Medicine and Health Sciences Commons^™

The Relationship Between Narrative Informativeness And Psychosocial Outcomes In Chronic Stroke-Induced Aphasia, Eileen Armes, Jessica Richardson, Rick Arenas, Lori Nelson

Speech and Hearing Sciences ETDs

Currently there is a gap in the literature in understanding the relationship between the newly categorized primary outcome measure of discourse and secondary outcomes related to psychosocial impact, such as participation, psychological impact, social well-being, or mood. In a large sample of persons with stroke-induced aphasia (N=115), this study analyzed discourse samples using main concept analysis to determine how discourse performance correlates with the secondary outcome measures ALA, CCRSA, GDS, and CIQ. As a secondary research question, the differences in these relationships dependent on severity was also explored. Results showed statistically significant positive correlations between main concepts (MCs) and ALA …

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 …

An Eye Tracking Investigation Of The Pragmatic Language Comprehension Abilities Of Children With Autism, Kristina Curro

Doctoral Dissertations

Autism is a disorder of the comprehension and use of pragmatic language. Children with autism often display heterogeneous patterns of language ability even when language is considered a strength. This real-time analysis is a partial replication of Sedivy et al. (1999) who found evidence for incremental processing of pragmatic language in real-time with adults. This investigation focused on prosodic focus and scalar adjective comprehension in children with and without autism. Results show that children with autism successfully interpret prosodic focus when interpreting intersective adjectives but show processing delays in interpreting scalar adjectives. Implications for pragmatic language processing differences between children …

Examining The Intersectionality Of Religious Faith, Spirituality, And Healthcare Communication, Felix Okeke

Electronic Theses and Dissertations

This dissertation is my own contribution in responding to the concern raised by certain communication scholars. Their concern was that little research and few publications have been done in the communication field by communication scholars that trace the relationship among religious faith, spirituality, and healthcare communication. While Parrott (2004) describes this apparent neglect as “collective amnesia,” others label it “religion blindness.” Thus, in trying to trace this relationship, this project uses Christian, biblical, and bioethics backgrounds to establish the value, sacredness, and dignity of human life, since these concepts make healthcare and healthcare communication necessary in the first place. These …

The Examination Of Morpho-Syntactic Production In Bahamian Children Exposed To Bahamian Creole English And English, Danielle Moss

Dissertations, 2020-current

Purpose. Information on the morpho-syntax development of children who speak varieties of Bahamian English, such as Bahamian Creole English (BCE), remains understudied. Therefore, speech-language pathologists (SLPs) assessing the expressive language of children who speak BCE encounter challenges in making clinical judgments of language difference, developmental errors, and language disorder because they are unable to judge the morpho-syntactic features of this creole to the rules of another variety of Bahamian English, standard English (SE¹), as both varieties, BCE and SE, are independently rule-governed. This dissertation study investigated the morpho-syntax of typically developing four and six-year-old Bahamian children who speak …

Effect Of Sound Source Location And Spatial Hearing On The Vestibulo-Ocular Reflex (Vor), Mary Easterday

Theses and Dissertations (ETD)

Accurate measurement of the vestibulo-ocular reflex (VOR) is imperative in differential diagnosis of vestibular disorders and balance function. However, the assessment protocol faces a number of limitations, including the need to control for extra- vestibular sensory factors such as hearing. Previous research has shown that the use of an auditory stimulus can have a significant effect on functional measures of balance, and many have contributed effects to be the result of spatial hearing. However, no studies have directly assessed the effect of speaker location on the VOR nor investigated correlations of functional spatial hearing with the VOR. Therefore, the aims …

Differential Diagnosis Of Exercise-Induced Laryngeal Obstruction And Exercise-Induced Asthma, Allison Lyman, Allison Lyman

