Communication Sciences and Disorders Commons^™

Real Ear To Coupler Differences In Children And The Effects Of Hearing And Microphone Location, Cindy Richardson

Dissertations and Theses

The early identification of hearing loss and selection of appropriate amplification are the most important goals for children with hearing impairment. Selection of appropriate amplification for a pediatric population involves maximizing the hearing impaired child's residual hearing, for development of speech and language. In addition, it is important to consider the acoustic differences between the 2 cc coupler versus the real ear.

During the hearing aid selection process, it is customary to predict how a hearing aid will respond in the real ear, based upon a given 2 cc coupler response. Killion and Monser (1980) developed a formula for converting …

Receptive Language And Cognitive Skills In Preschool-Aged Children With Cerebral Palsy, Susan Elizabeth Panton

Dissertations and Theses

The purpose of this study was to examine the relationship between receptive language skills and nonverbal cognitive skills in preschool children with cerebral palsy and a mild to severe motor speech impairment. In addition, the relationship between the severity of motor impairment and receptive communication and nonverbal cognitive skills was also examined. Fifteen subjects, 10 males and 5 females, were included in this study. The subjects are part of a larger longitudinal study being completed within Portland State University's Speech and Hearing Sciences Program. All of the subjects participated in two in-home assessment sessions, which were approximately 2 hours long. …

Gross Estimation: A Study Of The Clinical Validity For Measuring Intelligibility, Heather Gail Clarke

Dissertations and Theses

Intelligibility is the most fundamental factor for successful speech communication. Measurements of speech intelligibility carry important clinical consequences that relate to description of severity, need for intervention, intervention goals, service delivery options, and treatment efficacy. It is important, therefore, that speech-language pathologists use an approach that reflects an accurate and valid measure of intelligibility. The purpose of this study was to investigate the relationship between the two seemingly most common procedures used by practicing speech-language pathologists for measuring speech intelligibility: the gross estimation of intelligibility procedure, and the orthographic transcription procedure. Twelve 100-word connected speech samples were analyzed by 4 …

A Study Of The Level Of Knowledge Of Adult Foster Care Home Providers In Multnomah County In The State Of Oregon About Hearing Loss, Hearing Aids And Communication Strategies, Marsha Peters Johnson

Dissertations and Theses

The level of knowledge about hearing aid use, function, and maintenance of caregivers of the elderly persons who are hearing impaired and residing in adult foster care homes in Multnomah County in the state of Oregon was assessed via a 1 7 question survey. Twenty subjects participated in the study. Subjects' responses demonstrated poor knowledge about this subject and indicated that residents' needs are unmet. The results clearly demonstrate the subjects' limited knowledge of the operation of hearing aids, poor grasp of the basic troubleshooting methods for repair, and inaccurate perceptions of hearing aid adjustment. Access to professional audiologic care …

Comparison Of Intelligibility Estimation And Orthographic Transcription Methods By Preprofessional Speech-Language Pathologists, Kristi M. Mowe

Dissertations and Theses

When the fundamental means of communications is speech, the main component for successful communication is intelligibility. The speech of children with disordered phonologies is often unintelligible; therefore, accurate and reliable methods of measuring intelligibility are essential when determining eligibility, and in selecting and providing appropriate treatment.

The purpose of this study was to investigate the relationship between the percentage estimation method and the orthographic transcription method when measuring speech intelligibility by preprofessional listeners. For this study, the standard measurement of intelligibility was defined as the percentage of words understood in a continuous speech sample derived from orthographic transcription of the …

Ethnography Of Communication As On Organizational Communication Assessment Tool: A Test Of The Method, Francisca Inez Trujillo-Dalbey

Dissertations and Theses

Professional organizational consultants and researchers performing organizational communication assessments with non-profit boards of directors have few tools available to them and many of these tools under emphasize the centrality of communication and overlook the power-asdomination (Mumby, 1994) issues present in organizations. This study tested the ethnography of communication (Hymes, 1972) as an organizational communication assessment tool with a board of directors of a non-profit organization in Oregon and examined the results by employing Mumby's (1994) construct, thereby conducting a critical ethnography of communication.

