American Sign Language Commons^™

What You Don't Hear About Barriers To Healthcare In The Deaf Community: Analyzing Interpreter Experiences In The Deep South, Ryan Augustine

Honors Theses

Deaf and hard-of-hearing individuals experience significant health disparities in the United States, yet the perspective of the ASL interpreter has remained largely absent regarding the barriers documented in existing literature. This pilot case study examined the barriers Deaf individuals face when seeking healthcare through the unique vantage point of eight ASL interpreters across the Deep South: Alabama, Georgia, Louisiana, and Mississippi. Guided by grounded theory methodology, eight semi-structured interviews were conducted and analyzed to find recurring themes. Findings confirmed and revealed barriers that would not have surfaced without the perspective of the interpreter. Four themes emerged from this study: healthcare …

Orthographic Representations In American Sign Language Fingerspelling, Zed Sehyr, Lauren Fillet, Kiana Billot-Vasquez, Emily Saunders, Karen Emmorey

Communication Sciences and Disorders Faculty Articles and Research

This study examined fingerspelling accuracy and error patterns in deaf American Sign Language (ASL) signers and written spelling in hearing English speakers to investigate how orthographic representations are shaped by phonological, visual, and motor encoding strategies. Deaf participants (n = 39) completed a fingerspelling repetition task, while hearing participants (n = 35) completed a written dictation task using the same word and pseudoword stimuli. While overall accuracy did not differ significantly between groups, deaf participants exhibited qualitatively distinct error patterns, including higher rates of deletions and transpositions, compared to hearing participants who made more substitution errors. Deaf participants also produced …

Neural Associations Between Fingerspelling, Print, And Signs: An Erp Priming Study With Deaf Readers, Brittany Lee, Sofia E. Ortega, Priscilla M. Martinez, Katherine J. Midgley, Phillip J. Holcomb, Karen Emmorey

Communication Sciences and Disorders Faculty Articles and Research

Fingerspelling is a leading predictor of reading ability for deaf people who use a signed language, but few neuroimaging studies have examined how it supports reading. We used event-related potentials to investigate how fingerspelled words prime printed words. Twenty-four skilled deaf adult readers completed a Go/No-Go task while viewing printed English word targets following related and unrelated primes in one of three conditions: printed English words, American Sign Language (ASL) signs, and fingerspelled words. N400 priming effects were strong across all three conditions. Early N400 effects were similar for printed word primes and fingerspelled word primes, suggesting shared orthographic representations. …

Shifting To A Culture Of Inclusion By Design: Applying A Mixed-Methods Approach To Advance Accessibility Of Public Health Emergency Information & Communication Technology, Jessica L. Franks, Erin Vinoski Thomas

Developmental Disabilities Network Journal

Adults with intellectual and developmental disabilities (IDD) experience inequities in access to timely, accurate, and understandable information and communication technology (ICT), which increases risk for public health emergency (PHE)-related health disparities and impedes opportunities to achieve optimal health. This study assessed federal COVID-19 webpage accessibility levels and explored existing knowledge of and experience with filing accessibility complaints for federal ICT among adults with IDD. Through a mixed-methods approach, we evaluated compliance with accessibility standards for 18 federal agencies’ COVID-19 webpages (study 1) and interviewed 16 adults with IDD about experiences accessing federal webpages and filing accessibility complaints (study 2). We …

Interactions Between The Deaf Community And Healthcare, Sarah E. Mcfadden

Honors Theses

Background.

This study investigates the issues regarding interactions between the Deaf community and healthcare, focusing on communication barriers, negative experiences, and inaccessibility to health information. Despite the Americans with Disabilities Act (ADA) guidelines requiring healthcare offices to provide interpreters, many health care professionals (HCPs) do not comply for various reasons. The alternatives to an interpreter create gaps in conditions, treatment plans, or post-appointment care.

Methods.

This study involved a review of existing literature and interviews with Deaf individuals and HCPs, including a physician, nurse practitioner, dentist, and registered nurse. The interviewed HCPs work in various settings.

