Communication Sciences and Disorders Commons^™

Kinematic And Acoustic Changes To Vowels And Diphthongs In Bite Block Speech, Christopher Dromey, Michelle Richins, Tanner Low

Faculty Publications

Purpose: We examined the effect of bite block insertion (BBI) on lingual movements and formant frequencies in corner vowel and diphthong production in a sentence context. Method: Twenty young adults produced the corner vowels (/u/, /ɑ/, /æ/, /i/) and the diphthong /ɑɪ/ in sentence contexts before and after BBI. An electromagnetic articulograph measured the movements of the tongue back, middle, and front. Results: There were significant decreases in the acoustic vowel articulation index and vowel space area following BBI. The kinematic vowel articulation index decreased significantly for the back and middle of the tongue but not for the front. There …

A Longitudinal Study Of Interprofessional Education In Graduate Students From Rehabilitation Sciences, Sarah Elkington, Connie Summers, Celia Pechak, Patricia Lara, Francesca Hernandez

Faculty Publications

• Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. A longitudinal study evaluated the effects of interprofessional education (IPE) experiences on 71 rehabilitation science graduate students' perceptions of interprofessional collaboration (IPC). Physical therapy, OT, and speech-language pathology students rated their perceptions of IPC and their knowledge of other disciplines' roles across their first year of graduate school. IPE experiences are an important aspect of professional preparation. Primary Author and Speaker: Sarah Elkington Contributing Authors: Connie Summers, Celia Pechak, Patricia Lara, and Francesca Hernandez

Predictors Of Poststroke Aphasia Recovery: A Systematic Review-Informed Individual Participant Data Meta-Analysis, The Rehabilitation And Recovery Of People With Aphasia After Stroke (Release) Collaborators

Research outputs 2014 to 2021

Background and Purpose: The factors associated with recovery of language domains after stroke remain uncertain. We described recovery of overall-language-ability, auditory comprehension, naming, and functional-communication across participants’ age, sex, and aphasia chronicity in a large, multilingual, international aphasia dataset. Methods: Individual participant data meta-analysis of systematically sourced aphasia datasets described overall-language ability using the Western Aphasia Battery Aphasia-Quotient; auditory comprehension by Aachen Aphasia Test (AAT) Token Test; naming by Boston Naming Test and functional-communication by AAT Spontaneous-Speech Communication subscale. Multivariable analyses regressed absolute score-changes from baseline across language domains onto covariates identified a priori in randomized controlled trials and all …

Prevalence Of Hearing Loss In College Students In The United States: A Meta-Analysis, Ashley Barton

Electronic Theses and Dissertations

Purpose: Hearing loss among college students, specifically noise-induced hearing loss (NIHL), appears to be increasing. This may be particularly challenging for this population as college students are required to listen to lectures in classrooms that may have sub-optimal listening environments. Therefore, the purpose of the current study was (1) to examine the prevalence of hearing loss in college students and (2) to emphasize the importance of detecting hearing loss at 6,000 Hz.Method: A meta-analysis was conducted using the PRISMA model. The literature search yielded 8 studies (1,950 subjects) that tested hearing loss using an audiogram and Distortion Product Otoacoustic Emissions …

A Qualitative Case Study: Exploring The Application Of Physiological Measures In Prelinguistic Aac Intervention, Chloe Putnam

2021 Honors Symposium

Prelinguistic communication is defined as that which comes before linguistic development and consists of nonverbal means of communication, such as gestures, eye gaze, vocalizations, and expressions (Franco, Davis, & Davis, 2013). In typical development, prelinguistic communication is evident in infants during the beginning stages of communication, before language emerges. However, some individuals with intellectual and developmental disabilities (IDD) with communication limitations continue to use prelinguistic communication as a primary mode of communication later in life. The goal of completing this research is to explore the potential promise of the novel approach of applying physiological measures to AAC intervention for prelinguistic …

Foster Parents' Knowledge And Perceptions Of Behavior And Behavior Management In Children With Adverse Childhood Experiences, Shelby Freeman

