Communication Sciences and Disorders Commons^™

Effects Of Cognitive And Social Demands On Linguistic Production For People With Moderate, Mild, Or No Aphasia, Tyson G. Harmon, Emily Mcdonald, Kyle Steele

Faculty Publications

Background

Most everyday communication occurs in situations where cognitive and social demands are present. These types of situations may compound language deficits for people with aphasia (PWA). An understanding of the language interference that may occur from cognitive and social demands is an important precursor for assessment and intervention that addresses everyday communication situations.

Aims

To determine how cognitively and socially demanding conditions affect micro- and macrolinguistic production for people with moderate, mild, or no aphasia during narrative discourse and to compare effects among groups.

Method

Thirty participants with mild (n = 9), moderate (n = 9), or no (n …

Impact Of Covid-19 On Individuals With Aphasia: Effects On Quality Of Life And Communication, Kaci L. Gammon

Honors College Theses

Speech-language pathologists (SLPs) help people with aphasia (PWA) manage their communication symptoms and become more independent by supporting them linguistically and emotionally. During COVID-19, speech and language services were not as readily available to PWA due to quarantine restrictions resulting in isolation within this population. Individuals with aphasia had to redirect and find a new way to function daily. This study explored factors that affected quality of communication and quality of life for PWA during the pandemic, including technology, living situation, timing of stroke, and speech-language pathology services. Through an online survey, PWA from across the country expressed how their …

The Impact Of Technological Innovation On Deaf And Hard Of Hearing Communities, Mickayla Cooper Kwakye-Ndlovu

Honors College Theses

Over the past couple of decades, significant shifts have occurred in technological development. Among these advancements, the smartphone has emerged as an integral part of people’s daily lives, serving as a powerful tool for accessibility and global connectivity. This literature review explores the ways in which everyday communication technology is utilized by Deaf and Hard of Hearing (DHH) individuals and examines the impact of its development on these communities. The goal of the work is to investigate how the evolution of modern smartphones contributes to breaking down communication barriers for DHH communities. This review focuses on smartphone features that enhance …

Key To Success: A Comprehensive Examination Of Support Personnel In School-Based Speech-Language Telepractice, Hannah Douglass

Theses and Dissertations--Rehabilitation Sciences

In the school setting, the telepractice team primarily consists of the clinician and a support person known as a telefacilitator. Though telepractice is an accepted method for delivering school-based speech-language therapy, many barriers to the integration of telepractice as routine care persist. A major barrier is clinicians' acceptance of telehealth. However, there has been limited investigation of factors that influence clinician acceptance. Another barrier is related to support personnel. Telefacilitators have been shown to be an integral part of the telepractice program. Yet there are significant gaps in knowledge regarding the roles and responsibilities, staffing and management, and barriers/facilitators to …

Lack Of Protocol Standardization For Vestibular Evoked Myogenic Potentials, Kendall J. Werhane

Graduate Theses/Dissertations

Vestibular Evoked Myogenic Potentials (VEMPs) are used in the field of Audiology to allow us to evaluate otolith and vestibular nerve function, which provides us with information that prior testing could not exclusively identify. While the collection of data from VEMPs is useful for many audiologic and vestibular diagnoses, achieving accurate recordings can be challenging due to the complex nature of testing. The article below will take a deep dive into different VEMP devices and the protocol they used to record VEMPs on their participants. The purpose of developing state-of-the-art (SOTA) equipment for VEMP testing is to ensure that the …

Diagnostic Certainty During In-Person And Telehealth Autism Evaluations, Natasha N. Ludwig, Calliope Holingue, Ji Su Hong, Luther G. Kalb, Danika Pfeiffer, Rachel Reetzke, Deepa Menon

Speech-Language Pathology Faculty Publications

Background

Many diagnostic evaluations abruptly shifted to telehealth during the COVID-19 pandemic; however, little is known about the impact on diagnosis patterns for children evaluated for autism spectrum disorder (ASD). The purpose of this clinical research study was to examine (1) the frequency of diagnoses evaluated beyond ASD; (2) the frequency of diagnoses made, including ASD; and (3) clinician diagnostic certainty for all diagnoses evaluated for children who received an evaluation due to primary concerns about ASD via telehealth during the pandemic compared to those evaluated in person before the pandemic at an ASD specialty clinic.

