Medicine and Health Sciences Commons^™

Expository And Narrative Discourse In Adolescents With Reading And Language Impairments: Assessment And Intervention, Beverly Iuliano

Open Access Dissertations

The purpose of this current study was to first examine through assessments and the use of school-based disability criteria, the quantitative and qualitative patterns in phonological processing, phonological working memory, oral retellings, and oral and written narratives in middle school-aged children with reading disabilities (RD; N=10) and those with language impairments (LI; N=5) in order to provide data to further explain the complex profiles of these two clinical populations. Secondly, a single-subject multiple baseline across subjects design study examined the effectiveness of an intervention program targeting expository and narrative discourse in adolescents with language and reading deficits (N=4). Expository and …

An Integrated Knowledge Translation Experience: Use Of The Network Of Pediatric Audiologists Of Canada To Facilitate The Development Of The University Of Western Ontario Pediatric Audiological Monitoring Protocol (Uwo Pedamp V1.0)., Sheila T F Moodie

Electronic Thesis and Dissertation Repository

The goals of this project were: (1) to determine the important factors that influence implementation of evidence-based practice by Canadian audiologists; and (2) to utilize the knowledge-to-action process (Graham et al., 2006) during the development of a guideline for outcome measures to evaluate the auditory development and performance of young children who wear hearing aids, to facilitate clinical uptake and identify barriers to implementation (Bagatto, Moodie & Scollie, 2010; Bagatto et al., 2011; Bagatto, Moodie, Seewald, Bartlett, & Scollie, 2011; Moodie, Bagatto et al., 2011; Moodie, Kothari et al., 2011).

Two projects (Chapters 3 and 4) included the participation of …

Development Of The Tagalog Version Of The Western Aphasia Battery-Revised, Carmina Ozaeta

Electronic Theses and Dissertations

There has been limited research done in the Philippines in the area of aphasia, a frequent concomitant symptom of strokes and presents as impairment in any area of the input and output of language. Diagnosis is generally conducted by clinicians based on sites of lesion of speakers with aphasia and clinical observations of language symptoms and unpublished translation of the WAB. The lack of relevant research and formal assessment tools in the Philippines motivated this current study. The development of this type of assessment battery for the Tagalog (pronounced /təˈɡɑːlɒɡ/ in English) speaking population will provide a means for differential …

Longitudinal Outcomes Of Distortion Product Otoacoustic Emissions And Wideband Reflectance In Infants, Virginia Ramachandran

Wayne State University Dissertations

Clinical practice has shown that some infants are born with, or develop a temporary conductive hearing loss characterized by the absence of measurable otoacoustic emissions (OAEs) but normal sensorineural hearing. This transient situation interferes with the process of universal newborn hearing screening and identification.

The purpose of this prospective, longitudinal study was to describe outcomes of distortion product OAE (DPOAE) screening in infants at birth, and one, four, eight, and twelve weeks of age. In addition, wideband reflectance (WBR) measures, which have the potential to help characterize outer-ear canal and middle-ear function, were examined to determine their potential utility in …

The Impact Of Literacy Through Movement In A 3rd Grade Hispanic Classroom, Daniel Peregrino

Open Access Theses & Dissertations

This case study examines the effects of a kinesthetic literacy-training program on the complexity of narrative production and performance on the Garfield Motivation to Read Survey in a group of four 3rd grade elementary students. The 3rd grade teacher attended a Literacy Through Movement workshop to learn a range of movement-based literacy activities and methods for the classroom. The LITMO program was then implemented as part of a language arts poetry module for 3 weeks in her classroom. Changes in four students' performance on the Garfield Survey and narrative samples were measured before and after the LITMO intervention. Results suggest …

Current Practices Of Speech-Language Pathologists In Treating Presbyphonia, Erin Taylor Carey

Theses, Dissertations and Capstones

The purpose of the research was to determine the current practices of Speech-Language Pathologists (SLPs) who treat presbyphonia, deterioration of the voice resulting from age-related changes in the larynx, observed mostly in elderly males. Recent research indicates voice therapy may hold promise for treatment of presbyphonia. However, concern exists for finding the best method of voice therapy for this condition. Several physiologic methods have been shown efficacious in the treatment of voice disorders, yet only one physiologic treatment has been examined in the treatment of presbyphonia. Information about SLPs’ treatment choices will expand the knowledge base of the field. The …

Comparison Of Performance Between Elderly Individuals And Collegiate Athletes On The Immediate Post-Assessment And Cognitive Test, Kevin Van Den Bogaard

