Medicine and Health Sciences Commons^™

Investigating Bilingual Aac Practices In Bilingual Communities, Johanna R. Salisbury

Masters Theses

This thesis investigates best practices for teaching and supporting bilingual augmentative and alternative communication (AAC) users as they develop their communication skills. Although there are guidelines that inform best practices for teaching and supporting bilingual AAC users, there is very little information on what these practices look like. This thesis investigates the techniques and strategies that bilingual speech-language pathologists (SLPs) who practice in Catalunya, a bilingual community in northeastern Spain, use to evaluate, teach, and support people who use pictogram-based AAC modalities to communicate.

To do this, six SLPs who practice in Catalunya participated in interviews regarding their practices when …

The Effects Of Spoken Self-Disclosure Scripts On Nonaphasic Listeners' Perceptions Of People With Aphasia, Colleen B. Ward

Masters Theses

Purpose: The purpose of this study was to investigate the effects of spoken self-disclosure scripts on nonaphasic listeners’ perceptions of people with aphasia (PWA). Self-disclosure is a tool that PWA can utilize in the event that they want a conversation partner to know of their communication disorder. However, limited research has been conducted on the effects of aphasia self-disclosure or whether it affects perceptions of PWA from neurotypical communication partners. If self-disclosure is determined to make a positive impact on a communicative interaction, it could be grounds for encouraging PWA who are interested to develop a self-disclosure script or use …

The Efficacy Of A Telepractice Service Delivery Model For Providing Speech And Language Services To Children With Asd, Myranda L. Marotta

Masters Theses

The impact of the COVID-19 pandemic required the use of remote technologies for society and the workforce to function under quarantine conditions. The literature on telepractice services for individuals with ASD has proliferated during the past decade, especially during the past two years. Still, many publications on the topic lack scientific merit. This study utilized a quasi-experimental, single-subject, multiple-group, time-series design to investigate whether telepractice SLP services are at least as effective as the traditional, face-to-face delivery model.

Twenty-one students with autism spectrum disorder were included in this study. Additionally, 22 speech-language pathology graduate students and four SLP school professionals …

Mental Health Professionals' Beliefs About, Reactions Toward, And Overall Impression Of Stuttering, Elise Anne Nasser

Masters Theses

The purpose of the current study is to better understand mental health professionals' beliefs, reactions, overall impression, and familiarity with stuttering to gain insight into areas where they may need more support. Some people who stutter develop increased levels of anxiety because of negative evaluation from the public (Iverach & Rapee, 2014). It is likely that a sub-group of people who stutter may benefit from mental health services; however, misinformation about stuttering may serve as a barrier in effective service provision for those who work with people who stutter (Ginsberg & Wexler, 2000). Quantitative survey data (Public Opinion Survey of …

Exploring Discourse Markers As A Treatment Outcome Measure For Aphasia, Anna K. Cedoz

Masters Theses

Discourse Markers (DMs) are communicative tools or resources that people use to organize conversations. The use of DMs among individuals with aphasia has been documented to support their communicative competence (Simmons-Mackie & Damico, 1996). Further research on the use of DMs by individuals with aphasia has been limited. The current study features a secondary analysis using existing data from Devanga (2020), which studied the effects of Collaborative Referencing Intervention (CRI; Hengst et al., 2010) on three participants with chronic aphasia. This study analyzed 18 conversation probes from one participant across baseline, treatment, and maintenance phases with clinician and spouse partners. …

Neurogenic Stuttering: Exploring Potential Emotional And Life Impact, Natalie Devries

Masters Theses

The purpose of the current study was to explore the potential emotional and life impact of living with neurogenic stuttering and how and when an impact develops, if present. The current diagnostic criteria for neurogenic stuttering includes no emotional impact (Canter, 1971). The literature is divided in supporting this criterion (Lebrun et al., 1990; Leder et al., 1996; Perino et al., 2000; Theys et al., 2008; Tani &Sakai, 2011; Ellis & Sheehy, 2013; Vanhoutte et al., 2014). The current study relied on qualitative interviewing which was analyzed using Reflexive Thematic Analysis to explore potential for emotional and life impact (Braun …

