Examining The Learning Of Students Participating In An Interactive Simulated Patient Experience, Mary Smyers

Theses and Dissertations

Simulated patients are becoming increasingly used in the educational program of future speech-language pathologists. The use of standardized patients provides the opportunity to teach students clinical skills in a controlled environment (Bradley, 2006; Zraick, 2012). Simucase, a speech-language pathology software program, allows clinicians to practice their assessment and treatment skills on virtual patients and is a valid method when teaching clinical skills. Thus, this project examined five undergraduate senior clinicians’ performance and reflection about the Simucase program and their own clinical knowledge. The undergraduate student clinicians engaged in controlled simulation experiences that shared similar characteristics to their current clients, and …

Early Speech Deterioration In Amyotrophic Lateral Sclerosis: A Case Study Of Newscaster Donna Britt, Emily Watkins

LSU Master's Theses

Abstract

Purpose: The aim of this study is to detect and track speech changes using acoustic and perceptual measures in an individual (a local newscaster) with amyotrophic lateral sclerosis (ALS) using data from before her diagnosis, around the time of her diagnosis, and after her diagnosis.

Methods: Six time points, ranging from 37 months around her diagnosis, were analyzed from one speaker with ALS. Three acoustic parameters were measured: articulation rate, acoustic vowel space, and the slope of the second formant. Additionally, two experts with more than 10 years of experience perceptually analyzed the speech samples on 17 characteristics using …

Vowel Production In Down Syndrome: An Ultrasound Study, Micalle Carl

Dissertations, Theses, and Capstone Projects

The present study investigated the articulatory and acoustic characteristics of vowel production in individuals with Down syndrome (DS). Speech production deficits and reduced intelligibility are consistently noted in this population, attributed to any combination of phonological, structural, and/or motor control deficits. Speakers with DS have demonstrated impaired vowel production, as indicated by perceptual, acoustic, and articulatory data, with emerging evidence of vowel centralization. Participants in the study included eight young adults with DS, as well as eight age- and gender-matched controls. Ultrasound imaging was utilized to obtain midsagittal tongue contours during single-word productions, specifically targeting the corner vowels /ɑ/, /æ/, …

Ipad Use To Enhance Conversations Between Persons With Dementia And Their Family Caregivers, Kelsey Dynes

Electronic Thesis and Dissertation Repository

Electronic conversational memory notebooks, a more current application of previous hardcopy versions, consist of personally relevant photographs and accompanying sentences. The notebooks help persons with dementia access memories during conversations. Person-centred communication (PCC) recognizes the individual, accommodating for personal beliefs and intentions. The purpose of the current study was to determine whether persons with dementia and their family caregivers could be educated and trained to use PCC while using an iPad-based electronic conversational memory notebook. Seven persons with mild to moderate dementia and their family caregiver completed the six-week study. Participants were educated and trained to use PCC while conversing …

Identification Of The Smallest Perceivable Interaural Time Differences, Sinthiya Thavam

Electronic Thesis and Dissertation Repository

Several studies have reported human threshold interaural time differences (ITDs) near 10 μs; however, none of these studies aimed to find the stimulus and experimental method that yields the lowest threshold. The goal of the current study is to systematically determine the stimulus and the experimental paradigm that yields the smallest threshold ITD and to provide an accurate reference value. We systematically varied seven parameters: stimulus waveform, stimulus level, stimulus duration, adaptive versus constant stimulus procedure, number of reference intervals, inter-stimulus pause duration, and inclusion versus exclusion of onset and offset ITD. The condition yielding the lowest threshold ITD was …

Factors Related To Successful Implementation Of An Aac Device For An Individual With Autism, Michaela Worms

Dissertations, Theses, and Projects

Communication impairment is a defining characteristic of autism spectrum disorder (ASD) (American Psychiatric Association, 2013); therefore, the use of augmentative and alternative communication (AAC) has become an essential part of language intervention for children with autism that experience significant difficulties with communication (Flores et al., 2012). Assessing children’s preferences for AAC options may be important with respect to AAC abandonment, which is a problem in the AAC field (Johnson, Inglebret, Jones, & Ray, 2006). This single-subject study identified factors related to successful implementation, acquisition, and usage of an AAC system. The clinician collected baseline data on the client’s spontaneous production …

