Communication Sciences and Disorders Commons^™

Considerations Of Medicare Telehealth Services With Older Adults, Sonah Kho, Amanda Dediego

Adultspan Journal

The onset of the COVID-19 pandemic set in motion a rapid expansion of mental health services offered via telehealth. With this rapid expansion came the need to examine how policy and practice should be shaped in a future where telehealth is considered common in counseling practice. For counselors to understand how to support older adult clients in using telehealth services, they must understand telehealth policy. Following the eligibility of licensed counselors to participate in Medicare, counselors need to stay abreast of regulatory changes regarding restrictions and regulations on use of telehealth for mental and behavioral health services, including video and …

Impact Of A Narrative Language Intervention On Language, Behavior, And Self-Concept Among Bilingual Children With Developmental Language Disorder, Nancy Tarshis Ma, Ms, Ccc-Slp, Kathleen Mcgrath Mss, Lsw, Ida Barresi Ma, Ccc-Slp, Risa Battino Ms, Ccc-Slp, Bcs-F, Sarah Henderson Msed, Ms, Ccc-Slp, Shankar Viswanathan Drph, Jee-Young Moon Phd, Karen Bonuck Phd

Developmental Disabilities Network Journal

The growing research on narrative interventions is promising but has gaps regarding cultural/linguistic diversity and outcomes beyond language. We evaluated whether a structured, oral narrative intervention affects narrative language, problem behaviors, and self-concept in a diverse group of children with developmental language disorder. A 10-session intervention was implemented within routine care. Baseline and follow-up data included: (a) Narrative recordings—coded by therapists using the CUBED Narrative Language Measure, (b) Child Behavior Checklist—a parent-reported behavioral assessment, and (c) the Piers-Harris Children’s Self-Concept Scale. Among the sample’s n = 33 children, aged 6-16, 55.6% were bilingual. Post intervention, participants’ narrative language scores improved …

Long-Range White Matter Fibres And Post-Stroke Verbal And Non-Verbal Cognition, Rebecca W. Roth, Deena Schwen Blackett, Ezequiel Gleichgerrcht, Janina Wilmskoetter, Chris Rorden, Roger Newman-Norlund, Souvik Sen, Julius Fridriksson Ph.D., Natalie Busby, Leonardo Bonilha

Faculty Publications

Among stroke survivors, linguistic and non-linguistic impairments exhibit substantial inter-individual variability. Stroke lesion volume and location do not sufficiently explain outcomes, and the neural mechanisms underlying the severity of aphasia or non-verbal cognitive deficits remain inadequately understood. Converging evidence supports the idea that white matter is particularly susceptible to ischaemic injury, and long-range fibres are commonly associated with verbal and non-verbal function. Here, we investigated the relationship among post-stroke aphasia severity, cognition, and white matter integrity. Eighty-seven individuals in the chronic stage of stroke underwent diffusion MRI and behavioural testing, including language and cognitive measures. We used whole-brain structural connectomes …

Staff Perspectives Of Deaf And Hard Of Hearing College Students’ Alcohol Use, Christine L. Gannon, Theresa H. Gibble, Retta Evans

Journal of Social, Behavioral, and Health Sciences

A predominant health issue at colleges and universities is alcohol use. This is also true for deaf and hard of hearing college students. Key stakeholders who observe and witness this alcohol dynamic are staff. Researchers used a semi-structured qualitative guide to interview Gallaudet University staff (N = 26) to learn about their perspectives on and experiences with student alcohol use. Through thematic analysis, they identified several dominant themes that were then grouped into the three levels of the social-ecological model. First, they identified intrapersonal factors, including fear of missing out and coping strategies. Second, they identified interpersonal factors such …

Emphasizing Interprofessional Education Through A Virtual Case Study In A Medical Nutrition Therapy Course, Natalie B. Allen, Traci A. Garrison, Wendy R. Jackson, Bonnie K. Slavych

Journal of Dietetic Education

This observational research presents multi-year findings of a project using an online case study implemented in an undergraduate Medical Nutrition Therapy class that fostered interprofessional collaboration among students from various healthcare disciplines. The case study focused on a fictional patient with an ischemic stroke and all work was virtual. Students from various allied healthcare fields were represented: dietetics and nutrition, occupational therapy, speech-language pathology, and social work. Both undergraduate and graduate students participated in developing a virtual care plan for the patient, with an emphasis on helping students explain their role to the team, while simultaneously learning how to collaborate …

Under Pressure: The Interplay Of Hypertension And White Matter Hyperintensities With Cognition In Chronic Stroke Aphasia, Jade Hannan, Natalie Busby, Rebecca Roth, Janina Wilmskoetter, Roger Newman-Norlund Ph.D., Chris Rorden, Leonardo Bonilha, Julius Fridriksson Ph.D.

