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Articles 361 - 390 of 5116
Full-Text Articles in Communication Sciences and Disorders
Difference Or Disorder? Misidentification Of Speech And Language Disorders In Mississippi’S Public Schools, Lori Leachman, Catherine Cotton Dr.
Difference Or Disorder? Misidentification Of Speech And Language Disorders In Mississippi’S Public Schools, Lori Leachman, Catherine Cotton Dr.
Undergraduate Research Conference
Students who are misdiagnosed with speech and language disorders often miss out on necessary class time and can fall behind their peers. In order to decrease the prevalence of misdiagnoses due to dialectal and linguistic differences, we must first understand how SLPs currently differentiate between typical and disordered speech. In this study, information will be gathered on the current abilities of Mississippi public school SLPs to identify the difference between a speaker that is linguistically diverse and a speaker with disordered speech or language. SLPs will listen to AI generated speech samples–some disordered, some typical, but with non-mainstream dialects–and be …
Iowa Conference On Communicative Disorders [Program, 2025], Iowa Conference On Communicative Disorders
Iowa Conference On Communicative Disorders [Program, 2025], Iowa Conference On Communicative Disorders
Iowa Conference on Communicative Disorders Programs
The Iowa Conference on Communicative Disorders provides continuing education activities in speech- language pathology that are acceptable to the State of Iowa and the American Speech-Language and Hearing Association. Areas of emphasis include adults and pediatrics.
Spatial Training For Children With Suspected Auditory Processing Disorder: A Random Control Trial, Taylor Delao
Spatial Training For Children With Suspected Auditory Processing Disorder: A Random Control Trial, Taylor Delao
Student Research Symposium
Auditory Processing Disorder (APD), defined here as a deficit in the way sounds are analyzed by the brain, has remained a controversial topic within audiology for decades.
A Novel Method For Deriving The Binaural Interaction Component And Its Association With Spatial Listening Ability In Adults, Kate M. Fisher, Marlana J. Petersen, Mindee Anderson, Annika P. Williams
A Novel Method For Deriving The Binaural Interaction Component And Its Association With Spatial Listening Ability In Adults, Kate M. Fisher, Marlana J. Petersen, Mindee Anderson, Annika P. Williams
Student Research Symposium
- Spatial listening helps children detect and focus on specific sounds in noisy environments.
- Classrooms require filtering relevant speech (e.g., teacher's voice) from background noise, which is challenging without strong spatial listening skills.
Examining Cultural Competency In Audiologists Across The United States: A Pilot Survey, Olivia Montoya
Examining Cultural Competency In Audiologists Across The United States: A Pilot Survey, Olivia Montoya
Student Research Symposium
• Cultural competency refers to the ability of systems to provide care to patients with diverse values, beliefs, and behaviors, including tailoring delivery to meet patients' social, cultural, and linguistic needs (Betancourt, 2002).
• Limited studies to date have explored the implementation of cultural competence in audiology, which begs the question of how audiologists are fighting against—instead of contributing to—healthcare disparities among ethnic minorities.
76 - Cochlear Implant Candidacy In Adults: Evidence From Systematic Reviews, Madison Hastain, Stacie Raymer
76 - Cochlear Implant Candidacy In Adults: Evidence From Systematic Reviews, Madison Hastain, Stacie Raymer
Undergraduate Research Symposium
This poster provides recommendations for cochlear implant candidacy in adults based on data collected from several systematic reviews, along with information regarding the efficacy of cochlear implants in adults with varied types of hearing loss.
Examining Hearing Protection Use In Applied Technology: Frequency, Barriers, And Evidence Of Hearing Loss, Brock Blessing, Cassi Pinto, Willow Ludwig, Blake Roth
Examining Hearing Protection Use In Applied Technology: Frequency, Barriers, And Evidence Of Hearing Loss, Brock Blessing, Cassi Pinto, Willow Ludwig, Blake Roth
SACAD: Scholarly Activities
This study investigated the prevalence of hearing protection usage among applied technology instructors and students and explored factors contributing to non-compliance. Survey data was collected in addition to the completion of basic audiometry screening procedures. Results indicated that while hearing protection devices were as readily available as head and eye protection, they were worn less frequently. Many participants found hearing protection inconvenient or believed it interfered with communication. A gap in education and resources was identified. These findings highlight the need for improved education and reinforcement of hearing conservation practices to increase compliance among applied technology instructors and students.
