Communication Sciences and Disorders Commons^™

Examining The Effect Of Training Using Natural And Noise-Vocoded Sentences On Noise-Vocoded Speech Perception In Normal-Hearing Listeners, Alexis Leiderman

Dissertations, Theses, and Capstone Projects

Auditory training has been shown to be an intervention strategy that may improve speech perception abilities in individuals with and without hearing loss. Within the cohort of individuals with hearing loss, auditory training has also been shown to have an improvement on speech perception in cochlear implant users. In several training studies, normal-hearing listeners have been exposed to noise-vocoded speech using auditory training paradigms to mimic how cochlear implant users may in turn be affected by these paradigms. These studies have highlighted certain areas for improvement in speech perception abilities based off of the training paradigms put in place. Several …

Practices And Attitudes Towards Infant Hearing Protection At Orthodox Jewish Weddings, Rebecca Weiss

Dissertations, Theses, and Capstone Projects

Previous research has shown that prolonged exposure to noise can cause permanent hearing loss no matter what age, including infants. The impact of noise at orthodox Jewish weddings, where infants are frequently in attendance, can reach extremely high and damaging levels of sound intensity. Because the hearing conservation behaviors and attitudes towards child hearing protection in this population are unknown, the objective of this study is to identify the attitudes and behaviors of orthodox Jewish wedding attendees toward child hearing conservation. A survey was developed and administered electronically to congregants of orthodox Jewish synagogues in the New York City area. …

Barriers To Optimal Audiological Care For Members Of The Deaf Community, Joyce Orenshein

Dissertations, Theses, and Capstone Projects

Background:

The purpose of this study was to identify the barriers to optimal audiological care for members of the Deaf community from the perspectives of Deaf individuals compared to audiologists. The goal is to help bridge the clinical communication barriers that lie between audiologists and the Deaf community by identifying the perceived gaps in care specifically and by gathering suggestions for improvement. A survey was administered to both audiologists and members of the Deaf community, making the present study unique and essential in that responses from both communities are compared and suggestions for bridging the gap are made.

Methods …

Exploring The Potential Of Hearing Screening Smartphone Applications To Enhance Access To Hearing Healthcare: A Literature Review, Adam Sulaiman

Dissertations, Theses, and Capstone Projects

In 2016, the National Academies of Sciences (NAS) published a landmark consensus report with several recommendations to enhance the availability and affordability of hearing healthcare in the United States. Among the most notable of the recommendations was the creation of a new category of FDA-approved Over-the-Counter (OTC) hearing aids. Unlike the traditional hearing aid model, which requires a comprehensive hearing test by a hearing health professional prior to purchase, OTC hearing aids would be directly available for sale to any American adult with a self-perceived mild-to-moderate degree of hearing loss. This proposal has now become reality with the passage of …

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, …

Late Talkers: Maternal Input And Attention Allocation In Mother–Child Dyad Play, Toby B. Mehl

Dissertations, Theses, and Capstone Projects

Late talkers (LT) are two-year-old children with expressive language delays, who do not yet have a lexicon of fifty words, and do not combine words. Maternal child-directed language to these children, termed ‘maternal input’ may influence their language learning. The first aim of this study was to examine the relationship between a child’s language, as measured by expressive vocabulary, and the child-directed speech by the mother of the child. Maternal input to late-talking children was compared to the maternal input presented to two typical language matched groups: an age-matched group of children (AM) and a vocabulary-matched group of children (VM) …

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 …

Cross-Language Generalization In Language Treatment Of Multilingual Aphasia: A Meta-Analysis, Mira Goral, Monica I. Norvik, Jan Antfolk, Ioulia Agrotou, Minna Lehtonen

