Medicine and Health Sciences Commons^™

Examination Of Benefits Of Binaural Auditory Stimulation For Children With A Cochlear Implant And A Hearing Aid In The Contralateral Ear, Evonne Nicol Altesleben

Dissertations and Theses

Congenital or acquired hearing impairments put children at risk of delayed language development. Today the cochlear implant (Cl) is a viable amplification option for some children with profound hearing losses. Audiologists often recommend that children with hearing impairments be fitted with binaural hearing aids in the hope that maximum stimulation will occur and that auditory deprivation will be lessened. An area lacking investigation is whether binaural stimulation will be beneficial to the cochlear implant recipient.Controversy also exists regarding the use of a hearing aid in the non-implanted ear.

The focus of this study was to compare binaural auditory stimulation benefits …

Narrative Development In Late Talkers: Early School Age, Rhea Paul, Rita Hernandez, Lisa Taylor, Karen Johnson

Communication Disorders Faculty Publications

Children with slow expressive language development (SELD) as toddlers and a control group of children with normal language development (NL) were followed to early school age. Children with SELD were, at that point, subdivided into two groups: those who had moved within the normal range of expressive language (the History of Expressive Language Delay [HELD] subgroup); and those who continued to score below the normal range in expressive language at school age (the Expressive Language Delay [ELD] subgroup). During their kindergarten, first, and second grade years, they were administered a narrative generation task. Narratives were analyzed for MLU, lexical diversity, …

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 …

First Language And Gesture Acquisition In Children With Cerebral Palsy, Ann Christine Friel

Dissertations and Theses

Many children with Cerebral Palsy (CP) will receive speech and language intervention throughout their lives. However, there is a lack of descriptive data for language and gesture development of children with CP. When assessing the skills of children with CP, standardized tests and clinical observations have several inherent faults due to time constraints, normative data, and physical constraints. An alternative method used to gather data in the area of language and gesture development is parent questionnaire. The MacArthur Communicative Development Inventory: Words & Gestures was chosen for this study because it has been shown to be an efficient, valid, and …

The Availability Of Inferences In Children And Young Adults, Gerilyn A. Katz

Student Work

Much of the research on age-related differences in the ability to inhibit irrelevant information in a given task has been on the study of younger and older adults. Only a minimal amount of research has focused on the developmental differences in children and young adults. Accordingly, the purpose of this paper is to examine whether age-related differences exist between children and young adults in processes consistent with inhibition.

Third-, sixth-grade children, and college undergraduates listened to twenty-four garden path passages containing either expected or unexpected, but acceptable, conclusions. The twenty-four passages were divided into four subsets, with each subset containing …

Reading And Metaphonological Outcomes In Late Talkers, Rhea Paul, Candace Murray, Kathleen Clancy, David Andrews

Communication Disorders Faculty Publications

Children with a history of slow expressive language development (SELD) were followed to second grade, at which point outcomes in terms of speech, language, cognitive skills, reading achievement, and metaphonological performance were evaluated. Although there were some statistically significant differences between groups, children with a history of SELD generally performed within the normal range on the measures collected. Relations among speech, reading, and metaphonology in the SELD cohort appeared to operate in a manner similar to that seen in groups with typical language development. The implications of these findings for understanding the nature of specific language impairments and for treating …

The Effectiveness Of Planned Transitions Therapy In The Treatment Of Three Children With Developmental Verbal Dyspraxia, Emily M. Campbell

Dissertations and Theses

The intent of this investigation was to note whether use of Planned Transitions Therapy (PTT) would help to improve the intelligibility of 3 children with developmental verbal dyspraxia (DVD). PTT is an approach that emphasizes the sequencing of lingual movements from one place of articulation to the next for the production of speech. Rather than focusing on the production of sounds, exercises with PTT focus on transitions between sounds.

Three male subjects presenting characteristics of DVD received 30-minute treatment sessions with a traditional intervention approach for 6 weeks. Each subject also received periods of intervention with PTT. Subject A received …

Abusing Deaf Immigrants And Hearing No Evil, Ibpp Editor

International Bulletin of Political Psychology

The author discusses the on-going abuse of deaf immigrants.