Proposed Method For Analyzing Cognitive Effects Of Chiari Malformation Type I And The Progression Following Cerebral Tonsil Reduction, Isabella Gleason
Proposed Method For Analyzing Cognitive Effects Of Chiari Malformation Type I And The Progression Following Cerebral Tonsil Reduction, Isabella Gleason
Selected Honors Theses
Chiari Malformation Type I (CM-I) is a neurological condition characterized by the descent of cerebellar structures through the foramen magnum. This malformation can be associated with cognitive implications, including impaired executive functioning, slowed processing speed, memory deficits, difficulties with attention and concentration, irregularities in emotional processing, and challenges in communication and fluency. Research indicates that cognitive dysfunction is prevalent in CM-I patients, affecting their daily lives. There are two surgical treatments commonly recommended for CM-I: posterior fossa decompression (PFD) and cerebral tonsil reduction (CTR). While both interventions are supported in the literature, studies on their long-term effects and effectiveness remain …
Cultural Linguistic Bias In Language Assessments For Children, Madison Wester
Cultural Linguistic Bias In Language Assessments For Children, Madison Wester
Spring Showcase for Research and Creative Inquiry
Cultural linguistic bias is present in almost all language assessments for children, such as the Preschool Language Scales (PLS-5) and the Clinical Evaluation of Language Fundamentals (CELF-5). Cultural linguistic bias is bias against those who speak a different dialect, such as African American Vernacular English or Appalachian English. Bias in these assessments leads to over-diagnosing children with language disorders, which is harmful in a number of ways. To decrease this bias, SLPs should take a language sample to assess a child’s natural language. However, this process can be time-consuming, which is why the use of online tools, such as SUGAR, …
Exploring Sound Intensity Levels In Dance Studios: A Study On Acoustic Environments And Their Impact, Nicole M. Ruda, Ella M. Stoppel, Blake Roth
Exploring Sound Intensity Levels In Dance Studios: A Study On Acoustic Environments And Their Impact, Nicole M. Ruda, Ella M. Stoppel, Blake Roth
SACAD: Scholarly Activities
This study investigated the intensity levels of music in dance studios and evaluated listener habits and awareness of the negative impact loud noises can have on hearing. Sound intensity measurements were first collected followed by a survey and basic auditory screening. Results indicated dance instructors are exposed to music intensities that exceed safe listening levels. Most participants were unaware of their listening level.
Identifying The Strongest Links: Factors That Drive Graduate Students’ Progress From Interest To Enrollment, Lauren Stallbaumer, Grace Cook, Pearl Brown
Identifying The Strongest Links: Factors That Drive Graduate Students’ Progress From Interest To Enrollment, Lauren Stallbaumer, Grace Cook, Pearl Brown
SACAD: Scholarly Activities
This study examined factors which influence graduate students' decisions to pursue speech- language pathology from initial exposure to final program selection. Through a survey, key links were identified at all stages. Findings suggest recruitment should begin with high school students who exhibit healthcare interests and value mentorship at the graduate level.