Honors College Theses

Sensations of shortness of breath and difficulty breathing are not uncommon, especially among athletes and those who regularly engage in aerobic activities. Often, athletes will seek treatment for their respiratory symptoms and may be diagnosed with exercise-induced asthma. Doctors prescribe inhalers to these individuals to help alleviate their symptoms; however, there are occasions in which inhalers fail to lessen the severity of breathing difficulties. This is because asthma is not the only condition that can cause shortness of breath, also known as dyspnea. There exists another condition which affects the vocal folds but not the lungs and bronchioles as is …

College Students’ Perceptions Of Instructors Whose Primary Language Is Not English, Takiyah A. Clay

Honors Theses

It is common to see instructors at universities in America who are foreign born and, as a result, have a foreign accent. Since foreign accents can influence the perceptions of people, the researcher designed this study to discover any perceptions that college students may have toward instructors with foreign accents. In addition, the researcher wanted to discover if those perceptions influenced the students’ actions in class. In order to reveal these perceptions, the researcher surveyed 205 students both in-person and online. The researcher determined that although a majority of the participants had difficulty comprehending the lectures of instructors with foreign …

Effects Of A Telerehabilitation Group On Continuing Language Treatment After Participation In An Intensive Comprehensive Aphasia Program (Icap), Alexis Missel

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Aphasia is an acquired neurogenic language disorder encompassing oral and/or written language expression and comprehension affecting an estimated two- to two to four million people in the United States, (Simmons-Mackie, 2018; National Aphasia Association, 2016). The primary aim of the current study was to investigate an option for targeted intervention as a follow-up to an Intensive Comprehensive Aphasia Program (ICAP). There is little research assessing maintenance of communication profile gains following conclusion of the ICAPs, and there are few options that exist as tailored ICAP follow-up programs or continued intervention guided by the ICAP principle features. To address this, a …

Voice Therapy Techniques For Male-To-Female Versus Female-To-Male Transgender Individuals And Stereotypical Beliefs That Affect These Techniques, Bailey Lyman

Honors College Theses

This research was conducted to determine the differences and similarities between the therapeutic techniques used with male-to-female versus female-to-male transgender voice clients resulting from their existing and potentially changing anatomy and physiology. It was also conducted to determine the potential impacts of gender stereotyping on therapeutic techniques and a client’s therapeutic course. A review of the literature suggests that although there are quite a few similarities between the therapeutic techniques of male-to-female and female-to-male voice clients, there are crucial differences in these techniques that must also be considered. A few of the differences include considering a degree of change based …

Voice Therapy Techniques For Male-To-Female Versus Female-To-Male Transgender Individuals And Stereotypical Gender Beliefs That Affect These Techniques, Bailey Lyman

Honors College Theses

This research was conducted to determine the differences and similarities between the therapeutic techniques used with male-to-female versus female-to-male transgender voice clients resulting from their existing and potentially changing anatomy and physiology. It was also conducted to determine the potential impacts of gender stereotyping on therapeutic techniques and a client’s therapeutic course. A review of the literature suggests that although there are quite a few similarities between the therapeutic techniques of male-to-female and female-to-male voice clients, there are crucial differences in these techniques that must also be considered. A few of the differences include considering a degree of change based …

An Exploration Of Audiologists' Readiness To Adopt Connected Hearing Healthcare For Remote Hearing Aid Fitting, Luisa Natalia Perez Velez

Electronic Thesis and Dissertation Repository

Background: Globally, the increasing prevalence of hearing loss and need for improved access to hearing healthcare services, highlights the growing need for alternative service delivery models. A Connected Health model emerges as a solution for this need, focusing on the use of telecommunication technologies. This model, extended to audiology, can help to better ‘connect’ a patient to their own care process and to their provider during audiological diagnostics, treatment, and management services, at a distance and in an effective and timely manner. The strong capacity for and underutilization of Connected Audiology within current aural (re)habilitation service models have led to …

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 …

Hearing Aid Acclimatization In The Context Of Central Gain Mechanisms, Peter J. Hutchison

