Communication Sciences and Disorders Commons^™

Services Provided To Aging Individuals With Intellectual Disabilities: Survey Of Speech Language Pathologists, Claire H. Gatewood

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: The present study explored current speech-language pathology service provision for aging individuals with intellectual disabilities in the United States, including areas and domains of services, factors restricting service provision, and reported knowledge and confidence of individuals within the field of speech-language pathology in providing services, to identify possible gaps of service and needed improvement.

Methods: Participants (n = 272) from across the United States completed an online survey to gather descriptive information about current speech-language pathology service provision for aging individuals with intellectual disabilities. Participants were recruited through state speech-language hearing associations and universities with speech-language pathology clinics …

Incorporating Poi As A Therapeutic Modality For Preschool Aged Children In The Care Clinic, Danielle Zirkle

Department of Occupational Therapy Entry-Level Capstone Projects

No abstract provided.

On-Campus Mental Health Service Use Among College Students With Autism: A Case Study Applying The Andersen Behavioral Model Of Health Services Use, Estella C. Lilyquist

Electronic Theses and Dissertations

The unique set of impairments and limitations presented by students with autism spectrum disorder (ASD) make the accessing of campus-based nonacademic resources more difficult and complicated than their typically developed peers. Each year, the rate of students entering college with disabilities continues to grow, but their mental well-being is relatively poor. The purpose of this qualitative case study was to apply the conceptual framework of the Andersen behavioral model of health services use (ABMHSU) to the experiences of college students with ASD to understand and predict their utilization of campus-provided mental health resources. The participants were seven college students with …

Sound-Category Learning And Memory Skills In Neurotypical Adults And Adults With Language-Learning Disabilities, Allison Fulcher

University Honors Theses

This study evaluates the impact of memory skills (procedural, declarative, and working) and sound discrimination abilities, on the ability of adults with and without Language Learning Disability (LLD) to learn two sound-category structures, one designed to be learned implicitly and the other designed to be learned explicitly. This design tests a theorized etiology for LLD, the Procedural Deficit Hypothesis (PDH), which posits that LLD is caused by selective impairments to procedural memory and implicit learning. It also serves to evaluate factors and conditions that contribute to success in second-language learning for adults, who are less neurologically suited to the task …

Special Education: Inclusion And Exclusion In The K-12 U.S. Educational System, Erik Brault

Dissertations

The U.S. Department of Education defines students with disabilities as those having a physical or mental impairment that substantially limits one or more life activities. Previous research has found that students with disabilities placed in inclusive environments perform better academically and socially compared to students with disabilities who are placed in segregated environments. Yet, we know that inclusion in K-12 general education classrooms across the country is not consistently implemented.

The purpose of this study was to better understand the effects, if any, of general education high school teachers’ personal and professional experiences and knowledge on their attitudes toward educating …

Telepractice-Based Language Intervention Training For Parents Of Children With Autism Spectrum Disorders, Sarah Bryan

Honors Theses

This study closely examined the progression and fidelity of strategy implementation of parents undergoing an ASD language intervention training program. This instructional, interactive program was designed for parents of children with autism, thus catering to the needs of participants involved. This study assessed the use of parent comments and redirects, two kinds of parent strategies, during each parent-child interaction to provide more information about the impact of training sessions. The researchers hypothesized that by the end of training, parent participants would increase their fidelity of strategy implementation, increase their use of comments rather than redirects, and employ more open-ended questions …

The Effects Of Calmer On The Quality Of Life In Adults With Level 1 Autism Spectrum Disorder, Madilyn Morris

Honors Theses

Level 1 autism spectrum disorder (ASD) is a high-functioning neurodevelopmental disorder (Hodges et al., 2020; Hosseini & Molla, 2023). Several features of level 1 ASD negatively impact quality of life (QOL), and auditory sensitivity (specifically hyperacusis) is one of the most prevalent and disabling features (Danesh et al., 2015, 2021; Kuiper et al., 2019; Williams et al., 2021). Hyperacusis significantly impacts QOL in the level 1 ASD population, as current hyperacusis treatment strategies often result in various forms of social isolation (Adams et al., 2021; Danesh et al., 2015; Neave-DiToro et al., 2021).

