Communication Sciences and Disorders Commons^™

How Screen Time Affects Language Development In Children Ages Three To Five Years, Alyssa R. Sherman

Honors Thesis

Screen time has become an increasingly prominent part of early childhood, particularly following shifts in daily routines after the COVID-19 pandemic. This literature review examines how screen time affects language development in children ages three to five, a critical developmental period for expressive and receptive language skills. The review synthesizes current research on the use of passive and interactive screens and their associations with language acquisition, cognitive development, social communication, and physical health outcomes. Across studies, a consistent pattern emerges: excessive screen time is strongly associated with delayed language milestones, reduced social communication skills, poorer sleep quality, and increased physical …

Supporting An Inclusive Summer Camp For Children With Developmental Disabilities Who Use Aac And Their Neurotypical Peers: A Practice-Based Report, Jessica Hicks

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

For my honors research, I completed an internship in an augmentative and alternative communication (AAC) lab at the University of Arkansas. For most of my internship work, I helped support an inclusive AAC summer camp for children with and without developmental disabilities, such as autism, for whom speech does not fully meet their communication needs. AAC includes high-tech tools such as communication apps on tablets that serve as speech-generating devices (SGDs). SGDs were used by many of the AAC summer camp participants with developmental disabilities. In this report, I will provide background information on AAC and developmental disabilities. I will …

From Policy To Practice In Deaf Education: American Sign Language And Spoken English Outcomes Of Deaf And Hard Of Hearing Children In Kansas, Jena Mcdaniel, Shreyas Teegala, Rebecca Maloney, Angie Walker, Mary S. Dietrich, Matthew L. Hall, Leah C. Geer, Julie Bustos

Journal of Early Hearing Detection and Intervention

Purpose: In the context of the recent expectation for state Early Hearing Detection and Intervention programs to track language milestones of deaf and hard of hearing (DHH) children, we examine how to leverage statewide assessment programs for improving language outcomes of DHH children. We present the degree to which DHH children in Kansas are meeting their language milestones for American Sign Language (ASL) and English and the influence of two measurement features.

Method: Performance on the ASL/English Language Milestones for 198 children who were DHH (aged 1 to 8) was analyzed for attainment of age-expected language skills and …

Invisible Print? Reading Skill Predicts Children's Learning Of Novel Spoken Words, Taylor J. Bryant, Dawna Duff, Bethany Bell, Lisa Fitton, Suzanne M. Adlof

Faculty Publications

Research indicates that when literate children and adults hear a new word that they have never seen in print, they create an expectation for how the word may be spelled. However, studies have not yet examined the extent to which orthographic knowledge plays a role in children's spoken vocabulary learning when words are taught without print. The current study used structural equation modelling to examine the relation between children's word reading ability and their ability to learn novel words from spoken instruction. Children (N = 335; 7–9 years; 52% female; <  1% American Indian/Alaskan Native, 33% Black, 1% Multiracial, <  1% Native Hawaiian or Pacific Islander, 2% Other; 57% White; 6% did not report race; 2% Hispanic/Latino, 97% Not Hispanic/Latino; <  1% did not report ethnicity) completed norm-referenced language and reading assessments and experimental measures of spoken word learning. Word reading ability and vocabulary knowledge uniquely predicted spoken word learning with respective medium-small and medium-large effects after controlling for phonological memory, general language ability, and nonverbal cognition. Thus, orthographic skill has important effects on vocabulary learning, unaccounted for in previous research, that should be addressed in current theory and practice.

How Music Is Used To Facilitate Communication In Speech-Language And Music Therapy For Children With A Diagnosis Of Autism Spectrum Disorder, Anna Mcgreevy

Honors College Theses

The goal of this research was to determine how music is being used in speech and music therapy sessions for children with a diagnosis of autism spectrum disorder, to discover the most common targets of these therapy sessions, and to examine the anatomical and physiological constructs that support the inclusion of music. This study was a review of literature, and included research from a variety of articles, several written in the past 25 years. Overall, results showed that music-based speech interventions such as Melodic Based Communication Therapy and Developmental Speech and Language Training, as well as music therapy interventions, are …

Adaptation, Reliability, And Validity Of The Auditory Skills Checklist (Asc) For Bengali Speaking Children With Severe To Profound Sensorineural Hearing Loss With Hearing Aids, Istiak Rahman, Mahedi Hasan

Makara Journal of Health Research

Background: The audiologic assessment guidelines of the American Speech-Language-Hearing Association (ASHA) encouraged functional auditory skills assessment, appropriate for age. The Auditory Skills Checklist (ASC) assessment tool was developed from the necessity to assess the auditory skills of young children with Sensorineural Hearing Loss (SNHL). The aim of this study was to adapt a Bengali version of the ASC checklist from the original English version and then to test its reliability and validity.

