Medicine and Health Sciences Commons^™

Patients’ Perspective Of Patient-Centered Approach Vs. Biomedical Approach, Lakynn Hillhouse

Honors Theses

Evidence-based practice in audiology may consist of a patient-centered approach or a biomedical approach when offering individuals the results of hearing evaluations. Boisvert et al. (2017) and the Institute for Defense Analysis confirmed that audiologists preferred to select one approach. The question was if an audiology patient is presented with two options of explaining the hearing health issues, which model/approach will be his or her preference?

Participants may have had unconscious biases related to race or gender that could have unknowingly impacted their perception of the videos. The results of this research will facilitate clinical understanding of individual preferences regarding …

Assessment And Treatment Of Childhood Apraxia Of Speech: The Perspective Of Current Speech-Language Pathologists, Sabrina White

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

“Childhood apraxia of speech (CAS) is a neurological childhood (pediatric) speech sound disorder in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g. abnormal reflexes, abnormal tone)” (ASHA, 2007b, Definitions of CAS section, para. 1). The role of speech-language pathology in conjunction with childhood apraxia of speech is the treatment of whichever speech sound disorders exist. The variable nature of CAS creates challenges for SLPs. Presently, “there are no validated diagnostic features that differentiate CAS from other childhood speech sound disorders.” (ASHA, 2007b, Signs and Symptoms, para 1). Due to this …

Comparison Of Maintenance Gains From Two Treatment Approaches For Patients Diagnosed With Apraxia Of Speech And Broca’S Aphasia: A Critically Appraised Topic, Kalli B. Whiting

The Graduate Review

Three peer-reviewed research articles demonstrated benefits in using the articulatory-kinematic approaches of sound production treatment (SPT) and speech motor learning (SML) for intervention of patients diagnoses with apraxia of speech (AOS) concomitant with aphasia over the age of 50. This CAT was intended to review and compare the treatment maintenance between the two approaches using a specific search question; however, there was limited evidence for the specified population in that question. Although both approaches warranted positive outcomes, the SML approach may demonstrate a stronger linkage to the underlying features of apraxia of speech based on the method’s rationale. Through the …

Creating A Novel Approach To Discourse Treatment Through Coproduction With People With Aphasia And Speech And Language Therapists, M. Cruice, S. Aujla, J. Bannister, N. Botting, M. Boyle, N. Charles, V. Dhaliwal, S. Grobler, Deborah Hersh, J. Marshall, S. Morris, M. Pritchard, L. Scarth, R. Talbot, L. Dipper

Research outputs 2014 to 2021

Background:

Although spoken discourse is an outcome prioritised by all stakeholders in aphasia rehabilitation, assessment and treatment of discourse are not routine clinical practice. The small evidence base, varied clinical expertise, multiple barriers in the workplace, and challenges for clients in understanding their altered language abilities all contribute to this situation. These factors need serious consideration when developing a new treatment. Involving intended stakeholders as partners in the development process is recommended. This assists with future implementation by ensuring assessment and treatment are practical, feasible, and acceptable to those who will deliver and undertake it.

Aims:

This paper reports on …

Speech-Language Pathology Interventions And Ingredients That Support Social Communication And Language Of Preschoolers With Autism, Amanda Binns

Electronic Thesis and Dissertation Repository

One of the best predictors of long-term outcomes for autistic children is development of language and social communication skills. Therefore, it’s not surprising that speech and language therapy is one of the most frequently accessed interventions for children with suspected or diagnosed autism. From a public health and family well-being perspective, identifying effective social communication interventions and better understanding the specific components that contribute to their effectiveness is critical. However, there is a lack of clarity about the most effective interventions. This dissertation addressed this important topic through three studies.

