Speech Pathology and Audiology Commons^™

Feeding And Oral Care Guidelines For Certified Nursing Assistants Working With Patients With Head And Neck Cancer, Emma Eisert

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

Augmentative And Alternative Communication In The Intensive Care Unit: A Service Delivery Model, Beverly Lloyd, Ann R. Beck, Amy L. Yacucci

Graduate Independent Studies - Communication Sciences and Disorders

Patients in the intensive care unit (ICU) often find it difficult or impossible to verbally communicate due to mechanical ventilation, tracheostomy tubes or increased fatigue and delirium. Augmentative and alternative communication (AAC) can provide ICU patients with a way to communicate during their ICU admittance. However, few hospitals currently have a systematic service delivery model in place for providing AAC tools and supports to ICU patients. This resource manual provides an outline for creating and implementing an AAC service delivery model along with AAC materials and resources appropriate for an ICU. Explanations of how each material is used, who they …

Feeding And Oral Care Guidelines For Certified Nursing Assistants Working With Patients With Head And Neck Cancer, Emma Eisert

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

Mainstream Tablets As Speech Generating Devices: Considerations In Decision Making, Kaylee Sienza, Ann R. Beck, Amy L. Yacucci

Graduate Independent Studies - Communication Sciences and Disorders

In the last several years, the field of augmentative and alternative communication (AAC) has seen significant technological advances that are both innovative and exciting. One of the main advances in technology comes in AAC applications on mainstream tablet devices like iPads. Tablet devices with AAC applications are being explored as an alternative to dedicated speech generating devices due to cost and convenience. But, before choosing between a mainstream tablet AAC device and a dedicated AAC device, there are several foundational elements of AAC to be understood. All of the AAC basics and considerations should be part of the assessment process …

After Skilled Therapy: A Curriculum For Functional Social Interactions, Camille Benning, Kylie Crews

Graduate Independent Studies - Communication Sciences and Disorders

A curriculum was created for individuals with developmental disabilities who no longer qualify for skilled speech-language services at the Ecklemann-Taylor Speech & Hearing Clinic. The first portion of the paper includes the terms of eligibility within the clinic, reasons for dismissal, and the population that can potentially benefit from this curriculum. The second part of the paper includes an extensive literature review and the empirical base of the components for the curriculum which provide extra support. Finally, the guide to the curriculum itself is attached.

A Review Of Attention, Memory, Word Finding, And Executive Function To Support Client Rehabilitation In A Group Therapy Setting, Anna Uftring, Michelle Estand, Annie Heineman, Samantha Marusiak

Graduate Independent Studies - Communication Sciences and Disorders

This paper is a review of attention, memory, word finding, and executive function to support individuals with deficits in these areas seen in a rehabilitative speech-language therapy setting. Each chapter contains a definition of the domain and describes the subdomains included. The chapters also include the neurology associated with the domain and common disorders that include deficits in the areas of attention, memory, word finding, and executive functioning. At the end of each chapter, recommended treatment principles are provided to guide therapy with each domain. This paper was created to accompany a therapy manual titled “Providing Connections Through Group Therapy” …

Disclosure Of Stuttering And Quality Of Life In People Who Stutter, Michael Boyle, Kathryn M. Milewski, Carolina Beita-Ell

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: This study investigated the disclosure practices of people who stutter, and the relationship between disclosure of stuttering and quality of life. Method: Participants were 322 adults who stutter recruited from speech-language pathologists and support group leaders. Participants completed a survey that contained items measuring level of disclosure of stuttering, as well as a global measure of self-rated quality of life. Participants were grouped into low, average, and high quality of life subgroups. Analysis of variance tests compared disclosure levels among these subgroups. Results: The low quality of life subgroup reported significantly lower levels of disclosure compared to both the …

Let's Talk About Dementia: The Effects Of Dementia On Communicative Functions, Mary Kate Hoeve

Honors Projects

A general outline and presentation designed for a seminar setting aimed toward an audience of medical staff in skilled nursing facilities. The purpose of this training is to educate frequent communication partners of those with dementia about effective communication tactics, as well as, a brief definition of dementia. Additionally, a small portion is dedicated to dysphagia. The possible role of a speech-language pathologist in dementia care is also discussed throughout the training.

Personal Commitment Statements In Evaluating Continuing Education: Evolutionary Practice, Juan Bornman, Brenda Louw

ETSU Faculty Works

The use of a Commitment-to-Change (CTC) statement to evaluate Continuing Education was investigated through a case study design. A CE event on communication disorders within the ICF-CY framework was evaluated by a Personal Commitment form and a follow-up survey. Results of a thematic analysis of statements and follow-up survey illustrate the important potential of this evolutionary approach.