Faculty Publications

While converging research suggests that increased white matter hyperintensity load is associated with poorer cognition, and the presence of hypertension is associated with increased white matter hyperintensity load, the relationship among hypertension, cognition and white matter hyperintensities is not well understood. We sought to determine the effect of white matter hyperintensity burden on the relationship between hypertension and cognition in individuals with post-stroke aphasia, with the hypothesis that white matter hyperintensity load moderates the relationship between history of hypertension and cognitive function. Health history, Fazekas scores for white matter hyperintensities and Wechsler Adult Intelligence Scale Matrix Reasoning subtest scores for …

This (Dis)Abled Person: Professional Receptiveness Towards Future Slps With Disabilities, Billy Allen

Theses & Honors Papers

With increasing levels of diversity within the United States, having the field of speech-language pathology better reflect and represent the changing demographic shifts in society is critically important. Little attention has been given toward the prospect of individuals with disabilities serving in the field despite focused efforts to increase the presence of professionals from racial, ethnic, and cultural backgrounds. This study investigated the receptiveness of practicing speech-language pathologists (SLPs) or communication sciences and disorders (CSD) graduate faculty towards the prospect of individuals with disabilities working as SLPs within the field or entering graduate-level CSD programs. A survey collecting quantitative data …

Using The Motivated Information Management Theory And The Social Support Theory To Understand Caregiver Perspectives Of Currently Available Health Communication Regarding Dementia: A Qualitative Study, Sara J. Alig

Doctoral Dissertations and Projects

Dementia brings a cascade of changes into the life of not only the person facing it, but also the lives of the supporting family and caregivers. Dementia manifests with a gradual decline, or in some cases, a variably progressive decline in cognitive abilities. This decline requires the individual to rely more and more on caregivers. Caregiving necessitates the giving of oneself for another’s sake and oftentimes results in negative physical and social-emotional side effects. To navigate through the changes that are happening to their loved ones, as well as to themselves, caregivers need educational and social support. The purpose of …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …

The Impact Of The Covid-19 Mask Mandate On Effective Communication Between Healthcare Providers And Deaf/Hoh Patients, Antonia J. Conti, Alexa Gingerich

Rowan-Virtua Research Day

During the peak of the COVID-19 pandemic, many countries mandated the use of facial masks in public environments, especially in healthcare settings.[3] While this was beneficial in reducing the spread of the coronavirus disease, it created many challenges for the deaf/HoH community.[4] In particular, it limited effective communication between healthcare providers and deaf/HoH patients. It was found that masks limit word recognition for both deaf/HoH and non-deaf/HoH individuals. Additionally, both surgical and N95 masks hinder word recognition for deaf/HoH individuals and significantly impact communication during medical appointments.

Classroom-Based Simulation & Clinical Education Innovations Improve Graduate Education, Brenda L. Beverly, Emma A. Townsend

CoTL 2024 Research Talks

Although classroom-based coursework and clinical education activities in speech-language pathology graduate programs strive to link education to relevant practice, gaps persist. Parent-implemented intervention is an evidence-based practice mandated by federal law in early intervention; however, speech-language pathology graduate programs do not provide students with ample opportunities to gain relevant experience. Outcomes from two research studies supported revising classroom and clinical education, increasing educational relevance and professional preparation for students. A qualitative study with focus groups identified key implementation needs that led to the addition of role play simulation in the classroom. A follow-up study supported developing an innovative clinical model …