A Comparison Of Speech Onset Latencies Between Persons Who Stutter And Persons Who Do Not Stutter Across Varied Phonological Priming Conditions, Brian Joseff Riffel

Dissertations and Theses

A recent theory of stuttering, the "Covert Repair Hypothesis of Disfluencies" (Kolk & Postma, in press; Postma & Kolk, 1992, 1993), accounts for the difference between persons who stutter (PWS) and persons who do not stutter (PWNS) by concluding that PWS are slower than PWNS in their phonological encoding abilities. This belief is supported through experimental studies by Bosshardt (1990) and Postma et al (1990), both of which found PWS to be slower than PWNS in silent reading tasks. In addition, Wijnen and Boers (1994) found that PWS demonstrate longer speech onset latencies than PWNS at baseline, but then approximate …

Effects Of Orofacial Clefts On Early Career Maturity, Jeanniekay Mccall

Dissertations and Theses

The purpose of this study was to investigate career maturity in 14- and 17- year-old male and female adolescents with cleft lip and palate. Career maturity is defined as the repertoire of behaviors pertinent to identifying, choosing, planning, and executing career goals available to a specific individual as compared with those possessed by a peer group. Clefting is a congenital anomaly that occurs in approximately 1 in every 600 newborns and can result in facial scarring and speech deviations that may last throughout life, and may result in complications such as withdrawal, inhibition, lower self-esteem, and increasing self-doubt regarding interpersonal …

Real Ear To Coupler Differences In Children And The Effects Of Hearing And Microphone Location, Cindy Richardson

Dissertations and Theses

The early identification of hearing loss and selection of appropriate amplification are the most important goals for children with hearing impairment. Selection of appropriate amplification for a pediatric population involves maximizing the hearing impaired child's residual hearing, for development of speech and language. In addition, it is important to consider the acoustic differences between the 2 cc coupler versus the real ear.

During the hearing aid selection process, it is customary to predict how a hearing aid will respond in the real ear, based upon a given 2 cc coupler response. Killion and Monser (1980) developed a formula for converting …

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. …

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. …

Gross Estimation: A Study Of The Clinical Validity For Measuring Intelligibility, Heather Gail Clarke

Dissertations and Theses

Intelligibility is the most fundamental factor for successful speech communication. Measurements of speech intelligibility carry important clinical consequences that relate to description of severity, need for intervention, intervention goals, service delivery options, and treatment efficacy. It is important, therefore, that speech-language pathologists use an approach that reflects an accurate and valid measure of intelligibility. The purpose of this study was to investigate the relationship between the two seemingly most common procedures used by practicing speech-language pathologists for measuring speech intelligibility: the gross estimation of intelligibility procedure, and the orthographic transcription procedure. Twelve 100-word connected speech samples were analyzed by 4 …

Auditory Filters Measured At Neighboring Center Frequencies, Marc A. Fagelson, C. A. Champlin

ETSU Faculty Works

Auditory filters were derived in 20 normal-hearing human listeners at center frequencies (CFs) of 913, 1095, 3651, and 4382 Hz using the roex (p,r) method. Comparisons were made between slopes of the filters' skirts at the neighboring CFs with filter output levels of 45 and 70 dB. The same comparisons were made with regard to filter equivalent rectangular bandwidth (ERB). In the 1000-Hz region, the low-frequency slopes (Pl) of filters centered at 913 and 1095 Hz were significantly correlated at both stimulus levels, while the high-frequency slopes (Pu) were similar only at the high test level. In the 4000-Hz region, …

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 …

Ethnography Of Communication As On Organizational Communication Assessment Tool: A Test Of The Method, Francisca Inez Trujillo-Dalbey

Dissertations and Theses

Professional organizational consultants and researchers performing organizational communication assessments with non-profit boards of directors have few tools available to them and many of these tools under emphasize the centrality of communication and overlook the power-asdomination (Mumby, 1994) issues present in organizations. This study tested the ethnography of communication (Hymes, 1972) as an organizational communication assessment tool with a board of directors of a non-profit organization in Oregon and examined the results by employing Mumby's (1994) construct, thereby conducting a critical ethnography of communication.

