Communication Sciences and Disorders Commons^™

Scoping Review On Eye-Gaze As An Access Method For Augmentative And Alternative Communication, Sara Elise Craig

Theses and Dissertations--Communication Sciences and Disorders

Background: Eye-gaze is an access method used for people with severe motor impairments to communicate when other access methods for augmentative and alternative communication (AAC) are not feasible. The purpose of this research was to conduct a scoping review on eye-gaze as an access technique for AAC. This scoping review uses Light’s communicative competences (i.e., linguistic, operational, social, and strategic) as a framework to analyze recent literature.

Methods: Five databases were searched to find relevant articles that considered eye-gaze as an access method for communicative purposes. Results were charted and analyzed to determine which, if any, communicative competences and associated …

Investigation To Examine The Profile Of Auditory Brainstem And Hearing Thresholds Using Tone Burst Audiometry Brainstem Response In A Preclinical Migraine Model, Megan Huelsing

Graduate Theses/Dissertations

Migraine is a disabling neurological disease that is characterized by prominent auditory symptoms, including hyperacusis, which is defined as extreme sensitivity to sounds. The goal of this study was to investigate changes in hearing sensitivity and neural changes in the brainstem by measuring neural activity of the auditory brainstem in an established preclinical model of chronic migraine. To induce a chronic migraine state within the trigeminal system, male and female Sprague Dawley rats were subjected to three known human risk factors including neck muscle tension and REM sleep deprivation that promote latent sensitization, and exposure to a pungent odor, which …

The Effect Of Different Warm-Up Durations On Subjective And Objective Measures Of Singing In Choral Singers Over The Age Of 55, Jeremy A. Chesman

Graduate Theses/Dissertations

Choral singing is a popular activity in the United States. Choral singers are often encouraged to warm up vocally before they sing. Considering voice conditions, like presbyphonia, that can develop shortly after retirement, more research about vocal warm-ups is needed for those over the age of 55. This study assesses the effects of various durations of vocal warm-ups on subjective and objective measures of the singing voice using a within-groups design with randomized condition order. Nine participants performed vocal warm-ups for 0, 5, 10, and 15 minutes. A song sample was then recorded and sent to two expert raters who …

A Scoping Review: Identifying Targeted Intervention Strategies For Workers With Occupational Hearing Loss, Adelle Liebenberg, Melinda Gardner, Valerie M. Nie, Carole L. James, Sue Reed

Research outputs 2022 to 2026

An apparent disconnect exist in workplaces regarding identification of occupational hearing loss (OHL) and implementation of specific strategies to prevent progression of OHL, evident through continued high incidence of OHL. This scoping review aimed to identify evidence regarding targeted intervention used by industry, specifically to prevent the progression of OHL for workers. The scoping review was undertaken using the PRISMA-ScR methodology. Search terms were based on three broad categories, hearing loss, workplace, and intervention. Initially 1309 articles were identified for screening and 1,207 studies not meeting the criteria were excluded. Full text reviews of 102 articles were completed and a …

Speech And Language Assessment Of Internationally Adopted Children, Lindsey Clifford

Master's Theses and Doctoral Dissertations

This paper consists of three distinct articles, all related to the speech and language assessment of internationally adopted children. The first article, “Speech and Language Assessment of Internationally Adopted Children,” is a qualitative study that explored how speech-language pathologists (SLPs) would conduct a speech and language assessment of internationally adopted children. The assessment of this population of children can be challenging for many reasons, and there is limited knowledge of what methods SLPs are currently using. In-depth interviews were conducted with five SLPs who had at least two years of experience working in a public school setting to learn how …

Improving Diagnostic Outcomes For Individuals With Autism Spectrum Disorders Within The Hispanic Community In Bowling Green, Kentucky, Bethany Waddey

