Speech and Hearing Science Commons^™

Implementing Ipe In An Academic Health Science Center: Changing Attitudes, Beliefs, & Knowledge, Kerry Proctor-Williams, Elizabeth Alley

ETSU Faculty Works

Completion of 3-year pilot Interprofessional Education Program involving graduate students in an Academic Health Science Center yielded pre- and post-program evaluations of attitudes, beliefs, and knowledge of students and faculty. This session offers a description of a program without curricular level changes, presentation of research outcomes, and resulting planned modifications.

Person-Centered Outcomes In Culturally And Diverse Contexts: International Application Of The Icf, Karla Washington, Jane Mccormack, A. Lynn Williams, Brenda Louw, Nancy Thomas-Stonell, Tammy Hopper

ETSU Faculty Works

This session is developed by, and presenters invited by, Cultural and Linguistic Considerations Across the Discipline. This session was developed by the Convention Program Committee to increase SLPs’ awareness regarding research and clinical applications of the International Classification of Functioning, Disability and Health (ICF) across pediatric and adult populations around the world. Discussants provide perspectives from Australia, Brazil, Canada, Jamaica, and the United States.

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.

Analysis Of Speech-Language Pathology Graduate Students' Experience With Thickened Liquids, Mary Gorham-Rowan, Jade Coston

Internet Journal of Allied Health Sciences and Practice

Purpose: Thickened liquids are frequently recommended for patients with dysphagia to minimize aspiration. When discussing the use of thickened liquids with graduate students in Communication Sciences & Disorders (CSD), it is beneficial to discuss the potential effect(s) of this dietary recommendation. Graduate level preparation involving first-hand experience with thickened liquids may help future speech-language pathologists (SLPs) develop a more complete understanding of the effects of diet modification. The purpose of the current study was to examine the reactions of graduate students in CSD to a brief period of thickened liquid use as an experiential learning activity. Methods: Sixty-eight graduate students …

Characteristics Of Speech (Part 1) And Language (Part 2) For Hearing Devices (Aids), Earl E. Johnson

ETSU Faculty Works

No abstract provided.

Relationship Between Acoustic Measures And Speech Naturalness Ratings In Parkinson’S Disease: A Within-Speaker Approach, Marie I. Klopfenstein

SIUE Faculty Research, Scholarship, and Creative Activity

This study investigated the acoustic basis of across-utterance, within-speaker variation in speech naturalness for four speakers with dysarthria secondary to Parkinson’s disease (PD). Speakers read sentences and produced spontaneous speech. Acoustic measures of fundamental frequency, phrase-final syllable lengthening, intensity and speech rate were obtained. A group of listeners judged speech naturalness using a nine-point Likert scale. Relationships between judgements of speech naturalness and acoustic measures were determined for individual speakers with PD. Relationships among acoustic measures also were quantified. Despite variability between speakers, measures of mean F0, intensity range, articulation rate, average syllable duration, duration of final syllables, vocalic nucleus …

Towards An Automated Screening Tool For Pediatric Speech Delay, Roozbeh Sadeghian, Stephen A. Zahorian

Faculty Works

Speech delay is a childhood language problem that sometimes is resolved on its own but sometimes may cause more serious language difficulties later. This leads therapists to screen children for detection at early ages in order to eliminate future problems. Using the Goldman-Fristoe Test of Articulation (GFTA) method, therapists listen to a child's pronunciation of certain phonemes and phoneme pairs in specified words and judge the child's stage of speech development. The goal of this paper is to develop an Automatic Speech Recognition (ASR) tool and related speech processing methods which emulate the knowledge of speech therapists. In this paper …

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 …

Investigation Of Bilingualism Knowledge Of Speech-Language Pathologists And Speech-Language Pathology Students, Michelle Leon

FIU Electronic Theses and Dissertations

The purpose of this thesis was to administer a survey to obtain information on practicing Speech-Language Pathologists’ (SLPs) knowledge of bilingual issues, while also considering whether any academic background on bilingualism guides SLP’s diagnostic and treatment options. This was done by comparing survey results of practicing SLPs with different academic backgrounds on bilingualism with current Master’s students registered at the Communication Sciences and Disorders Masters’ program at Florida International University (FIU). The survey consisted of 26 questions that examined participant’s history, and bilingual knowledge.

Data was collected from 89 surveys. Data analyses showed that students and SLPs with a strong …

Pre-Pulse Inhibition Assessment Of Sound Localization In Mice, Kathryn C. Brooks

Senior Honors Projects, 2010-2019

The purpose of my Honors Research Project was to assist Dr. Megan

Klingenberg in completing part of the research in her final dissertation project. Dr.

