Speech and Hearing Science Commons^™

Exploring The Temporal Variability Of Speech Intensity, Speech Intelligibility, And Communicative Participation In Individuals With Hypophonia And Parkinson’S Disease, Cynthia Mancinelli

Electronic Thesis and Dissertation Repository

Hypophonia, or reduced speech intensity, is frequently observed in individuals with Parkinson’s disease (PD). This speech deficit can impact speech intelligibility and communicative participation. However, there is little empirical evidence exploring the day-to-day variability of speech and communicative participation in individuals with PD. The purpose of this study is to investigate the temporal variability of acoustic and perceptual speech measures and psychosocial measures in individuals with hypophonia and PD. Additionally, this study seeks to examine the relationships among measures of speech intensity, speech intelligibility, self- and proxy-rated communicative participation, demographic factors, and non-speech factors. Twenty-three participants with PD, 23 primary …

Behavioural And Objective Assessment Of Binaural Hearing In Adult Listeners With Acquired Unilateral Conductive Hearing Loss Before And After Middle Ear Surgery, Parvaneh Abbasalipour

Electronic Thesis and Dissertation Repository

In normally hearing listeners, binaural hearing relies on symmetrical input from the two ears. Previous studies on human listeners have assessed the effect of induced unilateral conductive hearing loss (UCHL) during adulthood via earplugging. These experiments indicated initial difficulty in sound localization followed by gradual improvement due to adaptation to the perturbed binaural cues. The limited duration of earplug use does not represent the consequences of chronic UCHL secondary to disease. Furthermore, there is insufficient information regarding the adaptation of binaural hearing abilities after treatment of late-onset UCHL.

The current study assessed the binaural hearing abilities of adult listeners with …

Outcomes In Children With Additional Disabilities Following Cochlear Implantation: A Systematic Review, Rebecca M. Tuchman

Dissertations, Theses, and Capstone Projects

Background: Thirty percent of children with hearing loss have an additional disability. These children may be difficult to test according to standard audiologic behavioral test protocols. Additionally, progress within this population may present differently than in children with no additional disability. Currently, no evidence-based protocol exists for assessing cochlear implant benefit and outcomes in this population.

Objective: The purpose of this investigation is to perform a systematic review on the outcomes of cochlear implantation in children with additional disabilities. Specifically, this study focused on areas of function assessed, outcome measures used, and evidence of benefit observed.

Methods: A comprehensive search …

Carer Information Needs Following A Family Member's Right Hemisphere Stroke, Christyn Davidson

Electronic Theses and Dissertations

Background: Previous studies have explored information needs for carers of persons with aphasia; however, there is minimal research on information needs of carers with right hemisphere disorder (RHD). RHD describes cognitive and communication impairments a person experiences following a right hemisphere stroke or brain injury. Carers have an important role in rehabilitation and the long-term quality of life of a person with RHD. This study explores the information needs for carers following a family member’s right hemisphere stroke throughout different periods of recovery.

Methods/Procedures: Participants completed online surveys and a semi-structured phone interview. Analysis of the interviews revealed four major …

Changes In Speech Intelligibility And Acoustic Distinctiveness Along A Speech Rate Continuum In Parkinson’S Disease, Thea Knowles

Electronic Thesis and Dissertation Repository

Asking a person to speak slowly is a common technique in speech therapy for people with Parkinson’s disease (PD). Slowed speaking rates are thought to bring about changes in speech production that make it easier for people with speech impairments associated with PD to be understood, but this is not always the case. Furthermore, research suggests that using faster speech does not necessarily lead to decreases in speech intelligibility for some people with PD. Most studies of rate modification in PD have only included one or two rate adjustments to investigate the relationship between speech rate, intelligibility, and acoustic aspects …

Multi-Frequency Electrophysiological Estimates Of Auditory Temporal Acuity, Negar Ahzan

Electronic Thesis and Dissertation Repository

Auditory temporal acuity, a listener’s ability to discriminate rapid changes in the envelope of an auditory signal over time, is crucial for understanding speech. Electrophysiological measurement of auditory temporal acuity is beneficial when we cannot achieve reliable behavioural responses. The envelope following response (EFR) evoked by a changing (swept) amplitude-modulated (AM) stimulus is significantly correlated with behavioural measures of temporal acuity in humans. Previous research using AM broadband noise carriers may have been affected by the cancellation of evoked potentials at the measurement electrodes due to out-of-phase interference of parallel responses initiated at different times due to cochlear travelling wave …