Study 1 examined the literature on interventions provided by speech-language …

Direct And Indirect Treatment Effects In Multilingual People With Aphasia, Aviva Lerman

Dissertations, Theses, and Capstone Projects

Background: Successfully assessing and treating aphasia in multilingual people requires a detailed understanding of the mechanisms underlying language processing in the multilingual population, and the potential impairments to those mechanisms. The balance between spreading activation of language processes via treatment and controlling interference of competing items within the lexico-semantic networks appears to be a key factor in determining whether treatment effects generalise within and across languages in multilingual people with aphasia (Kiran, Sandberg, Gray, Ascenso, & Kester, 2013).

This balance can be exploited through treatment, which, if carefully chosen, should maximise potential within- and cross-language generalisation. One treatment that has …

Effects Of Visit Frequency On Swallowing Function During Organ Preservation For Head And Neck Cancer, Mathew Blaine Vansant

LSU Doctoral Dissertations

Chemoradiotherapy is not without risk of injury to the muscles and nerves associated with swallowing function. Current research supports the use of prophylactic behavioral swallowing exercise in the HNC population, however, wide variations in swallowing treatment methodologies exist and no optimal SLP-patient visit frequency has been established. In addition, poor patient adherence to swallowing exercise appears prevalent. The current study explored the impact of speech language pathologist (SLP)-patient contact time, adherence to prophylactic behavioral swallowing exercises, and explored effects of exercise intensity on immediate post-radiation swallowing outcomes. Groups included a high frequency group (5 weekly SLP-patient visits, n = 15), …

Efficacy Of Problem-Solving Interventions For Improving Executive Functioning Outcomes In Patients With Acquired Brain Injuries: A Systematic Review, Rebecca Booth, Emily Heckler, Molly Reese

Communication Sciences and Disorders: Systematic Review Publications

Background and Objective(s): Individuals with acquired brain injury (ABI) often demonstrate executive functioning (EF) impairments that impact their ability to identify and solve problems within their daily lives. This systematic review attempts to consolidate available research supporting problem-solving interventions as effective, evidence-based practice for addressing EF deficits in individuals with ABI.

Methods: A systematic review was conducted using the databases Ovid Medline, CINAHL, and PsycINFO. Studies met the following inclusion criteria: 1) problem-solving intervention, 2) EF outcomes, 3) individuals with acquired brain injuries. Studies were excluded based on the following criteria: 1) single case study design, 2) family-centered interventions and …

Treatment Of Auditory Processing In Noise In Individuals With Mild Aphasia: Pilot Study, Anastasia M. Raymer, Hilary M. Sandberg, Kathryn S. Schwartz, Ginger S. Watson, Stacie I. Ringleb

Communication Disorders & Special Education Faculty Publications

Purpose: Listening in noise challenges listeners with auditory comprehension impairments in aphasia. We examined the effects of Trivia Game, a computerized program with questions spoken in increasing levels of background noise with success in the game.

Methods: We piloted Trivia Game in four individuals with chronic aphasia and mild auditory comprehension impairments. Participants played Trivia Game for 12 twenty-minute sessions. In addition to the Western Aphasia Battery (WAB), we measured outcomes on Quick Speech in Noise (QSIN), a sentence repetition test, administered in auditory (AUD) and auditory+visual (AV) conditions as signal-to-noise ratio varied from 25 to 0 dB.

Results: All …

Motor Learning Guided Treatment For Acquired Apraxia Of Speech: Factors That Influence Treatment Outcomes, Rachel K. Johnson, Joanne P. Lasker, Julie A.G. Stierwalt, Megan K. Macpherson, Leonard L. Lapointe

Communication Disorders & Special Education Faculty Publications

Purpose: The purpose of this study was to examine factors that might influence the treatment effectiveness of motor learning guided (MLG) treatment approach for apraxia of speech (AOS). Specifically, this study examined the effects home practice and the stimuli selection on speech production.

Method: This is a case study across two treatment cycles involving a 52 year-old male five months post left CVA (due to a carotid artery dissection). Each treatment cycle used three conditions of practice to investigate the influence of practice frequency on treatment outcomes. The personal relevance of stimuli within and across treatment conditions differed in the …

Motor Learning Guided Treatment For Acquired Apraxia Of Speech, Rachel K. Johnson

Communication Disorders & Special Education Faculty Publications

Purpose: The purpose of this study was to expand the evidence on the effectiveness of motor learning guided approach for the treatment of acquired apraxia of speech. This study investigated the influence of practice frequency and number of targets per practice set on transfer of speech motor learning.