Methods: The method of forward-backward translation and cognitive debriefing was employed to produce a culturally sensitive Bengali version of the checklist. The data was analyzed for …

Facilitating Better Literacy Outcomes In First And Second-Grade At-Risk Readers At An After-School Program, Brooke Goldhammer

Student Theses and Dissertations

This study aimed to examine the efficacy of literacy intervention in first and second-grade at-risk readers at an after-school program, CityYouth Ministries, in Jonesboro, AR. It was hypothesized that if children at risk for literacy difficulties receive literacy intervention at an after-school program, they would have better reading outcomes, narrowing the gap in academic achievement. If successful, it may resolve the need for long-term literacy support at school, which has been frequently observed with this population. The study utilized a quasi-experimental, within-group pretest-posttest design. Reading fluency and sight word knowledge were measured using DIBELS-8 Oral Reading Fluency passages and Dolch …

Understanding The Clinician's View Of Pragmatics In Pediatric Therapy, Shelby Oliver

Honors Theses

Pragmatics is one of the most integral components of language, yet it often seems to receive little attention in therapy settings. Previous research indicates the importance of intentionally targeting pragmatic skills for children with language disorders and/or autism spectrum disorders, as well as the lack of current pragmatic evaluations. This thesis used an online survey to record how clinicians view pragmatics, how they evaluate pragmatics, and how they target pragmatics. Participants were all certified clinicians, and the research survey featured a variety of open and closed questions. Results revealed a deep pragmatics knowledge base. However, results indicated the use and …

Full-Body Movements In Speech Treatment Sessions: Speech-Language Pathologists’ Perspectives, Natalie Hurdle

Honors Theses

This author aims to determine the speech-language pathologist’s perspective on the use of full-body movements during speech therapy sessions with children with autism. A survey was distributed to speech-language pathologists and speech-language pathology aides/ speech-language teachers. The author used the source, Qualtrics, to obtain and analyze data. The findings of the current study were promising, as most speech-language pathologists were incorporating full body-movements and reported beliefs that this positively impacted children’s engagement. This study provided additional knowledge about the benefits of using full-body movements in speech treatment sessions and some insight on how much time is misused when full-body movements …

Pattern-Based Target Selection For Treatment Of Irregular Past Tense: A Single-Case Experimental Design For Children With Dld, Kirsten M. Hannig Russell, Amy Wilder, Julie L. Wambaugh

Faculty Publications

Purpose: Many children with developmental language disorder (DLD) demonstrate difficulty inflecting irregular past tense verbs. We evaluated using phonological-based patterns (i.e., schemas) to select targets for treatment of irregular verb inflection for children with DLD. We hypothesized this approach would result in acquisition of treated verbs, generalization to untreated verbs within the same phonological schema, and increased use of correct irregular verbs in naturalistic contexts.

Method: Treatment was provided to three 7-year-old participants with DLD in the context of multiple baseline design across behaviors and participants. Phonological schemas included vowel change, final alveolar, and dual change irregular verbs. Treatment was …

Academic Impacts Of Intergenerational Trauma: Assessing The Relationship Between Ace Scores Of Parents And The Language And Literacy Development Of Their Elementary-Aged Children, Paige Lee Banaszak

Theses and Dissertations

This paper contributes to the current literature by investigating factors that may contribute to language and literacy difficulty among children, to support the future development of effective intervention techniques. The data analyzed in this paper was collected from children and families participating in Reach Every Reader, a research study currently being conducted to improve literacy outcomes in the U.S. by developing a computer-adaptive screening assessment tool to identify children at risk for language and literacy difficulties early in their educational development. Children enrolled in kindergarten through third grade completed tasks that target language and literacy skills, and their parent(s) completed …