Open Access Theses & Dissertations

Preventing falls in the elderly population requires a collaborative effort that includes medical treatment, rehabilitation, and environmental modification. Medical assessment of the elderly after a fall is designed to treat the potential conditions associated with the fall, such as broken limbs and trauma to the head resulting in a mild traumatic brain injury (mTBI). Currently, there is no standardized test or protocol accepted across health care facilities to track the cognitive-communicative recovery of elderly patients. A group of elderly individuals deemed healthy and capable of independent living were administered the baseline Immediate Post Assessment and Cognitive Test (ImPACT). This study …

Effects Of A Reading Strategy With Digital Social Studies Texts For Eighth Grade Students, Melissa Doan Malani

Electronic Theses and Dissertations

Recent data indicate that only 34% of American eighth grade students are able to demonstrate grade-level proficiency with academic reading tasks (NCES, 2011). The staggering nature of statistics such as this is even more profound when considering that high level literacy skills combined with mastery of digital texts have become practical requirements for success in secondary education, post-secondary education, and virtually all vocational contexts. Despite this incongruent scenario, little research has been conducted to evaluate instructional methods and reading comprehension strategies with digital texts. To address this critical issue, the present study examined the effects of a metacognitive reading comprehension …

A Syntax-Based Reading Intervention For English As Second-Language Learners, Christina Tausch

LSU Doctoral Dissertations

Students with English as second language (ESL) are typically behind monolingual peers in reading comprehension even when phonemic awareness skills, phonics and word recognition are at grade level. The lack of syntactic awareness is one of the reasons cited in multiple studies (August & Shanahan, 2010; Da Fountoura & Siegel, 1995; Lesaux & Siegel, 2003; Lesaux et al., 2006; Chong, 2009). This study investigated the effects of a six week intervention designed to increase syntactic awareness, including meta-awareness of key structures of English for young ESL students in the upper elementary grades. Twenty typically developing ESL students in the fourth …

A Comparison Of Group Versus Individual Therapy On The Output Of Appropriate Utterances In A Six-Year-Old Girl With Autism: A Case Study, Mckinzie Craig Sheridan

Theses and Dissertations--Rehabilitation Sciences

Children with autism spectrum disorders typically experience language deficits in multiple areas, including form, content, and use. These children often receive speech therapy with individual sessions (one child and clinician), group sessions (several children), or a combination of both. Although research has deemed individual therapy successful, there is still debate regarding the success of group therapy, and there is virtually no literature examining a comparison between individual and group therapy. The current case-study investigated the relative effectiveness of individual versus group therapy for one six-year-old female with moderate autism spectrum disorder. The child underwent ten alternating therapy sessions of similar …

Rural Speech-Language Pathologists' Perceptions And Knowledge Of Emergent Literacy Instructional Practices: A Mixed Methods Study, Kellie C. Ellis

Theses and Dissertations--Rehabilitation Sciences

The acquisition of emergent literacy skills has become a prominent focus of early childhood education programs in recent years as research has demonstrated the significance of emergent literacy ability in the process of learning to read. The effectiveness of use of varied instructional techniques targeting the emergent literacy domains of phonological awareness, written language awareness, emergent writing, and oral language is well described in the literature. Consequently, educational service providers like speech-language pathologists are being called upon to assume roles in emergent literacy service provision. However, research has not fully explored the perceptions and knowledge speech-language pathologists possess of emergent …

Newborns With Feeding Issues: Parental Perceptions Of The Hospital Discharge, Transition Home And The Role Of Speech Pathology, Katie Louise Ilich

Theses : Honours

This study explored the perceptions of discharge from hospital and the transition home for mothers of newborns with feeding issues. To gain an understanding of their experiences, mothers were interviewed twice, once at discharge and once up to a month later. Participants had a strong desire for their babies to be discharged from hospital, but felt anxious and underprepared. Once home, more questions typically arose. Mothers found this a highly stressful and emotional experience, especially for those without consistent speech pathology involvement. Mothers valued being involved in the decision-making process, and found this an effective coping mechanism. The value of …

Self-Modeling As An Intervention For Stuttering In Elementary Students, Jason Northrup

Legacy Theses & Dissertations (2009 - 2024)

Stuttering is a disorder involving disruptions and disfluencies in speech that impacts overall communication and affects approximately 1% of the population. In addition to speech disfluency, stuttering is often related to physical tension, embarrassment, fear, anxiety, and other negative social-emotional problems, especially for children and adolescents. Fortunately, research indicates that stuttering can be alleviated before becoming more advanced and complex as individuals enter adolescence and adulthood. Self-modeling, an intervention that involves individuals watching themselves engage in exemplary behavior, appears to be particularly effective for individuals who stutter and can be implemented in a school setting. The purpose of this study …

