disorder (ASD) on responding language behaviors including language, affect, imitation, and eye contact. The robot was integrated into each child's regular intervention in low-doses (10 min of a 50 min session). The goal was to increase responding language behaviors in the children with their conversational partners. The two children participated in pre and post assessment sessions as well as 16 intervention sessions. The data from these sessions were coded into two main categories including how the children interacted (Initiating Engagement, Responding to …

Evaluating The Effectiveness Of A Workshop/Support Group For Parents Raising Children With Type 1 Diabetes, Christina Marie Yazzie

Theses and Dissertations

The purpose of this study was to evaluate the effectiveness of a workshop/support group for parents raising children with type 1 diabetes mellitus (T1DM). Diagnosis of a chronic disease in a child generally arouses acute anxiety and stress in parents. Parental stress when raising a child with type 1 diabetes is often centered on worry about their child's health and parents' ability to maintain the care activities needed by these children. Parents are the primary caregivers of children with Type 1 diabetes, and the effect of stress on parents can impact the health of both children and parents. The present …

The Relationship Between Select Demographic Characteristics And Body Mass Index Among Native Hawaiian And Other Pacific Islander Caregiving Adults, Katrina Duncan

Theses and Dissertations

Purpose: Native Hawaiian and other Pacific Islanders (NHOPIs) have the highest prevalence of overweight and obesity in the world. This study identified the proportion of our NHOPI sample in each body mass index (BMI) category and explored relationships between demographic characteristics and BMI. Design: This descriptive correlational study included 364 NHOPI caregiver adults in Utah (n=155) and Hawaii (n=209). We gathered demographic information with a questionnaire. Height and weight were measured for BMI calculations. Results: According to the CDC's BMI categories, 84.3% of our sample was overweight (BMI=25.0-29.9) or obese (BMI ≥30). Participants in Utah had significantly higher BMIs than …

Reliability Of The Mean Length Of Utterance Measure In Samples Of Children's Language, Katherine Marie Bigelow

Theses and Dissertations

Mean length of utterance (MLU) is widely used in child language sample analysis as a way to quantify language development. The current study examines the split-half reliability of MLU and two alternative measures: MLU2 and median length of utterance (MdLU). The effects of utterance segmentation into phonological units (P-units) or communication units (C-units) on reliability were also studied. Sixty conversational child language samples were used which included ten children with language impairment. All measures were found to have high levels of split-half reliability, with MLU and MLU2 having higher levels of reliability than MdLU. There was no significant difference between …

Emergency Nurses' Suggestions For Improving End-Of-Life Care Obstacles, Renea L. Beckstrand, R. Daniel Wood, Lynn C. Callister, Karlen E. (Beth) Luthy, Sondra Heaston

Faculty Publications

Introduction: More than 123 million ED visits are reported annually. Many patients who arrive for care to help extend their lives instead die while in the emergency department. Emergency departments were designed to save lives rather than to provide optimal end-of-life (EOL) care. Emergency nurses care for these dying patients and their families. The purpose of this study was to determine what suggestions emergency nurses have for improving EOL care.

Methods: Emergency nurses were asked which aspects of EOL care they would like to see changed to improve how patients die in emergency departments. Of the 1000 nurses surveyed, 230 …

Emergency Department Nurses' Suggestions For Improving End-Of-Life Care, Robert D. Wood

Theses and Dissertations

Introduction: Death is not an uncommon outcome for patients who seek immediate care in an emergency department. Although death is common in the emergency department there is little literature regarding end-of-life care in the emergency department. The purpose of this research study is to determine what changes emergency nurses would suggest to improve end-of-life care for dying patients and their families in emergency departments.

Background: A national, geographically dispersed, random sample of 1000 emergency nurses were sent a questionnaire entitled, "Emergency Nurses' Perceptions of End-of-Life Care." Inclusion criteria included nurses who were members of the Emergency Nurses Association, could read …

The Last Frontier: Rural Emergency Nurses’ Perceptions Of End-Of-Life Care Obstacles, Renea L. Beckstrand, Virginia C. Giles, Karlen E. (Beth) Luthy, Lynn C. Callister, Sondra Heaston

Faculty Publications

Introduction: Caring for dying patients is part of working in a rural emergency department. Rural emergency nurses are prepared to provide life-saving treatments but find there are barriers or obstacles to providing end-of-life (EOL) care. This study was completed to discover the size, frequency, and magnitude of obstacles in providing EOL care in rural emergency departments as perceived by rural emergency nurses.