This study offers important insights into boards of directors of nonprofit organizations and has important implications for …

The Generalization Of Stridency From Treated To Untreated Misarticulated Phonemes, Kathleen Ann Ozanich

Dissertations and Theses

This single-subject study was developed to investigate the potential of treating one misarticulated strident phoneme to induce generalization to other misarticulated strident phonemes. One male, age 4 years 4 months, was trained on /s/ in words. A training program, modified from the Hodson and Paden (1991) phonological cycling approach, was used. Two untreated phonemes from separate and distinct sound classes were monitored as control sounds for across-feature class change. A total of 24 treatment sessions of 50 minutes each were provided. The results from the pretest and posttest showed an increase of 51% correct stridency production for all untreated stridents …

Rethinking Appropriateness: A Look At Hegemonic Ideals As Related To Perceived Communication Competence In Women, Kristi L. Meade

Dissertations and Theses

The author argues that the hegemonically-constructed criteria of "appropriateness," as related to communication competence, is not palatable or functional for female communicators much of the time for it serves a social milieu which marginalizes women. Spitzberg and Duran (1993) state, "appropriateness seems spring loaded towards the status quo'' and may work against the interests of certain groups. In this paper, the author attempts to illuminate evidence of power imbalances covertly imbedded in the ideologically complex determination of appropriateness as a central criteria for communication competence in women. Competence theory is problematic and must be re-evaluated: it is contradictory and confusing, …

Effects Of Lifestyle Change And Satisfaction With Voice On Psychosocial Adjustment Of Laryngectomees, Susan M. Nicks

Dissertations and Theses

This research sought to examine the level of psychosocial adjustment in a sample of laryngectomees by describing demographic characteristics, alcohol consumption, and tobacco use pre-cancer diagnosis and currently, satisfaction with voice, and by examining the relationship between each subject's level of psychosocial adjustment and lifestyle change, i.e. cessation of tobacco and/or alcohol consumption, and satisfaction with voice.

Twenty-one subjects completed (a) Demographic Questionnaire, (b) Lifestyle Questionnaire, (c) Satisfaction with Voice Scale, and (d) Psychosocial Adjustment to Illness Scale-Self Report (PAIS-SR). Descriptive and inferential statistics were completed.

The average age of the subject group (16 males, 5 females) was 72.5 years, …

Voice Measures And Listener Acceptance Of Tracheoesophageal Speech, Heidii Ilona Roberts

Dissertations and Theses

The purpose of this study was to investigate the relationship of perturbation measures, jitter and shimmer, and ratings of acceptability by naive listeners. Six tracheoesophageal (TEP) speakers and 14 naive listeners participated in the study. Each speaker was recorded while reading The Rainbow passage. The six samples of voice were then presented to the listeners for rating. The naive listeners used an equal appearing seven pint scale to rate voice acceptability. No significant correlation was found between the perturbation measures and the ratings of acceptability. Due to the small subject size in this study, the findings are inconclusive. The results …

Perceptions Of Stuttering Intervention Services Received At Portland State, Franklin Wayne Bender

Dissertations and Theses

As consumers become more knowledgeable and more demanding of accountability, health care workers, including speech-language pathologists, are being required to justify the effectiveness of their work by documenting the results of their treatment programs. There are different ways to measure treatment outcomes. Outcomes may be measured qualitatively and/or quantitatively. Qualitative or subjective outcomes are difficult to define and measure and few studies of this type have been reported in the literature. Because few studies have been reported in the literature regarding client satisfaction, this area was investigated in this research project. The focus of this project was to ascertain whether …

A Survey Of Swallowing Symptoms Associated With The Premenstrual Cycle, Jill Gigi Calcagno

Dissertations and Theses

Premenstrual Syndrome (PMS) has been associated with a vast number of physical, emotional, social, and behavioral symptomatology. Laryngeal disturbances invoked by hormonal imbalance may affect swallowing as a component of PMS. Previous studies regarding swallowing ability during the premenstrual cycle were nonexistent.

