Communication Sciences and Disorders Commons^™

Speech Language Pathologists And Prosody: Knowledge And Clinical Practices, Sarah Elizabeth Fischer

Honors Theses

Prosody is an important aspect of language as it signals linguistic contrasts, conveys pragmatic distinctions, and expresses emotional affect. However, prosody is impaired in several populations, and such impairments can negatively affect intelligibility and the social perception of the speaker. Speech Language Pathologists (SLPs) are the professionals responsible for treating such impairments, yet the knowledge base of SLPs regarding prosody is unknown. The purpose of this study is to evaluate SLPs' knowledge of assessing, treating, and diagnosing prosodic impairments by using a survey (n=269). While a majority of SLPs surveyed agreed that prosody is within their scope of practice, they …

A Survey Of Speech-Language Pathologists' Use And Understanding Of Evidence-Based Practice, Emma Kate Thome

Honors Theses

Problem Statement: Prior research on evidence-based practice (EBP) in speech-language pathology is both limited and inconsistent regarding the frequency in which SLPs engage in EBP, their understanding of EBP, and the emphasis that their employers place on EBP. Purpose: The purpose of the present study was to assess SLPs' understanding and use of EBP. In addition, this study investigated the potential barriers SLPs face when attempting to engage in EBP including employer emphasis and opinions toward EBP. Methods: SLPs (n=176) from across the United States participated in an online survey designed to assess their understanding and use of EBP. Participants …

Using Baby Sign As A Facilitating Technique To Segment Speech With 4-18-Month-Old Monolingual And Bilingual Hearing Infants-An Extension Study, Johanna Puga-Martinez

Open Access Theses & Dissertations

The intricacies involved in learning language are astounding, nonetheless, infants are more than capable of accomplishing this feat within their first few years of life. This unbelievable achievement is carried out through numerous milestones and exposure to multiple modalities of stimuli all around them. Through the use of these modalities, be it auditory or visual, infants begin their journey to learn language with the task of extracting words from fluent speech, speech segmentation. Researchers have found that infants as young as 6-months can segment words from the speech stream by using their own name or highly familiar words like momma …

An Evaluation Of Interprofessional Knowledge And Attitudes In Graduate Students From Six Programs In Health Sciences After An Interprofessional Education Workshop Experience, Joanna Velasco

Open Access Theses & Dissertations

Interprofessional Education (IPE) occurs when two or more disciplines learn about, from, and with each other to provide interprofessional patient-centered care which ultimately improves patient health care outcomes (WHO, 2010). Through collaboration, students not only bring their own expertise, but are given an opportunity to learn what the other disciplines can offer for the same patient. Although IPE's importance is highly recognized, many universities do not engage in IPE practice because of scheduling difficulties, lack of faculty involvement, implementation challenges for various levels of competency, and uncertainty of how to measure the effectiveness of IPE activities (Johnson et al., 2015). …

Speech Recognition In Noise Performance In Younger And Older Spanish-English Bilinguals' L1 And L2, Elisa Guadalupe Barraza

Open Access Theses & Dissertations

Background: Previous research has shown that Spanish/English speaking bilinguals have difficulty understanding English speech in background noise compared to their monolingual counterparts. However, the effects of age on bilinguals' speech understanding performance remains unclear.

Purpose: The purpose of this study was to determine whether older Spanish/English bilingual speakers are at an increased disadvantage understanding speech in the presence of background noise compared to older English monolinguals.

Methods: 15 younger Spanish-English (S/E) bilinguals, 15 older S/E bilinguals, 15 younger English monolinguals and 15 older English monolinguals participated in the study. Speech recognition performance was measured using the Spanish and English versions …

The Validation Of A Screening Instrument For Preschool-Aged Children In El Paso, Cassandra Curtis

Open Access Theses & Dissertations

Background: Culturally and linguistically diverse children often produce linguistic features that may mask or mimic characteristics of language impairment (LI) (Gutierrez-Clellen & Simon-Cereijido, 2009). Language screening instruments are time efficient tools used by Speech Language Pathologists (SLPs) to distinguish children who may need additional language assessment (Guiberson & Rodriguez, 2010). A previous survey conducted in the El Paso, TX region determined that only 30% of SLPs felt that screenings instruments, for English-Spanish bilingual children, produced accurate results (Cutis, Summers, Smith, & Stubbemann, 2016). Additionally, the study found that SLPs often used non standardized screening tools due to the lack of …