Undergraduate Honors Theses

Circumstances that lead to placement in foster care and even the experience of foster care itself can be traumatic to children. These negative events and others, including abuse, neglect, and parental separation/divorce, are considered adverse childhood experiences (ACEs) {American Academy of Pediatrics, n.d.). Approximately 90% of all foster children have experienced one or more ACEs before or during their time in foster care (Dorsey et al., 2011). The emotional and physical impact that AC Es have on children can change the chemistry of their brain, which influences several key areas ofa child's development. Depending on the number and severity of …

Knowledge, Perception, And Implementation Of Oral Care In Patients With Head And Neck Cancer Before, During, And After Radiation Therapy, Abigail Smith

Undergraduate Honors Theses

The purpose of this study is to determine the extent of oral health education among head and neck cancer patients throughout various treatment periods and how this education influences their oral health practices, determine satisfaction with education and support based on initial symptoms as well as identify modifications to approaches to oral care education and further define a model for interprofessional practices to establish a role for speech-language pathologists in oral health education. A Qualtrics survey was distributed to gather information on oral care habits, determine habits, education, and satisfaction throughout radiation, completion of daily oral care, importance of oral …

Slp Practice And Assessment Of Bilingual Students In Illinois, Erin Zurek

Undergraduate Honors Theses

The purpose of this study was to gain insight into the practices used by Illinois school-based SLPs in assessing bilingual students and the challenges they face. A survey made on surveyplanent.com was distributed via email through the Illinois Speech-Language-Hearing Association to gather information on typical bilingual assessment such as frequently used methods, resources available by district, and continuing education opportunities. Responses were analyzed via SPSS Statistics to understand any relationships between SLP language proficiency, years of experience, percentage of bilingual caseload, reports of graduate preparation, and continuing education opportunities with their bilingual assessment practices. The data was compared to similar …

Automatic Subtyping Of Individuals With Primary Progressive Aphasia, Charalambos Themistocleous, Bronte Ficek, Kimberly Webster, Dirk B. Den Ouden, Argye Hillis, Kyrana Tsapkini

Communication Sciences and Disorders Faculty Articles and Research

Background:

Objective:

Methods:

Ehealth Parent Education For Hearing Aid Management: A Pilot Randomized Controlled Trial, Karen F. Muñoz, Guadalupe G. San Miguel, Tyson S. Barrett, Courtney Kasin, Kelsey Baughman, Bailey Reynolds, Caitlyn Ritter, Makynzie Larsen, John J. Whicker, Michael P. Twohig

Psychology Student Research

Objective: Parents frequently experience challenges implementing daily routines important for consistent hearing aid management. Education that supports parents in learning new information and gaining confidence is essential for intervention success. We conducted a pilot study to test an eHealth program to determine if we could implement the program with adherence and affect important behavioral outcomes compared to treatment as usual.

Design: Randomized controlled trial

Study sample: Parents of children birth to 42 months who use hearing aids. Eighty-two parents were randomly assigned to the intervention or treatment-as-usual group. Four parents assigned to the intervention group did not continue after baseline …

Beyond The Treatment Protocol: Active Ingredients For Precision Voice Rehabilitation, Maria H. Bane

Theses and Dissertations--Rehabilitation Sciences

Despite the growing body of research demonstrating voice therapy efficacy, only 12 of 100 people referred to a speech-language pathologist (SLP) for a voice evaluation will successfully complete therapy. One possible reason for this discrepancy is that clinical laboratory and clinical outcomes studies have focused on if voice therapy works while failing to explain how voice therapy works. While the if question is important, the yes or no response this question generates is of limited utility when those referred for voice therapy fail to complete. Consequently, the how question, which concentrates on the mechanisms and processes underlying effective voice therapy, …

Confident But Lacking Support: School Librarians And Students With Autism, Amelia Anderson, Selena Layden

STEMPS Faculty Publications

School librarians work with students across their organizations, including those with disabilities such as autism spectrum disorder (ASD). However, little is known about how prepared school librarians are to serve these students. Using a mixed-methods survey, this study sought to explore training school librarians have taken about ASD and students with disabilities, as well as the effects of training on librarian confidence and library services. Based on results, librarians who received training through their school district or professional development outside of coursework reported being more confident in supporting students with ASD in the school library.

