Communication Sciences and Disorders Commons^™

The Development Of A Neonatal Communication Intervention Tool, Esedra Strasheim, Alta Kritzinger, Brenda Louw

ETSU Faculty Works

Neonatal communication intervention is important in South Africa, which has an increased prevalence of infants born with risks for disabilities and where the majority of infants live in poverty. Local literature showed a dearth of information on the current service delivery and roles of speech-language therapists (SLTs) and audiologists in neonatal nurseries in the South African context. SLTs have the opportunity to provide the earliest intervention, provided that intervention is well-timed in the neonatal nursery context. The aim of the research was to compile a locally relevant neonatal communication intervention instrument/tool for use by SLTs in neonatal nurseries of public …

Effects Of Degree And Configuration Of Hearing Loss On The Contribution Of High- And Low-Frequency Speech Information To Bilateral Speech Understanding, Benjamin W. Y. Hornsby, Earl E. Johnson, Erin Picou

ETSU Faculty Works

Objectives: The purpose of this study was to examine the effects of degree and configuration of hearing loss on the use of, and benefit from, information in amplified high- and low-frequency speech presented in background noise.

Design: Sixty-two adults with a wide range of high- and low-frequency sensorineural hearing loss (5 to 115+ dB HL) participated in the study. To examine the contribution of speech information in different frequency regions, speech understanding in noise was assessed in multiple low- and high-pass filter conditions, as well as a band-pass (713 to 3534 Hz) and wideband (143 to 8976 Hz) condition. To …

Temperamental Profiles Of Children With Communication Impairment., Whitney Charlena Lau

Electronic Theses and Dissertations

The temperament literature available that involves children with communication impairments is limited but promising. The purpose of this study was to investigate the temperamental profiles of children with autism spectrum disorders, primary language impairments, phonological/articulation impairments, and combined phonological and language impairments. Participants included 38 children who attended the East Tennessee State University Speech-Language-Hearing Clinic at the time of the study or in the past 10 years. Parents of eligible participants were asked to complete demographic and temperament questionnaires about their children. Results indicated that the temperamental profiles of children with communication impairments differed significantly from typically developing children in …

Intervention Intensity For Speech Sound Disorders: How Much And For How Long?, Elise Baker, A. Lynn Williams

ETSU Faculty Works

Seminar Outline 1) What is intervention intensity? 2) What do we know about the intensity of intervention for SSD in children? 3) How might SLPs use the evidence on intervention intensity in their everyday management of SSD in children?

2009 September 28 - Graduate Council Minutes, College Of Graduate And Continuing Studies, East Tennessee State University

Graduate Council Agendas and Minutes

No abstract provided.

How Much Is Enough: The Intensity Evidence In Language Intervention, Teresa Ukrainetz, Kerry Proctor-Williams, James Baumann, Melissa Allen, Lavae M. Hoffman, Laura Justice

ETSU Faculty Works

No abstract provided.

Voice Onset Time As A Clinical Indicator Of Hypofunctional Voice Disorders., Amanda Arnold, Lisa Phillips, Lindsay Pickler, Whitney White, Amanda Mccamey, Christopher Mccrea

ETSU Faculty Works

The purpose of this study was to measure and compare the voice onset times (VOTs) of healthy individuals using a normal and breathy voice in an effort to determine if VOT can be used as a noninvasive clinical indicator of laryngeal function. Recordings were made of 20 adults between the ages of 20-48 with normal laryngeal function, each using a normal (Group 1) and breathy voice (Group 2). The participants’ productions were designed and collected in such a manner to control for speaking rate, vowel context, pitch, and loudness; all of which have been shown to influence VOT. A mixed …

Promoting Speech And Vocabulary Development Through Specialized Storybooks In Children With And Without Cleft Palate., Joellyn Ruth Smith

Electronic Theses and Dissertations

This study investigated changes in vocabulary and speech production in response to storybooks embedded with specialized language prompts and speech recasts. Six children received intervention, 3 with cleft palate (CLP), displaying speech-language delays, and 3 with nonclefts, each 12-24 months of age. A multiple baseline design across behaviors was implemented by a clinician. Results indicated all children increased use of target vocabulary and production of stop consonants, while reducing compensatory articulation errors. Generalization of targets to a picture-naming task, a free-play task, and to the home was observed. Effect sizes were moderate-to-high. Children with CLP required more sessions to achieve …

Practice In Child Phonological Disorders: Tackling Some Common Clinical Problems, Tim Brackenbury, Marc Fey, Gregory Lof, Benjamin Munson, A. Lynn Williams

ETSU Faculty Works

Goal of presentation is to identify areas of child phonology that clinicans have difficulty with.

