Communication Sciences and Disorders Commons^™

Assessing Language Abilities In School-Age Children With Autism Spectrum Disorder: Practices Of Speech-Language Pathologists, Mckayla M. Sprague, Cassandra Callahan, Tyrell Perrigo, Ran An

SACAD: John Heinrichs Scholarly and Creative Activity Days

Through an online survey conducted with 64 certified speech-language pathologists (SLPs) from 23 U.S. states, this study sheds light on the complex process of assessing language skills in school-aged children with Autism Spectrum Disorder (ASD). The responses gathered reveal the significant challenges SLPs face, stemming from the vast diversity within the ASD spectrum. These insights strongly suggest a need for adopting assessment strategies that are not only more adaptable and thorough, but also deeply mindful of neurodiversity and the distinct communication skills present in children with ASD.

An Slp Graduate Student’S Analysis Of Language In Children With Speech Sound Disorders, Madeline Janney, Donna Thomas

Journal of Interprofessional Practice and Collaboration

Purpose

Students in allied health professional (AHP) programs are instructed in evidenced-based evaluation practices and participate in interprofessional education and practice in order to identify disorders (e.g., speech, language, gross motor, fine motor) and provide effective treatment. The purpose of this paper is to present a small-scale research study of one graduate student in an AHP program that trains speech-language pathologists.

Method

A graduate student used retrospective methodology to examine the language skills of nine children with speech sound disorders (SSD) to determine if language impairment (LI) co-existed. The student learned and used a method of language sample analysis known …

"Please Don't Assess Him To Destruction": The R.A.I.S.E. Assessment Framework For Primary Progressive Aphasia, Jeanne Gallée, Jade Cartwright, Anna Volkmer, Anne Whitworth, Deborah Hersh

Research outputs 2022 to 2026

Purpose: Speech-language pathologists (SLPs) assess people with primary progressive aphasia (PPA) through measurements of speech, language, communication, and well-being, with the aims of identifying challenges and strengths, monitoring change, and informing treatment directions and supports. The purpose of this clinical focus article is to highlight the necessity for person-centered assessment specific to PPA and to conceptualize a framework that acknowledges the multifaceted nature of assessment for this population. In this framework, the unique challenges posed by a diagnosis of PPA are addressed with the aim to provide practical guidance for clinicians and to support reflection on current practices. Method: In …

Early Intervention Speech-Language Pathologists’ Knowledge, Beliefs, And Practices Surrounding Culturally And Linguistically Responsive Assessment Practices For Dual Language Learners, Rebecca Lynne Jarzynski

Graduate Research Theses & Dissertations

Early intervention (EI) speech-language pathologists (SLPs) are required to provide culturally and linguistically responsive assessments for dual language learners (DLLs) within an increasingly diverse population. Previous research has documented gaps between SLPs’ beliefs related to assessments for DLLs and their implementation of best practices within school-based and pediatric outpatient settings. The purpose of this present research study was to better understand the current knowledge, beliefs, and practices of EI SLPs in relation to the use of culturally and linguistically responsive assessment practices within the context of EI programs. A total of 134 EI SLPs completed a nationwide survey in which …

Aphasia Beyond The Western Aphasia Battery Cutoff: What To Do?, Sarah Schuckmann

2023 SLP Posters

Aphasia is a complex language disorder that can vary in severity dependent upon the amount of damage in specific areas of the brain responsible for language expression and comprehension. Typically, the extent of the disorder, and prediction for successful treatment is assessed and confirmed by a set of comprehensive language tests conducted by a speech-language pathologist. The Western Aphasia Battery-Revised (WAB-R) is commonly used to assess the linguistic and non-linguistic skills most frequently affected by aphasia. A score of 93.8 or above distinguishes an individual as normal or non-aphasic; however, many people with aphasia score above this cut-off and still …

Engaging Clinical End Users In The Development Of An Outcome Measurement Protocol For Pediatric Communicative Health Systems, Victoria Sherman, Danielle Glista, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: To develop a conceptual framework of the factors likely to influence clinicians' use of a new participation-focused outcome measurement protocol in a large paediatric speech-language pathology program.Method: A convenience sample of 27 end users (clinicians, managers) were recruited from Ontario, Canada's Preschool Speech and Language Program. Participants engaged in one virtual concept mapping session in groups of five to six during which they learned about the new protocol, and generated statements in response to a prompt asking them to identify factors that would influence their use of the protocol. Following all sessions, participants asynchronously sorted and …

