Communication Sciences and Disorders Commons^™

Magnitude Estimations Of Angular Motion: Test-Retest Reliability, Elizabeth C. Pahygiannis

Dissertations, 2020-current

Dizziness and imbalance are one of the most common complaints of people 65 years and older, as it affects 20-30% of this population and puts one at a higher risk of falling (Iwasaki & Yamasoba, 2015). Vestibular impairments are identified through measures of vestibular reflexes such as the VOR. However, the extent of impairment observed through the VOR may not correlate with the patient’s perceptions of their symptoms (Kobel et al., 2021).A large portion of patients with vestibular symptoms cannot be diagnosed with the testing that is currently available (Agrawal et al., 2009). Magnitude estimation is a psychophysics technique used …

Assessing The Effects Of Emg Target Levels On Cvemp Thresholds, Melanie Johnson

Dissertations, 2020-current

Cervical vestibular evoked myogenic potentials (cVEMP) measure function of the saccule and inferior vestibular nerve by evoking inhibitory electromyogram (EMG) responses from the sternocleidomastoid muscle using short duration stimulation. Previous research has shown that cVEMP amplitude increases relative to EMG target level and latency remains constant, yet there is little to no research demonstrating the relationship between EMG target level and cVEMP threshold. The objective of this study is to determine the effects of EMG activation on cVEMP thresholds and assess whether patients who generate larger tonic EMG during cVEMP testing have lower cVEMP thresholds. cVEMPs were recorded in 20 …

“Neur-Aud-Diversity”: Assessing Adhd Through Speech-On-Speech Masking, Rebecca Hales

Dissertations, 2020-current

Attention deficit hyperactivity disorder (ADHD) is an executive functioning disorder which can be difficult to diagnose. The current diagnosis process relies on observations and subjective reports, resulting in individuals being misdiagnosed or have delays in receiving a proper diagnosis. Differences in auditory processing have been observed between neurotypical (NT) and ADHD individuals via neurophysiological measures, so this study aims to see if those differences can be translated into objectively measurable differences in more cost-effective behavioral measures.

While seated in front of an array of speakers, NT and ADHD participants were asked to listen for verbal directions to complete a task …

Functional Connectivity Of The Hippocampus In Autism Spectrum Disorder, Noah Watts

Honors Theses

Autism spectrum disorder (ASD) is a neurological developmental disorder that affects around 1/44 of individuals in the United States. ASD individuals tend to struggle with things such as communication and socialization. This disorder has been found to affect many brain regions; however, autism’s effect on the hippocampus has been heavily understudied. Since the hippocampus is not commonly referred to as the brain region affected by autism, the importance of the hippocampus in ASD may have been unrecognized. While ASD hippocampi have been very narrowly researched (only size and shape), there is compelling evidence that the hippocampus could be another part …

Exploring Speech Experiences, Cpib Scores, And Aac Assessment Experiences Of Autistic Aac Users With Intermittent, Unreliable, Insufficient, And/Or Expensive Speech, Karina Rayl, Pang Lee Herr, Brandon Eddy, Amy Donaldson, Stephanie Fuller, Alyssa Zisk

Student Research Symposium

There is growing evidence from the perspectives of speaking autistic people that augmentative and alternative communication (AAC) supports their self-expression and communicative agency. Despite the evidence supporting the communication effectiveness of AAC, autistic adults have reported that professionals often prioritized speech as the ideal communicative method rather than offering AAC as a communication option. This study will investigate autistic adults’ AAC assessment experiences and explore whether a modified version of the Communication Participation Item Bank (CPIB) self-rating questionnaire could be an effective tool to document the internal states of intermittent, unreliable, insufficient, and/or expensive speech. Surveys will be distributed to …

Respiratory-Swallowing Coordination In Motor Neuron Disease: A Scoping Review, Mariam Z. Mansoor

Student Research Symposium

Respiratory-swallowing coordination (RSC) is essential for providing efficient breathing and optimal swallowing function. Most commonly used methods of measuring RSC include nasal thermistry, and respiratory inductance plethysmography (RIP) to determine direction and durations of airflow. Outcome measures include swallow apnea duration (SAD) and respiratory phase pattern (RPP), i.e., direction of airflow pre- and post-SAD. The goal of the current project was to conduct a scoping literature review of RSC, focusing on the motor neuron disease (MND) population, including people with amyotrophic lateral sclerosis (ALS). A multi-engine literature search was conducted in 2023-24 via PubMed and Google Scholar. No limitations were …