Methods

The sample included …

Caregivers' Perceptions Of Covid-19 Educational Disruptions On Children With Developmental Language Disorder And Typically Developing Peers, Katherine Radville, Danika Pfeiffer, Karynn Sheranian, Julie Wolter, Jessie Ricketts, Tiffany L. Hogan

Communication Disorders & Special Education Faculty Publications

Purpose: Understanding the experiences of families of children with developmental language disorder (DLD) during COVID-19 educational disruptions is essential for designing responsive supports during pandemic recovery efforts and beyond. This qualitative study describes the experiences of families of first-and second-grade children with DLD during the pandemic as compared to the experiences of families of typically developing (TD) peers.

Method: A conventional content analysis approach was used to analyze caregivers’ written responses to open-ended questions regarding their perceptions of COVID-19 educational disruptions. Responses were analyzed separately by group: caregivers of children with DLD (n= 23) and caregivers of TD children (n= …

Evidence Synthesis Methodology: Promoting Reproducible Methodology Through Modified Assignments, Laura Lipke, Neyda Gilman

Library Created Resources

Initially, systematic reviews in healthcare served to synthesize findings from clinical studies, aiding comprehensive access to the most effective treatments within evidence-based practice. Over time, their scope has broadened beyond treatment effectiveness, leading to a surge in publication. Consequently, many health science faculty now assign systematic reviews in classrooms without a full grasp of the standardized process, leaving students ill-equipped due to insufficient guidance and resources.

While mastering systematic review techniques is crucial for evidence-based practice, faculty can opt for modified assignments to foster a deeper understanding of the review process. These modified tasks, can be completed within a semester, …

Implementation Of Prognosticator Algorithm For Initiation Of Serious Illness Discussions And Improving The Rate Of Palliative And Hospice Referrals, Joy Isebor

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Context: Early serious illness conversations related to end-of-life and goals of care with seriously ill patients have been associated with improving patients' outcomes and quality of care (Bernacki et al., 2015). However, initiating these serious illness discussions has been challenging in the home-based primary care setting.

Objectives: To train and support home-based primary care clinicians in integrating best practices in serious illness discussions and decision-making engagement among patients sixty-five and older with serious illnesses, optimize the alignment between patient goals and the medical care they receive, improving their quality of life and the rate of palliative care and hospice referrals. …

Advancing Dysphagia Screening: A Comparison Of Patient-Reported Outcome Measures And Bolus-Driven Screenings In Aspiration Prediction, Arica Amie Rusco

Theses and Dissertations--Communication Sciences and Disorders

It is known that dysphagia impacts an individual’s health and quality of life. Due to this, early identification of dysphagia is crucial. There are many different dysphagia screening tools with no consensus. This study aimed to compare the two most frequently used dysphagia screenings, a patient-reported outcome measure (PROM), the EAT-10, and bolus-driven swallow screening, the Yale Swallow Protocol, to determine if one tool is superior in aspiration prediction on a videofluoroscopic swallow study (VFSS). This study also aimed to discover the best cutoff score on the EAT-10 for aspiration prediction. A total of 66 participants were recruited after physician …

The Effects Of Exercise-Based Voice Therapy On Swallowing Outcomes: A Pilot Study Framework, Jenna F. Johnson

Theses and Dissertations--Communication Sciences and Disorders

In a 2019 study analyzing dysphonic patients in relation to coexisting dysphagia, approximately 11.8% of clients receiving treatment for voice disorders reported difficulty swallowing. However, the literature exploring the use of voice exercises to improve swallow function is limited to a small amount of voice treatment approaches, which does not reflect the wide range of evidence-based treatment approaches that may be prescribed for treatment of one’s voice complaints. This project proposes a descriptive study that would identify if completion of prescribed voice therapy exercises has implications on swallowing function in clients with co-occurring voice and swallow impairments. A pilot study …

The Critical Need For Early Language Access For Deaf And Hard Of Hearing Children, Kinya D. Embry-Wright

Theses and Dissertations--Rehabilitation Sciences

According to the American Speech-Language-Hearing Association (ASHA), speech-language pathologists (SLPs) are referred to as the experts of communication (ASHA, n.d.) utilizing their specialized training, extensive education, and clinical expertise to work with individuals across the lifespan with a variety of different speech and language delays, disorders, and deficits. However, when working with deaf or hard of hearing (DHH) children, there is often precedent given to speech and listening (M. L. Hall et al., 2019). For example, ASHA only recently updated their DHH portal to include American Sign Language (ASL), though they still list it on some webpages as an Augmentative …

