Digital Commons Network^™

Relationship Between Individuals With A Brain Injury And Their Paid Caregivers: A Grounded Theory, Barbara Nadeau

Educational Studies Dissertations

Recent federal rulings have led to an increasing population of individuals with disabilities receiving support services from paid caregivers in their communities rather than in institutions. Paid caregivers are strangers who enter an individual's life and often spend prolonged periods of time in a one to one relationship with an individual. The dynamics between an individual and a paid caregiver are quite different than those between healthcare workers and patients in institutional settings or between an individual and a family caregiver. Constructivist Grounded Theory methodology was used to explore the perceptions of individuals with brain injury and their paid caregivers …

Detecting Well-Being In Digital Communities: An Interdisciplinary Engineering Approach For Its Indicators, Margeret A. Hall

Interdisciplinary Informatics Faculty Publications

In this thesis, the challenges of defining, refining, and applying well-being as a progressive management indicator are addressed. This work's implications and contributions are highly relevant for service research as it advances the integration of consumer well-being and the service value chain. It also provides a substantial contribution to policy and strategic management by integrating constituents' values and experiences with recommendations for progressive community management.

A Public Duty: Medicine And Commerce In Nineteenth-Century American Literature And Culture, Heather E. Chacon

Theses and Dissertations--English

Using recent criticism on speculation and disability in addition to archival materials, “A Public Duty: Medicine and Commerce in Nineteenth-Century American Literature and Culture” demonstrates that reform-minded nineteenth-century authors drew upon the representational power of public health to express excitement and anxiety about the United States’ emerging economic and political prominence. Breaking with a critical tradition holding that the professionalization of medicine and authorship served primarily to support and define an ascending middle class, I argue that the authors such as Robert Montgomery Bird, Fanny Fern, George Washington Cable, and Pauline Hopkins fuse the rhetoric of economic policy and public …

Dialect And Word Learning: Are Phonological Properties Maintained When Dialectal Influence Changes Word Meaning?, Heather C. Iwinski

Theses and Dissertations--Communication Sciences and Disorders

Word learning requires the accurate encoding and decoding of a word’s phonological and semantic properties. Errors in establishing an accurate phonemic-semantic connection can hinder accurate word comprehension and use. Geographical location, culture, and ethnicity can affect the phonology used by a speaker referred to as dialect. African American Vernacular English (AAVE) is one of the most commonly used dialects in the United States. In addition to grammatical changes AAVE is characterized by phonemic changes. The current study sought to determine the effects of AAVE use on the receptive and expressive learning of nonsense words that differ in meaning as noted …

A Combination Of Therapeutic Techniques: Severe Broca's Aphasia, Kimberly Ann Homan

All Graduate Theses, Dissertations, and Other Capstone Projects

The effects of Modified Melodic Intonation Therapy for a fifty-nine year old adult with severe Broca's aphasia were examined. Intervention included inner rehearsal and first sound practice to potentially increase initiation abilities. Pre and post self-assessments were used to evaluate self-awareness. Six target phrases (four three-syllable phrases and two two-syllable phrases) were treated over the course of fifteen weeks with two one-hour sessions per week. Results showed an increase in the participant's ability to produce the target phrase. Inner rehearsal proved to be an initiation strategy that met functional needs of the participant in a timelier manner; on the other …

Alcohol Sale Status And Violent Deaths In Kentucky, Usa: 2005-2012, Hanan Abdulghafoor Khaleel

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Alcohol is one of the major public health problems worldwide because of its association with many health and psychological problems. This study adds to the extant literature by examining the association between being a resident in a wet county and having an alcohol related violent death, an alcohol related suicide, or an alcohol related homicide victimization.