Young Adults With Cleft Lip And Palate: Personal Perspectives Of Transition Of Care, Courtney Buchanan, Bethany Johnson, A. Jade Morgan, Jessica Morgan, Carissa Padgett, Brenda Louw

ETSU Faculty Works

Children with cleft lip/palate receive team care which typically ends at eighteen. Young adults then need to transition into an adult-centered model of care. A paucity of literature exists regarding their perspective on transition of care experience. This research explores the experiences of young adults with CLP regarding their transition of care process, within the person-centered ICF framework.

Clinician-Research Collaboration: Determining Research Interests And Needs Of Clinicians In The Tri-Cities, Tn, Kara Detty, Lauren Fabrize, Mary Trifiro, Jessica Weiner, Brenda Louw

ETSU Faculty Works

This research explores the disconnect between researchers and practicing clinicians on research collaboration, which is attributed to various barriers, therefore creating a researcher-clinician gap. Survey research was conducted and practicing clinicians in the Tri-Cities region of Tennessee acted as respondents. Results may contribute to establishing practicing clinician-research collaboration in this context.

Teaching Counseling Skills In Audiology Graduate Programs: Clinical Supervisors’ Perceptions And Practices, Karen F. Muñoz, Trenton J. Landon, Kim Corbin-Lewis

Communicative Disorders and Deaf Education Faculty Publications

Background: Counseling is a critical component within audiological service delivery. Partnering with patients to support them in learning to effectively cope with their hearing challenges is a key component in achieving desired outcomes. Even though there is agreement on the foundational role counseling plays in audiology service delivery, counseling instruction varies among audiology training programs.

Purpose: The purpose of this study was to investigate the perspectives and practices of supervisors in audiology graduate training programs related to mentoring students in the acquisition of counseling skills.

Research Design: A cross-sectional design was used; participants completed a self-report survey.

Study Sample: The …

Selecting An Acoustic Correlate For Automated Measurement Of American English Rhotic Production In Children, Heather Campbell, Daphna Harel, Elaine Hitchcock, Tara Mcallister Byun

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: A current need in the field of speech–language pathology is the development of reliable and efficient techniques to evaluate accuracy of speech targets over the course of treatment. As acoustic measurement techniques improve, it should become possible to use automated scoring in lieu of ratings from a trained clinician in some contexts. This study asks which acoustic measures correspond most closely with expert ratings of children’s productions of American English /ɹ/ in an effort to develop an automated scoring algorithm for use in treatment targeting rhotics. Method: A series of ordinal mixed-effects regression models were fit over a large …

Effects Of Hearing Loss On General Cognitive Health And Social Auditory Lifestyle Within The Older Population, Sawyer Milam, Scott Seeman

AuD Capstone Projects - Communication Sciences and Disorders

Hearing loss is a common medical condition associated with the elderly. Its impact on general cognitive health has been extensively studied, along with its association with social auditory lifestyle. Hearing loss has been associated with a decline in both aspects (Lin, 2011a; Wu and Bentler, 2012), however, studies involving all three of these factors have yet to be performed. Further research is needed to encompass how these three facets, when combined, affect the elderly population. A literature review of 21 articles was conducted in order to reveal how hearing loss is associated with general cognitive health and social auditory lifestyle.

Renewal Of An Agreement With Uthsc To Offer A Joint Bachelor Of Science Degree Program In Audiology And Speech Pathology, Sacscoc

SACSCOC Documentation

No abstract provided.

Procedural-Memory, Working-Memory, And Declarative-Memory Skills Are Each Associated With Dimensional Integration In Sound-Category Learning, Carolyn Quam, Alisa Wang, W. Todd Maddox, Kimberly Golisch

Speech and Hearing Sciences Faculty Publications and Presentations

This paper investigates relationships between procedural-memory, declarative-memory, and working-memory skills and adult native English speakers’ novel sound-category learning. Participants completed a sound-categorization task that required integrating two dimensions: one native (vowel quality), one non-native (pitch). Similar information-integration category structures in the visual and auditory domains have been shown to be best learned implicitly (e.g., Maddox et al., 2006). Thus, we predicted that individuals with greater procedural-memory capacity would better learn sound categories, because procedural memory appears to support implicit learning of new information and integration of dimensions. Seventy undergraduates were tested across two experiments. Procedural memory was assessed using …

Improving The Interprofessional Relationship Between Nurses And Speech-Language Pathologists: A Pilot Study, Christina Hamling, Kristy Weissling

Honors Theses

The research presented in this thesis explores the impact of interprofessional education on undergraduate nursing and speech-language pathology students with an overall goal of improving the interprofessional relationship between the two fields. Utilizing quantitative and qualitative methods in the form of a pre-test, educational materials, live guided observation, and post-tests, the researchers found an increase in the nursing students ’ ability to identify the role of the speech-language pathologist in a medical setting (knowledge). There was also an increase in the speech-language pathology students’ ability to understand how and when to communicate with nurses in a medical setting (knowledge).