Comparing Two Naturalistic Pragmatic Assessments: The Celf-5 Pragmatic Activities And The Yale In Vivo Pragmatic Protocol (Yipp), Rebecca Reid

Senior Honors Projects, 2010-2019

Pragmatics, or the social use of language, is a dimension of communication skills that is very difficult to assess due to its dependence on cultural norms, situational context, and speaker differences. Of the current methods for evaluating pragmatic language skills in children, the literature most frequently recommends naturalistic assessment because it allows the clinician to most closely simulate a real-life interaction. Despite these recommendations, limited information exists to guide clinicians in making decisions about which activities yield the most representative pragmatic language sample. This preliminary study compared two naturalistic pragmatic assessments, the Pragmatic Activities from the Clinical Evaluation of Language …

Does Emg Monitoring In A Cvemp Matter?, Kimberly Fleck

Senior Honors Projects, 2010-2019

To determine if EMG monitoring or the use of amplitude normalization would significantly reduce the amplitude variability and amplitude asymmetry of the cVEMP in children ages 3 and under, we first needed to create a control group with young, healthy adults to compare the pediatric group to. We also wanted to replicate earlier studies that showed EMG monitoring and amplitude normalization does not have an impact on the VEMP in young, healthy adults. We tested two different positions, sitting and supine. Supine is the optimal position to generate EMG, but we wanted to have control data in case the pediatric …

Melodic Contour Identification And Speech Recognition By School-Aged Children, Michael P. Morikawa

Dissertations, 2014-2019

Using the Sung Speech Corpus (SSC), which encompasses a single database that contains musical pitch, timbre variations and speech information in identification tasks, the current study aimed to explore the development of normal-hearing children’s ability to use the pitch and timbre cues. Thirteen normal hearing children were recruited for the study ages ranging from 7 to 16 years old. Participants were separated into two separate groups: Younger (7-9) and Older (10-16). Musical Experience was taken into account as well. The Angel Sound ™ program was utilized for testing which was adopted from previous studies, most recently Crew, Galvin, and Fu …

Objective Differences Between Premium And Mid-Level Digital Hearing Aids, Chelsea C. Barry

Dissertations, 2014-2019

This ongoing study compared premium and mid-level hearing aids from major manufacturers on noise reduction and general electroacoustic characteristics. The findings of this study will contribute to the scarce independent literature evaluating currently available hearing aid technology. Measuring the overall gain reduction in response to a steady state noise can objectively test noise reduction. However, such a method does not specifically test a hearing aid’s ability to reduce speech in specific narrow frequency bands. Hanline & Rout (2008) developed a set of stimuli to evaluate multichannel noise reduction algorithms more precisely. We used these stimuli to test noise reduction abilities …

Sensorimotor Modulations By Cognitive Processes During Accurate Speech Discrimination: An Eeg Investigation Of Dorsal Stream Processing, David E. Jenson

Theses and Dissertations (ETD)

Internal models mediate the transmission of information between anterior and posterior regions of the dorsal stream in support of speech perception, though it remains unclear how this mechanism responds to cognitive processes in service of task demands. The purpose of the current study was to identify the influences of attention and working memory on sensorimotor activity across the dorsal stream during speech discrimination, with set size and signal clarity employed to modulate stimulus predictability and the time course of increased task demands, respectively. Independent Component Analysis of 64–channel EEG data identified bilateral sensorimotor mu and auditory alpha components from a …

Otologic Blast Injuries, Michelle Singer

Dissertations, Theses, and Capstone Projects

The otologic system functions as a highly sensitive pressure transducer. Because of this, the ear is the most commonly affected organ in primary blast injury. Frequently encountered symptoms include hearing loss, tinnitus, and tympanic membrane perforations. The ear is repeatedly overlooked during triage and easily forgotten in subjects with multiple injuries after major catastrophic events such as explosions. This systematic review provides an overview of the most common otologic injuries observed after blast exposure in a variety of settings and populations. An analysis of 35 studies and an additional 23 reviews was performed in attempt to uncover patterns of otologic …

