Speech and Hearing Science Commons^™

Establishing Quality Indicators And Implementation Priorities For Post-Stroke Aphasia Services Through End-User Involvement, Kirstine Shrubsole, Marissa Stone, Dominique A. Cadilhac, Monique F. Kilkenny, Emma Power, Elizabeth Lynch, John E. Pierce, David A. Copland, Erin Godecke, Bridget Burton, Emily Brogan, Sarah J. Wallace

Research outputs 2022 to 2026

Background: Currently, there are no agreed quality standards for post-stroke aphasia services. Therefore, it is unknown if care reflects best practices or meets the expectations of people living with aphasia. We aimed to (1) shortlist, (2) operationalise and (3) prioritise best practice recommendations for post-stroke aphasia care.

Methods: Three phases of research were conducted. In Phase 1, recommendations with strong evidence and/or known to be important to people with lived experience of aphasia were identified. People with lived experience and health professionals rated the importance of each recommendation through a two-round e-Delphi exercise. Recommendations were then ranked for importance and …

Research Priorities For Childhood Apraxia Of Speech: A Long View, Patricia Mccabe, Molly Beiting, Elaine R Hitchcock, Edwin Maas, Amy Meredith, Angela T Morgan, Nancy L Potter, Jonathan L Preston, Laura Moorer, Pooja Aggarwal, Kirrie Ballard, Laura Baskall Smith, Nicole F Caballero, Kathryn Cabbage, Julie Case, Susan Caspari, Karen V Chenausky, Shina Cook, Ewa Grzelak, Maryane Gomez, Aubrie Hagopian, Chantelle Highman, Anne Hodits, Jenya Iuzzini-Seigel, Jillian Levos-Carlson, Barbara A Lewis, Patricia Mayro, Jyutika Mehta, Gabrielle Miller, Kimberly D Mory, Elizabeth Murray, Megan S Overby, Lucia Pasquel-Lefebvre, Derrick Peavy, Caitlin V Raaz, Brooke Rea, Denise Santos Ford, Lynn Smith, Michelle T. Swartz, Melissa Taberski, Hayo Terband, Donna C Thomas, Hannah Valentine, Mirjam Van Tellingen, Shelley Velleman, Emily Wang, Sarah White, Eddy C H Wong, Maria I Grigos

Department of Speech-Language Pathology Faculty Papers

This article introduces the Journal of Speech, Language, and Hearing Research Special Issue: Selected Papers From the 2022 Apraxia Kids Research Symposium. The field of childhood apraxia of speech (CAS) has developed significantly in the past 15 years, with key improvements in understanding of basic biology including genetics, neuroscience, and computational modelling; development of diagnostic tools and methods; diversity of evidence-based interventions with increasingly rigorous experimental designs; and understanding of impacts beyond impairment-level measures. Papers in this special issue not only review and synthesize the some of the substantial progress to date but also present novel findings addressing critical research …

Impact Of A Narrative Language Intervention On Language, Behavior, And Self-Concept Among Bilingual Children With Developmental Language Disorder, Nancy Tarshis Ma, Ms, Ccc-Slp, Kathleen Mcgrath Mss, Lsw, Ida Barresi Ma, Ccc-Slp, Risa Battino Ms, Ccc-Slp, Bcs-F, Sarah Henderson Msed, Ms, Ccc-Slp, Shankar Viswanathan Drph, Jee-Young Moon Phd, Karen Bonuck Phd

Developmental Disabilities Network Journal

The growing research on narrative interventions is promising but has gaps regarding cultural/linguistic diversity and outcomes beyond language. We evaluated whether a structured, oral narrative intervention affects narrative language, problem behaviors, and self-concept in a diverse group of children with developmental language disorder. A 10-session intervention was implemented within routine care. Baseline and follow-up data included: (a) Narrative recordings—coded by therapists using the CUBED Narrative Language Measure, (b) Child Behavior Checklist—a parent-reported behavioral assessment, and (c) the Piers-Harris Children’s Self-Concept Scale. Among the sample’s n = 33 children, aged 6-16, 55.6% were bilingual. Post intervention, participants’ narrative language scores improved …

Preservice Augmentative And Alternative Communication Coursework Across 311 Speech-Language Pathology Graduate Programs, Brandon S. Eddy, Emily Sorensen, Mariel Pinto

