Communication Sciences and Disorders Commons^™

Maximum Sound Output Levels Of Pediatric Marketed Headphones: The Development Of Healthy Listening Habits In Children, Adrienne L. Ammirati

Dissertations, Theses, and Capstone Projects

Background: In recent years there has been a growing concern regarding the etiology of pediatric hearing loss. Based on cross-sectional studies of data produced by the National Health and Nutrition Examination Surveys, the incidence of hearing loss in US adolescents (age 12-19 years) has increased from 14.9 to 19.5% from 1988-2006 (Shargorodsky, Curhan, & Eavey, 2010) (Brooks & Chan, 2017). Many individuals suspect the leading contributor of this to be frequent exposure to unsafe listening conditions (Muchnik, Amir, Shabtai, & Kaplan-Neeman, 2012) (Brookhouser, Wothington, & Kelley, 1992).

Presently there are no government issued regulations on the maximum sound output …

Assisting Children With Velocardiofacial Syndrome Who Have Developmental Disabilities And Delays Associated With Speech, Communication, And Education, Mckenzie K. Holty

Honors Thesis

Children with velocardiofacial syndrome (VCFS) have a variety of complex needs. Research shows that VCFS is characterized by a combination of medical problems, developmental delays, and learning disabilities, which vary from child to child. This syndrome also puts adolescents at a higher risk for developing psychiatric and psychotic disorders. The complexity of symptoms that can arise from VCFS can influence the ability of these children to communicate, socialize, and learn effectively. This literature review aims to discuss literature for caregivers, educators, and physicians to aid children effectively and understand their challenges relating to speech, communication, and education. This topic is …

Usability Of A Mobile App For Improving Literacy In Children With Hearing Impairment: Focus Group Study., Shelly Deforte, Emre Sezgin, Janelle Huefner, Shana Lucius, John Luna, Anand A Satyapriya, Prashant Malhotra

Ambulatory and Primary Care Articles

BACKGROUND: Children with hearing loss, even those identified early and who use hearing aids or cochlear implants, may face challenges in developing spoken language and literacy. This can lead to academic, behavioral, and social difficulties. There are apps for healthy children to improve their spoken language and literacy and apps that focus on sign language proficiency for children with hearing loss, but these apps are limited for children with hearing loss. Therefore, we have developed an app called Hear Me Read, which uses enhanced digital stories as therapy tools for speech, language, and literacy for children with hearing loss. The …

The Stuttering Characteristics Of Spanish-English Bilingual Adult Speakers, Sima Sokolov

University Honors Theses

As the number of bilinguals and multilinguals continues to grow globally, researchers and clinicians in the field of speech-language pathology are faced with a unique challenge and opportunity - the need to understand the experiences of bilingual and multilingual clients who stutter. Yet, research and clinical guidelines about assessment and treatment of bilinguals who stutter has been scarce. There is a critical need for research to explore the types of stuttering produced by bilinguals in each of their languages. This research study has two aims: (1) to compare and contrast stuttering characteristics in two languages (English and Spanish) and across …

Exploring Telepractice For Stuttering: A Case Study, Yatta D. Barnett

University Honors Theses

The purpose of this research was to describe how telepractice can be used as a speech-language pathology service delivery model with a school-age child who stutters. Specifically, the research questions were: 1) Can a school-age client who stutters increase their use of stuttering modification strategies to manage their stuttering through telepractice? 2) Can a school-age client who stutters increase acceptance of stuttering through telepractice treatment?

Well-Being Of Parents Of Children Who Are Deaf Or Hard Of Hearing, Courtney P. Kasin, Karen F. Munoz, Clarissa W. Ong, John J. Whicker, Michael P. Twohig

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this study was to explore factors influencing the well-being of parents who have children who are deaf or hard of hearing (DHH) and to compare their experiences to non-clinical samples.

Method: A cross-sectional online survey was used to collect data (N = 296).