This study examined the relationship between PMS and swallowing disorders. One hundred thirty-seven females completed a written survey that elicited information regarding biographical data, presence and severity of cyclically recurring symptoms associated with PMS, and perceived presence and severity of dysphagia during premenstruum.

Spearman Rank (Rho) correlation coefficients were computed to determine the extent of the relationship between …

Conflict Is Optional, Difference Is Not : Toward A Difference-Based Approach To Interpersonal Communication, James Arthur Gieseking Jr

Dissertations and Theses

An examination of the discussion of conflict in general, interpersonal and small group communication texts indicates that the conceptualization of conflict theory in the U.S. is increasingly dependent upon three theoretical pillars: the qualities of ubiquity, utility and necessity. A critical, deconstructive analysis of these operational characteristics in relation to the actual human experience of conflict reveals that they are more appropriately associated with the essential condition of difference, rather than conflict, and the concepts of conflict and difference are generally conflated in U.S. communication texts. The synergistic interaction of a variety of specific cultural constructs can be seen as …

Limiting Noise Exposure Associated With Hearing Aid Use, Alison Mary Gilbert

Dissertations and Theses

Industrial workers who have sustained hearing losses often wear hearing aids on the job in order to hear their co-worker's speech. However they risk damaging their hearing further by amplifying the high levels of background noise typical of such environments. The Occupational Safety and Health Administration (OSHA) has established guidelines to protect workers' hearing. A maximum allowable level of 90 dBA averaged over a period of eight hours is considered safe. Wearing hearing aids on the job may expose an individual to considerably higher levels, however no guidelines as to maximum allowable levels of amplified noise exist at this time. …

The Affects Of Vocal Fatigue On Fundamental Frequency And Frequency Range In Actresses As Opposed To Non-Actresses, Ruth Ann Jenkins

Dissertations and Theses

Differences may exist between the voice qualities of those who professionally use and train their voices and those who do not. The examination of fundamental frequency and frequency range m actresses and non-actresses is integral to determining voice quality differences in these populations. These differences, whether the result of frequent use or training of the voice, may exist relative to fatiguing conditions such as may be experienced by actresses in the course of their work. Fatigue has been shown to produce greater effects in normals than in performers, particularly in singers (Gelfer, Andrews, and Schmidt, 1991). Little research has been …

A Comparison Of Ambient And Hearing Aid Output Noise Levels In Industrial And Non-Industrial Settings, Jody Lynn O'Connor

Dissertations and Theses

Federal regulations specify that an employee working for eight hours cannot legally be exposed to noise which has a time-weighted average greater than 90 decibels on the A scale. The industrial workforce is comprised of not only people with normal hearing acuity, but of individuals who suffer from hearing loss. While current noise regulation standards are deemed appropriate for those with normal hearing, it is difficult to apply these standards to persons wearing hearing aids on the job. The ambient, or unamplified, noise levels that fall below the maximum permitted by OSHA standards may very well be amplified to levels …

Efficacy Of A Cycling Approach For The Treatment Of Developmental Verbal Dyspraxic Preschoolers, Janet Rose Lambert

Dissertations and Theses

Two preschool males who presented with the characteristics of developmental verbal dyspraxia were enrolled in a phonological cycles intervention approach. Initially, each child's deviant phonological processes were analyzed by the CAPD and target patterns and words selected for remediation. A continuous speech sample was obtained and analyzed to measure intelligibility by percentage and rating on a seven point scale. A time-space probe was developed based on targeted and non-targeted phonemes and administered prior to the first intervention session. Using the selected targeted patterns and words, an individualized remediation plan was developed, and the phonological process cycling approach used. Each subject …