Results. …

Emotional Display Rules Of Deaf Culture, Nicholas M. Gala, Lawrence Pick

JADARA

Emotional display rules refer to the expression of culturally prescribed and socially acceptable emotions across different people and situations (Wu & Schulz, 2020). The display rules among hearing adults across several cultures are well defined and depend on the type of emotion, the individuals involved in the exchange, and the situation. Regarding Deaf culture in the United States, this minoritized group may follow unique display rules (Hosie et al., 2000), but there has been almost no research conducted with this population and the existing studies have focused on youth. The present study explores perceived emotional expressions among a sample of …

Speech & Language Services: Examining The Experiences Of Deaf / Hard Of Hearing People, Milayna N. Barker

University Honors Theses

The purpose of this study is to examine the experiences of Deaf and Hard of Hearing (HoH) adults and parents of Deaf/HoH children related to speech and language services, and their recommendations for service providers. Historically, professionals have focused on the development of speech and aural/oral skills of Deaf and HoH people. As such, when working with families of newly-identified children with hearing loss, hearing professionals may be ill-equipped to provide culturally-responsive, fully inclusive information and education regarding communication options and opportunities.

Method: This study used a qualitative research design to examine participant experiences related to speech and language services …

The Deaf Experience In National Parks With An Emphasis On Rocky Mountain National Park, Madeline Dannewitz

Undergraduate Honors Theses

This research investigated the experiences of Deaf visitors to the Rocky Mountain National Park (RMNP). The little research available focuses on how the National Park Service and its workers interact with Deaf people. Conversely, this study investigated the experiences of Deaf people and their perspective regarding interacting with the park and its members. A study regarding Deaf visitors in Yosemite National Park found that many were invisible to its employees. The desire from the Deaf community and lack of research shows the significance of this study. This analysis is crucial to the human experience as quality of life is improved …

The Critical Need For Early Language Access For Deaf And Hard Of Hearing Children, Kinya D. Embry-Wright

Theses and Dissertations--Rehabilitation Sciences

According to the American Speech-Language-Hearing Association (ASHA), speech-language pathologists (SLPs) are referred to as the experts of communication (ASHA, n.d.) utilizing their specialized training, extensive education, and clinical expertise to work with individuals across the lifespan with a variety of different speech and language delays, disorders, and deficits. However, when working with deaf or hard of hearing (DHH) children, there is often precedent given to speech and listening (M. L. Hall et al., 2019). For example, ASHA only recently updated their DHH portal to include American Sign Language (ASL), though they still list it on some webpages as an Augmentative …

Exploring Strategies For Modeling Sign Language Phonology, Lee Kezar, Riley Carlin, Tejas Srinivasan, Zed Sehyr, Naomi Caselli, Jesse Thomason

Communication Sciences and Disorders Faculty Articles and Research

Like speech, signs are composed of discrete, recombinable features called phonemes. Prior work shows that models which can recognize phonemes are better at sign recognition, motivating deeper exploration into strategies for modeling sign language phonemes. In this work, we learn graph convolution networks to recognize the sixteen phoneme “types” found in ASL-LEX 2.0. Specifically, we explore how learning strategies like multi-task and curriculum learning can leverage mutually useful information between phoneme types to facilitate better modeling of sign language phonemes. Results on the Sem-Lex Benchmark show that curriculum learning yields an average accuracy of 87% across all phoneme types, outperforming …

Working With Deaf Children In Healthcare Settings, Maria E. Lombardi

JADARA

Effective and efficient health care is greatly influenced by communication between patient and provider. Federal laws require the use of a sign language interpreter (SLI) or other appropriate accommodations to ensure effective communication within the health care system for deaf children. Specialized training and certifications are available for SLIs choosing to specialize in the health care field. The training is typically geared toward SLIs working with adults rather than children. In addition, very few studies focus on the use of SLIs for children within health care settings. SLIs bring unique perspectives to their respective settings when referencing one’s skill set. …

Asymmetric Event-Related Potential Priming Effects Between English Letters And American Sign Language Fingerspelling Fonts, Zed Sevcikova Sehyr, Katherine J. Midgley, Karen Emmory, Phillip J. Holcomb

