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2024

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Articles 181 - 210 of 314

Full-Text Articles in Communication Sciences and Disorders

The Implementation Of Music Within Communication Intervention And Its Effect On Communication Development, Rebecca Dunn May 2024

The Implementation Of Music Within Communication Intervention And Its Effect On Communication Development, Rebecca Dunn

Honors Theses

The purpose of this study was to evaluate how and under what circumstances licensed speech-language pathologists incorporate music within communication intervention and to better understand perceptions towards the incorporation of music within speech or language therapy. A survey was developed based on the review of related literature and then entered on the Qualtricsã server for data collection and analysis. Once IRB approval was secured, the survey was then disseminated via a Facebook group for licensed speech-language pathologists. The author used Qualtricsã to collect and analyze the data, which was then used to determine when and how music was …


Acoustic-Perceptual Relations Between Fundamental Frequency And Expressiveness In Speakers With Hypokinetic Dysarthria, Alena Portnova May 2024

Acoustic-Perceptual Relations Between Fundamental Frequency And Expressiveness In Speakers With Hypokinetic Dysarthria, Alena Portnova

All Graduate Theses and Dissertations, Fall 2023 to Present

Hypokinetic dysarthria is a motor speech disorder that occurs in patients with Parkinson’s disease (PD) and affects not only their speech intelligibility but also how their attitudes and emotions are perceived by listeners. People with PD have been judged as less happy, involved, friendly, and interested based only on their speech samples. A lack of speech expressiveness is one of the characteristics that is likely to be related to these negative listener judgments. Specifically, it has been suggested that a lack of fundamental frequency (F0) variation reduces speakers’ ability to express various emotions. To investigate whether speech expressiveness is related …


“We Were The Best People To Do The Job”: Caregivers’ Reported Outcomes Of A Virtual Caregiver-Delivered Program For Autistic Preschoolers, Lauren Denusik, Danielle Glista, Michelle Servais, Jodi Friesen, Bj Cunningham Apr 2024

“We Were The Best People To Do The Job”: Caregivers’ Reported Outcomes Of A Virtual Caregiver-Delivered Program For Autistic Preschoolers, Lauren Denusik, Danielle Glista, Michelle Servais, Jodi Friesen, Bj Cunningham

Communication Sciences and Disorders Publications

Caregiver-delivered programs are a recommended best practice to support young autistic children. While research has extensively explored children's outcomes quantitatively, minimal qualitative research has been conducted to understand caregivers’ perspectives of program outcomes for themselves and their children. Hearing directly from caregivers is an important step in ensuring these programs are meeting the needs of those who use them. This study explored caregivers’ perceived outcomes following one virtual caregiver-delivered program, The Hanen Centre's More Than Words® (MTW) program.


We Were The Best People To Do The Job”: Caregivers’ Reported Outcomes Of A Virtual Caregiver-Delivered Program For Autistic Preschoolers, Lauren Denusik, Danielle Glista, Michelle Servais, Jodi Friesen, Janis Oram, Bj Cunningham Apr 2024

We Were The Best People To Do The Job”: Caregivers’ Reported Outcomes Of A Virtual Caregiver-Delivered Program For Autistic Preschoolers, Lauren Denusik, Danielle Glista, Michelle Servais, Jodi Friesen, Janis Oram, Bj Cunningham

PRECISe Preschool Speech and Language Publications

Background and aims: Caregiver-delivered programs are a recommended best practice to support young autistic children. While research has extensively explored children's outcomes quantitatively, minimal qualitative research has been conducted to understand caregivers' perspectives of program outcomes for themselves and their children. Hearing directly from caregivers is an important step in ensuring these programs are meeting the needs of those who use them. This study explored caregivers' perceived outcomes following one virtual caregiver-delivered program, The Hanen Centre's More Than Words® (MTW) program.

Methods: This study was a secondary analysis of data from individual interviews conducted with 21 caregivers who had …


Unlocking The Power Of Experiential Learning: Student Reported Changes Following Combined Nicu Instruction, Megan M. Black, Natalie A. Perkins, Valerie F. Mcdaniel Apr 2024

Unlocking The Power Of Experiential Learning: Student Reported Changes Following Combined Nicu Instruction, Megan M. Black, Natalie A. Perkins, Valerie F. Mcdaniel

Pacific Journal of Health

Purpose: This study aimed to assess the impact of in-person observation, in conjunction with didactic lectures, on students' perceived knowledge of speech-language pathology's (SLP) role and the roles of other healthcare professionals within the Neonatal Intensive Care Unit (NICU).

