Medicine and Health Sciences Commons^™

Speech Language Pathologists’ Confidence And Preparedness Working With Clients With Hearing Loss, Katherine Rosa Giustino

Masters Theses

Speech language pathologists (SLP) are professionals who may work with clients with hearing loss. With hearing loss, there are many devices, such as hearing aids, that must be functioning to provide effective speech and language therapy. Therefore, SLPs must be familiar with how to check and maintain these devices to provide optimal therapy. However, it is unknown how confident SLPs are with working with such devices. Data from a Qualtrics survey with questions that assess SLPs’ confidence in working with hearing assistive devices and communicating effectively with individuals with hearing loss was analyzed.

Overall, this study found confidence across all …

Mental Health Professionals' Beliefs About, Reactions Toward, And Overall Impression Of Stuttering, Elise Anne Nasser

Masters Theses

The purpose of the current study is to better understand mental health professionals' beliefs, reactions, overall impression, and familiarity with stuttering to gain insight into areas where they may need more support. Some people who stutter develop increased levels of anxiety because of negative evaluation from the public (Iverach & Rapee, 2014). It is likely that a sub-group of people who stutter may benefit from mental health services; however, misinformation about stuttering may serve as a barrier in effective service provision for those who work with people who stutter (Ginsberg & Wexler, 2000). Quantitative survey data (Public Opinion Survey of …

Living With Stuttering: Authenticity, Identity, And Mental Health, Sarah Musilli

Masters Theses

In an effort to manage stigma, some PWS attempt to conceal stuttering and pass as a fluent speaker (Constantino et al., 2017). These efforts to conceal may be counterintuitive, as concealment of stuttering is predictive of elevated distress (Gerlach et al., 2021) and decreased quality of life among PWS (Boyle et. al., 2018). Although this association exists, the factors explaining how and why it exists are unexplored. Identity conflict and feelings of in/authenticity are two potential factors that are explored in this study. Qualitative interviewing supplemented with quantitative survey data is utilized to explore the lived experiences of identity conflict …

Neurogenic Stuttering: Exploring Potential Emotional And Life Impact, Natalie Devries

Masters Theses

The purpose of the current study was to explore the potential emotional and life impact of living with neurogenic stuttering and how and when an impact develops, if present. The current diagnostic criteria for neurogenic stuttering includes no emotional impact (Canter, 1971). The literature is divided in supporting this criterion (Lebrun et al., 1990; Leder et al., 1996; Perino et al., 2000; Theys et al., 2008; Tani &Sakai, 2011; Ellis & Sheehy, 2013; Vanhoutte et al., 2014). The current study relied on qualitative interviewing which was analyzed using Reflexive Thematic Analysis to explore potential for emotional and life impact (Braun …

Exploring Discourse Markers As A Treatment Outcome Measure For Aphasia, Anna K. Cedoz

Masters Theses

Discourse Markers (DMs) are communicative tools or resources that people use to organize conversations. The use of DMs among individuals with aphasia has been documented to support their communicative competence (Simmons-Mackie & Damico, 1996). Further research on the use of DMs by individuals with aphasia has been limited. The current study features a secondary analysis using existing data from Devanga (2020), which studied the effects of Collaborative Referencing Intervention (CRI; Hengst et al., 2010) on three participants with chronic aphasia. This study analyzed 18 conversation probes from one participant across baseline, treatment, and maintenance phases with clinician and spouse partners. …

A Survey Of Perceptions And Professional Boundaries Between Music Therapy And Speech-Language Pathology, Jennifer Rose Fromius

Masters Theses

The purpose of this study is to examine the relationship between music therapists and speech-language pathologists in order to gain a better understanding of professional boundaries within each profession, frequency of co-treatment between the two professions, and perceptions of referral in clinical practice. Data for this research were collected through two online questionnaires with parallel sets of questions, which were distributed to a sample of boardcertified music therapists (MT-BC) and speech-language pathologists (CCC-SLP). Quantitative and qualitative data collected from the survey (N= 283; n = 45 MT-BC, n = 238 CCC-SLP) are analyzed to determine if there are correlations and …