USF Tampa Graduate Theses and Dissertations

The primary goals of this dissertation were to 1) identify markers of central gain in the auditory system following short-term acoustic attenuation via earplugging and acoustic enhancement via sound generators, and 2) determine if acoustic enhancement is effective in modulating central gain in older adults with age-related hearing loss, and if so, to what extent. Additionally, a further goal of this dissertation was to explore the possibility that central gain is related hearing aid acclimatization. The results described in Chapter 2 are further evidence that altering acoustic input to the peripheral auditory system modulates central auditory plasticity and is evident …

Audiovisual Integration During Novel Word Learning Among School-Aged Children With Cochlear Implants, Kristen Elizabeth Thompson Thornton

Theses and Dissertations (ETD)

Objective. It is well established that being able to see someone’s mouth move as they speak boosts speech perception for children with cochlear implants (CIs). Thus, children with CIs are often instructed to orient themselves toward the person they are listening to, to gain access to visual speech cues. Children with CIs who are better “audiovisual integrators,” or those who experience an auditory-visual (AV) enhancement effect (higher performance for AV information than auditory-alone (AO) or visual-alone (VO)), are more likely to have better speech and language outcomes after receiving their CI than children with poorer AV integration skills. While AV …

Verbal Response Inhibition And Stuttering In Adults, Shanley Belle Treleaven

LSU Doctoral Dissertations

Many adults who stutter (AWS) attempt to modify or suppress their stuttered speech daily. The ability to effectively suppress motoric behavior after initiation relies on executive functions such as inhibition – specifically verbal inhibition – a challenging task regardless of clinical status. Minimal published data are available about verbal inhibition in non-stuttering adults, and no data are available for AWS. Researchers have reported slower inhibition for AWS during manual tasks, but inconsistent relationships have been found between manual and verbal inhibition. It is often presumed that inhibition differences in AWS, if detected, would be associated with greater difficulties suppressing the …

Comparison Of High-Tech Augmentative And Alternative Communication Interfaces: Do Age And Technology Experience Matter?, Surani Gopika Nakkawita

LSU Doctoral Dissertations

Previous research has demonstrated that individuals with stroke-induced aphasia can use augmentative and alternative communication (AAC) when they cannot meet their communication needs using spoken language (Dietz, Weissling, Griffith, McKelvey, & Macke, 2014; Purdy & Van Dyke, 2011). Of the various interfaces found in the different AAC systems, the grid display and the visual scene display (VSD) have been used by individuals with aphasia (Hough & Johnson, 2009; Dietz et al., 2018). However, there is a scarcity of research examining the comparative usefulness of these interfaces.

This prospective study attempted to understand how neurologically healthy individuals of different ages and …

Implicit Learning Of Children With And Without Developmental Language Disorder Across Auditory And Visual Categories, Wanchi Yu

Dissertations and Theses

The current study examined implicit sound- and visual-meaning-mappings of children with and without Developmental Language Disorder (DLD).

One child with DLD and 29 children with typical language development (TLD) were included in the study, based on results from a hearing screening and standardized assessments of cognitive and expressive language skills. Participants completed two computer-based experiments, which were designed to investigate: 1) sound discrimination (pitch and duration), implicit mapping of sound stimuli to objects; 2) visual discrimination, implicit mapping of visual stimuli to objects.

The current study showed that children with TLD who implicitly learned pitch categories showed better mapping of …

The Utility Of Multiplex Closeness Centrality For Predicting Item Difficulty Parameters In Anomia Tests, Khanh L. Nguyen

University Honors Theses

Background: Confrontation naming tests for the assessment of aphasia are perhaps the most commonly used tests in aphasiology. Recently, such tests have been modeled using item response theory approaches. Despite their advantages, item response theory models require large sample sizes for parameter estimation that are often unrealistic when working with clinical populations. As an alternative approach, Fergadiotis, Kellough & Hula (2015) explored automatic item calibration by regressing item difficulty parameters on word length, age of acquisition (AOA), and lexical frequency as quantified by the Log10CD index. Despite the high predictive utility that they achieved, the model’s performance was far from …

