Communication Sciences and Disorders Commons^™

Naturalistic Aided Language Intervention For Children Who Have Multiple Disabilities Including Visual Impairment, Naomi Nattress

Speech and Hearing Sciences ETDs

ABSTRACT

This dissertation examined aided AAC interventions for individuals with multiple disabilities, including visual impairment, across three original studies. Chapter 2, a meta-analysis, found limited rigorous research for this population while showing that individuals at early symbolic stages with diverse visual profiles can successfully engage with AAC when appropriate adaptations are provided. The pilot study in Chapter 3 indicated that caregivers and graduate student clinicians can learn and implement naturalistic AAC techniques and VI accommodations with high fidelity through structured coaching. The mixed methods study in Chapter 4 introduced the ImPAACT-VI program, showing strong outcomes in educator performance, students’ symbolic …

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 …

Elementary-School-Based Speech-Language Pathologists’ Perspectives On Implementing Literacy, Samantha Kadian

Master's Theses and Doctoral Dissertations

This study explores elementary-school-based speech-language pathologists’ (SLPs) perspectives about implementing literacy. Though the American Speech-Language-Hearing Association (ASHA) standards specify literacy is within their scope of practice, many school-based SLPs may not be addressing reading and writing competencies. The literature indicates that several constraints may contribute to this lack of involvement, including a lack of preparation, varied expectations, and ambiguous definitions. The purpose of this study was to gain an understanding of the perspectives of elementary-school-based SLPs. Three SLPs were interviewed in a semi-structured format, and the data from the interviews was examined using qualitative analysis. The findings indicated that SLPs …

Efficacy Of Complexity-Based Target Selection For Treating Morphosyntactic Deficits In Children With Developmental Language Disorder And Children With Down Syndrome: A Single-Case Experimental Design, Kirsten M. Hannig Russell, Julie L. Wambaugh, John L. Davis, Sean M. Redmond

Faculty Publications

Purpose: Selecting targets for morphosyntactic intervention is a critical compo-nent of treatment planning. The complexity approach suggests that, by treating a complex morphosyntactic target, improvements will occur for the treated structure and for related, simpler structures. This study evaluated the efficacy of the complexity approach for treating morphosyntactic deficits by targeting a complex BE verb question structure for children with developmental language disorder (DLD) and children with Down syndrome (DS) and observing its impact on treated and untreated BE verb structures. We also explored whether etiology impacted our participants’ treatment responses.

Method: Three participants with DLD and three with DS …

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 …

Efficacy Of Communication Interventions For Amyotrophic Lateral Sclerosis, Gracie Rhea Rightnowar

Honors College Theses

The purpose of this literature review is to analyze the efficacy of various communication interventions for individuals with amyotrophic lateral sclerosis (ALS). The implications of disease presentation and progression are discussed. This research seeks to determine the role of a speech language pathologist in the treatment of an individual with this progressive neurological disease. Various interventions are considered. Methods of service consist primarily of compensatory strategies intended to prolong communication abilities beyond that which requires speech motor capabilities. This research seeks to better understand the associated factors with each treatment plan on the individual’s functionality and quality of life.

Investigating Self-Perception Of Speech And Motivation For Return To Intervention For Post Cochlear Implantation In Young Adults, Madison Henry

Electronic Theses and Dissertations

Introduction: Cochlear Implants (CI) are designed to address severe to profound hearing loss. When implantation occurs after language develops, it is referred to as post-lingual (PL) implantation. Currently, no interventions have been identified to address the communication challenges that young adults with PL-CIs may face after they complete post-CI rehabilitation services. This study analyzes if an individualized intervention plan is beneficial for a person with PL-CIs when experiencing changing communication demands in the transition to college or the workforce. Methodology: Baseline assessments were conducted; the results of which allowed for the establishment of four co-constructed goals. These goals were targeted …

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 …

Cross-Language Generalization In Language Treatment Of Multilingual Aphasia: A Meta-Analysis, Mira Goral, Monica I. Norvik, Jan Antfolk, Ioulia Agrotou, Minna Lehtonen

Publications and Research

Studies on the efficacy of language treatment for multilingual people with post-stroke aphasia and its generalization to untreated languages have produced mixed results. We conducted a systematic review and a meta- analysis to examine within- and cross-language treatment effects and the variables that affect them. We searched PubMed, PsycINFO, CINAHL, and Google Scholar (February 2020; January 2023), identifying 40 studies reporting on 1573 effect sizes from 85 individuals. We synthesized effect sizes for treatment outcomes using a multi-level model to correct for multiple observations from the same individuals. The results showed significant treatment effects, with robust within-language treatment effects and …