Second Language Impacts On First Language Processing, Natalie Robison, Sarah C. Creel, Sarah Elkington, Judith Kelholt, Amy Lin, Carolyn Quam

Student Research Symposium

This line of research investigates attrition (loss of fluency) of native Mandarin language (L1) proficiency with increasing proficiency in English. English uses pitch to denote intonation (e.g., “it’s there?” versus “it’s there!”), while Mandarin uses pitch to indicate word meanings; e.g., /he/ means “drink” with a high, level tone, or “river” with a rising tone. The present study delineates between two alternative explanations for the prior finding (Quam & Creel, 2017) that English proficiency correlates with attrition of Mandarin tones, but not vowels. This pattern could be explained by 1) language assimilability (L1-L2 Assimilability Hypothesis), or 2) by tone being …

Impact Of Testosterone Therapy On Voices In Trans-Masculine People: A Scoping Review, Samuel E. Hedine, Jeff Conn, Deanna Britton

Student Research Symposium

Treatment of trans people by speech-language pathologists (SLPs) dates back to at least the 1980s. However, the majority of early research on the voices of trans people focused on trans-women. More recently, the field of speech-language pathology has garnered more interest in the effects of testosterone therapy in trans-masculine individuals. The goal of this project is to review current research, and compile the known effects of testosterone therapy in the trans-masculine population on common acoustic indices of voice production, including fundamental frequency (pitch), decibels/sound pressure level (dB SPL; loudness) and cepstral peak prominence (voice quality). A scoping literature search was …

Feesability Of Laryngeal Endoscopy Simulation Labs In Student Training: A Scoping Review, Anna Thut

Student Research Symposium

Fiberoptic Endoscopic Evaluation of Swallowing (FEES) involves passing a flexible endoscope through the nose and down the throat to provide a detailed view of the throat, airway, and vocal folds. With the scope in place, people can eat and drink, allowing the clinician to evaluate for safe swallowing. Speech-Language Pathologists (SLP) use FEES for diagnostic evaluation and to gauge therapy progress and effectiveness. Simulation training on a low or high-fidelity model may provide a bridge for SLP graduate students to gain competency before being introduced to FEES in a clinical setting. This review aims to gather evidence on the use …

Emotion Regulation Strategies And Perceived Emotional Intelligence: The Effect Of Age., Iwanna Sepiadou

Adultspan Journal

The aim of this study was to investigate the relationship between perceived emotional intelligence and the reported use of cognitive reappraisal and expressive suppression. We also investigated the possible effects of age on the aforementioned variables. The total sample consisted of 379 people (158 men, 220 women, 1 unreported). Across participants, 273 were young (20-39 years old) and 106 were middle-aged (40-65 years old). We found statistically significant positive correlations between the dimensions of perceived emotional intelligence and the reported use of cognitive reappraisal and negative primarily correlations between the dimensions of perceived emotional intelligence and the reported use of …

A Multi-State Look Into Early Intervention Speech-Language Pathologists’ Confidence Identifying And Diagnosing Autism, Adelaide Parr

Honors Capstones

Although autism can be reliably diagnosed by 18 months of age, long wait times and limited access to qualified providers prevent families from obtaining diagnostic services. Trained speech-language pathologists (SLPs) are qualified to diagnose autism, ideally as part of a multidisciplinary team. SLPs working on early intervention (EI) teams are well-situated to help close this diagnostic wait time gap. The purpose of this survey study was to explore EI SLPs’ experiences serving autistic children on their caseloads, confidence in identifying and diagnosing autism, and potential barriers/facilitators to increasing diagnostic confidence and decreasing wait times. 287 EI SLPs from 23 states …

Exploring Early Language Acquisition Through English And French, Rebecca C. Aguilar