The first aim of this study is to determine whether residents of wet counties have a higher odds of alcohol related violent deaths than residents of dry/moist counties after adjusting for other confounding factors. The second aim is to determine whether residents of wet …

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

ETSU Faculty Works

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

Paraprofessionals' Experiences And Understandings Of The Maternal Infant Health Outreach Worker Program (Mihow) In West Virginia, Amy Knell Carlson

Theses, Dissertations and Capstones

MIHOW, the Maternal Infant Health Outreach Worker Program, is a parent-to-parent home visitation program that aims to enhance early childhood development and parent education in economically disadvantaged and geographically isolated families with children birth to three. This qualitative case study conducted in two rural Appalachian counties examined the perceptions and experiences of paraprofessionals who are trained and work as home visitors in the MIHOW Program. Findings were interpreted in relation to extant literature on the use of paraprofessionals in home visitation. Three themes emerged from the data. The first theme related to the use of a strength-based approach and how …

Iowa Conference On Communicative Disorders [Program, 2015], Iowa Conference On Communicative Disorders

Iowa Conference on Communicative Disorders Programs

The Iowa Conference on Communicative Disorders provides continuing education activities in speech- language pathology that are acceptable to the State of Iowa and the American Speech-Language and Hearing Association. Areas of emphasis include adults and pediatrics.

Physicians' Perceptions Of Cultural Competence In Health Care, Andrea L. Abercrombie

MUSC Theses and Dissertations

Health care disparities continue to impact racial and ethnic minorities in the United States. These disparities may become even more predominant as the population of immigrants and racial and ethnic minorities increases in the country. Health care policymakers, administrators, accreditation bodies, and academia support the practice of cultural competence as a strategy to reduce both health and health care disparities among racial and ethnic minority populations. Yet, although cultural competence strategies have been developed and supported, they are often not implemented by physicians. Researchers need to explore physicians' perspectives of cultural competence in order to increase physician engagement and inform …

Patient- And Family-Centered Care Of Children In The Emergency Department., Nanette Dudley, Alice Ackerman, Kathleen M. Brown, Sally K. Snow, American Academy Of Pediatrics Committee On Pediatric Emergency Medicine, American College Of Emergency Physicians Pediatric Emergency Medicine Committee, Emergency Nurses Association Pediatric Committee., Gregory P. Conners

Manuscripts, Articles, Book Chapters and Other Papers

Patient- and family-centered care is an approach to the planning, delivery, and evaluation of health care that is grounded in a mutually beneficial partnership among patients, families, and health care professionals. Providing patient- and family-centered care to children in the emergency department setting presents many opportunities and challenges. This revised technical report draws on previously published policy statements and reports, reviews the current literature, and describes the present state of practice and research regarding patient- and family-centered care for children in the emergency department setting as well as some of the complexities of providing such care.

Core Interprofessional Education (Ipe) Health Competencies: The Process Of Adaptation And Implementation For A Local Environment, Bradley Johnson, Myriam Abi Hayla, Peter J Jewesson, Carolyn Byrne, Mohamed El-Tawil, Mohamud A. Verjee

All Works

IPE: Interprofessional Healthcare Education (IPE) competencies provide the criteria against which to measure the capacity and capability of fully collaborative healthcare teams to learn and work together. Significant work already exists in the determination of IPE competencies across all disciplines. Although there is still a lack of agreement on a single set of shared core competencies, successive competency iterations enhance its development. IPE competencies need to take into account local and cultural contexts as recommended by WHO, (2010). Here we present a collaborative process that builds on existing competency development, assessing additional academic IPE needs. Core competencies: After the development …

The Impact Of Multicultural Education Course On Therapist Cultural Competence, Gemma Cosky Saxon

Occupational Therapy Capstones

"The need for culturally skilled occupational therapists (OTs) has been documented for years" (Wittman & Velde, 2002). In 2009, Cherry, Kitchens, Nicholson, Soden, Tomkiewicz, Kedia & Shah found that 32.8% of their respondents did not know about the demand for culturally competent occupational therapy (OT) services and cultural factors that could influence a client's occupational performance. Of this group 55-85% rated themselves as having limited awareness.