Method: Data for this study were initially collected for educational purposes and were later retrospectively analyzed with Institutional Review Board (IRB) approval. Ten participants who met the inclusion criteria underwent a didactic lecture on SLPs in the NICU followed by observing an SLP in action at a local NICU. Participants completed multiple surveys, allowing for a comparison of their perceived knowledge …


Evidence Based Practice Guidelines For The Pediatric Autistic Spectrum Disorder Population, Calvin Sparks Apr 2024

Evidence Based Practice Guidelines For The Pediatric Autistic Spectrum Disorder Population, Calvin Sparks

Doctor of Nursing Practice Scholarly Projects

Children with autism spectrum disorder (ASD), as well as caregivers, experience significant challenges in their interactions with healthcare providers in a clinical setting. This is primarily due to their issues with communication, social interaction, and sensory sensitivities to anesthetic treatment during premedication or preoperative environments. Due to these characteristics, it is important to maintain and update the current standards of care for children with ASD while utilizing evidence-guided strategies to provide a pre-operative assessment effectively. The pre-operative assessment is a critical component that renders impact throughout the surgical experience with the purpose of risk stratification, preparation of altering the normal …


Ua12/2/2 Talisman: Pulse, Wku Student Affairs Apr 2024

Ua12/2/2 Talisman: Pulse, Wku Student Affairs

WKU Administration Documents

Spring 2024 Talisman:

  • Hunter, Leah. Pulse
  • Muscutt, Carson. High on Bluegrass – Jordan Riehm
  • Meyers, Jeffrey. Science of Movement – Exercise Science
  • Murray, Debra. Pasture to Plate – Agriculture
  • Murray, Debra. Vegetarian Tortilla Soup
  • Coffee, Bobbi. Passion, Pain, Curiosity – Innovation Campus
  • Story, Miriam. Drafts of a Postcard (October 2023)
  • Johnston, Katelyn. Beyond Sound – Deaf
  • Hunter, Leah. One Good Week – Madison Weis
  • Alali, Cecilia. Crafted Cadence – Speech Team
  • Blankenship, Alisa. Loving You
  • Sandlin, Ellie. Here After – Death
  • Booth, Pandora. Rooted in Rhythm – Step Shows
  • Booth, Pandora. Horoscopes
  • Pulse Playlist


The Influence Of Cognition On Dysphagia In Adults With Severe Traumatic Brain Injury, Elizabeth Mcdonald Apr 2024

The Influence Of Cognition On Dysphagia In Adults With Severe Traumatic Brain Injury, Elizabeth Mcdonald

Student Academic Conference

Dysphagia leads to an increased risk of morbidity and mortality (Alhashemi, 2010), and individuals with severe traumatic brain injuries (TBIs) are at an extremely heightened risk of developing dysphagia. This paper identified the known links between cognition and dysphagia, specifically focusing on adults with severe TBIs. The Rancho Los Amigos Revised Scale (RLAS-R) was found to be the best predictive factor in the presence, severity, and resolution of dysphagia (Terré & Mearin, 2007; Terré & Mearin, 2009; Hansen et al., 2008). This information is vital for speech-language pathologists (SLPs) to understand due to their experience and expertise in treating disorders …


Impacts Of Socioeconomic Status On Language Development In Preschool Children, Denise Adriaansen Apr 2024

Impacts Of Socioeconomic Status On Language Development In Preschool Children, Denise Adriaansen

Student Academic Conference

According to Lee (2023), 37.9 million Americans are living in poverty. Poverty is associated with deficits in language, communication, and social skills. Language development is a crucial aspect of a child's development. Children who live in low-socioeconomic households have a higher prevalence of language impairments. This paper will explore the impact that socioeconomic status has on language development in preschool-aged children. It includes becoming knowledgeable on serving individuals that come from different backgrounds, including level of socioeconomic status. It is important for all individuals especially professionals who will serve this population to understand how level of socioeconomic status can affect …


The Psychosocial Effects Of Alaryngeal Speech Following A Laryngectomy, Jennifer Cloos Apr 2024

The Psychosocial Effects Of Alaryngeal Speech Following A Laryngectomy, Jennifer Cloos