Assessment And Diagnostic Practices Relating To Autism Spectrum Disorder In The United States And Mexico, Maria Valdez, Jessica R. Stewart, Wan-Lin Chang, Ruth Crutchfield, Ralph Carlson

Internet Journal of Allied Health Sciences and Practice

Purpose: The present study examined and compared professional assessment and diagnostic practices relating to autism spectrum disorder (ASD) in Mexico and the United States (U.S.). This information is of great importance because there is an extremely limited amount of information pertaining the assessment and diagnostic practices for ASD in Mexico and little is known about how these practices compare to those in the U.S. Methods: Archival data from a survey investigating ASD in the U.S. and Mexico was used for this study. Participants included 29 professionals from the U.S. and 7 professionals from Mexico. Professionals were from a variety of …

Telepractice-Based Assessment Of Children Who Are Deaf/Hard-Of-Hearing: Focus On Family-Centered Practice, Kristina M. Blaiser, Lauri Nelson, K. Todd Houston

Journal of Early Hearing Detection and Intervention

Ongoing assessment and progress monitoring is considered best practice to serve children who are Deaf/Hard-of-Hearing (DHH) yet logistics related to provider shortages, distances between families, and illness make regular assessment difficult if not impossible. In the last ten years, telepractice has become a more commonly used service delivery model for serving children who are DHH and their families, however, many providers lack the training needed to adequately assess this population (Behl & Kahn, 2015). With explicit planning of the assessments and tools needed on both sides of the camera, providers can create a shared framework to collect the information needed …

Comparing Relative And Absolute Reliability Of Short Versus Long Narrative Retells, Jenna Hollis

Theses and Dissertations

The purpose of the current study was to examine and compare relative and absolute reliability estimates between brief, linguistically compact narrative retells and longer, more linguistically diffuse narrative retells. The participants included 190 school-age children in firstsixth grade from Utah, Arizona, and Colorado. Participants completed two brief narrative retells using the Narrative Language Measures (NLM) Listening subtest of the CUBED assessment and one longer narrative retell using the wordless picture book Frog, Where Are You? (FWAY). These language samples were then analyzed for language productivity, complexity, and story grammar elements using the Systematic Analysis of Language Transcripts software program and …

Responses To Partner Comments And Acknowledgements In Students With And Without Autism, Kaitlyn Bresette

Masters Theses, 2020-current

Some children and adolescents with Autism Spectrum Disorder (ASD) initiate and respond less frequently than neurotypicals (NT) during language sampling tasks. More information is needed regarding how partner behaviors, such as comments and acknowledgements and the sampling context, influence the types of responses provided by children with ASD. This research study examined responses to adult comments and acknowledgments in two language sampling tasks, a traditional Share and Tell sample and a Double Interview sample (Garcia-Winner, 2002).

Participants. Fifty-eight participants, between the ages of 10 and 17 years, were recruited across two labs. The sample consisted of 28 adolescents with ASD …

Assessment And Treatment Of Childhood Apraxia Of Speech: The Perspective Of Current Speech-Language Pathologists, Sabrina White

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

“Childhood apraxia of speech (CAS) is a neurological childhood (pediatric) speech sound disorder in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g. abnormal reflexes, abnormal tone)” (ASHA, 2007b, Definitions of CAS section, para. 1). The role of speech-language pathology in conjunction with childhood apraxia of speech is the treatment of whichever speech sound disorders exist. The variable nature of CAS creates challenges for SLPs. Presently, “there are no validated diagnostic features that differentiate CAS from other childhood speech sound disorders.” (ASHA, 2007b, Signs and Symptoms, para 1). Due to this …

The Lived Experiences Of Transmasculine Speakers: A Phenomenological Investigation Of Vocal Quality And Function In Relation To Gender, Micah Wylie

Graduate Theses and Dissertations

The objective of this study was to learn how transmasculine individuals perceive the quality and function of their voices, and how those perceptions influence how they experience gender identity and communicate with others. This qualitative study adopted a hermeneutical phenomenological approach that involved using content analysis and thematic analysis to describe and interpret phenomena. This approach assumes that the researcher is not biased, but is a part of the world being studied and, therefore, understands the phenomenon by interpretive means. Saturation was achieved when all relevant information was introduced, and patterns of information had been identified. Sixteen interviews were conducted. …

Current Practices, Supports, And Challenges In Speech-Language Pathology Service Provision For Autistic Preschoolers, Amanda V. Binns, Barbara Jane Cunningham, Allison Andres, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

