Communication Sciences and Disorders Commons^™

A Comparison Of Two Treatment Approaches For Agrammatic Broca's Aphasia: Script Therapy Vs. Verb Network Strengthening Treatment, Maureen Costello-Yacono

Seton Hall University Dissertations and Theses (ETDs)

Background/Introduction: Individuals with agrammatic Broca’s aphasia frequently are treated at single word level, verb priming, or simple sentence structure treatments. In this study, an impairment specific treatment such as Verb Network Strengthening Treatment (VNeST) was explored as well as a social functional approach such as Script Therapy. These two approaches were assessed by the outcome measures of rate of speech, subject-verb-object production, and error rates during probe tasks.

Objective: To examine the impact of two treatment approaches: Script Therapy and Verb Network Strengthening Treatment for two individuals with chronic agrammatic Broca’s aphasia.

Method: A single subject multiple baseline …

The Impact Of Language Acquisition Through Motor Planning (Lamp) On Speech And Language Development In Children With Developmental Delays (Dds), Ella Corrine Mcdaniel

Student Theses and Dissertations

This investigation examined the impact of Language Acquisition through Motor Planning (LAMP) on speech and language development in young, nonverbal or minimally verbal children with developmental delays. A non-experimental longitudinal observational case study design was used consisting of the weekly collection of speech and language samples to track speech and language growth. In addition, Realize Language information was downloaded and analyzed from each augmentative and alternative communication (AAC) device to further assess vocabulary use and growth. The data collected from the speech samples showed that the frequency of imitated words and spontaneous words increased in three of the four participants. …

A Concurrent Validity Study Of Listening Comprehension Measures In English Language Learners (Ells), Jessica A. Day

Student Theses and Dissertations

The purpose of this study was to investigate valid measures of listening comprehension for English Language Learners (ELLs) in elementary school. The participants were Hispanic and recruited from the Hispanic Community Services Inc. in Jonesboro, AR. Each participant was administered a series of test batteries in the fall 2016 academic semester. The concurrent validity of the following assessments was determined through a correlational analysis: the Listening Comprehension subtest of the Woodcock Language Proficiency Battery- Revised (WLPB-R), the Listening Comprehension subtest of the Woodcock Reading Mastery Test- Third Edition (WRMT-III), and the Test for Auditory Comprehension of Language- Third Edition (TACL-3). …

Should It Stay Or Should It Go? The Case Of Silent 'E' In Derived Word Spelling., Olivia Peek Goodon

Student Theses and Dissertations

In English, sound-letter correspondence is not always consistent, and one letter or string of letters can represent many sounds. Additionally, there are many exceptions to spelling rules, making spelling difficult to master. Spelling is a linguistic skill. Children use a variety of linguistic strategies and spelling rules when spelling, including knowledge of morphology, phonology, orthography, and etymology. In the upper elementary years, derived word reading and spelling becomes integral to vocabulary growth and literacy development (Anglin, 1993). Taran and Shollenbarger (2011) found that 5th graders had a higher frequency of spelling errors involving derived words that originally ended in silent …

The Effectiveness Of Video Modeling In Word-Finding Therapy For Individuals Diagnosed With Aphasia, Hannah Catherine Harris

Student Theses and Dissertations

Aphasia, deficits in language due to neurological damage, can impact receptive and expressive language skills. A common characteristic of aphasia is anomia, or word-finding difficulties. The purpose of this study was to determine if the type of modeling would impact the success of word-finding therapy on individuals diagnosed with aphasia. A quasi-experimental longitudinal alternating treatment single-group design was selected. Speech samples of two participants were collected over a three-month period. Duration of response time and the accuracy of target words were indicators of word-finding abilities. There were significant differences in the rate and accuracy of response for the target words …

Improving The Reading Comprehension Skills Of Hispanic Youth That Attend An After-School Program, Brooke Mccurley

Student Theses and Dissertations

The purpose of the study was to determine the relationship between vocabulary growth and reading comprehension as well as the improvement of reading comprehension in Spanish speaking English Language Learners (ELLs). Participants were recruited from Hispanic Community Services Inc. in Jonesboro, AR. Five first through third grade Spanish-English bilingual children participated. Reading comprehension was measured using the Woodcock Reading Mastery Tests–Third Edition. Vocabulary growth was measured using the Peabody Picture Vocabulary Test – III. After fall testing, participants received two hours of tutoring each week. Tutoring was individualized to target specific reading and writing skill areas for each child. In …

