Communication Sciences and Disorders Commons^™

From Measures To Meaning: A Case Study On Co-Defining Aphasia Recovery Outcomes With Patient Experts, Ann Blair Kennedy, Amy Neira, Katie Parris, Sebrena Brink, Patients With Aphasia Panel, Nabil Natafgi, Dirk B. Den Ouden, Sara Sayers, Leonardo Bonilha, Julius Fridriksson

Communication Sciences and Disorders Faculty Articles and Research

Background

People with post-stroke aphasia are often excluded from shaping the research meant to support their recovery. Communication barriers, research norms, and traditional outcome frameworks contribute to a lack of meaningful involvement, particularly in the identification of patient-centered outcomes. While participatory models in aphasia research are emerging, few examples describe how individuals with communication disabilities can lead or co-create research priorities.

Main body

This case study describes a structured, collaborative effort to center the voices of people with aphasia in identifying meaningful outcomes for recovery. Through a partnership between the Patient Engagement Studio (PES) and the Center for the Study …

A Scoping Review Of Oral Feeding Skill Development In Typically Developing Children Part Ii: Exploring Variability In Oral Feeding Skill Descriptions, Amy Delaney, Anna Flatt, Hannah Koepp, Alissa Fial, Katherine C. Hustad

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This scoping review is the second in a two-part series that aims to synthesize the literature on oral feeding skills development and to create a classification system of observable skills. Building on the findings from Part 1, this article compiles and analyzes the types of feeding skills reported across studies and proposes a framework for standardizing terminology.

Method:

The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Of the 14 studies identified in Part 1 that focused on feeding skill development, 11 included unique skill descriptions. These skills were coded and …

The Science Of Sound: Studying The Cognitive, Emotional, And Physiological Effects Of Frequency, Genre, And Music, Jett Yarborough

Senior Honors Theses

Music influences emotion, physiology, and cognition, yet little is known about how the frequency it is tuned to affects these influences. Prior research has shown that music tuned to 432 Hz can reduce stress, lower blood pressure, and improve sleep. My colleagues and I conducted two studies to investigate this. Our research found that music tuned to 432 Hz promotes a significant increase in memory retention and induces a state of focus and relaxation. These results suggest that shifting from the standard tuning frequency of 440 Hz to 432 Hz could have a profoundly positive impact on our daily lives. …

Integrating Lived Experience In Preprofessional Training In Speech Pathology And Audiology, Rachel Glade, Saira Hussain, Claire Wilkes, Christine Hunter, Faheema Mahomed-Asmail

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Background Incorporating persons with lived experience (PWLE) has proven effective in supporting preprofessionals in their training by providing authentic insights that foster empathy, compassion and critical thinking. However, limited research exists on its integration into audiology and speech-language pathology courses. This project aimed to determine the benefits of incorporating lived experience engagements into preprofessional audiology and speech-language pathology training.Method Preprofessional students enrolled for a course in adult auditory (re)habilitation and engaged with PWLE during scheduled class sessions. Six PWLE from different countries, each with unique hearing experiences and various hearing technologies, interacted with the students. Students reflected on their experiences …

Educational Services And Language Congruency In Low-Income Children Who Are Deaf Of Hard-Of-Hearing, Courtney J. Austin, Dylan Chan, Jihyun Stephans

Research Colloquium

Background: Children who are deaf or hard-of-hearing (DHH) are required by United States law to have access to educational services through the Individuals with Disabilities in Education Act (IDEA). However, access to language-congruent providers, as well as supplemental services, varies considerably. Household income is associated with poorer hearing care access and outcomes in DHH children. We predict that access to supplemental, language-congruent DHH services is poorer in DHH children from lower-income homes.

Methods: This is a secondary, ad hoc exploratory study of DHH children aged 0-27 months enrolled in a randomized clinical trial (CT.gov: NCT04928209). Children were enrolled across all …

The Relationship Between Language And Musical Skill Development In Individuals With Complex Communication Needs: Implications For Interprofessional Pedagogical And Research Practice, Lisa Pierce-Goldstein

Educational Studies Dissertations

The relationship between music and language has long fascinated scholars and educators. Observational and experimental research has yielded evidence of music’s positive impact on language development. However, research has largely focused on individuals who primarily use speech to communicate. Individuals with complex communication needs (CCNs), who use augmentative and alternative communication (AAC) to communicate, are underrepresented in the literature.