Effect Of Music On Executive Functioning In Children, Abigail Grace Dame

Communication Science and Disorders Honors Theses

The present study investigates the impact of music listening and singing on sustained attention in typically developing school-aged children. Participants (N=12) were randomly assigned to one of three conditions: music listening, singing, or paced speech, during which they focused on a predetermined keyword presented in two musical pieces. In the listening condition, participants raised their hands when they heard or said the keyword. In the paced speech and singing conditions, the children omitted only that target word while speaking or singing the other lyrics. We measured baseline inhibition and executive functioning (Stroop Color Word test) and attention (Sustained Attention Response …

Enhancing Speech Production And Emotional Well-Being In People With Non-Fluent Aphasia: Insights From Musical Language Training, Luke Meyer

Communication Science and Disorders Honors Theses

Aphasia, often resulting from stroke, head injury, or other conditions like tumors or diseases, impacts both expression and comprehension of language, written and spoken. This study explores the potential of music in aiding individuals with non-fluent aphasia. The researchers examined if pairing linguistic phrases with a musical structure affects the speech production of individuals with non-fluent aphasia. The researchers gathered a language sample and mood ratings before and after music and speech conditions. The participants’ utterances were longer after undergoing the music condition than the speech condition. The results show that the participants exhibited greater improvement in speech production after …

The Relationship Between Electronic Media And Hearing Loss On Language Development: A Pilot Study, Sarah Marie Mahnesmith

Communication Science and Disorders Honors Theses

Researchers agree that one of the methods by which infants learn spoken language through caregivers’ use of infant directed speech. However, the quantity and quality of language during caregiver-infant interactions may decrease in the presence of electronic media, and media may not only limit language input but create a more complex listening situation for children with sensorineural hearing loss (SNHL). The purpose of this study was to explore the relationship between electronic media exposure in the homes of children with SNHL, as compared to peers with normal hearing (NH), and later language skills. This study will provide novel information on …

Social Struggles Of Disabled Children: Impacts Of Lack Of Pragmatic Abilities On Children With Developmental Disorders, Celestia Bennett

University Honors College

It is well known and researched that those with autism (ASD), attention deficit hyperactivity disorder (ADHD), fragile X syndrome (FXS), and Down syndrome (DS) have impaired pragmatic abilities, especially when compared to their typically developing (TD) peers. There is not much research comparing the differences in pragmatic deficits between children with the above neurodevelopmental disorders (NDDs) and the impacts these deficits have on their lives. This research aims to explore the pragmatic deficits children with ASD, ADHD, FXS, and DS may experience, how their pragmatic abilities compare to their TD peers, and the impact of those deficits on their daily …

Investigating The Relationships Between Study Abroad, Language Immersion, And Intercultural Sensitivity, Isabella Bea Battistoni

Communication Science and Disorders Honors Theses

An increasing number of students are choosing to study abroad. Once only an experience for those learning a language (University of Delaware, 2024), international education has become much more accessible for students of all disciplines. When choosing a program, students face a decision in choosing the level of language immersion and learning the trip will offer. This study examined the impact of different levels of language immersion on a student's intercultural sensitivity following a short-term study abroad trip. Intercultural sensitivity, defined as, “an individual's ability to develop emotion towards understanding and appreciating cultural differences that promotes appropriate and effective behavior …

Exploring Asynchronous Pronunciation Training Through Context-Aware Pronunciation Applications, Claire L. Schweikert

Theses/Capstones/Creative Projects

This paper provides a survey of various research articles on context-aware asynchronous pronunciation training applications. First, a set of seven articles is reviewed and summarized. Next, they are synthesized over the three main topics of 1) automated speech recognition, 2) non-native speaker considerations in language learning, and 3) future directions for research and development within computer-assisted pronunciation training (CAPT). Research in the areas of acoustic and pronunciation modeling (both implicit and explicit), pedagogical considerations for CAPT application design, Goodness of Pronunciation algorithm scoring, accent recognition and neutralization, and more are discussed.