Language Profiles Of Children Who Have Experienced Complex Trauma And Fetal Alcohol Spectrum Disorders, Christel G. Ciolino

Masters Theses

Children who experience maltreatment and children with Fetal Alcohol Spectrum Disorders (FASD) have similar neurological differences and are at risk for language impairments. However, limited research has been conducted to analyze their specific skill sets. To address this limitation, retrospective data from the Children’s Trauma Assessment Center of Southwest Michigan were analyzed. The linguistic profiles of 79 children with histories of varying numbers of traumatic experiences and comorbid FASD statues are compared in the areas of semantics, syntax, pragmatics, and social communication. Individuals had high pass rates on the CELF-5 Screening Test and high overall scores on the Pragmatic Protocol-Revised …

Preliteracy Skills Promoted In Children’S Spanish-Language Books, Katherine Marie Suter

Masters Theses

As of July 1, 2013, the latest census figures indicate that there are approximately 54 million Latinosliving in the U.S. (US Census Bureau, 2013). However, many Latino children still do not receive the services or resources they need to perform well academically. The primary aim of this research study is to determine if the books available to Spanish-speaking Latino¹ populations in two Michigan Counties contain features that might be used to facilitate beginning pre-literacy skills.

Children’s Spanish-language books from bookstores and public libraries were analyzed to determine the presence of features that might facilitate print awareness, phonological awareness, and …

The Relationship Between Speaking Rate And Nasalance In Typical Adult Speakers, Rachel Whitney

Masters Theses

Nasometry is a non-invasive tool frequently used to measure speech resonance in clinical populations. The instrument uses an acoustic recording system to derive a measure termed nasalance, which is an estimate of the relative amount of acoustic energy emitted from the nasal cavity. Nasometry protocols do not provide detailed instructions for speaking rate control during data collection. Studies attempting to establish a relationship between speaking rate and nasalance have yielded mixed results; therefore, it is important to identify the influence of speaking rate on nasalance in a variety of speaking tasks. If rate is found to influence nasalance values, protocols …

Executive Functions And Social Interactions: Developing Social Scenarios, Mackenzie Waite

Masters Theses

The aim of this study was to develop a series of vignettes to form the basis for an assessment of executive functions (EFs) for 9 – 12 year old children. Although EFs are necessary for effective social communication and positive social interactions, currently, most EF assessments focus on impersonal activities. Little research exists that incorporates real-time processing using ecologically valid social scenarios. The current study aims to develop realistic scenarios that children could encounter in daily life. Ethnographic interviews were conducted with six participants, who worked in a school with 9-12 year old children, to gain their perspective on social …

Preschoolers With Speech And Language Impairment: Case Studies From A Teacher-Delivered Phonological Awareness Program, Katherine J. Wickham

Masters Theses

Past and present research demonstrates early reading success related to phonological awareness (PA) instruction conducted individually or in small groups outside of the preschool classroom. This study investigated the effects of an explicit, intensive and teacher-delivered PA instruction for children with speech sound disorder and language impairment as part of the preschool curriculum. The investigator examined the performance of individual cases in both groups, those who received instruction and the control. Two participants in each of the experimental (E1 and E2) and control (C1 and C2) groups had standardized scores indicating deficits in speech and/or language. These children who received …

Relative Timing Of Speech Motor Events At Utterance Invitation In Persons Who Do And Do Not Stutter, Bryan Thomas Brown

Masters Theses

Speech production is a highly complex speech motor activity that presumably requires a high degree of coordination between articulatory, respiratory and phonatory subsystems. Stuttering may be caused by breakdowns in speech motor coordination. The current study attempted to evaluate timing relationship between these systems at speech initiation in the perceptually fluent speech of people who do and do not stutter. To study this, tongue blade speed histories, respiratory transitions from inspiratory to expiratory gestures, and acoustic events at the initiation of perceptually fluent speech in persons who stutter and normally fluent speakers were analyzed in relative time. To identify the …