The Readability Of Cochlear Implant Brochures: A Potential Factor In Parent Choice, Jennifer Dannemarie La Scala

Honors Undergraduate Theses

The early diagnosis of hearing loss can be a life-changing event for families. Parents are required to make several prompt decisions where they might be overwhelmed with all the information being shared with them. Patient education materials (PEMs) are often provided by clinical health professionals – yet these materials are often written above the average reading level of adults in the United States, thus presenting an additional challenge to many parents.

The purpose of this study was to examine the ease of reading cochlear implant (CI) brochures that are provided to parents who are making informed decisions about the management …

3d Mri Investigations Of The Musculus Uvulae In Children With 22q11.2 Deletion Syndrome, Riley Cashon

Honors Undergraduate Theses

22q11.2 Deletion Syndrome (22q) is the most common genetic cause for velopharyngeal dysfunction. Several velopharyngeal muscles in children with 22q have been shown to be hypoplastic, but no studies to date have examined the musculus uvulae in children with 22q. This study aimed to investigate the presence and characteristics of the musculus uvulae in children with 22q using3D modeling software MRI scans of 13 children (8 with 22q and 5 control participants) were used to measure the musculus uvulae using Amira 6 visualization modeling software. The muscle was segmented by selecting voxels displaying the musculus uvulae on successive oblique coronal …

Remote Supported Communication For Adults With Chronic Aphasia: A Serendipitous Study, Allie Hopper

Theses and Dissertations--Communication Sciences and Disorders

Supported communication is defined as anything that improves access to or participation in communication events or activities (King, Simmons-Mackie, & Beukelman, 2012). This thesis describes the results of a study that took place when a training program to provide graduate students in Communication Sciences and Disorders (CSD) with “hands on” experience in providing supported communication to persons with chronic aphasia (PWA) was interrupted by the outbreak of Coronavirus-19 and switched to a remote delivery format to fulfil service and training obligations to the PWA and the CSD graduate students respectively. The study (1) describes the actions taken to covert a …

Identifying Spanish-English Cognates As Intervention Targets For Speech Sound Disorders With Bilingual Children, Janessa A. Klein

Honors Program Theses

The focus of this thesis was to generate a comprehensive list of age-appropriate words to use in therapy for children ages 3-8 years old. Additionally, the research involved identifying words that are cognates in both Spanish and English. Word similarity was analyzed across languages to identify cognates using a well-known tool, the Crosslinguistic Overlap Scale of Phonology (COSP; Kohnert et al., 2004), which will be described in the methodology. Ideally, these target words will be used in speech therapy by a SLP who is serving preschoolers and early elementary-aged students with identified SSDs. As such, the research question addressed was: …

Blocking Behavior In Brass Players: Connections Between Fluency In Speech And Music, Marissa Gonzales

McNair Scholars Manuscripts

Many professional brass musicians deal with an under-studied performance issue with no official term. Some labels are the Valsalva maneuver, musical stuttering, blocking, or task-specific dystonia. When a brass musician attempts to play, their core may tighten up, airflow stops in the larynx or oral cavity, and the note gets “stuck.” A similar physical reaction is seen when people stutter in speech. The goal of this study was to determine how similar blocking in brass musicians and speech stuttering are in four areas: physical symptoms, emotional connections, onset descriptions, and environments that can cause fluency or disfluency. A survey was …

Stepping Up And Taking The Lead: School-Based Slps' Perceptions And Attitudes Of Leadership, Millie Newport, Gabrielle Saliba, Mary C. Smith, Brenda Louw

ETSU Faculty Works

This research explores the personal perspectives of school-based SLPs regarding their training in, perceptions of, and experiences regarding leadership. Survey research was conducted, and school based SLPs acted as respondents. Results may inform education in leadership, both in student training and in continuing education. Leadership in the field of speech-language pathology is essential to not only advocate for better outcomes of clients and patients, but also to foster an environment for change and understanding for future generations of SLPs.

