Medicine and Health Sciences Commons^™

Gesture Use In Children With Autism Spectrum Disorder: A Scoping Review, Jessica R. Stewart, Debra C. Vigil, Abbie Olszewski, Coryann Thornock

Communication Sciences & Disorders Faculty Publications and Presentations

Purpose

Methods

Predicting The Outcomes Of Internet-Based Cognitive Behavioral Therapy For Tinnitus: Applications Of Artificial Neural Network And Support Vector Machine, Hansapani Rodrigo, Eldré W. Beukes, Gerhard Andersson, Vinaya Manchaiah

School of Mathematical and Statistical Sciences Faculty Publications and Presentations

Purpose:

Internet-based cognitive behavioral therapy (ICBT) has been found to be effective for tinnitus management, although there is limited understanding about who will benefit the most from ICBT. Traditional statistical models have largely failed to identify the nonlinear associations and hence find strong predictors of success with ICBT. This study aimed at examining the use of an artificial neural network (ANN) and support vector machine (SVM) to identify variables associated with treatment success in ICBT for tinnitus.

Method:

The study involved a secondary analysis of data from 228 individuals who had completed ICBT in previous intervention studies. A 13-point reduction …

Precision Rehabilitation For Aphasia By Patient Age, Sex, Aphasia Severity, And Time Since Stroke? A Prespecified, Systematic Review-Based, Individual Participant Data, Network, Subgroup Meta-Analysis, Release Collaborators, Jacqueline Hinckley

HPD Articles

BACKGROUND: Stroke rehabilitation interventions are routinely personalized to address individuals' needs, goals, and challenges based on evidence from aggregated randomized controlled trials (RCT) data and meta-syntheses. Individual participant data (IPD) meta-analyses may better inform the development of precision rehabilitation approaches, quantifying treatment responses while adjusting for confounders and reducing ecological bias. AIM: We explored associations between speech and language therapy (SLT) interventions frequency (days/week), intensity (h/week), and dosage (total SLT-hours) and language outcomes for different age, sex, aphasia severity, and chronicity subgroups by undertaking prespecified subgroup network meta-analyses of the RELEASE database. METHODS: MEDLINE, EMBASE, and trial registrations were systematically …

Apragmatism: The Renewal Of A Label For Communication Disorders Associated With Right Hemisphere Brain Damage, Jamila Minga, Shannon M. Sheppard, Melissa Johnson, Ronelle Hewetson, Petrea Cornwell, Margaret Lehman Blake

Communication Sciences and Disorders Faculty Articles and Research

Background

Right hemisphere communication disorders are neither consistently labelled nor adequately defined. Labels associated with right hemisphere brain damage (RHD) are broad and fail to capture the essence of communication challenges needed for stroke-related service provisions. Determination of rehabilitation needs and best-practice guidelines for the education, management and functional improvement of communication disorders after RHD are all predicated on an apt diagnostic label and disorder characteristics.

Aims

In this paper apragmatism is proposed as a potential communication-specific diagnostic label for the impairments in communication that occur after RHD. In particular, the researchers aimed: (1) to establish an operational definition of …

Identifying Voice-Based Digital Biomarkers Of Parkinson's Disease, Rachelle Beshay, Madison Gill, Michael Shiraishi, Rahul Soangra

Student Scholar Symposium Abstracts and Posters

Introduction: Parkinson's disease is a disorder in the central nervous system that causes tremors, abnormal gait and balance, and muscle rigidity due to loss of function in parts of the brain. Traditionally, Parkinson's is identified by the physical symptoms seen in a patient's gait and motor skills, but irregular speech patterns (hypokinetic dysarthria) is one of the first symptoms to be derived from the disease. Objective: The goal of this ongoing study is to use Mel Frequency Centrum Coefficients (MFCC), to diagnose Parkinson's in the early stages by identifying hypokinetic dysarthria. MFCC's process speech recognition patterns and produce …

Engaging Clinical End Users In The Development Of An Outcome Measurement Protocol For Pediatric Communicative Health Systems, Victoria Sherman, Danielle Glista, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: To develop a conceptual framework of the factors likely to influence clinicians' use of a new participation-focused outcome measurement protocol in a large paediatric speech-language pathology program.Method: A convenience sample of 27 end users (clinicians, managers) were recruited from Ontario, Canada's Preschool Speech and Language Program. Participants engaged in one virtual concept mapping session in groups of five to six during which they learned about the new protocol, and generated statements in response to a prompt asking them to identify factors that would influence their use of the protocol. Following all sessions, participants asynchronously sorted and …