The purpose of this proposed study was to assess the effectiveness of the University of North Dakota (UND) OT multicultural course in preparing graduates toward cultural competence. The assessment was then compared to the …

Fostering Reading, Writing, And Communication Skills Through Intergenerational Relationships: An After-School Program, Cynthia Nelson, Laurel Prusak

Occupational Therapy Capstones

Intergenerational programs are known to bring older adults together with children in order to promote social inclusion, and increased self-confidence and motivation for both age groups (Hatton-Yeo, 2010). Programs of this nature have proven to influence greater academic outcomes and school performance, decreased criminal behavior and greater personal adaptability in younger populations (Hatton-Yeo, 2010). Research with community dwelling seniors who participated in intergenerational programs indicated that older adults showed a decrease in depressive symptomology after participating in weekly programming (Kamei et. al., 2011). While the outcomes of these studies clearly identify the benefits of intergenerational programming on both youth and …

Child Rights And Social Justice Framework For Analyzing Public Policy Related To Hpv Vaccine, David Wood, Rita Nathaward, Jeffrey L. Goldhagen

ETSU Faculty Works

Human papilloma virus (HPV) is the most common viral infection of the reproductive tract and a well-established cause of cervical, anal, and oropharyngeal cancers in both women and men worldwide. Despite data that supports HPV vaccine as an effective measure to prevent such cancers, vaccine uptake has not been optimal in many countries. In the United States (US) for example, rates have stagnated over the past few years and only one-third of adolescents are fully immunized, in contrast to other adolescent vaccines such as Tdap and meningococcal that have double the rates of uptake. Current approaches to HPV vaccine education …

Communication Sciences And Disorders (Csd) Graduate Students' Preparedness To Work With Individuals Who Are Bilingual, Elizabeth M. Harbaugh

Honors Theses

This study addresses the overall competence of Communication Sciences and Disorders (CSD) graduate students working with individuals who are bilingual. It examined the different CSD graduate programs in the United States and identified key variables that lead to students' preparedness. The author surveyed 238 individuals, consisting of first and second year graduate students and individuals working in their clinical fellowship from 30 different graduate programs. The data were collected from both Mississippi and the total population and were compared as an example of possible future research pertaining to SLP preparedness needed when working with individuals who are bilingual. The results …

Hesitation Rate As A Speaker-Specific Cue In Bilingual Individuals, Jamie Lynn Armbrecht

USF Tampa Graduate Theses and Dissertations

Hesitation use is common among all speakers, regardless of whether they are engaged in their dominant or non-dominant language (Fehringer & Fry, 2007; Reed, 2000). The question is whether a bilingual speaker will engage in the same types of hesitations in both languages. If hesitation patterns can be identified consistently across speakers regardless of language, their use as an acoustic cue for speaker identification may be possible. This study examines differences in hesitation use across languages and speaking contexts (reading vs. conversation) in bilingual speakers.

Twenty Spanish-English bilinguals (ages 19 -31 years) were tested as part of a larger speaker …

Anticipatory Coarticulation And Stability Of Speech In Typically Fluent Speakers And People Who Stutter Across The Lifespan: An Ultrasound Study, Alissa Joy Belmont

USF Tampa Graduate Theses and Dissertations

This study uses ultrasound to image onset velar stop consonant articulation in words. By examining tongue body placement, the extent of velar closure variation across vowel contexts provides for the measurement of anticipatory coarticulation while productions within the same vowel context provide measurement of extent of token-to-token variation. Articulate Assistant Advanced 2.0 software was used to semi-automatically generate midsagittal tongue contours at the initial point of maximum velar closure and was used to fit each contour to a curved spline. Patterns of lingual coarticulation and measures of speech motor stability, based on curve-to-curve distance (Zharkova, Hewlett, & Hardcastle, 2011), are …

Latino Immigrant Workers’ Search For Justice After Occupational Injury, Carla Gabriela Castillo

USF Tampa Graduate Theses and Dissertations

Latino immigrants encounter an entanglement of rights and policies after occupational injury or illness. In collaboration with an immigrant worker center, ethnographic research and a survey are used to analyze injured workers’ experiences. The center uses survey results to identify common threads and systematic problems, and to explore potential direct action. Through interviews with workers and medical and legal professionals, I investigate the barriers Latino immigrants face following occupational injury or illness, how their lived experiences relate to the greater medicolegal frameworks that demarcate most formal processes of compensation and treatment, and the experiences of professionals who mediate these structures. …

