Communication Sciences and Disorders Commons^™

How Do Autobiographical Memory Abilities Compare With Other Cognitive Functions In An Adult Presenting With Hsam (Highly Superior Autobiographical Memory) And Autism? A Case Study., Emilia Rzeszutek, Dr. Jamie Mayer

Honors Capstones

Autism Spectrum Disorder (ASD) is a condition widely researched in relation to social communication differences and challenges in areas such as memory and executive functioning. Many areas of research highlight ASD’s deficits, shortcomings, and risk factors. However, research has begun to recognize that autistic individuals demonstrate cognitive strengths that differ from typical patterns of functioning. An example of such ability is Highly Superior Autobiographical Memory (HSAM), a rare phenomenon characterized by the ability to recall specific life events with remarkable accuracy and detail. This study was conducted on a 25-year-old male diagnosed with ASD and presents with characteristics of HSAM. …

Connecting With Augmentative And Alternative Communication Users: An Internship Report, Karaline Kerzie

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

This article evaluates and reflects on personal experiences working with children with autism in an early intervention, multidisciplinary setting. Implementation of Applied Behavior Analysis, Speech-Language Pathology, Augmentative and Alternative Communication, and Occupational Therapy techniques created a multifaceted and comprehensive intervention environment in a free-clinic setting.

Can Music-Based Interventions Improve The Prelinguistic Skills Of Young Children On The Autism Spectrum? A Systematic Review, Blythe Serrano

SACAD: Scholarly Activities

Many children on the autism spectrum have difficulty developing prelinguistic skills

such as joint attention, purposeful vocalization, and gesture, which are strongly

related to later expressive and receptive language development. This systematic

review aimed to evaluate the effectiveness of music-based interventions in

supporting the development of these foundational prelinguistic skills in young

children on the autism spectrum. Five databases were searched, yielding a total of

332 results. Five articles ultimately met criteria for inclusion. Results of these studies

were mixed, with studies in which the intervention was delivered by a professional

rather than a caregiver yielding more positive results. Additional …

A Multi-State Look Into Early Intervention Speech-Language Pathologists’ Confidence Identifying And Diagnosing Autism, Allison Gladfelter, Adelaide Parr, Anna Cannone, Sarah O'Connor

CISLL Publications

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

Method: 287 EI SLPs from …

Initial Qualitative Inquiry Into Social Proverb Use And Acceptability, Emma K. Hinds

Graduate Student Theses, Dissertations, & Professional Papers

Currently,  1 in 36 individuals are diagnosed with autism spectrum disorder (ASD), which is characterized by social communication differences and restricted and/or repetitive behaviors. Many children with ASD also present with sensory, behavioral, and emotional differences, underscoring the need for specialized, evidence-based interventions. Social proverb is a novel intervention approach developed by Dr. Schoffer Closson that provides in-the-moment guidance by explicitly stating expected social behaviors and the rationale behind them (e.g., “We cover our coughs, so we don’t spread germs”). To date, no research has examined the use of social proverbs as an intervention strategy. The purpose of this qualitative …

How Autistic Children Define Novel And Real Words, Henry James Tomiser

Graduate Research Theses & Dissertations

Word knowledge is highly valuable to Autistic individuals, and although much research has characterized Autistic children’s vocabulary breadth (i.e., the number of lexical entries), less attention has been paid to vocabulary depth (i.e., the richness with which one understands a given word). In this exploratory post-hoc study, 11 Autistic children (one assigned female at birth) participated in novel and real word learning paradigms in which child-friendly referents were paired with CVCV word forms. Participants were then asked to provide open-ended definitions of the words. Definitions were parsed into meaningful subunits, or semantic features. Semantic features were coded by type of …

Relationships Between Cultural Factors And Motor Abilities In Autistic And Non-Autistic Children, Lindsey Anderson, Allison Gladfelter, Milijana Buac, Waifong Catherine Cheung, Ziteng Wang, Sinan Onal

CISLL Publications

Autism and motor abilities have been found to be closely related. Culture affects motor development as well as various diagnostic criteria for an autism diagnosis, yet cultural factors are rarely considered in research and in clinical diagnostics. This study explored the relationship between cultural factors, characteristics of autism, and balance abilities in autistic (n = 16) and non-autistic (n = 28) children by utilizing a demographic survey, the Social Responsiveness Scale, 2nd edition (SRS-2), and the Movement Assessment Battery for Children-2 (MABC-2) Balance subtest. A multiple linear regression model was used to analyze whether the relationship between autism characteristics and …

A Novel Method For Examining Autistic Children’S Comprehension Of Individual Words Produced Within Delayed Echolalia: A Proof-Of-Concept Pilot Study, Janine Mathee-Scott, Grace Corrigan, Emily Lorang, Zachary Hesse, Jennifer Johnson, Courtney E. Venker