Honors Capstones

Knowing that there is no singular event that leads to learning a language, and factoring in the extent an individual’s culture can affect language learning, this study emphasizes the importance of a cross-linguistic approach to continue to broaden the scope of language acquisition research. The primary objective is to identify and analyze the critical commonalities in the initial stages of learning English and French as first languages through two major categories: speech/language and culture. This project carried out an analytical review of 24 pieces of relevant literature, in both languages, in an effort to highlight key findings. Those findings include: …

Toilet Training And Teaching Self-Initiations To Children With Autism Who Use Augmentative And Alternative Communication, Darcy A. Douglass

Honors Capstones

Within this project, we address the challenges faced by individuals, particularly those with autism spectrum disorder (ASD), during toilet training, which often takes longer than neurotypical children. Practitioners who use traditional methods often overlook teaching children how to request bathroom use, especially among those who use augmentative and alternative communication (AAC) devices. Drawing from literature and expert recommendations, we summarize the importance of teaching independence in bathroom use for children with complex communication needs by incorporating their AAC devices when teaching toilet training.

Inspired by Perez et al. (2020), who demonstrated positive responses from individuals with ASD to reinforcement-based procedures, …

Your Role In Communicating With Deaf Patients: Lessons Learned From A Virtual Patient Panel, Natalie M. Perlov, Bs, Benedicta O. Olonilua, Bs, Rosemary Frasso, Phd, Dimitrios Papanagnou, Md, Julia Croce, Aud

Health Equity and Quality Improvement (HEQI) Summit

Background

• Communication and cultural differences predispose Deaf patients to suboptimal healthcare¹
• Health professionals have historically received little to no training in caring for Deaf patients²
• Patient panels are an effective medical education tool to model communication strategies³

The Impact Of The Covid-19 Mask Mandate On Effective Communication Between Healthcare Providers And Deaf/Hoh Patients, Antonia J. Conti, Alexa Gingerich

Rowan-Virtua Research Day

During the peak of the COVID-19 pandemic, many countries mandated the use of facial masks in public environments, especially in healthcare settings.[3] While this was beneficial in reducing the spread of the coronavirus disease, it created many challenges for the deaf/HoH community.[4] In particular, it limited effective communication between healthcare providers and deaf/HoH patients. It was found that masks limit word recognition for both deaf/HoH and non-deaf/HoH individuals. Additionally, both surgical and N95 masks hinder word recognition for deaf/HoH individuals and significantly impact communication during medical appointments.

Classroom-Based Simulation & Clinical Education Innovations Improve Graduate Education, Brenda L. Beverly, Emma A. Townsend

CoTL 2024 Research Talks

Although classroom-based coursework and clinical education activities in speech-language pathology graduate programs strive to link education to relevant practice, gaps persist. Parent-implemented intervention is an evidence-based practice mandated by federal law in early intervention; however, speech-language pathology graduate programs do not provide students with ample opportunities to gain relevant experience. Outcomes from two research studies supported revising classroom and clinical education, increasing educational relevance and professional preparation for students. A qualitative study with focus groups identified key implementation needs that led to the addition of role play simulation in the classroom. A follow-up study supported developing an innovative clinical model …

Effects Of Personality Type On Cochlear Implant Use, Quality Of Life, And Perceived Auditory Experience, Nicholas Stanley, Gina Mejia, Wilder Roberts, Ashley Flagge

Data and Datasets

Prior audiologic research suggests that the personality traits of cochlear implant (CI) users likely influences their rehabilitation. Research has primarily focused on the “Big Five” personality domains (Agreeableness, Extraversion, Conscientiousness, Negative Emotionality, and Open-Mindedness) with limited information available on the underlying facets. The aim of this study was to better understand how personality domains and facets were related to CI user’s quality of life, barriers to CI use, and perceived hearing ability. Twenty-six adult CI users completed an online survey which included a demographic questions and a series of questionnaires: the Cochlear Implant Use Questionnaire (CIUQ), the Cochlear Implant Quality …

Comparing The Social Skills Of Male And Female Children With Autism Using Facesay, Elijah Williams, Kimberly Frazier, Cynthia A. Watson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