However, Flare Audio markets a product (“Calmer”) …

The Relationship Between Coping Behaviors And Misophonia Symptom Severity And Impairment, Ruth Emmon Tyson

Honors Theses

Misophonia is a complex disorder that is characterized by an extreme disliking of sounds. Individuals with misophonia may engage in anxiety-driven coping behaviors that constitute avoidance and safety behaviors. Current literature shows that while coping behavior may offer temporary relief of anxiety and distress, they can lead to persisting anxiety and avoidance of experiences. Given preliminary evidence demonstrating a link between coping behaviors and maintained or worsening symptoms, additional research is warranted to further understand the role of coping behaviors in misophonia. However, few studies have investigated the relationship between coping behaviors and maintenance or worsening of misophonia symptom severity …

Perinatal Experiences Of People With Autism Spectrum Disorders: A Preliminary Scoping Review, Tanvi Shah, Andrea Iannuzzelli, Venkateswar Venkataman

Rowan-Virtua Research Day

Autism Spectrum Disorder (ASD) is a developmental disorder that is diagnosed in early childhood, typically in people who are assigned male at birth. However, this diagnosis and the sensory and behavioral divergence that comes with ASD stay with people throughout their lives. Based on the DSM-V diagnostic criteria and the history of how Autism and Autism Spectrum Disorders were first identified, many people who do not identify as male and/or present atypically do not receive a formal diagnosis until later in life or self-diagnose. This in turn has led to a lack of research in both populations that do not …

Addressing The Health Needs Of The (D/D)Eaf And Hard Of Hearing Community, Zainab Krayem, Rachel Jeff-Macauley, Nicolette Falco, Vanesa Pizutelli

Rowan-Virtua Research Day

The term deaf refers to individuals with total or partial hearing loss. However, it encompasses much more, representing a culture—Deaf culture. The distinction in spelling is important: "Deaf," with an uppercase "D," refers to individuals born Deaf who have been raised within Deaf culture, while "deaf," with a lowercase "d," typically refers to those who lost their hearing later in life and may not have grown up in Deaf culture. People who identify as deaf, Deaf, or hard of hearing (d/D/hoh) are often mistakenly assumed to have cognitive impairments or are broadly categorized as disabled. However, many in the community …

Resource Accessibility And Navigation For The Autism Spectrum Community, Nadia Barouk, Ashley Foster, Izabellar Tulasi, Vanessa Pizutelli

Rowan-Virtua Research Day

Autism Spectrum disorder (ASD) is a neurodevelopmental disorder that affects 1 in 35 children in New Jersey. Families and individuals with ASD require various types of resources and social support, but at times face obstacles in accessing these resources. The aim of our project was to identify issues in resource accessibility in the ASD community in South Jersey. We conducted literature reviews and interviews with local stakeholders. Our research revealed three main areas that pose challenges in resource accessibility such as: difficulty in acquiring a formal diagnosis, difficulty in navigating available resources, and disparities in available resources based on age. …

Inflammatory Marker Levels Among Patients Diagnosed With Autism Spectrum Disorder And Congenital Heart Defects, Patrick Pearce, Venkateswar Venkataraman, Andrea Iannuzzelli, Jennifer Lecomte

Rowan-Virtua Research Day

Autism Spectrum Disorder (ASD) and congenital heart defects (CHD) are conditions that both confer an immense increase in standard of care, and utilization of medical resources addressing comorbidities. One shared symptom that has been consistently cited is inflammation. This review sought to explore the levels of Tumor Necrosis Factor-�� (TNF-��) and Interleukin-6 (IL-6) between patients diagnosed as having either ASD or CHD. By compiling published data containing the mean values of these two inflammatory markers within these populations, it was shown that while both have significantly elevated levels compared to a phenotypically normal demographic, there is no significant difference between …

The Overuse Of Advanced Technology And Its Impact On Earlier Signs Of Digital Dementia, Audriana T. Nguyen

ETD Archive

This research attempted to answer the question if the increased use of advanced technology can impact an individual’s cognitive abilities. Participants (N=73) were recruited from universities by flyers as well as social media platforms including Facebook, Instagram, Snapchat, and LinkedIn. Participants answered a survey pertaining to their social media use, attention difficulties, memory, and quality of sleep using the Likert Scale. The purpose of this research was to quantify if the duration of exposure to technology can be associated with earlier signs of “digital dementia.” While previous research suggest a correlation between technology and its impact on cognition, my data …

Focusing Our Attention On Socially Responsive Professional Education To Serve Ethnogeriatric Populations With Neurogenic Communication Disorders In The United States, José G. Centeno, Loraine K. Obler, Linda Collins, Gloriajean Wallace, Valarie B. Fleming, Jacqueline Guendouzi

Communication Sciences and Disorders Faculty Articles and Research

Purpose:

This viewpoint discusses a plausible framework to educate future speech-language pathologists (SLPs) as socially responsive practitioners who serve and advocate for the burgeoning vulnerable ethnogeriatric populations with neurogenic communication disorders.