Supporting Persons With Dementia In Communicating Their Care Preferences, Vanessa L. Burshnic

USF Tampa Graduate Theses and Dissertations

Person-centered care is important to the quality of life of nursing home residents with dementia. Preference assessments enable person-centered care by documenting residents’ preferred activities. Residents with severe dementia are less likely to have a role in preference assessment due to communication challenges associated with the disease. External supports (visual and text cues) are effective in improving the communication of residents with dementia, but these cues are often not used in practice. Standard assessment (verbal questioning) places greater demands on short-term memory and attention, which are known deficits in dementia.

Applying a within-subjects design, this study evaluated two conditions (standard …

Script Training For Adults Who Stutter, Courtney M. Rankin

USF Tampa Graduate Theses and Dissertations

Treatment for adulthood stuttering traditionally focuses on some combination of stuttering management and fluency management and may also target emotional and cognitive reactions to stuttering. However, long-term gains are often limited, and there is a need for continued development of approaches for mitigating impacts of stuttering. We know of no evidence-based therapy approaches designed to target functional communication in adults who stutter (AWS), despite widespread interest in improving functional communication in members of this speaker group. Script training is an intervention approach designed to improve accuracy and automaticity in functional communication. Script training was originally designed for use with adults …

The Effect Of Narrative Language Intervention On The Language Skills Of Children With Hearing Loss, Stephanie M. Raymond

USF Tampa Graduate Theses and Dissertations

Children with hearing loss have limited auditory access to their native language and struggle to develop appropriate language skills. These children consistently demonstrate less complex oral language output, smaller vocabulary inventories, and delays in overall communicative proficiency. With the extensive implications hearing loss has on language development, a child with hearing loss requires immediate access to appropriate and effective intervention to address deficits and curb long-term language delays. However, there is a paucity of research investigating the effects of various language intervention programs with children with hearing loss. Much of the existing research focuses on the consequences of a selected …

Neuro-Correlates Of Word Processing Among Four-And-Five-Year-Old Children From Homes Varying In Socio-Economic Status, Wendy Olsen

USF Tampa Graduate Theses and Dissertations

A large body of research relates families’ socioeconomic status (SES) to child language development (Hoff & Tian, 2005). Results from these studies indicate preschoolers from low SES backgrounds may have underdeveloped linguistic foundations required for future academic success (Sirin, 2005; Lacouri & Tissington, 2011). These differences have been said to create a 30 million word-gap between the language experiences of low and middle to high SES children by the age of 3 years. Thus, children who come from lower SES backgrounds often lack the vocabulary knowledge used in school and in textbooks (Hart & Risley, 1995). One index of SES …

The Effect Of Retrieval Practice On Vocabulary Learning For Children Who Are Deaf Or Hard Of Hearing, Casey Krauss Reimer

Arts & Sciences Electronic Theses and Dissertations

The goal of the current study was to determine if students who are deaf or hard of hearing (d/hh) would learn more new vocabulary words through the use of retrieval practice than repeated exposure (repeated study). No studies to date have used this cognitive strategy—retrieval practice—with children who are d/hh. Previous studies have shown that children with hearing loss struggle with learning vocabulary words. This deficit can negatively affect language development, reading outcomes, and overall academic success. Few studies have investigated specific interventions to address the poor vocabulary development for children with hearing loss. The current study investigated retrieval practice …

American And British Speech Differences In Low Socioeconomic Status Homes, Jennifer Markfeld

Senior Honors Projects, 2010-2019

Background: Infants living in low socioeconomic status (SES) homes display lower developmental functioning by 12 months than mid- and high-SES infants, and speak fewer words on average as they grow older. Maternal speech is especially important for language development and has been found to be the largest predictor of SES-related differences in children’s vocabulary. Although there are documented differences between British and American infant language development, for example American infant lexicons are typically larger than age matched British infants, there is little research looking at caregiver speech across these countries in low SES groups.

