Medicine and Health Sciences Commons^™

Impact Of Testosterone Therapy On Voices In Trans-Masculine People: A Scoping Review, Samuel E. Hedine, Jeff Conn, Deanna Britton

Student Research Symposium

Treatment of trans people by speech-language pathologists (SLPs) dates back to at least the 1980s. However, the majority of early research on the voices of trans people focused on trans-women. More recently, the field of speech-language pathology has garnered more interest in the effects of testosterone therapy in trans-masculine individuals. The goal of this project is to review current research, and compile the known effects of testosterone therapy in the trans-masculine population on common acoustic indices of voice production, including fundamental frequency (pitch), decibels/sound pressure level (dB SPL; loudness) and cepstral peak prominence (voice quality). A scoping literature search was …

Intervention Approaches For Childhood Apraxia Of Speech: An Overview Of Prevailing Treatment Methods, Toni Lewis

University Honors Theses

This paper aims to describe the theory and methods of select intervention approaches for childhood apraxia of speech so readers may better understand current treatment techniques. Covered in this paper are Rapid Syllable Transitions (ReST), Dynamic Temporal and Tactile Cueing (DTTC), Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT), as well as supplemental techniques such as augmentative and alternative communication (AAC) and ultrasound biofeedback. Also covered briefly are instances of CAS treatment in languages other than English.

Perceptions And Experiences Of Indian And Indian-American Multilingual And Multicultural Adults Who Stutter, Bhavani Ganesh

University Honors Theses

Purpose: The purpose of this study is to investigate the intersectional identities of Indian and Indian American people who stutter and explore how their multicultural and/or multilingual identities contribute to their self-perceptions and experiences of disability.

Method: Five Indian or Indian American adults (all male) who stuttered participated in a semi-structured interview via Zoom. Interview transcripts were analyzed using a phenomenological qualitative research methods process. The qualitative research process included in-vivo coding, identification of categories, and emergence of themes.

Results: Participants reported both unique and shared experiences related to their stuttering and their multicultural and multilingual backgrounds. Four major themes …

Self-Perception Of Stuttering Frequency Across The Lifespan: A Pilot Study, Natalia C. Newton

University Honors Theses

Purpose: The purpose of the current pilot study is to analyze the accuracy of self-rating of stuttering frequency as compared to clinician calculations of stuttering frequency in order to further examine possible factors that affect the accuracy of a stutterer’s self-rating of their overt stuttering.

Method: Three participants (i.e., one child, one teen, one adult) self-rated their perceptions of their stuttering frequency on a scale of 1-5 after three telepractice speech therapy sessions. Each of the telepractice therapy sessions were recorded and reviewed asynchronously after the session to conduct a disfluency count with a 300-word sample and calculate the percentage …

Explicit Learning Of Auditory Categories In Preschoolers With And Without Developmental Language Disorder, Lauren Casey

University Honors Theses

This study a part of a broader study including Quam et al. (2020) and Yu (2020) with the aim of understanding how children with and without developmental language disorder learn language. With a better understanding of the underlying learning mechanisms affected in DLD, better interventions can be implemented. The current study investigates explicit language learning in preschoolers with and without developmental language disorder (DLD). This was done by observing sound discrimination and explicit sound-meaning mapping. One child with DLD and 29 children with typical language development (TLD) participated in this study. Inclusion in each group was determined by a hearing …

Inclusion For Speech-Language Pathology Minority Graduate Students, Teresa Michelle Roberts

Dissertations and Theses

Speech-language pathologists provide assessment and intervention for communication, cognition, and swallowing disorders for individuals across the lifespan in educational, medical, and private practice settings. The demographics of professionals in the field do not reflect those of the general public in regard to race and ethnicity, gender, socioeconomic status, LGBTQ+, and disability. Lack of representation of minorities limits research, policy, and services designed to serve diverse populations. Although initiatives have sought to address lack of diversity of speech-language pathologists, limited research on the graduate training experience for minority students is available. Since a master's degree is required to become a speech-language …

Infants’ Discrimination Of Consonant Contrasts In The Presence And Absence Of Talker Variability, Carolyn Quam, Lauren Clough, Sara Knight, Louann Gerken