Aphasia Friendly Medication Instructions: Effects On Comprehension In Persons With And Without Aphasia, Anna Saylor

Electronic Theses and Dissertations

Accessible health information supports people to understand and manage chronic medical conditions and is frequently presented via text. Comprehension of written health information becomes more difficult for people with language impairments, such as aphasia. Nine people with aphasia (PWA) and nine people without aphasia (PWoA), participated in this study. Each participant reviewed two unmodified medication instructions and two modified medication instructions using aphasia-friendly principles, then answered eight multiple choice questions and provided their preferences. Results showed that PWA demonstrated improved comprehension given modifications, but PWoA’s comprehension did not improve with modifications. Group comparison in the modified condition demonstrated that PWoA …

Measuring Listening Effort Using Physiological, Behavioral And Subjective Methods In Normal Hearing Subjects: Effect Of Signal To Noise Ratio And Presentation Level, Lakshmi Magudilu Srishyla Kumar

Dissertations, 2020-current

The main objective of the study is to compare the effectiveness of pupillometry, working memory and subjective rating scale —the physiological, behavioral, and subjective measures of listening effort— at different signal to noise ratios (SNR) and presentation levels: when administered together. Eleven young normal hearing individuals with mean age of 21.7 years (SD=1.9 years) participated in the study. The HINT sentences were used for speech perception in noise task. The listening effort was quantified using peak pupil dilation, working memory, working memory difference, subjective rating of listening and recall effort. The rating of perceived performance, frustration level and …

The Classification Accuracy Of A Dynamic Assessment Of Inferential Word Learning For School-Age Children With And Without Language Disorder, Britney Ann Newey

Theses and Dissertations

Purpose: This study examines the classification accuracy and interrater reliability of a dynamic assessment (DA) of inferential word learning designed to accurately identify kindergarten through sixth-grade students with and without language disorder. Method: The participants included 127 school-age children from a mountain west school district who were administered a DA of inferential word learning that entailed a pretest, a teaching phase, an examiner rating of the child's ability to infer word meaning (modifiability), and posttests. Results: Hierarchical logistic regression and receiver operator characteristic (ROC) analyses revealed that combining all posttests, the modifiability total, and the final examiner judgement scores from …

A Compilation Of Research Experiences, Samantha C. Gotcher

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Multiple projects comprised this thesis requirement. The projects ranged in breadth and depth and included 1) literature reviews across a variety of deaf education topics, including spreadsheets summarizing each literature review, 2) development of over 100 article summaries for the Hear to Learn website, 3) authorship on a manuscript submitted to a peer-reviewed journal, and 4) a peer-reviewed poster presentation at a national conference. My experiences in engaging in these activities immersed me into a greater understanding of the research in the field, resources for services, position papers of various entities, and recommended practices in Listening and Spoken Language (LSL) …

Factors Influencing Choice Of Communication Sciences And Disorders Major For Students Who Are Culturally And Linguistically Diverse, Joanna Reinders

Dissertations, Theses, and Projects

The purpose of this study was to explore the motivating factors that influenced undergraduate students from culturally and linguistically diverse (CALD) backgrounds in the West North Central division of the United States to major in communication sciences and disorders (CSD). This was a nonexperimental study that was conducted by sending a quantitative survey on Qualtrics to undergraduate CSD students in schools in the West North Central division of the United States as defined by the U.S. Census (Census Regions and Divisions of the United States, n.d). All states had respondents to the survey except Nebraska and among the responses, 16 …

Speech Characteristics Of Professional Fighters, Sofiya Krasilshchikova, Amy Neel Ph.D., Jessica Dawn Richardson Ph.D., Rick Arenas Ph.D., Lauren Bennett Ph.D., Sarah Banks Ph.D., Charles Bernick Ph.D.