Communication Sciences and Disorders Faculty Articles and Research

Letter recognition plays an important role in reading and follows different phases of processing, from early visual feature detection to the access of abstract letter representations. Deaf ASL–English bilinguals experience orthography in two forms: English letters and fingerspelling. However, the neurobiological nature of fingerspelling representations, and the relationship between the two orthographies, remains unexplored. We examined the temporal dynamics of single English letter and ASL fingerspelling font processing in an unmasked priming paradigm with centrally presented targets for 200 ms preceded by 100 ms primes. Event-related brain potentials were recorded while participants performed a probe detection task. Experiment 1 examined …

Exploring Tactile Art-Making With Deafblind Students And Their Families: An Opportunity For Creative Play, Alice Rodgers

Expressive Therapies Capstone Theses

The impact of a deafblind diagnosis on an individual’s mental health and the well-being of the family involved can be profound. However, current research and available literature for the mental health treatment and therapy practices of deafblind persons and their families is limited (Kyzar et al., 2016; “WFDB Global Report 2018,” n.d.). This thesis used the Leeds Family Psychology and Therapy Service principles (Leeds FPTS) and the Expressive Therapies Continuum with established deafblind teaching strategies to facilitate an original arts-based community project entitled: “Things We Like.” This project provided an opportunity for deafblind students (ages three to 22) and their …

Exploring Accessibility And Social Inclusion For Children With Hearing Impairments In Residential Camps Through The Occupational Therapy Lens, Tiffany Coles

Student Capstone Papers

Children are encouraged to engage in various play, leisure, and social participation activities to enhance the development of life skills, independence, and social skills. A common leisure and social participation activity for children aged 6 to 18-years-old is to attend residential camp. Residential camps provide children a structured opportunity to engage in leisure activities while learning to become independent and self-confident when socializing and making new friends. Attending camp can be a fun and engaging environment to help accelerate growth in key developmental outcomes, such as positive identity, social skills, physical skills, positive values, and spirituality.

Within the residential camp …

Vaccine Literacy Among Deaf Adult American Sign Language Users Of Hearing Parents, Casey Lee Peck

Undergraduate University Honors Capstones

Background: Communication barriers, the lack of proficiency in English, and poor communication with medical providers affect some Deaf people negatively in terms of health literacy. One contemporary controversial health literacy issue affecting Deaf people concerns vaccines. According to the literature, parents with higher health literacy are less likely to vaccinate their children as opposed to those parents with low health literacy (Veldwijk, van der Heide, Rademakers, Schuit, de Wit, Uiters & Lambooij 2015). Studies have shown that the majority of the deaf population have relatively low health literacy; however, vaccine literacy in the deaf population has not been investigated. Research …

Stuck On The Tip Of My Thumb: Stuttering In American Sign Language, Geoffrey Whitebread

Undergraduate University Honors Capstones

This thesis aims to stimulate research on articulation disorders in American Sign Language. It discusses the controversy surrounding a clinical definition of stuttering, reviews the symptoms of stuttering in spoken languages, and examines theories of the etiology of stuttering. Ten well-connected individuals in the Deaf community were interviewed and presented a list of possible symptoms of stuttering in American Sign Language (ASL). (As a preliminary investigation, this study did not attempt to directly observe any stuttering in ASL.) Participants responded with how they thought symptoms might look in ASL and whether they had seen examples in real life. A refined …

Increasing Staff Use Of Sign Language, Melanie Hepworth Neville

University of the Pacific Theses and Dissertations

This study examined the effectiveness of two procedures, a visual cue and performance posting, to modify the use of sign language by psychiatric technicians. The visual cue was first introduced alone, then paired with performance posting to encourage staff use of sign language with the developmentally disabled children in their charge. Application of the visual cue alone produced little change in staff sign useage. The visual cue plus performance posting condition increased staff use of sign language during mealtimes. Four weeks of follow-up data indicated that the use of sign language remained at a level well above baseline.