Speech Pathology and Audiology Commons^™

Genetic Candidate Variants In Two Multigenerational Families With Childhood Apraxia Of Speech, Peter Beate, Ellen M. Wijsman, Alejandro Q. Nato Jr., Mark M. Matsushita, Kathy L. Chapman, Ian B. Stanaway, John Wolff, Kaori Oda, Virginia B. Gabo, Wendy H. Raskind

Alejandro Nato

Childhood apraxia of speech (CAS) is a severe and socially debilitating form of speech sound disorder with suspected genetic involvement, but the genetic etiology is not yet well understood. Very few known or putative causal genes have been identified to date, e.g., FOXP2 and BCL11A. Building a knowledge base of the genetic etiology of CAS will make it possible to identify infants at genetic risk and motivate the development of effective very early intervention programs. We investigated the genetic etiology of CAS in two large multigenerational families with familial CAS. Complementary genomic methods included Markov chain Monte Carlo linkage …

Multipoint Genome-Wide Linkage Scan For Nonword Repetition In A Multigenerational Family Further Supports Chromosome 13q As A Locus For Verbal Trait Disorders, D. T. Truong, L. D. Shriberg, S. D. Smith, K. L. Chapman, A. R. Scheer-Cohen, M. M.C. Demille, A. K. Adams, Alejandro Q. Nato Jr., E. M. Wijsman, J. D. Eicher, J. R. Gruen

Alejandro Nato

Verbal trait disorders encompass a wide range of conditions and are marked by deficits in five domains that impair a person’s ability to communicate: speech, language, reading, spelling, and writing. Nonword repetition is a robust endophenotype for verbal trait disorders that is sensitive to cognitive processes critical to verbal development, including auditory processing, phonological working memory, and motor planning and programming. In the present study, we present a six-generation extended pedigree with a history of verbal trait disorders. Using genome-wide multipoint variance component linkage analysis of nonword repetition, we identified a region spanning chromosome 13q14–q21 with LOD = 4.45 between …

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 …

The Effect Of The Movie Time Social Learning Method On The Emotional Inferencing Skills In An Adult With Autism Spectrum Disorder, Jenna Reade

Electronic Theses and Dissertations

Individuals with autism spectrum disorder (ASD) have difficulty finding employment and maintaining social relationships. Professional and personal interactions require individuals to make inferences, or read between the lines. Inferencing is a challenge for individuals with ASD because it requires complex information processing. More specifically, it involves the integration of cognitive and linguistic information. There is a lack of research using complex stimuli to treat inferencing. An A-B-A-B design with one adult with ASD was used to examine the effectiveness of a movie-based method, Movie Time Social Learning(Vagin, 2012), on improving the emotional inferencing skills of one young adult with …

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 …

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

Brenda Louw

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 …

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 …

Speech-Language Pathology Student Participation In Verbal Reflective Practice Groups: Perceptions Of Development, Value And Group Condition Differences., Gina D. Tillard, Kate Cook, Daniel Gerhard, Lydia Keast, Megan Mcauliffe

Teaching and Learning in Communication Sciences & Disorders

The aim of this study was to determine whether significant differences in perceptions of reflective practice were present across two groups of students engaged in standard practice and experimental group conditions. Twenty-seven undergraduate speech-language pathology students participated in the study. A two-condition, non-randomised, pre-test post-test design was employed with two groups (a standard practice condition and an experimental practice condition, utilizing structured activities and prompts). Participants took part in weekly reflective practice groups over a six week period, in which discussion centered on students’ clinical experiences. Pre and post intervention, the students completed a questionnaire designed to examine perceptions of …

Impact Of Virtual Simulation And Coaching On The Interpersonal Collaborative Communication Skills Of Speech-Language Pathology Students: A Pilot Study, Jacqueline A. Towson Ph.D., Ccc-Slp, Matthew S. Taylor Ph.D., Jennifer Tucker Pt, Dpt, Pcs, Claire Paul Ph.D., Bcba, Patrick Pabian Pt, Dpt, Scs, Ocs, Richard I. Zraick Ph.D., Ccc-Slp

Teaching and Learning in Communication Sciences & Disorders

Communication between clinicians, teachers, and family members is a critical skill when addressing and providing for the individual needs of patients. However, graduate students in speech-language pathology (SLP) programs often have limited opportunities to practice these skills prior to or during externship placements. The purpose of this study was to explore the use of virtual-reality based rehearsal with coaching on the interpersonal collaborative communication skills of SLP graduate students when delivering information regarding a singular patient to different stakeholders. Three graduate students completing their third semester in a SLP program participated in the study. Each participant was provided a clinical …

Factors Related To Hearing Aid Use Among Older Adults From Hispanic/Latino Backgrounds: Findings From The Hispanic Community Health Study/Study Of Latinos, Michelle L. Arnold

USF Tampa Graduate Theses and Dissertations

The purpose of this dissertation was to understand perceived hearing loss and hearing health care use among older adults from Hispanic/Latino backgrounds using the Andersen model of health care utilization as a framework. A cross sectional analysis of audiometric and survey data from the Hispanic Community Health Study/Study of Latinos was used to estimate factors that characterize perceived hearing handicap and hearing aid use, and to determine hearing aid use rates in a large group of older Hispanic/Latino adults. Data came from 6970 adults aged 45 to 76. Results revealed that self-perceived hearing handicap is significantly correlated to measured hearing …