Speech-Language Pathologists’ Treatment Goals For Preschool Language Disorders: An Icf Analysis, Elaine Yl Kwok, Peter Rosenbaum, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides a comprehensive framework to conceptualise clinical services. This study explored how speech-language pathologists (SLPs) conceptualised therapy goals for preschoolers with language difficulties and disorders within the ICF framework.Method: An online survey was distributed to SLPs practising in a publicly funded Preschool Speech and Language program in Ontario, Canada. SLPs rated their familiarity with the ICF framework, and then reported all therapy goals for one child with language difficulty/disorder on their caseload. For each reported goal, SLPs indicated the ICF component(s) they felt the …

Virtual Hearing Aid Care: Clinical Practice Guideline V2.0, Danielle Glista, Robin O'Hagan, Danielle Leah Difabio, Sheila Theresa Frances Moodie, Karen Munoz, Frances Richert, Ioan Curca, Christine Meston, David Pfingstgraef, Keiran Joseph, Christine L. Brown

Communication Sciences and Disorders Publications

This clinical practice guideline (CPG) provides guidance around the delivery of virtual hearing aid care according to hearing healthcare professional practices and responsibilities, informed implementation strategies, clinical decision frameworks, and technology and infrastructure requirements. Guidance aligns with person-centred care approaches across four virtual care types: hearing aid management, programming, verification, and validation. CPG recommendations are based on evidence resulting from systematic literature review and co-creation efforts from an international team of hearing healthcare providers and clinician/scientist leaders in the field.

Building Research Initiatives By Developing Group Effort (Bridge): Patient-Partners In Aphasia Research, Alejandro Brice, Jacqueline Hinckley

HPD Articles

Researcher-initiated research often has little or no input from the groups who will be affected by the results of the research. The aim of this project was to describe practices of embracing patient-partners (i.e., individuals with aphasia and spouses/family members) in research. Six webinars were developed for both researchers and patient-partners that were required prior to participating in a joint conference that focused on collaborative research teams. The conference was designed based on an appreciative inquiry approach. Including patient-partners into research priorities and planning has been accomplished across various health domains in the United States, but this was the first …

A Tool For Differential Diagnosis Of Childhood Apraxia Of Speech And Dysarthria In Children: A Tutorial, Jenya Iuzzini-Seigel, Kristen M. Allison, Ruth Stoeckel

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

While there has been mounting research centered on the diagnosis of childhood apraxia of speech (CAS), little has focused on differentiating CAS from pediatric dysarthria. Because CAS and dysarthria share overlapping speech symptoms and some children have both motor speech disorders, differential diagnosis can be challenging. There is a need for clinical tools that facilitate assessment of both CAS and dysarthria symptoms in children. The goals of this tutorial are to (a) determine confidence levels of clinicians in differentially diagnosing dysarthria and CAS and (b) provide a systematic procedure for differentiating CAS and pediatric dysarthria in children.

Method:

Evidence …

Prologue To The Forum: Care Of The Whole Child: Key Considerations When Working With Children With Childhood Apraxia Of Speech, Jenya Iuzzini-Seigel

Speech Pathology and Audiology Faculty Research and Publications

Purpose: This prologue introduces the LSHSS Forum: Care of the Whole Child: Key Considerations When Working With Children With Childhood Apraxia of Speech. The goals of the forum are to provide (a) an overview of several co-occurring conditions and challenges that may affect children in this population and (b) methods and materials to enhance diagnostic accuracy and treatment efficacy to help children with childhood apraxia of speech (CAS) to thrive.

Method: The prologue provides an overview of what it means to care for the whole child and introduces the five articles in the forum, including research and clinical focus articles …

Understanding The Relationship Between Age-Related Hearing Loss And Alzheimer's Disease: A Narrative Review, Hadeel Y. Tarawneh, Dona M. P. Jayakody, Hamid R. Sohrabi, Ralph N. Martins, Wilhelmina H.A.M. Mulders

Research outputs 2022 to 2026

Evidence suggests that hearing loss (HL), even at mild levels, increases the long-term risk of cognitive decline and incident dementia. Hearing loss is one of the modifiable risk factors for dementia, with approximately 4 million of the 50 million cases of dementia worldwide possibly attributed to untreated HL. This paper describes four possible mechanisms that have been suggested for the relationship between age-related hearing loss (ARHL) and Alzheimer's disease (AD), which is the most common form of dementia. The first mechanism suggests mitochondrial dysfunction and altered signal pathways due to aging as a possible link between ARHL and AD. The …

Auditory Stream Segregation Of Amplitude-Modulated Narrowband Noise In Cochlear Implant Users And Individuals With Normal Hearing, Alexandria F. Matz, Yingjiu Nie, Harley J. Wheeler