Adolescents’ Perceptions Of Their Roles In Decision-Making In The Oral Cleft Clinic, Rebecca Ann Hague

Masters Theses

Background: The literature suggests adolescents have the cognitive abilities equivalent to an adult for health related decisions. Adolescents should participate in treatment planning at a level equivalent to their cognitive abilities and the extent they desire. Little is known regarding adolescents' perceived and desired level of involvement in decision making in an oral cleft clinic.

Purpose: To describe adolescents' perceptions of their roles and desired level of involvement in decision-making in an oral cleft clinic.

Methods: Four adolescents completed a questionnaire and participated in focus groups.

Results: Participants reported that they perceive they are involved in decision-making processes, are knowledgeable …

Perceptions Of Adolescents: Preferences Of Adolescents For Parental Presence And The Effect On Information Disclosure, Bethany Barrus

Masters Theses

Adolescents born with a cleft lip or palate are in a unique position because they have received a lifetime of interdisciplinary team care where decisions are frequently made by parents, yet they are transitioning into a stage of life in which they will make their own health related decisions. Because of the complexity of their health needs, the preferred method of care is interdisciplinary team care (Nackashi, Dedlow, Dixon-Wood, 1997; Kummer, 2001). Little research has been conducted regarding the perceptions of adolescents with oral cleft about their care and issues of confidentiality in the context of team care. This study …

Acoustic, Kinematic, And Auditory Perceptual Characteristics Of Clear Speech, Kristin L. Greilick

Masters Theses

This study characterized the speech motor transformations that underlie speech clarity changes in a group of 49 healthy young speakers. Clarity judgments based on auditory perception of the speech samples were determined by a panel of 30 undergraduate and graduate students. This study specifically aimed to characterize (1) the auditory-perceptual judgments of clarity, (2) the acoustic measures of clear and causal speech, (3) the temporal and spatial features of articulatory movements of clear and casual speech, and (4) test the hypothesis that auditory perceptual scaling of clarity (perceptual salience) would be associated with kinematic indicators of physical effort.

Results suggested …

Dialect Density And Discourse Maturity Of African American Elementary Students, Brandi Lynette Newkirk

Masters Theses

This was a report of an investigation of the effects of dialectal features in African American students' narratives on discourse ratings by trained judges. The question addressed in this research was whether dialectal features influence judges who are evaluating discourse. Graduate students in speech-language pathology (n = 18) learning to analyze discourse samples served as the judges. Two versions of narratives (n = 27) written by third- and fourth-grade African American students (the original version and the edited version) were used to determine if narratives that contain dialectal features would be rated lower. The judges were trained in narrative discourse …

Right Hemisphere Effects On Language Processing: Suppression Or Activation Deficit, Sarah A. Orjada

Masters Theses

This study was designed to add to the body of research that examines the possibility of semantic activation or suppression deficits as underlying right hemisphere communication disorders. Modified treatment techniques for activation and suppression deficits proposed by Myers (1999) were used as stimuli for the experimental tasks. A total of four RHD participants and four control participants matched in age, gender, and level of education were included in the study. The study aimed to answer the following questions. Do RHD or control participants have higher scores on the suppression tasks? Do RHD participants have longer reaction times? Do RHD or …

The Immediate Effects Of Vestibular Stimulation On The Language Performance Of A Child With Autism, Jennifer L. Sova

Masters Theses

There is a proposed link between sensory processing abilities and language performance in children with autism. Research evaluating such a relationship is limited. This study sought to evaluate the hypothesis that language expression is facilitated by the application of vestibular stimulation in a child with autism. The purpose of the present study was to implement language interaction techniques and measure the outcome of language performance in a 4-year-old child with autism and sensory integration dysfunction. The child was evaluated in regards to vestibular stimulation and its facilitative effect on language production for social communicative purposes. Direct observation was used to …