Klingenberg’s project was based off of a study done by Allen and Ison in 2010.

This study tested the auditory spatial acuity of mice using pre-pulse inhibition of

the startle reflex as the response for detecting the sound stimulus. The goal of

Dr. Klingenberg’s AuD project was “to explore the methodological, functional, and

genetic influences on sound localization using pre-pulse inhibition of the acoustic

startle response in mice”. Dr. Klingenberg’s project was broken into three …

Examining Monaural And Binaural Measures Of Phase-Locking As A Function Of Age, Larissa M. Heckler

Dissertations, 2014-2019

Understanding speech in the presence of background noise is a common complaint of middle-aged and older listeners with clinically normal audiograms. There is great interest in understanding how age-related changes in auditory physiology make it harder for older adults to understand speech in difficult listening situations, compared to young listeners. It was recently reported that middle-aged and older normal-hearing listeners showed frequency-dependent, age-related declines in the behavioral and physiological detection of interaural phase differences (Grose & Mamo, 2010; Ross et al, 2007). There is also evidence of an age-related, frequency-dependent decline in the frequency-following response (FFR) (Clinard et al., 2010), …

Pre-Pulse Inhibition Assessment Of Sound Localization In Mice: Methodological, Functional, And Genetic Considerations, Megan Klingenberg

Dissertations, 2014-2019

Sound localization is an important aspect of normal hearing. The Eph/ephin family of signaling proteins, studied here, is known to guide the formation of central auditory connections in early development, particularly topographic inputs from the lateral superior olive (LSO) to the inferior colliculus (IC). Processing in the LSO and its influences on the IC are known to be heavily involved in sound localization tasks. One way to study sound localization in mice is through pre-pulse inhibition (PPI). PPI is the phenomenon by which a weak prestimulus inhibits the response to a subsequent startle stimulus. In studying sound localization, the prestimulus …

Effects Of Training And Lung Volume Levels On Voice Onset Control And Cortical Activation In Singers, Nicholas A. Barone

Dissertations, 2014-2019

Singers need to counteract respiratory elastic recoil at high and low lung volume levels (LVLs) to maintain consistent airflow and pressure while singing. Professionally trained singers modify their vocal and respiratory systems creating a physiologically stable and perceptually pleasing voice quality at varying LVLs. In manuscript 1, we compared non-singers and singers on the initiation of a voiceless plosive followed by a vowel at low (30% vital capacity, VC), intermediate (50%VC), and high (80%VC) LVLs. In manuscript 2, we examined how vocal students (singers in manuscript 1) learn to control their voice onset at varying LVLs before and after a …

Binaural Listening In Young And Middle-Aged Adults: Interaural Phase Differences And Speech-In-Noise Measures, Caitlin Cotter

Dissertations, 2014-2019

Difficulty understanding speech in the presence of noise is a common complaint of middle-aged and older adults with and without hearing loss. There is an incomplete picture of what contributes to difficulties understanding speech-in-noise in adults who have normal audiograms. As humans we listen binaurally, so declines in binaural processing may contribute to speech-in-noise difficulties. We examined the effects of age on the upper frequency limit of interaural phase difference (IPD) detection and IPD detection at fixed frequencies. We also examined a speech-in-noise measure of spatial separation across young and middle-aged, normal-hearing individuals.

Participants were young (n=12) and middle-aged (n=8) …

Central Auditory Processing And The Link To Reading Ability In Adults, Lisa M. Brody

Honors Scholar Theses

What makes someone a good reader? What makes someone a poor reader? The root biological marker of reading ability has yet to be determined. Many scientists agree that phonological awareness, the understanding of speech sounds, and phonological decoding are key components of reading ability (Melby-Lervag, Lyster, & Hulme, 2012). In addition to this, new research suggests that the auditory system, specifically the timing of auditory processing in the brain, provides a crucial platform that supports the development of reading ability (Banai et al., 2009). This thesis provides empirical data to support the link between reading skill …

The Discrimination Of Cv Synthetic Syllables As A Function Of Phonetic Training And Noise Conditions, Ryan Mulligan, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

