Communication Sciences and Disorders Commons^™

A Review Of Internet Resources Related To Spoken Language Intervention For Spanish-Speaking Parents Of Children Who Are Deaf Or Hard Of Hearing, Karen F. Munoz, Lauri H. Nelson Phd, Brittan Barker

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this study was to identify website information related to hearing loss, hearing technology, and spoken language development available to Spanish-speaking parents of children who are deaf or hard of hearing (DHH).

Design: An exploratory, descriptive design was used to determine the presence or absence of parent education information on a variety of websites.

Study Sample: The study explored Internet resources provided by national, state, and parent support organizations in the United States.

Results: A total of 53 organization websites were identified that had information for parents of DHH children learning spoken language, eight of which were …

Infant Diagnostic Evaluation Via Teleaudiology Following Newborn Screening In Eastern North Carolina, Andrew Stuart

Journal of Early Hearing Detection and Intervention

Universal newborn hearing screening in North Carolina began in 2000 under the auspices of the North Carolina Department of Health and Human Services Early Hearing Detection and Intervention Program (NC-EHDI). Despite initial success, loss to follow-up/lost to documentation for diagnostic testing was problematic. To address this, the NC-EHDI received U.S. Department of Health and Human Services Health Resources and Services Administration lost to follow-up funding to in part fund a pilot “Teleaudiology Project” in 2010 to provide services for infants in eastern North Carolina. This part of the state is a traditionally underserved area. The project involved a partnership with …

How Many Babies With Hearing Loss Will Be Missed By Repeated Newborn Hearing Screening With Otoacoustic Emissions Due To Statistical Artifact?, Karl R. White, Lauri H. Nelson, Karen F. Munoz

Journal of Early Hearing Detection and Intervention

Objective: People who manage newborn hearing screening programs are often told that repeating OAE hearing screening more than two or three times per ear unacceptably increases the probability of false-negatives (i.e., passing babies who have permanent hearing loss). This study evaluated the accuracy of that recommendation.

Design: A 2.0 cc coupler and three human ears with hearing loss were used to estimate the number of false-negative results per 1,000 OAE screening tests. Using those results, together with the prevalence of hearing loss among newborns, we calculated the number of babies that would be missed due to repeated testing.

Results: If …

Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.

Journal of Early Hearing Detection and Intervention

Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years, yet …

Prevalence And Trends Of Childhood Hearing Loss Based On Federally-Funded National Surveys: 1994–2013, Tyson S. Barrett, Karl R. White

Journal of Early Hearing Detection and Intervention

A recent highly cited publication, using data from the National Health and Nutrition Examination Survey (NHANES), concluded that the prevalence of childhood hearing loss in the United States is increasing (Shargorodsky, Curan, Curhan, & Eavey, 2010). This article examines the accuracy of that conclusion based on additional data from three nationally-representative surveys of childhood health. Using data from NHANES, the National Survey of Children’s Health (NSCH), and the National Health Interview Survey (NHIS), logistic regression was used to assess trends from audiometry-measured and parent-reported childhood hearing loss.

In contrast to prior research, the results were highly conflicting. NHANES suggested both …

Cultural Adaptation Of The Test Of Narrative Language (Tnl) Into Brazilian Portuguese, Natalia Freitas Rossi, Tâmara De Andrade Lindau, Ronald B. Gillam, Célia Maria Giacheti

Communicative Disorders and Deaf Education Faculty Publications

Purpose: To accomplish the translation and cultural adaptation of the Test of Narrative Language (TNL) into Brazilian Portuguese.

Methods: The TNL is a formal instrument which assesses narrative comprehension and oral narration of children between the ages of 5-0 and 11-11 (years-months). The TNL translation and adaptation process had the following steps: (1) translation into the target language; (2) summary of the translated versions; (3) back-translation; (4) checking of the conceptual, semantics and cultural equivalence process and (5) pilot study (56 children within the test age range and from both genders).