Speech Perception And Word Retrieval In Alzheimer's Disease (Ad): A Pilot Study, Jennifer Dennis

The Pegasus Review: UCF Undergraduate Research Journal

This research pilot project investigated speech and language related deficiencies in participants with and without Alzheimer's disease (AD). Information obtained from this study may lead to identification of early indicators of the disease that are not obtrusive. It was hypothesized that an individual with AD would still have storage of phonetic and lexical items, yet be unable to access them due to increased memory and processing demands (Bayles, Tomeoeda, & Trosset, 1992; Grossman & White, 1998). Participants consisted of one individual with Alzheimer's disease and a matched control without the disease. Neither participant had a prior history of speech or …

Perceptual And Physiologic Analysis Of Dystussia In Amyotrophic Lateral Sclerosis, Stephanie Anne Watts

USF Tampa Graduate Theses and Dissertations

Swallowing and cough are two vital functions that are reflexive in nature and are related to each other in terms of shared neural and anatomical space. When a disorder impacts normal and effective swallowing and/or cough, the consequences can be life-threatening. Evaluation and treatment of swallowing and cough disorders can fall under the scope of practice of the speech-language pathologist and speech-language pathologists often are leading professionals. Furthermore, much of the current research on swallowing and cough is spearheaded by speech-language pathologists often working with a multi-disciplinary team. The focus of this dissertation is on the clinical evaluation of cough …

Relationship Between Self-Compassion, Self-Perception, And Stuttering Severity, Colleen Hogan

Graduate Independent Studies - Communication Sciences and Disorders

The present study investigated the possibility of a relationship between self-compassion, self-perception, and stuttering severity in adults who stutter. Four adults who identify as people who stutter were administered the Self-Compassion Scale, the Self-Perception Profile for Adults, the Overall Assessment of the Speaker’s Experience of Stuttering, and the Stuttering Severity Instrument. Results indicated a negative correlation between stuttering severity and self-compassion. A relationship was found between self-perception and stuttering severity and self-compassion in only one participant. It was concluded that practices of self-compassion may be beneficial in speech therapy for adults who stutter, and that both self-perception and self-compassion scales …

Some Permanent Hearing Loss Is Missed When "Switched Ear" Passes Are Used To Determine Screening Results, Beverly G. Lim, Maria Perez-Abalo, Jillian Gerstenberger, Shauna Morales Flowers

Journal of Early Hearing Detection and Intervention

A common practice in Universal Newborn Hearing Screen (UNHS) programs is rolling up non-simultaneous passing results in each ear (SW_EAR) from repeat automated screens into a bilateral pass. This study aims to provide evidence-based criteria for best practices regarding SW_EAR screens. From January 2010 to May 2013, infants with SW_EARs results were prospectively monitored by MEDNAX-Pediatrix’s nationwide UNHS program, which combine inpatient/outpatient screens utilizing automated auditory brainstem response (AABR). The tracked audiologic evaluations of 16,129 refer infants (2,334 due to SW_EAR) out of the total infant population screened (2,492,314) were analyzed retrospectively. A high proportion of hearing loss (354/2334, 15%) …

Measuring Nurses' Knowledge And Understanding Of Universal Newborn Hearing Screenings, Caitlyn Roberts, Alisha L. Jones

Journal of Early Hearing Detection and Intervention

The present study was conducted to investigate the knowledge and understanding of Universal Newborn Hearing Screening (UNHS) in nursing professionals. A group of 15 adult, licensed nurses with varied professional experience participated in the study. Participants completed both objective and subjective measurements to evaluate their current knowledge of training procedures. A free online UNHS training program offered through the National Center for Hearing Assessment and Management (NCHAM) served as both the objective measure and training module. Participants completed pre- and post-surveys as the subjective measure of their UNHS training. Results of these surveys were compared across the participants to determine …

Parental Satisfaction And Objective Test Measurements Associated With Post-Partum Versus Nursery Newborn Hearing Screening, Jennifer E. Bentley, Wenyang Mao, Wendy Timpson, Jane Stewart

Journal of Early Hearing Detection and Intervention

Beth Israel Deaconess Medical Center (BIDMC; Boston, MA) initiated a change to the newborn hearing screening program in 2013 to encourage increased parental presence at the time of screening and support a more family centered hospital environment. Newborn hearing screening program technicians were encouraged to conduct all hearing screens in the parent’s post-partum rooms instead of in the nursery. To measure the effect of this change on the families and screening measures, satisfaction surveys and retrospective data was collected over a 2 year period and compared. Newborn hearing screening program technicians and mother-baby nursing staff were surveyed to determine influence …