Adolescents' Production Of Clausal Structures In Written Narrative, Expository, And Persuasive Genres, Lauren Elizabeth Myers

Graduate Theses, Dissertations, and Problem Reports (ETD)

The aim of this study was to analyze written language samples across different genres and age groups to provide information about the production of complex syntax emergence as time progresses across tasks. Complex syntax is both a socially and academically relevant language skill that is observed to advance well into later life. In order to analyze language samples as a way to identify language abilities, we must first understand syntactic emergence across genres with adolescents who are identified as having typical language development. In this study, written narrative, expository, and persuasive language samples were elicited from sixty typical adolescents in …

Examining The Effects Of Background Noise On Contextualized Word Learning, Caitlin Alyssa Ross

Graduate Theses, Dissertations, and Problem Reports (ETD)

Despite redundancy in the acoustic speech signal, both children and adults demonstrate difficulty listening and learning in noise. Research has shown that the acoustic parameters of classrooms and common study places, such as libraries and coffee shops, are often exposing students daily to unhealthy levels of background noise and distraction as they attempt to access and retain new information. While younger children may encounter new words via deliberate instruction in a classroom setting, older students are more likely to access new vocabulary indirectly via reading or self-study in noisy environments often of their own choosing. In both scenarios, accurate perception …

Lifting The Heavy Vocal Load: Slps And Their Vocal Habits, Sydney Sedlock

Murray State Theses and Dissertations

Novice speech-language pathologists (SLPs) are a vulnerable population that is at-risk for dysphonia. Previous literature has highlighted the high vocal-demand occupations of teaching and entertaining but there is minimal research to understand the prevalence of dysphonia in SLPs. The purpose of this investigation was to determine the prevalence of vocal fatigue and vocal loading in novice SLPs in western Kentucky to increase awareness of the vulnerability for dysphonia in this population. This investigation was descriptive in nature using a survey format and was sent to SLPs in the western Kentucky region. A total of 21 SLPs responded to the survey. …

The Effect Of Bilingual Proficiency In Indian English On Bilabial Plosive, Taniya Chawla

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Bilingual speech production studies have highlighted that level of proficiency influences the acoustic-phonetic representation of phonemes in both languages (MacKay, Flege, Piske, & Schirru 2001; Zárate-Sández, 2015). The results for bilingual speech production reveal that proficient/early bilinguals produce distinct acoustic properties for the same phoneme in each language, whereas less proficient/late bilinguals produce acoustic properties for a phoneme that is closer to the native language (Flege et al., 2003; Fowler et al., 2008). Acoustic-phonetic studies for Hindi (L1) and Indian English (L2) for bilingual speakers have been understudied, and the level of proficiency has not been considered in Hindi …

The Perception And Strategies Of Building Rapport With Children With Autism Spectrum Disorder Via Telepractice, Anna Cathryn Wall

Electronic Theses and Dissertations

Telepractice is a growing method in providing services in the profession of Speech-Language Pathology. One question with this growing method is, how do we build rapport when using telepractice? In this study, we intended to find what pediatric SLPs' perceptions and strategies of building rapport via telepractice is with children with autism spectrum disorder (ASD) ages 5-12, and children’s age was considered as an influential factor. While previous studies have focused on perceptions, we wanted to know what SLPs are doing in order to build rapport with their clients when using telepractice. We reached out to 223 SLPs and there …

Musicians Who Use Cochlear Implants Proposal, Leanne Bunnell

Williams Honors College, Honors Research Projects

The purpose of this scoping review was to provide information about the current research related to audiological practices regarding the population of musicians who use cochlear implants technology. This scoping review included studies that investigated post implantation therapy/activities designed to assist users who were also musicians. A scoping review identifies trends and gaps in available evidence. This information can be used to inform on practices currently being used in the audiologic field and identify areas for further research. A scoping review was conducted in April 2021 to identify English-language peer-reviewed journal articles published from 2010 to March 2021. Thematic analysis …