Publications and Research

Studies on the efficacy of language treatment for multilingual people with post-stroke aphasia and its generalization to untreated languages have produced mixed results. We conducted a systematic review and a meta- analysis to examine within- and cross-language treatment effects and the variables that affect them. We searched PubMed, PsycINFO, CINAHL, and Google Scholar (February 2020; January 2023), identifying 40 studies reporting on 1573 effect sizes from 85 individuals. We synthesized effect sizes for treatment outcomes using a multi-level model to correct for multiple observations from the same individuals. The results showed significant treatment effects, with robust within-language treatment effects and …

A Survey Study Of Speech-Language Therapists’ Experiences With Teletherapy At The Onset Of The Covid-19 Crisis, Jason A. Rosas

Dissertations, Theses, and Capstone Projects

The present study aimed to understand how delivering pediatric treatment services via ‘teletherapy’ affected speech-language therapists (SLTs) during the initial outbreak of the COVID-19 pandemic crisis in 2020. SLTs reported on their experiences with the change from in-person to remote service delivery via two national surveys distributed at the start of the pandemic between April 2020 and July 2020. To explain SLTs’ survey responses, this dissertation introduced the Professional Adaptation Model (PA Model). The PA Model facilitated evaluation of the SLTs’ professional environment and the psychological constructs of their professional identity believed to influence the transition to speech-language teletherapy. Specifically, …

A Diagnostic Pocket Guide For Audiologists: Outer, Middle, And Inner Ear Disorders And Chronic Diseases, Ashley Andino

Dissertations, Theses, and Capstone Projects

Given the Scope of Practice for Audiologists as outlined by the American Speech-Language-Hearing Association (ASHA), the diverse occupational settings audiologists belong to, and the varied multidisciplinary collaboration necessary, audiologists are tasked with needing, at minimum, a baseline understanding of a wide range of disorders. This includes not only otological diseases, but multisystem disorders that affect the auditory system. While an abundance of diagnostic audiological information on various disorders and their impacts are available, there exists a gap in the availability of condensed and accessible diagnostic information for everyday use. The goal of the resulting diagnostic pocket guide is to provide …

Cvemp Frequency Tuning In Adults Aged 60 And Above: A Systematic Review, Kiersten P. Dudman

Dissertations, Theses, and Capstone Projects

Objective: This systematic review aims to evaluate if there is a significant difference in the frequency specificity of cVEMP amplitude responses in the older adult population, and if so how clinical protocols should reflect age related changes in the vestibular system to properly assess for vestibular pathology.

Methods: A comprehensive search was conducted using various databases through the Mina Rees Library of the City University of New York’s Graduate Center. This search identified articles relevant to this systematic review. Inclusion criteria encompassed quantified studies that utilized various frequency tone bursts to elicit VEMP responses among several age groups.

Results: Three …

Cochlear Implant Evaluations Of Spanish-Speaking Adults, Mariana Mejia Turnbull

Dissertations, Theses, and Capstone Projects

Background. As the Hispanic population in the U.S. continues to increase, audiologists need valid and reliable speech perception materials in Spanish to be able to offer evidence-based, high quality hearing health care to this population. The purpose of this study was to investigate current trends in CI evaluations of Spanish-speaking adults in clinics around the country, with a specific focus on sentence perception tests (Part 1). An additional goal was to analyze and compare the linguistical content of the Spanish sentence perception tests found to be the most commonly used among clinicians (Part 2).

Methods. A questionnaire was created and …

Audiologists' Perspectives On Noise Induced Hearing Loss, Rachael L. Cleary

Dissertations, Theses, and Capstone Projects

Excessive noise has long been established in the literature as a prevalent workplace hazard. The high prevalence of occupational noise-induced hearing loss (NIHL) has led to high economic costs and has produced many physical and mental health effects on workers exposed to occupational noise. Standards set by OSHA are implemented in the workplace in order to protect employees. Despite these regulations set by OSHA, millions of workers in the United States are still exposed to excessive occupational noise, with limited use of hearing protection. The high prevalence of occupational NIHL and low use of hearing protective devices (HPDs) brings into …