Student Academic Conference

When an individual is unable to communicate using verbal speech, they can be given or introduced to a variety of alternative or augmentative options to help assist in their ability to communicate their wants and needs appropriately. In this paper the focus is on communication from those who have had a partial or total laryngectomy procedure and how the alteration of their means of communicative output affects their psychosocial health and well-being. This literature review breaks down what kind of care is expected for laryngectomees post-operation, options for communicative output following that procedure, how intensive surgeries and artificial voice options …


The Role Of High School Based Speech Language Pathologists In Transitioning Students With Autism Spectrum Disorder Into Professional Careers, Cameryn Maykut Apr 2024

The Role Of High School Based Speech Language Pathologists In Transitioning Students With Autism Spectrum Disorder Into Professional Careers, Cameryn Maykut

Student Academic Conference

Autism Spectrum Disorder (ASD) is widely known to be one of the fastest growing developmental disabilities in the United States. Due to the ever-increasing prevalence of ASD, it is essential for Speech-Language Pathologists (SLPs) to be educated on how to provide the highest quality of services to this population. This research paper aims to investigate the role of the high school based SLP while working with students with ASD during the transition from high school to vocational settings. Research was collected through compiling data from a variety of peer-reviewed scholarly sources, such as journals, articles, and organizations. Findings from the …


The Speech Language Pathologist's Role In Intervention For Parkinson's Disease, Jenna Lovaas Apr 2024

The Speech Language Pathologist's Role In Intervention For Parkinson's Disease, Jenna Lovaas

Student Academic Conference

This literature review explored the available intervention techniques utilized by Speech Language Pathologists (SLPs) when treating individuals with Parkinson's disease (PD). Parkinson's disease affects six million people worldwide and is expected to double by the year 2040. Deficits associated with PD manifest themselves into motor and non-motor symptoms that show varying benefit from pharmacological approaches alone. For this reason, SLPs provided comprehensive treatment approaches to address the challenges related to dysarthria, dysphagia, and cognitive linguistic skills. Treatment consisted of behavioral techniques, diet modifications, compensatory strategies, muscle strength training, and restorative training. While some techniques demonstrated benefit to more than one …


The Effect Of Melodic Intonation Therapy On Language Recovery In Patients After Stroke, Alie Rockey Apr 2024

The Effect Of Melodic Intonation Therapy On Language Recovery In Patients After Stroke, Alie Rockey

Student Academic Conference

This project is an examination of literature discussing the effects of Melodic Intonation Therapy (MIT) on language recovery in patients after stroke. The role of MIT after stroke is to encourage language recovery and promote overall well-being. Nine studies are summarized pertaining to the importance of MIT for individuals after stroke and the generalization of this approach. The existing literature supported MIT as a consistent intervention approach that positively impacted stroke and language recovery. Additionally, this review explored implementation options and the importance of each method. The importance for future research and synthesis is impactful across settings. Overall implications predict …


Best Practice Interventions For Individuals With Cleft Palate, Aleisha Johnson Apr 2024

Best Practice Interventions For Individuals With Cleft Palate, Aleisha Johnson

Student Academic Conference

Cleft palate and cleft lip with palate occur in every 1,700 and 1,600 births (ASHA, n.d.). Speech-language pathology intervention is often needed by individuals who have had a cleft palate; about 50% of individuals who have had a repaired cleft palate are referred to speech pathology services (Sand et al., 2022). According to Alighieri et al. (2021), there is a lack of clear procedures when administering treatment to individuals with repaired cleft palates. The purpose of this project is to identify best practice for speech therapy interventions for individuals with repaired cleft palates. This project reviews the traditional articulation approach, …


Understanding Practitioner’S Perceptions Of Speech And Language Therapy Services In The Juvenile Justice System, Julia Buendgen Apr 2024

Understanding Practitioner’S Perceptions Of Speech And Language Therapy Services In The Juvenile Justice System, Julia Buendgen

Student Academic Conference

The purpose of this study was to gain more understanding of how individuals who work with the juvenile justice population understand language disorders and the scope of speech and language therapy services. In addition, this study explored potential supports for individuals working in this setting. This study consisted of twenty participants working in the juvenile justice system who completed a survey tool that was designed by the researcher to describe the participant's perceptions of speech-language pathology, current procedures, reported challenges, and potential areas in need of support. Participant knowledge of the scope of speech-language pathology varied among participants. The highest …


