Communication Sciences and Disorders Commons^™

Counseling For Patients With Hyperacusis, Mary Maraist

Communication Sciences and Disorders: Student Scholarship & Creative Works

Hyperacusis is the phenomenon of experiencing moderately loud sounds as overly loud and/or intensely annoying. Hyperacusis can also cause fear or pain in response to sound. There is no one known cause of hyperacusis, and because of the variety of ways it presents itself, the approximate prevalence is difficult to determine. Despite the ambiguity of hyperacusis, the audiologist is an important part of diagnosing and educating clients with hyperacusis. During this project we aimed to discover the challenges individuals with hyperacusis face. These include anxiety, depression and avoidance behavior, and sometimes co-occurring tinnitus and hearing loss. Another aim was to …

The Importance Of Interprofessional Education To Develop Successful Interprofessional Collaborative Teams In Healthcare, Christina Sebastiao

Senior Honors Projects

Many individuals live with chronic illnesses, various disabilities, and other complex needs that require an array of medical services from multiple disciplines within the healthcare field. To address the medical, behavioral and social needs of these patients, there has been an emphasis on providing treatment through interprofessional collaborative teams and interprofessional practice (IPP). These teams consist of multiple health professionals from various disciplines.

To ensure IPP teams are efficient and effective in the workplace, the application of interprofessional education (IPE) is key. The goal of IPE is to increase competency in interdisciplinary collaborative skills in students and future practitioners. In …

Hear Me Out: Communication And Peer Support For Adults With Hearing Loss, Emma Furness

Senior Honors Projects

Progressive hearing loss is a natural part of aging. It can take adults an average of seven years between the time they perceive they have a hearing loss and they see an audiologist for testing, diagnosis, and treatment. Dealing with hearing loss can be extremely stressful and confusing for both the patient and the family. After receiving the diagnosis of hearing loss, the patient’s next step is to discuss all options with theaudiologist including hearing aids and assistive listening devices. Being fit with hearing aids is a great start, but patients can benefit from further education and support not always …

Across Curriculums: A Need For Audiology Instruction For Teachers Of The Deaf And Hard Of Hearing, Jenna M. Morishita

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this project is to gain insight into the requirements of teacher education programs with regard to instruction in audiology for teachers of the deaf and hard of hearing. Though individual teacher preparation programs have vast differences as they pertain to philosophy and methodology, graduates of each of these programs seek to work with children with hearing loss and therefore should have more than a basic understanding of audiology.

Method: The websites and course catalogs (when available) were reviewed for the 48 graduate programs listed on DeafEd.net. Data was collected on courses with the term “audiology” in …

Review Of Au.D. Program Curriculums And The Current State Of Audiology Roles And Responsibilities In The United States, Kerri L. Heesemann

Dissertations, Theses, and Capstone Projects

Audiology, a health profession concerned with all auditory impairments and their effect on communication, has rapidly and dramatically changed over the last 70 years of its existence (American Academy of Audiology [AAA], 2004). What began as a field dedicated to helping address veterans with hearing difficulties sustained while in the service, has now become a medical profession with a wide and varied Scope of Practice that requires an entry level a doctoral degree. With the evolution of technology, and knowledge about hearing loss, there has been an increase in the information and knowledge required for best practice. While education standards …

Value Of Otoacoustic Emissions Testing In Pre-School Hearing Screenings: A Literature Review, Paige Stabrawa, Scott E. Seeman Phd

AuD Capstone Projects - Communication Sciences and Disorders

Unidentified hearing loss in children can have a potential effect on their speech and language, educational, cognitive, and social development. The goal of early detection is to minimize the effects of hearing loss through the appropriate referral for diagnosis and treatment. Hearing screenings throughout the preschool and school-age years are vital for the detection of a late-onset, late identified, or acquired hearing loss. Three influential organizations known as The American Academy of Audiology (AAA), The American Speech- Language-Hearing Association (ASHA), and The National Center for Hearing Assessment and Management (NCHAM), have considered behavioral pure tone screening as the “gold standard”for …