Living With Stuttering: Authenticity, Identity, And Mental Health, Sarah Musilli

Masters Theses

In an effort to manage stigma, some PWS attempt to conceal stuttering and pass as a fluent speaker (Constantino et al., 2017). These efforts to conceal may be counterintuitive, as concealment of stuttering is predictive of elevated distress (Gerlach et al., 2021) and decreased quality of life among PWS (Boyle et. al., 2018). Although this association exists, the factors explaining how and why it exists are unexplored. Identity conflict and feelings of in/authenticity are two potential factors that are explored in this study. Qualitative interviewing supplemented with quantitative survey data is utilized to explore the lived experiences of identity conflict …

A Systematic Review Of The Literature On The Assessments Used For Social Communication In The Diagnosis Of Autism Spectrum Disorder, Rachel E. Kim

Masters Theses

This review of the literature aims to analyze the current assessments available for clinicians, parents, and other professionals to use during the diagnosis of Autism Spectrum Disorder (ASD) that specifically addresses social communication. Although ASD can be diagnosed as early as the age of 2, children are often not diagnosed until the age of 4-5 years old. Especially for children who would be diagnosed with ASD and require Level 2 and/or Level 3 supports, early diagnosis can lead to early intervention which can help to provide the necessary support for both the child and family. Early intervention can help to …

Best Practice In Dementia Communication: Determining The Effectiveness Of Pre-Recorded, Presentation-Based Learning For Cnas Working In Residential Care Facilities, Mary Kate Hoeve

Masters Theses

The dramatic increase in the aging population and predicted rise in individuals diagnosed with a dementia-related disorder in the next 30 years has sparked an increase in the exploration of gerontology and best practice in dementia care (Curyto & Vriesman, 2016). Additionally, each person living with dementia spends less than two percent of their day engaging in social communication with a care worker (Ward et al, 2005). With a significant increase in the development of dementia-related disorders and minimal social interaction, understanding the manifestations of dementia and methods of effective communication between individuals with dementia-related disorders and direct care workers …

Language Profiles Of Children Who Have Experienced Complex Trauma And Fetal Alcohol Spectrum Disorders, Christel G. Ciolino

Masters Theses

Children who experience maltreatment and children with Fetal Alcohol Spectrum Disorders (FASD) have similar neurological differences and are at risk for language impairments. However, limited research has been conducted to analyze their specific skill sets. To address this limitation, retrospective data from the Children’s Trauma Assessment Center of Southwest Michigan were analyzed. The linguistic profiles of 79 children with histories of varying numbers of traumatic experiences and comorbid FASD statues are compared in the areas of semantics, syntax, pragmatics, and social communication. Individuals had high pass rates on the CELF-5 Screening Test and high overall scores on the Pragmatic Protocol-Revised …

A Survey Of Perceptions And Professional Boundaries Between Music Therapy And Speech-Language Pathology, Jennifer Rose Fromius

Masters Theses

The purpose of this study is to examine the relationship between music therapists and speech-language pathologists in order to gain a better understanding of professional boundaries within each profession, frequency of co-treatment between the two professions, and perceptions of referral in clinical practice. Data for this research were collected through two online questionnaires with parallel sets of questions, which were distributed to a sample of boardcertified music therapists (MT-BC) and speech-language pathologists (CCC-SLP). Quantitative and qualitative data collected from the survey (N= 283; n = 45 MT-BC, n = 238 CCC-SLP) are analyzed to determine if there are correlations and …

Assessment And Analysis Of Receptive And Expressive English Language Development In Spanish Speaking Ells And Native English Speakers Using The Pre-Klba, Candace Laprairie