The Efficacy Of Baby Sign Language In Reducing Problem Behaviors In Typically Developing Children, Nguyen-Chau Dinh

Open Access Theses & Dissertations

Baby sign is an emerging trend that is speculated to reduce the instances of tantrums, emotional outbursts, and frustration in typically hearing infants (Nelson, White, & Grewe, 2012). Despite its proclaimed benefits, little research has been conducted to evaluate the true efficacy of baby sign in reducing problem behaviors in typically hearing children. The purpose of this study was to evaluate whether or not baby sign could be used as an alternative and augmentative communication modality in increasing communicative intent and decreasing stress. A single subject, AB design was used to examine the changes in behavior in a typically developing …

Combining Degradations: The Effect Of Background Noise On Intelligibility Of Disordered Speech, Sarah E. Yoho Leopold, Stephanie A. Borrie

Communicative Disorders and Deaf Education Faculty Publications

The effect of background noise on intelligibility of disordered speech was assessed. Speech-shaped noise was mixed with neurologically healthy (control) and disordered (dysarthric) speech at a series of signal-to-noise ratios. In addition, bandpass filtered control and dysarthric speech conditions were assessed to determine the effect of noise on both naturally and artificially degraded speech. While significant effects of both the amount of noise and the type of speech were revealed, no interaction between the two factors was observed, in either the broadband or filtered testing conditions. Thus, it appears that there is no multiplicative effect of the presence of background …

Hablando De La Herida: Honoring Spanish-Speaking Parents’ Experiences Obtaining School-Based Speech And Language Services For Their Children, Amalia W. Hernández

LMU Theses and Dissertations

This study examines the experiences of Spanish-speaking Latino/a parents in their attempts to obtain school-based speech and language services for their children; the impact of these experiences on parents; and parent perspectives on how school-based speech-language pathologists can co-create collaborative relationships. Through a detailed analysis of a focus group and individual interviews of 31 Spanish-speaking parents of children in the REAAD! (Reaching Educational Achievement and Development) Literacy Enrichment Program at a university in Los Angeles, California, this study provided a space for parents to share their experiences and offer insights regarding what shaped their experiences. Through the theoretical lens of …

Tuned In: An Investigation Of The Use Of Group Amplification Systems For Students, Including Those On The Autism Spectrum, In First Grade Mainstream Classrooms, Emily Velichka

Senior Independent Study Theses

The purpose of this study was to determine the academic benefits and challenges, if any, of utilizing a group amplification system in first-grade mainstream classrooms. More specifically, this study measured the influence of a group amplification system throughout language-based tasks, such as spelling accuracy. A total of 33 first-grade students, including two students reportedly diagnosed with an Autism Spectrum Disorder (ASD), participated in the study, with 17 students in Classroom A and 16 students in Classroom B. This study’s experimental procedures included a spelling pretest, two intervention activities, and a spelling posttest, administered over the course of four days. The …

The Effect Of Yoga And Breathing Exercises On Children With Autism, Leah Brausch

Williams Honors College, Honors Research Projects

The purpose of this case study was to determine the effects of yoga and breathing exercises on children with Autism Spectrum Disorder (ASD). Common characteristics of children with ASD were noted and observed throughout the study in order to determine effectiveness of the therapy at hand. Yoga therapy was implemented for nine (9) weeks through an at-home program. It was determined that, while long-term effects were not evident, there is reasonable evidence to implement yoga therapy to assist with focus and attention. This paper serves to review characteristics of children with ASD, typical therapies used to assist them and the …

The Psychosocial Effects Of Hearing Loss On Adults, Holly Reed

Williams Honors College, Honors Research Projects

Adults with hearing loss report experiencing isolation, depression, a decreased satisfaction with their self - image and quality of life, cognitive problems and communication obstacles. These effects of a hearing loss can manifest in social situations, within the family and even at the workplace. How one copes with their hearing loss can affect how much of an impact their hearing loss has on their lives as well as what rehabilitative programs or assistive technology they may seek out. It is important to for audiologists to understand the psychosocial effects of hearing loss, how they affect the individual in the workplace …

Catching Up To Multiculturalism: Bilingual And Cultural Competent Practices In Speech-Language Pathology, Yeji (Loris) Yoon