Background: Speech-language pathology services are among the most frequently accessed services for young autistic children. Therefore, understanding the nature of these services, what challenges these clinicians face, and what supports they value is critical for developing appropriate policies and practices that can maximize positive outcomes for children and families. This study had two primary aims. The first was to examine the self-reported assessment and intervention practices of community-based Speech Language Pathologists (SLPs) and communicative disorders assistants (CDAs; who provide services under the supervision of a SLP) in supporting preschool children with suspected and diagnosed autism. The second aim was to …

Creating A Novel Approach To Discourse Treatment Through Coproduction With People With Aphasia And Speech And Language Therapists, M. Cruice, S. Aujla, J. Bannister, N. Botting, M. Boyle, N. Charles, V. Dhaliwal, S. Grobler, Deborah Hersh, J. Marshall, S. Morris, M. Pritchard, L. Scarth, R. Talbot, L. Dipper

Research outputs 2014 to 2021

Background:

Although spoken discourse is an outcome prioritised by all stakeholders in aphasia rehabilitation, assessment and treatment of discourse are not routine clinical practice. The small evidence base, varied clinical expertise, multiple barriers in the workplace, and challenges for clients in understanding their altered language abilities all contribute to this situation. These factors need serious consideration when developing a new treatment. Involving intended stakeholders as partners in the development process is recommended. This assists with future implementation by ensuring assessment and treatment are practical, feasible, and acceptable to those who will deliver and undertake it.

Aims:

This paper reports on …

Hearing And Other Factors Influencing Memory Performance In Remote Assessment, Erika Squires

Wayne State University Dissertations

With the revitalization of aural rehabilitation (AR) and increased use of telepractice services, there is a paucity of research examining factors that have the potential to affect remote assessment. An assessment of memory is commonly included in a comprehensive AR assessment because recently developed auditory-cognitive training programs include auditory-based cognitive activities, such as auditory memory tasks. This investigation explored the effect of presentation modality on speech discrimination performance and whether self-reported hearing ability correlated with remote memory assessment in older adults.Older adults self-reported their hearing abilities and completed speech discrimination and memory tasks. Data were collected remotely via a telephone …

Conversation As An Outcome Of Aphasia Treatment: A Systematic Scoping Review, Jamie H. Azios, Brent Archer, Nina Simmons-Mackie, Anastasia Raymer, Marcella Carragher, Shriya Shashikanth, Eleanor Gulick

Communication Disorders & Special Education Faculty Publications

PURPOSE: Conversation-focused speech-language pathology services are a top priority for people living with aphasia, but little is known about how researchers measure conversation as an outcome of treatment. This scoping review was undertaken to systematically review the evidence regarding the measurement of conversation in aphasia studies and to identify current practices and existing gaps.

METHOD: A systematic literature search was conducted for studies published between January 1995 and September 2019 in multiple electronic databases. Covidence software was used to manage search results, study selection, and data charting processes. Data were extracted from each study and then collated and organized to …

Orofacial Myofunctional Assessments In Adults With Malocclusion: A Scoping Review, Samantha C. Washington, Jayanti Ray

International Journal of Orofacial Myology and Myofunctional Therapy

Background: Breathing, chewing, swallowing, sleep, and speech disorders are known to be associated with malocclusions. Assessment protocols using non-instrumental evaluation of orofacial myofunctional disorders (OMD) in adults with malocclusions are almost nonexistent. Purpose: This scoping review aimed to determine the existence of scientific evidence demonstrating the areas of non-instrumental assessment of OMD in adults with malocclusion. Another purpose was to identify the protocols for assessing the nature of orofacial myofunctional assessments in adults with malocclusion. Methods: An electronic search was performed in the databases: MEDLINE, EBSCOhost, PsycINFO, CINAHL, Cochrane Library, Health & Medical Collection, Medline, Nursing and Allied Health Database, …

Perceptions Of Tongue-Bulb Comfort And Stability With And Without Anti-Slip Patches During Assessments Of Tongue Strength And Endurance, Heidi A. Vanravenhorst-Bell, Lucy M. Cook

International Journal of Orofacial Myology and Myofunctional Therapy

Purpose: The Iowa Oral Performance Instrument (IOPI) is commonly used to measure tongue strength and endurance. The tongue, however, is reported to periodically move from its intended placement on the IOPI bulb during measurement. This study sought to determine one’s perception of tongue-to-bulb slippage with and without two anti-slip patches (Patch1 – flexible fabric, Patch2 – hypoallergenic micropore fabric) and whether measures of tongue strength and endurance differed across the three IOPI bulb conditions.

