Digital Commons Network^™

Formant Frequency Transitions In The Fluent Speech Of Adults Who Do And Do Not Stutter: Testing The Over-Reliance On Feedback Hypothesis, Kaitlin Arnold

Masters Theses

A recent theory proposed by Civier and colleagues (Civer et al. 2010; Civer et al. 2013) developed a model of stuttering that implicates a faulty feedforward control system. The hypothesis suggests that stuttering results from relying too heavily on sensory feedback to guide speech movements. An overreliance on sensory feedback would result in subtle anomalies in fluent speech (such as slowed articulatory transitions) as well as overt stuttering behaviors (such as sound repetitions). The present study tested this general hypothesis by comparing articulatory transition rates of adults who do and do not stutter across casual and fast speech rates. Participants …

Family Planning And Reproductive Health Experiences Of Latina Women In A United States Border City, Erika Ojeda, Margarita Manzo-Casio

Symposium Of University Research and Creative Expression (SOURCE)

Family planning and reproductive health services are essential protective factors against unwanted, unintended, or mistimed pregnancies. However, underserved women such as those who are low-income, uninsured, or geographically or linguistically isolated may not have optimal access to these essential services. This study explores the experiences of Latina women in a United States’ border city in accessing family planning care through focus group discussions. We conducted two focus groups with Latina women of reproductive age in a border town in the United States, n=16. Focus groups were conducted in Spanish and audio recorded for transcription. Two independent bilingual student researchers transcribed …

Health-Related Beliefs, Practices, And Experiences Of Migrant Dominicans In The Northeastern United States, Constance Sobon Sensor

Seton Hall University Dissertations and Theses (ETDs)

Purpose: This study aimed to discover and describe migrant Dominican cultural beliefs and practices related to health, the ways that migrant Dominicans take care of their health in their new environment, and their experience with professional health care in the Northeastern United States.

Design: This descriptive qualitative study was guided by Leininger’s Theory of Culture Care Diversity and Universality and four-phase analysis method. The health-related beliefs, practices and experiences of a convenience sample of 15 self-identified adult Dominicans living in the United States for six months or more were explored in three focus groups, assisted by trained culturally appropriate interpreters. …

Listening With The Eyes And Body: An Artistic Inquiry To Explore The Needs Of Deaf Adults With Chronic Mental Illness, Malorie Mcgee

Creative Arts Therapies Theses

This artistic inquiry illuminated the values, beliefs, and strengths of a small group of members of the Deaf community diagnosed with chronic mental illness, in the hopes of providing quality mental health care and bridging a gap between the hearing and Deaf worlds. The participants included five Deaf or Hard of Hearing adults with chronic mental illness attending a day mental health program. This study explored how I, as a dance/movement therapy student intern and the researcher, can embody Deaf or Hard of Hearing culture and chronic mental illness to express the strengths of the individuals as well as the …

Characterization Of The Older Adult Refugee Population At Thomas Jefferson University’S Center For Refugee Health (Crh), Kathryn Beldowski, Md, Neesha Patel, Md, Brooke Salzman, Md

Department of Family & Community Medicine Presentations and Grand Rounds

Background

• Established in 2007, the CRH has served over 1,000 refugees of all ages as they resettle in Philadelphia, PA.
• Research about refugee populations generally focuses on infectious disease, women’s health, pediatrics and mental health, with minimal research on the older adult refugee population.
• The objective of this study was to describe the characteristics of the older refugee population served by the CRH, focusing on chronic disease, smoking status, immunization and cancer screening rates, and presence of geriatric syndromes.