Mahurin Honors College Capstone Experience/Thesis Projects

Despite the importance of early identification and intervention of autism spectrum disorder (ASD), Hispanic children are significantly under-diagnosed with ASD in comparison to non-Hispanic, white children due to barriers to ASD identification in this population. The purpose of this research is to determine the levels of ASD knowledge in the Hispanic community in Bowling Green, the barriers that may contribute to why ASD is underdiagnosed in Hispanic children, and how to mitigate these barriers. This research analyzes the results of a survey, called the “Autism Spectrum Knowledge Scale- General Population Version”, administered to 51 participants from the Hispanic population of …

Feasibility And Reliability Of Health-Related Physical Fitness Tests In Children And Adolescents With Hearing Impairment, Jiafu Huang, Jianmei Yang, Justin A. Haegele, Lijuan Wang, Sitong Chen, Chunxiao Li

Human Movement Studies & Special Education Faculty Publications

Although research supports the feasibility and reliability of health-related physical fitness (HRPF) tests in typically developing children and adolescents, little is known regarding the feasibility and reliability of these tests for those with hearing impairments (HI). The aim of this study was to evaluate the feasibility and reliability of a HRPF test battery for children and adolescents with HI. A test–retest design with a one-week interval was conducted with 26 participants with HI (mean age: 12.7 ± 2.8 years; 9 male). The feasibility and reliability of seven field-based HRPF tests (i.e., body mass index, grip strength, standing long jump, vital …

Exploring Correlates Of Student Preferences For Virtual Or In-Class Learning Among Neurodiverse Adolescents Using A Single-Case Design Methodology, Taryn A. Myers, John D. Ball, Mindy Gumpert, Mary Roberts

Human Movement Studies & Special Education Faculty Publications

The purpose of the current study is to explore several correlates of adolescent students’ preferences for at-home virtual or in-class in-person learning in a single case of a school that serves students with learning differences. Correlates of interest were the Big Five personality traits (Openness to Experience, Conscientiousness, Extroversion, Agreeableness, Neuroticism) and the students’ self-reported learning engagement. Participants were recruited from a single independent school for students with neurodiversity and special learning needs, where they had high exposure to computer-/internet-assisted learning. Twenty-seven students responded to questionnaires measuring preferred learning modes, personality traits, and learning engagement. Despite teacher reports …

Evaluation Of Communication Sciences And Disorders Graduate Student Attitudes Related To Trauma-Informed Client Interactions, Jenica Joseph

Dissertations

Problem

Communication sciences and disorders (CSD) graduate students may have trauma histories and may be ill-equipped to identify and manage trauma responses in clients. This mixed-methods study examined graduate student attitudes towards implementing trauma-informed educational practice (TIEP) methods and trauma-informed patient care.

Method

The Attitudes Related to Trauma-Informed Care (ARTIC) Scale (Baker et al., 2016) quantitatively measured pretest/posttest changes in CSD graduate student attitudes towards use of trauma-informed care with clients. Participants (n=43) were assigned to non-equivalent experimental and control groups. Groups received the pre/posttest and either an immediate (experimental) or delayed (control) trauma-informed educational session. Twenty-one participants completed focus …

Incog 2.0 Guidelines For Cognitive Rehabilitation Following Traumatic Brain Injury, Part V: Memory, Diana Velikonja, Jennie Ponsford, Shannon Janzen, Amber Harnett, Eleni Patsakos, Mary Kennedy, Leanne Togher, Robert Teasell, Amanda Mcintyre, Penny Welch-West, Ailene Kua, Mark Theodore Bayley

Communication Sciences and Disorders Faculty Articles and Research

Introduction:

Memory impairments affecting encoding, acquisition, and retrieval of information after moderate-to-severe traumatic brain injury (TBI) have debilitating and enduring functional consequences. The interventional research reviewed primarily focused on mild to severe memory impairments in episodic and prospective memory. As memory is a common focus of cognitive rehabilitation, clinicians should understand and use the latest evidence. Therefore, the INCOG (“International Cognitive”) 2014 clinical practice guidelines were updated.