Associations Of The Medial Olivocochlear Reflex And Speech-In-Noise Abilities In Normal Hearing Adult Listeners: A Systematic Review, Imari J. Greaves

Dissertations, Theses, and Capstone Projects

This systematic review analyzed the research concerning the medial olivocochlear reflex (MOCR) and speech-in-noise abilities in normal hearing adult listeners. In an attempt to understand the underlying difficulties in this population, the following research questions were proposed: 1) Does the research indicate that the magnitude of MOC suppression measured via OAEs is related to a normal hearing subject’s ability to recognize speech-in-noise? 2) Are MOC effects measured via OAEs lateralized? Is there a right ear advantage as suggested by Khalfa, Morlet, Micheyl, Morgon & Collet (1997)? Ten studies met the standards for inclusion for this review. Analysis of the research …

Examining Social Pragmatic Communication: Evidence From Parent And Professional Questionnaires, Katelyn Adams

Honors Theses

Hyter (2007) defined pragmatics as “daily interactions among groups of people with varying worldviews, each influenced by a history of social practices” (p.131). People use aspects of pragmatics in their everyday life depending on the context of their current social situation. For example, one’s pragmatic language could differ in a day from talking with a boss at work to having a conversation with a friend on the phone. These variations in conversational processes result in the assessment of pragmatics being a difficult task.

In this honors thesis, I examined results from Dr. Yvette Hyter’s assessment battery, the Assessment of Pragmatic …

Effectiveness Of Literacy Intervention Provided By School-Based Slps: Roles & Impressions On Literacy Teams, Ashley Alvarado

Dissertations, Theses, and Projects

The purpose of this study was to determine how effective speech-language pathologists (SLPs) are meeting all areas of responsibility for literacy intervention. To meet this purpose, SLPs from Minnesota, North Dakota, and South Dakota were surveyed. The survey examined SLP’s roles on literacy teams, areas of involvement, potential attitudes, impressions, and educational experiences of SLPs to explain why their role and opinions on involvement in literacy intervention may vary.

Efficacy Of A Three-Week Intervention Program For A School-Aged Children In The Areas Of Language, Literacy, Phonological Awareness, And Auditory Processing, Nicole Weis

Honors Theses

Research demonstrates that competency in the areas of language, phonological awareness, and auditory processing is vital to academic success in children, as well as in navigating adult life. The study's purpose is to measure the efficacy of an intensive, three-week summer camp therapy program for school-aged children in addressing these areas, and to identify areas of strength and weakness in the program and interventions implemented. Programs utilized during the summer camp included Visualizing and Verbalizing(TM), Lindamood Phoneme Sequencing(R), On Cloud Nine(R), Color My Conversation, Differential Processing Training Program(TM), as well as science experiments, and snack and crafts time.

Azbio Sentence Accuracy For English As A Second Language Adults In Quiet And Background Noise, Alexandra Wiist

Honors Theses

The objective of this study is to examine indications of a significant difference in listening ability between native English speakers and English as a Second Language (ESL) students in quiet and background noise specifically on the AZBIO Sentence test. Three Language groups were analyzed: Korean, Portuguese, and Spanish. AZBIO lists were used to assess ESL students' ability to repeat sentences. An analysis of errors was completed to determine variance and similarities between the four language groups. Native English speakers had no difficulty repeating sentences in either condition, ESL students' data suggested more difficulty in both quiet and background noise and …

The Impact Of Task-Specific Transcranial Direct Current Stimulation (Tdcs) On Sustained Attention In A Healthy Population, Kasi Dawn Steele

LSU Master's Theses

ABSTRACT

Objective: To examine the impact of task-specific anodal transcranial direct current stimulation (tDCS) administered over the left dorsolateral prefrontal cortex (L-DLPFC) on sustained attention in healthy participants.