My Embodied Multiracial Experience, Catherine C. Miller

Creative Arts Therapies Theses

While there is some research on dance/movement therapy (DMT) and people of Color, there is no research specifically on the use of DMT with multiracial people. This heuristic study explored the embodied experience of being multiracial and how that experience could inform the practice of DMT to better meet the possible needs of multiracial clients. The researcher was a 24 year old multiracial female graduate student. Data collection lasted for 12 weeks and consisted of experiences in which the researcher’s multiracial heritage was highlighted. Data was collected through three self-interviews and artistic journaling. The researcher used Forinash’s adapted form of …

Mouth Asymmetries During Infant Babbling: A Brain Lateralization Study, Cecilia Breazile

Senior Honors Projects, 2010-2019

Although babbling is both prevalent and important in the process of language development, it could be argued that we still do not understand the basic nature of babbling. To further our understanding of the nature of babbling we attempted to find evidence for brain lateralization typical of adult speech acts during early babbling. This study examined infant mouth asymmetries during babbling sequences in search of evidence that babbling is an inherently linguistic act as indicated by the lateralization of the brain. Previously recorded videos of 12 infants, all 9 months of age, were examined, 29 images were captured, and a …

The Effects Of Narrative Elicitation Task On The Verb Morphological Patterns Of Younger Adolescents With And Without Specific Language Impairment, Megan T. Taliaferro

Senior Honors Projects, 2010-2019

Specific language impairment (SLI) is one of the most commonly occurring communication disorders (Castrogiovanni (2008)). SLI is an impairment in the language of children, adolescents and adults who show no other impairment such as mental, emotional or physical problems. Individuals with SLI demonstrate normal intelligence as shown by nonverbal Intelligence Quotient (IQ) scores; however, their language skills appear to be worse than their normally achieving (NA) peers. There has been an issue in identifying individuals with SLI. One factor contributing to the identification issues of SLI is the lack of a clinical marker. Although no clinical marker currently …

Does Vestibular Sensory Stimulation, In The Form Of Slow, Linear Swinging, Change The Modes Of Communication Among Children With Autism?, Katherine A. Gallaher

Senior Honors Projects, 2010-2019

The purpose of this study was to determine if children with autism receiving vestibular sensory stimulation (VSS) in the form of slow, linear swinging, had any change or progression in their modes of communication when compared to children with autism who received a free-play period (nVSS) during speech-language (SL) therapy. Over the course of therapy, each child’s response mode was recorded as a gesture, vocalization, gesture + vocalization, or an utterance, and each mode was a dependent variable (DV) in this study. Participants who received VSS treatment were expected to have a greater improvement on the progression of modes, such …

Physical Feature Encoding And Word Recognition Abilities Are Altered In Children With Intractable Epilepsy: Preliminary Neuromagnetic Evidence, Maria Pardos, Milena Korostenskaja, Jing Xiang, Hisako Fujiwara, Ki H. Lee, Paul S. Horn, Anna Byars, Jennifer Vannest, Yingying Wang, Nat Hemasilpin, Douglas F. Rose

Center for Brain, Biology, and Behavior: Faculty Publications

Objective evaluation of language function is critical for children with intractable epilepsy under consideration for epilepsy surgery. The purpose of this preliminary study was to evaluate word recognition in children with intractable epilepsy by using magnetoencephalography (MEG). Ten children with intractable epilepsy (M/F 6/4, mean ± SD 13.4 ± 2.2 years) were matched on age and sex to healthy controls. Common nouns were presented simultaneously from visual and auditory sensory inputs in “match” and “mismatch” conditions. Neuromagnetic responses M1, M2, M3, M4, and M5 with latencies of ∼100ms, ∼150ms, ∼250ms, ∼350ms, and ∼450ms, respectively, elicited during the “match” condition were …

Sound Stimulation In Patients With Alzheimer’S Disease, Amy Clements-Cortés

Music Faculty Publications

Sound stimulation is an important approach to consider when working with patients with Alzheimer’s disease. Both music and other forms of sound stimulation can contribute to improved health and well-being and are often easily implemented in the long-term care (LTC) environment. This paper provides an overview of the two basic approaches to the use of sound with persons in LTC (music therapy and music medicine), as well as a discussion of considerations for implementing various types of sound stimulation in the LTC setting.