A Comparison Of Expressive Vocabulary Produced By Nonambulatory, Speaking Preschool Children And Ambulatory Speaking Preschool Children, Kim Denise Baker

Dissertations and Theses

Children with severe physical disabilities often do not have the capabilities for oral communication. Professionals are frequently faced with selecting vocabulary for children who are unable to use vocal output because of severe motor impairments. A child who is nonambulatory may have additional reasons for communicating and sees the world from a different viewpoint than his ambulatory peers. Selecting appropriate words for an initial lexicon that are useful to nonspeaking disabled children that also meet normal language acquisition standards is a concern. This study specifically addresses this concern by looking at the vocabulary differences of ambulatory and nonambulatory preschool children. …

Effects Of Task Difficulty On Naming Performance Of Aphasic Subjects, Susan Kay Kucera

Dissertations and Theses

This investigation examined the effects of task difficulty on aphasic individuals' naming performance. Subjects were presented lists of easy-to-name and difficult-to-name items. In the high success condition, difficult lists were interspersed among a larger number of easy lists. In the low success condition, easy lists were interspersed among a larger number of difficult lists. Percentages of correct responses for administration of each list were calculated for each subject. Group means for each list were derived by averaging the individual scores. Group means in the high success and the low success conditions were compared with baseline measures to determine experimental effects. …

A Comparison Of Grammatical Morpheme Usage By Four Year Olds With Normal, Impaired, And Late Developing Language, Sally Alforde

Dissertations and Theses

The purpose of this study was to determine whether language-disordered four-year-old children and those with a history of language delay but currently normal functioning would have acquired a significantly lower percentage of 13 grammatical morphemes than children of the same age with normal language skills. Research has shown that there is a consistency of order in which these morphemes are acquired in children with normal language ability. Studies have also shown that while language disordered children acquire these grammatical morphemes in a similar order, the process is slowed down. Language disordered children have difficulty with grammatical morpheme development. Not found …

A Study Of The Association Among The Diagnosis Of Speech-Language Impairments And The Diagnoses Of Learning Disabilities And/Or Attention Deficit Hyperactivity Disorder, Pamela E. Cogswell

Dissertations and Theses

The purpose of this study was to determine if an association exists among the diagnosis of speech-language impairments (SLI) and the diagnoses of learning disabilities (LD) and/or attention deficit hyperactivity disorder (ADHD) in a school-aged population of children referred to a Learning Disorders Clinic (LDC) because of academic underachievement and/or behavior problems. The two research questions asked in this study are: (a) What percentage of students diagnosed with SLI have a concomitant diagnosis of LD and/or ADHD? and (b) Is there an association among the diagnosis of SLI and the diagnoses of LD and/or ADHD?

A sample of 94 subjects …

The Percentage Consonants Correct And Intelligibility Of Normal, Language Delayed, And History Of Language Delayed Children, Randi Jartun

Dissertations and Theses

Highly unintelligible children may mistakenly be assumed to have difficulty only with the misarticulation of consonants. Expressive language concerns may be ignored while the primary focus of intervention becomes the correction of misarticulated speech. Questions have arisen regarding the possibility of both speech and expressive language difficulties contributing to unintelligibility. Shriberg and Kwiatkowski (1982) developed an ordinal means of rating severity of involvement. One of the constructs of the severity scale was intelligibility. The metric percentage consonants correct (PCC) was developed to identify severity of involvement of disorders of phonology.

A Study Of The Narrative Skills In Kindergarten Children With Normal, Impaired, And Late Developing Language Development, Lisa L. Mcfarland

Dissertations and Theses

Children's narrative language plays a critical role in guiding the transition between oral language and literacy (Roth & Spekman, 1989; Westby, 1989). Narrative comprehension and production by normally achieving and language delayed school-aged children have been studied. Many of these studies have involved story retellings. Few have studied how spontaneously produced narratives are organized especially by young children.