Master's Theses and Doctoral Dissertations

The rapid rise of culturally and linguistically diverse (CLD) clients has resulted in an increased demand for bilingual speech-language pathologists (SLPs) in schools and health care settings. Yet little is known about the experiences and the training needs of these bilingual service providers. This qualitative study used in-depth interviews with seven bilingual SLPs to highlight their perspectives on bilingualism and provision of bilingual speech-language pathology services. Participants reported the value of being a bilingual and took pride in having these skills to help people communicate but noted the gap between their graduate training and clinical experiences in working bilingually due …

An Overwhelming Journey: Mothers Of Children Cochlear Implant Users Experiences With Speech-Language Pathologists, Jennifer Beebe

Master's Theses and Doctoral Dissertations

This study shares themes identified across the experiences of mothers of children cochlear implant users with speech-language pathologists. Parents describe learning that their child has a hearing loss as an overwhelming journey with much to learn and many decisions to make, especially in their child’s first year of life. Parents rely on professional support in developing their child’s listening and spoken language development. A phenomenological framework of qualitative research was utilized to understand the perspective of the mothers who participated in this study. The intent of this study is to improve the partnership between parents and professionals of children with …

Dynamic Balance Control And Segmental Orientation While Listening During Walking: Effects Of Age And Hearing Loss, Sin Tung Lau

Theses and Dissertations (Comprehensive)

Dynamic control of balance changes with age and changes with declines in sensory and cognitive abilities. For instance, emerging, yet robust associations between hearing loss and poor mobility have been described and yet the mechanism underlying these associations remains unknown. It could be that age-related declines in hearing ability result in different kinematic strategies when having to walk and listen at the same time (e.g. head and body orienting responses toward sounds) and/or that declines in hearing result in increased cognitive load during listening, at the detriment to mobility-related performance. Therefore, this thesis sought to better characterize these associations by …

Perception Of American–English Vowels By Early And Late Spanish–English Bilinguals, Miriam Baigorri, Luca Campanelli, Erika S. Levy

Publications and Research

Increasing numbers of Hispanic immigrants are entering the US and learning American–English (AE) as a second–language (L2). Previous studies investigating the relationship between AE and Spanish vowels have revealed an advantage for early L2 learners for their accuracy of L2 vowel perception. Replicating and extending such previous research, this study examined the patterns with which early and late Spanish–English bilingual adults assimilated naturally-produced AE vowels to their native vowel-inventory and the accuracy with which they discriminated the vowels. Twelve early Spanish–English bilingual, 12 late Spanish–English bilingual, and 10 monolingual listeners performed perceptual-assimilation and categorical-discrimination tasks involving AE /i,ɪ,ɛ,ʌ,æ,ɑ,o/. Early bilinguals …

Minimal Hearing Loss In School-Age Children: Prevalence And Relationship To Reading Impairment, Laura Peek

Theses and Dissertations

Purpose: The two-fold purpose of this study was to determine if a) students with reading impairments fail hearing screenings at higher rates than students without reading impairments and b) if the pattern of simple view of reading classification differs across hearing screening results.

Method: This project included 19 students with reading impairments and 17 students with typically reading skills in grades 2 through 11. Each participant completed a hearing screening and a complete battery of language and literacy tests to determine their hearing screen status and simple view classification.

Results: Results of a chi square test comparing reading status and …

Small Group Brainstorming, Jennifer Friberg

Faculty Publications – Communication Sciences and Disorders

Over time, I became dissatisfied with what I observed in both my students and in myself in the traditional classroom. Students passively took notes while I actively lectured. Students memorized what was emphasized as important material, but lacked active engagement in class with me, with each other, and with the subject matter. In response to this realization, I developed a start-of-the class practice that I coined “small group brainstorming”. I gave students several Small Group Brainstorming questions (printed on a worksheet) topical to the content of that day’s class to consider and address with their groupmates. These questions required students …

Evidence-Based Clinical Decision Making For Bilingual Children With Autism Spectrum Disorders: A Guide For Clinicians, Vanesa Smith, Connie Summers, Vannesa Mueller, Alejandra Carillo, Gabriela Villaneda