Age, Attention, And Ots In A Constrained Vs Unconstrained Task, Courtney Leann Jensen

Theses and Dissertations--Rehabilitation Sciences

The discourse of older healthy adults is commonly described as lengthy and off-topic and thought to be associated with a general cognitive decline that occurs in healthy aging. This study investigated the overall decline in attention associated with healthy aging and its relationship to instances of off-topic speech (OTS) in a constrained and unconstrained language production task. Ninety cognitively healthy adults participated and comprised three age cohorts (40 – 75+). Participants completed cognitive measures of attention and two discourse tasks that included recounting personal events and describing a procedure. Older adults exhibited poorer scores on measures of selective and shifting …

Inferencing Abilities Of Children With Specific Language Impairment, Kelsey J. Depew

Masters Theses

Inferencing is the ability to make judgments based upon limited information. It is necessary for basic problem solving, negation social interaction, and comprehension of oral and written language. Despite the importance of inferencing in daily life, there are currently no commercially available tests dedicated entirely to the assessment of inferencing. Previous research has demonstrated a developmental progression of inferencing abilities in neurotypical children. However, no clinical norms exist. Additionally, little research has been conducted regarding the inferencing abilities of children with language impairments. The purpose of this project was to compare inferencing abilities of children with language impairment to typically …

A Single-Subject Study Examining The Effects Of A Behavioral Intervention For Verbal Recurrent Perserveration, Jenifer Juengling-Sudkamp

LSU Doctoral Dissertations

BACKGROUND: Approximately 1 million people in the United States suffer from aphasia and > 50% of those people may demonstrate recurrent perseverations. No consensus has been forthcoming on whether (1) a therapy that directly confronts clients with imminent pre-articulatory automatisms (the perseverations) or (2) a more typical neuropsychological therapy that eschews any direct confrontation with automatic behaviors works best. PURPOSE: The purpose of this study was to determine the treatment efficacy of a non-confrontational picture naming intervention on naming ability in individuals with aphasia and recurrent perseverations. METHODS: This is a prospective single-subject ABAB multiple baseline design replicated across 3 right-handed …

Comparing The Treatment Effect Of Conversational And Traditional Aphasia Treatments Based On Conversational Outcome Measures, Meghan Collins

LSU Doctoral Dissertations

This prospective Phase I single-subject (ABABA) study repeated across 4 participants with quasi-randomized treatment order investigated the treatment effects of conversation and traditional stimulation treatments on conversational outcomes. Treatment was administered for 10 sessions (2 one-hour weekly sessions) per treatment type. Primary conversational outcomes included 6-minute conversations coded for pragmatic behaviors and percent Correct Information Units (CIUs). Traditional stimulation probes included auditory comprehension, lexical retrieval, and syntax probe performance. Secondary outcome measures represented the domains of the ICF (WHO, 2001) model with the addition of quality of life. These included the Western Aphasia Battery (Kertesz, 2007), the American Speech Language …

Spectral Analysis Of Stop Consonants In Individuals With Dysarthria Secondary To Stroke, Trescha S. Kay

LSU Master's Theses

Dysarthria refers to a group of neurogenic speech disorders which result in abnormal strength, speed, range, steadiness, tone, or accuracy of movements required for speech production. Although speech deficits of dysarthria are heterogeneous according to lesion sites and/or etiologies such as stroke, traumatic brain injury, cerebral palsy, Parkinson’s disease (PD), “imprecise consonants” has been known as one of the most prominent and frequently occurring features of dysarthria, which subsequently contributes to decreased speech intelligibility. The present study points out the paucity of acoustic data on consonants produced by speakers with dysarthria, especially by spectral analysis, and reports four spectral moment …

Effects Of Rhyming Instruction On Learning The Alphabetic Principle, Phonemic Awareness, And Rhyming Complexity Skills With At-Risk Prekindergarten Students, Crystal Randolph

LSU Doctoral Dissertations

At-risk prekindergarten students (i.e., low SES, speech-language impaired) typically lag behind their peers in phonological awareness and other emergent literacy skills such as letter knowledge and vocabulary (Duursma et al., 2008; Lundberg, 2009). However, there is a limited amount of research that has studied the efficacy of phonological interventions for at-risk children (Ziolkowski & Goldstein, 2008). Because of the long-lived debate concerning the role of rhyme versus the role of phoneme awareness, it is uncertain whether learning rhyming skills will provide the most facilitative context to learn other emergent literacy skills (e.g., letter knowledge, phonemic awareness). The current study investigated …

The Relationship Between Children's Nonmainstream English Dialect Density And Their Emergfent Reading Achievement, Katelyn Danielle Rodrigue