Method:

We provide an overview of the demographic, epidemiological, and biopsychosocial context that supports the implementation of equity-based, population-grounded educational approaches for speech-language pathology services in ethnogeriatric neurorehabilitation caseloads and discuss a plausible perspective based on the educational social determinants of health (SDOH) framework by the National Academies of Sciences, Engineering, and Medicine.

Results:

The NASEM's three-domain SDOH educational perspective integrates education, community, and organization to create a self-reinforcing …

The Effectiveness Of Naturalistic Sign Language Training For Nonspeaking Individuals On The Autism Spectrum, Elizabeth Michael

Honors Projects

This study examined the impacts of sign language training on the communication of two adult brothers with level 3 autism spectrum disorder (ASD). A single-subject, multiple-baseline design was used. Sign language targets were selected based on a parent survey and the participants’ predicted motivation towards the target items. The baseline and intervention were conducted naturalistically in the home. Results indicated that the individual, environment, target signs, reinforcement, and motivation are all factors that play into sign language acquisition for nonspeaking individuals with ASD.

Cultural Competency In Practicing Audiologists Serving Lgbtqia+ Clients, Stella Omilian

Honors Projects

The primary objective of this project is to cultivate a better understanding of clinicians' cultural attitudes and behaviors within the field of audiology concerning LGBTQIA+ clients. The study describes the attitudes and behaviors of clinical audiologists serving individuals in the LGBTQIA+ community. It also explores a few barriers to healthcare needs for these clients, including hearing habilitation and rehabilitation. An anonymous survey was used to collect data from the clinicians in the United States on their current knowledge of LGBTQIA+ related terminology and language, affirmative attitudes and behaviors, and cultural sensitivity to these clients receiving audiological services. Analysis of the …

Chatgpt As Metamorphosis Designer For The Future Of Artificial Intelligence (Ai): A Conceptual Investigation, Amarjit Kumar Singh (Library Assistant), Dr. Pankaj Mathur (Deputy Librarian)

Library Philosophy and Practice (e-journal)

Abstract

Purpose: The purpose of this research paper is to explore ChatGPT’s potential as an innovative designer tool for the future development of artificial intelligence. Specifically, this conceptual investigation aims to analyze ChatGPT’s capabilities as a tool for designing and developing near about human intelligent systems for futuristic used and developed in the field of Artificial Intelligence (AI). Also with the helps of this paper, researchers are analyzed the strengths and weaknesses of ChatGPT as a tool, and identify possible areas for improvement in its development and implementation. This investigation focused on the various features and functions of ChatGPT that …

Paths To Equity: Parents In Partnership With Ucedds Fostering Black Family Advocacy For Children On The Autism Spectrum, Elizabeth H. Morgan, Benita D. Shaw, Ida Winters, Chiffon King, Jazmin Burns, Aubyn Stahmer, Gail Chodron

Developmental Disabilities Network Journal

Racism and ableism have doubly affected Black families of children with developmental disabilities in their interactions with disability systems of supports and services (e.g., early intervention, mental health, education, medical systems). On average, Black autistic children are diagnosed three years later and are up to three times more likely to be misdiagnosed than their non-Hispanic White peers. Qualitative research provides evidence that systemic oppression, often attributed to intersectionality, can cause circumstances where Black disabled youth are doubly marginalized by policy and practice that perpetuates inequality. School discipline policies that criminalize Black students and inadequate medical assessments that improperly support Black …

Racial And Ethnic Disparities In Speech-Language Pathology (Slp) Services, Hope A. Lemmons

Student Theses and Dissertations

The purpose of the study was to examine the experiences with and perceptions of racially and socioeconomically diverse people in accessing early intervention day treatment (EIDT) facilities. Participants completed a questionnaire which included questions regarding the parents’ age, ethnicity, socioeconomic status (SES), gender, education level, income level, along with other questions. Participants were recruited from the KidSPOT facility, an EIDT center in Jonesboro, Arkansas. Participants had to have a child enrolled in speech therapy and enrolled in EIDT services at KidSPOT. A total of 10 participants completed the questionnaire: six females and four males. When asked the participants’ race, only …