Methods: A 57-item questionnaire was sent to 52 rural hospitals in Idaho, Wyoming, Utah, Nevada, and Alaska. Respondents were asked to rate items on size and frequency of perceived obstacles to providing EOL care in rural emergency departments. …

Postpartum Depression In Immigrant Hispanic Women: A Comparative Community Sample, Laura Mae Shellman

Theses and Dissertations

Purpose: This study was initiated to verify whether a remarkably high rate of postpartum depression (PPD), previously found in immigrant Hispanic women receiving health care at a community clinic, would also be found in a community sample with a similar demographic.

Data Sources: Sixty immigrant Hispanic women who had recently given birth were recruited from local community settings. The Beck Postpartum Depression Screening Scale-Spanish version (PPDS-S) and the General Acculturation Index (GAI) were used to screen for PPD symptoms and to collect demographic data. These data were then compared with previously published data from the community clinic sample.

Conclusions: Sixty …

Social Circles Of Children With Language Impairment, Erin Whitworth

Theses and Dissertations

Children with language impairment (LI) often demonstrate difficulties in social communication. The purpose of this pilot study was to examine the quantity and quality of the social interactions of children with LI and their typical peers through an analysis of the social networks or circles of each child. Eight children with LI as well as eight children with typically developing language and their parents were interviewed. Children's social networks were organized by social circles to effectively paint a picture of each child's social communication (Blackstone & Hunt Berg, 2003). Children with LI were found to have overall fewer contacts in …

The Correlation Between Spectral Moment Measures And Electropalatographic Contact Patterns For /S/ And /Ʃ/, Benjamin James Marshall

Theses and Dissertations

Spectral Moment Analysis has helped further our understanding of the spectral properties of obstruent speech production; however, the physiologic correlates of these spectral measures are not well understood. The aim of the present study was to examine the possible correlations between the linguapalatal contact patterns used to produce the fricatives /s/ and /ʃ/ and the resulting spectral characteristics. Using spectral moment analysis and electropalatography (EPG), the real-word productions of eight speakers of American English were investigated. The spectral measures for the fricative tokens in the present study were found to be similar to data reported in previous research with adult …

The Effect Of An Artificially Flattened Fundamental Frequency Contour On Intelligibility In Speakers With Dysarthria, Emily E. Redd

Theses and Dissertations

Prosody plays an important role in speech communication. Many individuals with motor speech disorders have decreased prosodic control and thus lower overall intelligibility. Few studies have examined the effect of a flattened prosodic contour on the intelligibility of dysarthric speech, and little is known about the role that listener gender plays in understanding disordered speech. The purpose of this study was to quantify the impact of artificial prosodic manipulation on the intelligibility of dysarthric speech as a function of the extent of fundamental frequency (F0) contour flattening. A further goal was to examine the influence of listener gender on intelligibility. …

Brain Mapping Of The Mismatch Negativity Response In Vowel Formant Processing, Elizabeth Anne Perry

Theses and Dissertations

The mismatch negativity (MMN) response, a passively-elicited component of the auditory event-related potential (ERP), reflects preattentive identification of infrequent changes in acoustic stimuli. In the current study, the MMN response was examined closely to determine what extent natural speech sounds evoke the MMN. It was hypothesized that a significant MMN response results during the presentation of deviant stimuli from which spectral energy within formant bands critical to vowel identification has been removed. Localizations of dipoles within the cortex were hypothesized to yield information pertaining to the processing of formant-specific linguistic information. A same/different discrimination task was administered to 20 adult …

Emergency Nurses' Perception Of Department Design As An Obstacle To Providing End-Of-Life Care, Renea L. Beckstrand, Ryan J. Rasmussen, Karlen E. (Beth) Luthy, Sondra Heaston

Faculty Publications

Introduction: Of the 119.2 million visits to the emergency department in 2006, it was estimated that about 249,000 visits resulted in the patient dying or being pronounced dead on arrival. In 2 national studies of emergency nurses' perceptions of end-of-life (EOL) care, ED design was identified as a large and frequent obstacle to providing EOL care. The purpose of this study was to determine the impact of ED design on EOL care as perceived by emergency nurses and to determine how much input emergency nurses have on the design of their emergency department.

Methods: A 25-item questionnaire regarding ED …