Methods:

An expert panel of clinicians/researchers reviewed evidence published since 2014 and developed updated recommendations for intervention for memory impairments post-TBI, a decision-making algorithm, and an audit tool for review of clinical practice. …

Incog 2.0 Guidelines For Cognitive Rehabilitation Following Traumatic Brain Injury: What’S Changed From 2014 To Now?, Mark Theodore Bayley, Shannon Janzen, Amber Harnett, Peter Bragge, Leanne Togher, Ailene Kua, Eleni Patsakos, Lyn S. Turkstra, Robert Teasell, Mary Kennedy, Shawn Marshall, Jennie Ponsford

Communication Sciences and Disorders Faculty Articles and Research

IT IS CRITICAL TO KEEP clinical practice guidelines (CPGs) up to date through integration of the latest evidence. Therefore, it is with great excitement that the INCOG team presents the INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury (TBI). In this brief introduction, we provide an overview of changes in the evidence from 2014; share insights into the current state and challenges implementing cognitive rehabilitation; and provide an overview of INCOG 2022.

Corticosteroid-Laba Inhalers Increase Phonation Threshold Pressure (Ptp) And Flow (Ptf) In Rabbits, Christopher Dromey, Kristine Tanner, Heidi J. Robison, Maya Elena Stevens, Ray M. Merrill, Julie Barkmeier-Kraemer, Ben Christensen

Faculty Publications

Objectives: This study examined the effects of a combination corticosteroid plus long-acting beta2-adrenergic agonist inhaler (IC) on rabbit phonation. Methods: White New Zealand male rabbits were assigned randomly to experimental and control groups (n = 11 per group). The experimental group received twice-daily doses of Advair HFA™ (fluticasone propionate 45 mcg and salmeterol 21 mcg) via a veterinary facemask with 1-way valve and spacer; the control group received aerosolized saline. After 8 weeks, animals were euthanized, larynges excised, frozen, and subsequently thawed and mounted on a standard bench apparatus. Phonation was elicited during 15 successive trials, and phonation threshold pressure …

Perceptual Ratings Of Pronunciation For L2 Learners Of English As A Function Of Task Type, Word Position, And Listener Expertise, Shawn L. Nissen, Rachel Kemmey, K. James Hartshorn

Faculty Publications

Abstract Second language (L2) learners of English must learn to pro-duce English phonemes, words, and sentences. These L2learners make many errors when learning English; they may change the place or manner of articulation, insert vowels, or delete consonants. Obstruent sounds, such as fricatives, affricates, and stops, can be especially difficult for L2 learners. This study analyzed native English speakers’ perception of the quality of obstruents produced by native Mandarin Chinese and Korean speakers. Target words containing obstruents had been produced in three different tasks: in a carrier phrase, in a paragraph, and in a spontaneous speechsample. Obstruents were produced in …

Improving Caregiver Implementation Of Communication Supports For Young Children With Autism, Heather Coleman, Selena J. Layden, Lynda Gayle Horner

Communication Disorders & Special Education Faculty Publications

The use of evidence-based practices (EBPs) in the child's natural setting is critical for young children with autism spectrum disorder (ASD) to improve communication skills and promote generalization. Yet, to implement EBPs effectively, caregivers often require training. The purpose of this study is to explore the efficacy of behavior skills training (BST) to teach a caregiver to implement a parent-implemented discrete trial training (DTT) intervention in their home. Using a multiple baseline design, one caregiver was taught to implement the intervention focused on three verbal behavior operants. Results demonstrated a functional relation between the BST and caregiver implementation. This study …

Investigating The Quality Of Life For Children With Autism Spectrum Disorder Scale Using Rasch Methodology, Laura C. Chezan, Jin Liu, Ruiqin Gao, Erik Drasgow