Results: Data analyses revealed the majority of parents of children who are DHH were functioning similarly to or better than the non-clinical samples in our comparison and within the non-clinical range for the included measures. No relationship was found between factors related to child age or timing of services (age at diagnosis, time …

Beliefs And Self-Efficacy Of Parents Of Young Children With Hearing Loss, Sophie E. Ambrose, Margo Appenzeller, Alexandra Mai, Jean L. Desjardin

Journal of Early Hearing Detection and Intervention

The purpose of this study was to learn more about the beliefs and self-efficacy of parents of young children with hearing loss. Seventy-two parents completed the Scale of Parental Involvement and Self-Efficacy - Revised (SPISE-R), which queries parents about their child’s hearing device use and their perceptions of their own beliefs, knowledge, confidence, and actions pertaining to supporting their child’s auditory access and spoken language development. Two beliefs were identified that related to parents’ action scores and one belief was identified that related to children’s hearing device use. Knowledge and confidence scores were significantly correlated with action scores and children’s …

Ehdi System Effectiveness: The Impact Of Community Collaboration, Kristina M. Blaiser, Gabriel Anne Bargen

Journal of Early Hearing Detection and Intervention

Early Hearing Detection and Intervention systems rely on collaborative, coordinated systems, yet, in actuality, collaboration is often reduced to periodic communication related to processes. This can be even more important in a state like Idaho where access to providers and resources are limited in rural and remote areas. Researchers at Idaho State University were awarded a grant to bring together key community stakeholders with the goal of evaluating and improving families’ journeys from newborn hearing screening to enrollment in Part B educational services. This paper will outline the process and information that was collected as part of the Idaho Community …

South Dakota Early Hearing Detection And Intervention Program: Using Teleaudiology To Conduct Infant Diagnostic Assessments, Hannah Williams, Emily Riley, Jessica Messersmith

Journal of Early Hearing Detection and Intervention

Teleaudiology allows patients and providers to bypass several economic and geographic barriers that impede the delivery and accessibility of audiological services. The South Dakota Early Hearing Detection and Intervention (EHDI) program recognized this benefit and created a teleaudiology infrastructure for the diagnostic assessment of infants. Using a hub-and-spoke model, a certified pediatric audiologist at the hub site assesses infants located at two spoke sites in South Dakota. Remote control software applications are used to provide a synchronous method of service delivery. The audiologist’s test battery includes video otoscopy, tympanometry, and auditory brainstem response (ABR) testing. Since establishing the teleaudiology program, …

Audiologic Clinical Practice Patterns: Infant Assessment, Ursula M. Findlen, Nicole D. Schuller

Journal of Early Hearing Detection and Intervention

The purpose of the present study was to report the current clinical practice patterns for assessment of infants after a referred newborn hearing screening within the context of available guidelines and to examine how the advent of newer stimuli, technology, and/or instrumentation has changed clinical practice patterns for audiologic infant assessment. A mixed-method survey that included both quantitative and qualitative questions was disseminated to pediatric audiologists in 2017. Quantitative data were analyzed via descriptive statistics while qualitative questions were analyzed via content analysis and combined with associated quantitative data. Lastly, infant assessment test battery categorization was completed to ascertain the …

Neonatal Abstinence Syndrome And Infant Hearing Assessment: A Kids’ Inpatient Database Review, Liza Creel, Adam Van Horn, Alex Hines, Matthew L. Bush

Journal of Early Hearing Detection and Intervention

Objective: Neonatal abstinence syndrome (NAS) has become an epidemic. This study assesses documented rates of failed newborn hearing screening (NBHS) or hearing loss diagnosis (HL) in NAS infants, and sociodemographic factors associated with abnormal inpatient hearing results.

Methods: The 2016 HCUP/KID national database was used to identify a weighted sample of infants with failed NBHS/HL during birth hospitalization. Independent variables included diagnoses of NAS/in-utero opioid exposure, HL risk factor presence and sociodemographic data. Univariate analyses and multivariate logistic regression were used to determine associations between NAS and abnormal hearing assessment.

