Digital Commons Network^™

Online Healthy Lifestyle Support In The Perinatal Period: What Do Women Want And Do They Use It?, Lydia A. Hearn, Margaret R. Miller, Anna Fletcher

Research outputs 2013

Unhealthy weight gain and retention during pregnancy and postpartum is detrimental to mother and child. Although various barriers limit the capacity for perinatal health care providers (PHCPs) to offer healthy lifestyle counselling, they could guide women to appropriate online resources. This paper presents a project designed to provide online information to promote healthy lifestyles in the perinatal period. Focus groups or interviews were held with 116 perinatal women and 76 PHCPs to determine what online information perinatal women and PHCPs want, in what form, and how best it should be presented. The results indicated that women wanted smartphone applications (apps) …

Metaphor Use In Interpersonal Communication Of Body Perception In The Context Of Breast Cancer, Jennifer Mary Fillion

Dissertations and Theses

Female breast cancer patients are often confused, frustrated, and devastated by changes occurring in their bodies and the treatment process. Many women express frustration and concern with the inability to know what the next phases of their life will bring. Previous research also states that many women struggle to communicate with others about treatment as well as side effects. This research examined how woman are use metaphors to describe their experience with breast cancer, specifically throughout the treatment period related to body image struggles. I qualitatively conducted interviews with women who were either currently in treatment or just finishing. My …

The Effectiveness Of Systematic And Engaging Early Literacy (Seel) Intervention On Word Reading In Kindergarten Students Receiving Tier 3 Services, Christina Haley Cole

Theses and Dissertations

This study evaluated the effectiveness of the Systematic and Engaging Early Literacy (SEEL) intervention method to improve consonant-vowel-consonant (CVC) reading in four students receiving Tier 3 services. The SEEL intervention method was also combined with the use of digital books on an iPad to investigate the effects of using technology in reading intervention sessions. Previous research indicates effectiveness for the foundational principles of SEEL, which include instruction in engaging, meaningful contexts that provide frequent and intense opportunities to practice. This research involved 4 kindergarten students who qualified for Tier 3 services based on their performance on an index of difficulty …

Social Networks Of Children With Language Impairment, Serena Marita Louisa Mickelson

Theses and Dissertations

Children with language impairment (LI) often exhibit social difficulties along with language issues that can affect their friendships with peers. This study sought to identify the self-reported social networks of children with LI and compare them to the self-reported social networks of children with typical language development. Sixteen children with LI (9 girls and 7 boys) between the ages of 5-11 years, and sixteen children with typical language development matched for age and gender were studied. Children were asked to name interactants in four social circles (Blackstone & Hunt Berg, 2003): family, friends, acquaintances, and paid interactants. A parent also …

Best Practice Use To Address Tobacco-Related Disparities By California Community Coalitions, Rodney K. Mccurdy

Frontiers in Public Health Services and Systems Research

Tobacco-related disparities (TRDs) are a major public health concern. This study surveyed community tobacco coalition project directors in California to determine the usage of 11 CDC-published best practices to address TRDs. Response rate was 80 percent. Communities had implemented, on average, one-half of the 11 practices surveyed. Differences were observed between rankings for best practice implementation and perceived level of importance in addressing TRDs in the community. Resource constraints and community context were the highest reported barriers to best practice use. Study findings could assist tobacco program officials and local coalitions in addressing TRDs in their communities.

Brittany Bernal - Sensorimotor Adaptation Of Vowel Production In Stop Consonant Contexts, Brittany A. Bernal

Ronald E. McNair Scholars Program 2013

The purpose of this research is to measure the compensatory and adaptive articulatory response to shifted formants in auditory feedback to compare the resulting amount of sensorimotor learning that takes place in speakers upon saying the words /pep/ and /tet/. These words were chosen in order to analyze the coarticulatory effects of voiceless consonants /p/ and /t/ on sensorimotor adaptation of the vowel /e/. The formant perturbations were done using the Audapt software, which takes an input speech sample and plays it back to the speaker in real-time via headphones. Formants are high-energy acoustic resonance patterns measured in hertz that …

