Medicine and Health Sciences Commons^™

Our Voices: Getting To Know Autism, Katherine Rasberry

Honors Theses

This study was done in effort to understand the thoughts and feelings of autistic adults relative to life transitions and resources available. We surveyed key stakeholders; specifically autistic students, but also family/caregivers of adults. Six surveys were created, each based upon different themes: camouflaging, life transitions, managing mental health, overstimulation, social communication, and family and caregiver perceptions. Our surveys were marketed on Western Michigan University’s campus and through social media and are still ongoing. Trends in the data, however, suggest that overall autistics have concerns about how their disabilities impact life in or shortly after college. Many respondents expressed they …

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 …

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. …

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 …

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 …

Implications Of Facial Coverings On Communication, Katherine Giustino

Honors Theses

Nonverbal communication constitutes over half of communication in verbal communicators’ production. With so much lost to covering essential parts of expressing nonverbal communication, for example the mouth, this study aims to find how that impacts the general population’s ability to communicate effectively.

A study found that masks act as an acoustic filter for speech and can attenuate high frequencies (Marler & Ditton, 2020). At the most basic level, a facial covering creates a physical barrier to communication.

This study was designed in a survey format to gather data. A total of 95 participants completed the survey in its entirety. The …

A Systematic Review Of The Literature On The Assessments Used For Social Communication In The Diagnosis Of Autism Spectrum Disorder, Rachel E. Kim

Masters Theses

This review of the literature aims to analyze the current assessments available for clinicians, parents, and other professionals to use during the diagnosis of Autism Spectrum Disorder (ASD) that specifically addresses social communication. Although ASD can be diagnosed as early as the age of 2, children are often not diagnosed until the age of 4-5 years old. Especially for children who would be diagnosed with ASD and require Level 2 and/or Level 3 supports, early diagnosis can lead to early intervention which can help to provide the necessary support for both the child and family. Early intervention can help to …

Assessment Of Modified Patient Education Materials For People With Age-Related Macular Degeneration, Jennifer Fortuna, Anne Riddering, Linda Shuster, Cassie Lopez-Jeng

The Open Journal of Occupational Therapy

Background: Existing research on health literacy identifies a disconnect between the readability of patient education materials (PEMs) and the reading abilities of American adults. For people with age-related macular degeneration (AMD), central vision loss creates an additional barrier to health literacy. This study explored how evidence-based guidelines for creating easy-to-understand written materials influenced the usability of PEMs in people with AMD.

Methods: Evidence-based guidelines were applied to modify one PEM. Standardized tools quantified differences in readability and suitability between the original and modified PEM. Twelve people with AMD rated the comprehensibility (design quality) and shared personal preferences during semi-structured interviews. …

Self-Disclosure Of Stuttering To Various Social Referent Groups And Its Relationships With Psychological Distress, Katrina Rourke

Honors Theses

Purpose: Research has shown that there are benefits associated with verbal disclosure of stuttering. However, most of the existing literature on stuttering disclosure has focused on how it affects listener perceptions of people who stutter, and little is known about speaker-focused outcomes of verbal stuttering disclosure. The purpose of the current study was to investigate who people who stutter verbally disclose to (e.g. friends, co-workers, neighbors) and if relationships between extent of disclosure and distress vary depending on the confidant’s social referent group. The seven social referent groups of focus were family, friends, romantic partners, people in the workplace, healthcare …

“Evaluating Knowledge And Perspectives Of Behavior Analytic Language Strategies In The Clinical Practice Of Speech-Language Pathology”, Mackenzie Sturman

Honors Theses

Research shows that principles of applied behavior analysis (ABA) may be beneficial to language acquisition. Speech-language pathologists (SLPs) have the responsibility of assessment, diagnosis, and treatment for individuals with various speech and language impairments, and work directly with language instruction. However, there is limited knowledge of the degree to which SLPs use concepts of behavior analytic language interventions in clinical practice for individuals of varying language and communication disorders. This study investigated the extent to which practicing SLPs use language strategies from ABA in their clinical practice. A qualitative approach was utilized by conducting individual semi-structured interviews with four practicing …

Effects Of Stuttering Frequency, Speaking Rate And Treatment On Speech Naturalness In Adults Who Stutter, Emily Hausman

Honors Theses

Purpose: Individuals who stutter can often exhibit speech patterns that sound unnatural compared to individuals who do not stutter. Unnaturalness can be due to several underlying factors including the presence of stuttering itself and the unintended consequences of treatment approaches that alter speech motor patterns. Understanding factors that impact speech naturalness within the stuttering population can help improve the clinical management of the disorder. The current study investigates the relationship between pause duration, speech rate and stuttering frequency, and listener ratings of speech naturalness in a group of adults who stutter (AWS) before and after participation in a stuttering treatment …

An Exploration Of Resources Available To Deaf Children Attending Public And Deaf Community Schools, Katelyn Reid