Communication Disorders & Special Education Faculty Publications

Our purpose in this study was to provide additional psychometric evidence of the Quality of Life for Children with Autism Spectrum Disorder (QOLASD-C) scale. We used Rasch modeling to investigate the QOLASD-C functioning, the characteristics of the items comprising the scale, and the item functioning across subgroups of children with ASD based on gender and race/ethnicity. Results showed that QOLASD-C was unidimensional, met the local independence assumption, and measured quality of life (QOL). The items showed excellent fit to the model and good discriminating ability between low and high QOL. Most items showed a moderate difficulty level. No differential item …

Evaluation Of A Complexity-Based Morphosyntactic Treatment For Children With Language Disorders Of Mixed Etiologies, Kirsten M. Russell

Faculty Publications

Language disorder is characterized by difficulty with the comprehension and production of different aspects of language. School-aged children with developmental language disorder (DLD) and school-aged children with Down syndrome (DS) demonstrate similar deficits in the area of morphosyntax, which often creates barriers during social interactions and for academic learning. Although affected children may receive intervention, progress can be slow. Selecting appropriate treatment targets is critical for effective intervention. Traditional approaches for selecting treatment targets are based on developmental readiness (i.e., developmental) or functional need (i.e., remedial). However, intervention utilizing targets selected by these methods produce only modest results, despite a …

Similar Overall Expression, But Different Profiles, Of Autistic Traits, Sensory Processing, And Mental Health Between Young Adult Males And Females, Garrett Cardon

Faculty Publications

Recent trends suggest that autism is more common in females than traditionally held. Additionally, some argue that females express autistic traits differently than males. Dimensional views of autism could shed light on these issues, especially with regards to understudied behavioral areas, such as sensory processing. We examined autistic traits, sensory processing, anxiety, and related behaviors in a large sample of neurotypical young adult males and females (n = 1122; 556 female; ages 19–26). Participants completed an online survey containing questionnaires related to the above. Between groups statistical analyses, as well as within groups correlations and mediation analyses containing these constructs …

Let's Count The Ways We Can Utilize Technology To Improve Instructional Practices For Individuals With Autism, Heather Coleman, Annemarie L. Horn, Selena J. Layden, Christian Coogle

Human Movement Studies & Special Education Faculty Publications

To maximize instruction and learning outcomes, it is essential that educators and family members who support individuals with autism have adequate training and support required to implement evidence-based practices (EBPs) with fidelity. Research shows various coaching methods, including self-coaching and classroom-based feedback, yield positive outcomes in terms of increasing practical application and sustained use of EBPs. With the growing prevalence of autism, it is essential to find effective coaching methods that can be utilized equitably across geographic locations and learning environments. Fortunately, technology affords educators and others the opportunity to receive quality coaching and feedback without facing traditional barriers (e.g., …

Gender Diversity Cultural Responsiveness Education In Speech-Language Pathology Graduate Programs: A Pilot Survey, Tara Dickinson, Molly Normandin, Rachel W. Mulheren

Faculty Scholarship

Purpose: Gender-affirming voice therapy aims to align a person’s voice and communication with their gender identity. Historically, transgender and gender-nonconforming (TGNC) individuals have been marginalized and continue to face significant healthcare disparities. The goal of this research was to examine the self-perceived preparedness of recent speech-language pathology (SLP) graduates for working with TGNC clients. A survey was developed to include both multiple choice and open-ended questions. Topics included graduate-level training on working with TGNC individuals, perceived preparedness to work with this client population, educational resources sought by respondents, and suggested improvements for SLP graduate programs. Thirty recent (since 2016) SLP …

An Exploration Of Quality Of Life Perceptions Of Cochlear Implant Recipients And Their Frequent Communication Partners, Jessica L. Bishop, Ashley G. Flagge

Ashley Flagge Publications

Purpose: Quality of life (QoL) after cochlear implantation has been investigated using a variety of QoL questionnaires. However, few studies have examined the perceived QoL of cochlear implant (CI) recipients compared between the recipient and a frequent communication partner (FCP) using both hearing-related (hearing-specific), and health-general (health-general) measures.