Pathogenic Policy: Health-Related Consequences Of Immigrant Policing In Atlanta, Ga, Nolan Sean Kline

USF Tampa Graduate Theses and Dissertations

Multilayered immigration enforcement regimes comprising state and federal statutes and local police practices demand research on their social and health-related consequences. This dissertation explores the multiple impacts of immigrant policing: sets of laws and police activities that make undocumented immigrants more visible to authorities and increase their risk of deportation. Examining immigrant policing through a multi-sited framework and drawing from principles of engaged anthropology, findings from this dissertation suggest how immigrant policing impacts undocumented immigrants' overall wellbeing, health providers' professional practice, and reveals troubles with safety net medical care. Interviews and participant observation experiences suggest how immigrant policing perpetuates a …

Investigating The Effect Of Photographic Representations On Scores Of The Stroke And Aphasia Quality Of Life Scale-39 For People With Moderate To Severe Aphasia, Samantha Studrawa

LSU Master's Theses

Background: The Stroke and Aphasia Quality of Life-39 (SAQOL-39) is a valid and reliable measure of quality of life (QOL) for stroke survivors and people with mild-to-moderate aphasia However, it could not be validated for people with severe aphasia due to their language deficits. Research has shown that combining pictures with written text can support communication effectiveness of people with aphasia. Combining language modalities in this way is a form of alternative or augmentative communication (AAC). The use of AAC has been explored as a possibility to improve communication for people with severe aphasia (Dietz, McKelvey & Beukelman, 2006). Aim: …

The Neurological Underpinnings Of Hypnosis And Its Clinical Applications, Raizy Leizerowski

The Science Journal of the Lander College of Arts and Sciences

The brain is so complex that it is almost impossible to select one variable as the reason for a specific observation. This paper will discuss the neurological basis of hypnosis, and how hypnosis has made unique contributions to the refinement and development of cognitive neuroscience. In addition, hypnosis has been proven to cure many psychological and neurologically based diseases. Due to in-depth study of the neurological underpinnings of hypnosis, much advancement has been made in elucidating the relationship between the complex neural circuitry of the brain, its direct correlation to consciousness, and both the efferent and afferent neurological systems. New …

Psychometric Evaluation Of Lexical Diversity Indices: Assessing Length Effects, Gerasimos Fergadiotis, Heather Harris Wright, Samuel B. Green

Speech and Hearing Sciences Faculty Publications and Presentations

Purpose—Several novel techniques have been developed recently to assess the breadth of speaker’s vocabulary exhibited in a language sample. The specific aim of this study was to increase our understanding of the validity of the scores generated by different lexical diversity (LD) estimation techniques. Four techniques were explored: D, Maas, Measure of Textual Lexical Diversity (MTLD), and the Moving Average Type Token Ratio (MATTR).

Method—Four LD indices were estimated for language samples on four discourse tasks (procedures, eventcasts, story retell, and recounts) from 442 neurologically intact adults. The resulting data were analyzed using structural equation modeling.

Results—The scores on the …

Construct Validity Of The Developmental Test Of Visual-Perception Third Edition (Dtvp-3) In Western Australian Primary School Children, Kirsten Clarke

Theses : Honours

Visual perception is the ability to identify, organise, make meaning of and provide sense to what is seen in the world in which we live. Visual perceptual skills continuously develop in primary school children as seen in academic performance. If visual perceptual difficulties are unaddressed, the cumulative academic result can be detrimental throughout life. Thus, visual perceptual difficulties must be identified using tests that possess sound measurement properties to allow for early intervention. The purpose of the research was to determine the construct validity of the Developmental Test of Visual Perception Third Edition (DTVP-3). The DTVP-3 was designed and standardised …

The Challenges And Perceptions Of Raising A Child Who Uses Aac: A Review Of The Literature, Rachel M. Mikolay