Method: This is a multiple baseline single-case study across two treatment cycles involving two individuals with chronic acquired apraxia of speech. Treatment Cycle 1 investigated the influence of self-controlled practice on speech motor learning through two conditions of practice. Treatment Cycle 2 investigated the influence of number of targets on transfer of …

Estimating The Impact Of Assessment And Treatment Fidelity On Aphasia Treatment Outcomes, Trisha L. Tanaka

Speech and Hearing Sciences ETDs

Purpose: Calls for treatment and assessment fidelity strongly suggest the need to reduce treatment provider and assessor variance surrounding intervention research. The extent to which these sources of variance influence treatment outcomes in aphasia treatment research has yet to be examined. This simulation study sought to explore the relationships between quality of fidelity methods, sample size, power to detect treatment effects, and aphasia treatment effect sizes.

Methods: Individual participant outcomes collected from previous aphasia treatment research studies were used to simulate 200,000 participant outcomes, from which 8,000 sample treatment trials were simulated. Effect sizes were calculated for treatment outcomes related …

Effects Of A Novel Right Brain Intervention On Stuttering In Familiar And Structured Speech Tasks, Josalyn Elizabeth Perry

USF Tampa Graduate Theses and Dissertations

Over 3 million Americans are disfluent due to developmental stuttering. Current evidence-based treatments typically consist of a rigorous schedule of intensive therapy, followed by the need for maintenance of skills, placing high demands on self-monitoring of one’s speech at all times. Relapse after treatment is very common, at 84%. The demand for further research into treatment possibilities for stuttering is on the forefront. Previous research has connected neural activations in people who stutter (PWS) and people with chronic nonfluent aphasia. The aim of this study was to determine if a novel intervention, based on a treatment for anomia, would change …

Effects Of A Novel Right Brain Intervention On Stuttering Frequency In Unfamiliar Speech Tasks, Chelsea Beatrice Stewart

USF Tampa Graduate Theses and Dissertations

Developmental stuttering persists in approximately 1% of the United States population. Stuttering has been shown to impact overall quality of life. The present study examines the effects of a Novel Right Brain Intervention on two female participants with persistent developmental stuttering. The aim of the study was to determine whether encouraging greater activation of the right hemisphere, specifically the pre-SMA, via complex left-handed movements, prior to speech production, would lead to a reduced stuttering frequency and severity in people who stutter (PWS). It was hypothesized that each participant would reduce stuttering symptoms and behaviors following the intervention due to the …

The Effects Of Left Vs Right Hemisphere Cerebrovascular Accident, And Treatment, Nellie M. Turner

Williams Honors College, Honors Research Projects

This project takes an in depth look at the various methods of treatment for stroke patients, the results that are gained, and the possible benefits and detriments of each type of treatment when administered properly. It examines the definition of a Cerebrovascular accident (CVA), and the various symptoms that occur when the left versus the right hemisphere is affected. The different causes of strokes are taken into account, along with the wide range of ways the victims may be affected by it, physically and mentally. It is important to be familiar with the different methods of treatment for a patient …

Advancements In Treatment For Sensorineural Hearing Loss: Implications For Rehabilitation Professionals, Shawn P. Saladin, Yasar Tasnif, Bianca Cruz, Robert B. Perez

JADARA

Rehabilitation professionals often work with individuals with sensorineural hearing loss. Sometimes the hearing loss is due to ototoxic medications that are prescribed as treatments for other conditions. An understanding of the types of ototoxic medications at the root of the sensorineural hearing loss combined with an understanding of the advancements in treatments will help the rehabilitation professional better serve consumers who fit this description.