Results:NAS infants had lower odds ratio (OR) of documented …

Current Beliefs Of Speech-Language Pathologists Regarding Lateralization Errors, Magdalena Difazio, Megan Overby

Graduate Student Research Symposium

Lateralization errors (LEs) are defined as persistent speech sound errors in which sibilant sounds are distorted due to air flow exiting the mouth laterally, rather than centrally, as result of insufficient lingual pressure against the alveolar ridge and/or teeth. Prevalence of LEs is unknown, and there are no published data on contemporary assessment and treatment challenges. We developed six research questions addressing treatment and prevalence of LEs. Additional information about speech-language pathologists’ (SLPs’) perceptions and practices concerning LEs would facilitate understanding of current practice. Licensed SLPs (N=214, 98.12% female, X_age = 30-39 years) participated in a mixed-methods design online …

Expressive Vocabulary Development In Very Young Children Who Are Deaf Or Hard Of Hearing, Amanda Mcnamara Rudge

Arts & Sciences Graduate Student Theses and Dissertations

This longitudinal study aimed to explore the expressive vocabulary growth rate of children ages birth to three years, who are deaf or hard of hearing (d/hh). An additional aim was to investigate hours of direct instruction received during early intervention as a factor that may contribute to the trajectories of expressive vocabulary growth in young children who are d/hh. Hierarchical linear modeling with growth curve analysis was used to investigate expressive vocabulary growth in a population of d/hh children using multiple points of longitudinal vocabulary data. A total of 417 assessments across the 105 participants were analyzed to determine the …

The Effectiveness Of Visual Phonics To Promote Phonological Awareness In Preschool Children With And Without Speech Sound Delays, Katelyn Derby

Dissertations, Theses, and Projects

The purpose of this study was to examine the phonological awareness skill of letter-sound relationships for preschool students using the multi-kinesthetic Visual Phonics intervention, See the Sound/Visual Phonics. The study had a non-concurrent multiple baseline data procedure, where each child was exposed to a general phonics curriculum in comparison to a Visual Phonics intervention. A specific interest was understanding potential benefits (i.e., rate of mastery) for preschool students with typical hearing, and the potential for Visual Phonics to support improved letter-sound accuracy for children at risk for speech sound disorders and delays. The results of the study indicated See the …

Musical Ability And Accent Imitation, Maria Murljacic

Honors Scholar Theses

This study investigates the intersection of musical ability and accent imitation, more specifically defining what factors cause a relationship between the two. The study was run on 50 participants, who each completed an accent imitation ability assessment, a musical ability assessment, and an articulation ability assessment. The scores for the accent imitation portion were rated by anonymous online raters. Each participant filled out a questionnaire on prior musical experience and were either classified as a musician or non-musician. The analysis found that those in the musician group performed better on the musical ability, articulation, and accent ability assessment than non-musicians. …

Investigating The Link Between Executive Function And Creativity In School Aged Children, Katherine Crenshaw

Honors Theses

The primary purpose of this research was to examine links between executive function (i.e., EF or conscious control) and creativity in school aged children. To accomplish this, participants completed measurements of creativity (i.e., Alternative Uses) and EF (i.e., the Backwards Digit Span to test working memory, the Delay of Gratification task to test inhibition). I also examined whether a creative manipulation (i.e., free coloring or coloring task-relevant materials) would impact EF performance in the Dimensional Card Change Sort (DCCS) focused on cognitive flexibility. While I did not find evidence for a relationship between my measures of EF and creativity, I …

The Effects Of Written Stuttering Disclosure On Young Adult's Perceptions Of Children Who Stutter, Ashlee Manahan

Honors Theses

Abstract:

Purpose: This study measured between-group differences in perceived speech skills and personality characters of a 12-year-old male child who stutters (CWS) as a function of a written factual stuttering disclosure statement, delivered by a male CWS, his “mother”, and his “teacher”.

Methods: Four-hundred twenty-four college aged adults were randomly assigned to one of four groups. The groups included three experimental groups (i.e. written self-disclosure, written mother-disclosure, written teacher disclosure) and a control group (no written disclosure). Participants in the control condition viewed a brief video of a 12-year-old male who stutters. In the experimental conditions, participants viewed a brief …

Dialect Variation Assessment In Speech-Language Pathology, Maliah Wilkinson

Honors Theses

During speech and language assessment, speech language pathologists often utilize tools from sociolinguistics to differentiate between accent and dialect variation from actual speech or language impairments. Perceptual dialectology, is one of these tools. This method of research seeks to investigate the linguistic perspectives of various populations in specific situations (Montgomery, 2012, p. 638). To investigate the perspectives of college students, linguists, and speech-language pathologists surveys analyzed they perceptions of dialects in various settings and their backgrounds. Results from the surveys indicate linguists who participated have educational experience with dialects but not dialect assessments. While speech-language pathologists, have certification that insists …