Assistive Devices For Communication Use With The Elderly, Corrine Koepsell, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Hearing loss is one of the prevalent medical conditions in older adults. Although it has been documented that hearing loss is associated with various aspects of social and physical health, hearing assistive technologies and audiologic rehabilitation have been infrequently tapped clinical solutions. Cost and user problems in background noise are two common reasons why hearing aids are underutilized by seniors, and by younger age groups as well. Alternative tools, such as assistive listening devices, may be helpful for older listeners, even though they are used less frequently than hearing aids. To identify if assistive listening devices are satisfactory, a pilot …

Teaching Counseling Skills In Audiology Graduate Programs: Clinical Supervisors’ Perceptions And Practices, Karen F. Muñoz, Trenton J. Landon, Kim Corbin-Lewis

Communicative Disorders and Deaf Education Faculty Publications

Background: Counseling is a critical component within audiological service delivery. Partnering with patients to support them in learning to effectively cope with their hearing challenges is a key component in achieving desired outcomes. Even though there is agreement on the foundational role counseling plays in audiology service delivery, counseling instruction varies among audiology training programs.

Purpose: The purpose of this study was to investigate the perspectives and practices of supervisors in audiology graduate training programs related to mentoring students in the acquisition of counseling skills.

Research Design: A cross-sectional design was used; participants completed a self-report survey.

Study Sample: The …

Audiometric Status, Self-Perception Of Hearing Disorders, And Noise Dose In Audio Post-Production Engineers, Laura M. Sinnott

Dissertations, Theses, and Capstone Projects

Numerous studies have assessed the risk of hearing injury for musicians and other sound professionals due to excessive sound exposure, however no studies have investigated whether audio post-production engineers have this same risk. This preliminary study first measured 23 participants’ hearing thresholds and prevalence of audiometric notches. Second, a questionnaire, the Questionnaire for Sound Professionals (QUSP), was designed and administered to determine whether correlations between audiometric status and self-perception of hearing loss and hearing disorders existed. Third, sound dosimetry measurements were conducted at film audio post-production studios to assess whether this population is at risk for permanent hearing loss due …

Development Of An Audiologic Rehabilitation Program Model For Adult Patients Receiving Care At A Graduate Training Facility, Amanda Mcfadden, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Research has shown that untreated hearing loss can negatively impact a person’s quality of life. The average person with hearing loss waits seven years from the onset of symptoms to pursue hearing aids (Hall, 2014). To decrease the negative effects of hearing loss, hearing technology, by itself, is typically not enough support for even the best users (Kelly et al., 2013). To provide supplementary support for these patients, audiologic rehabilitation (AR) is required. Audiologic rehabilitation is the modern term used to classify treatments that were previously so- called “aural rehabilitation.” Per Boothroyd (2007), aural [audiologic] rehabilitation may be defined as, …

Counseling Skill Development In Audiology: Clinical Supervision Considerations, Karen F. Muñoz

Communicative Disorders and Deaf Education Faculty Publications

Audiologists play a critical role in supporting patients as they provide diagnostic information about their hearing and in the delivery of treatment services. Graduate training related to counseling, however, varies among programs in the extent students are prepared to engage effectively and intentionally with patients. Instruction is needed to provide students with a framework that supports their ability to learn and implement evidence-based counseling services. This article addresses the impact patients can experience when counseling gaps exist, shares clinical instruction strategies that can support students' acquisition of counseling skills, and discusses considerations for integration of counseling education into graduate training …

Counseling In Audiology: Aud Students’ Perspectives And Experiences, John J. Whicker, Karen F. Muñoz, Jared C. Schultz

Communicative Disorders and Deaf Education Faculty Publications

Counseling in audiology is an important aspect of service delivery. How audiologists interact with patients and foster counseling relationships to help patients and families understand and live with hearing loss can impact outcomes of audiological interventions. Currently, variability exists in how graduate training programs are teaching counseling skills, and the extent to which counseling skills development is supported in clinical experiences is unclear. This article seeks to explore the perspectives related to the importance of counseling and counseling training experiences received through clinical instruction of Au.D. students beginning their final year of study, to identify where counseling training might be …