Evaluation Of The Pediatric Test Of Brain Injury, Heather K. Koole

Masters Theses

This study was designed to evaluate the Pediatric Test of Brain Injury (PTBI), as well as to examine information obtained from informal measures in assessing children and adolescents with traumatic brain injury (TBI). Three students with TBI and three grade- and gender- matched subjects participated in this study. All six students were administered the PTBI, and their performances were given raw scores, rated for level of difficulty in performing the tasks, and compared among and across the two groups. The students with TBI were interviewed by the graduate student researcher regarding self-perceptions of their strengths and weaknesses. In addition, their …

Pragmatic Behaviors And Competency Levels Of Typically Developing And High Risk African American Preschoolers, Jennifer Dodd

Masters Theses

The pragmatic behaviors and competency levels of typically developing (TD) and high risk (HR) African American preschool children were assessed through the use of the Pragmatic Coding System (PCS, Hyter & Dodd, 1999). Ten children were videotaped within two play settings (i.e., dramatic play and manipulative toy play) for a total of twenty minutes. Results indicated that TD and HR children used the same types of pragmatic behaviors in both play settings. Frequency differences, however, were found between the two groups. Typically developing children produced a significantly greater number of initiations, total responses, multi word responses, one word responses, no …

Toys As Language Stimuli For Individuals With Alzheimer’S Disease, Cassandra M. Baer

Masters Theses

The study of the use of toys with institutionalized adults began in the field of gerontological nursing (Bailey, Gilbert, & Herweyer, 1992; Francis & Baly, 1986; Mayers & Griffin, 1990; Milton & MacPhail, 1985). Hopper, Bayles, and Tomoeda (1998) described the comforting qualities of plush animals for people with dementia and began to explore the effects of these toys on the language production of women with Alzheimer's Disease. Women were found to produce more information in fewer words when the toys were present.

This study builds on the work of Hopper et al. (1998), comparing language productions of two men …

Assessing The Pragmatic Skills Of Adolescents With And Without Learning Disabilities On A Dramatization Task, Amy L. Juergens

Masters Theses

This study was designed to compare the pragmatic skills of adolescents with and without learning disabilities as measured by a dramatization task. Seventeen high school students with learning disabilities and 17 normal-achieving high school students participated in this study. Twenty scenes were presented verbally to the participants who were instructed to act out the part of a character in each scene, making up the dialogue to fit the scene. The responses were scored for their pragmatic appropriateness and linguistic quality. Task reliability and validity analyses indicated that the dramatization task was an effective measure of key aspects of pragmatic skills. …

Differences In The Self-Talk Of Students With Language Impairments When Completing Math Computation And Story Problems, Jennifer Shepard Crouse

Masters Theses

This study was designed to analyze the differences in the self-talk of students with language impairments when compared with students with normal language. Nine fifth grade students with language impairments and nine fifth grade students with normal language, identified by their teachers as average-achieving, participated in this study. Participants were instructed to use a think-aloud technique while completing sets of computational and math story problems. Resulting samples of self-talk were transcribed and coded.

Results indicated several significant differences in the self-talk of students with language impairments when compared with their normal language peers. In regard to quantitative aspects of self-talk, …

The Effects Of Interactive Songs On Syllable Production In A Child With Agenesis Of The Corpus Callosum, Kelly D. Beens

Masters Theses

Agenesis of the corpus callosum is a disorder which has been the focus of clinical research on various tasks involving interhemispheric transfer of information. However, therapeutic intervention for individuals with this disorder has not been located in the literature by this researcher. Speech-language therapy for a five-year-old male incorporating interaction with songs was employed to activate various portions of the congenitally separated cerebral hemispheres and to encourage information transfer through non-traditional ways to facilitate syllable production.