Focus Groups: Perceived Stress And Stress Management Techniques Of Speech-Language Pathology Graduate Students, Emily Karevold Apr 2024

Focus Groups: Perceived Stress And Stress Management Techniques Of Speech-Language Pathology Graduate Students, Emily Karevold

Student Academic Conference

Speech-Language Pathologists are required to earn a master's degree from an accredited program (ASHA, n.d.). Graduate students, typically in their twenties and thirties, are prone to stress that arise while completing their graduate degree such as paying off undergraduate student debt, earning a sustainable income while in school, and working on establishing a professional identity within their career field (Cho & Hayter, 2020). This stress is magnified by the stress associated with earning a graduate education, which negatively impacts their productivity and diminishes their mental and physical well-being (Cho & Hayter, 2020).Stress can be defined as any change that causes …


Psychosocial Effects Of Stuttering In Adults: Cognitive Behavioral Therapy And The Role Of The Slp, Gabrielle Furman Apr 2024

Psychosocial Effects Of Stuttering In Adults: Cognitive Behavioral Therapy And The Role Of The Slp, Gabrielle Furman

Student Academic Conference

Adults who stutter may be struggling with the psychological or emotional impacts relating to their stutter. This project examines the psychosocial effects of stuttering on adults and addresses the use of cognitive-behavioral therapy to reduce the negative feelings and attitudes towards their stutter. The aspects of cognitive-behavioral therapy and the techniques involved were explored. This therapy approach was found to be beneficial for adults who stutter in reducing anxiety and social avoidance, increasing participation in daily activities, and increasing confidence in speaking situations. The role of the speech-language pathologist was found to include choosing an approach that best fits the …


Deaf And Hard Of Hearing Children’S Resources In K-12 Mainstream American Schools, Ashley Green Apr 2024

Deaf And Hard Of Hearing Children’S Resources In K-12 Mainstream American Schools, Ashley Green

Honors Theses

The purpose of this thesis is to find out what mainstream schools have to offer for Deaf and Hard of Hearing children’s education. This thesis includes a survey given to a few school districts in Michigan as well as literature review. To take this survey, participants must be qualified staff members who work in a school with Deaf and Hard of Hearing children. The survey was sent out via email to school principals in the district, to be distributed to qualified staff. Once the staff members agreed to the study, they were given access to a twelve-question anonymous survey regarding …


Utilizing Special Interests: Developing A Storybook For A Minimally Speaking Autistic Child To Support Communication, Olivia Fordyce Apr 2024

Utilizing Special Interests: Developing A Storybook For A Minimally Speaking Autistic Child To Support Communication, Olivia Fordyce

Honors Projects

The purpose of my Honors Project is to develop a framework for designing a storybook that can be used as a communication tool with minimally speaking autistic children. The project answers two clinically relevant questions within the field of Speech-Language Pathology.

  1. What do we know from prior literature about the use of storybooks to support communication in minimally speaking autistic children?
  2. What factors are important to consider in designing a storybook for minimally speaking autistic children?

I conducted a literature review exploring adapted storybooks and autistic children’s special interests to answer the project questions. Informed by this knowledge, I have …


Case Reports Of Two Patients With Sudden Hearing Loss: Idiopathic And Traumatic Brain Injury (Tbi), Lucas D. Lamont Apr 2024

Case Reports Of Two Patients With Sudden Hearing Loss: Idiopathic And Traumatic Brain Injury (Tbi), Lucas D. Lamont

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1

Introduction: Sudden sensorineural hearing loss (SSNHL), commonly known as sudden deafness, is an unexplained, rapid loss of hearing either all at once or over a few days. Regardless of the cause, delayed medical attention for patients with SSNHL can lead to permanent outcomes.

Case presentation: A 56-year-old female presented with reduced hearing sensitivity in her right ear beginning the day of the appointment.

Discussion: Many factors influence a patient’s probability of a complete recovery from SSNHL. Understanding these factors can aide in counseling a patient with realistic expectations.