Pedagogical Education Practices In Communication Sciences And Disorders Phd Programs: A Pilot Study, Laura Smith-Olinde, Stanley K. Ellis

Teaching and Learning in Communication Sciences & Disorders

The purpose of this study was two-fold: (1) to ascertain how research doctoral programs in Communication Sciences and Disorders (CSD) characterize their own efforts to educate research doctoral students about teaching at the college/university level; and (2) whether and how programs introduce the “scholarship of teaching and learning” (SoTL) to PhD students. PhD program directors (N=69) were emailed a survey for descriptions of university teaching instruction and SoTL activities, with a 27.5% return rate (n=19). Quantitative and qualitative analyses were used. Identified themes included, “course or seminar”, “experiential” and “required”. One hundred per cent of respondents offer teaching experiences and …

The Psychosocial Effects Of Hearing Loss On Adults, Holly Reed

Williams Honors College, Honors Research Projects

Adults with hearing loss report experiencing isolation, depression, a decreased satisfaction with their self - image and quality of life, cognitive problems and communication obstacles. These effects of a hearing loss can manifest in social situations, within the family and even at the workplace. How one copes with their hearing loss can affect how much of an impact their hearing loss has on their lives as well as what rehabilitative programs or assistive technology they may seek out. It is important to for audiologists to understand the psychosocial effects of hearing loss, how they affect the individual in the workplace …

Young Adults With Cleft Lip And Palate: Are They Receiving Team Services?, Sarah Widy, Andrea Bisceglia, Emily Bradley, Sanjana Kumari Vyda Srinivasa Kumar, Andrea Mcdowell, Amanda Murr, Blake Nowicki, Elisha Reed, Alexandria Staples, Brenda Louw

ETSU Faculty Works

It is widely acknowledged that a team approach is preferred practice and contributes to optimizing the surgical, dental, speech and psychosocial outcomes for individuals with CLP. Young adulthood often marks the transition from child-centered interdisciplinary care to adult-centered care. There is a paucity in literature relating to the transition of care for young adults with CLP. The purpose of this survey research is therefore to explore the CLP team practices regarding young adults with CLP.

Implementing Psychological Methods In The Management Of Trauma-Associated Tinnitus, Marc A. Fagelson

ETSU Faculty Works

Dr. Fagelson, (Professor Audiology, ETSU) will discuss the unusual challenges facing patients and providers when tinnitus severity is linked to traumatic exposure. Interactions between neural mechanisms associated with tinnitus, posttraumatic stress-disorder (PTSD), and traumatic memory will be reviewed with particular attention to the way and degree to which such interactions affect tinnitus and disorders of sound tolerance. Conference attendees will be provided theoretical models of emotional memory consolidation that underscore trauma‘s durable effects on a patient‘s emotional state, reaction to the tinnitus signal, and to potentially-triggering environmental sounds. The putative benefits of tinnitus counseling will be presented in the context …

Development Of 90th Percentile Norms For Ipsilateral Acoustic Reflex Thresholds: A Feasibility Study, Iris Wertheimer

Dissertations, Theses, and Capstone Projects

The acoustic reflex threshold has been well established in the literature as an involuntary bilateral contraction of the stapedius muscle in response to loud transient sounds. Additionally, the clinical utility of the acoustic reflex threshold has been established as it allows for the differential diagnosis of many different conductive, cochlear and retrocochlear pathologies. Gelfand, Schwander and Silman (1990) have established and validated 90^th percentile normative data for use with the contralateral acoustic reflex threshold. Much of the literature on the acoustic reflex threshold has focused on the contralateral acoustic reflex threshold; however, surveys have found that many clinicians are …

Music Perception Performance In Prelingually Deafened Children With Cochlear Implants Pre And Post Structured Music Training Postoperative Habilitation Programs: A Systematic Review, Jessica K. Woodson