Methods: This study examined the effects of task-training and tDCS over the left dorsolateral prefrontal cortex on sustained attention. Participants (n=13) completed four sessions consisting of either true-stimulation (2 mA for 10 minutes) or sham-stimulation (2 mA for 30 sec) in counterbalanced order. Participants completed one session every 7 to 10 days and were randomly assigned to one of two task-specific conditions in counterbalanced order. All sessions consisted of a 10-minute Go/No-Go …

Articulatory Kinematics During Stop Closure In Speakers With Parkinson’S Disease, Austin Ross Thompson

LSU Master's Theses

Purpose: The goal of this exploratory study was (a) to investigate the differences in articulatory movements during the closure phase of bilabial stop consonants with respect to distance, displacement, and timing of motion between individuals with Parkinson’s Disease (PD) and healthy controls; and (b) to investigate changes in articulatory movements of speakers with PD when they voluntarily vary the degree of speech intelligibility.

Methods: Six participants, 4 PD and 2 healthy control (HC) speakers, participated in this study. The stimulus was a sentence containing several bilabial stop consonants (i.e., “Buy Bobby a puppy”). Movement data were collected using …

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 …

Assessment For Mild Cognitive Impairment: Striving For Best Practice, Julie Leigh Dalmasso

Dissertations

This dissertation is a series of three studies aimed at determining the best assessment practices for mild cognitive impairment (MCI) that can employed by speech-language pathologists (SLPs). The first study was non-experimental and descriptive examining whether three commonly used assessment instruments yielded similar categorical results. The data were analyzed to determine whether the Eight-Item Interview to Differentiate Aging and Dementia (AD8), the Mini-Mental State Examination (MMSE), and the Cognitive-Linguistic Quick Test (CLQT) identified the same participants from a neurotypical sample as having cognitive deficits. Very little agreement was found amongst the three tools.

Study two was modified to include two …

Alternating Treatments For Idiom Interpretation By Children With Specific Language Impairments, Monique S. Kaye

Seton Hall University Dissertations and Theses (ETDs)

Purpose: The aim of this study was to examine the effect of two idiom interventions by students with Specific Language Impairment (SLI). Idioms are linguistic expressions that have figurative meanings other than their literal interpretation. There is a strong correlation between idiom interpretation and academic success (Nippold & Martin, 1989). Students are exposed to idioms in media, in school, literature, and in daily interactions with peers and adults (Nippold, Moran, & Schwarz, 2001).Method: Three school-aged students (n=3) with SLI ages 11;9–13;8 (mean age = 12;8) were provided a language intervention for idioms embedded in stories with pictures (n=10) …

The Relationship Between Perceptions Of Vocal Quality And Function With Self-Esteem In Older Adults, Victoria Berto

Theses and Dissertations

Alterations to the voice that occur in older adulthood include changes in vocal fold mass, inadequate approximation of the vocal folds, tremor, and air loss (Lundy, Silva, Casiano, Lu, & Xue, 1998). Many of the vocal changes that occur in older adults, those aged 65 and older (Colby & Ortman, 2015), may affect their social and emotional well-being. While some persons are not affected by life span vocal changes, others suffer from co-occuring depression, anxiety, and social withdrawal (Epstein, Hirani, Stygall, & Newman, 2009; Mirza, Ruiz, Baum, & Staab, 2003; Monini, Filippi, Baldini, & Barbara, 2015). There have been numerous …

Preseason Assessment As A Predictor Of Post-Concussion Performance Of Athletes On The Immediate Post-Concussion Assessment And Cognitive Test, Kelly Marie Lambeth

Open Access Theses & Dissertations

Ideally, athletes are assessed pre-season to establish their cognitive-communicative status for comparison purposes if the athlete suffers a concussion during their season. Post-concussion (PC) assessment comparison with the baseline (BL) assessment will provide clinical information for treatment of the athlete's concussion. The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test was used for assessment of pre-and post-concussion. Because the literature indicates that some athlete's attempt to actively perform poorly on the preseason assessment to misrepresent their performance post-concussion it would be interesting to determine if there is a score on the ImPACT pre-season test that would predict their post-concussion test …

Changes In Fundamental Frequency Of Voice In A Group Of Transwomen Following Voice Modification Therapy, Emily Marquez