A Scoping Review: Identifying Targeted Intervention Strategies For Workers With Occupational Hearing Loss, Adelle Liebenberg, Melinda Gardner, Valerie M. Nie, Carole L. James, Sue Reed

Research outputs 2022 to 2026

An apparent disconnect exist in workplaces regarding identification of occupational hearing loss (OHL) and implementation of specific strategies to prevent progression of OHL, evident through continued high incidence of OHL. This scoping review aimed to identify evidence regarding targeted intervention used by industry, specifically to prevent the progression of OHL for workers. The scoping review was undertaken using the PRISMA-ScR methodology. Search terms were based on three broad categories, hearing loss, workplace, and intervention. Initially 1309 articles were identified for screening and 1,207 studies not meeting the criteria were excluded. Full text reviews of 102 articles were completed and a …

Examination Of The Colorful Semantic Approach Via Telepractice For Children Who Are Deaf Or Hard Of Hearing, Samadhi Pusuba Devayalage

Graduate Theses and Dissertations

Introduction: Hearing loss, deafness or hard of hearing are considered to be the inabilityof perceiving sounds beyond 20 dB. Due to a direct impact of a hearing loss, a developing brain undergoes difficulties in acquiring age-appropriate syntax and speech sounds. As a result, children with hearing loss present language, speech, and literacy disabilities. The current study discusses the efficacy of the colorful semantics approach in order to see its impact on sentence structure development. Methodology: A single subject withdrawal experimental study conducted following ABAB model. Two participants (6 years and 10 years) were recruited to the study following an inclusion …

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 …

Intervention Research To Increase Pediatric Hearing Device Use: A Scoping Review, Karen F. Munoz, Diana Ortiz, Cameron Bolinger, Michael P. Twohig

Psychology Faculty Publications

Purpose: This study is a scoping review examining interventions to increase hearing device use for children.

Method: Online databases were used to identify peer-reviewed journal articles published prior to November 1, 2021, yielding 1,288 after duplications were removed. Four articles met the inclusion criteria after articles were screened by title name and abstract and subsequent full-text screening of six articles. A qualitative analysis was conducted to identify features of the intervention studies related to the participants, design, intervention, key findings, and limitations.

Results: The included studies were published between 1982 and 2021, and in all four studies, the children used …

Effects Of Personal Fm System Use During Phonological Awareness Instruction For Children At Risk For Dyslexia, Gabriella Rose Reynolds

Theses and Dissertations

Students with reading impairments, including dyslexia, account for the largest proportion of students receiving special education services in the United States (NCES, 2016). Developmental dyslexia is characterized by slow and inaccurate word decoding (Lyon et al., 2003). This word decoding difficulty results from deficits in phonological awareness, a sound-based skill (Swan & Goswami, 1997). Classrooms are known to have high levels of background noise and are inconsistent with recommendations for optimal listening (Picard & Bradley, 2001) or accepted standards (ASHA, n.d.). Furthermore, degraded acoustic conditions have been related to poorer performance on speech-recognition tasks even for children with normal hearing …

Facilitators And Barriers To The Use Of Aac By Practicing Slps, John Fred Chunn

Student Theses and Dissertations

This survey was designed to help determine potential facilitators and barriers to the implementation of augmentative and alternative communication (AAC) from speech-language pathologists (SLPs) practicing in Arkansas. The questions within the survey consisted of short answers, rating scales, and yes or no questions. The categories of the survey included basic information, the SLPs’ practice, and the SLPs’ self-assessed confidence regarding AAC. The results indicated barriers included: less training at the undergraduate education, decreased use of AAC within therapy sessions, the cost of the device, intimidation to caregivers, and a lack of training for caregivers. However, a facilitator was that the …

Empower: An Adaptable Writing Intervention, Carly Dinnes

The Nebraska Educator: A Student-Led Journal

EmPOWER is a six-stage writing intervention designed by speech-language pathologists to improve the expository writings of school-aged children with language learning and executive function disabilities. The intervention uses scaffolded instruction to transform struggling students into independent and self-regulating writers by training the students to use a variety of supports (e.g., graphic organizers, checklists) and strategies (e.g., referring back to the writing prompt) throughout the writing process. Many key features of the EmPOWER approach to writing instruction directly support components described in cognitive models of writing, which indicates that EmPOWER is a theory-guided writing intervention that may benefit a wide range …

A Systematic Review Of Academic Discourse Interventions For School-Aged Children With Language-Related Learning Disabilities, Amy K. Peterson, Carly B. Fox, Megan Israelsen

Communicative Disorders and Deaf Education Student Research

Purpose: This systematic review synthesized a set of peer-reviewed studies published between 1985 and 2019 and addressed the effectiveness of existing narrative and expository discourse interventions for late elementary and middle school-aged students with language-related learning disabilities.