Understanding The Relationship Between Executive Function And Language During The Preschool Period, Haya Q. Kidwai
Understanding The Relationship Between Executive Function And Language During The Preschool Period, Haya Q. Kidwai
Senior Theses
Executive functions (EFs) are abilities that help us to control our actions, pay attention, and go against automatic responses. EF skills include working memory, inhibition, and cognitive flexibility, all of which develop rapidly during early childhood alongside other developmental abilities like language. In fact, previous research has found a relationship between EFs and language abilities. Therefore, the current study investigated the correlation between EFs and language in the preschool period, a pivotal moment in their development. Specifically, the current study examined the relationship between working memory and inhibition and expressive vocabulary and morphosyntax measures in 7 children 4-6 years old. …
Aging-Related Hearing Decline And Resting State Networks, Cassidy S. T. Ellsworth
Aging-Related Hearing Decline And Resting State Networks, Cassidy S. T. Ellsworth
College of Education and Human Sciences: Dissertations, Theses, and Student Research
This study investigated the effects of age-related hearing decline on functional networks using resting-state functional magnetic resonance imaging (rs-fMRI). The main objective of the present study was to examine resting-state functional connectivity (rsFC) and graph theory-based network efficiency metrics in forty-nine adults categorized by age and hearing thresholds to identify the neural mechanisms of age-related hearing decline. RsFC within key brain networks and auditory-related brain regions, including the default mode network, salience network, dorsal attention network, and primary auditory cortices, was assessed using region-of-interest (ROI)-based and graph theory approaches. Functional metrics, such as rsFC strength and global and local efficiency, …
Clinical Case Study: The Effects Of Saltatory Pneumotactile Stimulation Of Glabrous Hand And Perioral Face On Cerebral Oxygenation, Cognitive Performance, And Sensorimotor Function In An Adult Following Left Hemorrhagic Stroke, Tara L. Hull
College of Education and Human Sciences: Dissertations, Theses, and Student Research
Stroke remains a leading cause of adult disability and a significant global health concern. Effective rehabilitation strategies for cognitive and communicative impairments following stroke are limited (Kuhn & Sharman, 2023). One emerging approach involves repetitive somatosensory stimulation to drive cerebral hemodynamic changes, potentially offering a novel rehabilitative method. Functional Near-Infrared Spectroscopy (fNIRS) is a non-invasive, accessible tool for monitoring these changes during stroke recovery. Prior studies suggest tactile stimulation rapidly affects brain hemodynamics (Custead et al., 2015; Oh et al., 2017). This clinical single-case study explored the use of GALILEO saltatory pneumotactile stimulation applied to the face and hand in …
Music And Word Learning In Children Diagnosed With Developmental Language Disorder, Rebekah G. Sweeney
Music And Word Learning In Children Diagnosed With Developmental Language Disorder, Rebekah G. Sweeney
College of Education and Human Sciences: Dissertations, Theses, and Student Research
Purpose: This study investigates whether incorporating music into vocabulary interventions improves rate of learning and retention of words in children with developmental language disorder (DLD). Emerging literature continues to show the plentiful benefits of music as a tool for intervention in many settings, including the world of speech pathology (Levitin, 2024). However, it is also evident that there is a connection between struggling with language, and struggling with musical elements, such as rhythm and pitch perception, particularly in children with DLD (Boorom et al., 2022; Kreidler et al., 2023). This study seeks to tease out if music is an effective …
Investigating Child-Informed Considerations For Animated Picture Symbols Representing Emotion For Aac Use In Children With Asd, Hannah Kitsmiller
Investigating Child-Informed Considerations For Animated Picture Symbols Representing Emotion For Aac Use In Children With Asd, Hannah Kitsmiller
College of Education and Human Sciences: Dissertations, Theses, and Student Research
Development of emotional competence is an important area of consideration when supporting individuals who use augmentative and alternative communication (AAC). Emotional competence includes skills related to identifying and communicating about one’s emotions. Individuals who use AAC may struggle to develop strong skills in emotional competence. One potential barrier to developing emotional competence may be access to symbols that facilitate understanding of the represented emotion. Emotions are abstract and challenging to represent in visual symbols. Additionally, evidence suggests individuals with autism spectrum disorder (ASD) may have visual perceptual differences when viewing faces. Current emotion symbols are often depicted using isolated facial …
The Impact Of Provider Communication On Treatment Adherence In Patients With Hypertension And Diabetes, Trey Carlson
The Impact Of Provider Communication On Treatment Adherence In Patients With Hypertension And Diabetes, Trey Carlson
Honors Program: Senior Projects (Public)