Are Audiologists Directly Referring Children With Hearing Loss To Early Intervention?, Natalie Loyola, Bridget Shanahan, Cailin Shanahan, Kosuke Kawai, Derek J. Stiles

Journal of Early Hearing Detection and Intervention

This article describes the ways that pediatric audiologists are directing infants into Early Intervention, and the related barriers and facilitators. Over one hundred pediatric audiologists responded to an online survey including questions on how audiologists provide direct and indirect referrals to Early Intervention for those infants that are diagnosed with hearing loss. Most respondents agreed that audiologists are the best person to provide this referral, but many audiologists did not make the direct referral. Barriers to direct referral included time constraints and resistance from parents. Opportunities identified to improve referral included online referral systems and national guidelines for what qualifies …

Effectiveness Of Dexmedetomidine For Sedation In Auditory Brainstem Response Testing, Laura Sherry, Eric Levey, Carolyn Gillen, Joseph P. Pillion

Journal of Early Hearing Detection and Intervention

Sedation is widely used for auditory brainstem response (ABR) testing for infants or young children who are unable to sleep or remain adequately quiet for testing. Because chloral hydrate is no longer readily available, dexmedetomidine has been proposed as an alternative medicinal agent to achieve moderate levels of sedation without risk of respiratory depression. The purpose of the study was to assess the effectiveness of dexmedetomidine in terms of the completeness of the audiologic data obtained in achieving moderate levels of sedation for auditory brainstem response testing. A retrospective chart review was conducted on ninety-nine patients at Kennedy Krieger Institute. …

Supporting Individuals With Autism Spectrum Disorder In Understanding And Coping With Complex Social Emotional Issues, Kaitlyn P. Ahlers, Terisa P. Gabrielsen, Danielle Lewis, Anna M. Brady, April Litchford

Faculty Publications

Core deficits in autism spectrum disorder (ASD) center around social communication and behavior. For those with ASD, these deficits complicate the task of learning how to cope with and manage complex social emotional issues. Although individuals with ASD may receive sufficient academic and basic behavioral support in school settings, supports for dealing with complex social emotional issues are more difficult to access, even though these issues significantly impact student learning. When addressing these challenging social- and emotional-based issues, school and professional personnel need more specific instructional skill sets and resources to effectively and compassionately support students with ASD. In this …

Non-Fluent Speech Following Stroke Is Caused By Impaired Efference Copy, Lynda Feenaughty, Alexandra Basilakos, Leonardo Bonilha, Dirk B. Den Ouden, Chris Rorden, Brielle C. Stark, Julius Fridriksson

Communication Sciences and Disorders Faculty Articles and Research

Efference copy is a cognitive mechanism argued to be critical for initiating and monitoring speech: however, the extent to which breakdown of efference copy mechanisms impact speech production is unclear. This study examined the best mechanistic predictors of non-fluent speech among 88 stroke survivors. Objective speech fluency measures were subjected to a principal component analysis (PCA). The primary PCA factor was then entered into a multiple stepwise linear regression analysis as the dependent variable, with a set of independent mechanistic variables. Participants’ ability to mimic audio-visual speech (“speech entrainment response”) was the best independent predictor of non-fluent speech. We suggest …

Neural And Behavioral Mechanisms Of Clear Speech, Jenna Silver Luque

USF Tampa Graduate Theses and Dissertations

Clear speech is a speaking style that has been shown to improve intelligibility in adverse listening conditions, for various listener and talker populations. Clear-speech phonetic enhancements include a slowed speech rate, expanded vowel space, and expanded pitch range. Although clear-speech phonetic enhancements have been demonstrated across a variety of talkers, only a subset of these changes may be required for listeners to benefit perceptually from clear speech. Furthermore, while current literature has provided some understanding of the phonetic enhancements that are typical of clear speech and the improvements in intelligibility resulting from its use, less is understood regarding how listeners …

Discourse Changes Following Severe Traumatic Brain Injury: A Longitudinal Study, Elizabeth Young

Speech and Hearing Sciences ETDs

Purpose: There are few longitudinal data charting recovery of discourse skills following severe traumatic brain injury (TBI). Limited knowledge about the trajectory of discourse recovery and the best tools for assessing communication abilities in persons with TBI (PWTBIs) restricts detection of communication impairment and the ability to make informed prognostic judgments following TBI. This study sought to contribute longitudinal data to the research base, using clinically efficient measures that are sensitive to communication deficits associated with TBI and that use nuanced scoring systems to provide detailed characterization of discourse.