The aim of this preliminary study was to examine the effect of two signal-to-noise ratios (SNR) and formal phonetic training on auditory discrimination of just noticeable differences (JND) among consonant vowel (CV) synthetic syllables. Fine-grain auditory discrimination abilities of 16 young-adults with undergraduate studies that included phonetic training and 17 young-adults with no phonetic training were assessed using a same/different discrimination task in a +3 SNR and a +13 SNR listening condition. Subjects listened to pairs of CV contrasts presented in rapid succession and indicated whether the contrastive syllables were the same or different. Results revealed a significant difference …

Bridging Theories Of Phonological Awareness For Deaf And Hard Of Hearing Children: Perspectives From Verbotonal Specialists In The United States, Jazmin Rambeau

Honors Theses

Approaching literacy instruction for children who are deaf and hard of hearing is one of the most significant challenges within global education because there are various evidence-based theories in the literature as to why children who are deaf and hard of hearing often manifest impaired reading abilities compared to children with normal hearing, and how they may acquire literacy skills differently. This study aims to identify agreements within the literature regarding the role of phonological awareness in literacy acquisition for children who are deaf and hard of hearing, and how tools such as the Verbotonal method of auditory therapy may …

A Call For Hearing Loss Prevention Programs In College Music Education Programs, Jason Taurins

Honors Theses

Music educators, ensemble conductors, and students who participate in musical ensembles are exposed to sound pressure levels which exceed the criteria for NIOSH. As such, this population should be enrolled in hearing loss prevention programs. Ensemble directors (many music educators fall into this category) have a direct role in influencing the sound pressure levels produced in rehearsals. Music educators have a role in influencing the knowledge, skills, attitudes, and behaviors of their students. Because of the health risks of noise exposure, and the role music educators (and ensemble directors in general) have in influencing their students, hearing loss prevention should …

Students’ Perceptions Of Female Faculty Members Based On Vocal Characteristics, Molly M. Kitchell, Cesar E. Ruiz Slp.D., Ccc/Slp., Bcs-S

Undergraduate Research

This study examines the relationship between the acoustic properties of female faculty members’ voices and the perception of the female faculty members age and personality characteristics by undergraduate students. A standardized acoustic analysis using the Multidimensional Voice Program (MDVP) and the RealPitch program was performed to determine the participating faculty members’ fundamental frequency (habitual and conversation), vocal jitter, and vocal shimmer. Faculty members were then recorded reading a brief preselected passage. Student participants listened to the recorded audio samples and completed a survey regarding the faculty members’ ages and personality characteristics. A Pearson product-moment correlation (Pearson r) analysis completed in …

Development Of Rhyming Tasks In Preschool Aged Children With Hearing Loss, Kaylie Mcnally, Mary Katherine Connelly

Undergraduate Research

Numerous studies have shown that children with hearing loss are at significant disadvantage in regards to skills required for reading. Rhyming has been shown to be a strong indicator of early literacy development. This study examines the relationship between rhyming skills to

1) the degree of hearing loss , and 2) listening device type. Results showed no significant difference in rhyming skills in relation to either condition.

Stakeholder Perspectives Of The Effectiveness Of Augmentative And Alternative Communication Techniques In Children With Autism, Daria Constantinescu

Theses and Dissertations

The purpose of this study was to utilize focus groups and individual interviews to investigate the effectiveness and efficiency of augmentative and alternative (AAC) techniques in facilitating language in children with Autism Spectrum Disorder (ASD) as expressed by the opinions and attitudes of stakeholders involved in the process. ASD is a disorder that affects an individual's social and communication skills that usually surfaces within a child's first three years of life. There have been numerous studies conducted comparing different types of AAC intervention systems, but there is little information on stakeholders' opinions. The current study utilized one focus group interview …

Event Related Potentials In A Two Stimuli Auditory Oddball Task In Concussed College Athletes: A Linguistic Component Replication Study, Christopher Anthony Roosmalen

Open Access Theses & Dissertations

Concussions affect an estimated 1.6 to 3.8 million individuals annually and can result in persistent symptoms and cognitive impairments in attention and memory. Concussions are a rising health concern especially in concussion management. Event Related Potentials (ERP) may more accurately assess cognitive recovery making better return to play decisions. In 2013, Sanchez found no significant difference between concussed athletes and non-concussed individuals in the in amplitude of the P300 ERP component using an auditory oddball task consisting of 2 different consonant, vowel (CV) syllables. Because participants were instructed to maintain a mental and verbal count of the target stimuli, a …