This study offers important insights into boards of directors of nonprofit organizations and has important implications for …

The Generalization Of Stridency From Treated To Untreated Misarticulated Phonemes, Kathleen Ann Ozanich

Dissertations and Theses

This single-subject study was developed to investigate the potential of treating one misarticulated strident phoneme to induce generalization to other misarticulated strident phonemes. One male, age 4 years 4 months, was trained on /s/ in words. A training program, modified from the Hodson and Paden (1991) phonological cycling approach, was used. Two untreated phonemes from separate and distinct sound classes were monitored as control sounds for across-feature class change. A total of 24 treatment sessions of 50 minutes each were provided. The results from the pretest and posttest showed an increase of 51% correct stridency production for all untreated stridents …

Black English, Karen Tibbitts Filimoehala

Undergraduate Honors Capstone Projects

Black English has recently entered the media spotlight with the passing of the Ebonics resolution by the Oakland School Board on Dec. 18, 1996. In this resolution, the school board unanimously voted to recognize Black English or "Ebonics" (a term which combines the words "ebony" and "phonetics")(LeLand & Joseph, 1997, p. 78) as the primary language of many of its students, and to teach students in their primary language in order to maintain the "legitimacy and richness" of the language, and to help students master standard English. Needless to say, the resolution was met with highly charged arguments - some …

Rethinking Appropriateness: A Look At Hegemonic Ideals As Related To Perceived Communication Competence In Women, Kristi L. Meade

Dissertations and Theses

The author argues that the hegemonically-constructed criteria of "appropriateness," as related to communication competence, is not palatable or functional for female communicators much of the time for it serves a social milieu which marginalizes women. Spitzberg and Duran (1993) state, "appropriateness seems spring loaded towards the status quo'' and may work against the interests of certain groups. In this paper, the author attempts to illuminate evidence of power imbalances covertly imbedded in the ideologically complex determination of appropriateness as a central criteria for communication competence in women. Competence theory is problematic and must be re-evaluated: it is contradictory and confusing, …

Effects Of Lifestyle Change And Satisfaction With Voice On Psychosocial Adjustment Of Laryngectomees, Susan M. Nicks

Dissertations and Theses

This research sought to examine the level of psychosocial adjustment in a sample of laryngectomees by describing demographic characteristics, alcohol consumption, and tobacco use pre-cancer diagnosis and currently, satisfaction with voice, and by examining the relationship between each subject's level of psychosocial adjustment and lifestyle change, i.e. cessation of tobacco and/or alcohol consumption, and satisfaction with voice.

Twenty-one subjects completed (a) Demographic Questionnaire, (b) Lifestyle Questionnaire, (c) Satisfaction with Voice Scale, and (d) Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR). Descriptive and inferential statistics were completed.

The average age of the subject group (16 males, 5 females) was 72.5 years, …

Voice Measures And Listener Acceptance Of Tracheoesophageal Speech, Heidii Ilona Roberts

Dissertations and Theses

The purpose of this study was to investigate the relationship of perturbation measures, jitter and shimmer, and ratings of acceptability by naive listeners. Six tracheoesophageal (TEP) speakers and 14 naive listeners participated in the study. Each speaker was recorded while reading The Rainbow passage. The six samples of voice were then presented to the listeners for rating. The naive listeners used an equal appearing seven pint scale to rate voice acceptability. No significant correlation was found between the perturbation measures and the ratings of acceptability. Due to the small subject size in this study, the findings are inconclusive. The results …

Techniques And Strategies For Educating And Accommodating Students With Hearing Loss In The Classroom, Stacia H. Thompson

All Graduate Projects

The purpose of this study was to develop a teacher and administrator's handbook of techniques and strategies for educating and accommodating students with hearing loss in the classroom. To accomplish this purpose, a review of literature and current research on mainstreaming, educating, and accommodating students with hearing loss was conducted. Additionally, information from selected schools serving students with hearing loss was obtained and analyzed.