Comparison Of Two Treatment Conditions For Young Children With Speech Sound Disorders, Megan Overby, A. Lynn Williams, John Bernthal

ETSU Faculty Works

The purpose of this study was to compare treatment outcomes between stimulus presentation conditions to children with moderate to severe SSD: a traditional paper presentation versus a computer software generated presentation. The participants were four monolingual kindergarten children with moderate to severe SSD. A multiple baseline across behaviors single subject design was employed in the study. Two non-stimulable, non-cognate sounds from two different manner categories were selected as sound targets. One sound error was treated using paper stimuli presented in a traditional paper table-top presentation (TAB condition) while the other sound error was treated using stimuli presented on the computer …

Temperament And Early Communication In Premature Children., Nina King

Electronic Theses and Dissertations

Premature children are at greater risk for developing communication delays than full-term children, although it is not inevitable. Recent research links specific temperament characteristics to early language development. Thus, temperament may provide a way to identify premature children who are at increased risk. The first purpose of this study was to determine if temperament characteristics of premature children are the same as full-term children when measured by the Infant Behavior Questionnaire-Revised. The second purpose was to determine if temperament and language acquisition, as measured by the MacArthur Communicative Development Inventory: Words and Gestures, are linked in premature infants …

Comparison Of Ten Interventions For A 7-Year-Old With Unintelligible Speech, Sharynne Mcleod, Alison Holm, Sharon Crosbie, Barbara Dodd, Barbara W. Hodson, Michelle Morrisette, Judith A. Gierut, Deborah Hayden, Nicole Mueller, Joy Stackhouse, A. Lynn Williams, Caroline Bowen

ETSU Faculty Works

The management of speech impairment of unknown origin in children requires SLPs to make important clinical decisions around assessment, analysis, diagnosis and intervention. Ideally, clinicians should be guided in their decision making by evidence. Over thirty years ago, this was a relatively straightforward task. Most children’s speech problems were assessed, analysed and treated from an articulation perspective. Since the paradigm shift from articulation to phonology, clinical decision making has become more challenging. This challenge is in part due to the increase in possible approaches. This short course will outline the application of ten intervention approaches to one child and will …

Translational Research: Bridging The Gap From Research To Practice, A. Lynn Williams

ETSU Faculty Works

Early childhood is a critical period for literacy development and US research has found that 35 per cent of children enter public schools with low levels of the skills needed to learn to read. Visiting US academic Professor Lynn Williams will present a lecture about how children acquire literacy skills on Thursday 8 November at Charles Sturt University (CSU) Bathurst Campus. Associate Professor Sharynne McLeod, from CSU’s School of Teacher Education, said that Professor Williams has a distinguished career in teaching and writing about speech and language development and disorders in children. “Her lecture, Contexts for facilitating emergent literacy skills, …

Auditory Temporal Resolution In Normal-Hearing Preschool Children Revealed By Word Recognition In Continuous And Interrupted Noise, Andrew Stuart, Gregg D. Givens, Letitia J. Walker, Saravanan Elangovan

ETSU Faculty Works

The purpose of this study was to examine temporal resolution in normal-hearing preschool children. Word recognition was evaluated in quiet and in spectrally identical continuous and interrupted noise at signal-to-noise ratios (S/Ns) of 10, 0, and −10dB−10dB−10dB. Sixteen children 4to5years4to5years4to5yearsof age and eight adults participated. Performance decreased with decreasing S/N. At poorer S/Ns, participants demonstrated superior performance or a release from masking in the interrupted noise. Adults performed better than children, yet the release from masking was equivalent. Collectively these findings are consistent with the notion that preschool children suffer from poorer processing efficiency rather than temporal resolution per se.