Method: 40 healthy adults were randomly assigned to perform tongue strength and endurance procedures by elevating either the anterior (n = 22) or posterior ( …

Assessing Oral Language When Screening Multilingual Children For Learning Disabilities In Reading, J. Marc Goodrich, Lisa A. Fitton Ph.D., Jessica Chan, C. Jamie Davis

Faculty Publications

Multilingual children represent a rapidly growing population of students in U.S. schools. However, identification of language and learning disabilities for students from different linguistic backgrounds is complex, leading to frequent misidentification of multilingual learners for special education. This article provides guidance on how special education teachers, speech-language pathologists, and other practitioners (e.g., school psychologists) can utilize each other’s expertise to accurately assess language and literacy skills of multilingual learners. Five key lessons learned from research on identification of language disorders are presented, along with discussion of why these are important when screening multilingual children for learning disabilities in reading. Specifically, …

Filling The Gap: Development Of Best Practice Guidelines To Support Speech-Language Pathologists Working With Autistic Clients, Lauren Choi

Undergraduate Student Research Internships Conference

Speech-language pathologists (SLPs) are among the most important clinicians involved in providing assessment and therapy services for autistic children. Yet, a study found that 60% of graduate students in speech-language pathology only had one week of coursework that focused on autism. Our project aims to address this gap, by working with SLPs working in the community to create a best-practice-guidelines web-based tool SLPs can use to supplement their learning and inform their decision-making when assessing and providing support for autistic individuals. We used three phases to incorporate research and expert opinions to answer the question “What are considered best-practices when …

A Systematic Review Of The Literature On The Assessments Used For Social Communication In The Diagnosis Of Autism Spectrum Disorder, Rachel E. Kim

Masters Theses

This review of the literature aims to analyze the current assessments available for clinicians, parents, and other professionals to use during the diagnosis of Autism Spectrum Disorder (ASD) that specifically addresses social communication. Although ASD can be diagnosed as early as the age of 2, children are often not diagnosed until the age of 4-5 years old. Especially for children who would be diagnosed with ASD and require Level 2 and/or Level 3 supports, early diagnosis can lead to early intervention which can help to provide the necessary support for both the child and family. Early intervention can help to …

The Development Of A Measure Of Orthographic Processing In The Arabic Language: A Psychometric Evaluation, Sana Tibi, Lisa Fitton, Autumn L. Mcilraith

Faculty Publications

Although Arabic is an official language in 27 countries, standardized measures to assess Arabic literacy are scarce. The purpose of this research was to examine the item functioning of an assessment of Arabic orthographic knowledge. Sixty novel items were piloted with 201 third grade Arabic-speaking students. Participants were asked to identify the correctly spelled word from a pair of two words. Although the assessment was designed to be unidimensional, competing models were tested to determine whether item performance was attributable to multidimensionality. No multidimensional structure fit the data significantly better than the unidimensional model. The 60 original items were evaluated …

Implementing Evidence-Based Assessment Practices For The Monitoring Of Spoken Language Outcomes In Children Who Are Deaf Or Hard Of Hearing In A Large Community Program, Barbara Jane Cunningham, Janis Oram Cardy, Olivia Daub University Of Western Ontario

PRECISe Preschool Speech and Language Publications

The purpose of this quality improvement pilot was to evaluate the effectiveness of an online learning module for (a) changing speech-language pathologists’ perceptions about outcome monitoring and assessment protocols for children who are deaf or hard of hearing and (b) supporting speech-language pathologists’ understanding of evidence-based protocols to be implemented in their community-based program. Using principles of integrated knowledge translation and the Ottawa Model of Research Use, an online learning module was designed to support the implementation of evidence-based assessment protocols for these children in a large publicly funded program in Ontario, Canada. A pre–post study was then conducted with …

Aphasia In Multilingual Patients, Mira Goral, Zahra Hejazi

Publications and Research

Purpose of Review

We summarize recent published work concerning assessment and treatment of aphasia in bilingual and multilingual people and review current related models of treatment outcomes. As well, we discuss studies that address the recently debated topic of cognitive processes in bilingual individuals with aphasia, with a focus on the effects of bilingualism on aphasia recovery and its potential protective effects.