An Automated Procedure For Detecting Human Frequency-Following Responses To Voice Pitch, Fuh Cherng Jeng, Jiong Hu

All Faculty Scholarship

The frequency-following response (FFR) to voice pitch has been widely examined in research laboratories and has demonstrated its potential to be transformed into a useful tool for patients with hearing, speech, and language disorders in the clinic. During the past decade, many aspects of the FFR have been reported. The presence of such a response, however, still relies on subjective interpretation of the observer. Aside from a recent study reporting two algorithms for detecting such a response, there has been limited number of studies reporting the development of an automated procedure for FFR. The purpose of this study is (1) …

The Effect Of Age On Speech Motor Performance During Divided Attention, Dallin J. Bailey

Theses and Dissertations

The present study examined the divided attention effects of three non-speech tasks on concurrent speech motor performance. These tasks targeted linguistic, cognitive, and manual motor activity. Participants included 60 healthy adults separated into three different age groups of twenty participants each: college-age (20s), middle-aged (40s), and older adults (60s). Each participant completed a speech task once in isolation and once concurrently with each of the three non-speech tasks: a semantic decision task, a quantitative comparison task, and a manual motor task. The non-speech tasks were also performed in isolation. The speech task involved repeating a target phrase each time a …

Automated Identification Of Relative Clauses In Child Language Samples, Erika E. Ehlert

Theses and Dissertations

Relative clauses are grammatical constructions that are of relevance in both typical and impaired language development. Thus, the accurate identification of these structures in child language samples is clinically important. In recent years, computer software has been used to assist in the automated analysis of clinical language samples. However, this software has had only limited success when attempting to identify relative clauses. The present study explores the development and clinical importance of relative clauses and investigates the accuracy of the software used for automated identification of these structures. Two separate collections of language samples were used. The first collection included …

Brain Imaging Of Event Related Potentials In Children With Language Impairment, Hillary Ann Benton

Theses and Dissertations

Event related potentials (ERPs) may provide specific information about how particular aspects of language are processed by the brain over time. This study investigated the electrophysiology of language processing in two children with language impairment (LI) when compared to five typically developing children. The N400, P600, and the early left anterior negativity (ELAN) were analyzed after participants listened to linguistically correct, syntactically incorrect, and semantically incorrect sentences. Participants were instructed to indicate whether the sentences were correct or incorrect. Latency and amplitude of the ERP components were compared between the two groups of participants and sentence types. Results from the …

The Effectiveness Of Using Electropalatography To Remediate A Developmental Speech Sound Disorder In A School-Aged Child With Hearing Impairment, Kristina Lynne Pickett

Theses and Dissertations

Advances in instrumentation and computer technology such as electropalatography (EPG) have offered additional types of feedback to more traditional therapy for individuals with speech disorders, specifically those with hearing impairment. The purpose of this study was to document whether therapeutic integration of EPG visual feedback in combination with traditional articulation therapy for a school-aged child with an articulation disorder secondary to hearing impairment was more effective than traditional therapy alone. One participant received five sessions of each therapy approach. Six adult listeners rated the quality of the participant's production of /r/ in words recorded during the therapy sessions. The EPG …

Examining Nervios Among Immigrant Male Farmworkers In The Micasa Study: Sociodemographics, Housing Conditions And Psychosocial Factors, Maria Stoecklin-Marois, Marc Schenker, Kathleen A. O'Connor

Nursing Faculty Publications

Nervios is a culturally defined condition of psychological stress with important implications for Latino health. Using epidemiological research methods, we examined the prevalence of nerviosand associated risk factors, including drug and alcohol use, acculturation, and housing conditions in a population-based study of farm worker families in Mendota, CA (the MICASA Study). A household enumeration procedure was used for sampling, and 843 individuals were interviewed in 2006–2007. In this analysis, we present data on 422 men, 381 accompanied (family) males and 41 unaccompanied males. The prevalence of nervios was 22 %, with no difference in prevalence by household status. Low …

Behavioral Inhibition And Childhood Stuttering., Victoria Tumanova, Dahye Choi, Edward G. Conture, Tedra A. Walden, Warren E. Lambert

Communication Sciences and Disorders - All Scholarship

Purpose—The purpose of this study was to assess the relation of behavioral inhibition to stuttering and speech/language output in preschool-age children who do (CWS) and do not stutter (CWNS).