Speech and Hearing Sciences ETDs

The aims of this project were to accurately measure and describe speech characteristics of professional fighters; and to analyze the future potential of using speech characteristics as biomarkers for acquired neurogenic decline or chronic traumatic encephalopathy (CTE). The Professional Fighters Brain Health Study (PFBHS) is a longitudinal project investigating the effect of repeated head trauma in professional combatants. The PFBHS provided recorded speech samples for this project. This study measured accurate speech characteristics of 102 professional boxers and mixed martial artists and compared these results to a group of 27 age-matched healthy controls. Analysis revealed a significant difference in articulation …

The Impact Of Temporal Resolution On Clinical Decision-Making For Individuals With Dysphagia, Shauna Corinne Murray

Speech and Hearing Sciences ETDs

INTRODUCTION: Dysphagia, or a disordered swallow, affects up to 1 in 25 individuals in the United States. The gold standard for assessing dysphagia is the videofluoroscopic evaluation of swallowing (VFES). This allows the clinician to observe the swallow anatomy in motion via an X-ray movie, which historically was recorded at 30 frames per second. In recent years VFES have been performed at less frames per second due to radiation concern. This project investigates the effect of using lower temporal resolutions on assessment of video-fluoroscopic swallow studies.

METHODS: In this investigation, 30 swallow studies, all acquired at 30 frames per second, …

A Phenomenological Investigation Of The Contextual Variability And Anticipation Of Stuttering, Amanda D. Ortiz-Alvarez

Speech and Hearing Sciences ETDs

Stuttering is a neurologically based speech impairment often defined by listener-oriented parameters (i.e., its overt characteristics). These fail to encompass contextual variability and anticipation, two facets of the speaker’s experience which, though frequently encountered by people who stutter (PWS), remain poorly understood and largely under-researched. To better understand the subjective underpinnings of these phenomena, as well as how PWS conceptualize and relate to their stuttering, the present study sought to explore a) the experiences of PWS with the unpredictable and/or variable nature of their stuttering, as well as their beliefs surrounding potential contributors to its variability; b) the experiences of …

The Experience Of Being A Parent Of A Child Who Stutters And Subsequent Involvement In Support Groups: A Narrative Study, Katlyn A. Ferguson, Richard Arenas

Speech and Hearing Sciences ETDs

INTRODUCTION: Developmental stuttering generally begins after a period of typical fluency and is highly variable in its presentation and persistence. This variability along with the lack of a definitive cause and social stigma often negatively impact both children who stutter (CWS) and their caregivers. However, research on the specific effects of stuttering on the caregiver is quite sparse compared to research into the caregiver experience in other disorders. Additionally, although social support has been identified as a primary protective factor for other caregivers, little evidence exists to show how support groups benefit caregivers of CWS.

METHOD: Five parents participated in …

Antisaccade Performance As A Measure Of Executive Dysfunction In Women With The Fmr1 Premutation, Lyndsay Schmitt

Theses and Dissertations

Women with the FMR1 premutation appear to be at increased risk for executive dysfunction. Findings in this regard have been mixed, leading to controversy surrounding the executive phenotype. Inhibitory deficits have been a more consistently documented component of this cognitive profile (Klusek et al., 2020; Shelton et al., 2014). This study aimed to clarify the executive phenotype through use of the antisaccade task, a well referenced eye-tracking paradigm that targets oculomotor inhibition and motor control and imposes time constraints that may increase sensitivity to executive deficits in women with the FMR1 premutation. The effects of aging were examined in both …

Complex Syntax Acquisition In Children With Hearing Loss, Marissa Castaldo

Theses and Dissertations

Purpose: The purpose of this language sample analysis was to describe complex syntax development in children with hearing loss over the preschool years. The current study addresses the following relevant research questions: Do children with hearing loss have increased performance over preschool years on broad measures of complex syntax? and What are the developmental trajectories on complex syntax in children with hearing loss?

Methods: 9 children with hearing loss participated in a 12-minute language sample following the Hadley Protocol (1998). Each child was tested at age 4 and then again in 6-month intervals until they turned 6. These children with …