Williams Honors College, Honors Research Projects

The purpose of this review was to examine the perceptions of parents and caregivers on raising a child who uses augmentative and alternative communication (AAC). Factors and overarching themes in existing literature affecting parent’s perceptions were examined and condensed in this review. Seven research studies were chosen for analysis. A variety of common perspectives were found in the research and the conclusions relating to caregiver challenges and thoughts on AAC were categorized, including four thematic categories: problems with the AAC system; barriers to learning AAC; societal, family, and professional influences; and differences among individuals who use AAC. Information gained in …

Evaluating The Relationship Between Diadochokinesis And Severity Of Dysphagia As It Relates To Forced Vital Capacity In Individuals With Amyotrophic Lateral Sclerosis, Arthur Franklin Knack

Wayne State University Dissertations

Purpose: To determine if the severity of dysphagia, as determine by Penetration Aspiration Scale (PAS) ratings and pharyngeal residue scale ratings in individuals with ALS, can be predicted through performance on diadochokinesis (DDK) and force vital capacity (FVC) measures.

This study was designed to evaluate differences in performance of clinical measures and objective swallowing severity ratings between individuals with ALS and a Control group of similar age. The goal of this study was to attempt to develop a clinical assessment battery that can predict swallowing impairment in ALS patients. In addition, potential predictive relationships between dysphagia ratings and other commonly …

Identifying Speech-Language Pathologists' Current Perceptions And Practice Patterns, Mary Margaret Griffith

Online Theses and Dissertations

A web-based survey was collected and analyzed from 39 speech-language pathologists (SLP) contacted through the American Speech-Language-Hearing Association's (ASHA) Special Interest Groups #2 and #4 as well as members of the American Board of Fluency and Fluency Disorders (ABFFD) via email regarding their current perceptions and clinical practice patterns with individuals with neurogenic and psychogenic stuttering. Participants reported using a battery of assessments and a variety of treatment approaches to diagnose neurogenic and psychogenic stuttering in addition to traditional fluency assessments and fluency enhancing techniques. Participants rated themselves as having more knowledge and experience with neurogenic stuttering than psychogenic stuttering. …

From Bibles To Biomarkers: The Future Of The Dsm And Forensic Psychiatric Diagnosis, Teneille R. Brown

Utah Law Faculty Scholarship

Given its importance to the law, it is regrettable that judges and lawyers do not fully understand how the DSM is constructed, and the bedrock of values on which it rests. As evidence of this, lawyers and judges often refer to the DSM as the “psychiatric bible.” This language is both fascinating and perplexing. This Article will attempt to correct the notion that the DSM is a legal “psychiatric bible” by explaining how it is created and used by the medical field. It will also provide a few reasons why the law may have come to view it as a …

Neural Correlates Of Verb Argument Structure Processing, Svetlana Malyutina

Theses and Dissertations

Verb argument structure (VAS) is pivotal to sentence production and comprehension, since it determines participant roles, as well as their grammatical form and syntactic position in a sentence. Neural correlates of VAS processing have mainly been studied in terms of the number of arguments. Data on the neural and behavioral effects of other VAS characteristics are limited, whereas they would have implications for behavioral and brain stimulation treatments of language disorders.

The present research investigated behavioral and neural effects of three understudied VAS characteristics (number of subcategorization options, number of thematic options and number of number-of-argument options) in single-word-level and …

Eye Movements Of Individuals With Aphasia During Reading And Scene Viewing, Kimberly G. Smith

Theses and Dissertations

Purpose: This project characterized eye movements of individuals with aphasia and age-matched participants during reading and scene viewing.

Methods: Individuals with aphasia (N=24) and age-matched controls participants (N=24) completed three eye tracking studies. Study 1 examined task-related changes in eye movements for scene search, scene memorization, text-reading, and pseudoreading. Ex-Gaussian, analysis of variance, and correlational analyses were used to compare differences in eye movements across tasks and participant groups. Study 2 examined how oculomotor and linguistic processing influence eye movements for textreading and pseudo-reading. In addition to the statistical analyses used in Study 1, four case studies were carried out …