Purpose: The primary purpose of this study is to gain a deeper understanding of the relationship between language development and musical skill development in individuals with complex communication needs using alternative assessment tools: the Communication Matrix (CM; i.e., language) and the …

Aphasia In South Asian Languages (Asal) Project: A Protocol Of Connected Speech Tasks For Investigating Cross-Linguistic Grammatical Profiles In Aphasia For South Asian Languages, Arpita Bose, Sakshi Bhatia, Lakshmi Venkatesh, Sayantani Banerjee, Gurujegan Murugesan, Sunila John, Sakshi Upadhyay, Manaswita Dutta, Mythili Menon, Danielle Fahey, Multiple Additional Authors

Speech and Hearing Sciences Faculty Publications and Presentations

Background

Languages vary in their syntactic (e.g. word order in sentences), lexical (e.g. presence of specific word classes), and morphological (e.g. inflectional or derivational forms of words) properties. This cross-linguistic variation in language typology influences the manifestation of agrammatic symptoms. However, most theoretical models of agrammatism are based on English and a few European languages, limiting their generalizability. This narrow focus neglects the rich syntactic, lexical and morphological variations available in languages globally. Clinically, the lack of language-specific characteristics of agrammatic impairments limits translational potential for precise and improved diagnosis. The Aphasia in South Asian Languages (ASAL) project addresses this …

Naming Practice Effects And Inconsistencies Relate To Treatment Outcome In People With Aphasia, Janina Wilmskoetter, Katherine Blackwood, Sigfus Kristinsson, Grant Walker, Julius Fridriksson, Deena Schwen Blackett, Dirk B. Den Ouden, Chris Rorden, Argye E. Hillis, Gregory Hickok, Sara Sayers, Leigh Ann Spell, Leonardo Bonilha

Communication Sciences and Disorders Faculty Articles and Research

Background and aims

Method

Towards Accessibility In Healthcare For Individuals With And Without Hearing Loss: Evaluation Of Usability, Fit, And Communicative Effectiveness Of A Transparent N95 Mask Prototype, Samuel R. Atcherson, Brooklyn Schultes, Jeanne Hahne, Barbara Debaun, Chris Showell

JADARA

The COVID-19 pandemic has underscored the necessity of effective face masks in both public and healthcare settings for mitigating the spread of disease. However, traditional face masks impede communication, posing significant challenges for approximately 13% of the general population and 10% of healthcare and social assistance workers who have hearing loss and who rely on lipreading and other non-verbal cues. Traditional surgical masks and N95 respirator masks serve important roles in healthcare, but they differ in levels of protection. Currently, a transparent surgical mask is available, but not an N95 version. Thus, this study aimed to evaluate the usability, fit, …

A Scoping Review Of Oral Feeding Skill Development In Typically Developing Children Part I: Methodologies, Populations, And Normative Data, Amy L. Delaney, Anna Flatt, Hannah Koepp, Alissa V. Fial, Katherine C. Hustad

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This scoping review is the first in a two-part series aimed at synthesizing literature on oral feeding skills and informing the development of a classification system of observable skills. This article consolidates research on feeding skill development in typically developing children. The second paper analyzes individual skills identified. This review addresses three questions: (a) What methods have been used to study feeding skill development? (b) What populations of typically developing children without feeding disorders have been studied? (c) What normative data on feeding skills are available?

Method:

Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for …

The Effect Of Genotype On Self-Reported Dysarthria And Dysphagia In Parkinson's Disease: A Parkinson's Progression Marker Initiative Study, Matthew Dumican, Therese Reyers, Alyson Malczewski, Zoe Thijs

Communication Disorders and Occupational Therapy Faculty Publications and Presentations

Objectives The objective of this study was to examine baseline and longitudinal differences of self-reported dysarthria and dysphagia in the most common genetic subtypes of Parkinson's disease (PD) using the Parkinson's Progression Marker Initiative (PPMI) dataset. Methods This was a retrospective, longitudinal study utilizing data from the PPMI dataset. Dysarthria- and dysphagia-specific questions from the Unified Parkinson's Disease Rating Scale (UPDRS) and Scales of Outcomes in Parkinson's Disease-Autonomic questionnaire (SCOPA-AUT) were extracted for people with Parkinson's disease (PwPD) with leucine-rich repeat kinase 2 gene (LRRK2), GBA, and SNCA genotypes across up to five research visits. Relevant patient (age, sex, etc.) …

Imagining What’S Next In Pediatric Feeding Care, Amy L. Delaney

Speech Pathology and Audiology Faculty Research and Publications

Pediatric feeding disorder (PFD) is now recognized as a diagnostic entity, and we have the diagnostic and procedural codes for it. This is a turning point in our field because these codes don’t just unlock reimbursement—they validate and name the invisible. They allow us to collect data and identify patterns, and they open a door to remarkable things.