This study examined the pre- and post-test performance on the Social Skills Improvement Scale (SSiS) Student Forms between groups of male and female children (n=6) with autism spectrum disorder (ASD) aged 6–13 years following 10 sessions of 15-minute engagements with the FaceSay computer program. Between the group of males with ASD and the group of females with ASD, there was no significant difference in the compared difference of scores for the Social Skills Scale between the male group (M=6.3333, SD=28.72862) and the female group (M=4.3333, SD=6.80686); t(4)=-0.117, p=0.912 following independent t-test analysis. Also, between these groups, there was no significant …

Effect Of Music On Executive Functioning In Children, Abigail Grace Dame

Communication Science and Disorders Honors Theses

The present study investigates the impact of music listening and singing on sustained attention in typically developing school-aged children. Participants (N=12) were randomly assigned to one of three conditions: music listening, singing, or paced speech, during which they focused on a predetermined keyword presented in two musical pieces. In the listening condition, participants raised their hands when they heard or said the keyword. In the paced speech and singing conditions, the children omitted only that target word while speaking or singing the other lyrics. We measured baseline inhibition and executive functioning (Stroop Color Word test) and attention (Sustained Attention Response …

Enhancing Speech Production And Emotional Well-Being In People With Non-Fluent Aphasia: Insights From Musical Language Training, Luke Meyer

Communication Science and Disorders Honors Theses

Aphasia, often resulting from stroke, head injury, or other conditions like tumors or diseases, impacts both expression and comprehension of language, written and spoken. This study explores the potential of music in aiding individuals with non-fluent aphasia. The researchers examined if pairing linguistic phrases with a musical structure affects the speech production of individuals with non-fluent aphasia. The researchers gathered a language sample and mood ratings before and after music and speech conditions. The participants’ utterances were longer after undergoing the music condition than the speech condition. The results show that the participants exhibited greater improvement in speech production after …

The Relationship Between Electronic Media And Hearing Loss On Language Development: A Pilot Study, Sarah Marie Mahnesmith

Communication Science and Disorders Honors Theses

Researchers agree that one of the methods by which infants learn spoken language through caregivers’ use of infant directed speech. However, the quantity and quality of language during caregiver-infant interactions may decrease in the presence of electronic media, and media may not only limit language input but create a more complex listening situation for children with sensorineural hearing loss (SNHL). The purpose of this study was to explore the relationship between electronic media exposure in the homes of children with SNHL, as compared to peers with normal hearing (NH), and later language skills. This study will provide novel information on …

Social Struggles Of Disabled Children: Impacts Of Lack Of Pragmatic Abilities On Children With Developmental Disorders, Celestia Bennett

University Honors College

It is well known and researched that those with autism (ASD), attention deficit hyperactivity disorder (ADHD), fragile X syndrome (FXS), and Down syndrome (DS) have impaired pragmatic abilities, especially when compared to their typically developing (TD) peers. There is not much research comparing the differences in pragmatic deficits between children with the above neurodevelopmental disorders (NDDs) and the impacts these deficits have on their lives. This research aims to explore the pragmatic deficits children with ASD, ADHD, FXS, and DS may experience, how their pragmatic abilities compare to their TD peers, and the impact of those deficits on their daily …

Investigating The Relationships Between Study Abroad, Language Immersion, And Intercultural Sensitivity, Isabella Bea Battistoni

Communication Science and Disorders Honors Theses

An increasing number of students are choosing to study abroad. Once only an experience for those learning a language (University of Delaware, 2024), international education has become much more accessible for students of all disciplines. When choosing a program, students face a decision in choosing the level of language immersion and learning the trip will offer. This study examined the impact of different levels of language immersion on a student's intercultural sensitivity following a short-term study abroad trip. Intercultural sensitivity, defined as, “an individual's ability to develop emotion towards understanding and appreciating cultural differences that promotes appropriate and effective behavior …

The Perceptions Of Psychologists And Speech-Language Pathologists On Intervention Methods For Selective Mutism, Abby Olmstead

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Introduction: This is a study done to evaluate the perceptions of speech-language pathologists, psychologists/licensed professional counselors and their thoughts on selective mutism intervention. These thoughts will be gathered and analyzed to be compared to speech-language pathologists perceptions to see if there are differences. The goal is to be able to see the overall most-shared opinion to better be able to understand the intervention involving selective mutism. Selective Mutism (SM) is a rare disorder as only 1% of the population is diagnosed with it. The purpose is to provide more education on the disorder and help various kinds of professionals better …