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists often report a lack of preparedness to provide augmentative and alternative communication (AAC) services, suggesting the need for improved graduate level training. Recent studies of AAC coursework offerings found 86% to 88% of programs offered AAC coursework, but these studies relied on survey methods with limited numbers of responses. This study examined AAC course offerings at 311 graduate programs using website and course catalog reviews, supplemented by direct contact with departments when dedicated AAC courses could not be found using online resources. Of these, 282 (90.68%) offered a dedicated AAC course, and 16 (5.14%) offered AAC in combination …

Clear Masks Do Not Prevent Gains During Dynamic Temporal And Tactile Cueing Treatment: An Explanatory Sequential Mixed Methods Pilot Study, Jenya Iuzzini-Seigel, Elizabeth Murray, Shelley L. Velleman, Geraldine Bricker-Katz, Donna Thomas

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This study aimed to determine the outcomes and impact of Dynamic Temporal and Tactile Cueing (DTTC) treatment when clear vinyl masks were worn. DTTC is one of the few evidence-based treatments for children with childhood apraxia of speech (CAS). Given that DTTC relies on visual, auditory, and tactile cues, it was unknown if treatment gains would be demonstrated when masks were worn and how masking would impact the therapy experience for clinicians and caregivers.

Method:

A sequential mixed methods design was used to study the efficacy of DTTC treatment in children with CAS when clear masks were worn. The …

Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann

Open Educational Resources

This course will provide an introduction to the development and disorders of speech, language, and communication in children and adults. Disorders such as autism, aphasia, stuttering, and learning disabilities will be discussed. Differences noted in culturally and linguistically diverse communities will also be addressed. The course activities will give students an experiential appreciation of the experience of communication challenges and supporting people with those challenges. Information about the professions of Speech-Language Pathology (SLP), Audiology, and Speech and Hearing Science will be reviewed as potential career paths.

Bridging The Gap Between Clinical Practice And Evidence For Hyolaryngeal Excursion Assessment During A Clinical Swallow Evaluation, Kelsey Murray

Dissertations, 2020-current

This study investigated current practices of subjective hyolaryngeal excursion (sHLE) assessment during a clinical swallow evaluation (CSE) among speech-language pathologists (SLPs) using a survey-based approach. A sample of 77 SLPs in the United States completed an online survey rating their perceived importance and practice of sHLE assessment during a CSE. Additionally, the survey inquired about inferred interpretations from assessing sHLE. Results indicated a strong positive correlation between the rated importance of sHLE assessment and the reported frequency with which it is completed, r_s(46) = .720, p < .001. However, the findings also suggested that some SLPs are not assessing sHLE during a CSE. This offers valuable insight into the prevailing practices of HLE assessment among SLPs, considering the limited evidence for HLE assessment and interpretation. Interpretation and generalizations of the findings is limited due to the small sample size. Findings, however, do support the need for future research investigating the validity of sHLE assessment performed during a CSE, with the aim of providing evidence to guide clinical best practices.

Keywords: hyolaryngeal excursion, speech-language pathologist, clinical swallow evaluation, dysphagia, palpation

Abstract …

Are Hearing Aids Designed For All Parts Of The World? An Ecological Momentary Assessment Study, Preeti Pandey

Dissertations, 2020-current

The affordability of hearing aids (HA) is a significant barrier to ownership in low-and middle-income countries (WHO, 2021). Crowded living conditions in developing countries intensify the complexity of listening environments compared to developed nations. No existing literature compares the listening environment and HA outcomes using real-world measures across these regions. This study aims to 1) compare HA outcomes and listening environments between India and the USA, and 2) evaluate the benefit of premium HAs over basic HAs in both locations. In an observational, multi-location, single-blinded study, nineteen hearing aid users (mean age 69.6 years) participated. Ecological momentary assessments (EMA) were …

Staff Perspectives Of Deaf And Hard Of Hearing College Students’ Alcohol Use, Christine L. Gannon, Theresa H. Gibble, Retta Evans

