Communication Sciences and Disorders Commons^™

Hearing Screening In North Carolina's Nicu And Well-Baby Nurseries: Impact Of Jcih 2019 And Covid-19, Jackson Roush, Shannon Culbertson, Chloe Gratzek, Jane Khin, Alexandra Mccormick, Stephanie Ortega, Madison Rock, Kathryn Sobon, Jenna Van Bosch, Hannah Siburt, Marcia Fort

Journal of Early Hearing Detection and Intervention

Purpose: Over an 18-month period in 2020–2021, the North Carolina Early Hearing Detection and Intervention (EHDI) program in collaboration with the North Carolina Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program conducted a statewide examination of newborn hearing screening practices in North Carolina’s 24 Neonatal Intensive Care Units (NICU) and 86 well-baby nurseries to determine how current protocols and procedures conform to those recommended by the Joint Committee on Infant Hearing (JCIH) in its Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. The COVID-19 pandemic emerged during the study period and motivated …

Intervention Goals For Preschoolers With Language Difficulties And Disorders A Scoping Review Using The Icf Framework, Elaine Kwok, Carly A. Cermak, Kathryn Hatherly, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: The primary aim of this scoping review was to categorize language therapy goals reported in intervention studies for preschoolers (i.e., children from 0 to 5;0 years old) with language difficulties and disorders within the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) framework. A secondary aim was to determine whether different therapy goals were reported for different language difficulty/disorder subtypes (i.e., comparing language difficulty/disorder associated with a biomedical condition to those without an associated biomedical condition).

Method: The scoping review followed Arksey and O’Malley’s (2005) guidelines. Articles were retrieved from speechBITE, with age (under …

The Efficacy Of The Student Communication Repair Inventory And Practical Training Program On Adolescent’S Self-Advocacy Skills In Communication Breakdowns, Karlye Tolbird

Honors Theses

Purpose

Hearing loss can affect several aspects of an adolescent’s life, particularly their self-advocacy skills and ability to communicate their needs in the classroom. Literature shows that adolescents between the ages of 12 and 18 years have a prevalence of hearing loss between 14.9 percent and 19.5 percent (Shargorodsky et al., 2010). Therefore, early identification and intervention of hearing loss are necessary to reduce the adverse effects on the development of cognition, verbal communication skills, and self-advocacy skills (Michael & Zidan, 2018). This research study aimed to determine if the implementation of the SCRIPT program changes the communication repair behavior …

Resilience Training And Quality Of Life In Stuttering Therapy: A Systematic Review, Ashley Koehler

Honors Theses

Abstract

This study investigated correlations between resilience and quality of life relative to stuttering therapy. A systematic review and meta-analysis of articles published with focuses on stuttering, resilience training, and quality of life was conducted. Electronic databases, PubMed, and Google Scholar, were used to gain results of relevant published articles. Both search engines in this review produced relevant articles. Google Scholar produced more articles that met all 3 inclusion criteria, while PubMed produced more results that met at least 1 or 2 inclusion criteria. From both databases, numerous articles included the need for a multidimensional therapy emphasizing personal resilience. However, …

Patients’ Perspective Of Patient-Centered Approach Vs. Biomedical Approach, Lakynn Hillhouse

Honors Theses

Evidence-based practice in audiology may consist of a patient-centered approach or a biomedical approach when offering individuals the results of hearing evaluations. Boisvert et al. (2017) and the Institute for Defense Analysis confirmed that audiologists preferred to select one approach. The question was if an audiology patient is presented with two options of explaining the hearing health issues, which model/approach will be his or her preference?

Participants may have had unconscious biases related to race or gender that could have unknowingly impacted their perception of the videos. The results of this research will facilitate clinical understanding of individual preferences regarding …

Resilience Training & Parental Support For Children Who Stutter - A Systematic Review, Rachel Elizabeth Davis

Honors Theses

The objective of this study was to investigate the relationship between emotional resilience and family/parental/caregiver support for children who stutter, and to review existing research on resilience training and family support relative to enhancing the quality of life in children who stutter. Thus, A systematic review of appropriate published studies was conducted utilizing the electronic databases PubMed and Google Scholar. Analysis revealed that there is an abundance of research supporting parental support and resilience training; however, there was limited direct clinical application relative to the unification of these concepts. Data indicates that the clinical application of emotional resilience and cognitive …

