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Full-Text Articles in Medicine and Health Sciences

An Exploration Of Audiologists' Readiness To Adopt Connected Hearing Healthcare For Remote Hearing Aid Fitting, Luisa Natalia Perez Velez Nov 2020

An Exploration Of Audiologists' Readiness To Adopt Connected Hearing Healthcare For Remote Hearing Aid Fitting, Luisa Natalia Perez Velez

Electronic Thesis and Dissertation Repository

Background: Globally, the increasing prevalence of hearing loss and need for improved access to hearing healthcare services, highlights the growing need for alternative service delivery models. A Connected Health model emerges as a solution for this need, focusing on the use of telecommunication technologies. This model, extended to audiology, can help to better ‘connect’ a patient to their own care process and to their provider during audiological diagnostics, treatment, and management services, at a distance and in an effective and timely manner. The strong capacity for and underutilization of Connected Audiology within current aural (re)habilitation service models have led to …


Communicative Participation Outcomes Of Preschool Speech-Language Services: Opportunities, Challenges, And Solutions, Elaine Yuen Ling Kwok Jun 2020

Communicative Participation Outcomes Of Preschool Speech-Language Services: Opportunities, Challenges, And Solutions, Elaine Yuen Ling Kwok

Electronic Thesis and Dissertation Repository

It has been estimated that speech and language disorders impact as many as 15-22% of preschoolers. In Ontario, Canada, families who are concerned about their children’s speech, language, or communication skills can access publicly funded services through Ontario’s Preschool Speech and Language Program. In this program, speech-language pathologists provide assessments and early interventions to improve children’s communication skills and lessen the negative effect of communication delays on development. Since 2012, the Program mandated the use of an outcome measure, the Focus on the Outcomes of Communication Under Six® (FOCUS), but there has been inconsistent uptake among speech-language pathologists. Using a …


Rehabilitation Of Post-Stroke Aphasia In Ghana, Keren Sarpomaa Kankam May 2020

Rehabilitation Of Post-Stroke Aphasia In Ghana, Keren Sarpomaa Kankam

Electronic Thesis and Dissertation Repository

Aphasia is one of the most common consequences of stroke and affects the communication and social functioning of approximately 30-35% of stroke survivors. Despite the importance of speech-language pathology (SLP) services for individuals with post-stroke aphasia, aphasia rehabilitation services in sub-Saharan Africa are riddled with challenges. Through interviews, demographic information, and syllabi reviews, we examined the SLP assessment and treatment services available for individuals with post-stroke aphasia in Ghana and the challenges the stakeholder groups encounter in providing and identifying such services. Results of the study identified challenges with the current post-stroke aphasia services in Ghana, and thus the need …


Advanced Phenotyping Of Otosclerosis In An Ontario Population And Two Large Newfoundland Families, Matthew B. Lucas Apr 2020

Advanced Phenotyping Of Otosclerosis In An Ontario Population And Two Large Newfoundland Families, Matthew B. Lucas

Electronic Thesis and Dissertation Repository

Otosclerosis is a relatively common hearing loss disorder characterized by abnormal bone growth in the otic capsule leading to stapes fixation. In approximately half of cases, otosclerosis is inherited as an autosomal dominant trait. Typically, gene discovery efforts rely on surgical confirmation, audiometry and occasionally acoustic reflexes to identify affected cases of otosclerosis within families, requiring that the otosclerosis was at an advanced stage to be detected. This makes it difficult to identify individuals with early otosclerosis. The use of advanced phenotyping to identify cases of otosclerosis was tested in an Ontario otosclerotic population as well as in two large …


Construction And Preliminary Validation Of The Interrai 0-3 Developmental Domains, Jo Ann M. Iantosca Mar 2020

Construction And Preliminary Validation Of The Interrai 0-3 Developmental Domains, Jo Ann M. Iantosca

Electronic Thesis and Dissertation Repository

Background. With no standardized approach for early assessment of childhood development in Canada, and with a lack of a comprehensive assessment-to-intervention system that amalgamates social, psychiatric, medical, functional, psychological, and environmental constructs, the interRAI 0-3 was developed to support intervention efforts based on the needs of young children and their families. The interRAI 0-3 includes over 650 items that seek clinical information, developmental milestones, and context items regarding the family and social relationships surrounding the child. The newly developed interRAI 0-3 was most recently evaluated to examine the reliability and validity of the Expressive and Receptive Language and the Gross …