Parental Assessment Of Postsurgical Pain In Infants At Home Using Artificial Intelligence–Enabled And Observer-Based Tools: Construct Validity And Clinical Utility Evaluation Study, Fatos Sada, Paola Chivers, Sokol Cecelia, Sejdi Statovci, Kujtim Ukperaj, Jeffery Hughes, Kreshnik Hoti

Research outputs 2022 to 2026

Background: Pain assessment in the infant population is challenging owing to their inability to verbalize and hence self-report pain. Currently, there is a paucity of data on how parents identify and manage this pain at home using standardized pain assessment tools. Objective: This study aimed to explore parents’ assessment and intervention of pain in their infants at home following same-day surgery, using standardized pain assessment tools. Methods: This prospective study initially recruited 109 infant boys undergoing circumcision (same-day surgery). To assess pain at home over 3 days after surgery, parents using iOS devices were assigned to use the PainChek Infant …

Until You're In The Chair And Executing Your Role, You Don't Know: A Qualitative Study Of The Needs And Perspectives Of People With Stroke-Related Communication Disabilities When Returning To Vocational Activity, Lucette Lanyon, Ciara Shiggins, Caroline Baker, Serena Alves Stein, Sophie O'Keefe, Emma J. Schneider, Erin Godecke, Kathryn Radford, Natasha A. Lannin

Research outputs 2022 to 2026

Background: People with communication disability after stroke experience low rates of return to vocational roles. Vocational rehabilitation is recommended; however, there are no clear guidelines informing vocational rehabilitation for people with communication disability. Understanding the needs and experiences of this population is critical to improving vocational stroke rehabilitation outcomes. Aims: This study aimed to: (1) investigate the experience of vocational rehabilitation for people with communication disability after stroke, (2) identify gaps and, (3) provide preliminary recommendations for tailored service delivery. Methods: Seven participants with an identified communication impairment following stroke were recruited from a larger clinical trial of early vocational …

A Cross-Cultural Study Of The Montreal Cognitive Assessment For People With Hearing Impairment, Stacey Theocharous, Greg Savage, Anna Pavlina Charalambous, Mathieu Côté, Renaud David, Kathleen Gallant, Catherine Helmer, Robert Laforce, Iracema Leroi, Ralph N. Martins, Ziad Nasreddine, Antonis Politis, David Reeves, Gregor Russell, Marie Josée Sirois, Hamid R. Sohrabi, Chyrssoula Thodi, Christiane Völter, Wai Kent Yeung, Piers Dawes

Research outputs 2022 to 2026

Background: Cognitive screening tools enable the detection of cognitive impairment, facilitate timely intervention, inform clinical care, and allow long-term planning. The Montreal Cognitive Assessment for people with hearing impairment (MoCA-H) was developed as a reliable cognitive screening tool for people with hearing loss. Using the same methodology across four languages, this study examined whether cultural or linguistic factors affect the performance of the MoCA-H. Methods: The current study investigated the performance of the MoCA-H across English, German, French, and Greek language groups (n = 385) controlling for demographic factors known to affect the performance of the MoCA-H. Results: In a …

How Literacy Coursework May Change The Perspectives Of Preservice Speech-Language Pathologists: A Pilot Study, Robyn Becker

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

This pilot study investigated how perspectives of preservice speech-language pathologists (SLPs) may change after completion of a graduate course in literacy in a Communication Sciences and Disorders (CSD) program. Further, the study sought to reflect upon course design and instructional delivery practices related to the class. Data was collected via online survey completed by 21 volunteer CSD graduate students. The results suggested that students' perspectives may evolve over the course of a semester-long CSD literacy class in some areas related to the components of reading, misconceptions about literacy, and the social justice implications of access to quality reading programs. Using …

Are Late Talkers Just Late? Neighborhood Density And Word Frequency Properties Of Late Talkers' Spoken Vocabularies, Elizabeth Schoen Simmons, Rhea Paul

Communication Disorders Faculty Publications

Purpose: Typically developing toddlers extract patterns from their input to addwords to their spoken lexicons, yet some evidence suggests that late talkersleverage the statistical regularities of the ambient language differently than dopeers. Using the extended statistical learning account, we sought to comparelexical-level statistical features of spoken vocabularies between late talkers andtwo typically developing comparison groups.Method: MacArthur–Bates Communicative Developmental Inventories AmericanEnglish Words and Sentences (N = 1,636) were extracted from Wordbank, adatabase of CDIs. Inventories were divided into three groups: (a) a late talkergroup (n = 202); (b) a typically developing age-matched group (n = 1,238); and(c) a younger, typically developing …