Masters Theses

The purpose of this study is to examine the trends and differences in receptive and expressive English language development in native English speakers and Spanish-speaking English language learners (ELL). It also aims to analyze the relationship between auditory comprehension and narrative production skills and semantic skills and narrative production skills in native English-speakers and Spanish-speaking ELLs. Eighty-three preschool-aged children (17 Spanish-speaking ELLs and 66 Native English-speakers) were administered the Pre-Kindergarten Language Benchmark Assessment (Pre-KLBA) in Fall 2015, Winter 2016, and Spring 2016. This study utilized a three by two ANOVA to evaluate and determine: 1) If there are differences in …

Preschool Oral Narrative Retell Intervention: A Contextualized Approach, Megan E. Miller

Masters Theses

The purpose of this study was to investigate the efficacy of a contextualized, explicit narrative intervention on oral narrative retell skills in typically developing preschoolers as a means for fostering the development of narrative structure, story comprehension, and narrative retell skills. Participants were recruited from the Childhood Development Laboratory preschool classrooms located in Buzzard Hall at Eastern Illinois University. Prior to intervention, participants' core receptive and expressive language abilities were assessed using the Comprehensive Evaluation of Language Fundamentals-Preschool-2nd Edition (CELF-P-2), and oral narrative retells were analyzed for narrative complexity using the Test of Narrative Retell-Preschool Edition (TNR-P). The six weeks …

Caseload/Workload Study Of Speech Language Pathologists In Missouri Public Schools, Jinyu Du

Masters Theses

"A survey was distributed to speech-language pathologists (SLPs) in Missouri public schools to obtain statewide information regarding caseload number, workload related activities and SLPs' level job satisfaction on various aspects of their job. An online questionnaire was sent to school-based SLPs in Missouri to solicit factual information on average monthly caseload numbers, factors that impact caseload assignments and the percentage of time spent on various professional responsibilities and job satisfaction ratings. Results indicated that 24% of the respondents had caseloads that exceeded the maximum state regulated caseload number for SLPs. Respondents were also largely unaware of the maximum caseload regulation …

The Quality Of Life Among Adults With Autism Spectrum Disorder, Katharine F. Moroney

Masters Theses

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that may affect several aspects of communication, including social and pragmatic functioning. There is a paucity of research in general involving adults with ASD, especially in the United States. Moreover, the strand of research that is significantly lacking involves the quality of life among adults with ASD. While considering the increase in the prevalence of ASD, it is important to empirically investigate the Quality of Life (QoL) of adults with ASD. The World Health Organization (WHO) defines QoL as, “the individual’s perception of their position in life… ranging from the person’s physical …

Do Word-Level Characteristics Predict Spontaneous Finiteness Marking In Specific Language Impairment?, Patrick S. Wilson

Masters Theses

The correct use of morphological suffixes in obligatory contexts reflects linguistic knowledge and competence of speakers. Grammatical knowledge is acquired during a child’s period of primary language acquisition, and may be partial or incomplete due to normal linguistic variation found during acquisition, due to a child’s level of progression through typical chronological development, or due to the presence of language disorders, like specific language impairment (SLI). In the current study, we ask whether characteristics of verbs make it more or less likely that children will correctly use an inflectional morpheme. The morphemes of interest in the current study were third …

Formant Frequency Transitions In The Fluent Speech Of Adults Who Do And Do Not Stutter: Testing The Over-Reliance On Feedback Hypothesis, Kaitlin Arnold

Masters Theses

A recent theory proposed by Civier and colleagues (Civer et al. 2010; Civer et al. 2013) developed a model of stuttering that implicates a faulty feedforward control system. The hypothesis suggests that stuttering results from relying too heavily on sensory feedback to guide speech movements. An overreliance on sensory feedback would result in subtle anomalies in fluent speech (such as slowed articulatory transitions) as well as overt stuttering behaviors (such as sound repetitions). The present study tested this general hypothesis by comparing articulatory transition rates of adults who do and do not stutter across casual and fast speech rates. Participants …

Preliteracy Skills Promoted In Children’S Spanish-Language Books, Katherine Marie Suter

Masters Theses

As of July 1, 2013, the latest census figures indicate that there are approximately 54 million Latinosliving in the U.S. (US Census Bureau, 2013). However, many Latino children still do not receive the services or resources they need to perform well academically. The primary aim of this research study is to determine if the books available to Spanish-speaking Latino¹ populations in two Michigan Counties contain features that might be used to facilitate beginning pre-literacy skills.