Speech and Hearing Sciences Faculty Publications and Presentations

To learn speech‐sound categories, infants must identify the acoustic dimensions that differentiate categories and selectively attend to them as opposed to irrelevant dimensions. Variability on irrelevant acoustic dimensions can aid formation of robust categories in infants through adults in tasks such as word learning (e.g., Rost and McMurray, 2009) or speech‐sound learning (e.g., Lively et al., 1993). At the same time, variability sometimes overwhelms learners, interfering with learning and processing. Two prior studies (Kuhl & Miller, 1982; Jusczyk, Pisoni, & Mullennix, 1992) found that irrelevant variability sometimes impaired early sound discrimination. We asked whether variability would impair or facilitate discrimination …

Procedural-Memory, Working-Memory, And Declarative-Memory Skills Are Each Associated With Dimensional Integration In Sound-Category Learning, Carolyn Quam, Alisa Wang, W. Todd Maddox, Kimberly Golisch

Speech and Hearing Sciences Faculty Publications and Presentations

This paper investigates relationships between procedural-memory, declarative-memory, and working-memory skills and adult native English speakers’ novel sound-category learning. Participants completed a sound-categorization task that required integrating two dimensions: one native (vowel quality), one non-native (pitch). Similar information-integration category structures in the visual and auditory domains have been shown to be best learned implicitly (e.g., Maddox et al., 2006). Thus, we predicted that individuals with greater procedural-memory capacity would better learn sound categories, because procedural memory appears to support implicit learning of new information and integration of dimensions. Seventy undergraduates were tested across two experiments. Procedural memory was assessed using …

Nonword Reading In Children Who Do And Do Not Stutter, Bailey Broxson, Laura Qualls, Tram Nguyen

Student Research Symposium

Stuttering is a multifactorial disorder characterized by disruptions in the forward flow of speech (ASHA). Previous research has demonstrated that children and adults who stutter have phonological working memory systems that are less efficient and accurate than children and adults who do not stutter. This difference in phonological working memory plays a key role in the production of stuttered speech. Anecdotally, speech-language pathologists who work with children who stutter report that three clients also demonstrate difficulty decoding novel works during reading tasks. To date, the link between phonological working memory, stuttered speech, and reading have not been explored. The purpose …

The Distribution Of Talker Variability Impacts Infants’ Word Learning, Carolyn Quam, Sara Knight, Louann Gerken

Speech and Hearing Sciences Faculty Publications and Presentations

Infants struggle to apply earlier-demonstrated sound-discrimination abilities to later word learning, attending to non-constrastive acoustic dimensions (e.g., Hay et al., 2015), and not always to contrastive dimensions (e.g., Stager & Werker, 1997). One hint about the nature of infants’ difficulties comes from the observation that input from multiple talkers can improve word learning (Rost & McMurray, 2009). This may be because, when a single talker says both of the to-be-learned words, consistent talker’s-voice characteristics make the acoustics of the two words more overlapping (Apfelbaum & McMurray, 2011). Here, we test that notion. We taught 14-month-old infants two similar-sounding words in …

Participation In Camp Dream. Speak. Live: Affective And Cognitive Outcomes For Children Who Stutter, Courtney T. Byrd, Elizabeth Hampton, Megann Mcgill, Zoi Gkalitsiou

Speech and Hearing Sciences Faculty Publications and Presentations

Objective: The purpose of this study was to explore the influence of participation in Camp Dream. Speak. Live., an intensive therapy program, on the communication attitudes, peer relationships and quality of life of children who stutter. Method: Participants were 23 children who stutter (n=5 females; n=18 males; age range 4–14 years) who attended a weeklong intensive therapy program that was exclusively developed to address the affective and cognitive components of stuttering. Outcome measures included the KiddyCAT Communication Attitude Test for Preschool and Kindergarten Children who Stutter, the Overall Assessment of the Speaker’s Experience of Stuttering (OASES), and the Patient Reported …

From Grapheme To Phonological Output: Performance Of Adults Who Stutter On A Word Jumble Task, Megann Mcgill, Harvey Sussman, Courtney T. Byrd

Speech and Hearing Sciences Faculty Publications and Presentations

Purpose

The purpose of the present study was to extend previous research by analyzing the ability of adults who stutter to use phonological working memory in conjunction with lexical access to perform a word jumble task.