The child received speech-language therapy for 15, 30-minute sessions. He was prompted to participate physically (with actions or manipulation of props) and verbally in …

Development In Drawings And Language Of Young Children With Hearing Impairments, Daniel Carey Nordenbrock

Masters Theses

The use of free choice drawings and contingent questions as prompts to enhance oral language development in young children with moderate to profound hearing losses was the focus of this descriptive and experimental study. The effects of contingent queries (scaffolding) on drawing and oral language were measured using a single subject experimental design in which a staggered baseline was followed by treatment replicated across two sets of students at two levels of language abilities. An extensive coding system for dependent drawing and language variables was developed and utilized for analysis.

The major findings of this study were that the use …

Language Abilities Of Male Adolescents In A Juvenile Detention Center, Krista J. Klein

Masters Theses

This study was designed to analyze the language abilities of male adolescents with delinquent behavior. It was based on the hypothesis that male adolescents with delinquent behavior would have lower language skills during expressive language tasks. Language skills of male adolescents in a juvenile detention center were examined by comparing 12 grammatical variables, four subtest scores, and one total score from the Screening Test for Adolescent Language (STAL; Prather, Ausdal-Breecher, Stafford & Wallace, 1980). Results indicated that the adolescents with delinquent behavior omitted significantly more words, but also produced significantly more secondary verbs in a narration task. Significantly lower results …

Language Skills Of Adolescents With Emotional Disorders, Diane T. Hardy

Masters Theses

The language abilities of adolescents with emotional impairments were examined to determine the differences that may occur between this population and that of a control group of similar age, race, and gender. Ten adolescents with emotional impairments and ten students in general education were examined using two procedures. The Screening Test of Adolescent Language (STAL) (Prather, Breecher, Stafford, & Wallace, 1980) includes four subtests: vocabulary, auditory memory span, language processing, and proverb explanation. A language sample was also gathered using a cartoon video narration task (Dollaghan, Campbell, & Tomlin, 1990) which examined for syntactic, semantic, and discourse variables.

Results indicated …

Story Writing By Students With Hearing Impairments, Lois A. Ketchum

Masters Theses

Students with hearing impairments (N = 21) wrote a personal narrative each academic year from 1990 to 1992. These narratives were rated on maturity of the story as a whole and maturity of the language used in the story by senior undergraduate students in the education department at Western Michigan University. The method used for rating was a holistic magnitude estimation technique.

Significant change over time was found for story scores, but not language scores. Grade level was found to have no significant effect on change from first to last ratings for either story scores or language scores. Degree of …

Acoustic And Perceptual Correlates Of Breathy Vocal Quality, Ronald Allen Cleveland

Masters Theses

Recordings were made of seven normal female and eight normal male talkers producing sustained vowels under normal, moderately breathy, and very breathy conditions. Twenty listeners judged the recorded vowel tokens for degree of breathiness using a direct magnitude estimation procedure. A Cronbach coefficient alpha revealed strong intrasubject agreement.

Several acoustic analyses were evaluated by measuring their correlations with the mean of the listeners' breathiness ratings. Measures of cepstral peak prominence in band limited signals were most strongly correlated with perceived breathiness. The height of the autocorrelation peak in highpass filtered signals and the relative amplitude of the first harmonic were …

Acoustic Characteristics Of Vowels Produced By Men, Women And Children, Laura Arlene Getty

Masters Theses

This investigation was a replication and extension of Peterson and Barney’s (1952) research on the acoustics and perception of vowels. This study explored the acoustic characteristics of 12 vowels produced by 50 men, 50 women and 41 children. Speech samples were tape recorded as subjects read lists of words and isolated vowels. Speech samples were digitized. Speech waveforms, spectrograms and formant frequencies were examined and measured.

The average formant frequency values were similar but not identical to the values reported by Peterson and Barney (1952). The largest discrepancy between the two studies was the degree of overlap among vowel categories, …