Open Access Theses & Dissertations

The term transgender refers to an individual that identifies with a gender that is different to the one given at birth. Individuals that are transgender experience conflict between the gender the individual identifies with and the sex they are born with. Individuals that are transgender may elect to go through a transition process so that their outward appearance is congruent with their gender identity. Part of the transition process may include voice modification therapy. Transgender individuals may seek voice modification therapy so that the outward appearance matches the voice. However, there is limited information regarding the efficacy of traditional voice …

Speech Recognition In Noise Performance In Younger And Older Spanish-English Bilinguals' L1 And L2, Elisa Guadalupe Barraza

Open Access Theses & Dissertations

Background: Previous research has shown that Spanish/English speaking bilinguals have difficulty understanding English speech in background noise compared to their monolingual counterparts. However, the effects of age on bilinguals' speech understanding performance remains unclear.

Purpose: The purpose of this study was to determine whether older Spanish/English bilingual speakers are at an increased disadvantage understanding speech in the presence of background noise compared to older English monolinguals.

Methods: 15 younger Spanish-English (S/E) bilinguals, 15 older S/E bilinguals, 15 younger English monolinguals and 15 older English monolinguals participated in the study. Speech recognition performance was measured using the Spanish and English versions …

Using Parent-Identified Strengths Of Autistic Children To Advance Strength-Based Intervention, Angelique Francesca Trigueros

Walden Dissertations and Doctoral Studies

Questions remain about the range of abilities autistic children possess and what constitutes effective treatment. Strength-based intervention contrasts with traditional autistic intervention approaches that focus on children's deficits. Studies on strength-based intervention approaches have not revealed how children's strengths are identified and have not used the insights of parents for this purpose. Neurodiversity serves as the conceptual framework because the tenets of neurodiversity align with those of strength-based approaches and hold that autism is a variation of the human condition rather than a disability. The purpose of this qualitative interpretive phenomenological study was to explore how the parent-identified strengths of …

An Evaluation Of Interprofessional Knowledge And Attitudes In Graduate Students From Six Programs In Health Sciences After An Interprofessional Education Workshop Experience, Joanna Velasco

Open Access Theses & Dissertations

Interprofessional Education (IPE) occurs when two or more disciplines learn about, from, and with each other to provide interprofessional patient-centered care which ultimately improves patient health care outcomes (WHO, 2010). Through collaboration, students not only bring their own expertise, but are given an opportunity to learn what the other disciplines can offer for the same patient. Although IPE's importance is highly recognized, many universities do not engage in IPE practice because of scheduling difficulties, lack of faculty involvement, implementation challenges for various levels of competency, and uncertainty of how to measure the effectiveness of IPE activities (Johnson et al., 2015). …

The Validation Of A Screening Instrument For Preschool-Aged Children In El Paso, Cassandra Curtis

Open Access Theses & Dissertations

Background: Culturally and linguistically diverse children often produce linguistic features that may mask or mimic characteristics of language impairment (LI) (Gutierrez-Clellen & Simon-Cereijido, 2009). Language screening instruments are time efficient tools used by Speech Language Pathologists (SLPs) to distinguish children who may need additional language assessment (Guiberson & Rodriguez, 2010). A previous survey conducted in the El Paso, TX region determined that only 30% of SLPs felt that screenings instruments, for English-Spanish bilingual children, produced accurate results (Cutis, Summers, Smith, & Stubbemann, 2016). Additionally, the study found that SLPs often used non standardized screening tools due to the lack of …

Auditory Selective Attention Performance In Older And Younger Bilingual Adults, Ninive Corina Gomez

Open Access Theses & Dissertations

Recent research has suggested that bilinguals may have enhanced cognitive abilities resulting from the constant management and maintenance of their two language systems. This cognitive advantage has been evidenced in studies showing that bilinguals outperform monolinguals on tasks of visual selective attention. However, very little is known regarding how bilingualism influences selective attention in the perception of auditory information. Thus, the purpose of this study was to examine the effects of bilingualism on auditory selective attention. A total of 61 participants were recruited to participate and divided into four participant groups: 15 younger monolinguals (between the ages of 18-25), 15 …