LSU Master's Theses

The purpose of this study was to examine the relation between children’s use of nonmainstream dialect and their emerging reading ability. The data were from 79 kindergarteners; 39 were AA and 40 were non-AA; 38 were male and 41 were female. All children presented with varying language abilities and dialect densities, as measured by the DELV-ST. Dialect densities ranged from Mainstream American English (MAE), some variation of MAE, and strong variations of MAE. The children’s reading abilities were measured by the DIBELS, which was administered at the beginning, middle, and end of the school year. Preliminary results showed that children’s …

Semantic Feature Distinctiveness And Frequency, Katherine Marie Lamb

USF Tampa Graduate Theses and Dissertations

Lexical access is the process in which basic components of meaning in language, the lexical entries (words) are activated. This activation is based on the organization and representational structure of the lexical entries. Semantic features of words, which are the prominent semantic characteristics of a word concept, provide important information because they mediate semantic access to words. An experiment was conducted to examine the importance of semantic feature distinctiveness and feature frequency in accessing the lexical representations of young and older adults in an off-line task using features of animals. The McRae, Cree, Seidenberg, and McNorgan (2005) feature norm corpus …

Using Visual Phonics To Supplement Articulation Intervention, Mara A. Hampton

Masters Theses

No abstract provided.

The Lee Silverman Voice Treatment Delivered Via Distance Therapy, Kate Harrington

Masters Theses

No abstract provided.

Executive Functions In Preschool Children With Typical And Disordered Language, Kathleen Trainor

Masters Theses

No abstract provided.

Assessing Cortical Electrophysiologic And Behavioral Activity In Individuals With Aphasia And Participants With No Brain Damage Responding To Spoken Sentence Length Messages, Patricia Lara

Open Access Theses & Dissertations

In this study, six individuals with aphasia and twelve participants with no brain damage responded to spoken sentence length messages using a modified version of the Revised Token Test (McNeil & Prescott, 1978) while cortical activation was recorded using event related potentials (ERP). ERP is a non-invasive imaging procedure that measures cortical activation reflected in the electrical activity that is produced at the level of the cortex in response to internal or external stimulus.

Participants were presented with a visual display that provided eight different token arrangements per trial that were displayed on the computer screen. Spoken messages that increased …

Phonological Memory Associations Of Language Impairment In Bilingual Children, Marcela Susa

Open Access Theses & Dissertations

Knowledge-based assessments of language impairments have been found to contain bias for assessing performance in bilingual children from diverse cultural backgrounds. As an alternative, measures related to performance of phonological working memory are becoming more popular for bilingual children. The purpose of the current study was to investigate how bilingual children with language impairment (BILI) would perform on nonword repetition and sentence repetition when compared to typically developing peers (BITD). Also, the current study investigated the extent to which the nonword repetition task and sentence repetition task were associated with each other in bilingual (English-Spanish) children. Results demonstrated that typically …

Brain Maturation In The Adolescent Athlete And It's Implication On Concussion Management, Jacqueline Picone

Open Access Theses & Dissertations

As the adolescent brain develops, any event that interrupts the process, such as a concussion, may result in long-term academic and social effects (Dennis & Levin, 2004). To date, there is no specific assessment or protocol published that consider the cognitive and development of the adolescent brain when managing concussion (Patel, et al., 2005). Purpose: to investigate whether there is a statistically significant difference between the composite scores and sub-test scores in the subtests on the ImPACT battery: Word Memory, Design Memory, X's and O's, Symbol Match, Color Match, and Three Letters, of high school male athletes between the ages …

Effects Of Two Different Behavioral Swallowing Exercise Protocols Performed During Radiation Therapy On Swallowing Physiology, Function, Quality-Of-Life And Weight Outcomes Following Organ-Preservation Treatments For Head And Neck Cancers, Aneesha Virani

LSU Doctoral Dissertations

Objective: The purpose of this study was to investigate the effects of two different prophylactic behavioral swallowing exercise regimens performed by head and neck cancer/s (HNC) patients during radiation therapy with/without chemotherapy (RT/C) on swallowing physiology, function, quality-of-life (QOL) and weight outcomes at the completion of RT/C. Feeding tube (PEG) status at 3 months post-treatment was also compared. Methods: This study was conducted via a prospective design. 50 patients diagnosed with HNC who were to undergo RT/C were recruited at pre-treatment based on the inclusion criteria: functional swallowing abilities; without prophylactic PEG tubes; ability to comprehend and perform therapy tasks …

Signal-To-Noise Ratio Of Augmentative And Alternative Communication Devices Across Educational Settings, Hope Elizabeth Lorenz

Masters Theses

No abstract provided.