Method: For this multiple case study, five participant pairs were recruited, consisting of five adult recipients who were implanted at least six months prior to the time of evaluation, and five adult frequent communication partners who lived with the recipient at the time of evaluation. All ten participants (five pairs) completed a …

Comparison Of Machine Learning Methods For Classification Of Alexithymia In Individuals With And Without Autism From Eye-Tracking Data, Furkan Iigin, Megan A. Witherow, Khan M. Iftekharuddin

Electrical & Computer Engineering Faculty Publications

Alexithymia describes a psychological state where individuals struggle with feeling and expressing their emotions. Individuals with alexithymia may also have a more difficult time understanding the emotions of others and may express atypical attention to the eyes when recognizing emotions. This is known to affect individuals with Autism Spectrum Disorder (ASD) differently than neurotypical (NT) individuals. Using a public data set of eye-tracking data from seventy individuals with and without autism who have been assessed for alexithymia, we train multiple traditional machine learning models for alexithymia classification including support vector machines, logistic regression, decision trees, random forest, and multilayer perceptron. …

Ocular Vestibular Evoked Myogenic Potentials In Patients With Single Sided Deafness, Alshymaa Ibrahim Hammad, Sanaa Mahran

Journal of Medicine in Scientific Research

Introduction: Clinically unilateral severe to profound sensorineural hearing loss known as single-sided deafness (SSD). It is defined by severe-to-profound hearing thresholds with a poor word recognition ability. SSD is not uncommonly encountered in otology, their symptoms is hearing loss and often associated with the vestibular system. In SSD otolithic dysfunction may be frequently misdiagnosed and majority of patients affected by cochlear and superior vestibular nerve then inferior vestibular nerve. Otolith damage may be present in patients with SSD because they sharing a membranous structure in addition they have similar receptor cell. The vestibule and cochlea may be impacted by the …

Voice Quality Assessment In Cases Of Vocal Fold Gaps After Single Growth Factor Injection, Amr Roushdyel Badrawy, Asmaa Abdel Hamid, Israa Eltaweel, Azza Abdel Aziz Azzam

Journal of Medicine in Scientific Research

In severe vocal fold (VF) lesions, deposits of disorganized, thick collagen bundles and little hyaluronic acid (HA) are deposited in the superficial layer of lamina propria (SLP). These changes lead to severe dysphonia and aspiration, which could be complicated by fatal pneumonia. Unfortunately, no specific treatment has been recognized due to unpredictable VF regeneration. Current progress in regenerative medicine has allowed the development of tissue engineering techniques using cells, scaffolds, and growth factors (GFs). Extrinsic GFs application could help in the induction of the regenerative process. The work aims to assess the voice quality after a single GF injection of …

The Effects Of Exercise On Adolescents With Autism Spectrum Disorder, Julia Hofacker

Williams Honors College, Honors Research Projects

This Honors Research Project will look at the impact of various types of exercise on the speech, language, and behavior of adolescents with autism spectrum disorder. The goal of this research project is to determine how exercise can be implemented into speech and therapy programs in order to better improve the communication skills of adolescents with autism spectrum disorder. To accomplish this, recent studies and publications will be analyzed to compare traditional therapy methods and therapy methods that include exercise. These studies will provide data on how various types of exercise impacted adolescents with autism spectrum disorder speech, language, behavior, …

It's Never Too Soon! Comparing Intercultural Learning Outcomes Of Undergraduate Students Via Face-To-Face And Online Teaching Modalities, Aparajita Jaiswal, Christi Masters, Lan Jin, Tanvin Inani, Annika Schenkel, Muna Sapkota, Lata Krishnan