Conclusion: Patients with SSNHL require immediate medical attention. Prompt medical …


Why Is Speech Language Pathology Considered A Gendered Profession Amongst Male College Students In Health Related Majors?, Karli King, Audrey Mcdonald, Caroline Casey, Adrienne Stewart, Catherine L. Cotton Apr 2024

Why Is Speech Language Pathology Considered A Gendered Profession Amongst Male College Students In Health Related Majors?, Karli King, Audrey Mcdonald, Caroline Casey, Adrienne Stewart, Catherine L. Cotton

Undergraduate Research Conference

A gender disparity exists in the field of speech-language pathology, and it is recognized in the American Speech and Hearing Association’s demographic report. In Mississippi, 98.4% of SLPs are female and 1.6% are male (ASHA, 2022). Given the numbers presented by ASHA, awareness of speech-language pathology amongst male college students comes into question. According to ASHA’s Strategic Pathway to Excellence, objective #6 is to increase diversity/equity/inclusion within the Association and the discipline (ASHA, 2023). A goal of this research study is to identify the barriers and awareness level of males in health-related undergraduate majors. This information would better facilitate how …


Language Learning Disabilities: Adolescents Receiving Psychological Therapy In Addition To Speech Language Therapy, Katelyn Grace Mcnair, Catherine L. Cotton Phd. Apr 2024

Language Learning Disabilities: Adolescents Receiving Psychological Therapy In Addition To Speech Language Therapy, Katelyn Grace Mcnair, Catherine L. Cotton Phd.

Undergraduate Research Conference

Specific learning disabilities are among the most common disability categories, in which students receive special education and/or related services in schools, according to the National Center for Education Statistics (2023). Research has shown an increase of understanding in the areas of reading, writing, and spelling in individuals with learning disabilities. More recently, Ghiasi, Sedrpoushan, Abedi, Soltani (2022), noted students with learning disabilities have a lower level of achievement, motivation, self-esteem, and a high level of depression. Advances in language literacy remediation, may not be enough to overcome factors such as decreased self-esteem and fear of failure (Wolter, DiLollo, Apel, 2006). …


Disparities In Speech-Language Pathology As A Result Of Race, Lindsie Moseley, Catherine Cotton Apr 2024

Disparities In Speech-Language Pathology As A Result Of Race, Lindsie Moseley, Catherine Cotton

Undergraduate Research Conference

For all children to receive fair and proper speech-language services, it is vital to grasp a better understanding of how disparities in these services might impact clients. It is vital to identify the role race plays so clients of various racial backgrounds can be provided with equitable treatment, regardless of their racial identity (Robinson & Norton, 2019). Research has revealed noticeable discrepancies between racial groups including the quality, time frame of discharge, and overall results of treatment, among children of minority- or majority-racial groups (Riccardi & Lundine, 2022). If speech language pathologists remain unaware of these discrepancies, they will be …


Hear All About It: Health Literacy And Pediatric Ototoxic Chemotherapy, Sarah Belton, Abigail Jones Apr 2024

Hear All About It: Health Literacy And Pediatric Ototoxic Chemotherapy, Sarah Belton, Abigail Jones

Theses & Honors Papers

This study examined the accessibility of informational health documents about ototoxic chemotherapy provided to caregivers of pediatric cancer patients. Hearing loss as a result of chemotherapy can result in financial, social, and developmental consequences for these patients. Caregivers are an integral part of the medical team, and their knowledge of procedures and treatments directly impacts their ability to make informed decisions for the patient.

This study qualitatively analyzed informational health documents about chemotherapy, acquired from the websites of National Cancer Institute (NCI) designated cancer centers using federal guidelines put into place by the Plain Writing Act of 2010 and the …


The Effects Of Neuromuscular Electrical Stimulation On Chronic Dysphagia Following Anterior Cervical Disc Fusion Surgery: A Case Report, Anna Munson Apr 2024

The Effects Of Neuromuscular Electrical Stimulation On Chronic Dysphagia Following Anterior Cervical Disc Fusion Surgery: A Case Report, Anna Munson

Honors Theses

Background: Current literature is lacking an understanding of the physiological mechanisms underlying dysphagia (impairment in swallowing function) that manifests as the result of anterior cervical discectomy and fusion (ACDF). ACDF is a common cervical spinal procedure that, due to its anterior to posterior (front-to-back) approach, risks significant injury to the larynx, which is critical for swallowing food and liquid safely. Furthermore, the general therapeutic approaches available to individuals with dysphagia after ACDF lack specificity of what is being targeted (Ko, et al. 2022). This project is a single subject case report of an individual who underwent ACDF and received neuromuscular …