The Effects Of Baby Sign Training On Child Development, Bethany Iris Urquidi

Open Access Theses & Dissertations

Introduction: Baby sign has gained the attention of many researchers and parents. Relatively little is known about the use of baby sign and the impact it has on the development of children. As the use of baby sign increases in popularity, research studies have had limited and inconsistent results regarding its influence. Purpose: The purpose of this study is to measure the effects of baby sign training on the overall development of normally hearing children while improving on the limitations of current studies (between group study). Methods: Participants in the study included 22 children, ages 6 months to 2 years; …

Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in …

Interpreter-Assisted Speech-Language Intervention In Poland: Needs, Possibilities And Prospects (Współpraca Polskiego Logopedy Z Tłumaczem – Potrzeby, Możliwości I Perspektywy), Katarzyna Gaweł, Henriette Langdon, Katarzyna Węsierska

Faculty Publications

Due to the constantly evolving global demographic situation, speech-language therapists (SLTs, also: speech-language pathologists – SLPs) have to deal with an increasing workload of bilingual/multilingual clients. This article presents results of a survey conducted among Polish SLTs aimed at investigating their views with regards to the possibility of collaboration with an interpreter during therapeutic intervention. The original version of the questionnaire (Gaweł & Węsierska, 2014) used in this survey was filled out by 206 respondents from different areas across Poland. The following issues were addressed in the study: the SLTs’ views on the incidence of bilingualism in Poland, their self-evaluation …

Evidence-Based Practice In Stuttering: Views From American And Polish Clinical Perspectives, Henriette W. Langdon, Pei-Tzu Tsai, Katarzyna Węsierska

Faculty Publications

In this paper the authors present the underpinnings of Evidence-Based Practice (EBP) with application to stuttering. The application of intervention practices using EBP are discussed from two different countries, the United States and Poland. Advantages, Challenges and Future Directions as well as Solutions are presented. In sum, the authors conclude that both perspectives are relatively similar and going generally in the same direction.

Monolingual And Bilingual Intervention Outcomes In A Bilingual Child With Autism, Victoria Alexander

Open Access Theses & Dissertations

Background: When treating bilingual children with autism spectrum disorder (ASD), the language of intervention has been a controversial topic among professionals. There is limited research on the treatment of bilingual children with ASD.

Purpose: To extend the limited research on the use of language of intervention in bilingual children with ASD. This study compared a monolingual English treatment and a bilingual English-Spanish treatment, to examine which one was more efficient.

Methods: A single-subject alternating treatment design with a baseline was used to compare the efficacy of two treatment conditions in increasing language skills in a bilingual child with ASD. The …

The Impact Of Baby Sign Training On Stress Levels Of Daycare Providers, Grisel Julieta Rodriguez

Open Access Theses & Dissertations

Proponents of baby sign claim improvements in child-caregiver interactions and reductions in parental stress as benefits of implementing baby sign. Due to research contradicting the claims, and to the rise in daycare attendance, the current study investigated the effects of a baby sign workshop on the stress perception of daycare providers. A pre-test post-test between groups design with 20 participants was conducted using the Perceived Stress Scale (PSS10) and a workshop-specific descriptive survey as measures. The difference between the post-test stress levels of experimental and control groups approached significance, as did the differences between pre-test and post-test results for the …

The Contribution Of Mild Traumatic Brain Injury/Concussion To The Development Of Post-Traumatic Stress Disorder Symptoms, Kylie Lauren Marshall

Open Access Theses & Dissertations

A controversial issue is whether TBI is a necessary precursor to the development of PTSD symptoms, or if the two variables are mutually exclusive. Recent rodent-models reveal that a stressful environment cannot cause PTSD symptoms directly without TBI, yet it is unknown if PTSD symptoms can develop following a TBI. This study provides a potential analogue to study this relationship by evaluating the effects of sports-related concussion. Purpose: This study investigated two questions, 1) Is there a significant difference in the frequency of PTSD symptoms reported by athletes at baseline (BL) testing and post-concussion (PC) testing over time? 2) Is …

Processing Of Language Switches In Bilingual Individuals With Aphasia: An Event-Related Potential Comparison, Lizette Rodarte

Open Access Theses & Dissertations

Switching between languages, or code-switching, is a common phenomenon in bilingual individuals. In proficient bilinguals, these switches are done with ease and are used for many purposes. Contrary to popular belief, these switches are rule-governed and follow grammatical structure. Bilingual individuals diagnosed with aphasia present with difficulty processing languages and these language switches. With the increase in bilingual individuals, it is likely that the speech-language pathology community will see an increase of bilingual individuals with aphasia on their caseload. For this reason, the purpose of this study is to increase our understanding of the neural processes involved in processing of …