Monolingual Versus Bilingual Use Of Context To Facilitate Speech Recognition In Background Noise: A Systematic Review, Rachel Abucasis

Dissertations, Theses, and Capstone Projects

Introduction: Previous literature has shown that bilingual listeners face more challenges than monolinguals during speech recognition in adverse listening conditions. As noisy environments degrade the acoustic stimuli and leave the listener with a partial or ambiguous signal to pair to a lexical representation, it is not possible to do so with the acoustic and phonological features alone. Bilinguals consistently use a significant amount of their cognitive resources during the early stages of speech processing, partially due to their need to navigate between the two languages. With exhaustion of most of their cognitive resources, there is limited capacity available to use …

What Can Aphasia Tell Us About How The First-Acquired Language Is Instantiated In The Brain?, Mira Goral

Publications and Research

Recent neurolinguistic theories converge on the hypothesis that the languages of multilingual people are processed as one system in the brain. One system for the multiple languages is also at the core of a translanguaging framework of multilingualism—a framework that focuses on each speaker’s complete linguistic repertoire rather than on the separate languages they know. However, evidence from neuroimaging studies suggests at least some nonoverlapping activations of the first-acquired language (L1) and other (non-L1) languages of multilingual people, especially when the age of acquisition and/or levels of proficiency differ across the languages. Neurolinguistic studies of acquired language disorders have demonstrated …

Efficiency Of The Acoustic Change Complex For Various Stimulus Presentation Strategies In Infants, Lisa Goldin

Dissertations, Theses, and Capstone Projects

The acoustic-change-complex (ACC) is an objective measure that can be used to study whether sounds are encoded at the level of the cortex. The goals of this study were: 1) To determine if the ACC can be elicited in infants, and 2) To establish whether eliminating the silent interval between stimuli and using a continuously alternating stimulus is more efficient in infants than the traditional interrupted stimulus presentation method. If the continuously alternating stimulus is more efficient, then 3) To determine why the continuously alternating stimulus is more efficient.

Twenty-one infants aged 2 months to 13 months old served as …

Cross-Linguistic Morphosyntactic Influence In Bilingual Speakers Of Jamaican Creole And Jamaican English, Taryn R. Malcolm

Dissertations, Theses, and Capstone Projects

Bilingualism in Jamaica is of considerable consequence, as most individuals are early bilinguals, speaking both a variety of Jamaican Creole (JC) from birth and having standardized English (sE) as the language of instruction in education. Immigrants from Jamaica to the United States are an ideal population to examine how cross-linguistic influence (CLI) impacts morphosyntax as JC and sE differ in morphosyntactic constructions, including verb tense- marking, subject-verb agreement, and copula use. While much of the work in the field of CLI has examined spoken language pairs with varying degrees of similarity (or difference) between the languages, examining CLI in a …

Acoustic Changes Following Clear Speech Intervention, Polina Shuminsky

Dissertations, Theses, and Capstone Projects

Studies have shown that the speech perception of individuals with hearing loss and other perceptual difficulties improves when talkers deliberately use clear speech. Several investigations have reported increased recognition scores of 11 to 34 percentage points for various listener groups in response to naturally produced clear speech. Studies show that clear speech production is highly variable across talkers. Therefore, a consistent method of eliciting clear speech that leads to more unified and consistent production outcomes is needed. Limited evidence suggests that a training program on how to speak clearly may yield greater listener benefit than clear speech produced naturally. The …

Lcd 207: Anatomy And Physiology For Speech And Language, Yael Neumann

Open Educational Resources

This course is an introduction to the anatomy and physiology of the respiratory, phonatory, articulatory, resonatory, and nervous systems as they relate to voice, swallowing, speech production and language systems.

Alcohol And Its Long-Term Effects On Hearing Loss: A Systematic Review, Talia Sowalsky

Dissertations, Theses, and Capstone Projects

Objective: To review the literature on potential permanent effects of long-term alcohol consumption on hearing status in adults 40 years of age and older.