Early Speech And Language Development: A Comparison Of Typically Developing Children To Children With Cleft Palate., Holly Jannice Mcgahey

Electronic Theses and Dissertations

Previous research has shown that parent implemented intervention is effective in increasing the speech and language development of children with cleft lip and palate. To further determine the efficacy of this intervention, this study compared the speech and language development of children with CLP, who received parent implemented intervention, with a group of younger, typically developing children, matched for vocabulary size. This study also evaluated the language differences between the mothers of both groups of children. Speech and language assessments were administered to the typically developing children and their mothers at two times to mirror the time of assessment for …

The Effects Of A Multimodality Approach On Sentence Production Using Response Elaboration Training With A Reading Component On Aphasic Patients., Sara E. Mccarthy

Electronic Theses and Dissertations

The effects of a multimodality treatment were investigated using a single subject experimental design across behaviors in two patients with different severity levels of Broca's aphasia. We hypothesized that Response Elaboration Training and an oral reading task would improve accuracy of sentence production, information content, and mean length of utterance. Results indicated that this treatment approach elicited significant improvement in the accuracy of sentence production and information content in the participant with very mild Broca's aphasia. Furthermore, the participant with severe Broca's aphasia demonstrated a very significant improvement in information content and mean length of utterance. The improvements support the …

An Enhanced Dialogic Reading Approach To Facilitate Typically Developing Pre-School Children's Emergent Literacy Skills., Sheri E. Davis

Electronic Theses and Dissertations

This study investigated an enhanced dialogic reading (DR) approach in facilitating emergent literacy skills in typically developing preschool children. Eight children from a Title One preschool and their parents participated in five weekly 90-minute training sessions that focused on phonological awareness, print awareness, and alphabet knowledge. First order effects were examined in parent questioning and interaction behaviors on pre- and post-training videotapes. Second order effects were examined in the children's outcomes from pre- to posttesting of preliteracy, speech, and language skills. Results indicated that parents made significant increases in their initiations and responses and a significant decrease in their Mean …

Contexts For Facilitating Emergent Literacy In Typically Developing Preschoolers., Karen Nicole Wilhjelm

Electronic Theses and Dissertations

The purpose of this study was to investigate if there is an additive benefit in training Emergent Literacy (EL) skills with typically developing preschoolers using a combined intervention approach, Dialogic Reading (DR) plus classroom Phonological Awareness (CL), than a single intervention approach providing only DR training.

The study consisted of 8 preschoolers (5 DR+CL, 3 DR). The classroom PA training was conducted 3 times a week for 5 weeks for 20 minutes, using play-based activities. The DR training programs were held once a week for 5 weeks for 90 minutes teaching strategies that could be used in the home environment. …

The Type And Frequency Of Morphosyntax Errors In Children's Narratives., Jennifer Lynn Lockhart

Electronic Theses and Dissertations

A subsample of 478 children who originally participated in a larger study (Tomblin et al., 1997) was examined for type and frequency of morphological noun and verb errors in oral and written narratives in 2^nd and 4^th grade. Each child represented one of four groups: Typical Language, Specific Language Impairment, Nonspecific Language Impairment, and Low Nonverbal IQ. Three MANOVA's and post-hoc comparisons were used to test three predictions: (1) children will have more difficulty with verb than noun morphology; (2) children will make more errors in the written than the spoken narratives; and (3) children whose language impairments …

The Validity And Reliability Of The Motion Sensitivity Test, Faith W. Akin, Mary Jo Davenport

ETSU Faculty Works

The Motion Sensitivity Test (MST) is a clinical protocol designed to measure motion-provoked dizziness during a series of 16 quick changes to head or body positions. The MST has been used as a guide for developing an exercise program for patients with motion-provoked dizziness and as a treatment outcome measure to monitor the effectiveness of vestibular rehabilitation therapy. This study determined validity, test-retest reliability, and interrater reliability of the MST. Fifteen individuals with motion-provoked dizziness and ten control individuals were tested during sessions occurring 90 min and/or 24 hr after baseline testing. The MST was found to be reliable across …

Phonological Awareness Training In A Preschool Classroom Of Typically Developing Children., Sara Phelps

Electronic Theses and Dissertations

The purpose of the present study was to assess the effectiveness of phonological awareness (PA) training with typically developing preschool children in a classroom setting. The PA training incorporated a range of PA skills and the training outcomes were assessed along a broad spectrum of PA abilities, pre-literacy skills, and general language abilities.