Audiological Management Of Children With Down Syndrome: A Toolkit For Caregivers, Natalie Lisiewicz

Dissertations, Theses, and Capstone Projects

Children with Down syndrome may have multiple medical co-morbidities. This can result in an overwhelming number of medical appointments and information for caregivers to keep track of. Middle ear dysfunction, among other otologic abnormalities, is common in the Down syndrome population, and the presence of these conditions will result in referrals to an audiologist to monitor hearing sensitivity. While hearing may not be the most pressing concern as compared to a possible life-threatening condition such as a heart defect, it is still a crucial factor in a child’s overall development.

This toolkit is designed with the intention of educating caregivers …

Evidence-Based Practice In The Management Of Tinnitus In Children And Adolescents: A Systematic Review Of The Literature, Rivka Deutsch

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this investigation is to conduct a systematic review of the literature to compile and evaluate the known research on the management of tinnitus in children/ The specific aims of this paper are to determine what approaches can be considered best practice for the management of tinnitus in this population, what aspects of adult management (if any) can be adapted for children, and whether the literature supports one management approach over another.

Methods and Results: A comprehensive search utilizing the Medline and Cumulated Index to Nursing and Allied Health Literature (CINAHL), and Google Scholar databases, accessible via …

Audiological Intervention For Late-Identified Children And Teenagers With Hearing Loss, Melissa Wiedeman, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1 - Introduction: The family of every child referred for definitive care after a newborn hearing screening should follow up with an audiologist to rule out hearing impairment. Early identification, diagnosis, and intervention are crucial for individualized planning and outcomes. Children who need binaural amplification and are not managed appropriately become exposed to sound deprivation, which leads to diminished speech audibility, sound localization, and speech and language development. Case Presentation: A young child presented to the clinic with an unspecified bilateral mild to moderate hearing loss at 500, 2000, and 4000 Hz. Discussion: Children with monaural amplification have shown …

N-Back Accuracy And Neural Activation In Dld, Ronald Gillam

Browse all Datasets

The present study was designed to explore the general cognitive mechanisms in WM that are often found to be impaired in children with DLD. A continuous auditory N-back task was used to probe cognitive abilities such as sustained attention, storage, updating, and inhibition in monolingual TD children and children with DLD. FNIRS was used to examine the hemodynamic response patterns in the left DLPFC and IPL as children performed 0-back, 1-back, and 2-back tasks. The 0-back task was used in our analysis as a control for sustained attention. The research questions were: 1) Are there differences in N-back response accuracy …

The Urgent Need For Neuroscience Research To Consider Culture When Assessing The Development Of Gait In Autistic Children: A Scoping Review, Milijana Buac, Gabriela Ibarra, Ricardo Torres, Sinana Onal, Allison Gladfelter, Ziteng Wang

CISLL Publications

Background: Over the last decade, there has been a steady increase in the number of children diagnosed with autism spectrum disorder (ASD) on a global scale, impacting all racial and cultural groups. This increase in the diagnostic rate has prompted investigation into a myriad of factors that may serve as early signs of ASD. One of these factors includes the biomechanics of gait, or the manner of walking. Although ASD is a spectrum, many autistic children experience differences in gross motor function, including gait. It has been documented that gait is also impacted by racial and cultural background. Given that …

Speech-Language Pathologists’ Treatment Goals For Preschool Language Disorders: An Icf Analysis, Elaine Yl Kwok, Peter Rosenbaum, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides a comprehensive framework to conceptualise clinical services. This study explored how speech-language pathologists (SLPs) conceptualised therapy goals for preschoolers with language difficulties and disorders within the ICF framework.Method: An online survey was distributed to SLPs practising in a publicly funded Preschool Speech and Language program in Ontario, Canada. SLPs rated their familiarity with the ICF framework, and then reported all therapy goals for one child with language difficulty/disorder on their caseload. For each reported goal, SLPs indicated the ICF component(s) they felt the …

A Review Of Current Pediatric Tele-Audiology Ehealth Platforms, Alex Meibos

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this study was to identify current pediatric tele-audiology hearing technology platforms for young children with hearing loss and their families.