Investigation Of Bilingualism Knowledge Of Speech-Language Pathologists And Speech-Language Pathology Students, Michelle Leon

FIU Electronic Theses and Dissertations

The purpose of this thesis was to administer a survey to obtain information on practicing Speech-Language Pathologists’ (SLPs) knowledge of bilingual issues, while also considering whether any academic background on bilingualism guides SLP’s diagnostic and treatment options. This was done by comparing survey results of practicing SLPs with different academic backgrounds on bilingualism with current Master’s students registered at the Communication Sciences and Disorders Masters’ program at Florida International University (FIU). The survey consisted of 26 questions that examined participant’s history, and bilingual knowledge.

Data was collected from 89 surveys. Data analyses showed that students and SLPs with a strong …

The Role Of Speech-Language Pathologists In Swallowing Treatment Of Individuals With Hiv/Aids, Sarah Lynn Warner

Online Theses and Dissertations

The role of speech-language pathologists (SLPs) in the assessment and treatment of dysphagia in individuals living with HIV/AIDS is relatively absent from the literature. Dysphagia is described as difficulty swallowing that can be caused by oral indicators, structural dysfunction, and neurological disease (Bladon & Ross, 2007; Bobba et al., 2007; Nkuize et al., 2010). Dysphagia is a prevalent symptom secondary to the HIV/AIDS virus, yet dysphagia in the HIV/AIDS population often goes untreated (Bladon & Ross, 2007). One way to improve assessment and treatment of dysphagia is to ensure medical professionals are knowledgeable of the communication and swallowing disorders that …

Comparing Spoken Language Treatments For Minimally Verbal Preschoolers With Autism Spectrum Disorders, Rhea Paul, Daniel Campbell, Kimberly Gilbert, Ioanna Tsiouri

Communication Disorders Faculty Publications

Preschoolers with severe autism and minimal speech were assigned either a discrete trial or a naturalistic language treatment, and parents of all participants also received parent responsiveness training. After 12 weeks, both groups showed comparable improvement in number of spoken words produced, on average. Approximately half the children in each group achieved benchmarks for the first stage of functional spoken language development, as defined by Tager-Flusberg et al. (J Speech Lang Hear Res, 52: 643–652, 2009). Analyses of moderators of treatment suggest that joint attention moderates response to both treatments, and children with better receptive language pre-treatment do better with …

Communication Disorders And Indigenous Australians : A Synthesis And Critique Of The Available Literature, Jasmyn Hall

Theses : Honours

Purpose: To synthesise and critique the available diverse literature related to communication disorders experienced by Indigenous Australians. This is in order to provide health professionals with a resource guide for evidence based decision making. The review has a specific focus on prevalence, assessment and effective treatment of communication disorders and explores these across the lifespan.

Method: A three phase systematic search process was adopted. A number of key databases, speech pathology journals and grey literature sources were searched to obtain articles relevant to the research aims. Two researchers independently rated articles for inclusion as well as methodological quality using the …

Sally J. Rogers And Geraldine Dawson: Review Of Early Start Denver Model For Young Children With Autism: Promoting Language, Learning And Engagement (Book Review), Rhea Paul

Communication Disorders Faculty Publications

Book review by Rhea Paul:

Rogers, Sally R. and Geraldine Dawson. Early Start Denver Model for Young Children with Autism: Promoting Language, Learning and Engagement. New York: Guilford Press, 2010. 9781606236321; 9781606234914 (pbk.)

Comparison Of The Laryngeal Behavior Of A Young Stutterer Before And After Fluency Treatment, Trista Farmer

Undergraduate Honors Capstone Projects

Stuttering is one of the most complex of all speech and language disorders (Caruso, Conture, & Colton, 1988). Understanding of its etiology and treatment is vague, yet growing. Much research is needed in the area of disfluency to increase our knowledge of the disorder and to provide a clearer picture of how to improve therapeutic intervention. Routine evaluation of disfluency typically includes the assessment of stuttering frequency and rate. However, as stated by Ingham (1984), the minimum evaluation data collected (fluency and rate) should be supplemented by the assessment of a number of additional aspects of speech quality (Ingham, 1984, …