Differential Diagnosis Of Auditory Processing Disorder In Children: A Literature Review, Jessica Glennon, Benjamin Kirby

AuD Capstone Projects - Communication Sciences and Disorders

Although there is no consensus on the definition of auditory processing disorder (APD), it is typically characterized by listening difficulties resulting from deficits in auditory perceptual processing of sounds in the central auditory nervous system. APD often co-occurs with other disabilities such as ADHD, dyslexia, and specific language impairment. Presenting symptoms can be very similar to these other disorder, complicating diagnosis. Due to the overlap of symptoms between APD and various other deficits, there are concerns that professionals in different fields are providing children with different labels for the same group of symptoms. Therefore, the aim of this literature review …

Self-Esteem, Self-Efficacy, And Social Support As Predictors Of Communicative Participation In Adults Who Stutter, Michael Boyle, Carolina Beita-Ell, Kathryn M. Milewski, Alison N. Fearon

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: This study aimed to identify contributors to communicative participation in adults who stutter. Specifically, it was of interest to determine whether psychosocial variables of self-esteem, self-efficacy, and social support were predictive of communicative participation beyond contributions of demographic and speech-related variables. Method: Adults who stutter (N = 339) completed an online survey that included measures of communicative participation, self-esteem, self-efficacy, social support, self-reported speech-related variables (speech usage, number of years stuttering, history of treatment and self-help support group participation for stuttering, and physical speech disruption severity), and demographics (age, sex, living situation, education, and employment status). Hierarchical regression was …

Effects Of Age And Gender During Three Lingual Tasks On Peak Lingual Pressures In Healthy Adults, Elizabeth Oommen, Youngsun Kim

University Faculty Publications and Creative Works

This study examined the effects of age and gender during three intra-oral lingual tasks (elevation, protrusion, and depression) on peak lingual pressure in healthy adults. Methods: Healthy adults were divided into groups based on age, young (18 to 35 years) and older (>60 years) adults, and gender. All the 49 participants completed maximum isometric pressure intraoral lingual tasks (elevation, protrusion, and depression) and peak anterior lingual pressures were recorded using the three-bulb tongue array of the Digital Swallowing WorkstationTM. Peak lingual strength was recorded as the average of peak lingual pressures of the three trials for each lingual task. …

Immature Auditory Evoked Potentials In Children With Moderate-Severe Developmental Language Disorder., Elaine Yuen Ling Kwok, Marc F Joanisse, Lisa Archibald, Janis Oram Cardy

Health and Rehabilitation Sciences Publications

Purpose: Immature auditory processing has been proposed to underlie language impairments in children with developmental language disorder (DLD; also known as specific language impairment). Using newly available normative auditory evoked potential (AEP) waveforms, we estimated AEP maturity in individual children with DLD and explored whether this maturational index was related to their language abilities.

Method: AEPs were elicited by 225 trials of a 490-Hz pure tone. Using intraclass correlation and our previously established normative AEP waveforms of 7- to 10-year-old children with typical development, we estimated the age equivalent of the AEPs (AEP-age) from 21 children with DLD. The relation …

Mixed-Methods Research: A Tutorial For Speech-Language Therapists And Audiologists In South Africa, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

Background: Mixed-methods research (MMR) offers much to healthcare professions on clinical and research levels. Speech-language therapists and audiologists work in both educational and health settings where they deal with real-world problems. Through the nature of their work, they are confronted with multifaceted questions arising from their efforts to provide evidence-based services to individuals of all ages with communication disorders. MMR methods research is eminently suited to addressing such questions.

Objective: The aim of this tutorial is to increase awareness of the value of MMR, especially for readers less familiar with this research approach.

Method: A literature review was conducted to …

Renewal Of An Agreement With Uthsc To Offer A Joint Bachelor Of Science Degree Program In Audiology And Speech Pathology (Utk Notification), University Of Tennessee, Knoxville

SACSCOC Documentation

No abstract provided.