Children’s Spanish-language books from bookstores and public libraries were analyzed to determine the presence of features that might facilitate print awareness, phonological awareness, and …

Written Discourse Performance After Blast Injury, Brittany M. Loomis

Masters Theses

A blast injury (BI) is caused by a wave from a bomb which damages organs, specifically the brain. Once soldiers/veterans have sustained a BI, they will most likely present with a cognitive-communication deficit resulting from the traumatic brain injury. Language related symptoms are most apparent in written language skills due to the high level of cognitive function required for writing. This study investigated written discourse skills following a BI. Written discourse samples were collected from four participants and four controls. A description of the Butcher Picture from the Aphasia Diagnostic Profile was analyzed for productivity, efficiency, and local and global …

The Effects Of Cued Speech On Phonemic Awareness Skills, Jessica M. Phillips

Masters Theses

Research suggests phonemic awareness is enhanced through multimodality training. Cued Speech is a multimodality system that combines hand signs with mouth movements to represent phonemes of the spoken language. This system has been utilized successfully in developing phonological awareness with children with hearing loss. However, no research is available on its effectiveness with children who are not deaf or hard-of-hearing. The efficacy of the use of Cued Speech for the enhancement of phonological skills in typically developing 1st grade students was evaluated in this study. Twenty-six 1^st graders identified as low-achieving readers by their classroom teachers were administered the …

The Relationship Between Speaking Rate And Nasalance In Typical Adult Speakers, Rachel Whitney

Masters Theses

Nasometry is a non-invasive tool frequently used to measure speech resonance in clinical populations. The instrument uses an acoustic recording system to derive a measure termed nasalance, which is an estimate of the relative amount of acoustic energy emitted from the nasal cavity. Nasometry protocols do not provide detailed instructions for speaking rate control during data collection. Studies attempting to establish a relationship between speaking rate and nasalance have yielded mixed results; therefore, it is important to identify the influence of speaking rate on nasalance in a variety of speaking tasks. If rate is found to influence nasalance values, protocols …

The Effects Of Music Instruction On Phonological Awareness In Children With Hearing Impairment, Chelsea Fitch

Masters Theses

Phonological awareness skills are essential for reading development. Children with hearing loss lack access to essential auditory information that allows development of phonological awareness (Dillon, John, & Pisoni, 2011). Music instruction is becoming a popular approach to teach reading for typically developing children, and studies have supported beneficial effects from this treatment methodology. However, there is limited research regarding the use of music to teach phonological awareness and reading skills to children with hearing impairment (Gromko, 2005).

The effectiveness of a music program on increasing phonological awareness skills in children who are deaf or hard-of-hearing was evaluated in this study. …

The Long-Term Effects Of An Aac Communication Partner Training Program, Brooke Capp

Masters Theses

The current investigation was a follow-up study to a research project conducted in summer 2012 by Fanale. The Fanale (2012) study looked at the effectiveness of parent training on parents' perspectives of AAC, as well as parents' use of specific communication facilitating strategies. The follow-up maintenance study investigated long-term effects of training on parent perceptions' and use of communication facilitating strategies. Through this project parents received additional training and different levels of support over four months in order to enhance the parents' abilities to utilize AAC in other environments, activities, and communication partners, as well as gather information on parents' …