Recent Findings

Providing assessment and treatment tools that best serve multilingual individuals with aphasia and unpacking the variables and mechanisms that underlie response to treatment have emerged as goals of several recent studies. Additionally, while findings are still …

The Relationship Between Narrative Informativeness And Psychosocial Outcomes In Chronic Stroke-Induced Aphasia, Eileen Armes, Jessica Richardson, Rick Arenas, Lori Nelson

Speech and Hearing Sciences ETDs

Currently there is a gap in the literature in understanding the relationship between the newly categorized primary outcome measure of discourse and secondary outcomes related to psychosocial impact, such as participation, psychological impact, social well-being, or mood. In a large sample of persons with stroke-induced aphasia (N=115), this study analyzed discourse samples using main concept analysis to determine how discourse performance correlates with the secondary outcome measures ALA, CCRSA, GDS, and CIQ. As a secondary research question, the differences in these relationships dependent on severity was also explored. Results showed statistically significant positive correlations between main concepts (MCs) and ALA …

Effect Of Sound Source Location And Spatial Hearing On The Vestibulo-Ocular Reflex (Vor), Mary Easterday

Theses and Dissertations (ETD)

Accurate measurement of the vestibulo-ocular reflex (VOR) is imperative in differential diagnosis of vestibular disorders and balance function. However, the assessment protocol faces a number of limitations, including the need to control for extra- vestibular sensory factors such as hearing. Previous research has shown that the use of an auditory stimulus can have a significant effect on functional measures of balance, and many have contributed effects to be the result of spatial hearing. However, no studies have directly assessed the effect of speaker location on the VOR nor investigated correlations of functional spatial hearing with the VOR. Therefore, the aims …

Simulation-Based Training Improves Student Assessment Of Oral Feeding Skills In Preterm Infants, Courtney K. Broadfoot, Julie M. Estis

Teaching and Learning in Communication Sciences & Disorders

Advancements in medical technology have contributed to increased rates of preterm birth. Prematurity places infants at high risk for feeding difficulties, however. Early identification and assessment of preterm infant dysphagia is critical to maximize nutrition and hydration, feeding safety, and growth and development. The purpose of this study was to assess the ability of a simulation-based training toolto increase non-health care and entry-level clinical student sensitivity to signs of feeding distress in preterm infants. Data were collected from 60 students (20 masters-level Speech-Language Pathology, 20 undergraduate nursing, 20 undergraduate non-health care) in a pre-test/post-test design. All participants completed a …

Assessing Outcomes Of Simulation In Communication Sciences And Disorders, Erin S. Clinard

Teaching and Learning in Communication Sciences & Disorders

Assessment is an ongoing process that is necessary at every stage of designing, implementing, and evaluating simulation-based learning experiences (SBLEs). Designing and aligning a high-quality assessment process provides instructors and researchers with valuable data to understand if students have met the desired simulation learning objectives, where students are in their learning, and opportunities to enhance the SBLE. This reflection discusses the importance of assessing student learning outcomes as well as the effectiveness of all simulation-based learning experiences (SBLEs) in communication sciences and disorders (CSD). While the benefits and effectiveness of simulation have been demonstrated in other health professions, simulation research …

Beliefs And Self-Efficacy Of Parents Of Young Children With Hearing Loss, Sophie E. Ambrose, Margo Appenzeller, Alexandra Mai, Jean L. Desjardin

Journal of Early Hearing Detection and Intervention

The purpose of this study was to learn more about the beliefs and self-efficacy of parents of young children with hearing loss. Seventy-two parents completed the Scale of Parental Involvement and Self-Efficacy - Revised (SPISE-R), which queries parents about their child’s hearing device use and their perceptions of their own beliefs, knowledge, confidence, and actions pertaining to supporting their child’s auditory access and spoken language development. Two beliefs were identified that related to parents’ action scores and one belief was identified that related to children’s hearing device use. Knowledge and confidence scores were significantly correlated with action scores and children’s …

Assessing Health Related Quality Of Life, Language Impairment, And Psychosocial Factors In Post-Stroke Aphasia, Sophia M.E. Palangas

Honors College

Aphasia, an impairment of language comprehension and production typically due to an acquired brain injury or stroke, has been shown to negatively impact an individual’s quality of life (Hilari, Needle, & Harrison, 2012). It has also been shown that people with aphasia (PWA) have an increased risk of developing depression (Kauhanen et al., 2000). There are few current assessments or screening tools which focus on depression in aphasia and the relationship between mood disorders and prognosis for language recovery. This type of screening tool is critical to identify a PWA’s susceptibility for depression because depression elongates and/or prevents language recovery …