Study Design: Systematic review of prospective and retrospective studies; meta-analysis of case-controlled studies.

Methods: One researcher independently reviewed MEDLINE (January 1, 2000-May 1, 2019), CINAHL (January 1, 2000-May 1, 2019), PubMed (January 1, 2000-May 1, 2019), and Web of Science (January 1, 2000-May 1, 2019). A manual reference search was additionally conducted. Randomized controlled trials, prospective cohort studies, consecutive/non-consecutive case series, and retrospective reviews in which a clear definition of hearing loss was stated were included …

Systematic Review: The Effect Of Hearing Aids On Balance And Falls, Natalia Beatriz Pagan-Guadalupe

Dissertations, Theses, and Capstone Projects

Background: The population of individuals 65 years old is increasing and falls are one of the most prevalent causes of disabilities among this population. Recent studies have found association between neural hearing losses and increased risk of falls, suggesting that hearing is an important input that assist visual, proprioceptive and vestibular inputs in maintaining balance. Hearing aids are known to be beneficial to improve access to sound; however, it is very limited the research regarding the effects of amplification on balance and risk of falls.

Objectives: This systematic review intends to gather and analyze all the research available regarding the …

Examining The Effect Of Longstanding Deafness On Health Literacy: A Systematic Review, Sara S. Payami

Dissertations, Theses, and Capstone Projects

Objective: This systematic review aims to evaluate whether deafness has a significant effect on one’s health literacy skills, and, if there is a difference between health literacy of a normal hearing individual compared to that of a Deaf individual. Disparities in health literacy unique to the Deaf experience are identified.

Methods: A comprehensive search the utilizing various peer-reviewed databases was conducted via the City University of New York’s (CUNY) Graduate Center Library to identify relevant studies published after 2009. Inclusion criteria incorporated quantified studies which commented on the health literacy of d/Deaf communities in the U.S. published from 2009 to …

Daily Benefits Of Leader Dogs In Addition To Medical Treatment For Individuals With Usher Syndrome: A Case Study, Samantha H. Zwolan

Dissertations, Theses, and Capstone Projects

Background: Adults with Usher syndrome seeking audiologic rehabilitation and treatment often experience everyday difficulties that are not fully resolved using typical medical treatments. This case study examines the difficulties faced by individuals diagnosed with Usher syndrome in their everyday life, including quality of life, safety, and social issues. Additionally, the non-medical benefits that leader dogs can provide such individuals is also presented.

Method: A thorough literature review was performed to provide background information regarding Usher syndrome and the impact it has on the hearing and vision of affected individuals. A related literature review was performed to examine the role …

The Power Of A Sound Mind: Exploring Meditation And Sound Therapies For Treating The Emotional Impact Of Tinnitus, Sabeena A. Ramnanan

Dissertations, Theses, and Capstone Projects

Tinnitus is described as a sound perceived by an individual that has no external source. Some individuals with tinnitus can habituate to this phantom sound, while others become emotionally disturbed by it. There are several theories which attempt to rationalize the cause of tinnitus, and various treatments which aim to eliminate, mask, or facilitate habituation to one’s tinnitus. Current common treatments include sound therapies and cognitive-behavioral therapy (CBT), either in isolation or in combination with one another. However, not all these treatments aim to address the emotional impact of tinnitus. Novel treatments are emerging, with some attempting to reduce the …

Experience And Satisfaction With Hearing Aid Services Delivered Via Teleaudiology In Adult Populations: A Systematic Review, Shelby Platia

Dissertations, Theses, and Capstone Projects

Objective: The goal of this systematic review is to examine the current literature to look at patient experience and satisfaction with teleaudiology services. Specifically, teleaudiology services that occur at the fitting and/or post-fitting stage of the adult hearing aid patient journey.