Method—Participants were preschool-age (ages 36 to 68 months), including 26 CWS (22 males) and 28 CWNS (13 males). Participants’ behavioral inhibition (BI) was assessed by measuring the latency to their sixth spontaneous comment during conversation with an unfamiliar experimenter, using methodology developed by Kagan, Reznick, and Gibbons (1989). In addition to these measures of BI, each participant’s stuttered and non-stuttered disfluencies and mean length of utterance (in morphemes) were assessed.

Results—Among …

Validity And Reliability Testing: Urdu Translated Modified Response To Symptoms Questionnaire, Saleema Allana, Tazeen S. Ali, Khurshid Khowaja, Aamir Hameed, Debra Kay Moser

School of Nursing & Midwifery

Objective: To determine validity and reliability of the Urdu translated, modified "Response to symptoms questionnaire" (RSQ) among acute coronary syndrome (ACS) patients in Karachi.
Study Design: A qualitative, tool validation study.
Place and Duration of Study: Two tertiary care hospitals in Karachi, the Aga Khan University Hospital, Karachi and the Karachi Institute of Heart Diseases, from December 2010 to April 2011.
Methodology: After making certain modifications, the original tool in English was translated into Urdu. Next, five cardiology experts evaluated the tool for its content and face validity. Test retest and inter rater reliabilities were computed for the RSQ using …

Family Acculturation And Asthma Outcomes In Latino Children, Tania M. Barreno

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Asthma is the primary chronic disease diagnosed in children. California has had some of the highest asthma prevalence rates within the nation. The literature indicates that there is a poor understanding of asthma outcome and management. However, studies exploring the role of acculturation on such outcomes are limited. Thus, the goal of this research was to conduct a secondary analysis of the Child Questionnaire from the California Health Interview Survey (CHIS) 2007 and 2009 cross-sectional data to explore the determinants of asthma outcomes as it relates to family acculturation.

Methodology: The quantitative data were analyzed using Stata. Descriptive statistics, …

Stress, Depression, Quality Of Life, And Language Recovery In Constraint Induced Aphasia Therapy (Ciat), Brian Sharp

Loma Linda University Electronic Theses, Dissertations & Projects

Traditional aphasia treatment approaches focus initially on restoration of language, but quickly move to use of alternative modes of communication when progress is slow. Constraint Induced Aphasia Therapy (CIAT), a more intensive form of treatment, is based on the concept of frequent, long sessions and forced use of the impaired language system. Prior to the present study, the relationship between CIAT and stress had not been explored; therefore, this study compared cortisol stress levels and improvement of language skills in two groups of subjects, all of whom presented with expressive aphasia. Ten subjects participated in CIAT, and received 10 days …

A Discursive Analysis Of A Pregnancy Center: How Pregnant Women Are Encouraged To Develop A Sense Of Self-Worth And Emotional Wellbeing Through The Use Of Rhetoric And Imagery, Jessica Postma

Masters Theses

This study presents and alternative approach to how pregnancy is interpreted in western society and how settings such as a pregnancy center both challenges and reinforces these social standards. The promotion of abstinence, the aversion to abortion, notions of truth and morality, religious narratives, and the standard of care are all integral components to this analysis of pregnancy, language, and culture.