Method

Forty English words consisting of 3-, 4-, 5-, and 6-letters (n = 10 per letter length category) were randomly jumbled using a web-based application. During the experimental task, 26 participants were asked to silently manipulate the scrambled letters to form a real word. Each vocal response was coded for accuracy and speech reaction time (SRT).

Results

Adults who stutter attempted to solve …

Psychometric Evaluation Of Lexical Diversity Indices: Assessing Length Effects, Gerasimos Fergadiotis, Heather Harris Wright, Samuel B. Green

Speech and Hearing Sciences Faculty Publications and Presentations

Purpose—Several novel techniques have been developed recently to assess the breadth of speaker’s vocabulary exhibited in a language sample. The specific aim of this study was to increase our understanding of the validity of the scores generated by different lexical diversity (LD) estimation techniques. Four techniques were explored: D, Maas, Measure of Textual Lexical Diversity (MTLD), and the Moving Average Type Token Ratio (MATTR).

Method—Four LD indices were estimated for language samples on four discourse tasks (procedures, eventcasts, story retell, and recounts) from 442 neurologically intact adults. The resulting data were analyzed using structural equation modeling.

Results—The scores on the …

Measuring Global Coherence In Aphasia, V. Galetto, S. Kintz, T. West, Heather Harris Wright, Gerasimos Fergadiotis

Speech and Hearing Sciences Faculty Publications and Presentations

Discourse coherence may be conceptualized as representing the listener's ability to interpret the overall meaning conveyed by the speaker. Discourse schemas serve as the organizing frameworks for placing the essential discourse elements within a language sample (Bloom, Borod, & Santschi-Haywoor, Pick, & Obler, 1996; Peterson & McCabe, 1983). When the essential elements are provided a logical consistency of the discourse schema is maintained and the listener perceives the discourse as coherent (Ditman & Kuperberg, 2010; Trabasso, van den Broek, & Suh, 1989; van den Broek, Virtue, Everson, Tzeng, & Sung, 2002). Global coherence refers to the ability to semantically relate …

Effects Of Truncation On Language Sample Analysis In Aphasia, Gerasimos Fergadiotis, Heather Harris Wright

Speech and Hearing Sciences Faculty Publications and Presentations

The goal of this study is to determine if the length of a language sample elicited from a person with aphasia (PWA) is of consequence when making inferences about the patient's functional language ability. When conducting a language sample analysis, a sample representing a snapshot in time is used to make inferences about an individual's language capacity in general. However, current findings are inconclusive regarding the ideal length of the language sample necessary to draw valid conclusions about patients (e.g. Heilman, Nockerts, & Miller, 2010).

Coherence In Stories Told By Adults With Aphasia, Heather Harris Wright, Anthony Koutsoftas, Gerasimos Fergadiotis, Gilson Capilouto

Speech and Hearing Sciences Faculty Publications and Presentations

Discourse coherence is the conceptual organization of discourse and it can be subdivided into two types: global and local. Of interest for the current study is global coherence; that is, how the discourse relates to the overall topic (Glosser & Deser, 1990). Coherence has been measured in persons with aphasia (PWA) using different elicitation tasks (e.g., recounts, story retelling, event-casts) and different scoring methods (ie., rating scales, coherence, violations, total counts) and results have varied across studies (Christianson, 1995; Coelho & Flewellyn, 2003; Glosser & Deser, 1990; Ulatowska, et al., 2004). These differences may reflect differences in how coherence is …

Psychometric Properties Of The Pyramids And Palm Trees Test, Gerasimos Fergadiotis, Heather Wright, Gilson Capilouto

Speech and Hearing Sciences Faculty Publications and Presentations

The Pyramids and Palm Trees Test (PPT) is a nonverbal measure of semantic memory that has been frequently used in previous aphasia, agnosia, and dementia research. Very little psychometric information regarding the PPT is available. The purpose of this study was to investigate the psychometric properties of the PPT in a population of healthy college students. Results indicated that the PPT achieved poor test–retest reliability, failed to obtain adequate internal consistency, and demonstrated poor convergent validity, but showed acceptable discriminant validity. The results of this study suggest that the PPT lacks acceptable reliability and validity for use with a college …

High Frequency Pure Tone Audiometry And High Frequency Distortion Product Otoacoustic Emissions: A Correlational Analysis, Kimberly J. Lavoie

