Medicine and Health Sciences Commons^™

Acoustic Changes Following Clear Speech Intervention, Polina Shuminsky

Dissertations, Theses, and Capstone Projects

Studies have shown that the speech perception of individuals with hearing loss and other perceptual difficulties improves when talkers deliberately use clear speech. Several investigations have reported increased recognition scores of 11 to 34 percentage points for various listener groups in response to naturally produced clear speech. Studies show that clear speech production is highly variable across talkers. Therefore, a consistent method of eliciting clear speech that leads to more unified and consistent production outcomes is needed. Limited evidence suggests that a training program on how to speak clearly may yield greater listener benefit than clear speech produced naturally. The …

Cross-Linguistic Morphosyntactic Influence In Bilingual Speakers Of Jamaican Creole And Jamaican English, Taryn R. Malcolm

Dissertations, Theses, and Capstone Projects

Bilingualism in Jamaica is of considerable consequence, as most individuals are early bilinguals, speaking both a variety of Jamaican Creole (JC) from birth and having standardized English (sE) as the language of instruction in education. Immigrants from Jamaica to the United States are an ideal population to examine how cross-linguistic influence (CLI) impacts morphosyntax as JC and sE differ in morphosyntactic constructions, including verb tense- marking, subject-verb agreement, and copula use. While much of the work in the field of CLI has examined spoken language pairs with varying degrees of similarity (or difference) between the languages, examining CLI in a …

Efficiency Of The Acoustic Change Complex For Various Stimulus Presentation Strategies In Infants, Lisa Goldin

Dissertations, Theses, and Capstone Projects

The acoustic-change-complex (ACC) is an objective measure that can be used to study whether sounds are encoded at the level of the cortex. The goals of this study were: 1) To determine if the ACC can be elicited in infants, and 2) To establish whether eliminating the silent interval between stimuli and using a continuously alternating stimulus is more efficient in infants than the traditional interrupted stimulus presentation method. If the continuously alternating stimulus is more efficient, then 3) To determine why the continuously alternating stimulus is more efficient.

Twenty-one infants aged 2 months to 13 months old served as …

Optimizing Communication In Palliative And Hospice Care: A Toolkit For Audiologists, Sherry E. Queen

Dissertations, Theses, and Capstone Projects

The prevalence of hearing loss increases with age, with age-related hearing loss (ARHL) being one of the most prevalent forms of sensory decline in older adults. Hearing loss is often overlooked in medical settings including palliative and hospice care. Screening for hearing loss in these settings is rare as is formal staff training on assessing and managing hearing loss in palliative and hospice care. An evidence-based toolkit for integrating audiologists into end-of-life care protocols is presented. This toolkit was developed to optimize communication in palliative and hospice care for patients, caregivers, audiologists, physicians, and other palliative care staff. Effective communication …

Examining The Effect Of Longstanding Deafness On Health Literacy: A Systematic Review, Sara S. Payami

Dissertations, Theses, and Capstone Projects

Objective: This systematic review aims to evaluate whether deafness has a significant effect on one’s health literacy skills, and, if there is a difference between health literacy of a normal hearing individual compared to that of a Deaf individual. Disparities in health literacy unique to the Deaf experience are identified.

Methods: A comprehensive search the utilizing various peer-reviewed databases was conducted via the City University of New York’s (CUNY) Graduate Center Library to identify relevant studies published after 2009. Inclusion criteria incorporated quantified studies which commented on the health literacy of d/Deaf communities in the U.S. published from 2009 to …

The Power Of A Sound Mind: Exploring Meditation And Sound Therapies For Treating The Emotional Impact Of Tinnitus, Sabeena A. Ramnanan

Dissertations, Theses, and Capstone Projects

Tinnitus is described as a sound perceived by an individual that has no external source. Some individuals with tinnitus can habituate to this phantom sound, while others become emotionally disturbed by it. There are several theories which attempt to rationalize the cause of tinnitus, and various treatments which aim to eliminate, mask, or facilitate habituation to one’s tinnitus. Current common treatments include sound therapies and cognitive-behavioral therapy (CBT), either in isolation or in combination with one another. However, not all these treatments aim to address the emotional impact of tinnitus. Novel treatments are emerging, with some attempting to reduce the …

Alcohol And Its Long-Term Effects On Hearing Loss: A Systematic Review, Talia Sowalsky

Dissertations, Theses, and Capstone Projects

Objective: To review the literature on potential permanent effects of long-term alcohol consumption on hearing status in adults 40 years of age and older.