Testing The Relationship Between Dialect Density And Social Interaction, Madeline Marita

Mahurin Honors College Capstone Experience/Thesis Projects

With over 1300 international students from more than 70 countries, Western Kentucky University prides itself on being a diverse, welcoming community. However, many international students have a tendency to associate with other international students with similar dialects rather than with English-speaking students from the United States. This research explores the relationship between dialect density (how strongly a dialect or accent is expressed) and social interaction of individuals from the international student population on Western Kentucky University’s campus. Results revealed that the international students who had the mildest self-perceived dialect density had high self-perceived social interaction scores. Results also indicated that …

Pull The Andon Rope On Working Memory Capacity Interventions Until We Know More, Sandra Laing Gillam, Sarai S. Holbrook, Jamie Mecham, Daylene Weller

Communicative Disorders and Deaf Education Faculty Publications

Purpose: The purpose of this article is to discuss the current state of interventions for improving working memory (WM) capacity language, and academic skills and to provide suggestions for speech language pathologists working with students who have WM capacity limitations.

Method: Meta-analyses, systematic reviews, randomized controlled trials and non-randomized comparison studies investigating the role of WM interventions for improving WM capacity language, and academic skills are reviewed. Strategies for improving WM are discussed.

Results: The use of interventions designed to improve WM capacity and other cognitive skills is currently not supported by the research. Direct working memory interventions should be …

An Adaptation Of An Auditory Perception Test, Daniel Gonzalez

FIU Electronic Theses and Dissertations

The Auditory Perception Test for the Hearing Impaired, 3^rd edition (APT/HI-3) was adapted into an auditory perception assessment tool for Spanish-speaking children called the Auditory Perception Test for the Hearing Impaired—Spanish (APT/HI-S). Test items from the APT/HI-S were then validated by three groups of Spanish-English bilinguals to determine if selected words were developmentally and linguistically appropriate for 3-year old children. Survey results revealed that 37 out of 62 words were considered developmentally and grammatically appropriate. The APT/HI-S was then administered to two 3-year old and two 5-year old children, two with typical hearing and two with hearing loss. Results …

Self-Stigma And Its Associations With Stress, Physical Health, And Health Care Satisfaction In Adults Who Stutter, Michael Boyle, Alison N. Fearon

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: The aim of this study was to identify potential relationships between self-stigma (stigma awareness and stigma application) and stress, physical health, and health care satisfaction among a large sample of adults who stutter. It was hypothesized that both stigma awareness and stigma application would be inversely related to measures of physical health and health care satisfaction, and positively related to stress. Furthermore, it was anticipated that stress mediated the relationship between self-stigma and physical health. Method: A sample of adults who stutter in the United States (n = 397) completed a web survey that assessed levels of stigma awareness …

Understanding Dysrhythmic Speech: When Rhythm Does Not Matter And Learning Does Not Happen, Stephanie A. Borrie, Kaitlin L. Lansford, Tyson S. Barrett

Communicative Disorders and Deaf Education Faculty Publications

A positive relationship between rhythm perception and improved understanding of a naturally dysrhythmic speech signal, ataxic dysarthria, has been previously reported [Borrie, Lansford, and Barrett. (2017). J. Speech Lang. Hear. Res. 60, 3110–3117]. The current follow-on investigation suggests that this relationship depends on the nature of the dysrhythmia. When the corrupted rhythm cues are relatively predictable, affording some learnable acoustic regularity, the relationship is replicated. However, this relationship is nonexistent, along with any intelligibility improvements, when the corrupted rhythm cues are unpredictable. Findings highlight a key role for rhythm perception and distributional regularities in adaptation to dysrhythmic speech.

Transition Of Care For The Young Adult With Cleft Palate: Stuck Between Goodbye To The Pediatric Team And Hello To Adult-Centered Care, Linda Vallino, Brenda Louw

ETSU Faculty Works

Participants will be able to:

• Describe the characteristics and needs of young adults with CLP.
• Discuss the model of transition of care for the young adult with CLP.
• Extrapolate strategies that teams could use to improve the care of young adults with CLP.

A New Perspective On The Outcomes Of Children With Cleft Lip And Palate: Application Of The Icf-Cy, Brenda Louw

ETSU Faculty Works

Learner Outcomes:

• Acknowledge the application value of the ICF to individuals with CLP.
• Integrate the ICF framework into the assessment of individuals with CLP.
• Formulate intervention goals that go beyond speech production skills to include functional communication outcomes in a variety of life situations.
• Include improvement and changes in communication participation in everyday functioning in assessment and progress reports.