Adaptation In The Sensory Cortex Drives Bistable Switching During Auditory Stream Segregation, Nathan C. Higgins, Alexandra N. Scurry, Fang Jiang, David F. Little, Mounya Elhilali, Joel S. Snyder

Psychology Faculty Research

Current theories of perception emphasize the role of neural adaptation, inhibitory competition, and noise as key components that lead to switches in perception. Supporting evidence comes from neurophysiological findings of specific neural signatures in modality-specific and supramodal brain areas that appear to be critical to switches in perception. We used functional magnetic resonance imaging to study brain activity around the time of switches in perception while participants listened to a bistable auditory stream segregation stimulus, which can be heard as one integrated stream of tones or two segregated streams of tones. The auditory thalamus showed more activity around the time …

Analysis Of Electrophysiological Markers And Correlated Components Of Neural Responses To Discourse Coherence, Kurt M. Masiello

Dissertations, Theses, and Capstone Projects

Constructing meaning from spoken language is invaluable for learning, social interaction, and communication. In clinical populations with developmental disorders of speech comprehension, the severity of disruption can persist and vary from limiting occupational opportunities to lower performance outcomes. Previous research has reported an event-related potential (ERP) neural positivity over right hemisphere lateral anterior sites in response to semantic and discourse processing. Although useful as a marker for clinical populations of autism spectrum disorder (ASD) and developmental language disorder (DLD), little is understood about the dynamics and neural sources of this biological marker. In addition to traditional methods of ERP analysis, …

Evaluation Of Tele-Diagnostic Practice In Autism Spectrum Disorder, Emily Graham Lerose

Wayne State University Dissertations

EVALUATION OF TELE-DIAGNOSTIC PRACTICES IN AUTISM SPECTRUM DISORDER By Emily Graham LeRose Advisor: Dr. Shelly Jo Kraft, PhD, CCC-SLP Major: Communication Sciences and Disorders Degree: Doctor of Philosophy

Following the social-distancing mandates of the COVID-19 pandemic of 2020, diagnosis of autism spectrum disorder pivoted from an in-person method of evaluation, utilizing empirically supported “gold-standard” methods, to novel tele-diagnostic methods. This research investigated the efficacy and accessibility of autism diagnostic services using the tele-diagnostic platform of autism assessment by comparing retrospective patient data from periods of in-person assessment to tele-diagnostic assessment at one, large, urban hospital.

Diagnostic outcomes for these two …

Improving Caregiver Implementation Of Communication Supports For Young Children With Autism, Heather Coleman, Selena J. Layden, Lynda Gayle Horner

Communication Disorders & Special Education Faculty Publications

The use of evidence-based practices (EBPs) in the child's natural setting is critical for young children with autism spectrum disorder (ASD) to improve communication skills and promote generalization. Yet, to implement EBPs effectively, caregivers often require training. The purpose of this study is to explore the efficacy of behavior skills training (BST) to teach a caregiver to implement a parent-implemented discrete trial training (DTT) intervention in their home. Using a multiple baseline design, one caregiver was taught to implement the intervention focused on three verbal behavior operants. Results demonstrated a functional relation between the BST and caregiver implementation. This study …

Differences Between Monolinguals And Bilinguals In Phonetic And Phonological Learning And The Connection With Auditory Sensory Memory, Laura Spinu, Jiwon Hwang, Mariana Vasilita

Publications and Research

Bilingualism has been linked with improved function regarding certain aspects of linguistic processing, e.g., novel word acquisition and learning unfamiliar sound patterns. Two non mutually-exclusive approaches might explain these results. One is related to executive function, speculating that more effective learning is achieved through actively choosing relevant information while inhibiting potentially interfering information. While still controversial, executive function enhancements attributed to bilingual experience have been reported for decades. The other approach, understudied to date, emphasizes the role of sensory mechanisms, specifically auditory sensory memory. Bilinguals outperformed monolinguals in tasks involving auditory processing and episodic memory recall, but the questions whether …

Exploring Correlates Of Student Preferences For Virtual Or In-Class Learning Among Neurodiverse Adolescents Using A Single-Case Design Methodology, Taryn A. Myers, John D. Ball, Mindy Gumpert, Mary Roberts