Method: A methodical search of the literature for interventions targeting expository or narrative discourse structure for students ages 9-14 with group experimental designs identified 33 studies, seven of which met specific criteria to be included in this review.

Results: An 8-point critical appraisal scale was applied to analyze the quality of the study design and effect sizes were calculated for six of the …

Research To Practice- Implementing Sign-Infused Intervention As A Novice Clinician, Loren Stoller

LSU Master's Theses

Speech-Language Pathologists often infuse manual signs into oral language interventions for children with various communication disorders. The current study was designed to learn more about sign-infused language intervention by examining one novice clinician’s use of signs during oral language intervention with a child diagnosed as a late talker. The researcher was the clinician, and while a novice interventionist, she was proficient in American Sign Language (ASL) and had five years of experience using ASL with others. The child was 26 months of age at the start of the study, and data collection included three pre-intervention sessions, 12 intervention sessions, and …

The Comparative Efficiency Of Speech Sound Interventions That Differ By Delivery Modality: Flashcards Versus Tablet, Krystal Werfel, Marren Brooks, Lisa A. Fitton Ph.D.

Faculty Publications

Although speech-language pathologists increasingly make use of tablets in clinical practice, little research to date has evaluated the effectiveness or efficiency of tablet use for targeting speech sound goals. The three-fold purpose of this study was to compare (a) the effectiveness and (b) the efficiency of speech sound intervention using tablets versus flashcards, as well as (c) child motivation in speech sound intervention when using tablets versus flashcards. Four kindergarten students with at least two similar speech sound errors participated in this adapted alternating treatments single subject design study that explored the functional relation between speech sound intervention that differed …

Script Training For Adults Who Stutter, Courtney M. Rankin

USF Tampa Graduate Theses and Dissertations

Treatment for adulthood stuttering traditionally focuses on some combination of stuttering management and fluency management and may also target emotional and cognitive reactions to stuttering. However, long-term gains are often limited, and there is a need for continued development of approaches for mitigating impacts of stuttering. We know of no evidence-based therapy approaches designed to target functional communication in adults who stutter (AWS), despite widespread interest in improving functional communication in members of this speaker group. Script training is an intervention approach designed to improve accuracy and automaticity in functional communication. Script training was originally designed for use with adults …

Efficacy Of A Three-Week Intervention Program For Children In The Areas Of Language, Articulation, Phonological Awareness, And Auditory Processing, Zoey Caballero

Honors Theses

Competency in the areas of language, articulation, phonological awareness, and auditory processing are essential for children to succeed academically. For the past four summers, select professors and graduate student clinicians in the Speech-Language Pathology and Audiology Department at Andrews University have conducted an intensive three-week therapy program for school aged children to target these areas. By comparing pre/post-test scores, the purpose of the study is to obtain statistical evidence for specific therapy interventions in order to strengthen the effectiveness of the intensive therapy program.

Differentiated Social Skills Curriculum For Individuals With Cognitive Impairments, Morgan Bails, Tricia Larkin, Ann Beck

Graduate Independent Studies - Communication Sciences and Disorders

While communication may seem simple and inherent to many individuals while interacting with family, friends, or co-workers, communication may be more challenging for individuals with cognitive impairments. Whether the difficulty is related to expressive language, receptive language, semantics, pragmatics, etc., any deficits in these areas can create difficulty for individuals while socializing with others in their environment. Social skills intervention for individuals with cognitive impairments is imperative so that these individuals are able to communicate as effectively as possible in numerous settings with various communication partners. Individuals with Autism Spectrum Disorder (ASD) may have difficulty with social skills in particular …

Efficacy Of A Three-Week Intervention Program For A School-Aged Children In The Areas Of Language, Literacy, Phonological Awareness, And Auditory Processing, Nicole Weis

Honors Theses

Research demonstrates that competency in the areas of language, phonological awareness, and auditory processing is vital to academic success in children, as well as in navigating adult life. The study's purpose is to measure the efficacy of an intensive, three-week summer camp therapy program for school-aged children in addressing these areas, and to identify areas of strength and weakness in the program and interventions implemented. Programs utilized during the summer camp included Visualizing and Verbalizing(TM), Lindamood Phoneme Sequencing(R), On Cloud Nine(R), Color My Conversation, Differential Processing Training Program(TM), as well as science experiments, and snack and crafts time.