Methods: Twenty-three PWTBIs completed picture description tasks at 3 (or 6) …

Young Adults With Cleft Lip And Palate: Are They Receiving Team Services?, Sarah Widy, Andrea Bisceglia, Emily Bradley, Sanjana Kumari Vyda Srinivasa Kumar, Andrea Mcdowell, Amanda Murr, Blake Nowicki, Elisha Reed, Alexandria Staples, Brenda Louw

ETSU Faculty Works

It is widely acknowledged that a team approach is preferred practice and contributes to optimizing the surgical, dental, speech and psychosocial outcomes for individuals with CLP. Young adulthood often marks the transition from child-centered interdisciplinary care to adult-centered care. There is a paucity in literature relating to the transition of care for young adults with CLP. The purpose of this survey research is therefore to explore the CLP team practices regarding young adults with CLP.

Speech-Language Pathologists’ Perceptions Of Collaborating With Registered Dietitians In The Pediatric Population, Brenda Louw, Michelle Lee

ETSU Faculty Works

Survey research was conducted to explore Speech-Language Pathologists’ (SLPs) perceptions and experiences collaborating with Registered Dietitians (RDs) in the pediatric population. 107 SLPs in different settingsparticipated. Findings indicate SLPs were not exposed to RDs or the role of nutrition in their didactic and clinical training. Rather this exposure occurred once they were in the field practicing as an SLP. A clear need was identified regarding graduate and continued education on collaboration between SLPs and RDs.

Language Outcomes In Children Who Are Deaf And Hard Of Hearing: The Role Of Language Ability Before Hearing Aid Intervention, Olivia Daub, Marlene P. Bagatto, Andrew M. Johnson, Janis Oram Cardy

Communication Sciences and Disorders Publications

© 2017 American Speech-Language-Hearing Association. Purpose: Early auditory experiences are fundamental in infant language acquisition. Research consistently demonstrates the benefits of early intervention (i.e., hearing aids) to language outcomes in children who are deaf and hard of hearing. The nature of these benefits and their relation with prefitting development are, however, not well understood. Method: This study examined Ontario Infant Hearing Program birth cohorts to explore predictors of performance on the Preschool Language Scale–Fourth Edition at the time of (N = 47) and after (N = 19) initial hearing aid intervention. Results: Regression analyses revealed that, before the hearing aid …

Demystifying Research: Accessing & Understanding Evidence For Clinical Practice, Kimberly A. Murphy, Meredith Poore Harold, Mary Huston

Communication Disorders & Special Education Faculty Publications

The demands on clinicians for evidence-based practice (EBP) are great. However, many speech-language pathologists have received little to no training in how to ‘do’ EBP. In this presentation, we aim to describe and provide practical suggestions for two of the steps in EBP—accessing, then reading and interpreting research to inform clinical decision-making. Our goal is to give clinicians the tools and confidence they need to grow into expert clinicians.

Learner Outcome 1: Describe the components of evidence-based practice (EBP)

Learner Outcome 2: Identify ways to access research

Learner Outcome 3: Identify steps in reading and evaluating the …

Using Simulation And Critical Thinking In Speech-Language Pathology: A University Case Study, Carol M. Ellis Ph.D

Journal of Human Services: Training, Research, and Practice

Abstract

Education is changing. Virtual learning is now a common occurrence. Along with this change, more and more virtual learning tools are being used in the educational setting. The American Speech-Language-Hearing Association (ASHA) has recognized this change and has modified certification standards to include clinical simulation experiences in graduate speech-language training programs. Along with this modification, critical thinking skills are an expected goal, not only in face-to-face experiences, but also in simulation experiences. Educators need to meet this expectation to ensure that future speech-language pathologists are fully prepared to make sound decisions within the clinical setting. Educators may benefit from …

Motor Learning Guided Treatment For Acquired Apraxia Of Speech: Factors That Influence Treatment Outcomes, Rachel K. Johnson, Joanne P. Lasker, Julie A.G. Stierwalt, Megan K. Macpherson, Leonard L. Lapointe

Communication Disorders & Special Education Faculty Publications

Purpose: The purpose of this study was to examine factors that might influence the treatment effectiveness of motor learning guided (MLG) treatment approach for apraxia of speech (AOS). Specifically, this study examined the effects home practice and the stimuli selection on speech production.