Dissertations and Theses

Previous studies show that pure tone thresholds are strongly correlated with distortion product otoacoustic emission amplitudes when evaluating the frequency range from 1 to 8 kHz (Avan & Bonfils, 1993). Little is known about correlations between these two measures at higher frequencies from 9-16 kHz. This study compared pure tone thresholds and distortion product otoacoustic emissions (DPOAEs) in this high frequency range for 29 normal hearing subjects ages 18-30. Pure tone thresholds were obtained at 250-16 kHz and distortion product otoacoustic emissions (DPOAE) 2,211-17,675 were measured in the same ears. DPOAE amplitudes were measured using a constant F1/F2 ratio of …

A Comparison Of Listener And Speaker Perception Of Stuttering Events, Anne Jocelyn Schagen

Dissertations and Theses

Stuttering identification, measurement, research, and treatment have for many years had their basis in listener judgment of stuttering, but the covert aspects of stuttering are not behaviorally observable, and inter-rater reliability has repeatedly been shown to be low. Perkins (1990) has emphasized the importance of consulting the speaker for the most reliable perspective on stuttering identification. The question raised in this study is whether there is a significant correlation between stuttering identification based upon internal perception by a speaker who stutters, and identification based upon external perception of listeners, with points of inter-rater disagreement removed. Six adult males, aged 18 …

Receptive Language And Cognitive Skills In Preschool-Aged Children With Cerebral Palsy, Susan Elizabeth Panton

Dissertations and Theses

The purpose of this study was to examine the relationship between receptive language skills and nonverbal cognitive skills in preschool children with cerebral palsy and a mild to severe motor speech impairment. In addition, the relationship between the severity of motor impairment and receptive communication and nonverbal cognitive skills was also examined. Fifteen subjects, 10 males and 5 females, were included in this study. The subjects are part of a larger longitudinal study being completed within Portland State University's Speech and Hearing Sciences Program. All of the subjects participated in two in-home assessment sessions, which were approximately 2 hours long. …

A Study Of The Level Of Knowledge Of Adult Foster Care Home Providers In Multnomah County In The State Of Oregon About Hearing Loss, Hearing Aids And Communication Strategies, Marsha Peters Johnson

Dissertations and Theses

The level of knowledge about hearing aid use, function, and maintenance of caregivers of the elderly persons who are hearing impaired and residing in adult foster care homes in Multnomah County in the state of Oregon was assessed via a 1 7 question survey. Twenty subjects participated in the study. Subjects' responses demonstrated poor knowledge about this subject and indicated that residents' needs are unmet. The results clearly demonstrate the subjects' limited knowledge of the operation of hearing aids, poor grasp of the basic troubleshooting methods for repair, and inaccurate perceptions of hearing aid adjustment. Access to professional audiologic care …

Comparison Of Intelligibility Estimation And Orthographic Transcription Methods By Preprofessional Speech-Language Pathologists, Kristi M. Mowe

Dissertations and Theses

When the fundamental means of communications is speech, the main component for successful communication is intelligibility. The speech of children with disordered phonologies is often unintelligible; therefore, accurate and reliable methods of measuring intelligibility are essential when determining eligibility, and in selecting and providing appropriate treatment.

The purpose of this study was to investigate the relationship between the percentage estimation method and the orthographic transcription method when measuring speech intelligibility by preprofessional listeners. For this study, the standard measurement of intelligibility was defined as the percentage of words understood in a continuous speech sample derived from orthographic transcription of the …

A Comparison Of Expressive Vocabulary Produced By Nonambulatory, Speaking Preschool Children And Ambulatory Speaking Preschool Children, Kim Denise Baker

Dissertations and Theses

Children with severe physical disabilities often do not have the capabilities for oral communication. Professionals are frequently faced with selecting vocabulary for children who are unable to use vocal output because of severe motor impairments. A child who is nonambulatory may have additional reasons for communicating and sees the world from a different viewpoint than his ambulatory peers. Selecting appropriate words for an initial lexicon that are useful to nonspeaking disabled children that also meet normal language acquisition standards is a concern. This study specifically addresses this concern by looking at the vocabulary differences of ambulatory and nonambulatory preschool children. …

Percentage Of Phonological Process Usage In Expressive Language Delayed Children, Sherri Lynn Miller

Dissertations and Theses

Language delay and phonological delay have been shown to coexist. Because they so often co-occur, it is possible that they may interact, sharing a relationship during the child's development. A group of children who were "late talkers" as toddlers, achieved normal development in their syntactic ability by the preschool period. Because their language abilities are known to have increased rapidly, data on their phonological development could provide information on the relationship between phonological and syntactic development.