Nonverbal Interaction Between Adults And Young Children During Digital And Real Object Play, Breanne M. Witherspoon

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

This study explored the developmental play behaviors and use of nonverbal communication of children that are raised in homes that differ in the amount and kind of digital exposure they have experienced within the first three years of life. Thirty minute videotaped play sessions of seven different children ranging in age from 20 to 30 months who were categorized as having low digital exposure in the home, TV exposure only, or high digital exposure based on a digital use questionnaire completed by parents were coded for the contribution of eye gaze, body positioning, and hand movement engagement to negotiate play …

Understanding Early Intervention Services For Hispanic Children With Autism Spectrum Disorders, Valeria Font Zorrilla

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Clear communication between speech-language pathologists and their clients and client’s families is essential for the success of therapy. A common language between therapist and client also facilitates the exchange of information, however this is not always possible. The purpose of this study was to develop a Fotonovela as an informative tool for Hispanic parents with children in the autism spectrum to use as an early intervention guide, to provide information on therapy services and to promote the understanding between professionals and culturally diverse populations. A Fotonovela is a pamphlet with photographs in the comic-book format that usually depicts a story …

The Inclusion Of Music Therapy In Speech-Language Interventions, Torry Farnell

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to investigate the inclusion of music in speech-language therapy. One hundred practicing speech-language pathologists (SLPs) participated in the study. There was no control for geographic location, length of time as an SLP, or work setting. A questionnaire devised from the research literature that gathered demographic information and the integration of music into speech-language therapy practices was used to gather data. It was electronically distributed via social media by means of a link that remained active for approximately six weeks. Data from the questionnaire was used descriptively to answer the questions of the study. The …

Adapting The Standard Sir Disease Model In Order To Track And Predict The Spreading Of The Ebola Virus Using Twitter Data, Armin Smailhodzic

Masters Theses & Specialist Projects

A method has been developed to track infectious diseases by using data mining of active Twitter accounts and its efficacy was demonstrated during the West African Ebola outbreak of 2014. Using a meme based n-gram semantic usage model to search the Twitter database for indications of illness, flight and death from the spread of Ebola in Africa, principally from Guinea, Sierra Leone and Liberia. Memes of interest relate disease to location and severity and are coupled to the density of Tweets and re-Tweets. The meme spreads through the community of social users in a fashion similar to nonlinear wave propagation- …

Connectionist Perspectives On Language Learning, Representation And Processing., Marc F Joanisse, James L Mcclelland

Brain and Mind Institute Researchers' Publications

The field of formal linguistics was founded on the premise that language is mentally represented as a deterministic symbolic grammar. While this approach has captured many important characteristics of the world's languages, it has also led to a tendency to focus theoretical questions on the correct formalization of grammatical rules while also de-emphasizing the role of learning and statistics in language development and processing. In this review we present a different approach to language research that has emerged from the parallel distributed processing or 'connectionist' enterprise. In the connectionist framework, mental operations are studied by simulating learning and processing within …

Exploration Of Linguistic And Extra-Linguistic Factors In Stroke Knowledge And Emergency Response: Studies Of Input, Output, And Outcome, Laura L. O. Froeschke

Dissertations

This dissertation is comprised of three studies centered on addressing factors that influence stroke knowledge and decision-making during the acute stroke emergency in both general and Hispanic populations. The first study provided data on patterns of explicit stroke knowledge in a sample of 94 Hispanic subjects. This study assessed relationships between stroke knowledge (Stroke Action Test; STAT; Billings-Gagliardi & Mazor, 2005) and subjects’ typical language use (Short Acculturation Scale for Hispanics; Marín, Sabogal, VanOss Marín, Otero-Sabogal, Pérez-Stable, 1987). No relationship was found between language use (Spanish/English) and stroke symptom knowledge. Contrastingly, STAT scores were found to …

Redesigning The Use Of Electronic Health Records In The Exam Room: A Multidisciplinary Approach, Quinton Dean Fletchall