Gestalt Language Processing In Accredited Communication Sciences And Disorders Programs, William Harris

Master's Theses

The language development and usage of autistic individuals has become a controversial topic in many of the disciplines and professions providing support to these individuals. As a result, two theories of language processing have been proposed. Analytical language processing suggests that children process and develop language from its most simple form, a phoneme, to its most complex form, a word or phrase. However, the theory of gestalt language processing proposes that some children may instead extract larger, more complex language such as whole words and phrases first and break it down to the simpler language. Gestalt language processing is often …

The Stigma Of Deaf: Managing A Stigmatized Identity And Well-Being, Renca Dunn

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

The Deaf identity encompasses cultural, linguistic, and social dimensions that significantly influence the lives of Deaf individuals. The World Health Organization predicts that by 2050, nearly 2.5 billion people worldwide will be living with some degree of hearing loss (2021). While there may be a growing number of people who have some type of hearing loss, there is a distinct group who identify their hearing loss as part of a culture and community. The Deaf community has a rich history, culture, language, and linguistic heritage. The development of the Deaf identity is influenced by factors such as family, education, and …

Intersectionality And The Experience Of Stuttering For Latinos In The U.S., Carolina Beita-Ell

Theses, Dissertations and Culminating Projects

In research, intersectionality seeks to explore, reflect on, and validate variations in human experience. This study adopted an intersectional approach when contemplating the experience of stuttering for individuals living in the U.S. who identified as Latinx (Latino/Latina/Hispanic). Nine Latinx people who stutter (PWS) - six reported their gender as ‘male’ and three reported their gender as ‘female’, with a mean age of 41, from five U.S. states and Washington, D.C. - participated in the study. A mixed methods design, which consisted of semi-structured interviews conducted online using videoconferencing technology and an online survey that contained three quantitative measures as well …

Talking About Aphasia: A Social Media Analysis Of What Individuals With Aphasia And Communication Partners Convey About Functional Discourse, Anna Williams

Graduate Theses and Dissertations

This study aimed to blend what we know about aphasia and functional communication. Specifically, how individuals with aphasia are functionalizing communication on the social media platform of YouTube. Extensive clinically significant literature exists on functional communication within speech-language pathology that provides practical guidance for clinical applications. Moreover, an emerging theoretical framework on functional communication and aphasia has sparked fresh insights, particularly from the perspective of individuals with aphasia. This perspective holds promise for exploring how individuals and their families leverage social media for functional communication. This study aims to integrate established clinical research findings on functional communication with the evolving …

Evidence Based Practice Guidelines For The Pediatric Autistic Spectrum Disorder Population, Calvin Sparks

Doctor of Nursing Practice Scholarly Projects

Children with autism spectrum disorder (ASD), as well as caregivers, experience significant challenges in their interactions with healthcare providers in a clinical setting. This is primarily due to their issues with communication, social interaction, and sensory sensitivities to anesthetic treatment during premedication or preoperative environments. Due to these characteristics, it is important to maintain and update the current standards of care for children with ASD while utilizing evidence-guided strategies to provide a pre-operative assessment effectively. The pre-operative assessment is a critical component that renders impact throughout the surgical experience with the purpose of risk stratification, preparation of altering the normal …

Ua12/2/2 Talisman: Pulse, Wku Student Affairs

WKU Administration Documents

Spring 2024 Talisman:

• Hunter, Leah. Pulse
• Muscutt, Carson. High on Bluegrass – Jordan Riehm
• Meyers, Jeffrey. Science of Movement – Exercise Science
• Murray, Debra. Pasture to Plate – Agriculture
• Murray, Debra. Vegetarian Tortilla Soup
• Coffee, Bobbi. Passion, Pain, Curiosity – Innovation Campus
• Story, Miriam. Drafts of a Postcard (October 2023)
• Johnston, Katelyn. Beyond Sound – Deaf
• Hunter, Leah. One Good Week – Madison Weis
• Alali, Cecilia. Crafted Cadence – Speech Team
• Blankenship, Alisa. Loving You
• Sandlin, Ellie. Here After – Death
• Booth, Pandora. Rooted in Rhythm – Step Shows
• Booth, Pandora. Horoscopes
• Pulse Playlist

Everyone Deserves A Dental Home, Loren C. Baim Dds

The New York State Dental Journal

With knowledge and preparation, dental practices should be able to accommodate the growing population of people on the autism spectrum.