Department of Speech, Language, and Hearing Sciences Faculty Publications

Purpose: Providing culturally responsive care for a diverse patient population is critical for future speech-language pathologists and audiologists. Prior studies have shown gains in intercultural competence (ICC) from study abroad programs, face-to-face classes, and online courses; however, limited studies have investigated differences between face-to-face and online modes of delivery in speech-language pathology and audiology. The purpose of this study was (a) to evaluate whether there are quantitative differences in development of ICC in a direct comparison of a face-to-face and 100% asynchronous online introductory in communication dis-orders, and (b) to describe participants learning through the structural intercultural learning activities embedded …

Traumatic Brain Injury In Pediatrics, Natalie Deibel

Williams Honors College, Honors Research Projects

Traumatic Brain Injury (TBI) is an acquired brain injury as a result of an external force to the head. Common causes for these injuries include falls, motor vehicle accidents, sports, and abuse. The affected location of the brain, severity, and age at the time of injury affect what deficits are present. Resulting deficits can be in speech, language, behavior, motor, and cognition/executive functions (Manasco, 2020). Traumatic brain injuries can affect all ages. No parent wants to experience their child going through this. TBIs do not just affect the patient but also loved ones. During this difficult time, parents or caregivers …

Speech-Language Pathology Students' Perspective Of Working With Older Adults, Anna Hamill

Williams Honors College, Honors Research Projects

There is an increasing demand for speech language pathologists (SLPs) willing to work with older adults. Demographic trends warn that the number of people over 65 will double by 2050 (Vincent, 2010). Studies reveal that only 37.3% of SLP students prefer to work with older adults after graduation (Leonard et al., 2016). Ageism is affecting speech-language pathology and related health care professions. Research within the last five years has shown that ageism towards older adults exists across multiple medical professions in all fields and settings (Heape et al., 2020). Interdisciplinary fields report negative feelings towards older adults (Ortiz-Rubio et al., …

The Impact Of Bowl Feeding On Infant Muscle Activity And Kinematics - An Executive Summary, Kendall Steer

Williams Honors College, Honors Research Projects

Addressing difficulties with swallowing is a small, yet critical portion of a speech-language pathologist’s role. Infants often experience challenges associated with swallowing safely, yet the ability of SLPs to prescribe effective interventions is limited by the lack of knowledge on how anatomy and physiology interact to drive these challenges. The goal of my Honors Research Project is to address this lack of knowledge by determining how the infant pig tongue moves during feeding from a bottle versus drinking from a bowl, as well as how the muscles controlling the tongue differ in these behaviors. I used infant pigs for this …

Autism For The Professions: One University, Three Colleges And One Undergraduate Course, Mary E. Carlson, Wendy Krueger, Amy V. Van Hecke

College of Education Faculty Research and Publications

Purpose

This paper discusses the elements of successful university-level, cross-disciplinary course development using best practices to foster richer relational networks and to meet the complex demands of education and treatment for children with autism spectrum disorder (ASD).

Design/methodology/approach

The three authors created and taught a class on best practices in autism nine times. The authors assessed the knowledge base and attitudinal changes of undergraduates (most in psychology, speech pathology and audiology, and education) for two of the nine cohorts who were being prepared to work with individuals with ASD.

Findings

Pre- and postmeasures indicated significant improvement in knowledge and a …

Professional Development In Phonological Awareness For Early Childhood Educators In Low-Income, Urban Classrooms: A Pilot Study Examining Dosage Effects, Jayne E. Jaskolski, Maura Jones Moyle

Speech Pathology and Audiology Faculty Research and Publications

Providing high-quality literacy instruction in early childhood may positively affect the long-term outcomes of children from disadvantaged backgrounds. Previous research has shown that educators are generally lacking in their own phonological awareness knowledge and skills which could negatively impact the provision of effective instruction in code-focused early literacy skills. The purposes of this pilot study were to examine the effects of differing dosages of professional development in phonological awareness on early childhood educators’ (ECEs) own phonological awareness skills and instructional practices, and to examine the effects on child outcomes. The comparison group consisted of 10 ECEs who were receiving professional …