Speech Pathology and Audiology Faculty Research and Publications

Delayed echolalia, or the repetition of previously heard speech, is often observed in the expressive language of autistic children. Relatively little is known about how the production of delayed echolalia fits within the overall picture of autistic children’s language ability, including receptive language. To date, no empirical studies have tested autistic children’s comprehension of individual words within their delayed echoes. The present study aimed to establish proof-of-concept for a novel method of examining children’s comprehension of individual words that they produce in their own delayed echoes. Using natural language sampling combined with parent report, we identified instances of delayed echolalia …

Intervention Techniques Targeting Echolalia: A Scoping Review, Adriana Dinello, Allison Gladfelter

CISLL Publications

Purpose:

Although echolalic speech is found in typical development, echolalia is most commonly associated with autism. As such, echolalia has frequently been the focus of various interventions aimed at autistic children. Recent research and the voices of autistic self-advocates indicate that echolalia serves as a meaningful form of communication or functionally supports self-regulation. As a result, the literature on how, or whether, to target echolalia in therapy is full of philosophically diverse approaches. To support evidence-based practice, the purpose of this scoping review was to inform speech-language clinicians about current research on interventions targeting echolalia and how disagreement on this …

Speech Stigma: Exploring Predictors Of Attitudes Toward Nonspeaking Autistic Individuals, Kate Herrmann

Honors College Theses

Roughly 30% of autistic individuals are nonspeaking, meaning they do not (or very minimally) communicate with speech. Many nonspeaking individuals have the ability to communicate with others by using augmentative and alternative communication, such as speech-generating devices or communication boards. The purpose of this study was to examine the attitudes of speaking individuals toward nonspeaking autistic people through a survey measuring attitudes and stigma toward nonspeaking people, autistic people, and disabled people, respectively. Predictors of attitudes, such as contact, knowledge, gender, and psychological inflexibility were examined. It was hypothesized that participants who have more contact with and knowledge of nonspeaking, …

Creating A Multi-Sensory Room At The University Of Arkansas, Alexandra R. Smith

Crop, Soil and Environmental Sciences Undergraduate Honors Theses

Autism Spectrum Disorder, or autism, is a genetic neurological condition that can affect all aspects of an individual’s life, depending on their symptoms. Autistic people tend to struggle most significantly with social and emotional issues, which often results in declining academic success. With such a multifaceted disability, autistic students can struggle to perform at the same standards as their non-autistic peers, mostly due to the complications from their disability paired with limited accommodations. The consequences of these issues can manifest as lower admission rates, higher dropout rates, and higher stress levels for autistic students. This creative and service-learning honors thesis …

Empowering Through Technology: An Internship Report On Augmentative And Alternative Communication Devices, Olivia G. Macdonald

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

Augmentative and Alternative Communication (AAC) devices play a crucial role in supporting individuals with communication challenges, particularly children with developmental disabilities such as Autism Spectrum Disorder (ASD). This paper provides a comprehensive review of the literature on AAC and offers a detailed report of an internship experience at the University of Arkansas WE CARE Summer Camp. During the internship, firsthand experiences provided valuable insights into how AAC technologies can be applied to enhance communication, foster social connections, and support behavioral regulation.

The literature review explores the different types of AAC systems, including both aided and unaided options, and discusses the …

Feeding And Swallowing Disorders In Children With Autism: What Caregivers Need To Know, Olivia Hopkins

Undergraduate Publications

This study investigates the complex topic of feeding and swallowing disorders in children with autism, highlighting the significant challenges they pose, particularly related to sensory sensitivities and oral motor difficulties, and the persistent lack of understanding. We examine diagnostic criteria, risks, familial impacts, cultural nuances, and evidence-based intervention strategies, with a focus on practical guidance for caregivers, to equip them with resources for navigating these challenges (Schulz & Eden, 2016). Despite the prevalence of these disorders, many remain unaware of the struggles, underscoring the urgent need for targeted investigations and supportive measures. Specifically, this paper aims to provide Speech Language …

A Systematic Review Of Reading Comprehension Assessment And Intervention In Minimally And Nonspeaking Autistic Children, Grace T. Clark, Madison Skibicki, Gabriella Pesantes

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Up to 25% of autistic individuals are minimally or nonspeaking and require augmentative and alternative communication (AAC). While literacy instruction for this group is increasing, limited research has examined their reading comprehension. This systematic review examined assessment and intervention practices targeting reading comprehension in autistic children who use AAC. A search of five databases yielded 586 articles, of which 6 studies met inclusion criteria. Studies were included if they featured autistic participants under 18 who were minimally or nonspeaking and addressed reading comprehension beyond single-word decoding. Findings varied widely in participant profiles, comprehension targets, and methodological rigor. There is a …

Autistic Young Adults' Experiences And Recommendations For Strength Training, Ashlyn Barry, Justin A. Haegele, Daniel Schaefer, Kristen A. Pickett, Luis Columna

Human Movement Studies & Special Education Faculty Publications

Strength training can be a beneficial form of physical activity (PA), but little research has examined how autistic individuals experience it or what makes programs accessible and supportive. Therefore, the purpose of this study was twofold: (1) to explore autistic young adults’ experiences with strength training, and (2) examine their recommendations for designing programs that meet their needs. Thirteen autistic young adults (ages 22–25) participated in semi-structured interviews about their strength training experiences and preferences for program design. A qualitative descriptive approach with a constructivist lens guided reflexive analysis. Participants described key factors that influenced their participation in strength training, …