Method: An exploratory, descriptive design was used to evaluate features of available pediatric tele-audiology platforms for parents and audiologists to implement for young children. The study explored internet resources including hearing industry websites, for information related to specific eHealth platform features designed to support pediatric hearing devices currently available to audiologists and families.

Results: Of the websites reviewed, only four major technology companies were found to have pediatric tele-audiology ready platforms designed to support young children …

Measuring Orthographic Influences On Phonological Processing In Beginning Readers: An Eyetracking Study, Emily Grace Fisher

Theses and Dissertations

Purpose – Both orthographic and phonemic awareness are essential to reading. However, the role of orthographic knowledge in phonemic awareness has not been thoroughly investigated in beginning readers until recently. The purpose of this study was to examine if orthographic knowledge influenced phonological processing in beginning readers and to establish a proof of concept for the use of eyetracking measures to examine these skills in young children.

Method – 22 participants, aged 6-7 years, completed norm-referenced assessments of language and reading ability as well as experimental measures of orthographic and phonological awareness while their eye movements were monitored.

Results – …

Resilience Training & Parental Support For Children Who Stutter - A Systematic Review, Rachel Elizabeth Davis

Honors Theses

The objective of this study was to investigate the relationship between emotional resilience and family/parental/caregiver support for children who stutter, and to review existing research on resilience training and family support relative to enhancing the quality of life in children who stutter. Thus, A systematic review of appropriate published studies was conducted utilizing the electronic databases PubMed and Google Scholar. Analysis revealed that there is an abundance of research supporting parental support and resilience training; however, there was limited direct clinical application relative to the unification of these concepts. Data indicates that the clinical application of emotional resilience and cognitive …

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 …

Aac Use By Children With Asd And Their Aac Co-Pilots, Kelcy Rolak

Master's Theses and Doctoral Dissertations

Employing a multiple case study approach, this study explored the perspectives of parents of children with autism spectrum disorder (ASD) on their child’s use of augmentative and alternative communication (AAC). Deemed “AAC co-pilots” by this study, these parents play a crucial role in their children’s daily AAC use, yet their perspective is largely under-explored in existing research that otherwise explores AAC use by individuals with ASD extensively. Semi-structured interviews were conducted with parents of children with ASD who have used AAC for at least one year and whose AAC use is documented in their IEP. Findings indicated the depth and …

Parent And Child Characteristics Impacting Identification Of Children With Developmental Language Disorder (Dld), Sarah E. Floyd

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: Previous research has shown that children with developmental language disorder (DLD) and dyslexia are under-identified in the general population. Parent or caregiver concern is a primary referral tool for these conditions, but may fail to accurately align with the actual presence of a disorder. The purpose of this study was to examine child and parent characteristics related to a child’s likelihood of receiving a diagnosis of DLD.

Methods: Within a large, 5-year, longitudinal study, kindergartener performance on a battery of speech, language, and literacy measures was examined to identify children with and without DLD and possible risk of dyslexia. …

A Preliminary Descriptive Examination Of Divorce And Grief Resolution Portrayed In Children’S Literature, Tricia Martin

2022 Celebration of Scholarly Works

Books expose children to language and introduce issues that help children cope with trauma (Heath & Young, 2017). About 33% of children in the U.S. live with divorced parents (U.S. Census Bureau, 2021). The effects of parental divorce have been categorized in multiple ways. Wallerstein (1983) conceptualized 6 coping tasks for children while Kubler and Ross (2009) describe a 5-stage grief process.

PURPOSE: We sought to examine the language in children’s books about divorce to determine whether (1) the grief resolution process is accurately portrayed and (2) male vs. female characters experience realistically different grief stages in the divorce process. …

The Evolution Of Telepractice Use During The Covid-19 Pandemic: Perspectives Of Pediatric Speech-Language Pathologists, Ying Hao, Saijun Zhang, Austin Conner, Na Youn Lee