Results: The adapted version maintained the same structure as …

Conversational Alignment: A Study Of Neural Coherence And Speech Entrainment, Kristen M. Jensen, Stephanie A. Borrie, Breanna E. Studenka, Ronald B. Gillam

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

Conversational alignment refers to the tendency for communication partners to adjust their verbal and non-verbal behaviors to become more like one another during the course of human interaction. This alignment phenomenon has been observed in neural patterns, specifically in the prefrontal areas of the brain (Holper et al., 2013; Cui et al., 2012; Dommer et al., 2012; Holper et al., 2012; Funane et al., 2011; Jiang et al., 2012); verbal behaviors such acoustic speech features (e.g., Borrie & Liss, 2014; Borrie et al., 2015; Lubold & Pon-Barry, 2014), phonological features (e.g., Babel, 2012; Pardo, 2006), lexical selection (e.g., Brennan & …

Maternal Anxiety Associated With Newborn Hearing Screening, Stephen J. Tueller, Karl R. White

Journal of Early Hearing Detection and Intervention

The purpose of this study was to determine if newborn hearing screening increases maternal anxiety. Mothers whose infants were screened for hearing were asked how worried they were prior to hospital discharge and again six weeks later. They were also asked if they were more concerned about their baby’s hearing than they were about other aspects of the infant’s health and behavior.

Results showed that mothers worried as much or more about many other aspects of their infants’ health and behavior as about hearing. Mothers whose infants had a false positive screening result were initially more worried about hearing than …

Readability, User-Friendliness, And Key Content Analysis Of Newborn Hearing Screening Brochures, Nannette C. Nicholson, Samuel R. Atcherson, Patti F. Martin, Mary Gunn Spragins, Lauren Schlagenhauf, Richard I. Zraick

Journal of Early Hearing Detection and Intervention

Readability, user-friendliness, and key content are important components of newborn screening brochure design. Health information at a sixth grade or below reading level, designed for ease of navigation, with easily identifiable “action steps” can help adults with limited literacy skills find, understand, and use health information. The purpose of this study was to quantify the readability, user-friendliness, and key content components of newborn hearing screening brochures. Five readability formulae (FRE, F–K GL, FOG, FORCAST, and SMOG) were used to estimate reading levels of English language EHDI brochures (N = 48). Twenty-three participants assessed brochures for user-friendliness. Three participants assessed …

Wic Participation As A Risk Factor For Loss To Follow-Up In The Wisconsin Ehdi System, Elizabeth L. Seeliger, Rebecca A. Martin, Andrea N. Gromoske, Anne B. Harris

Journal of Early Hearing Detection and Intervention

In 2011, Wisconsin’s Early Hearing Detection and Intervention (EHDI) program, Wisconsin Sound Beginnings (WSB), developed multiple strategies to reduce loss to follow-up (LTFU) for babies who did not pass their newborn hearing screening: Medical Outreach, Family Outreach, Regional Outreach and WIC Alert. WSB evaluated the outcomes of babies identified as at-risk for LTFU to determine whether WIC participation was an indicator of their risk for LTFU. Additionally, WSB evaluated whether babies who were identified as at-risk for LTFU and receiving WIC services in two WIC projects serving areas and populations with known health disparities, were at even greater risk for …

Professional Competence To Promote Resilience For Children Living In Poverty, Jenna M. Voss, Susan Lenihan

Journal of Early Hearing Detection and Intervention

Poverty has a tremendous impact on the educational results of all children, including those who are deaf or hard of hearing. With targeted, evidence-based interventions during the first three years of life, Early Hearing Detection and Intervention (EHDI) professionals can protect children from the numerous risk factors which impede development. While EHDI professionals often serve children and families living in poverty, it remains the case that the professional preparation programs offer limited instruction and experience in how to best serve children and families living in poverty. The purpose of this study was to explore professional preparedness to serve children who …

The Role Of Family-Led Disability Organizations In Supporting Families With Hearing-Related Concerns, Diane D. Behl, Janet Desgeorges, Karl R. White

Journal of Early Hearing Detection and Intervention

A survey was conducted with state level chapters from Family Voices, Parent Training and Information Centers, and Parent–to-Parent USA to understand their current activities support families of children with hearing-related concerns and to identify gaps in their ability to support families of children who are D/HH. these organizations reported that they are contacted with parent requests for information in regard to family support opportunities, early intervention, referral sources pertaining to hearing concerns, financial help, and providing information about legal rights. Results showed that the greatest challenges for these organizations were related to needing to connect families to financial resources pertaining …