Honors Theses

The purpose of this paper is to explore current literature surrounding the similarities, differences, advantages and disadvantages that Deaf children experience while attending mainstream schools compared to the experiences of Deaf children attending all-Deaf and signing schools. A literature review was conducted using the terms: “mainstream schools” , “signing schools” , “resources” , and “Deaf children” were used. Areas of specific interest included social skills, academic performance, overall mood, and the availability of classroom and communication resources. A review of the literature in these four specific areas revealed mixed findings about which academic environment is more beneficial for Deaf children. …

Speech-Language Pathologist Preferences For Treatment Types For Childhood Apraxia Of Speech, Meeghan Hoose

Honors Theses

Childhood Apraxia of Speech (CAS), also known as developmental apraxia is, “a motor speech disorder that makes it hard for children to speak” (American Speech-Language-Hearing Association). While the child knows what he/she wants to say, the signals going from the brain to the mouth are not delivered correctly, resulting in the mouth not moving appropriately to produce the desired sounds. There are several methods used by speech-language pathologists to treat CAS including moto-programming, a linguistic approach, a combination of motor-programming and linguistic methods, sensory cuing and rhythmic approaches. Through surveying local practicing school speech-language pathologists, I will learn their preferred …

Exploring A Connection Between Learning And Student Perception Of Place, Katelyn Roberts

Honors Theses

The quality of the physical environment is understood to impact overall health, wellbeing, and capacity to learn and engage in daily life. This pilot study explores how students in the Speech Language and Hearing Sciences program at Western Michigan University view the effects of indoor and outdoor nature spaces at the College of Health and Human Services on the East Campus of Western Michigan University on their learning experience. Results of the study suggest that there are significant relationships between the participant’s perception of interesting qualities in the College of Health and Human Services and feeling a sense of connection …

Examining Social Pragmatic Communication: Evidence From Parent And Professional Questionnaires, Katelyn Adams

Honors Theses

Hyter (2007) defined pragmatics as “daily interactions among groups of people with varying worldviews, each influenced by a history of social practices” (p.131). People use aspects of pragmatics in their everyday life depending on the context of their current social situation. For example, one’s pragmatic language could differ in a day from talking with a boss at work to having a conversation with a friend on the phone. These variations in conversational processes result in the assessment of pragmatics being a difficult task.

In this honors thesis, I examined results from Dr. Yvette Hyter’s assessment battery, the Assessment of Pragmatic …

Speech Naturalness Before And Following Treatment In Adults Who Stutter, Alexis Novelli

Honors Theses

Purpose: The speech of persons who stutter can often sound unnatural. This can be due to a variety of factors including the presence of stuttering itself and/or the unintended consequence of speech-altering treatment. Understanding factors that contribute to speech naturalness within the stuttering population can direct improved management approaches. This study examines associations between speech task, behavioral measures of stuttering, and selected acoustic measures on listener ratings of speech naturalness for a group of adults immediately before and after participation in an intensive fluency-shaping treatment program. A secondary aim of this study is to assess the use of a novel …

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 …

Assessment For Mild Cognitive Impairment: Striving For Best Practice, Julie Leigh Dalmasso

Dissertations

This dissertation is a series of three studies aimed at determining the best assessment practices for mild cognitive impairment (MCI) that can employed by speech-language pathologists (SLPs). The first study was non-experimental and descriptive examining whether three commonly used assessment instruments yielded similar categorical results. The data were analyzed to determine whether the Eight-Item Interview to Differentiate Aging and Dementia (AD8), the Mini-Mental State Examination (MMSE), and the Cognitive-Linguistic Quick Test (CLQT) identified the same participants from a neurotypical sample as having cognitive deficits. Very little agreement was found amongst the three tools.

Study two was modified to include two …

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 …

Improving Access To Communication For Adults With Aphasia Using "Aphasia-Friendly" Accommodations, Chandler Hodgkin

Honors Theses

Accessing written health information is vital to any health visit (Blackstone, Beukelman, & Yorkston, 2015). People who have difficulty comprehending written text have difficulty understanding health-related information because it is usually written at a complex levels (Kanj & Mitic, 2009). If health information contains complicated content and is not easily accessible, people may not receive the health care needed (Blackstone et al., 2015). Many populations are considered communication vulnerable relative to health care which means they may not have access to understanding health information documents (Hallowell, 2016). These populations include people who are blind or visually impaired; people who are …

The Impact Of Higher Education On Linguistic Culture In Senegal And The Midwest United States, Kelsey Gough

Honors Theses

The purpose of this study is to investigate the effects of globalization on linguistic culture in populations of people from both Senegal and the Midwest United States. This study will also specifically highlight any similarities and differences present between those who have a higher education and those that do not. These similarities and differences were revealed by asking the research question: How has the process of globalization impacted beliefs about language held by people from various educational levels in Senegal and the U.S. Midwest?

Data regarding globalization’s effect on the attitudes people have about language, linguistic culture, were retrieved from …

Bilingual Language Assessment, Carmen Wittkopp

Honors Theses

Purpose: To describe language assessments that benefit bilingual students in the correct diagnosis of a language disorder.