Current research cites effective provider communication as an important factor in improving treatment adherence and the health outcomes of patients. This study examines the effect of provider communication on treatment adherence in patients with chronic illnesses with a specific focus on hypertension and diabetes. Provider communication was measured using patient satisfaction surveys and treatment compliance was measured as the percentage of hypertensive and diabetic patients with a blood pressure below 140/90 mmHg and hemoglobin A1C levels below 9%. A one-way MANOVA revealed that provider communication had no significant impact on the combined treatment compliance variables for hypertension and diabetes (Wilk’s …
The Effect Of Transcutaneous Vagus Nerve Stimulation On Word Memory In Healthy Adults, Haylee Hurt, Cassandra Callahan, Olivia Galpin, Qiang Li
The Effect Of Transcutaneous Vagus Nerve Stimulation On Word Memory In Healthy Adults, Haylee Hurt, Cassandra Callahan, Olivia Galpin, Qiang Li
SACAD: Scholarly Activities
Transcutaneous vagus nerve stimulation (tVNS) is a non-invasive technique that has been demonstrated to reorganize the brain neural network based on neuroplasticity. Research shows that tVNS may enhance cognitive performance such as verbal memory, as it may elicit the release of key neurotransmitters, Gamma-aminobutyric Acid (GABA) and Noradrenaline, that modulate cognitive performance and learning. The current study hypothesizes that verbal memory as an important cognitive skill in healthy adults will be improved after receiving tVNS. Results showed that compared to the control group, participants in the experimental group improved their verbal memory manifested in faster reaction times and higher accuracy …
Cross-Cultural Comparison Of Mother-Child Interactions During Shared Reading, Yingshan Huang, Brenda L. Beverly, Victoria Henbest
Cross-Cultural Comparison Of Mother-Child Interactions During Shared Reading, Yingshan Huang, Brenda L. Beverly, Victoria Henbest
Victoria S. Henbest Publications
The quantity and quality of maternal interactive behaviours during shared reading were compared for mothers from China and mothers from the US.Ten Chinese mothers from Fuzhou City in Fujian Province, China and 10 mothers from four US states video-recorded themselves reading two storybooks, one selected by the families and one by investigators, to their typically developing 4-year-olds. Videotapes were transcribed in Mandarin and English, respectively, and analysed using investigator-developed codes. Chinese mothers had a higher percentage of extra-textual talk than US mothers and attention to print (i.e. English letters or Chinese characters) was uncommon among mothers in both groups. Chinese …
Recognizing Individual Variability In Misophonia: Identifying Symptom-Based Subgroups With Gaussian Mixture Modeling, Mercedes G. Woolley, Amanda M. Ramos, Emily M. Bowers, Karen Muñoz, Julie M. Petersen, Michael P. Twohig
Recognizing Individual Variability In Misophonia: Identifying Symptom-Based Subgroups With Gaussian Mixture Modeling, Mercedes G. Woolley, Amanda M. Ramos, Emily M. Bowers, Karen Muñoz, Julie M. Petersen, Michael P. Twohig
Psychology Student Research
Misophonia is characterized by intense emotional and physiological reactions to everyday sounds such as chewing and tapping. While previous researchers have focused on defining and characterizing the disorder, limited attention has been given to the variability in symptom presentations across individuals. In this study, we sought to identify distinct subgroups of individuals with misophonia by applying a Gaussian finite mixture model to explore the heterogeneity of symptom profiles. Sixty treatment-seeking participants completed the Duke Misophonia Interview, which assessed the presence and severity of various behavioral, affective, and cognitive symptoms. Items from this measure served as model indicators. Two clusters were …
Reimagining Stuttering Therapy And Outcomes Through An Acceptance And Collaborative Lens, Farzan Irani, Michael Azios, Michael Boyle, Geoffrey A. Coalson, Scott Palasik, Jack Rodriguez, Eric Swartz
Reimagining Stuttering Therapy And Outcomes Through An Acceptance And Collaborative Lens, Farzan Irani, Michael Azios, Michael Boyle, Geoffrey A. Coalson, Scott Palasik, Jack Rodriguez, Eric Swartz
Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works
The purpose of this paper is to summarize a panel discussion at the 2024 World Stuttering and Cluttering Organization Congress that aimed to explore and reflect on the shifting landscape of stuttering therapy across the lifespan. The panel comprised of speech-language pathologists who have experience in stuttering therapy as clients, professionals, and researchers. The panel members reflect on the research, their professional experiences, and their own personal journey toward a more acceptance-based therapy and its outcomes. The paper concludes with the panel's reflections on the future of stuttering therapy across the lifespan.
Assessment Of Auditory Conditions In Misophonia Treatment Research: A Scoping Review, Karen F. Muñoz, Doris Velasquez, Makara Humes, Diana Ortiz, Michael P. Twohig
Assessment Of Auditory Conditions In Misophonia Treatment Research: A Scoping Review, Karen F. Muñoz, Doris Velasquez, Makara Humes, Diana Ortiz, Michael P. Twohig
Communicative Disorders and Deaf Education Faculty Publications
Objective: To identify treatment research that used a behavioral approach to treat misophonia as the primary focus of treatment, and the audiological testing included in the research.