Faculty Publications

Speech-language pathologists (SLPs) are treating an increasing number of bilingual clients, including those diagnosed with autism spectrum disorders (ASDs). There is not a clear consensus among professionals regarding which language should be used in intervention when treating bilingual children with ASD. For this reason, it is imperative that SLPs ensure that they are making evidence-based decisions. This article will review the current research that examines bilingualism in children with ASD along with research focused on the language of intervention in bilingual children with ASD. We present a clinical scenario with common concerns presented to SLPs in their work settings and …

Proactive Social Validation Of Methods And Procedures Used For Training Speech Production In Aphasia, Tyson G. Harmon, Lucy Hardy, Katarina L. Haley

Faculty Publications

Background: Social validation evaluates the importance and acceptability of treatment goals, procedures, and outcomes. Previous studies for treatments that train speech production in aphasia have applied social validation during the post-treatment period or to treatment protocols that are already fully developed.

Aims: The purposes of this study were to (1) examine the social validity of goals and procedures experienced in speech production treatment for people with aphasia and (2) evaluate the feasibility of procedural choice-making during such tasks.

Method: Seven people with aphasia and eight speech-language pathologists were interviewed about previous treatment that targeted speech production. Participants were also observed …

Aphasia Couples Therapy: A Case Study Of Conversational Coaching For A Man With Conduction Aphasia, Adriana Joma

University of the Pacific Theses and Dissertations

The purpose of this study was to contribute to the understanding of the effects of aphasia couples therapy (ACT) in a person with conduction aphasia. ACT is a social therapeutic approach that involves facilitating conversations between the person with aphasia (PWA) and their spouse, or caregiver. The participants in this study involved one pair. The dependent variables included conveyance of main concepts, use of intentional gestures, reflections and summary statements per conversation. Miscellaneous measures were also counted and analyzed including the PWA’s frequency of paraphasias, fillers (e.g. um, uh), and disfluencies. Baseline sessions involved the PWA watching a video clip, …

My Client Knows That He’S About To Stutter: How Can We Address Stuttering Anticipation During Therapy With Young People Who Stutter?, Eric S. Jackson, Hope Gerlach, Naomi H. Rodgers, Patricia M. Zebrowski

Department of Special Education and Communication Disorders: Faculty Publications

Stuttering anticipation is endorsed by many people who stutter as a core aspect of the stuttering experience. Anticipation is primarily a covert phenomenon and people who stutter respond to anticipation in a variety of ways. At the same time as anticipation occurs and develops internally, for many individuals the “knowing” or “feeling” that they are about to stutter is a primary contributor to the chronicity of the disorder. In this article, we offer a roadmap for both understanding the phenomenon of anticipation and its relevance to stuttering development. We introduce the Stuttering Anticipation Scale (SAS)—a 25-item clinical tool that can …

A Rapid, Handheld Device To Assess Respiratory Resistance: Clinical And Normative Evidence, Aaron B. Holley, Wesley D. Boose, Michael Perkins, Karen L. Sheikh, Nancy P. Solomon, Angela M. Dietsch, Jafar Vossoughi, Arthur T. Johnson, Jacob F. Collen

Department of Special Education and Communication Disorders: Faculty Publications

Introduction: Following reports of respiratory symptoms among service members returning from deployment to South West Asia (SWA), an expert panel recommended pre-deployment spirometry be used to assess disease burden. Unfortunately, testing with spirometry is high cost and time-consuming. The airflow perturbation device (APD) is a handheld monitor that rapidly measures respiratory resistance (APD-R_r) and has promising but limited clinical data. Its speed and portability make it ideally suited for large volume pre-deployment screening. We conducted a pilot study to assess APD performance characteristics and develop normative values.

Materials and Methods: We prospectively enrolled subjects and derived …

A Comparison Of Social Disconnectedness And Perceived Isolation In Deaf/Hard Of Hearing Women And Hearing Women, Mellissa Perry

Walden Dissertations and Doctoral Studies

Previous research has concluded that hearing loss is related to psychological risk factors in a person that could potentially increase feelings of disconnect or isolation. However, the gap in literature and lack of knowledge regarding social disconnectedness and perceived isolation specifically for deaf/hard of hearing women makes it difficult for clinicians to develop appropriate programs to assist this population. The purpose of this study was to contribute information regarding the effects of hearing loss on social disconnectedness and perceived isolation to help clinicians create proper treatment plans to better assist the deaf/hard of hearing with negative feelings (e.g., loneliness, depression) …