Temperament In Late Talkers, Rhea Paul, Loretta Kellogg

Communication Disorders Faculty Publications

This study examines the temperamental characteristics of children who were identified at age two as being slow in expressive language development, and those of peers with normal language history. When the children were in first grade (approximately age six), parents and clinicians rated subjects' temperamental characteristics, using a standardized temperament assessment instrument. Subjects with a history of slow expressive language development were rated significantly lower on Approach/Withdrawal--indicating shyness, aloofness, or reduced outgoingness--than peers with normal language history. Approach/Withdrawal scores were significantly correlated with average sentence length in spontaneous speech, and this measure also predicted Approach/Withdrawal scores in regression analyses. The …

Speech-Language Pathologists' Opinions Of The Reliability Of The Modified Evan's Blue Dye Test For Detecting Aspiration, Amy N. Sanders

Masters Theses

This study attempted to determine if there was a relationship between speech-language pathologists (SLP) opinion of the reliability of the Modified Evan's Blue Dye Test (MEBDT) for assessing aspiration in tracheostomized patients and three factors: (1) number of years working in the field of speech-language pathology, (2) amount of hours per week spent treating dysphagia patients , and (3) number of seminars/conferences attended related to dysphagia management in the last two years. One hundred and six SLPs in the medical setting were surveyed, 52 responded resulting in a return rate of 49.5%. The data collected through the survey was subjected …

An Analysis Of The Narrative Structure And Content Questions In The Scott, Foresman Reading Series: Levels 5 & 6, Julie A. Wesnick

WWU Honors College Senior Projects

In the field of speech language pathology, narratives, which are descriptions of happenings or events (Lahey, 1988), are a focus of considerable interest. Individuals produce and/or comprehend narratives for a variety of reasons. For example, narratives are used when discussing past or future events or when relaying information regarding movies, books, situations at school or home, to name but a few.

The interest in narratives grew following the discovery that all narratives follow consistent patterns that are essential for clear expression of information (Lahey, 1988). These patterns are especially evident in causal chain narratives where real or imaginary events are …

Impact Of Amateur Educational Video Viewing On Language Acquisition Of Preschool Children, Jennifer L. Radcliffe

Masters Theses

Child language-learning is a complex process that varies for each individual child. Researchers have found that children learn from viewing professional television programs specifically designed for children, such as Sesame Street. Professional television programming principles can be adopted to produce amateur educational videos. Video may also be a viable option to provide repetitive models to improve vocabulary acquisition within speech-language pathology. The purpose of this study was to measure the effect of direct stimulation with amateur educational videos on a child's general and specific vocabulary acquisition.

A six-week experiment included an initial two-week control period, a two-week experimental period …

A Survey Of Swallowing Symptoms Associated With The Premenstrual Cycle, Jill Gigi Calcagno

Dissertations and Theses

Premenstrual Syndrome (PMS) has been associated with a vast number of physical, emotional, social, and behavioral symptomatology. Laryngeal disturbances invoked by hormonal imbalance may affect swallowing as a component of PMS. Previous studies regarding swallowing ability during the premenstrual cycle were nonexistent.

This study examined the relationship between PMS and swallowing disorders. One hundred thirty-seven females completed a written survey that elicited information regarding biographical data, presence and severity of cyclically recurring symptoms associated with PMS, and perceived presence and severity of dysphagia during premenstruum.

Spearman Rank (Rho) correlation coefficients were computed to determine the extent of the relationship between …

Ua21/1 Access & Opportunities, Wku Equal Opportunity / 504 / Ada Compliance

WKU Archives Records

This publication is meant to be a key resource for students with disabilities who are attending Western Kentucky University. This guidebook contains valuable information that will direct students to the tools and resources necessary to gain access to programs and services at the University.