Social Support After Tbi: An Investigation Of Facebook Posts In Open Access Support Groups, Nicole Cruse, Helena R. Sabo, Melissa Brunner

Communication Disorders Faculty Publications

Traumatic Brain Injury (TBI) significantly affects social interactions and emotional well-being. Following COVID-19, there has been growing interest in how individuals with TBI use online social media groups for support. This study examined engagement patterns in four Facebook support groups: two for TBI and two control groups. A deductive approach was used to categorize 4,133 posts and comments into a framework of support discourse, including seeking and giving support, and non-social support. Each category was further subdivided to analyze post content in more detail. Comments on posts were coded for helpfulness/appropriateness. Results revealed that posts in all groups fell into …

Developmental Change In English-Learning Children’S Interpretations Of Salient Pitch Contours In Word Learning, Carolyn M. Quam, Daniel Swingley

Speech and Hearing Sciences Faculty Publications and Presentations

To efficiently recognize words, children learning an intonational language like English should avoid interpreting pitch-contour variation as signaling lexical contrast, despite the relevance of pitch at other levels of structure. Thus far, the developmental time-course with which English-learning children rule out pitch as a contrastive feature has been incompletely characterized. Prior studies have tested diverse lexical contrasts and have not tested beyond 30 months. To specify the developmental trajectory over a broader age range, we extended a prior study (Quam & Swingley, 2010), in which 30-month-olds and adults disregarded pitch changes, but attended to vowel changes, in newly learned words. …

How Phonological And Syntactic Overlap Impact Cognate Processing Speeds In Bilinguals, Ella Marie Peterson

Undergraduate Theses, Professional Papers, and Capstone Artifacts

This paper investigates individuals who are proficient in two languages (bilinguals) and the speeds at which bilinguals process cognates (words with comparable form and meaning across languages). This paper cites two ongoing experiments: The Language Identification (LID) task and the Self-Paced Listening (SPL) task. Findings from the LID suggest that phonological overlap in cognates facilitates bilingual language processing speeds, when cognates are presented in isolation. Findings from the SPL suggest that syntactic overlap in cognates also facilitates bilingual language processing speeds, when cognates are presented in sentences. These findings are significant in that the tasks present cognates to participants in …

Understanding The Effects Of Hormone Treatments On The Transgender Singer: A Pedagogical Study And Voice Studio Guide, Erin M. Hannon

Theses and Dissertations--Music

Transitioning from one gender to another can be an arduous and emotionally charged experience, accompanied by many physical and mental transformations. The journey of self-discovery and vocal explorations is both unique and deeply personal. Modifications that emerge in an individual's vocal characteristics have a profound influence on their capacity to communicate and express themselves.

Transgender vocal students and professional singers must navigate the delicate balance between their vocal and gender identities while considering the possible risks of Gender Affirming Hormone Therapy. Though these therapies may significantly alter one's appearance and overall well-being, they are also capable of causing notable declines …

Voices In End-Of-Life Care: Gathering Perspectives Of Speech-Language Pathologists On End-Of-Life Issues In Medical Settings, Kori Bess Benton

Online Theses and Dissertations

Despite healthcare professionals becoming increasingly aware of the needs of the end-of-life care population, little research exists regarding the roles speech-language pathologists play in providing care for that population. This study investigates perspectives of speech-language pathologists on their roles and preparedness for engaging in end-of-life care. Eight participants engaged in semi-structured interviews to share their experiences in end-of-life care. Interviews were conducted and transcribed, then analyzed to establish common themes amongst speech-language pathologists working in this setting. This study found that speech-language pathologists do not feel they received adequate training related to their role in end-of-life care and share unique …

Been There Done That: A Narrative Analysis Of Disabled Speech-Language Pathology Graduate Students, Elizabeth Maclaren Jones

Online Theses and Dissertations

There is no formal research completed that investigates the lived experiences of disabled speech-language pathology graduate students. This research study utilized a narrative approach. The data were collected through two virtual semi-structured interviews that lasted between 30-40 minutes. The initial coding was done using the qualitative research software ATLAS.ti. The final coding was completed manually. Thematic analysis of relevant In Vivo codes revealed three overarching themes. These themes include self-advocacy, self-disclosure, and self-reliance. In addition to these broader themes, nine minor themes also emerged that helped to develop the three major themes. These minor themes include miscommunication, vulnerability, lack of …

The Effects Of Masks On Speech Perception: A Case Study Of A 5-Year-Old, Megan Jameson