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 …

Common Parietal Activation In Musical Mental Transformations Across Pitch And Time, Nicholas E.V. Foster, Andrea Halpern, Robert J. Zatorre

Andrea Halpern

We previously observed that mental manipulation of the pitch level or temporal organization of melodies results in functional activation in the human intraparietal sulcus (IPS), a region also associated with visuospatial transformation and numerical calculation. Two outstanding questions about these musical transformations are whether pitch and time depend on separate or common processing in IPS, and whether IPS recruitment in melodic tasks varies depending upon the degree of transformation required (as it does in mental rotation). In the present study we sought to answer these questions by applying functional magnetic resonance imaging while musicians performed closely matched mental transposition (pitch …

The Validity And Reliability Of The Motion Sensitivity Test, Faith W. Akin, Mary Jo Davenport

Faith W. Akin

The Motion Sensitivity Test (MST) is a clinical protocol designed to measure motion-provoked dizziness during a series of 16 quick changes to head or body positions. The MST has been used as a guide for developing an exercise program for patients with motion-provoked dizziness and as a treatment outcome measure to monitor the effectiveness of vestibular rehabilitation therapy. This study determined validity, test-retest reliability, and interrater reliability of the MST. Fifteen individuals with motion-provoked dizziness and ten control individuals were tested during sessions occurring 90 min and/or 24 hr after baseline testing. The MST was found to be reliable across …

Auditory/Vestibular/Tbi Mini-Series: Effects Of Tbi On Auditory Processing, Vestibular Function, And Tinnitus, Frederick Gallum, Paula Myers, Faith W. Akin

Faith W. Akin

This session is developed by, and presenters invited by, Hearing, Balance, Tinnitus – Assessment and Intervention: Adult. This combined mini-series will present both clinical and research findings addressing the auditory and vestibular consequences of traumatic brain injury (TBI). Presenters will elucidate TBI’s effect on auditory processing, vestibular function, and tinnitus with case studies to illustrate management strategies relevant for each of the patient groups.

The Past, Present And Future Of Universal Newborn Hearing Screening In Taiwan, Lin Hung-Ching, Hsiu-Wen Chang, Wen-Hui Hsieh

Journal of Early Hearing Detection and Intervention

In Taiwan, the Taipei Mackay Memorial Hospital, in collaboration with the Children’s Hearing Foundation, initiated a free newborn hearing screening program using transient evoked otoacoustic emissions (TEOAE) in 1998. During 2003-2013, there were four major phases of implementation and promotion of universal newborn hearing screening program (UNHS) in Taiwan initiated by the government’s Bureau of Health Promotion. These included (1) establishment of “2004 Taiwan Guidance of Newborn Hearing Screening Program” ; (2) completion of “2008 Taiwan Consensus Statement on Newborn Hearing Screening”; (3) implementation of national government-funded UNHS program in 2012; (4)“2014 Taiwan UNHS revised guidelines”. In summary, in 2016, …

Pediatric Hearing Device Management: Professional Practices For Monitoring Aided Audibility, Karen F. Munoz, Lauri Nelson, Kacy Herald

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this study was to explore professional practices for monitoring aided audibility for children who are deaf or hard of hearing (DHH).

Design: A cross-sectional survey design was used to identify providers’ self-reported practice patterns for monitoring aided audibility for children who use hearing aids, cochlear implants, and bone-conduction hearing aids. Three surveys were used.

Study Sample: Practicing audiologists, speech-language pathologists, and deaf educators providing services to children birth to six years of age who use hearing technology were recruited to participate. A total of 184 surveys were included in the analysis (96 hearing aid; 47 cochlear …

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 …

Update On The Clinical Utility Of Vestibular Evoked Myogenic Potentials, Faith W. Akin, Owen D. Murnane

Faith W. Akin

Vestibular-evoked myogenic potentials (VEMPs) supplement the vestibular test battery by providing diagnostic information about otolith organ function. The purpose of this presentation is to provide an update on the clinical use of the cervical VEMP and ocular VEMP as clinical tests of otolith function

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.

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 …

Early Intervention Speech-Language Pathologists: A Systematic Review, Margaret M. Pierce

Electronic Theses and Dissertations

Purpose: The purpose of this Thesis is to describe the current supporting evidence base for speech-language pathologists working within early intervention with the birth through two-years-old population. Aims: The aims of this systematic review are to determine: (a) the current evidence base of early intervention by speech-language pathologists with infants and toddlers and (b) the quality of research available. Method: An exhaustive systematic review method is used. Search terms are based on subject or index headings related to the aims of this systematic review, i.e. early intervention and speech-language pathologists. A screening method is used to identify eligible publications for …

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 …

A Step Towards Differentiating Language Difference From Disorder, Sarah Scribano

Senior Honors Projects, 2010-2019

English learners (ELs) composed 10% of the American school-age population in the 2014 – 2015 school year. However, only a small percentage of speech language pathologists (SLPs) report feeling well qualified to address the cultural and linguistic needs of ELs. This can be attributed to a number of factors, including inadequate clinical markers, a shortage of developmental data for ELs, and a lack of cultural consideration in standardized assessments. Due to these barriers, SLPs struggle to differentiate between language differences and language disorders and are at risk for over-identifying or under-identifying language impairment (LI) in ELs. Research suggests that a …