Effects Of A Virtual Reality Dementia Experience On Graduate Communication Disorders Students’ Future Clinical Practice, Morgan Stephens Blaydes

Online Theses and Dissertations

The movement towards providing person-centered care has been a topic of interest in the medical community, however, little is known about the facilitation of person-centered care in the field of speech-language pathology. Current literature indicates that speech-language pathologists typical follow the medical model of diagnosing and treating patients. Thus, more emphasis on providing person centered care is essential, especially for persons with dementia, as the number of individuals living with dementia is increasing and research indicates that outcomes are improved when treatment is person-centered. Despite this finding, research on the efficacy of training future speech-language pathologist to provide person-centered care …

Perspectives Of Individuals With Acquired Neurogenic Communication Disorders And Co-Survivors On Person-Centered Care Within Speech-Language Therapy, Logan Macrae Ellis

Online Theses and Dissertations

Main Argument: Acquired brain injury impacts 2.8 million individuals each year in the United States (Taylor et al., 2017). Stroke, traumatic brain injury, tumor, infection, and other conditions cause life-altering changes to the way humans interact with each other. Social interaction and communication are important in many aspects of life, including but not limited to work, community, relationships, and mental health, etc. Damage to the brain often changes the ability to communicate drastically, which can impact all of the aforementioned aspects of life (Ardila & Rubilo, 2018). Speech-language pathologists (SLPs) address the acquired neurogenic communication disorders associated with brain injury …

Parent/ Caregiver Burnout With Autism Due To Covid, Leah Recker, Erin Babcock

Williams Honors College, Honors Research Projects

The purpose of this project is to gain an understanding how parents of children with autism are affected by caregiver burnout. We want to understand the different factors that contribute to this burnout and analyze how individuals are affected differently. To do this, we are sending

out a survey using Likert scale items to assess parents’ stress and burnout. We will be carefully selecting statements based off information we gather through peer reviewed journal articles. We would then like the parents to decide how strongly they agree or disagree with each question. This will create a more in-depth picture of …

Speech-Language Pathologist And Parent Perspectives On Speech-Language Pathology Services For Children With Autism Spectrum Disorders, Brenda L. Beverly, L. Amanda Mathews

Brenda L. Beverly Publications

Many speech-language pathologists (SLPs) are underprepared to serve children with ASD, despite a growing need and increased expectation for ASD expertise. To understand this practice gap, 60 SLPs and 26 parents of children with ASD were surveyed regarding SLP knowledge and competency. Of concern was that only about 50% of SLPs correctly identified ASD defining criteria. Respondents rated eight SLP practices as Important to Very Important, but SLPs reported being only Somewhat Competent to Competent. The parents’ rating of SLP competency was significantly lower than parental ratings of importance for one educational practice, use of non-standardized assessment and observational methods. …

Assessing Language Delay In Twins: Low Gesture Use And Birth History Factors, Lori G. Foran, Kelli J. Evans, Brenda L. Beverly

Brenda L. Beverly Publications

Identification of language disorders in children younger than 3 years remains challenging despite agreement that early intervention improves outcomes. This study of twin language and gesture development substantiated the twinning effect, an unexplained lag in expressive and receptive language seen in twins, for a group of 88, 16- to 18-month-old twins who did not present with extreme perinatal risk. A valid, parent-report measure revealed word production ≤10^th percentile for 15 twins. Pregnancy complications, but not a positive family history of speech, language or learning disorders or other case history factors, significantly increased the odds of this early expressive delay. …

A Case Study Investigating Therapy Methods Used By Speech Language Pathologists Working With Children With Autism Spectrum Disorders, Julia Byers Van Volkenburg

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study was an in-depth examination of the experiences of five speech language pathologists (SLPs) working with children with Autism Spectrum Disorders (ASD) during language therapy sessions. This case study aimed to better understand the various therapy techniques being used by the SLPs through interviews and a reflective journal kept by the researcher. It also sought to examine the ways those therapy techniques may have included creative dramatics. Through thematic analysis, major and minor themes emerged from the interviews. The main theme of the study was the importance of individualizing therapy for students with ASD. Individualizing therapy was supported by …