Monitoring Indicators Of Scholarly Language (Misl): A Progress-Monitoring Instrument For Measuring Narrative Discourse Skills, Sandra Laing Gillam, Ronald B. Gillam, Jamison D. Fargo, Abbie Olszewski, Hugo Segura

Communicative Disorders and Deaf Education Faculty Publications

The purpose of this study was to assess the basic psychometric properties of a progress-monitoring tool designed to measure narrative discourse skills in school-age children with language impairments (LI). A sample of 109 children with LI between the ages of 5 years 7 months and 9 years 9 months completed the Test of Narrative Language (TNL). The stories told in response to the alien picture prompt were transcribed and scored according to the TNL manual criteria and the criteria established for scoring the progress-monitoring tool, Monitoring Indicators of Scholarly Language (MISL). The MISL total score demonstrated acceptable levels of internal …

“Whatdunit?” Developmental Changes In Children's Syntactically Based Sentence Interpretation Abilities And Sensitivity To Word Order, James W. Montgomery, Julia L. Evans, Ronald B. Gillam, Alexander V. Sergeev, Mianisha C. Finney

Communicative Disorders and Deaf Education Faculty Publications

Aim 1 of this study was to examine the developmental changes in typically developing English-speaking children’s syntactically-based sentence interpretation abilities and sensitivity to word order. Aim 2 was to determine the psychometric standing of the novel sentence interpretation task developed for this study, as we wish to use it later with children with Specific Language Impairment (SLI). Children listened to semantically implausible sentences in which noun animacy and the natural affordance between the nouns were removed, thus controlling for event probability. Using this novel “whatdunit?” agent selection task, 256 children 7-11 years listened to two structures with canonical word order …

Disordered Speech Disrupts Conversational Entrainment: A Study Of Acoustic-Prosodic Entrainment And Communicative Success In Populations With Communication Challenges, Stephanie A. Borrie, Nichola Lubold, Heather Pon-Barry

Communicative Disorders and Deaf Education Faculty Publications

Conversational entrainment, a pervasive communication phenomenon in which dialogue partners adapt their behaviors to align more closely with one another, is considered essential for successful spoken interaction. While well-established in other disciplines, this phenomenon has received limited attention in the field of speech pathology and the study of communication breakdowns in clinical populations. The current study examined acoustic-prosodic entrainment, as well as a measure of communicative success, in three distinctly different dialogue groups: (i) healthy native vs. healthy native speakers (Control), (ii) healthy native vs. foreign-accented speakers (Accented), and (iii) healthy native vs. dysarthric speakers (Disordered). Dialogue group comparisons revealed …

Classroom Amplification: The Necessity Of Sound-Amplification In The Classroom, Kalley Ellis

Undergraduate Honors Capstone Projects

In a classroom, the optimal signal-to-noise ratio, as is recommended by the American Nation Standards Institute (ANSI), is 35 dBA, with the reverberation reaching a maximum of 0.6s (Lewis, 2008); yet, in classrooms today, the typical signal-to-noise ratio ranges from 40-73 dBA (Lewis, 2008). With at least 75% of the school day being spent in listening activities (e.g. reading, instructions, lecture, etc.), this noise level in the classroom has great impact on what a child hears and, thus, learns (Blazer, 2008). Unfortunately, with each new year, classroom sizes are increasing and creating an even more detrimental noise level and signal-to-noise …

Assessment Of Morphosyntactic Development Of Preschool Children With Hearing Loss Using The Clinical Evaluation Of Language Fundamentals-Preschool Second Edition, Angela Anderson

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

It is recommended that children with HL are assessed using standardized assessments normed on hearing peers (Houston & Caraway, 2009; Joint Commission on Infant Hearing (JCIH), 2007). However, as these assessments are more commonly administered to children with HL there is reason to further investigate the sensitivity of these assessments particularly in their ability to identify weaknesses specific to HL. The CELF-Preschool 2 (Clinical Evaluation of Language Fundamentals – Preschool (Wiig, Secord & Semel, 2004)) has been found to be a valid tool for diagnosing language impairment in normal hearing children (Spaulding, Plante, & Farinella, 2006). However, this assessment has …

Early Hearing Detection And Intervention: Diagnostic Hearing Assessment Practices, Karen F. Muñoz, Lauri H. Nelson, N. Goldgewicht, D. Odell

Communicative Disorders and Deaf Education Faculty Publications

Purpose

To gain an understanding of practice patterns for infant diagnostic hearing services at pediatric audiology facilities.