Physical Activity For Anxiety For Autistic People: A Systematic Review, Kathryn Riis, Brittany Samulski, Kristina A. Neely, Patricia Laverdure

Rehabilitation Sciences Faculty Publications

Clinical anxiety is a common comorbidity in autistic people. Due to the prevalence of anxiety in the autism population and the adverse effects it causes, there is a critical need to develop effective interventions which address anxiety symptoms for autistic people. Therefore, the purpose of this systematic review was to examine the effectiveness of the use of physical activity as an intervention to reduce anxiety in autistic people. Three databases PubMed, PsychInfo, and Cochrane RCTs, were searched utilizing key terms. PRISMA systematic search procedures identified 44 studies meeting predetermined inclusion criteria. Participant characteristics, the type of physical activity performed, the …

Diagnostic Overshadowing: A Delayed Diagnosis Of Autism Spectrum Disorder In A Deaf Child, Quynh-Chi Dang, Michael Hoffman, Rachel St. John

Journal of Early Hearing Detection and Intervention

Diagnostic overshadowing occurs when a patient with a pre-existing diagnosis presents with symptoms that are attributed to the diagnosis, but actually reflect a separate issue. This diagnostic overshadowing can lead to delays in diagnosis, as well as disparities in health care and outcomes. The following case will provide an example in which diagnostic overshadowing contributed to the delay of an autism diagnosis in a child who is deaf. With at least 40 to 50% of children who are deaf or hard of hearing having at least one co-existing medical/developmental condition, and the current prevalence of autism at 1 in 36 …

Reimagining Clinical Education Practices For Autism Through The Multi-Client Multilevel Mentorship Model, George W. Wolford, Schea Fissel Brannick

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathology students require comprehensive graduate education to address the needs of their future autistic clients. Despite this need, survey research suggests that students receive limited didactic and clinical graduate training that sufficiently prepares them to work with autistic clients. Contemporary research into clinical education for autism includes several features, such as more support and group-based services, that do not align with traditional clinical education in the field (Anderson, 1988; Dudding et al., 2017). The purpose of this study is to describe feasibility (by acceptability and implementation) of a new clinical education protocol, the Multi-client Multilevel Mentorship (M³) …

Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann

Open Educational Resources

This course will provide an introduction to the development and disorders of speech, language, and communication in children and adults. Disorders such as autism, aphasia, stuttering, and learning disabilities will be discussed. Differences noted in culturally and linguistically diverse communities will also be addressed. The course activities will give students an experiential appreciation of the experience of communication challenges and supporting people with those challenges. Information about the professions of Speech-Language Pathology (SLP), Audiology, and Speech and Hearing Science will be reviewed as potential career paths.

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

Honors Theses

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

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

Honors Capstones

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

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

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

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

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

Gestalt Language Processing In Accredited Communication Sciences And Disorders Programs, William Harris

Master's Theses

The language development and usage of autistic individuals has become a controversial topic in many of the disciplines and professions providing support to these individuals. As a result, two theories of language processing have been proposed. Analytical language processing suggests that children process and develop language from its most simple form, a phoneme, to its most complex form, a word or phrase. However, the theory of gestalt language processing proposes that some children may instead extract larger, more complex language such as whole words and phrases first and break it down to the simpler language. Gestalt language processing is often …

“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

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 …

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 …

Makayla's Voice: A Letter To The World, Monica Blizek

Journal of Religion & Film

This is a film review of Makayla’s Voice: A Letter to the World (2023), directed by Julio Palacio.

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 …

Telepractice-Based Language Intervention Training For Parents Of Children With Autism Spectrum Disorders, Sarah Bryan

Honors Theses

This study closely examined the progression and fidelity of strategy implementation of parents undergoing an ASD language intervention training program. This instructional, interactive program was designed for parents of children with autism, thus catering to the needs of participants involved. This study assessed the use of parent comments and redirects, two kinds of parent strategies, during each parent-child interaction to provide more information about the impact of training sessions. The researchers hypothesized that by the end of training, parent participants would increase their fidelity of strategy implementation, increase their use of comments rather than redirects, and employ more open-ended questions …

An Examination Of The Research Addressing Evidence-Based Communication Approaches For Students With Autism, Sydni Kaye Mcatee

Honors Theses

The meta-analysis examines scholarly articles regarding research on evidence-based communication for students with Autism Spectrum Disorder. More specifically, this research involves different forms of Alternative and Augmentative Communication. This form of communication is used without a voice. A variety of interventions for Manual Signing (MS), Speech Generating Devices (SGD), and Picture Exchange Communication Systems (PECS) are reviewed within the research study. The purpose of this research is to define which evidence-based Alternative and Augmentative Communication (AAC) interventions are most effective for children with Autism. More specifically, determining which form of communication can help lead children to more expressive language and …