Alternating Treatments For Idiom Interpretation By Children With Specific Language Impairments, Monique S. Kaye

Seton Hall University Dissertations and Theses (ETDs)

Purpose: The aim of this study was to examine the effect of two idiom interventions by students with Specific Language Impairment (SLI). Idioms are linguistic expressions that have figurative meanings other than their literal interpretation. There is a strong correlation between idiom interpretation and academic success (Nippold & Martin, 1989). Students are exposed to idioms in media, in school, literature, and in daily interactions with peers and adults (Nippold, Moran, & Schwarz, 2001).Method: Three school-aged students (n=3) with SLI ages 11;9–13;8 (mean age = 12;8) were provided a language intervention for idioms embedded in stories with pictures (n=10) …

A Comparison Of Outcome Measures For Speech Motor Learning In Acquired Apraxia Of Speech Using Motor Learning Guided Treatment, Rachel K. Johnson, Aileen Lott, Jessica Prebor

Communication Disorders & Special Education Faculty Publications

Purpose: The purpose of this study was to investigate potential benefits of using a qualitative and quantitative outcome measure of articulation accuracy and suprasegmental characteristics in isolation for speech motor learning in acquired apraxia of speech (AOS).

Methods: Baseline, retention, and maintenance measures from an oral reading task of 2 speakers with chronic AOS and aphasia were rated using an 11-point multidimensional rating scale accounting for articulation and immediacy and a hybrid scale measuring number of correctly produced words, presence of distortions in correctly produced words, and immediacy of the production. Participants received motor learning guided treatment two days …

Assessment And Intervention Of Young Spanish Speakers Who Are Learningenglish As A Second Language, Nicole Katherine Wiswesser, Terry Hallett Ph.D., Ccc-Slp

Williams Honors College, Honors Research Projects

This project reviewed: a) a summary of research articles on assessment for children who are learning English as a second language; b) a summary of research articles on intervention for children who are learning English as a second language; c) an appendix that includes assessment materials for evaluating children who speak English as a second language such as case history forms, interview questions for clients, teachers, and parents, measures of language milestones, and informal language assessment instruments, and; d) an appendix that includes evidence based treatment strategies such as vocabulary teaching methods, literacy learning strategies, and other intervention materials.

Motor Learning Guided Treatment For Acquired Apraxia Of Speech, Rachel K. Johnson

Communication Disorders & Special Education Faculty Publications

Purpose: The purpose of this study was to expand the evidence on the effectiveness of motor learning guided approach for the treatment of acquired apraxia of speech. This study investigated the influence of practice frequency and number of targets per practice set on transfer of speech motor learning.

Method: This is a multiple baseline single-case study across two treatment cycles involving two individuals with chronic acquired apraxia of speech. Treatment Cycle 1 investigated the influence of self-controlled practice on speech motor learning through two conditions of practice. Treatment Cycle 2 investigated the influence of number of targets on transfer of …

The Efficacy Of A Literature-Based Social Communication Intervention On Teacher Report Of Withdrawal For Children With Language Impairment, Cammy G. Peterson

Theses and Dissertations

Research shows that children with language impairment (LI) often have deficits in social communication. The purpose of this study was to examine the effectiveness of a social communication intervention targeting emotion understanding on teacher perceptions of withdrawal in six elementary-aged boys with LI. The intervention incorporated four elements into treatment sessions: a) Story sharing of children's literature that was rich in emotional content and prosocial behaviors; b) Story enactment of the same children's literature; c) identification and discussion of pictures of facial expressions; and d) journaling to help internalize and reflect on emotions and social behaviors targeted. Two withdrawal subscales …

Affordable And Accessible Hearing Healthcare Interventions In The United States: A Literature Review And Prospective Analysis, Garrett Thompson

Dissertations, Theses, and Capstone Projects

Age-related hearing loss is a significant public health concern with serious and far-reaching consequences including: social isolation, depression, faster cognitive decline, and increased risk of falls. Hearing loss is a widespread condition, it is in fact a leading cause of disability among older people. Hearing aids, the primary intervention for adults with hearing loss, are costly and inaccessible to many patients who need them. Among other reasons, these factors have led to a low uptake rate among the adult population; only one in seven adults who could benefit from wearing hearing aids utilizes them. Given the status quo of high …

Effectiveness Of Video Modeling As An Intervention Technique For Broca’S Aphasia, Elizabeth Dryer

Student Theses and Dissertations

The purpose of this study was to compare the efficacy of video modeling to clinician modeling in the clinical setting for individuals with non-fluent Broca's aphasia and apraxia of speech. Words and phrases were targeted for each treatment approach. During 25 minute sessions, each participant was asked to spontaneously say the target words when given the target words in writing. Data were collected each session in terms of speed and accuracy of productions. Scores for 19 sessions for participant 1 and scores for 21 sessions for participant 2 were used for analysis. Paired Samples t-tests were conducted to examine each …