Method: A systematic review of the literature was completed to examine the assessment tools used for bilingual children. The most common peer-reviewed journals in the field of speech-language pathology were examined to find articles that researched and discussed bilingual assessment practices. The information collected in the articles focused on the procedures needed for the correct assessment of a bilingual speaker.

Results: The literature mainly focused on assessment techniques of Conceptual Scoring, Dynamic Assessment, Nonword Repetition Task, and the Bilingual English Spanish Oral Screener. …

Healthcare Resources For The Deaf Community: A Study Of Kalamazoo Area Hospitals, Rachel Kellogg

Honors Theses

Hospitals need to analyze all patient care delivery methods, and especially those designated for vulnerable populations. The Deaf community is a particularly unique and often overlooked vulnerable population because of the additional communication barriers that they possess. The goal for this research is to look at the current best practices for communication and treatment in hospitals from the perspective of the Deaf community. This research also looks at how or if these practices are being carried out in community hospitals. In order to obtain this information, interview questions were developed with the help of an ASL interpreter and two interviews …

Verification And Quantification Of Surface Electromyographic (Emg) Activity Of The Masseter Muscle, Kelsey Bowles

Honors Theses

Purpose: The goal of the present study is to develop and evaluate an automated technique for measuring biting and chewing related surface electromyographic (EMG) activity of the masseter muscle.

Methods: Data from 28 neurologically healthy participants between the ages of 18-40 were selected for this study. The procedure for collecting the bite/chew data consisted of the participant biting down and chewing three small breath mints while an EMG sensor recorded the masseter muscle activity. A five-step Matlab-based algorithm was created to accurately identify onsets and offsets of each bite and chew event.

Results: Compared to manual measurements using standard …

Acoustic Correlates Of Speech Naturalness In Post-Treatment Adults Who Stutter: Role Of Fundamental Frequency, Jacqueline Schmitt

Honors Theses

No abstract provided.

Acoustic Correlates Of Speech Naturalness In Post-Treatment Adults Who Stutter: Role Of Speaking Rate, Caylee Jessen

Honors Theses

Purpose: While many stuttering therapy programs can result in a decrease in stuttering behaviors among participants, some clients leave therapy with speech sounding unnatural due in part to the therapy techniques themselves. The aim of the current study is to examine associations between selected acoustic measures of speaking rate and listener ratings of speech naturalness in a group of adults who stutter following participation in an intensive fluency shaping treatment program.

Methods: Twenty-nine adults who stutter, drawn from an existing database of speech samples, served as participants. All participants had recently completed a four-week group-based intensive fluency shaping treatment program. …

Exploring The Impact Of Globalization On Linguistic Culture, Autumn Kearney

Honors Theses

Awareness and mastery of a country’s cultural norms provides a person with access to public services, ceremonies, traditions and an unlimited number of other dimensions that would be otherwise unavailable. This study looks specifically at linguistic culture, which is the entirety of views, attitudes, assumptions and other ideas people acquire about language (Schiffman, 2012). Although the linguistic climate in the U.S Midwest is different than that in Senegal, one cannot fully understand either culture without knowledge of the linguistic culture in both country contexts. This study examines the linguistic cultures in both country contexts and uses ethnomethodology to examine the …

The Effects Of Globalization On English Language Learning: Perspectives From Senegal And The United States, Anna Poggensee

Honors Theses

This study is an analytical comparison among perspectives about English as a nonnative language and its function in Senegal, West Africa and the U.S. Midwest. The purpose of this study is to establish a better understanding of the effects of globalization in both countries by focusing on the increasing use of the English language (Crystal, 2003) and how it is used within diverse societies. Globalization can be defined as “the interconnections of global economic, political, cultural and environmental processes that continually transform present conditions” (Steger, 2003, p.7-8).Within the context of globalization, this topic allows for a broader understanding of the …

Memory Support For Adults With Alzheimer’S Disease: Applications For Speech-Language Pathologists, Laura Dober

Honors Theses

Alzheimer’s disease (AD) is the most common form of dementia and is known to cause progressive and severely debilitating impairments in cognition, especially in memory. Deficits in memory and cognition are clearly reflected in the communication of people diagnosed with this progressive, degenerative, incurable disease, placing speech-language pathologists as important members of a care team for adults with AD. Speech-language pathologists provide treatment to support memory, and therefore communication, in people with AD through direct and indirect methods. Some examples of memory supportive strategies include spaced-retrieval learning, the use of external memory aids and assistive technology, Montessori methods, and manipulations …

Flow Experiences Among Individuals With Aphasia, Thomas W. Sather

Dissertations

Flow has been described as positive experiences of intense concentration, distorted time passage, and loss of self-consciousness. While flow has been reported for multiple populations in various settings, it has not been studied among individuals with aphasia. The purpose of this three paper dissertation is to examine flow experiences among individuals with mild aphasia, including environmental and personal factors associated with flow. Advocates of life participation approaches to aphasia stress the importance of interventions that support full engagement in life. Research on flow experiences and related environmental and personal factors may foster improved service delivery and outcomes for this population. …