”To Be Or Not To Be – It’S Good”: Actor And Student Experiences In A Drama Club For People With Aphasia, Jade K. Hannan

Senior Theses

Individuals with aphasia, a disorder caused by damage to the brain’s language network, confront a variety of social and emotional struggles. While leaving their cognition largely intact, aphasia tremendously impacts a person’s ability to communicate confidently, fracturing their social network and contributing to feelings of loneliness and frustration. To address this persistent need in the chronic aphasia population, the Play on Words drama club at the University of South Carolina provides a forum for people with aphasia (PWA) to engage in dramatic exercises focused on non-verbal communication of emotions, ideas, and stories, culminating the production of an original devised play. …

Global Strategies For Addressing Communication Disorders In Justice-Involved Youth, Sophia Martinez, Anne Marie Perrotti, Brooke Baker, Allison Chappell

Undergraduate Research Symposium

Throughout all stages of processing, most juveniles who encounter the justice system demonstrate cognitive-communicative difficulties (CCDs). Empirical evidence reveals that 19-22% of female and 28-38% of male youth offenders, culminating in approximately 50-60% of youth offenders, demonstrate language disorders that require intervention, but most have never received services (Snow et al., 2014; Winstanley et al., 2021). Speech-language pathologists (SLPs) are communication experts certified to assess and treat CCDs. While nations abroad recognize the value of SLP involvement in all stages of processing for justice-involved youth (JIY), America lags in utilizing SLPs to improve JIY outcomes and lower youth's risk of …

The Adverse Childhood Experiences Identification Gap In Speech Language Pathology, Mallory Prior

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

Children exposed to adverse childhood experiences, a variety of potentially traumatic events occurring within the first 18 years of life, are at increased risk for speech and language disorders. Due to the high prevalence of trauma and its lasting effects, it is almost guaranteed that children who are experiencing the ongoing effects from adversity will be found on practicing Speech Language Pathologists’ caseloads. This scoping review was designed to identify current screening practices of Speech Language Pathologists (SLP) in comparison to other professionals (e.g., allied health and education), as well as additional information related to screening procedures for SLPs. The …

Associations Between Parenting Stress And Quality Time In Families Of Youth With Autism Spectrum Disorder, Rebecca S. Bradley, Grace L. Staples, Lauren B. Quetsch, Lindsey Aloia, Cynthia E. Brown, Stephen M. Kanne

Psychological Science Faculty Publications and Presentations

Increased stress among parents of youth with ASD has been well-documented. However, research on aspects of the parent-child relationship and subsequent links to parenting stress is limited. We assessed parents (N = 511) of youth with ASD to examine relations between parenting stress and parent-child quality time (amount of quality time, shared enjoyment, synchronicity). Elevated parenting stress was associated with less time spent engaging with youth in shared activities and decreased parent and child enjoyment during shared interactions. Parents with elevated stress reported engaging in shared activities and experiencing synchronicity with their child less often than parents below the …

Barriers And Facilitators To Enhance Interprofessional Education For Rehabilitation Science Graduate Students, Mary A. Riopel, Kimberly Wynarczuk, Taylor Grube

The Qualitative Report

Interprofessional education (IPE) aims to develop healthcare practitioners who work effectively in teams, demonstrate strong communication skills, respect others, and have a working knowledge of the roles and responsibilities of other professionals. Of identified research to date, it is unclear what students perceive as important for effective IPE delivery and learning. The purpose of this study was to identify graduate students' perceptions of facilitators and barriers to learning interprofessional practice using phenomenology. Three semi-structured focus groups were conducted including athletic training, occupational therapy, or speech-language pathology students and the transcripts were analyzed using thematic analysis. Four themes emerged about IPE …

Development Of Interprofessional Socialization In A Multifaceted Live Action Clinical Role-Play Simulation For Speech-Language Pathology And Social Work Students, Cody Marie Busch, Jennifer Anderson, Lynn Gilbertson, Sarah Hessenauer

Teaching and Learning in Communication Sciences & Disorders

Live action clinical role-plays are one of many types of simulated learning experiences that can be crafted for undergraduate and graduate students alike when learning to collaborate interprofessionally. This mixed methods exploratory research project partnered four academic instructors from the disciplines of speech-language pathology and social work, with several additional community members adding their expertise to enrich the experience of a live-action clinical role-play. Students (N = 32) participated in a two-part multifaceted interprofessional education (IPE) experience with the first part consisting of eight hours of online asynchronous training and the second part consisting of eight hours of a multifaceted …