Study Design: Systematic review of prospective and retrospective studies; meta-analysis of case-controlled studies.

Methods: One researcher independently reviewed MEDLINE (January 1, 2000-May 1, 2019), CINAHL (January 1, 2000-May 1, 2019), PubMed (January 1, 2000-May 1, 2019), and Web of Science (January 1, 2000-May 1, 2019). A manual reference search was additionally conducted. Randomized controlled trials, prospective cohort studies, consecutive/non-consecutive case series, and retrospective reviews in which a clear definition of hearing loss was stated were included …

Infant Behavioral Speech Discrimination Procedures: A Systematic Review, Allison L. Mazzella

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this capstone project was to conduct a systematic review of literature relating to two behavioral infant speech discrimination procedures to evaluate their potential clinical utility. The two procedures examined were the Observer-based Psychoacoustic Procedure (OPP) and the Visual Reinforcement of Infant Speech Discrimination (VRISD) method. The methodology utilized and the results obtained are examined for normal hearing infants and infants with hearing loss. The procedures are compared and contrasted in terms of potential clinical feasibility and modifications for potential clinical use are considered.

Methods: A comprehensive search was performed using Pubmed and EBSCO Academic Search Complete …

Encoding And Perception Of Voicing And Aspiration In Native And Non-Native Listeners In Quiet And In Background Noise, Reethee Antony

Dissertations, Theses, and Capstone Projects

The perception and encoding of voice cues in consonants have been well studied, whereas there has been relatively little research on aspiration. The current study examined the encoding and perception of aspiration and voicing in Hindi, American English, and Tamil listeners when relevant cues were and were not degraded by noise. This study is novel because of the inclusion of aspiration, the language groups, inclusion of noise masking, and inclusion of auditory evoked potentials (in addition to behavioral testing).

The first aim was to determine whether language groups for whom aspiration and/or voicing is phonemically contrastive show better perception and …

Aphasia In Multilingual Patients, Mira Goral, Zahra Hejazi

Publications and Research

Purpose of Review

We summarize recent published work concerning assessment and treatment of aphasia in bilingual and multilingual people and review current related models of treatment outcomes. As well, we discuss studies that address the recently debated topic of cognitive processes in bilingual individuals with aphasia, with a focus on the effects of bilingualism on aphasia recovery and its potential protective effects.

Recent Findings

Providing assessment and treatment tools that best serve multilingual individuals with aphasia and unpacking the variables and mechanisms that underlie response to treatment have emerged as goals of several recent studies. Additionally, while findings are still …

Strengthening The Semantic Verb Network In Multilingual People With Aphasia: Within- And Cross-Language Treatment Effects, Aviva Lerman, Mira Goral, Lisa Edmonds, Loraine K. Obler

Publications and Research

In multilingual people, semantic knowledge is predominantly shared across languages.
Providing semantic-focused treatment to people with aphasia has been posited to strengthen
connectivity within association cortices that subserve semantic knowledge. In multilingual people, such treatment should result in within- and cross-language generalisation to all languages, although not equally. We investigated treatment effects in two multilingual participants with aphasia who received verb-based semantic treatment in two pre-stroke highly
proficient languages. We compared within- and cross-language generalisation patterns across languages, finding within- and cross-language generalisation after treatment in the less-impaired, pre-morbidly more-proficient first-acquired language (L1). This observation supports the theory that connectivity …