Method: This is a case study across two treatment cycles involving a 52 year-old male five months post left CVA (due to a carotid artery dissection). Each treatment cycle used three conditions of practice to investigate the influence of practice frequency on treatment outcomes. The personal relevance of stimuli within and across treatment conditions differed in the …

A Comparison Of Pass Rates Across Three Language Screeners For Spanish-English Bilingual Children, Mariajose Bosanko

LSU Master's Theses

There is limited research regarding the efficacy of the language screening process, especially for bilingual populations. The purpose of this study was to examine the pass rates of three language screeners when administered to Spanish-English bilingual and ELL children. A total of ten Spanish-English bilingual children enrolled in either Pre-K, kindergarten, or first grade completed each screener. The screeners were: the Preschool Language Scales Spanish Screening Test-Fifth Edition (PLSSST-5; Zimmerman et al., 2012a), the Bilingual English Spanish Oral Screener (BESOS; currently in development; Lugo-Neris et al., n.d.), and the Diagnostic Evaluation of Language Variation-Screening Test (DELV-S; Seymour et al., 2003). …

Implementing Psychological Methods In The Management Of Trauma-Associated Tinnitus, Marc A. Fagelson

ETSU Faculty Works

Dr. Fagelson, (Professor Audiology, ETSU) will discuss the unusual challenges facing patients and providers when tinnitus severity is linked to traumatic exposure. Interactions between neural mechanisms associated with tinnitus, posttraumatic stress-disorder (PTSD), and traumatic memory will be reviewed with particular attention to the way and degree to which such interactions affect tinnitus and disorders of sound tolerance. Conference attendees will be provided theoretical models of emotional memory consolidation that underscore trauma‘s durable effects on a patient‘s emotional state, reaction to the tinnitus signal, and to potentially-triggering environmental sounds. The putative benefits of tinnitus counseling will be presented in the context …

Vowel Formant Dispersion Reflects Severity Of Apraxia Of Speech, Dirk B. Den Ouden, Elena Galkina, Alexandra Basilakos, Julius Fridriksson

Communication Sciences and Disorders Faculty Articles and Research

Background: Apraxia of Speech (AOS) has been associated with deviations in consonantal voice onset time (VOT), but studies of vowel acoustics have yielded conflicting results. However, a speech motor planning disorder that is not bound by phonological categories is expected to affect vowel as well as consonant articulations.

Aims: We measured consonant VOTs and vowel formants produced by a large sample of stroke survivors, and assessed to what extent these variables and their dispersion are predictive of AOS presence and severity, based on a scale that uses clinical observations to rate gradient presence of AOS, aphasia, and dysarthria. …

Ua61/3 Research Focus (Fall 2017), Jean Neils-Strunjas, Susan Megahee, Editor, Creative, Hannah Guy, Student Editor, Wku Communication Sciences & Disorders

Communication Sciences & Disorders Publications

Contents:

Graduate Student Spotlight.

Awards & Recognition

News

Alumni

ASHA Publications

Let's Talk Speech! Volume 10 Issue 1, Barbara T. Schmidt Ph.D.

Communication Sciences and Disorders Newsletter

As many of you know, this is the last Newsle􀆩er that I will be working on for the Communication Sciences and Disorders Department (CSD). My new role as Assistant Vice President for Academic Affairs at Molloy College will not allow me the opportunity to continue in a full time faculty position in CSD. While I am excited about the challenges I face in my new position, I am very sad to leave my daily interactions with friends, colleagues, and students in CSD. It has been a long, fruitful, and enjoyable career in this program. I have had the pleasure of …

Results Of A Survey Offering Clinical Insights Into Speech-Language Pathology Telepractice Methods, Elizabeth U. Grillo

Communication Sciences & Disorders Faculty Publications

A telepractice survey was administered to the American Speech-Language-Hearing Association Special Interest Group 18 Telepractice affiliates and attendees of the Waldo County General Hospital Speech-Language Pathology Telepractice Training program in Maine, USA over the summer of 2016. Sixty-seven respondents completed the survey. The survey explored demographics of clients and clinicians, costs and equipment, learning opportunities, use of the client’s environment and caregivers/e-helpers, and method adaptations in telepractice. The results of the survey provide information on the current state of telepractice methods in speech-language pathology from experienced practitioners. This information may be used to develop telepractice models and to prepare speech-language …