Dissertations, Theses, and Capstone Projects

The goal of this project was to systematically review literature in order to analyze music perception performance in prelingually deafened children with cochlear implants before and after structured music training postoperative habilitation programs. Features of music which were evaluated included pitch, melody, timbre, rhythm, and appraisal. In six studies, these measures of music perception were compared pre and post formal music training; in one study, music perception performance was compared between prelingually deafened cochlear implant users and individuals with normal-hearing sensitivity. Overall, when the music training was sufficiently long, the findings indicated that music training significantly improves pitch perception ability. …

Methods And Professionals Involved In Evaluating Postural Control In The Autism Spectrum Disorder Population: A Systematic Review, Christina Melora

Dissertations, Theses, and Capstone Projects

The objective of this systematic review was to determine the methods in which postural stability and control are being quantified in persons with Autism Spectrum Disorder (ASD), with what instrumentation and which healthcare professionals are included in this process. It is well studied that persons with Autism Spectrum Disorder (ASD), which now include those with Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) and Asperger Disorder, often suffer from vestibular modulation abnormalities (Rogers & Ozonoff, 2005; American Psychiatric Association, 2013.) These individuals may present with either an under- or over-responsiveness to vestibular inputs resulting in a variety of repetitive behaviors or …

Using Quicksin Speech Material To Measure Acceptable Noise Level For Adults With Hearing Loss, Lauren E. Bentley, Hua Ou

AuD Capstone Projects - Communication Sciences and Disorders

It is clinically useful to predict potential for hearing aid use success prior to the initial fitting of hearing aids. This information may be used to help with additional counseling for speech understanding in noisy listening environments and can also be used to describe the use of communication skills in combination with the dynamic functionality of hearing aids to guide patients that are hearing aid candidates towards success. The Quick Speech-In-Noise (QuickSIN) test and the Acceptable Noise Level (ANL) test have been recognized for their ability to predict hearing aid use success; however, the two measures use different stimuli and …

Audiology Students’ Perception Of Hybrid Simulation Experiences: Qualitative Evaluation Of Debriefing Sessions, Ahmad A. Alanazi, Nannette Nicholson, Samuel R. Atcherson, Clifford A. Franklin, Naveen K. Nagaraj, Michael Anders, Laura Smith-Olinde

Journal of Early Hearing Detection and Intervention

Simulation-based research is still new in the audiology field and requires more research to better understand students’ perspectives on standardized patients/parents (SPs) and manikins use. There is also limited research about debriefing practices in audiology. This qualitative study used a baby simulator and SPs to evaluate audiology students’ reflection during three debriefing sessions conducted at the University of Arkansas for Medical Science (UAMS) Simulation Center. Seventeen Doctor of Audiology (AuD) students participated in the simulation event, and the data were collected using the transcripts of videotaped debriefing sessions. The qualitative content analysis of the transcripts revealed eight sub-themes: support, compassion, …

Development And Deployment Of A Small Stereo-Hearing Testing System: Two Manuscripts, Sofia A. Ganev

Dissertations, 2014-2019

MANUSCRIPT #1 TITLE

Development of a Deployable Stereo-Hearing System

ABSTRACT

Objective: To investigate the effectiveness and efficiency of a portable stereo-hearing testing system with the intent of deployment for data collection in future studies. We quantify sound localization accuracy and speech-in-noise thresholds comparing unilateral (such as single-sided deafness) and bilateral subjects. We desired to design a small, inexpensive system that would show a large effect size between binaural and monaural subjects in a variety of stereo hearing tasks.

Methods: Subjects were tested on localization accuracy and speech understanding in noise using a laboratory-made stereo-hearing testing device. For the …

An Introduction To Hearing Loss: Examining Conductive & Sensorineural Loss, Jamie F. Marotto

Communication Disorders Faculty Publications

A presentation on hearing loss made at the 2017 Charter Oak Conference held in Groton, CT.