Department of Communication Sciences and Disorders - Faculty Scholarship

Voluntary stream segregation was investigated in cochlear implant (CI) users and normal-hearing (NH) listeners using a segregation-promoting objective approach which evaluated the role of spectral and amplitude-modulation (AM) rate separations on stream segregation and its build-up. Sequences of 9 or 3 pairs of A and B narrowband noise (NBN) bursts were presented which differed in either center frequency of the noise band, the AM-rate, or both. In some sequences (delayed sequences), the last B burst was delayed by 35 ms from their otherwise-steady temporal position. In the other sequences (no-delay sequences), the last B bursts were temporally advanced from 0 …

Non-Nutritive Suck Burst Pattern Stability In Extremely Premature Infants, Alejandra Marquez

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The development of non-nutritive suck (NNS) burst dynamics in preterm infants reflects the integrity of the brain and is used clinically to assess feeding readiness and orofacial motor development (Mizuno and Ueda, 2005). The application of NNS analytics in the present report represents one outcome measurement set that is part of an ongoing clinical trial involving extremely preterm infants (EPI’s,[GA]) randomized to receive either pulsed orocutaneous stimulation therapeutics or a sham (blind pacifier), in conjunction with salivary sampling twice weekly to map gene expression of key proteins involved in neural development and molecular sensing of feeding related pathways in the …

A Systematic Review Of Research On Augmentative And Alternative Communication Brain-Computer Interface Systems For Individuals With Disabilities., Betts Peters, Brandon Eddy, Deirdre Galvin-Mclaughlin, Gail Betz, Barry Oken, Melanie Fried-Oken

Speech and Hearing Sciences Faculty Publications and Presentations

Augmentative and alternative communication brain-computer interface (AAC-BCI) systems are intended to offer communication access to people with severe speech and physical impairment (SSPI) without requiring volitional movement. As the field moves toward clinical implementation of AAC-BCI systems, research involving participants with SSPI is essential. Research has demonstrated variability in AAC-BCI system performance across users, and mixed results for comparisons of performance for users with and without disabilities. The aims of this systematic review were to (1) describe study, system, and participant characteristics reported in BCI research, (2) summarize the communication task performance of participants with disabilities using AAC-BCI systems, and …

Exceptional And Able: Supporting The Social Communication Skills Of Gifted Neurodiverse Students In The Classroom, Victoria S. Henbest, Brenda L. Beverly

APLL Lab Presentations

These are the presentation slides from the 2022 MEGA Conference (Mobile, AL) sponsored by the Alabama State Department of Education.

The Racial Diversity Lag In Audiology: Improvement Of Recruitment And Retention Of Black Doctor Of Audiology Students, Jacquelyn Jouett, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

The racial composition of the Audiology workforce is, by no means, a reflection of the US population. Black and African American audiologists are disproportionately represented in the United States. Diverse audiologists are significantly underrepresented in clinical and academic fields. Inversely, students in the racial majority are overrepresented in Audiology and most medical specialties for that matter. This disparity may limit access to hearing-healthcare for some populations in the country. Several factors that contribute to this condition must be more fully understood before this issue can be corrected. Recruitment and retention must be improved to increase diversity, particularly students of color, …

Evaluation Of Swallowing Related Measures In Different Head And Neck Postures In Healthy Young And Older Adults, Mabell Vargas

FIU Electronic Theses and Dissertations

This study evaluated swallowing related measures (oral transit time and number of swallows, tongue force and lip force) and different head and neck postures in a group of healthy young adults and older adults. Participants consisted of 19 healthy young and 17 healthy old. They were asked to ingest 2 different liquid consistency to measure the time they take to swallow and the number of swallows. The maximum tongue and lip force was measured with the IOPI device for 3 seconds and repeated 3 times.

The results of the study showed that the number of swallows is not significant regardless …

Implementing Service-Learning Projects For The First Time During The Pandemic: Two Instructors’ Inspiration, Motivation And Goals, Lesley Sylvan, Robyn Becker

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

While much has been written about student experiences with service-learning and factors that sustain university instructors’ experiences in service-learning over time, less is understood about the contexts that prompt instructors to embark on their first experiences of incorporating service-learning into their teaching. The focus of this article is the experiences of two instructors, one tenure track faculty member and one adjunct faculty member, who incorporated service-learning projects into their classes for the first time during the 2020-2021 academic year. Both professors teach within a speech-language pathology graduate program. The timing and context of their first service-learning experiences are important because …

Clinical Feasibility, Utility, And Usability Of The Profile Of Preschool Communication: A Pilot Test In Community Settings, Barbara Jane Cunningham, Carly Cermak, Julianna Head, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

This study aimed to pilot test, assess usability and utility of, and identify barriers to implementation for the Profile of Preschool Communication (PPC) - a new data collection tool designed to support outcome monitoring in preschool speech-language programs and practice-based research. Methods. This pilot study was conducted with three sites in the Ontario Preschool Speech and Language (PSL) program. Twenty-three speech-language pathologists used the PPC for all outcome monitoring assessments for 2-3-months and provided feedback about their experience using it in practice. Then, 18 of the 23 speech-language pathologists completed online surveys to rate usability and utility, and report …