Intensive, Interprofessional Therapy: A Case Approach, Emma C. Schrotenboer

Honors Theses

This research looks at the impacts of intensive, interprofessional therapy for children with disabilities. There is very little literature currently published on this topic, although what is available generally finds that more intense therapy is more beneficial. The child who was studied was a camper at Adam’s Camp therapy camp, a week-long program that involves six hours of therapy each day with therapists from five different fields. Her progress over the week, as well as her retention of skills several weeks later, were determined by pre- and post-camp surveys sent to the mother and the therapists’ notes from during the …

The Parent Perspective On Augmentative And Alternative Communication: A Qualitative Study, Alicia Larouech

Honors Capstones

Parents are known to be effective communication partners in their child’s augmentative and alternative communication (AAC) intervention. The aim of this interview study was to better understand the parent perspective in the AAC acquisition, implementation, and handing processes across a range of primary disability labels and ages. Participants engaged in phone interviews to discuss their family’s experiences with AAC obtainment and intervention. Qualitative review of their responses developed the following five themes: assessment procedures, external variables that influence device use, barriers of AAC navigation, supports parents have indicated have helped them, and major takeaways as identified by parents. Further subthemes …

How Are The Features Of Infant Directed Speech Related To Cradling Bias?, Tiffany S. Jacob

Honors Capstones

The current study explored whether the cradling bias observed in mothers of very young infants is related to acoustic features of infant directed speech. Six mothers were asked to set their 4-month-old infants down and pick them up to determine which side mothers used to cradle their infants. Mothers were placed in two groups: left-sided cradling bias and right-sided cradling bias. The mothers were then recorded as they talked to their infants while they shared books and simple toys designed to elicit the vowels /i/, /a/, and /u/. Vowel fundamental frequency (/i, a, u/) and word length (i.e., “sheep, shop, …

The Utility Of An Inpatient Consult For Paradoxical Vocal Fold Motion, Pankti P. Acharya, Jason Cohn

Rowan-Virtua Research Day

Paradoxical vocal fold motion (PVFM) is vocal fold adduction during inspiration

Patients often present with dyspnea, throat tightness, and cough

Common risk factors that predispose patients to PVFM include gastroesophageal reflux disease, psychiatric disease, chronic cough, airway irritation, and female gender

This study was conducted to identify possible risk factors and associated conditions for PVFM; additionally, a novel scoring system was developed to aid in diagnosis of PVFM

A Case Of Akinetic Mutism In Patient With Unilateral Anterior Communicating Artery Stroke, David Ho, Or Shachar, James Espinosa, Alan Lucerna, James Lee

Rowan-Virtua Research Day

Akinetic mutism, a rare neurological condition involving sensory, motor, language, behavior, and emotional changes, mimicking locked-in syndrome, should be considered in acute stroke patients presenting with speech deficits. This condition, although debilitating initially, does have prospects for recovery. In this case report, we present the case of a patient presenting to the ER for altered mental status, found to be in DKA, NSTEMI, suspected narcotic overdose, and unilateral acute ischemic stroke of the left anterior communicating artery (ACA), who was found to have Akinetic Mutism. In stroke patients presenting with aphasia and dysarthria, it is worth considering akinetic mutism in …

Investigation Of The Externship Selection Process Across Asha-Accredited Speech Language Pathology Programs, Teale Niles, Lindsey Schwab, Brandon Eddy

Student Research Symposium

Graduate students in speech-language pathology (SLP) must complete 400 clinical clock hours during graduate training, the majority of which frequently come from off-campus externship experiences. Graduate students are matched to externship sites by their program. No studies to date have systematically documented how graduate programs in speech-language pathology select students for externship experiences nor the constraints involved in the externship process (e.g., academic schedule). The goal of this study is to survey ASHA accredited SLP programs to describe the current procedures being used to place students at externship sites and the roles and perspectives of the externship coordinators. Externship coordinators …

Augmentative And Alternative Communication Course Design And Features: An Analysis Of Course Syllabi And Calendars, Celine Goodbody, Hosanna Broderick, Brandon Eddy

Student Research Symposium

Augmentative and alternative communication (AAC) is an area of clinical practice that supplements or compensates for impairments in speech-language production and/or comprehension (ASHA, n.d.). A survey study by Johnson and Prebor (2019) found 86% of graduate speech-language pathology (SLP) programs offered an AAC course, though half (49%) suggested their students were underprepared to provide AAC services. High-quality graduate training, including AAC coursework, has been suggested as a solution to prepare clinicians to provide AAC services. Recently, Sauerwein and Burris (2021) surveyed AAC course instructors at accredited SLP graduate programs to analyze AAC course design features. Sixty-four (24.2%) programs responded to …

Factors Impacting Heritage Language Maintenance In Children, Helena Sai

Student Research Symposium

This review article aims to examine families’ beliefs and strategies regarding heritage language maintenance in the US. Language status, caregiver beliefs, and community factors are explored in relation to language maintenance across generations. The broader context in which parents make decisions about family language policies were investigated through the following research questions:

1. What is the nature of the relationship between a heritage language’s language status in society and language maintenance across generations?