Exploring Asynchronous Pronunciation Training Through Context-Aware Pronunciation Applications, Claire L. Schweikert

Theses/Capstones/Creative Projects

This paper provides a survey of various research articles on context-aware asynchronous pronunciation training applications. First, a set of seven articles is reviewed and summarized. Next, they are synthesized over the three main topics of 1) automated speech recognition, 2) non-native speaker considerations in language learning, and 3) future directions for research and development within computer-assisted pronunciation training (CAPT). Research in the areas of acoustic and pronunciation modeling (both implicit and explicit), pedagogical considerations for CAPT application design, Goodness of Pronunciation algorithm scoring, accent recognition and neutralization, and more are discussed.

Examining School-Age Children's Use Of Rare Words In Expository Discourse: Applications Of Computerized Analysis, Serena Jae Pedroza

Open Access Theses & Dissertations

In the school-age years, children use varied discourse styles to convey information. In addition to conversational and narrative discourse, they learn to use expository discourse to explain complex topics. Previous studies have found that compared to conversation, expository discourse samples are generally more syntactically complex (Lundine et al., 2018; Nippold et al., 2005). In addition, the vocabulary used in expository discourse may be more advanced than that in other discourse types. One way to explore vocabulary use in discourse is to measure the rarity of words within samples of discourse. The purpose of this study was to compare typically developing …

The Effect Of Socioeconomic Status On Adult Access To Hearing Aids, Skyler Preston Mumford

Doctoral Scholarly Projects & Capstones

Approximately 430 million people worldwide suffer from hearing loss. With Americans over the age of 65 earning a mean annual salary of less than $60,000 and the cost of a pair of hearing aids exceeding $4000, attempting to pursue hearing aids can prove to be challenging, if not an impossible task. The purpose of this project was to assess how individuals with hearing loss, above the age of majority, are impacted by their socioeconomic status with regard to accessing properly fit amplification. Evidence has shown that access to hearing aids is strongly tied to one’s socioeconomic status. In addition, there …

Understanding The Clinician's View Of Pragmatics In Pediatric Therapy, Shelby Oliver

Honors Theses

Pragmatics is one of the most integral components of language, yet it often seems to receive little attention in therapy settings. Previous research indicates the importance of intentionally targeting pragmatic skills for children with language disorders and/or autism spectrum disorders, as well as the lack of current pragmatic evaluations. This thesis used an online survey to record how clinicians view pragmatics, how they evaluate pragmatics, and how they target pragmatics. Participants were all certified clinicians, and the research survey featured a variety of open and closed questions. Results revealed a deep pragmatics knowledge base. However, results indicated the use and …

Full-Body Movements In Speech Treatment Sessions: Speech-Language Pathologists’ Perspectives, Natalie Hurdle

Honors Theses

This author aims to determine the speech-language pathologist’s perspective on the use of full-body movements during speech therapy sessions with children with autism. A survey was distributed to speech-language pathologists and speech-language pathology aides/ speech-language teachers. The author used the source, Qualtrics, to obtain and analyze data. The findings of the current study were promising, as most speech-language pathologists were incorporating full body-movements and reported beliefs that this positively impacted children’s engagement. This study provided additional knowledge about the benefits of using full-body movements in speech treatment sessions and some insight on how much time is misused when full-body movements …

Parkinson's Disease And Voice Perception: A Little Bit Louder Now!, Samantha Manes, Taylor Desimone

Graduate Student Research: Capstone Competition

This proposed study aims to address gaps in research literature on Parkinson’s disease by investigating the neural mechanisms involved in PD patients' perception of volume using electroencephalography (EEG). By examining brain activity during voice perception tasks, the research seeks to uncover specific areas within the brain that may contribute to the lack of awareness of speaking softly. Insights gained from this study could inform the development of targeted interventions to improve communication and overall quality of life for PD patients. Ultimately, the research aims to provide a louder voice to those affected by Parkinson's disease, enhancing their ability to engage …