A Scoping Review Of Technology And Infrastructure Needs In The Delivery Of Virtual Hearing Aid Services, Danielle Difabio, Robin O'Hagan, Danielle Glista

Communication Sciences and Disorders Publications

Purpose: The digital health revolution has brought forward integral technological advancements enabling virtual care as a readily accessible delivery model. Despite this forward momentum, the field of audiology still faces barriers that impede the uptake of virtual services into routine clinical practice. The aim of this study was to gather, synthesize, and summarize the literature around virtual hearing aid intervention studies and the related technology and infrastructure requirements.

Method: A scoping review was conducted using MEDLINE, CINAHL, Scopus, Nursing and Allied Health, and Web of Science databases. Objectives, inclusion criteria, and scoping review methods were specified in advance and documented …

Verbal Inhibition Declines Among Older Women With High Fmr1 Premutation Expansions: A Prospective Study, Nell Maltman, Leann Dawalt, Jinkuk Hong, Audra Sterling, Elizabeth Berry-Kravis, Jessica Klusek, Marsha R. Mailick

Faculty Publications

The FMR1 premutation has been associated with difficulties in executive functioning, including verbal inhibition. However, little is known about the longitudinal profiles of verbal inhibition among FMR1 premutation carriers, particularly in women, and how individual factors such as aging and CGG repeat length may contribute to changes in verbal inhibition over time. The present study examined verbal inhibition performance (i.e., inhibition errors) on the Hayling Sentence Completion Task in a cohort of 92 women with the FMR1 premutation across two timepoints approximately three years apart. We examined the effects of age, CGG repeat length, and their interactions on verbal inhibition …

Intervention Goals For Preschoolers With Language Difficulties And Disorders A Scoping Review Using The Icf Framework, Elaine Kwok, Carly A. Cermak, Kathryn Hatherly, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: The primary aim of this scoping review was to categorize language therapy goals reported in intervention studies for preschoolers (i.e., children from 0 to 5;0 years old) with language difficulties and disorders within the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) framework. A secondary aim was to determine whether different therapy goals were reported for different language difficulty/disorder subtypes (i.e., comparing language difficulty/disorder associated with a biomedical condition to those without an associated biomedical condition).

Method: The scoping review followed Arksey and O’Malley’s (2005) guidelines. Articles were retrieved from speechBITE, with age (under …

Usability And Feasibility Of A Spoken Language Outcome Monitoring Procedure In A Canadian Early Hearing Detection & Intervention Program: Results Of A 1-Year Pilot, Olivia Daub University Of Western Ontario, Bj Cunningham, Marlene P. Bagatto, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

Purpose: Best practice recommendations for Early Hearing Detection and Intervention (EHDI) programs include routine spoken language outcome monitoring. The present article reports on pilot data that evaluated the usability and feasibility of a spoken language outcome monitoring procedure developed for Ontario’s Infant Hearing Program (IHP). This procedure included both Program-level monitoring using omnibus language tests from birth to 6 years of age and individual vulnerability monitoring of key domains of spoken language known to be at risk in children who are deaf or hard of hearing.

Methodology: Speech-language pathologists (SLPs) in the IHP piloted the new procedures for one year …

Early Intervention Access And Use: The Impact On Outcomes, Brooklynn Schelling

Communication Sciences and Disorders: Student Scholarship & Creative Works

The purpose of this research paper was to investigate the factors that influence a person’s access to and use of early intervention (EI) services. In the literature, there are demonstrated short- and long-term benefits for populations with disorders or delays associated with EI. Speech-language pathologists are one of many professionals that may work with EI clients, and they should be especially interested in ensuring that all individuals receive necessary services. Previous research suggests that race, ethnicity, and socioeconomic status impact access to EI. This study examines possible methods of increasing access to EI for populations that are less likely to …

The Index Of Phonetic Complexity: At-A-Glance Scoring System, Terminology, Instructions, & Data Forms, Kathy J. Jakielski

Building Speech and Quantifying Complexity

This document is the Index of Phonetic Complexity, the at-a-glance scoring system, terminology, instructions, & data forms to accompany Building Speech & Quantifying Complexity. To see the entire series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech Pattern 1: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 1: Picture Stimuli is part 1 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech Pattern 2: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 2: Picture Stimuli is part 2 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech Pattern 6: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 6: Picture Stimuli is part 6 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech And Quantifying Complexity: The Manual, Kathy J. Jakielski

Building Speech and Quantifying Complexity

This document is the manual to accompany Building Speech & Quantifying Complexity. The full series can be viewed here: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, at one point in time or over time.

The Building Speech …