Method

The authors used a cross-sectional survey design. From August to November of 2009, surveys were mailed to 1,091 facilities in 28 states and the District of Columbia. One survey was completed per facility, and responses were anonymous.

Results

The return rate was 33% (356 surveys). The results revealed that the comprehensiveness of the test batteries used varied among facilities. Over half of the respondents, 146 (55%), reported using a limited test battery, 94 facilities reported using a comprehensive test battery but lacked …

Comparison Of Two Approaches To Improving Cognitive Academic Language Proficiency For School-Aged, English Language Learners: Two-Group, Pretest/Posttest Design, Tanja A. Dalton

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

This preliminary study was designed to examine which of two interventions (standard practice or narrative based) was associated with better improvement in cognitive academic language proficiency, or literate language, for school-age children learning as a second language(English Language Learners; ELLs). We hypothesized that narrative-based intervention would yield better outcomes than the standard practice intervention because it provided children with contextual cues, redundancy, and predictability, which should promote learning and generalization.

We employed a pre/post test design and included 18 children (ELLs) who were at-risk for language and learning problems to test the hypothesis that narrative-based language intervention would yield better …

Improving The Quality Of Early Hearing Detection And Intervention Services Through Physician Outreach, Karen F. Muñoz, L. Shisler, M. Moeller, K. White

Communicative Disorders and Deaf Education Faculty Publications

Physicians and other health-care providers should play a central role in helping families of children with permanent hearing loss receive timely and appropriate screening, diagnostic, and early intervention services. Because the technology and procedures for ensuring timely and appropriate services for infants and young children with hearing loss have changed so dramatically over the past 15 years, many health-care providers are not well informed about the best ways to provide effective services. Audiologists can help to ensure that physicians and other health-care providers are better informed about the services needed by infants and young children with hearing loss. This article …

What Is Rti And How Do I Fit In?, Sandra Laing Gillam

Communicative Disorders and Deaf Education Faculty Publications

Since 1977, most children with LD have been identified for services on the basis of an IQ-achievement discrepancy criterion. That is, children must be failing in one or two areas, significantly, even though they score well on an IQ measure in order to qualify for special education services. There are a number of problems with this practice, not the least of which being that many children with serious learning difficulties do not perform well on verbally loaded measures of IQ and do not qualify for comprehensive services designed for children who meet the discrepancy criteria. In addition, discrepancy criteria and …

Maximum Repetition Rates In Children At-Risk For Dyslexia, Amy L. Baxter

Undergraduate Honors Capstone Projects

My senior thesis has focused on current research exploring precursor communication skills being conducted by Dr. Ben Massen at the Radboud University Medical Center in Nijmegen in the Netherlands. To that end, I worked in an acoustics lab analyzing Maximum Repetition Rates (MRR), also known as diadochokinetic rates, DDKs, in young children's speech development. This four year funded research project began in 2004.

In this paper I will provide an overview of the underlying theoretical considerations guiding the study and then describe my particular contribution to the effort, completed during Fall semester 2005 while I was a foreign exchange student.

Child Language And Literacy Development: A Parenting Resource Handbook, Joan B. Harrison

Undergraduate Honors Capstone Projects

One night a few years ago, my husband and I stopped in a fast-food restaurant to grab a sandwich. We sat down at a table and our eyes were drawn to a table close by. A young woman in her teens sat at the table, with a small infant in a carrier next to her on the floor. She sat, staring out the window, sipping a soft drink. After a few minutes, the baby began to fuss and squirm. The young woman continued to stare out the window. Soon the baby began to cry, but even this evoked no response …

Effects Of Literacy Based Communication Intervention On Expressive Language Of A Young Child, Celeste C. Reynolds