Methods: A comprehensive search utilizing PubMed, MEDLINE and EBSCOhost databases were conducted to identify pertinent, peer-reviewed, articles related to the clinical usage or clinical applications of teleaudiology for hearing aid fittings and/or follow-up for adult individuals. Inclusion criteria were studies that are empirical, included quantitative results, articles published in English, peer-reviewed articles; and persons who are 18 …

Optimizing Communication In Palliative And Hospice Care: A Toolkit For Audiologists, Sherry E. Queen

Dissertations, Theses, and Capstone Projects

The prevalence of hearing loss increases with age, with age-related hearing loss (ARHL) being one of the most prevalent forms of sensory decline in older adults. Hearing loss is often overlooked in medical settings including palliative and hospice care. Screening for hearing loss in these settings is rare as is formal staff training on assessing and managing hearing loss in palliative and hospice care. An evidence-based toolkit for integrating audiologists into end-of-life care protocols is presented. This toolkit was developed to optimize communication in palliative and hospice care for patients, caregivers, audiologists, physicians, and other palliative care staff. Effective communication …

Infant Behavioral Speech Discrimination Procedures: A Systematic Review, Allison L. Mazzella

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this capstone project was to conduct a systematic review of literature relating to two behavioral infant speech discrimination procedures to evaluate their potential clinical utility. The two procedures examined were the Observer-based Psychoacoustic Procedure (OPP) and the Visual Reinforcement of Infant Speech Discrimination (VRISD) method. The methodology utilized and the results obtained are examined for normal hearing infants and infants with hearing loss. The procedures are compared and contrasted in terms of potential clinical feasibility and modifications for potential clinical use are considered.

Methods: A comprehensive search was performed using Pubmed and EBSCO Academic Search Complete …

Encoding And Perception Of Voicing And Aspiration In Native And Non-Native Listeners In Quiet And In Background Noise, Reethee Antony

Dissertations, Theses, and Capstone Projects

The perception and encoding of voice cues in consonants have been well studied, whereas there has been relatively little research on aspiration. The current study examined the encoding and perception of aspiration and voicing in Hindi, American English, and Tamil listeners when relevant cues were and were not degraded by noise. This study is novel because of the inclusion of aspiration, the language groups, inclusion of noise masking, and inclusion of auditory evoked potentials (in addition to behavioral testing).

The first aim was to determine whether language groups for whom aspiration and/or voicing is phonemically contrastive show better perception and …

Assessment Challenges In Acquired Aphasia In Multilingual Individuals, Monica Norvik, Mira Goral

Publications and Research

Aphasia is an acquired language disorder resulting from damage to the brain, most typically a stroke in the left cerebral hemisphere. The degree and type of impairment vary depending on the site and size of the lesion, and the extent to which people with aphasia recover – with time and therapeutic intervention – their pre-stroke linguistic skills varies, depending on exogenous and endogenous variables. Multilingual speakers who acquire aphasia may exhibit comparable or different profiles of impairment in each of their languages. The present chapter explores the challenges associated with the assessment of all languages of multilingual and multicultural speakers …

Strengthening The Semantic Verb Network In Multilingual People With Aphasia: Within- And Cross-Language Treatment Effects, Aviva Lerman, Mira Goral, Lisa Edmonds, Loraine K. Obler

Publications and Research

In multilingual people, semantic knowledge is predominantly shared across languages.
Providing semantic-focused treatment to people with aphasia has been posited to strengthen
connectivity within association cortices that subserve semantic knowledge. In multilingual people, such treatment should result in within- and cross-language generalisation to all languages, although not equally. We investigated treatment effects in two multilingual participants with aphasia who received verb-based semantic treatment in two pre-stroke highly
proficient languages. We compared within- and cross-language generalisation patterns across languages, finding within- and cross-language generalisation after treatment in the less-impaired, pre-morbidly more-proficient first-acquired language (L1). This observation supports the theory that connectivity …