Theses - ALL

Utilizing video-recordings and transcriptions of actual clinical interactions, as well as interviews with patients and physicians, this thesis analyzes how the use of electronic health records, and the information found within them, impact doctor-patient interaction and, in effect, notions of patient-centered care. ‘Patient centered care,’ a major area of focus in doctor-patient communication literature, is a style of interaction where the patient is put first and their concerns and feelings are given priority over the ‘biomedical agenda’ by the doctor. Using a multidisciplinary approach between language and social interaction and industrial and interaction design, this thesis proposes possible changes to …

Grammatical Morphology In A Child With Autism, Katherine Ball

Honors Capstones

No abstract provided.

Dreams And Identity: A Self-Study Using Dream Imagery And Analysis To Explore Relationships And Identity Development, Jasmine S. Jackson

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

For this self-study, I explored the use of art-making and reflective writing in the analysis of my dreams over a nine-week period. A review of the literature discussed the historical and contemporary use of dreams and their relevance to art therapy and counseling. The importance of self-awareness for emerging art therapists was highlighted, as well as the use of dreams, journaling, and art-making to facilitate this process. The results showed that working with dream imagery helped me gain insight on depression, fear, relationships, communication patterns, and sexual identity. Art-making and reflective writing were effective tools for analyzing dreams, identifying problems …

Art Therapy With A Patient With Schizoaffective Disorder, Caroline Cheslak

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

People with disorders on the schizophrenia spectrum require treatment and care which are often needed for the duration of that person's life. While medication and traditional therapy are somewhat effective, some symptoms of the disorder often remain. In addition, there are often difficulties in the treatment of this population, which include non-compliance, lack of insight about the disorder and treatment, and distrust of the therapist. Research suggests that art therapy is somewhat effective in the treatment of some of the symptoms of disorders on the schizophrenia spectrum such as low sense of self, the effect of negative stigma, negative symptoms, …

Clinical Case Report: Art Therapy Treatment Of An Adolescent With Autism Spectrum Disorder In An Educational Setting, Alyssa Spjut

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

Children and adolescents having a diagnosis that affects their development and social interactions, such as ASD, face many challenges in a school setting. These challenges can include socially appropriate interactions with their peers, disruptive behaviors, language and intellectual impairments, sensory integration problems, understanding emotional responses, and learning skills (Bellini, 2004; Brereton, Tonge & Einfeld, 2006). Specific art therapy interventions, processes, and materials can provide motivating and engaging opportunities for individuals with ASD to increase social and emotional skills and it addresses individuals’ psychological needs (Martin, 2009b). This clinical case report will describe the assessment and treatment of a 12-year-old male …

A Self-Study On The Use Of Dreams In Self-Reflective Process To Foster Art Therapist Professional Identity In Graduate School, Ramsi M. Metzger

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

This exploratory self-study utilized the tool of dream journaling along with visual and written reflections to record my art therapy and counseling graduate school experience in order to foster professional identity development. Visual reflections on dream journals were created weekly during an eight-week period. Qualitative data, including eight visual reflections and corresponding written haiku responses and artist statements, were analyzed in order to extract patterns and themes from my overall experience. Dream journaling combined with the reflection process was found to foster professional identity development through personal growth and insight.

Localizing The International: Examining How Fieldworkers Combat Adolescent Pregnancy In Northern Ghana, Alexandra C. Sloss

Renée Crown University Honors Thesis Projects - All

International aid is often ineffective because it is delivered without an understanding of local ideologies and contexts. My Capstone examined whether or not international aid in northern Ghana could be effective when addressing adolescent pregnancy. The Ghanaian programs I address in my Capstone are six non-governmental organizations, a government sub-district clinic and government junior high schools. The majority of my data was collected through interviews with individuals at all levels of the organizations, including directors, staff members, volunteers and individuals seeking the organization’s services. Alongside interviews I also spent time in the field, participating in youth group discussions, visiting regional …