2. How do parents’ beliefs about the impact of heritage language on academic, social, and career success influence their decision to pass this language to their children?

3. To what …

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Implicit Learning In Preschoolers With Developmental Language Disorder, Crystal L. Cairns, Sam Ward, Emma Duran, Molly Franz, Carolyn Quam

Student Research Symposium

We compared implicit learning in preschoolers with and without developmental language disorder (DLD), to test the procedural deficit hypothesis (PDH), which proposes that implicit learning is the core impairment in DLD. During the first experiment we tested 26 preschoolers with typical language development (TLD) and 26 preschoolers with DLD. Eligibility was determined through standardized assessment. We predicted children with DLD would show impairments in a test of implicit learning.

Using computer-based tasks, participants received training on sound discrimination in two dimensions: duration and pitch.They were tested on their ability to accurately categorize these two dimensions by mapping sounds to meaning. …

Perspectives Of Special Educators And Paraprofessionals On Person-Centered Planning Tools For People Who Use Aac, Samantha K. Stidham, Brandon Eddy, Andryce Andres

Student Research Symposium

Person-centered planning (PCP) is an intervention approach for people experiencing disability. This often results in a document outlining the individual’s preferences in their care, life goals, and transitions. Some people with disabilities communicate using augmentative and alternative communication (AAC), which supplements or compensates for impairments in speech and language production often involving the use of external communication tools. Current PCP tools may not fulfill the needs of people who use AAC (PWUAAC) due to limited focus on supporting communication. No PCP tools yet exist specifically designed for PWUAAC. The purpose of this study was to inform the design of a …

Respiratory Function In Transgender And Gender Diverse Individuals On Testosterone Therapy: A Comparative Study, Jillian River R. Browy, Alicia Heitzman, Deanna Britton, Jeff Conn, Karen Drake, Aaron Ziegler

Student Research Symposium

Introduction: The primary goal of this pilot study was to examine the impact of testosterone therapy, as part of medical treatment to align gender identity, on measures of respiration and voice.

Methods: Participants consisted of a group of transgender and gender-diverse individuals, assigned female at birth, who had been taking testosterone for at least one year and a control group of age- and race-matched peers, also assigned female at birth, who had never taken testosterone. Data were collected on the primary outcomes of respiratory volume and strength, reflected by measures of forced vital capacity (FVC), maximum inspiratory pressure (MIP), and …

Developing Therapeutic Alliance Through Improvisation: A State-Of-The-Art Review For The Speech-Language Pathologist, Ryan Depauw

Student Research Symposium

Background: With the needs of patients in modern healthcare becoming increasingly complex, providers may benefit from using adaptive skills to develop therapeutic alliance in patient-centered care. This review examined the potential application and benefit of theatrical improvisational skills in healthcare generally and in the allied health profession of speech-language pathology specifically.

Methods: A literature search was completed across 6 databases. Search terms included “clinical improvisation,” “medical improvisation,” and “applied improvisation.” Searches were limited to journal articles published in English from November 2011 through November 2021. Articles included for full review were of original research and focused on applied …

Qualitative Research Approaches: Descriptive Phenomenology In The Healthcare Field, Emily Goble, Karyssa Stonick, Alison Wong, Deanna Britton

Student Research Symposium

Qualitative research analyzes psychosocial aspects of the world in an effort to synthesize and understand lived experiences. It is a powerful tool for collecting rich data to explore and build theory in new areas of research with limited existing theory. This oral presentation will share an overview of commonly used qualitative research approaches and their applications with a focus on descriptive phenomenology for patient-centered healthcare research. Developed as part of a student-led research team looking into experiences of dysphagia among individuals with Ehlers-Danlos syndrome, this project will justify why we selected a descriptive phenomenological approach for this project, provide a …

Patterns Of And Experiences With Dysphagia In People With Hypermobile Ehlers Danlos Syndrome (Heds) With Or Without Dysautonomia, Karyssa A. Stonick, Deanna Britton Dr., Emily Goble, Alison Wong, Alena Guggenheim Dr., Donna Graville