Online Theses and Dissertations

Through a case study design, this research examined whether mask usage in communication partners influenced speech perception in a 5-year-old child, and if so, what that effect was. Participants were recruited using a mix of electronic and physical flyers. Participants had to meet all inclusion criteria, including being English speaking, typical developing, and the age of 5 years for the duration of the study. Typical development was determined through the usage of three screeners; hearing, articulation, and language. Three children were screened, but only one met all inclusion criteria for the study. This individual went on to participate in phase …

Do High School Students Understand Their Miranda Rights? A Preliminary Investigation, Emma K. Hinds

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Background: Numerous studies have established that the linguistic complexity of the Miranda warning often results in poor comprehension, particularly for adolescents. Several studies have shown that persons with language disorders are overrepresented in U.S. prisons. Additionally, a few studies have shown a strong positive correlation between language scores and scores on Miranda assessments. These findings suggest that individuals with language disorders are at risk for poor comprehension of their Miranda rights, placing them at greater risk of waiving those rights, which can lead to incarceration.

Aims: The goal of this preliminary investigation is to examine how well adolescents with typical …

Measuring Interprofessional Practice Skills In Speech-Language Pathology Graduate Students, Kelly Free Jackson

Graduate Research Theses & Dissertations

Interprofessional practice has become a key component of health professions training programs in recent years as health care has shifted to a more team-based approach to patient care. Because of this, health professions training programs have been tasked with ensuring that students receive adequate training prior to graduation. In the field of speech-language pathology, limited research has shown the best practices in measuring the interprofessional practice skills of speech-language pathology graduate students. Such scant evidence warrants the need for further research on viable measurement tools for interprofessional practice skill development in speech-language pathology. This dissertation presents a three-phase project focusing …

Considering Extended High-Frequency Audiometry As A Screening Tool For Auditory Processing Disorder, Maylee Martin

Williams Honors College, Honors Research Projects

The purpose of this research project is to describe Auditory Processing Disorder (APD) and its background and etiology, signs and symptoms, and treatment options. APD is an auditory disorder that affects the central nervous system. Individuals with auditory processing disorders are able to detect sounds at normal hearing levels and pass a standard hearing test, but struggle with higher order auditory skills such as auditory discrimination, binaural processing, including understanding in the presence of background noise, and temporal processing (ASHA, 2005). A full auditory processing test battery is time consuming, and many audiologists are not skilled in administering typical APD …

The Use Of Telehealth Evaluations For Diagnosis Of Autism Spectrum Disorder In Children Aged 0-7: A Literature Review, Teah L. Ruiz

Honors Undergraduate Theses

The following literature review was intended to review current research studies related to diagnostic evaluation using Telehealth for young children aged 0-7 seeking a diagnosis of autism spectrum disorder (ASD). The analyzed research created a comprehensive guide on the quality, quantity, and state of Telehealth research for ASD evaluation will result. Through the synthesis of available literature, the strengths, and weaknesses of different models of Telehealth ASD evaluation were assessed. The results of this literature review found that there is evidence to support Telehealth’s use in some aspects of evaluation, but not as a stand-alone methodology. Further research is required …

Neurodivergent Student Success In Postsecondary Education: Attitudes Toward Current Accommodations, Alexis T. Cunha

Honors Undergraduate Theses

This thesis investigated the perceptions of accommodation efficacy held by students with neurodevelopmental disabilities at UCF (the University of Central Florida) to understand whether the current accommodations are adequate for those accessing them. Prior research has found that students with disabilities face many barriers when accessing proper accommodations.

Furthermore, even when they access them, the accommodations may fall short of what is needed. An online survey study was conducted to investigate student usage of and attitudes toward accommodations. The survey comprised five main sections: Demographics, Perceptions of Accommodations/Accommodations Received, Willingness to Disclose Disability Scale (WDD), Attitudes Toward Requesting Accommodations Scale …

An Impedance Tube Technique For Estimating The Insertion Loss Of Earplugs, K. Carillo, O. Doutres, F. Sgard

Études primaires

This paper proposes a quick and straightforward technique for estimating the insertion loss (IL) of earplugs measured on an acoustical test fixture (ATF) using a commercial impedance tube. In this method, the earplug's acoustic properties (i.e., its transmission loss and the reflection coefficient of its medial surface) are determined from its transfer matrix measured using the three-microphones impedance tube method modified here for the current application. The IL is then estimated using a one-dimensional analytical model of open and occluded earcanals based on the wavefield decomposition theory. The method is evaluated numerically and experimentally from 50 Hz to 6.5 kHz. …