The purpose of this study was to compare the percentage of phonological process usage of the eight most commonly used simplification processes in four-year-old …

Written Narrative Texts Of Language Impaired And Normal Adolescents, Kevin Jon Penner

Dissertations and Theses

Classroom teachers frequently refer adolescents to speech language pathologists for language skills evaluations. Many of the traditional evaluation tools of the speech-language pathologist focus on the student's oral language skills. The first indication to the classroom teacher that there may be a language problem, however, is usually from the student's written classwork. Very few written language assessment tools are available which give speech language pathologists information regarding linguistic units which can be viewed as communication acts. This paper focuses on one particular discourse unit - the written narrative. Narratives are a natural form of thought and demonstrate how a person …

Story Retelling Skills In 4-Year-Olds With Histories Of Normal And Delayed Language Development, Rita Louise Smith

Dissertations and Theses

There is a growing group of researchers who believe that narrative skills are the bridge from oral language to literacy (Culatta, Page, & Ellis, 1983; Roth & Spekman, 1989; Westby, 1989). Narrative production requires higher level language skills to create a cohesive discourse unit using decontextualized language. Narrative ability has also been found to be the best predictor for normal speech and language development for preschoolers with language impairments (Bishop & Edmundson, 1987) and reading comprehension achievement for learning-disabled, school-age children (Feagans & Applebaum, 1986) . These same skills are prerequisites for achievement of literacy and school success.

The purpose …

A Comparison Of Two Vocabulary Tests Used With Normal And Delayed Preschool Children, Lynn Safadi

Dissertations and Theses

The purpose of this study was to determine if a difference exists between mean standard scores of the Peabody Picture Vocabulary Test - Revised (PPVT-R) (Dunn and Dunn, 1981) and the Expressive One-Word Picture Vocabulary Test (EOWPVT) (Gardner, 1979) for children in several diagnostic categories. The subjects used in this study were 45 preschool children ranging in age from 36 to 47 months. These subjects were divided into groups of normal, expressively language-delayed (ELD) and normal children with a history of expressive language delay (HELD).

Developmental Sentence Scoring Sample Size Comparison, Peggy Ann Callan

Dissertations and Theses

In 1971, Lee and Canter developed a systematic tool for assessing children's expressive language: Developmental Sentence Scoring (DSS). It provides normative data against which a child's delayed or disordered language development can be compared with the normal language of children the same age. A specific scoring system is used to analyze children's use of standard English grammatical rules from a tape-recorded sample of their spontaneous speech during conversation with a clinician.

The corpus of sentences for the DSS is obtained from a sample of 50 complete, different, consecutive, intelligible, non-echolalic sentences elicited from a child in conversation with an …

The Duration Of Tinnitus In An Aging Population, Mary Engel

Dissertations and Theses

The purpose of the present study was to determine whether the perceived severity of chronic tinnitus in a geriatric population increased, decreased, or remained constant with the passage of time. A questionnaire was designed to ascertain the subjects' perceived severity at time of onset and the perceived severity of their current tinnitus. The subjects were asked to rate their past and present tinnitus severity according to how much it bothered them. They were also asked questions pertaining to noise exposure history, hearing aid use, and tinnitus sound parameters for purposes of comparison with other groups previously studied.

Differentially Diagnosing Stuttering In Young Children Using The Stuttering Severity Instrument, Brenda Pekkola Teich

Dissertations and Theses

Young children between the ages of two and six years often exhibit partword, whole word. and phrases repetitions as their language develops. This is also the age range when stuttering most frequently appears. Consequently. speech-language pathologists need diagnostic criteria and evaluation tools to distinguish between the incipient stutterer and the normally disfluent child.

Today a widely used evaluation tool is the Stuttering Severity Instrument (SSI) (Riley, 1972, 1980). The SSI is designed to provide a severity level based upon the parameters of frequency. duration. and physical concomitants. Riley (1972) first designed the SSI to not include monosyllabic word repetitions in …