A Preliminary Study Of The Articulatory And Acoustic Features Of Forward And Backward Tone Placement In Singing, Krista Wyllys

Masters Theses

A variety of terms exist for describing tone quality in singing, and voice scientists, voice therapists, teachers of singing, and students of singing use different terms to describe the same sound. One aspect of tone quality is tone placement. Teachers of singing often rely on imagery and imitation to elicit correct tone placement from students of singing. More concrete data about what produces forward and backward tone placement could supplement singing teachers’ current practice of using imagery and imitation to elicit a desirable tone quality. This study examined forward and backward tone placement to determine the articulatory gestures and acoustic …

Executive Functions And Social Interactions: Developing Social Scenarios, Mackenzie Waite

Masters Theses

The aim of this study was to develop a series of vignettes to form the basis for an assessment of executive functions (EFs) for 9 – 12 year old children. Although EFs are necessary for effective social communication and positive social interactions, currently, most EF assessments focus on impersonal activities. Little research exists that incorporates real-time processing using ecologically valid social scenarios. The current study aims to develop realistic scenarios that children could encounter in daily life. Ethnographic interviews were conducted with six participants, who worked in a school with 9-12 year old children, to gain their perspective on social …

Explicit Teacher-Implemented Phoneme Awareness Instruction: Preschool Effects, Heather M. Osterhouse

Masters Theses

The purpose of the current study was to investigate the impact of explicit, concentrated, teacher-implemented phonological awareness instruction for ―at risk‖ 4- year-olds. Early childhood educators were trained to implement a 10-week program delivered for 20-minute sessions, four times a week, in their classrooms. The program focused on phonological awareness beginning at the level of letter-sound knowledge and advancing to blending and segmenting constituent phonemes in words. Pre- to post-treatment comparisons of phonological awareness and letter knowledge skills indicated that children in the experimental group made significant gains in comparison to the control group in phoneme blending and letter knowledge. …

Preschoolers With Speech And Language Impairment: Case Studies From A Teacher-Delivered Phonological Awareness Program, Katherine J. Wickham

Masters Theses

Past and present research demonstrates early reading success related to phonological awareness (PA) instruction conducted individually or in small groups outside of the preschool classroom. This study investigated the effects of an explicit, intensive and teacher-delivered PA instruction for children with speech sound disorder and language impairment as part of the preschool curriculum. The investigator examined the performance of individual cases in both groups, those who received instruction and the control. Two participants in each of the experimental (E1 and E2) and control (C1 and C2) groups had standardized scores indicating deficits in speech and/or language. These children who received …

Sensorimotor Factors Influencing /R/ Production, Jill Vogt

Masters Theses

The purpose of this study was to evaluate if there was a difference in nonspeech single oral structure and function overall and within subsystems (tongue-jaw, tongue, lips, and jaw) and nonspeech oscillation tasks between children with typical articulation, children with /r/ errors who are stimulable for correct /r/, and children with /r/ errors who are not stimulable for correct /r/, as measured by an oral-motor assessment and subsection scores. A secondary research question explored if there was a difference between the groups in tasks which may be related to type of oral-motor deficit including: sensory/proprioceptive (as measured by an informal …

The Effects Of A Communication Partner Training Program, Stephanie Fanale

Masters Theses

Historically, augmentative and alternative communication (AAC) intervention has focused on improving the communication skills of the individual using AAC, with limited support given to the communication partners of AAC users (Light, Dattilo, English, & Gutierrez, 1992). However, Carter & Maxwell (1998) contended that the skills of the communication partner are of equal importance as the AAC user's skills. In addition, many researchers have reported that family-centered intervention should be implemented in the AAC population (Bruno & Dribbon, 1998; Saito & Turnbull, 2007; Sigafoos et al., 2004). Unfortunately, few studies have directly measured communication partners' skills to measure progress or have …

Using Visual Phonics To Supplement Articulation Intervention, Mara A. Hampton

Masters Theses

No abstract provided.