Design: Scoping literature review completed in February 2023 and updated in March 2024.
Study Sample: Included studies provided a behavioral or audiological intervention for misophonia, were peer-reviewed, and published in English before February 29, 2024. Studies were excluded if a pharmacological treatment was provided, if misophonia was not the primary treatment target, or if assessment of misophonia severity was not a treatment outcome.
Results: Fifteen articles met the inclusion criteria. …
Factor Structure And Longitudinal Changes In Bilinguals’ Oral Narratives Production: Role Of Language Exposure, Language-Domain Proficiency, And Transfer, Joseph Hin Yan Lam, Molly Ann Leachman, Cecilia Del Carmen Perez, Amy S. Pratt, Elizabeth D. Peña, Lisa M. Bedore, Ronald B. Gillam
Factor Structure And Longitudinal Changes In Bilinguals’ Oral Narratives Production: Role Of Language Exposure, Language-Domain Proficiency, And Transfer, Joseph Hin Yan Lam, Molly Ann Leachman, Cecilia Del Carmen Perez, Amy S. Pratt, Elizabeth D. Peña, Lisa M. Bedore, Ronald B. Gillam
Communicative Disorders and Deaf Education Faculty Publications
This paper examined the interaction between narrative performance, language exposure, and standardized measures of morphosyntax and semantics, in bilingual children tested two times, 1 year apart. We aimed to 1) identify the factor structure of oral narrative measures, and 2) examine the direction and strength of the effects of (i) language exposure and (ii) the relationship between language domains and narrative production. A total of 143 Spanish (L1)-English (L2) bilingual children completed a battery of oral narrative and oral language proficiency assessments in Spanish and English at two time points (kindergarten and Grade 1). Factor analyses yielded an identical two-factor …
Feeding And Swallowing Disorders In Children With Autism: What Caregivers Need To Know, Olivia Hopkins
Feeding And Swallowing Disorders In Children With Autism: What Caregivers Need To Know, Olivia Hopkins
Undergraduate Publications
This study investigates the complex topic of feeding and swallowing disorders in children with autism, highlighting the significant challenges they pose, particularly related to sensory sensitivities and oral motor difficulties, and the persistent lack of understanding. We examine diagnostic criteria, risks, familial impacts, cultural nuances, and evidence-based intervention strategies, with a focus on practical guidance for caregivers, to equip them with resources for navigating these challenges (Schulz & Eden, 2016). Despite the prevalence of these disorders, many remain unaware of the struggles, underscoring the urgent need for targeted investigations and supportive measures. Specifically, this paper aims to provide Speech Language …
The Effectiveness Of Cochlear Implants On Cognitive Function In Children And Adolescents With Hearing Loss: A Systematic Review, Harshita Sarambale, Joshua Ahdout, Srinija Balabhadra, Yesenia Valle Ramirez, John V. Rider Phd, Otr/L, M. De Armond Mfa, Mslis, S. Koshy-Chenthittayil Phd
The Effectiveness Of Cochlear Implants On Cognitive Function In Children And Adolescents With Hearing Loss: A Systematic Review, Harshita Sarambale, Joshua Ahdout, Srinija Balabhadra, Yesenia Valle Ramirez, John V. Rider Phd, Otr/L, M. De Armond Mfa, Mslis, S. Koshy-Chenthittayil Phd
Annual Research Symposium
This ongoing research project is a medical student led systematic review on cognitive function in pediatric cochlear implant patients.