Method: This retrospective study compared 10 …

The Feasibility Of Standardized Cognitive Assessments For Vestibular Patients, Brynn Morales

Senior Honors Projects, 2010-2019

Vestibular dysfunction, or impairments in the inner ear and/or brain structures that process sensory information and help control balance, has a high correlation with cognitive deficits, or problems with mental processes. This relationship negatively affects daily activities and quality of life in persons that live with vestibular dysfunction. Though there is sufficient research proving the relationship, few studies have applied that information in ways to better help the population with vestibular dysfunction. The purpose of this study was to assess the feasibility of a cognitive assessment battery (a set of correlated assessments delivered in one session) tailored to measuring performance …

Cervical Vestibular-Evoked Myogenic Potentials (Cvemps): "Differentiation Of Inter-Neck Emg Symmetry Between Children And Adults", Ellen Jones

Senior Honors Projects, 2010-2019

A cervical Vestibular-Evoked Myogenic Potential (cVEMP) is one of the few objective vestibular diagnostic tests available for pediatric populations. This test evaluates the functionality of the saccule end organ through an inhibitory reflex on the sternocleidomastoid (SCM) muscle that inhibits the level of electromyographic (EMG) activity (Wiener-Vacher, 2013). Because the saccule response is measured as an inhibition of EMG in the SCM, it is imperative that the SCM have a tonic contraction prior to eliciting the response and that the contraction of the SCM is equal on the right and left sides. It is generally accepted that young, healthy adults …

The Test-Retest Reliability Of Binaural-Processing Tasks At Home Versus A Clinical Environment, Logan Grace Faust

Dissertations, 2014-2019

Objective: Investigate the reliability of a custom-designed, portable, stereo-hearing testing system (as in the Ganev, 2017, Au.D. dissertation) when subjects self-administer two different stereo-hearing tasks at home. Results obtained under known and supervised conditions at a university clinic or lab versus unknown conditions at the participants’ homes were compared. Intra-subject comparison, and inter-subject trends, discerned the reliability of patient setup and self-administration of the two tasks.
Design: Ten subjects were evenly split among two conditions: five subjects each setup and self-administered the tasks first at home and then received direction in the clinic, and five received direction and did the …

Music And Speech Perception In Children Using Sung Speech: Effects Of Neurocognitive Factors, Victoria A. André

Dissertations, 2014-2019

The current study aimed to explore normal-hearing children's ability to utilize pitch and timbre cues and how these findings correlate with neurocognitive factors. Participants were recruited if they had English as their first language and no formal musical training or 3+ years of formal musical training. Twenty normal-hearing children, age 7.5-14.5 years (mean = 10.5; n=20) were recruited for the study. Nonverbal intelligence, receptive vocabulary, and auditory working memory were assessed using subtests of the Kaufman Brief Intelligence Test-2, Peabody Picture Vocabulary Test-4, and Comprehensive Test of Phonological Processing-2, respectively. Raw scores were used to analyze these neurocognitive abilities in …

Effect Of Consistent Singing On Maintenance Of Speech Intelligibility Following Lsvt®: A Retrospective Longitudinal Case Study, Rachel Ricca Beck

Graduate Theses and Dissertations

Parkinson’s Disease is a common neurodegenerative disease affecting one’s ability to hone and refine volitional movement. Many with Parkinson’s report significant effects on voice and communication. Speech-language pathologists have long targeted the achievement of increased vocal volume through intensive voice therapy, with the most common program being Lee Silverman Voice Treatment® (LSVT®) (Ramig et al., 1994). While LSVT® is the most prominent type of voice therapy for individuals with Parkinson’s, other researchers have begun investigating therapeutic singing because of the similar functions it employs (e.g., increased breath support, utilization of entire vocal range).

The current project is a retrospective, longitudinal …

Effects Of Primary And Secondary Cigarette Smoke On Auditory Function: A Systematic Review, Hilary Mcmanus

Dissertations, Theses, and Capstone Projects

Objective: The goal of this paper was to systematically review literature in order to investigate the effects of active and passive cigarette smoke on auditory function when assessing outcome measures including pure tone audiometry, otoacoustic emissions, high-frequency audiometry, and auditory evoked potentials.