Polysyllabic Shortening In Speakers Exposed To Two Languages, Todd A. Gibson, Connie Summers

Faculty Publications

Polysyllabic shortening is used to maintain stress-timed rhythm in English, but used negligibly in Spanish. It is unknown how polysyllabic shortening is influenced when individuals are exposed to one language that employs it and one that does not. We calculated polysyllabic shortening for 35 functionally monolingual English-speaking adults and 19 relatively balanced Spanish–English bilingual peers who repeated English and Spanish nonwords. Results showed that speech motor patterns learned early in life might be sufficient to block cross-linguistic transfer of polysyllabic shortening despite limited language proficiency, and bilingual speakers appear to signal membership in the majority language by increasing polysyllabic shortening.

Using Parent-Identified Strengths Of Autistic Children To Advance Strength-Based Intervention, Angelique Francesca Trigueros

Walden Dissertations and Doctoral Studies

Questions remain about the range of abilities autistic children possess and what constitutes effective treatment. Strength-based intervention contrasts with traditional autistic intervention approaches that focus on children's deficits. Studies on strength-based intervention approaches have not revealed how children's strengths are identified and have not used the insights of parents for this purpose. Neurodiversity serves as the conceptual framework because the tenets of neurodiversity align with those of strength-based approaches and hold that autism is a variation of the human condition rather than a disability. The purpose of this qualitative interpretive phenomenological study was to explore how the parent-identified strengths of …

A Sketch Of Consciousness Space Beyond Freudian Mental Model And Implications To Socio-Economics Modeling And Integrative Cancer Therapy, Florentin Smarandache, Victor Christianto

Branch Mathematics and Statistics Faculty and Staff Publications

In this paper, we give an outline of an ongoing study to go beyond Freudian mental archetypal model. First, we discuss the essence of numerous problems that we suffer in our sophisticated and modernized society. Then we discuss possibility to reintroduce spirit into human consciousness. While we are aware that much remain to be done and we admit that this is only a sketch, we hope that this paper will start a fresh approach of research towards more realistic nonlinear consciousness model with wide ranging implications to socio-economic modeling and also integrative cancer therapy. At the last section we also …

Predicting Speech-Language Pathology Graduate Student Success: Executive Functions And Standardized Admission Tests, Jane E. Roitsch

Communication Disorders & Special Education Theses & Dissertations

Within the next three years, the number of available speech-language pathology (SLP) jobs is projected to increase by 18% (Bureau of Labor Statistics, 2018). The most logical response to the escalating market demand would be to increase the number of students admitted into SLP graduate programs. However, this may not be as simple as it sounds.

Successful training of graduate SLP clinicians requires the professional, emotional, financial, and time commitments of the program’s clinical and academic faculty. The accreditation status of graduate SLP programs is based in part on graduation completion rates and students passing the national examination in SLP, …

Auditory Selective Attention Performance In Older And Younger Bilingual Adults, Ninive Corina Gomez

Open Access Theses & Dissertations

Recent research has suggested that bilinguals may have enhanced cognitive abilities resulting from the constant management and maintenance of their two language systems. This cognitive advantage has been evidenced in studies showing that bilinguals outperform monolinguals on tasks of visual selective attention. However, very little is known regarding how bilingualism influences selective attention in the perception of auditory information. Thus, the purpose of this study was to examine the effects of bilingualism on auditory selective attention. A total of 61 participants were recruited to participate and divided into four participant groups: 15 younger monolinguals (between the ages of 18-25), 15 …

Preseason Assessment As A Predictor Of Post-Concussion Performance Of Athletes On The Immediate Post-Concussion Assessment And Cognitive Test, Kelly Marie Lambeth

Open Access Theses & Dissertations

Ideally, athletes are assessed pre-season to establish their cognitive-communicative status for comparison purposes if the athlete suffers a concussion during their season. Post-concussion (PC) assessment comparison with the baseline (BL) assessment will provide clinical information for treatment of the athlete's concussion. The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test was used for assessment of pre-and post-concussion. Because the literature indicates that some athlete's attempt to actively perform poorly on the preseason assessment to misrepresent their performance post-concussion it would be interesting to determine if there is a score on the ImPACT pre-season test that would predict their post-concussion test …