Wernicke’S Area In Autism: Rsfmri Study, Sydney Osbarn

Honors Theses

We investigated the functional connectivity of Wernicke’s Area and its right homologue (Planum Temporale) in individuals with Autism Spectrum Disorder (ASD) and typically developing individuals. We used resting state functional magnetic resonance imaging to analyze these areas in 145 participants from The University of Michigan via ABIDE. As a retest sample, we also used data from a University of Pittsburgh cohort. There is weakened functional connectivity between Wernicke’s Area and Planum Temporale in individuals with ASD as opposed to typically developing individuals. Participants with ASD did not have greater connectivity in other regions compared to the control group. Pragmatics, nonverbalism, …

The Auditory Radiation In Traumatic Brain Damage: Diffusion Tensor Imaging Study, Jane Walsh

Honors Theses

Hearing loss is a known symptom among people who suffer from traumatic brain injuries. Studies have shown that sensorineural hearing loss is the most common type of hearing loss resulting from traumatic brain injury. However, it is not well understood whether the auditory pathway is affected by traumatic brain injury. In this study, we examined the auditory radiation, using diffusion tensor imaging data and probabilistic tractography. Fifty-three veterans with traumatic brain injury and forty-four veterans without traumatic brain injury are compared. There was no significant difference in fractional anisotropy of the auditory radiation between those with and without traumatic brain …

Differential Effects Of Verbal And Written Disclosure On Perceptions Of A Child Who Stutters, Peyton Mcknight

Honors Theses

This study measured perceptions of a 12-year-old boy who stutters, relative to perceived speech skills and personal characteristics, as a function of seven potential stuttering disclosure conditions, featuring either a personal verbal disclosure, written disclosure, or no disclosure, delivered by various authors (i.e., self/child, mother, teacher). 641 participants college-aged adults were randomly assigned to one of seven stuttering disclosure groups: no disclosure control, verbal self-disclosure, written self-disclosure, verbal mother disclosure, written mother disclosure, verbal teacher disclosure, or written teacher disclosure. Participants in the control group viewed a brief video of a 12-year-old male who stutters reciting a short passage. Participants …

Receptive And Expressive Prosodic Abilities In Adults With Down Syndrome, Logan A. Kingry

Honors Theses

Individuals with Down syndrome, a population that often struggles with communication, present a unique linguistic profile of strengths and weaknesses. Almost no research has examined prosody in adults with DS, despite the important role it plays in effective communication. The present study investigated the prosodic profile of seven adults with Down syndrome (18;07-34;11 years) using the Profiling Elements of Prosody for Speech and Communication (PEPS-C), and compared the group’s expressive and receptive prosodic abilities to a group of seven adults with mixed-etiology intellectual and developmental disability (29;02-37;07 years) matched on nonverbal ability. Data analyses showed that the group with Down …

An Educational Audiology Model For Mississippi: Telepractice For Direct Service Provision, Sally Autry

Honors Theses

Hearing loss among school-aged children is becoming increasingly prevalent (CDC, 2019). Having hearing loss in a classroom setting can negatively affect a child’s language development, academic achievement, and social communication. Educational audiology plays a vital role in the academic success of children with hearing loss by providing a full range of audiology services to students, as part of a multidisciplinary team, to facilitate listening, learning, and communication access. By performing specialized assessments, monitoring personal hearing instruments, recommending, fitting, and managing hearing assistive technology, providing support services, and advocating on behalf of students with hearing loss, educational audiologists help to bridge …

The Raphe-Hippocampal Tract And Its Age Differences: Diffusion Tensor Imaging And Probabilistic Tractography Study, Ashley Sekul

Honors Theses

The raphe-hippocampal tract links the raphe nuclei to the hippocampus and is responsible for the production of the neurotransmitter serotonin. The hippocampus is key in regulating emotional and stress responses. This study utilized diffusion tensor imaging which uses Functional Magnetic Resonance Imaging to provide scans of the brain for analyzing differences in the raphe-hippocampal tract as one ages. In this specific study, 491 samples were visually analyzed to gather data about the fractional anisotropy of the raphe nuclei in both male and female brains ranging from 6 to 85 years old. Through the ranking of images, some were discarded, and …

Assessment Of Orofacial Myofunctional Profiles Of Undergraduate Students In The United States, Rachel Yockey

Honors Theses

Background: Previous research indicates a high prevalence of orofacial myofunctional disorders in the general population. It was further reported that orofacial dysfunction may have wide ramifications, such as teeth displacement, articulation errors, swallowing difficulties, middle ear infections, and frequent colds. The purpose of this study was to examine orofacial myofunctional profiles of undergraduate students in the United States.