This study consisted of 21 children (11 Experimental, 10 Control). The classroom PA training program was conducted with the Experimental class in one large group for 5 weeks with 20 minute sessions conducted three times a week. A variety of fun, play-based PA activities were used with …

Special Education Teachers' And Speech Therapists' Knowledge Of Autism Spectrum Disorder., Carol Hendrix Whaley

Electronic Theses and Dissertations

The purpose of this study was to survey special education teachers and speech therapists in eleven school districts in Northeast Tennessee regarding their knowledge level (etiology and educational programming) of autism spectrum disorder (ASD). The primary focus of the study was to identify effective programs and methods used by special educators in this region, comparing them to the latest techniques and teaching methods prescribed by recent research. In addition, identified weaknesses were used to recommend future training and staff development to enable educators to provide the best possible programs for children with autism.

Five hundred fifty-two surveys were disseminated to …

Feature Retention And Phonological Knowledge Across Children With Suspected Developmental Apraxia Of Speech, Phonological Impairment, And Typically Developing Speech., Tracy A. Ford

Electronic Theses and Dissertations

The purpose of this research effort was to examine whether the feature retention patterns and phonological knowledge of children with suspected apraxia of speech (AOSc) in comparison to those of children with phonological impairment (PI). A second purpose was to determine if a relationship exists between phonological knowledge and feature retention.

The study consisted of three groups of children: PI, AOSc, and typically developing (TD), ages four to seven. A 245-item speech sample was collected from each group. Feature retention percentages and phonological knowledge, represented by percent correct underlying representations (PCUR) were calculated for each child.

All groups retained place …

Early Academic Performance In Children With Cleft Lip And/Or Palate., Krista Leanna Lowe

Electronic Theses and Dissertations

Studies of preschool children have shown early speech and language deficits in children with cleft lip and/or palate (CLP). For some children, the deficits during kindergarten diminish as they begin school while some children continue to show delays. The purpose of this study was to determine if a relationship exists between speech and language skills and early reading skills of phonological awareness, letter identification, and rapid naming in children with and without CLP. The subjects, four kindergarten children with and four without CLP, were administered a battery of speech, language, early reading skills, and nonverbal cognition measures. Two-way analysis of …

The Description And Comparison Of Feature Retention Patterns For Children With Phonological Impairment Developmental Apraxia Of Speech And Typically Developing Children., Amanda N. Lambert

Electronic Theses and Dissertations

The purpose of the present study was to compare feature retention patterns between children developing speech typically (TD) and children with phonological impairment (PI) and to discuss these findings in terms of characteristics, severity, and implication for the identification of developmental apraxia of speech (DAS). A second purpose was to determine if a relationship exists between phonological knowledge and feature retention.

This study consisted of a PI group and a TD group of children, ages four to six. A 245-item speech sample was collected from each subject. Feature retention percentages as well as percent correct underlying representation (PCUR) were calculated …

Phonological Intervention Using A Multiple Opposition Approach, A. Lynn Williams, John Kalbfleisch

ETSU Faculty Works

The purpose of this investigation was to examine phonological restructuring when contrastive oppositions were constructed to include larger treatment sets that confronted the child with multiple sound targets selected from an entire rule set.

Supervisory Feedback In Speech-Language Pathology: Preferences And Practices., Janet Michelle Gurley

Electronic Theses and Dissertations

Research in the area of clinical supervision has historically been limited, especially in the field of speech-language pathology. Furthermore, those few studies that do exist were primarily published during the decade of the 1980's. Clinical supervision, and specifically its critical component of supervisory feedback, is crucial to all clinical training programs. However, supervision research only mentions the topic of supervisory feedback and neglects the relationship between supervisory feedback preferences and actual supervisory practices. This study was designed to identify and compare supervisor and supervisee preferences and perceptions regarding supervisory feedback, to relate these preferences to a continuum-based model of clinical …

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

ETSU Faculty Works

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