Word Retrieval Behaviors Of Aphasic Adults In Conversational Speech : A Preliminary Study, Priscilla Jane Blake

Dissertations and Theses

Word retrieval difficulties are experienced by almost all aphasic adults. Consequently, these problems receive a substantial amount of attention in aphasia treatment. Because of the methodological difficulties, few studies have examined WRBs in conversational speech, focusing instead on confrontational naming tasks in which the client is asked to retrieve a specific word. These studies have left unanswered questions about the WRB processes.

The purposes of this study were to: (1) develop profiles of WRB for moderately impaired aphasic adult clients and examine these profiles for evidence that reflects the level of breakdown in the word retrieval process, and (2) determine …

The Effect Of Otitis Media On Articulation In Expressive Language-Delayed Children, Marla Lohr-Flanders

Dissertations and Theses

Researchers have long been concerned with the effects of otitis media on speech and language acquisition because of the high correlation of a mild to moderate hearing loss during the time period that fluid (effusion) may be in the middle ear. Middle-ear effusion would prevent many of the auditory messages from accurately reaching the nervous system (Zinkus, 1986). Deprived of the ability to discern the subtle acoustic differences that provide information for phonetic contrasts, a child's speech acquisition may differ from children who do not experience such losses.

The present study examined the relationship between an early history of otitis …

Effects Of Encouraging, Discouraging, And Neutral Instructions On Naming By Aphasic Subjects, Denise Marie Nelson

Dissertations and Theses

The purpose of this investigation was to examine the influence of three instructional conditions (encouraging, discouraging, and neutral) on eighteen aphasic adults' performance on a naming task. Each subject listened to each audiotaped instructional condition followed by a 20 picture naming task presented with a slide projector for a total of three tasks and 60 pictures. Subjects' mean scores were combined and averaged to derive a grand mean score for each instructional condition. A repeated measures analysis of variance was applied to determine if the differences were significant at the .01 level. No significant differences were found.

Indirect Intervention For Preschool Stutterers, Prudence Ann Bowers

Dissertations and Theses

This study investigated the advisability of utilizing parents to provide treatment for their dysfluent preschoolers. It involved the development, implementation and evaluation of a specific treatment program involving indirect language stimulation techniques. The primary question asked was whether or not parents can be successful in significantly reducing or eliminating dysfluent speech in their children. The secondary question was whether or not parents can be trained successfully to provide treatment.

A Comparison Of The Vocabulary Needs Of Speaking And Nonspeaking Twins, Dana Lynette Hamburg

Dissertations and Theses

Children with severe physical disabilities often do not have the capabilities for oral communication. Therefore, the vocabulary needs of nonspeaking children has been a subject of research in the area of augmentative communication for a number of years. The idea of allowing children with disabilities the opportunity for expression and communication is one not easily ignored. Obtaining vocabulary items, however, that are useful to nonspeaking disabled children that also meet normal language acquisition standards has been a concern. This study specifically addresses this concern by looking into the vocabulary issues of twins. The purpose of this research project is to …

The Correlation Between Correct Verbal And Nonverbal Responses On An Intelligence Test And Expressive Language Test Score, Jeanie P. Wagener

Dissertations and Theses

The purpose of this study was to examine the relationship between verbal and nonverbal indices of intelligence from an infant development scale given at approximately two years of age with scores on an expressive language test administered to the same children two years later. The questions this study sought to answer were: (1) is there a difference between the number of verbal and nonverbal items passed at 18-34 months by a group of normal children and a group of late talkers, (2) is there a significant relationship between correct verbal and nonverbal responses on an infant development test and scores …

The Value Of The Spi In Forecasting Chronic Stuttering, Dena Diane Stork

Dissertations and Theses

Speech-language pathologists are in need of useful assessment instruments which differentiate early stuttering behaviors and will enable them to identify preschool children who need immediate intervention for stuttering. Furthermore, useful assessment tools are needed especially due to the variability across studies of normal disfluency and lack of reliability information on more formal measures of differential evaluation of normal disfluency and incipient stuttering.