Method: The English version of the Nordic Orofacial Test-Screening (NOT-S) was used to assess 55 undergraduate university students (age range:18 to 23 years). In addition, each participant completed a standard hearing screening, as well as a hearing history questionnaire.

Results: In our …

Revealing The Impact Of Singing In An Aphasia Group, Ava L. Barton

Senior Honors Projects, 2020-current

Aphasia is an acquired, neurogenic language disorder that affects an individual’s ability to express and comprehend language to varying degrees. Individuals with aphasia are restricted in their ability to communicate effectively and as a result, experience decreased quality of life and marked psychosocial consequences. There are numerous interventions that target the language symptoms associated with aphasia. However, social groups, such as book clubs, address both the language and psychological needs of individuals with aphasia. This project explored spontaneous moments of singing that occurred within an aphasia book club. Twenty-four moments of singing were identified and analyzed from six previously recorded …

Demonstrable Effect Of Vocal Changes On Singing Voices Of Post-Menopausal Women, Haley K. Griffith

Senior Honors Projects, 2020-current

There is little research concerning the impacts of menopause on the female singing voice, and few research studies examine any treatment methods or exercises to help sustain vocal quality throughout and after menopause. To determine areas in which more detailed studies could be completed, I completed a thorough literature review of current research studies that investigate relationships between menopause and the voice. Many studies examined vocal symptoms of menopause, such as a lowered fundamental frequency (F0) and decreased vocal quality. However, there exists no formally researched or published vocal exercises that help to mitigate these menopausal voice symptoms.

In response, …

Audibility, Cost-Acceptibility And Cosmetic Appearance Of Iqbuds Boost In Adults Over The Age Of 50, Madison Dacus, Vishakha Rawool

Honors Theses

Background: Hearing loss affects 48 million Americans and up to 86% of all adults with hearing loss may not wear hearing aids. Untreated hearing loss is associated with social withdrawal, depression, stress, loss of income, and dementia. Even so, people still tend not to buy or wear hearing aids for a variety of reasons. One recently suggested solution to this problem is low-cost, over the counter (OTC) hearing aids, nicknamed “hearables” This study evaluated the audibility, cost-acceptability and cosmetic appearance of one OTC, IQBuds BOOST.

Methods: Fourteen men and 12 women over 50 years with a hearing loss participated in …

An Analysis Of Informational Content In A Descriptive Narrative Task Completed By People With Aphasia, Anna Marie Sulminski, Brent Archer, Jay Jones

Honors Projects

Speech and language are important tools used for communication. Communication techniques such as narrative story telling skills can be used to build relationships. People with aphasia may lack these effective communication skills. This study provides a close-up interpretation of people with aphasia telling the story of Cinderella. Two different approaches were used to analyze the elements of the participant’s stories. By using these approaches during speech therapy, Speech-Language Pathologists can help people with aphasia to build a more concise and thorough story.

Envelope-Following Response Amplitude And Cochlear Traveling Wave Delay, Julia E. Dawson

Dissertations, 2020-current

Potential clinical roles of the envelope following response (EFR), such as diagnostic testing and amplification verification, are promising. Despite its potential, variability in response amplitude due to various stimulus characteristics is not yet fully understood. The purpose of this study was to evaluate the effects of cochlear traveling wave delay on EFR amplitude. EFRs were recorded on young, normal hearing individuals using amplitude-modulated tones to represent first (F1) and second formants (F2) of vowel stimuli. EFR stimuli were created with a fixed fundamental frequency and a fixed formant carrier frequency. Stimulus conditions employed a dynamic frequency approach by sweeping the …