Undergraduate Honors Capstone Projects

A positive correlation has been demonstrated between improved expressive language skills and intervention using literacy related activities in the school-aged populations for both normally developing and developmentally delayed children. Norris (1991) found that children's literature provides meaningful contexts that are ideal for helping school aged children learn language in a manner that is interesting an does not artificially fragment language into subcomponents or splinter skills. Children can learn to recognize and use the abstract, complex, and subtle aspects of language in the context provided in written language. "The use of written language for intervention provides a context for integrating spoken …

Pre-Referral Portfolio Assessment For Limited English Proficient Students, Elizabeth Grayce Stevens

Undergraduate Honors Capstone Projects

What can be done to ensure that the needs are met of children who are limited in proficiency of the English language? Such is the familiar query of educators and professionals alike. In fact, one elementary school principal stated that this question often presents itself as the first item of business when administrators meet together (Marian Waterman, personal communication, October, 1997). How do we know where to place a child? How do we evaluate progress? When progress is limited, how do we know if the child requires special education services? The answers lie in appropriate assessment.

Black English, Karen Tibbitts Filimoehala

Undergraduate Honors Capstone Projects

Black English has recently entered the media spotlight with the passing of the Ebonics resolution by the Oakland School Board on Dec. 18, 1996. In this resolution, the school board unanimously voted to recognize Black English or "Ebonics" (a term which combines the words "ebony" and "phonetics")(LeLand & Joseph, 1997, p. 78) as the primary language of many of its students, and to teach students in their primary language in order to maintain the "legitimacy and richness" of the language, and to help students master standard English. Needless to say, the resolution was met with highly charged arguments - some …

Fetal Alcohol Syndrome: Information And Intervention Strategies For School, Home, And Therapeutical Settings, Mindy Dawn Anderson

Undergraduate Honors Capstone Projects

I was introduced into the world of Fetal Alcohol Syndrome winter quarter, 1996. My goals for that year included researching this topic in order to understand what it was physically, behaviorally, and on a cognitive level. My assignment involved writing a research paper around those characteristics, along with the development of their speech and language, presenting my findings to my classmates, and competing at the USU Scholar's Day competition in May of 1996. I received 2nd place at this competition. During the summer of that year, I researched FAS more to receive the needed resources to compile an annotated bibliography …

Fetal Alcohol Syndrome: Information And Intervention Strategies For School, Home, And Therapeutical Settings, Mindy Dawn Anderson

Undergraduate Honors Capstone Projects

I was introduced into the world of Fetal Alcohol Syndrome winter quarter, 1996. My goals for that year included researching this topic in order to understand what it was physically, behaviorally, and on a cognitive level. My assignment involved writing a research paper around those characteristics, along with the development of their speech and language, presenting my findings to my classmates, and competing at the USU Scholar's Day competition in May of 1996. I received 2nd place at this competition. During the summer of that year, I researched FAS more to receive the needed resources to compile an annotated bibliography …

The Acoustic Transparency Of Ad*Hear Wax Guards When Measuring Dpoaes, Tiffany Lloyd Shelton

Undergraduate Honors Capstone Projects

Approximately one to six of every 1,000 children is born deaf or with some degree of permanent hearing loss (Parving, 1993; Watkins, Baldwin, & McEnery, 1991; White, & Behrens, 1993). Reduced hearing acuity during infancy and early childhood may interfere with the development of the child's speech and verbal language skills (NIH, 1993). Reduced auditory input can also have harmful effects on the child's social, emotional, cognitive, and academic development (NIH, 1993). Because hearing is crucial for the development of speech and verbal language skills, the developmental future of a child born with a significant hearing loss depends greatly on …

Effects Of Otitis Media On Language Development In Native Populations: A Review Of The Literature, Monica Malmgren

Undergraduate Honors Capstone Projects

From the time a fetus reaches about 20 weeks gestational age, its auditory system is functioning. Before we are ever born, we are exposed to sounds within our environment. With birth, we begin to interact with, experiment with, and learn to interpret the sounds around us. Before learning to speak, we are bombarded by the sounds of our language. An infant's head is known to perk up at the sound of a voice, a sudden noise, music... all the sounds of the environment, which is evidence that children are aware of the sounds around them before they are ever able …