Student Research Symposium

Ehlers Danlos Syndromes (EDS) are collagen-based hereditary connective tissue disorders characterized by decreased tissue integrity. Historically, the musculoskeletal and dermatological manifestations have been emphasized. However, EDS is associated with symptoms and conditions affecting nearly all body systems, including swallowing (dysphagia). A Cohort Discovery analysis at Oregon Health & Science University (OHSU) revealed that 14.9% ± 0.3% of patients with an ICD-10 diagnosis of EDS also have an ICD-10 diagnosis of dysphagia in their medical record. Despite only one article in the current literature, the prevalence of dysphagia in EDS is not insignificant and warrants further investigation. Our long-term hypothesis is …

Colleges’ And Universities’ Referral Of Student Veterans With Acquired Brain Injury For Speech-Language Services, Morgan M. Rittenberger

ETD Archive

The purpose of this study was to identify whether public and private colleges or universities across the United States have procedures to assist student veterans who are facing academic challenges secondary to traumatic brain injury (TBI) or acquired brain injury (ABI). This study aimed to identify whether personnel in college and university veterans services offices, offices of disability services, academic success offices, tutoring centers, or other offices that support student veterans academically are aware of the role of speech-language pathologists in providing treatment to manage the effects of TBI/ABI on academic performance, along with the locations for speech-language pathology services …

Do Patients With Gastroesophageal Reflux Disease (Gerd) Exhibit Vocal Fold Deficits Manifested In Physical Or Acoustical Abnormalities?, Emily L. Mingus

ETD Archive

GERD is an esophageal disease that has both esophageal and extra-esophageal symptoms. Due to the acidic nature of GERD, there appears to be a disruption in the function of the tissues surrounding the area of the vocal folds. This study investigated the influence of GERD as it relates to voice and swallowing. Data were previously collected on twelve individuals, six with a medical diagnosis of GERD and six with no medical diagnosis of GERD, and analyzed. This included descriptive analysis of data points from a Visi-Pitch, Videostroboscopy, and Fiberoptic Endoscopic Evaluation of the Swallow (FFES). The objective measurements from the …

Early Intervention Access And Use: The Impact On Outcomes, Brooklynn Schelling

Communication Sciences and Disorders: Student Scholarship & Creative Works

The purpose of this research paper was to investigate the factors that influence a person’s access to and use of early intervention (EI) services. In the literature, there are demonstrated short- and long-term benefits for populations with disorders or delays associated with EI. Speech-language pathologists are one of many professionals that may work with EI clients, and they should be especially interested in ensuring that all individuals receive necessary services. Previous research suggests that race, ethnicity, and socioeconomic status impact access to EI. This study examines possible methods of increasing access to EI for populations that are less likely to …

The Index Of Phonetic Complexity: At-A-Glance Scoring System, Terminology, Instructions, & Data Forms, Kathy J. Jakielski

Building Speech and Quantifying Complexity

This document is the Index of Phonetic Complexity, the at-a-glance scoring system, terminology, instructions, & data forms to accompany Building Speech & Quantifying Complexity. To see the entire series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech Pattern 1: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 1: Picture Stimuli is part 1 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech Pattern 2: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 2: Picture Stimuli is part 2 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech Pattern 6: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 6: Picture Stimuli is part 6 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech And Quantifying Complexity: The Manual, Kathy J. Jakielski

Building Speech and Quantifying Complexity

This document is the manual to accompany Building Speech & Quantifying Complexity. The full series can be viewed here: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, at one point in time or over time.

The Building Speech …

Building Speech Pattern 4: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 4: Picture Stimuli is part 4 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …

Building Speech Pattern 5: Picture Stimuli, Kathy J. Jakielski

Building Speech and Quantifying Complexity

Building Speech Pattern 5: Picture Stimuli is part 5 of 8 in the picture stimuli to accompany the Building Speech & Quantifying Complexity documents. To see the full series, visit: https://digitalcommons.augustana.edu/cgi/siteview.cgi/csdbuildingspeech

Building Speech & Quantifying Complexity is a dual approach to treating and evaluating articulatory complexity in child speech. It has two components: Building Speech and Quantifying Complexity. These two components can be used independently or together. When used together, the speech-language pathologist has a method for selecting goals and targets of varying levels of articulatory difficulty, plus a means for measuring changes in a child’s words, targeted and produced, …