Identifying A Group Of Factors Predicting Cognitive Impairment Among Older Adults, Longgang Zhao, Yuan Wang, Eric Mishio Bawa, Zichun Meng, Jingkai Wei, Sarah Newman-Norlund, Tushar Trivedi, Hatice Hasturk, Roger Newman-Norlund, Julius Fridriksson Ph.D., Anwar T. Nerchant Apr 2024

Identifying A Group Of Factors Predicting Cognitive Impairment Among Older Adults, Longgang Zhao, Yuan Wang, Eric Mishio Bawa, Zichun Meng, Jingkai Wei, Sarah Newman-Norlund, Tushar Trivedi, Hatice Hasturk, Roger Newman-Norlund, Julius Fridriksson Ph.D., Anwar T. Nerchant

Faculty Publications

Background

Cognitive impairment has multiple risk factors spanning several domains, but few studies have evaluated risk factor clusters. We aimed to identify naturally occurring clusters of risk factors of poor cognition among middle-aged and older adults and evaluate associations between measures of cognition and these risk factor clusters.

Methods

We used data from the National Health and Nutrition Examination Survey (NHANES) III (training dataset, n = 4074) and the NHANES 2011–2014 (validation dataset, n = 2510). Risk factors were selected based on the literature. We used both traditional logistic models and support vector machine methods to construct a composite score …


Iowa Conference On Communicative Disorders [Program, 2024], Iowa Conference On Communicative Disorders Apr 2024

Iowa Conference On Communicative Disorders [Program, 2024], Iowa Conference On Communicative Disorders

Iowa Conference on Communicative Disorders Programs

The Iowa Conference on Communicative Disorders provides continuing education activities in speech- language pathology that are acceptable to the State of Iowa and the American Speech-Language and Hearing Association. Areas of emphasis include adults and pediatrics.


Exploring The Relationship Between College Students' Self-Reported Listening Habits With Apple Airpods Or Earbuds And Pure Tone Hearing Threshold Outcomes, Blake Roth, Maegan Koch, Aubree Warner, Annika Wallace, Romina Gehrts, Austin Drake Apr 2024

Exploring The Relationship Between College Students' Self-Reported Listening Habits With Apple Airpods Or Earbuds And Pure Tone Hearing Threshold Outcomes, Blake Roth, Maegan Koch, Aubree Warner, Annika Wallace, Romina Gehrts, Austin Drake

SACAD: Scholarly Activities

This study investigated the relationship between self-reported listening habits of college students and their auditory threshold screening outcomes. Survey data was collected in addition to the completion of basic audiometry screening procedures. Results indicated most participants listen to portable devices within safe ranges. While these results are encouraging, continued efforts should be made to educate users of portable listening devices on the negative effects of music-induced hearing loss.


Service-Learning Through Chapter Chats: A Personal Reflection, Charity B. Blalock, Maryse Azer, April Garrity Apr 2024

Service-Learning Through Chapter Chats: A Personal Reflection, Charity B. Blalock, Maryse Azer, April Garrity

Eagle Showcase: Excellence in Service-Learning (Archived)

Eagle showcase:excellence in service learning


Nationwide Survey: Disparities In Speech-Language Pathology Service Knowledge Between Hispanic Communities And The General Public Through Explanatory Mixed Methods, Kendra Lujan, Katie Geerdes, Madalyn Morelock, Ran An Apr 2024

Nationwide Survey: Disparities In Speech-Language Pathology Service Knowledge Between Hispanic Communities And The General Public Through Explanatory Mixed Methods, Kendra Lujan, Katie Geerdes, Madalyn Morelock, Ran An

SACAD: Scholarly Activities

Despite ongoing efforts to bridge healthcare disparities, ethnic and language minorities continue to face significant challenges in accessing services (Mahmoud et al., 2014). Yet, in the realm of speech-language pathology (SLP) services, scant empirical research has identified the barriers impeding minority clients' access (Mahendra et al., 2009). With the Hispanic population growing (United States Census Bureau, 2023), identifying their knowledge of and potential access to speech-language pathology services is crucial. This study employed mixed explanatory methods, conducted a nationwide survey with 227 participants across 27 states, and interviewed 12 participants from both Hispanic and non-Hispanic communities, elucidating the challenges faced …