Effective Neural Connectivity Deficits During Speech Auditory Feedback Processing In Post-Stroke Aphasia: An Fmri Study, Kimaya Sarmukadam, Vahid Nejati, Roozbeh Behroozmand

Faculty Publications

Post-stroke aphasia often results in significant impairments in speech production and auditory processing, necessitating a deeper understanding of the underlying neural connectivity within sensorimotor networks. In this study, we investigated neural connectivity within sensorimotor networks in individuals with post-stroke aphasia (n = 16) compared to neurotypical controls (n = 16). Functional magnetic resonance imaging (fMRI) data were acquired during speaking and listening tasks, accompanied by normal or randomly pitch-shifted (±100 cents) altered auditory feedback across trials. Dynamic causal modeling and parametric empirical bayes methods were used to analyze effective connectivity. The analysis revealed significant alterations in intrinsic and …

Polish Adaptation Of The Self-Stigma Of Stuttering Scale: Scale Development And Analysis, Marta Wesierska, Natalia Świsłocka, Katarzyna Węsierska, Michael P. Boyle

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: There is currently no available assessment of self-stigmatization for people who stutter in Polish, and previous research has identified a clear need for such a measure to be implemented in therapy settings. The aim of this study was to adapt the Self-Stigma of Stuttering Scale (4S) to Polish. Method: The study recruited 108 Polish adults who stutter (48.1 % female, 51.9 % male), ranging in age from 18 to 67. Participants were mainly recruited via speech language pathologists (SLPs) and self-help group leaders. Participants completed the Polish translation of the 4S scale, as well as questions on general mental …

Investigating The Practice Of A Somatic, Mindful Christian Prayer And Breathing Practice On Public Speaking Anxiety, Robyn L. Middleton

Doctoral Dissertations and Projects

This randomized controlled trial investigated the effectiveness of a mindful Christian prayer practice (The Jesus Prayer) combined with slow diaphragmatic breathing on communication anxiety. Participants (N = 80) included university students and members of the general public aged 18-60 who experience public speaking anxiety. Measurements included self-reported speech anxiety and heart rate variability (assessed via the WellHero app). Repeated measures ANOVAs revealed that the mindful prayer practice had no significant effect on participants' self-reported speech anxiety or RMSSD heart rate variability. A statistical trend of lower Baevsky’s Stress Index (another variable WellHero provided) was observed in the intervention group. This …

Dominant Mid-To-High-Frequency Harmonics Predict Neural Encoding And Perception Of Concurrent Vowels With Large F0 Differences, Fan-Yin Cheng, Sarah Medina, Olaedochim Obinna, Spencer Smith

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Concurrent vowel perception experiments have revealed the importance of fundamental frequency (f₀) differences in speech stream segregation. Understanding neural processes that support speech streaming using f₀ differences remains an active area of perceptual and neurocomputational modeling research. This study simultaneously measured subcortical neural encoding [frequency following responses (FFRs)] and cued vowel identification accuracy of 12 concurrent vowel mixtures with large f₀ differences (>8 semitones) to assess whether f₀-based neural channel selection predicted perception. Results indicated that the strength of f₀-based neural channel selection for one vowel often depended on the …

Increasing Implementation Of The Comfortable Cafeteria Program To Promote School-Age Children’S Mental Health And Well-Being, Reinecka Mondesir, Angela Labrie Blackwell Phd, Otr

Summer 2025 OTD Capstone Symposium

Every Moment Counts (EMC) is a positive mental health promotion initiative that offers several initiatives to create inclusive environments that support student participation and emotional well-being throughout the school day. Comfortable Cafeteria, part of EMC, fosters positive mealtime experiences supporting peer interaction, emotional regulation, and inclusion. Many SBOT practitioners lack the resources to implement Comfortable Cafeteria, despite its benefits. This capstone project addresses the need for practical tools to help school-based occupational therapy (SBOT) practitioners integrate the Comfortable Cafeteria program into daily practice. Using the Multi-Tiered System of Supports (MTSS) framework, the project developed and disseminated an interactive, evidence-based video …

Tutorial: A Guide To Getting Started With The Clinical Fellowship Experience, Christi Masters, Mariel L. Schroeder

Department of Speech, Language, and Hearing Sciences Faculty Publications

Purpose:

Chew On It: A Pilot Study Of A Multimodal Assessment Of Mastication Protocol, Michelle Catão

Electronic Theses and Dissertations

Despite its subconscious nature, deglutition is an elaborate and multifaceted process, contingent on the activation of specific neural pathways and muscles. The inherent complexity gives rise to a wide array of potential complications and difficulties, known as dysphagia. Screening and assessment for dysphagia aid in determining the presence and etiology of swallowing difficulties, providing information that is critical for maintaining and improving the health status of vulnerable populations from the standpoint of nutrition, hydration, and socialization (Dziewas et al., 2017). Previous studies surrounding dysphagia assessment have prioritized formulating clinical protocols to evaluate the nonvolitional stage, often failing to address the …

An Implementation Study Of Phonological Awareness Assessment Tasks For Literacy Development In D/Deaf And Hard Of Hearing Students, Sara Tuddenham

Electronic Theses and Dissertations

Minimal auditory input can impact phonological awareness skill acquisition in d/Deaf and hard of hearing (DHH) students. Teachers of the Deaf and speech-language pathologists can assess and instruct DHH students through methods tailored to their needs, but research on effective strategies is limited. This study explores the development and implementation of a linguistically and culturally inclusive set of phonological awareness tasks for DHH students at Western Pennsylvania School for the Deaf (WPSD). Tasks investigate phonological awareness in spoken English (i.e., rhyming, sound matching, blending, etc.) and American Sign Language (i.e., ASL parameters) for nine DHH students. Results indicate the feasibility …

Individual Noise-Tolerance Profiles And Neural Signal-To-Noise Ratio: Insights Into Predicting Speech-In-Noise Performance And Noise-Reduction Outcomes, Subong Kim, Susan Arzac, Natalie Dokic, Jenn Donnelly, Nicole Genser, Kristen Nortwich, Alexis Rooney

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Background/Objectives: Individuals with similar hearing sensitivity exhibit varying levels of tolerance to background noise, a trait tied to unique individual characteristics that affect their responsiveness to noise reduction (NR) processing in hearing aids. The present study aimed to capture such individual characteristics by employing electrophysiological measures and subjective noise-tolerance profiles, and both were analyzed in relation to speech-in-noise performance and NR outcomes. Methods: From a sample of 42 participants with normal hearing, the neural signal-to-noise ratio (SNR)—a cortical index comparing the amplitude ratio between auditory evoked responses to target speech onset versus noise onset—was calculated, and individual noise-tolerance profiles were …

Coaching Bilingual Speech-Language Student Clinicians And Spanish-Speaking Caregivers To Use Culturally Adapted Ndbi Techniques For Autistic Preschoolers, Richelle R. Mcguire

Speech and Hearing Sciences ETDs

This study used a cascading coaching model to train bilingual speech-language pathology graduate students and Spanish-speaking caregivers to implement naturalistic developmental behavioral intervention (NDBI) strategies with autistic preschoolers. Two triads, each including a student clinician, minimally vocal child with autism, and caregiver, participated. A monolingual instructor coached student clinicians in culturally adapted NDBI techniques, who then coached caregivers in Spanish. A mixed methods approach evaluated outcomes through single-case experimental design and qualitative interviews. All adult participants increased their use of targeted NDBI skills, with large to very large effect sizes. Qualitative findings suggested areas for improvement (e.g., need for more …

Clinician And Caregiver Perspectives On A Community-Based Dynamic Temporal And Tactile Cueing Treatment Trial For Childhood Apraxia Of Speech: Exploring Perceptions Of Research And Routine Clinical Practice, Donna C. Thomas, Geraldine Bricker-Katz, Elizabeth Murray, Shelley L. Velleman, Jenya Iuzzini-Seigel

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

Dynamic Temporal and Tactile Cueing (DTTC) is an evidence-based treatment for children with childhood apraxia of speech. In clinical practice, speech-language pathologists (SLPs) frequently use an eclectic approach incorporating aspects of DTTC, for reasons that are not well understood. This research note describes a qualitative investigation of the experiences of SLPs and caregivers who participated in protocolized research DTTC for a 24-session treatment efficacy study. Specifically, we sought to understand the perspectives of these SLPs and caregivers regarding (a) DTTC treatment, as provided during the study, and (b) participating in a treatment research study.