Explicit Teacher-Implemented Phoneme Awareness Instruction: Preschool Effects, Heather M. Osterhouse

Masters Theses

The purpose of the current study was to investigate the impact of explicit, concentrated, teacher-implemented phonological awareness instruction for ―at risk‖ 4- year-olds. Early childhood educators were trained to implement a 10-week program delivered for 20-minute sessions, four times a week, in their classrooms. The program focused on phonological awareness beginning at the level of letter-sound knowledge and advancing to blending and segmenting constituent phonemes in words. Pre- to post-treatment comparisons of phonological awareness and letter knowledge skills indicated that children in the experimental group made significant gains in comparison to the control group in phoneme blending and letter knowledge. …

Himmelfarb Library Liaison Letter - June 2013, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.

Executive Functions And Social Interactions: Developing Social Scenarios, Mackenzie Waite

Masters Theses

The aim of this study was to develop a series of vignettes to form the basis for an assessment of executive functions (EFs) for 9 – 12 year old children. Although EFs are necessary for effective social communication and positive social interactions, currently, most EF assessments focus on impersonal activities. Little research exists that incorporates real-time processing using ecologically valid social scenarios. The current study aims to develop realistic scenarios that children could encounter in daily life. Ethnographic interviews were conducted with six participants, who worked in a school with 9-12 year old children, to gain their perspective on social …

Database-Guided Discovery Of Potent Peptides To Combat Hiv-1 Or Superbugs., Guangshun Wang

Journal Articles: Pathology and Microbiology

Antimicrobial peptides (AMPs), small host defense proteins, are indispensable for the protection of multicellular organisms such as plants and animals from infection. The number of AMPs discovered per year increased steadily since the 1980s. Over 2,000 natural AMPs from bacteria, protozoa, fungi, plants, and animals have been registered into the antimicrobial peptide database (APD). The majority of these AMPs (>86%) possess 11-50 amino acids with a net charge from 0 to +7 and hydrophobic percentages between 31-70%. This article summarizes peptide discovery on the basis of the APD. The major methods are the linguistic model, database screening, de novo …

Individual Articulator's Contribution To Phoneme Production, Jun Wang, Jordan R. Green, Ashok Samal

School of Computing: Conference and Workshop Papers

Speech sounds are the result of coordinated movements of individual articulators. Understanding each articulator’s role in speech is fundamental not only for understanding how speech is produced, but also for optimizing speech assessments and treatments. In this paper, we studied the individual contributions of six articulators, tongue tip, tongue blade, tongue body front, tongue body back, upper lip, and lower lip to phoneme classification. A total of 3,838 vowel and consonant production samples were collected from eleven native English speakers. The results of speech movement classification using a support vector machine indicated that the tongue encoded significantly more information than …

The Effects Of Practice On The Concurrent Performance Of A Speech And Postural Task In Persons With Parkinson Disease And Healthy Controls, K. Bo Foreman, Stuart Sondrup, Christopher Dromey, Eon Jarvis, Shawn Nissen, Leland E. Dibble

Faculty Publications

Purpose. Persons with Parkinson disease (PD) demonstrate deficits in motor learning as well as bidirectional interference (the performance of one task concurrently interferes with the performance of another task) during dual-task performance. Few studies have examined the practice dosages necessary for behavioral change in rehabilitation relevant tasks. Therefore, to compare the effects of age and PD on motor learning during dual-task performance, this pilot study examined persons with PD as well as neurologically healthy participants during concurrent performance of postural and speaking tasks. Methods. Seven persons with PD and 7 healthy age-matched and 10 healthy young control subjects …

Cultural Aspects Of Latino Early Childhood Obesity, Lauren Clark, Susan L. Johnson, Mary E. O'Connor, Jane H. Lassetter

Faculty Publications

The problem of Latino childhood obesity is well known, and experts agree that the sooner it is addressed in a child’s life, the better. Strong evidence from nationwide studies suggests that obesity begins in infancy for Mexican Americans. National data demonstrate the dramatic increase in weight-for-recumbent length above the 95th percentile (using the NCHS growth chart) among Mexican American children between National Health and Nutrition Examination Survey (NHANES) and the Third National Health and Nutrition Examination Survey (NHANES III) (Ogden et al., 2006). High rates of childhood obesity affect the long-term health potential of children, since childhood obesity tracks into …

Ada News - 05/20/2013, American Dental Association, Publishing Division

ADA News

Established in 1970 as the official newspaper of the American Dental Association, the ADA News serves practicing dentists and others allied to the dental profession in the U.S. and internationally. It is the No. 1 source of news and information about the many benefits and services the ADA delivers to members daily as well as timely information on scientific, social, political and economic developments affecting dentistry and health care.