Adults With Cleft Lip And Palate And Hearing Loss, Rachna Gopal, Brenda Louw

ETSU Faculty Works

Framework and Research Question:

• The International Classification of Functioning, Disability and Health (ICF) developed by the World Health Organization (WHO 2001) is a framework to address functioning and disability related to a health condition within the context of the individual’s activities and participation in everyday life.
• Therefore, in addition to the audiologic test battery the individual’s perception of hearing status and its impact on communication should be considered.
• The aim of this study is to describe the hearing status of Mauritian adultslivingwith CL/P and their perceptions of the role of hearing in their lives

Island Voices: Experiences Of Living With Cleft Lip And Or Palate., Rachna Gopal, Brenda Louw

ETSU Faculty Works

To date there is a lack of information on how young adults in Mauritius, a representation of the majority contexts, experience living with CLP. The aim of this study is to give a voice to young Mauritian adults with CLP; in describing their treatment journey and satisfaction with cleft care.

Developing A Revised Performance-Perceptual Test Using Quick Speech-In-Noise Test Material, Matthew Wetmore, Hua Ou

AuD Capstone Projects - Communication Sciences and Disorders

Objective: Two audiometric speech measures have been recognized to be useful to predict hearing aid use success: the Quick Speech-in-Noise (QuickSIN) test and the Performance-Perceptual Test (PPT). The PPT involves using the same speech test material (Hearing In Noise Test; HINT) twice, to evaluate patients’ objective and subjective speech recognition performance in noise and the discrepancy between the two measures (Performance-Perceptual Discrepancy; PPDIS). Utilizing the QuickSIN with the PPT (Revised-PPT) may provide a clinician with two important pieces of information from one test to help predict hearing aid use success and the need for counseling. This study aimed 1) …

A Comprehensive Review Of The 2016 Asha Code Of Ethics, Robin L. Edge Ph.D., Ccc-Slp, Bess Sirmon-Taylor Ph.D., Ccc-Slp, Raul F. Prezas Ph.D., Ccc-Slp

Journal of Human Services: Training, Research, and Practice

The American Speech-Language-Hearing Association (ASHA) initially implemented a Code of Ethics in 1952, and has periodically revisited the content of the document with revisions to reflect the expanding scope of practice within speech-language pathology and audiology and to clarify certain concepts. Code revision is a cyclical mandated task of the ASHA Board of Ethics conducted to assure accuracy, currency, and completeness of this most important document (Solomon-Rice & O’Rourke, 2016). The current version of the Code of Ethics (2016) was modified from the previous version (2010r), with an updated preamble, definitions of related vocabulary, and re-organized language in the principles. …

The Clinical Relevance Of Smartphone Applications In Medicine And Audiology, Elizabeth Fetscher

Communication Sciences and Disorders: Student Scholarship & Creative Works

No abstract provided.

A History Of The Audiology Program At The University Of Nebraska-Lincoln: 1920 To 2015, T. Newell Decker

Department of Special Education and Communication Disorders: Faculty Publications

Programs for the hearing impaired have been in existence at the University of Nebraska for many years. However, there is no comprehensive history of these efforts. This work is an attempt to provide a complete picture of these programs and to detail the history and growth of the Audiology Program at the University of Nebraska-Lincoln. When the author came to the University in 1977 audiology was already well established at the University as well as in the State. After joining the faculty, the author served in the capacity of Coordinator of the Audiology and Hearing Science Program from 1977 until …

Development Of A Patient-Centered Health Literacy Toolkit For Audiology And Hearing Loss (The 'Hh Lit Kit'), Jennifer L. Gilligan

Dissertations, Theses, and Capstone Projects

The Patient-Centered Health Literacy Toolkit for Audiology & Hearing Loss (‘HH Lit Kit’) represents four years of inquiry into health literacy and Patient-Centered Care (PCC) in audiology. While awareness of health literacy continues to gain momentum in medicine and public health, there is a paucity of information on PCC and health literacy in audiology.

Low health literacy is linked to poorer health and poorer quality of life. Patients with hearing loss are at high risk for low health literacy. This presents a major concern because hearing loss affects the way information is processed, retained, and applied. Gaps have been identified …