Method:

Four SLPs and three …

14-Year Retrospective Review Of Audiology Graduate Admission Data: Comparative Analysis With Other First Professional Health Programs, Alyssa R. Needleman, Patricia A. Gaffney, Erica B. Friedland, Josiah Alamu

Internet Journal of Allied Health Sciences and Practice

Purpose: Demographic and cognitive data on students entering audiology programs is incomplete, and there is a lack of comparison among audiology students and those entering other first professional health (FPH) programs. This paper is the first of a multi-part series to provide evidence into the characteristics of the typical audiology student and their graduate outcomes. This is valuable for improving recruiting, admissions, retention, and success rates of audiology programs. A comprehensive descriptive analysis of admission criteria was performed for students who entered the NSU Doctor of Audiology (AuD) program over the last 14 years. Additionally, NSU admissions data was compared …

Scoring Goals With Autistic Children: Decision Making And Successful Implementation, Victoria Henbest, Brenda L. Beverly

APLL Lab Presentations

No abstract provided.

Potential Impact Of Artificial Intelligence On The Practice And Profession Of Speech-Language Pathology: A Working Paper, Manish Rami

Communication Sciences & Disorders Faculty Publications

This paper explores the potential impact of Artificial Intelligence (AI) on the profession of Speech-Language Pathology (SLP). AI is widely recognized as a transformative force, presenting opportunities across both service delivery and professional practice in SLP. This paper examines how AI may partially or fully automate and augment key tasks such as screening, assessment, and treatment. It also addresses associated challenges, including data bias and the “black box” problem while advocating for proactive engagement with AI technologies. Finally, the paper posits that AI will reshape the field, serving as a collaborative partner for SLPs, enhancing efficiency, and expanding access to …

Effects Of Elicitation Method On Functionally Relevant Item Selection In Spanish And English Monolinguals And Bilinguals, Dallin J. Bailey, Esther Barahona Wilkes

Faculty Publications

Purpose: One important decision speech language pathologists make when planning anomia treatment is the identification and selection of the specific vocabulary items to target during therapy. However, this process is not entirely straightforward. Although ‘functional relevance’ has high face validity for the identification of target items, interpretations differ, which may impact which words are selected for therapy. As such, target item selection methods vary, with resulting items impacted by the specific method used. There are also many person-level variables that may impact the functional relevance of specific items, such as the heritage language of the patient or their bilingualism status. …

Dysphonia In Division I Collegiate Sideline Cheerleaders, Anna Riley Reed

Student Theses and Dissertations

Many research studies have focused on voice disorders in occupational voice users (i.e., teachers, singers, coaches). However, there is limited research on voice disorders in cheerleaders. Therefore, this study investigated the presence of dysphonia in division I collegiate sideline cheerleaders before and after the 2023 football season. Participants included twenty-six collegiate sideline cheerleaders at a division I university. Participants completed a demographic survey and the Voice Handicap Index (VHI). In addition, their modal, high, and low pitch frequencies were measured, and voices were assessed using the Consensual Auditory-Perceptual Evaluation of Voice. This study found significant results regarding the alteration subjective …

Exploring The Validity Of Vocabulary Assessments In Racially, Dialectically, And Socioeconomically Diverse Preschool Populations, Lauren Betzer

LSU Master's Theses

Recent research has advocated for interactive assessments of vocabulary over more traditional, static assessments, as interactive assessments are more sensitive to linguistic and cultural diversity. Static vocabulary assessments, such as the Peabody Picture Vocabulary Test (PPVT), probe existing knowledge, while interactive assessments, such as the Quick Interactive Language Screener (QUILS), examines a child’s language in a wholistic manner by assessing previously learned vocabulary knowledge, syntactic knowledge, and processing when learning a new concept. It remains unclear which assessment more accurately captures children's vocabulary knowledge throughout the Deep South—a region characterized by its unique cultural and linguistic environment, which includes the …

Conflicting Social Information And Its Impact On Sentence Comprehension In Young Adults With Dld: An Eye Tracking Study, Ansley Davis

USF Tampa Graduate Theses and Dissertations

Individuals must recognize linguistic and non-linguistic social cues to resolve contextual ambiguities in their conversations. When the linguistic and social cues match, sentence processing is facilitated. However, conflicts between linguistic and social stimuli (i.e., incongruency) can lead to prediction errors which slow sentence processing. Limited research has explored the social cognition conflict resolution skills in individuals with Developmental Language Disorder (DLD) despite their documented emotion processing deficits. This study considers the role of social prediction processing in adults with DLD as they engage in a social cognition conflict resolution task.

Young adults with DLD (n=29) and typically developing (TD) peers …