Methods: A comprehensive search using the Medline Complete database was conducted to identify relevant studies published after 2005. Inclusion criteria included the use of pure tone audiometry, high-frequency audiometry, otoacoustic emissions, and/or auditory evoked potentials to examine the effect of primary or secondary cigarette smoke. Studies involving noise exposure or other confounding factors were excluded.

Results: A total …

Investigating Predictive Relationships Between Speech-Language Pathology Graduate Students' Sense Of Classroom Community, Perceived Learning, And Perceived Anxiety., Emily B. Schantz

Electronic Theses and Dissertations

Mental health is an all-encompassing term that focuses on a person’s ability to achieve work-life balance inclusive of positive mental health and mental ill-health. Current trends suggest an overall increase in mental ill-health for undergraduate and graduate students. McMillan and Chavis’ sense of community theory provided the theoretical framework for this study. This study aimed to examine whether speech-language pathology graduate students’ sense of classroom community and perceived learning predict anxiety levels while controlling for demographic variables. Three-hundred-sixteen master’s level speech-language pathology students completed an online survey containing the Generalized Anxiety Disorder Questionnaire, Perceived Learning Scale, and Classroom Community Scale. …

Validation Of A Scale To Measure Phonological And Morphological Knowledge And Skill Of Speech-Language Pathologists And Elementary Teachers, Susan S. Perry

Dissertations

Phonological and morphological skills are crucial to the process of reading. Speech-language pathologists (SLPs) have received advanced trained in these basic foundations of language and could be an untapped resource in our school systems for teaching beginning reading skills. The purposes of this research were to examine SLPs’ and general education elementary (K-6) teachers’ attitudes toward SLPs taking part in reading instruction, to compare the differences in phonological and morphological knowledge and skill among SLPs and teachers, and to assess the performance of the Revised Basic Language Constructs Surveywhen administered to SLPs and teachers.

Results indicated that, although fewer …

Evaluating The Effectiveness Of Motor Planning With Core Vocabulary: A Behavior Analytic Account, Alison Judith Karnes

Graduate Theses and Dissertations

As the prevalence of autism spectrum disorders (ASD) increases, it is important for practitioners to continue to improve evidence-based practices (EBP) for the treatment of ASD symptoms (i.e., impairments in social communication and repetitive behaviors and restricted interests; American Psychiatric Association [APA], 2013). It is estimated that 30-50% of individuals with autism do not acquire functional speech (Wodka, Mathy, & Kalb, 2013). These individuals would make appropriate candidates for Augmentative and Alternative Communication (AAC; Mirenda, 2003). One form of AAC is the speech-generating device (SGD). Over the last ten years, tablet-based technologies including iPad minisⓇ have been emphasized in the …

Screening For Hearing Loss: Physician Attitudes And Practice, Theresa N. Vitale

Dissertations, Theses, and Capstone Projects

Age related hearing loss (ARHL) is considered a public health hazard in large part due to the negative health outcomes with which it is associated, such as, cognitive decline, increased risk of falling, social isolation and depression. Despite the health-related costs of ARHL, physician’s rarely screen older adults for ARHL. Some of the reasons previously cited include a lack of time and resources in medical offices, a lack of reimbursement for such measures, or lack of knowledge of risk factors associated with hearing loss. The latter is problematic as improved communication among physicians and their patients is an important correlate …

“Evaluating Knowledge And Perspectives Of Behavior Analytic Language Strategies In The Clinical Practice Of Speech-Language Pathology”, Mackenzie Sturman

Honors Theses

Research shows that principles of applied behavior analysis (ABA) may be beneficial to language acquisition. Speech-language pathologists (SLPs) have the responsibility of assessment, diagnosis, and treatment for individuals with various speech and language impairments, and work directly with language instruction. However, there is limited knowledge of the degree to which SLPs use concepts of behavior analytic language interventions in clinical practice for individuals of varying language and communication disorders. This study investigated the extent to which practicing SLPs use language strategies from ABA in their clinical practice. A qualitative approach was utilized by conducting individual semi-structured interviews with four practicing …

Effects Of Stuttering Frequency, Speaking Rate And Treatment On Speech Naturalness In Adults Who Stutter, Emily Hausman