A Theoretical Comparison Of Dance/Movement Therapy And Expressive Arts Therapy, Heidi Landgraf

Creative Arts Therapies Theses

This theoretical comparison of dance/movement therapy (DMT) and expressive arts therapy (EXA) was created in order to better understand the major principles and concepts behind each field. A brief history of the predecessors of each field was discussed, along with five principles from DMT and five concepts from EXA, as chosen by the writer and based on her preferences in alignment with her personal theory and methodology. The comparison that follows discussed the ways in which both fields converge, diverge, and complement one another. The fields have many points of agreement where there is only subtle difference in language, but …

Limited English Proficient Patient's Use Of Family Members And Interpreters: A Pilot Study, Brittany T. Histing

Honors Scholar Theses

The purpose of this study is to explore and describe the experiences of “Spanish speaking, Spanish dominant and Limited English Proficient Latino patients” accessing health care in the United States (Parés-Avila, Sobralske, & Katz). This will be a descriptive study addressing caring for LEP patients accessing the healthcare setting using interpreters. The goal of the study is to describe LEP patient’s familiarity of interpreter services available via the CLAS standards, describe LEP patient’s experiences accessing healthcare in the United States, and describe LEP patient’s experiences in the United States health care system using or not using an interpreter.

The Lived Experience Of African American Nurses Who Attended Predominantly White University Baccalaureate Programs: Characteristics Of Success And Resilience, Carmen A. Stokes

Master's Theses and Doctoral Dissertations

This qualitative dissertation explores the lived experiences of successful African-American nurses who attended baccalaureate programs at predominantly White universities (PWUs). Only 5.4% of the national registered nurse workforce is identified as African American; yet African-American citizens account for approximately 12.9% of the United States' population, and 24% of all enrollments in nursing programs nationwide is composed of African-American students. Past nursing education research has almost exclusively focused on the deficits of African-American students. This dissertation study focuses on a gap in the literature because it addresses the strengths and attributes of those African-American students who succeed, thereby contributing to an …

The Effects Of Intervention Involving A Robot On Compliance Of Four Children With Autism To Requests Produced By Their Mothers, Holly Jeanne Nelson

Theses and Dissertations

The current study presents the use of a humanoid robot to facilitate compliant behaviors to two types of directives in four children with autism. The children participated in a three-month intervention program that incorporated core components of the SCERTS model in order to facilitate social communication (Prizant, Wetherby, Rubin, & Laurent, 2003). Treatment sessions were comprised of 40 minutes of traditional treatment and 10 minutes of interaction with a humanoid robot. Pre- and post-intervention assessment were conducted, each involving a 5 minute interaction with the child's mother, in which they were presented with directives in the form of physical manipulation …

Ability And Willingness To Change Among African Immigrant Patients At Akwaaba, Marianne Sarkis, Temitayo Akinbola, Charise Canales, Hana Chamoun, Jacqueline Leaf, Elisabeth Nebie

Local Knowledge: Worcester Area Community-Based Research

What are the challenges faced in treating Hypertension in the Worcester African Immigrant Community?

This study investigates the relationship between the understanding of high blood pressure, and the ability and willingness to modify behavior among African patients at Akwaaba, a free health clinic in Worcester, Massachusetts. In this research, our team specifically explores how the understanding of lifestyle risk factors of hypertension, such as diet, exercise, and levels of stress, influence the willingness and ability to modify behavior among African born patients at Akwaaba. What become clear was that language barriers, cultural differences, and approach to health care within the …