Faculty and Student Publications

The study investigated how pediatric speech-language pathologists (SLPs) applied teleprac-tice to compensate for the loss of in-person services and the dynamics of telepractice use during the COVID-19 pandemic in a rural state. We conducted interviews with 10 SLPs and then a statewide survey in which 51 SLPs participated. The qualitative interviews revealed themes including changes in service environment due to the pandemic (e.g., transition to telepractice, losing clients), challenges in the transition to telepractice (e.g., limited training, difficulty engaging clients), worsening well-being of clinicians and clients, and SLPs’ perspectives and suggestions towards telepractice in the future. Survey results showed service …

Intervention And Outcomes Of Children In Different Types Of Listening And Spoken Language Programs, Jace Wolfe, Sharon Miller, Erin C. Schafer, Amanda M. Rudge, Betsy Moog Brooks, Joanna Smith, Darcy Stowe, Amy L. Birath, Parker Wilson, Elizabeth Fales, Tamara Elder

Journal of Early Hearing Detection and Intervention

This study explores the impact of the type and dosage of listening and spoken language (LSL) services on speech and language outcomes in children with cochlear implants or hearing aids in two LSL programs. Identical demographic variables were collected across the two programs for use in the statistical analyses. Speech and language outcomes were examined at ages 3 and 5 using standardized test measures. At age 3, significant differences in LSL outcomes existed between programs for children using cochlear implants but not for children using binaural hearing aids. However, at age five, outcomes were similar between the different LSL programs …

Spoken Word Learning In Children With Developmental Language Disorder Or Dyslexia, Suzanne M. Adlof, Lauren S. Baron, Bethany A. Bell, Joanna Scoggins

Faculty Publications

Purpose Word learning difficulties have been documented in multiple studies involving children with dyslexia and developmental language disorder (DLD; see also specific language impairment). However, no previous studies have directly contrasted word learning in these two frequently co-occurring disorders. We examined word learning in second-grade students with DLD-only and dyslexia-only as compared to each other, peers with both disorders (DLD + dyslexia), and peers with typical development. We hypothesized that children with dyslexia-only and DLD-only would show differences in word learning due to differences in their core language strengths and weaknesses. Method Children ( = 244) were taught eight novel …

Communication Resources For Deaf Or Hard Of Hearing Children In Mississippi: Parents’ Perspectives, Julia Rossano

Honors Theses

A parent’s ability to communicate with their child through formative years may often be taken for granted, as the options for such communication seem intuitive and apparent. However, hearing parents of children with hearing loss must not only make a choice between several communication methods, but they must also navigate an environment where the methodologies are not clearly delineated. Blaiser and colleague provide succinct descriptions of the most common methods which can be chosen. These methods include listening and spoken language systems, manual-visual systems, and systems combining these two modalities (Blaiser & Bargen, 2018). This choice is often challenging because …

Frequency-Modulated Multiple-Tone Distortion Product Otoacoustic Emissions In Young Children With Normal Hearing, Kathryn Arielle Vlietstra Baker

Graduate Theses/Dissertations

Distortion-product otoacoustic emissions (DPOAEs) are objective tests of the integrity of the outer hair cells of the cochlea in response to a single-tone pair stimulus. Despite advances in DPOAEs test protocols and technology, there is little research about the use of frequency modulated tones to improve response characteristics. This study evaluates the efficacy of a new frequency modulated stimulus with multiple-tone pair DPOAEs (mDPOAEs) compared to the standard stimulus protocol for mDPOAEs to determine whether frequency modulation (FM) will achieve more robust and faster results. Normative data for this novel test protocol were obtained in 11 healthy normal-hearing children aged …

Visual Reinforcers Designed For Children With Developmental Disabilities, Angela Yarnell Bonino, Amanda Hemann, Deborah Mood, Emily Kay, Elizabeth S. Pancoast, Kristin K. Sommerfeldt

Journal of Early Hearing Detection and Intervention

A library of visual reinforcers has been created to facilitate visual reinforcement audiometry (VRA) testing in children with developmental disabilities. The library includes 45 reinforcer sets – photos or videos grouped by a common theme – that were created based on commonly reported interests of children with developmental disabilities. Each reinforcer set contains a minimum of 20 unique photo or video files that can be download in two formats: one for commercially available VRA reinforcement systems and another for a custom setup. The library is freely available for download online under a Creative Commons License (Creative Commons Attribution-NonCommercial 4.0 International …