Honors Theses

Purpose: Individuals who stutter can often exhibit speech patterns that sound unnatural compared to individuals who do not stutter. Unnaturalness can be due to several underlying factors including the presence of stuttering itself and the unintended consequences of treatment approaches that alter speech motor patterns. Understanding factors that impact speech naturalness within the stuttering population can help improve the clinical management of the disorder. The current study investigates the relationship between pause duration, speech rate and stuttering frequency, and listener ratings of speech naturalness in a group of adults who stutter (AWS) before and after participation in a stuttering treatment …

Exploring The Experiences Of Communication Partners Of People With Parkinson's Disease: A Qualitative Study, Jacqueline Bell

Dissertations, Theses, and Projects

The purpose of this phenomenological qualitative study was to explore interactions between persons with Parkinson's disease (PD) and their communication partners. People with PD experience difficulties that can have a profound effect on their ability to communicate. This qualitative study explored the thoughts and feelings of primary communication partners of people with PD. The primary communication partners were interviewed using open-ended questions. The seven participants identified and detailed how declines in communication due to PD have resulted in changes in daily life, including; social participation, daily tasks, and psychosocial well-being. Commonalities that communication partners experienced will aid speech-language pathologists to …

Speech-Language Pathologist Preferences For Treatment Types For Childhood Apraxia Of Speech, Meeghan Hoose

Honors Theses

Childhood Apraxia of Speech (CAS), also known as developmental apraxia is, “a motor speech disorder that makes it hard for children to speak” (American Speech-Language-Hearing Association). While the child knows what he/she wants to say, the signals going from the brain to the mouth are not delivered correctly, resulting in the mouth not moving appropriately to produce the desired sounds. There are several methods used by speech-language pathologists to treat CAS including moto-programming, a linguistic approach, a combination of motor-programming and linguistic methods, sensory cuing and rhythmic approaches. Through surveying local practicing school speech-language pathologists, I will learn their preferred …

Amplitude Modulation Perception In Children With Auditory Processing Disorder, Winnie Ly

Electronic Thesis and Dissertation Repository

Children with developmental delays in auditory processing are more prone to experience difficulty in a classroom setting. Temporal cues are reported to be important for speech understanding in noisy and quiet conditions. One method to assess the ability to discriminate temporal cues is the amplitude modulation task. The purpose of this thesis was to examine amplitude modulation perception in listeners (children with auditory processing disorder (APD), typically developing children and adults) through an adaptive amplitude modulation task, estimation of psychometric functions for this task study and verification of the amplitude modulation task on a portable device (iPaas-based Application Suite …

Picture Cued And Speech Production Cued Approaches For Speech Sound Learning, Michelyve C. Petit

LSU Master's Theses

This study examined the use of speech production cued cards, MorphoPhonic faces (MPF), and plain picture (PP) cards when seeking to remediate speech sound errors, specifically sounds / ɹ / and / s / in the word initial position. Fourteen children were provided articulation therapy at their public school using both stimulus types across four weeks. Each week, the total number of correct productions of target phoneme / s / and /ɹ/ were recorded and averaged. These results were used to graphically showcase trends in their performance with both stimulus types. The results demonstrated that MPF cards were advantageous for …

Acoustic Characteristics Of Vowels Produced By Young Children From The New Orleans Area, Rebecca E. Dorsa

LSU Master's Theses

Understanding dialects and their effects on speech and language is integral to the field of speech-language pathology, as dialectal differences could potentially be misdiagnosed as speech or language disorders if these factors are not well-considered. The number and organization of the vowel system of one regional dialect of American English differs from those of another regional dialects. Therefore, understanding the effect of dialect on vowel productions in children can aid in the accurate evaluation of children from various dialectal backgrounds. The aims of the proposed study were to 1) determine the age at which young children develop acoustic markers of …

Aphasia & Stutter Therapy: An Ailment Not To Be Treated, Janae Nieto

Honors Theses

This work demonstrates the history of two common speech and communication disorders: aphasia and stuttering. Once considered incurable diseases, these conditions have since generated rich rehabilitation practices and accompanying schools of thought. The first part of the thesis takes up adult aphasia, excluding cases involving speech and communication disorders due to other mental illnesses. The second half of this project conveys the history of stuttering. The majority of the modern cases analyzed in this thesis focus on developmental stuttering in children; although, different forms of stuttering are embedded in the progression of the therapy history. Each chapter includes a section …