Speech Reading Training And Audio-Visual Integration In A Child With Autism Spectrum Disorder, Kara L. Saulsbury

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Children with Autism Spectrum Disorder (ASD) typically have deficits in communication abilities. Deficits include social, linguistic, and pragmatic difficulties and difficulties in the ability to perceive and integrate audiovisual (AV) stimuli. It is also common for those with ASD to have weaker speech reading skills as compared to typically developing, age-matched peers. Speech reading skills are known to enhance speech perception in naturalistic, noisy environments. In children with ASD, the combination of both poor AV integration and poor speech reading is thought to have significant effects on vocabulary acquisition. Studies have demonstrated that speech reading training can significantly enhance syllable …

Examining Factors Used By Students To Select A Major In Communication Sciences And Disorders, Mackenzie Mccartney

Master's Theses or Doctor of Nursing Practice

There is a shortage of practicing speech-language pathologists (SLP) and this is not improving. Within the profession, this shortage is felt mostly in a public school. This study explored factors used by graduate students to decide about their profession and applying the knowledge of these factors to the recruitment process. Specifically, this study looked at the following questions: 1. What are the current factors that influence the selection of communication sciences and disorders as a major? 2. Was there a particular person influencing the decision to major in communication sciences and disorders? 3. What prompted students to enter into their …

Assessing Quality Of Life, Psychological Well-Being And Depression In Hispanic American Women: Does Cultural Competence Matter?, Elizabeth T. Alvarez

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Thesis Title: Assessing Quality of Life, Psychological Well-Being and Depression in Hispanic American Women: Does Cultural Competence Matter? ABSTRACT BACKGROUND: Hispanic people are at an elevated risk of developing depression as compared to any other racial and ethnic groups in the United States. Hispanic women, in particular, experience depression at roughly twice the rate of Hispanic men. The projected growth of the Hispanic population coupled with the high prevalence of depression among Hispanic women will exacerbate this already serious public health conundrum if targeted and culturally competent interventions are not tailored to better tackle this illness. OBJECTIVE: The purpose of …

Precoding And The Accuracy Of Automated Analysis Of Child Language Samples, Rachel Christine Winiecke

Theses and Dissertations

Language sample analysis is accepted as the gold standard in child language assessment. Unfortunately it is often viewed as too time consuming for the practicing clinician. Over the last 15 years a great deal of research has been invested in the automated analysis of child language samples to make the process more time efficient. One step in the analysis process may be precoding the sample, as is used in the Systematic Analysis of Language Transcripts (SALT) software. However, a claim has been made (MacWhinney, 2008) that such precoding in fact leads to lower accuracy because of manual coding errors. No …

Dysarthria: A Study Of Effects On Communication, Casey Johnsen

Senior Honors Projects

Dysarthria is an impairment characterized by slow, weak, and imprecise muscle movements that affect one’s speech and communication. The specific characteristics of dysarthria vary depending on the site and extent of the lesion. Some general examples include articulatory-resonatory incompetence, imprecise consonants, distorted vowels, hypernasality, low pitch, harshness, strained-strangled voice and prosodic disturbances including slow rate. Dysarthria can be found in both children and adults, and is caused by neurologic disorders such as stroke, Down syndrome, cerebral palsy, Parkinson’s disease, or muscular dystrophy. Dysarthria can negatively impact one’s social participation. The extra effort it takes to speak and the frustration of …

Cultural Humility: A Lifelong Process For Professional Nurses, Jenny Adelstein

Senior Honors Projects

Cultural humility is necessary for all nurses in order to provide the best quality patient care. It is a life-long process of self-reflection and self-critique, which allows nurses to examine differences and similarities between their own beliefs, values, and health care goals with those of their patients (Schuessler et al., 2012). Cultural humility helps nurses to recognize potential differences in the meaning of health and wellness among their patients, and to begin to understand the many challenges to accessing quality health care. Cultural immersion programs is one educational strategy to allow nursing students to develop cultural humility through acquiring critical …