Using Mind Maps To Make Student Knowledge Visible In An Aac Course, Allison Sauerwein, Natalie Quinlan, Coral Viernow
Using Mind Maps To Make Student Knowledge Visible In An Aac Course, Allison Sauerwein, Natalie Quinlan, Coral Viernow
Teaching and Learning in Communication Sciences & Disorders
Concept maps make students’ knowledge visible. Creating a mind map gives students an opportunity to organize their knowledge and allows instructors to visualize and assess it. When students create mind maps at multiple time points, instructors can compare the maps and use the themes, patterns, and gaps that emerge to reflect on their teaching and take action. The purpose of this study was to use concept maps in an AAC course to uncover students’ knowledge. A total of 61 graduate students created a mind map with AAC as the central concept at the beginning and end of the term in …
Speech-Language Pathology And Occupational Therapy Students’ Perceptions Of An Interprofessional Stroke Workshop: A Mixed Methods Analysis, Casey Keck, Ashley Lankford, Danika Pfeiffer, Alexandra Durfee, Rachel Guilfoyle
Speech-Language Pathology And Occupational Therapy Students’ Perceptions Of An Interprofessional Stroke Workshop: A Mixed Methods Analysis, Casey Keck, Ashley Lankford, Danika Pfeiffer, Alexandra Durfee, Rachel Guilfoyle
Teaching and Learning in Communication Sciences & Disorders
Stroke rehabilitation often necessitates coordinated intervention services; however, few studies have examined stroke-based interprofessional education (IPE) interventions for graduate speech-language pathology (SLP) and occupational therapy (OT) students. The purpose of this mixed methods study was to examine graduate SLP and OT students' interprofessional collaboration competence before, immediately, and several months after participating in an IPE stroke workshop. Participants were 38 SLP and 14 OT students who took part in a 2-hour case study workshop, completed an online survey, and participated in a 1-hour virtual focus group. Four months later, students were asked to complete the survey again to assess the …
Addressing The Theory-Practice Gap Using Case-Based Learning And Imagined Roles In The Graduate Communication Disorders Classroom, Diane L. Laverty, Carol C. Thompson
Addressing The Theory-Practice Gap Using Case-Based Learning And Imagined Roles In The Graduate Communication Disorders Classroom, Diane L. Laverty, Carol C. Thompson
Teaching and Learning in Communication Sciences & Disorders
The American Speech-Language-Hearing Association (ASHA) Code of Ethics (2023) requires all practitioners to uphold the welfare of others without discrimination. Graduate programs in communication sciences and disorders, therefore, must guide future clinicians to apply theoretical knowledge to clinical practice equitably and inclusively. This grounded theory study investigated how an instructor in a graduate communication sciences and disorders (CSD) class used case-based learning (CBL) to fill the theory-practice gap and guide students to think equitably and inclusively for future complex cases. Audio recordings from 12 hours of instructor-student discourse during one semester were transcribed and analyzed verbatim. Three interrelated, interactional themes …
Academic And Clinical Experiences Of Au.D. Students Who Identify As Members Of Historically Marginalized Racial And Ethnic (Hmre) Groups, Annicka S. Golding, Diana C. Emanuel, Iona Ringgold, Artice Weston
Academic And Clinical Experiences Of Au.D. Students Who Identify As Members Of Historically Marginalized Racial And Ethnic (Hmre) Groups, Annicka S. Golding, Diana C. Emanuel, Iona Ringgold, Artice Weston
Teaching and Learning in Communication Sciences & Disorders
Few qualitative research papers detail the experiential narratives of communication sciences and disorders (CSD) students from historically marginalized racial and ethnic (HMRE) groups, especially Doctor of Audiology (Au.D.) students. This study examined the educational experiences of Au.D. students from HMRE groups. A mixed methods design including a survey (n = 28) and journal narratives (n = 9) was used. Qualitative analysis of survey questions and journal entries revealed five themes: Wellness Management, Presence of Stressors, Significance of Representation, Discrimination Experiences, and Diversity Initiatives. Participant narratives revealed academic and clinical experiences are often influenced by racial and ethnic identity …
Developing Active Listening In Csd Undergraduates: A Pilot Comparison Of Computer-Based Simulations And Immersive Virtual Reality, David M. Rehfeld, Payton Demeyer, Abby Kugler, Kristin Pelczarski
Developing Active Listening In Csd Undergraduates: A Pilot Comparison Of Computer-Based Simulations And Immersive Virtual Reality, David M. Rehfeld, Payton Demeyer, Abby Kugler, Kristin Pelczarski
Teaching and Learning in Communication Sciences & Disorders
Simulated learning experiences (SLEs) are becoming increasingly popular in communication sciences and disorders (CSD) training programs. This pilot study examines the relative effectiveness of delivering a SLE via standard computer or using virtual reality headsets for a more immersive learning experience. Seventy undergraduate CSD students were randomly assigned to complete the same SLE using one of these two modes of delivery to explore the technology’s effect on learning outcomes and self-confidence. Although no statistically significant difference in outcomes was observed, medium effects of intervention were observed on all outcomes, suggesting further is research is needed into the impact different technologies …