Human Movement Studies & Special Education Faculty Publications

The purpose of the current study is to explore several correlates of adolescent students’ preferences for at-home virtual or in-class in-person learning in a single case of a school that serves students with learning differences. Correlates of interest were the Big Five personality traits (Openness to Experience, Conscientiousness, Extroversion, Agreeableness, Neuroticism) and the students’ self-reported learning engagement. Participants were recruited from a single independent school for students with neurodiversity and special learning needs, where they had high exposure to computer-/internet-assisted learning. Twenty-seven students responded to questionnaires measuring preferred learning modes, personality traits, and learning engagement. Despite teacher reports …

Investigating The Quality Of Life For Children With Autism Spectrum Disorder Scale Using Rasch Methodology, Laura C. Chezan, Jin Liu, Ruiqin Gao, Erik Drasgow

Communication Disorders & Special Education Faculty Publications

Our purpose in this study was to provide additional psychometric evidence of the Quality of Life for Children with Autism Spectrum Disorder (QOLASD-C) scale. We used Rasch modeling to investigate the QOLASD-C functioning, the characteristics of the items comprising the scale, and the item functioning across subgroups of children with ASD based on gender and race/ethnicity. Results showed that QOLASD-C was unidimensional, met the local independence assumption, and measured quality of life (QOL). The items showed excellent fit to the model and good discriminating ability between low and high QOL. Most items showed a moderate difficulty level. No differential item …

Parent-Child Interaction Therapy For Children With Disruptive Behaviors And Autism: A Randomized Clinical Trial, Korrie Allen, John Harrington, Lauren B. Quetsch, Joshua Masse, Cathy Cooke, James F. Paulson

Psychology Faculty Publications

A relatively large number of children with autism spectrum disorder (ASD) exhibit disruptive behavioral problems. While accumulating data have shown behavioral parent training programs to be efficacious in reducing disruptive behaviors for this population, there is a dearth of literature examining the impact of such programs across the range of ASD severity. To evaluate the effectiveness of Parent–Child Interaction Therapy (PCIT), an evidence-based treatment for children with problem behaviors and their families, in reducing disruptive behaviors among children (4–10 years) with ASD (without intellectual disabilities). Fifty-five children (85.5% male, 7.15 years; SD 1.72) were enrolled from pediatric offices and educational …

Impact Of Accent On Receptive Language Assessments For Bilingual Children, Katherine Stariknok

Honors Theses and Capstones

Language assessments are used to screen and diagnose children with language disorders. Many speech-language pathologists (SLP) practicing in Spanish in the United States do not speak Spanish as their first language, so they are administering these assessments in accented speech. This study aims to find what effect an SLP’s accent will have on a bilingual child’s language assessment. Initial findings show that participants were largely able to understand words in the L2 accent, with most of the errors due to several repeating consonantal features (i.e., voicing alone; place and manner of articulation). The broader impact of this work is to …

Exposure, Adaptation And Expectations: How They Affect Perception Of Foreign Accented Speech, Isabella Huddleston

Honors Program Theses

Understanding accented speech is becoming more and more prevalent in today’s society. The world is connected through technology allowing us to reach further than we ever have before. One challenge this presents is the necessity to communicate across languages. Even if an individual has learned another language proficiently, the speech they produce is influenced by their native language resulting in foreign accented speech (FAS). There now exists the need for understanding how FAS affects speech perception and uncovering ways to improve communication situations between native and nonnative communication partners.

Revisiting The Rainbow: Culturally Responsive Updates To A Standard Clinical Resource, Angela M. Dietsch, Richard Mocarski, Debra A. Hope, Nathan Woodruff, Miechelle Mckelvey

Department of Special Education and Communication Disorders: Faculty Publications

Purpose

Cultural responsivity is essential for efficacious and affirming clinical relationships. This may be especially important with historically marginalized clients, such as transgender and gender-diverse (TGD) people seeking behaviorally based affirming communication services. We recommend modifications to standard tools for diagnostics and training that otherwise might undermine our efforts to create an inclusive and affirming environment.

Method

Modifications to the Rainbow Passage, a standardized paragraph utilized for eliciting speech samples in clinical settings, focused on nongendered terminology and the elimination of content with religious connotations.

Results

The recommended edits to the Rainbow Passage maintain similar length, cadence, and phonetic balance …