Journal of Social, Behavioral, and Health Sciences

A predominant health issue at colleges and universities is alcohol use. This is also true for deaf and hard of hearing college students. Key stakeholders who observe and witness this alcohol dynamic are staff. Researchers used a semi-structured qualitative guide to interview Gallaudet University staff (N = 26) to learn about their perspectives on and experiences with student alcohol use. Through thematic analysis, they identified several dominant themes that were then grouped into the three levels of the social-ecological model. First, they identified intrapersonal factors, including fear of missing out and coping strategies. Second, they identified interpersonal factors such …

Standardizing Attention Process Training-Iii For A Multisite Clinical Trial Of Neuromodulation, Jessica D. Richardson, Honey Isabel Hubbard, Sarah Grace Dalton, Sloan Davidson, Tiana Maple, Tyler B. Smith, Mo Chen, Rebecca Hiltner, Thomas Jones, Andrew R. Mayer, Orrin Myers, Cassandra Nelson, Sarah Pirio-Richardson, Cidney Robertson-Benta, Scott R. Sponheim, Joel Upston, Lindsay Worth, Nicholas Davenport, Davin K. Quinn

Speech Pathology and Audiology Faculty Research and Publications

Introduction

The Control Network Neuromodulation to Enhance Cognitive Training in Complex Traumatic Brain Injury (CONNECT-TBI) study is an ongoing randomized, double-blinded, sham-controlled multisite clinical trial to determine the enhancing effects of noninvasive neuromodulation when paired with cognitive training in military participants (Veterans and active duty) with mild TBI. Attention Process Training-III (APT-III) was selected for its strong evidence base, manualized procedures, and computerized program. However, many aspects of APT-III that make it ideal for personalization make it less ideal for reliable implementation across participants, clinicians/technicians, and sites. The purpose of this feature article is to highlight APT-III procedures that require …

The Harding University Speech Clinic As A Community Outreach Program In White County, Melaney Binkley

McNair Scholars Research

A university speech clinic provides, at no cost to clients, more selective, limited speech and language services by a student clinician in the Communication Sciences and Disorders program under the supervision of a certified speech-language pathologist (SLP). A private speech clinic requires certified speech-language pathologists and assistants. The purpose of this study was to analyze the Harding University Speech Clinic’s client population, particularly in terms of socioeconomic status, since the city in which the university is located has a higher average poverty rate than the state. Additionally, the study sought to measure the level of client satisfaction with the services …

The Impact Of Hearing Impairment On Patient Care And Autonomy, Savannah Baimbridge, Julie Neil, Gabriel M Aisenberg

Faculty, Staff and Student Publications

Sensory deficits, including hypoacusis, can cause a barrier to communication between healthcare providers and patients, which in turn can lead to misdiagnosis and loss of patient autonomy. Such deficits are frequently overlooked in clinical encounters. We present a 92-year-old Spanish-speaking female who presented twice to the Emergency Department for complications of a diabetic foot infection. Limited evaluation, documentation, and accommodations regarding the patient's hypoacusis led to a misinterpretation of her mental status and a transfer of decision-making to surrogates. A two-toe amputation, mechanical intubation, and intensive care unit stay were followed. It was only after these events that the caregivers …

Working With Bilingual Populations: Clinical Practices Of Speech-Language Pathologists In New Mexico, Wylie L. Skillman

Speech and Hearing Sciences ETDs

New Mexico is uniquely positioned as a state that has more bilingual speakers than the United States on average, meaning that Speech Language Pathologists (SLPs) here are more likely to work with bilingual speakers than elsewhere. Best practices for bilingual evaluation and treatment are taught in graduate education for SLPs but the extent to which they are known and utilized by school-based SLPs differs based on many factors.

As the body of research supporting culturally responsive bilingual assessment and intervention continue to grow, it is unknown how or if clinicians are using this knowledge to assess and treat students who …

Understanding Perceptions Of Speech Therapy And Willingness To Continue Seeking Speech Therapy Among Adults Who Stutter, Jaclyn Lucey

USF Tampa Graduate Theses and Dissertations

This project investigates factors associated with treatment-seeking behaviors among adults who stutter (AWS). Specifically, we hypothesized that perceptions of previous speech therapy, including satisfaction with therapy and perceived effectiveness would be related to willingness to seek continued speech therapy. Our project was motivated by a widely used theoretical framework of health service use, and it expands on existing ancillary evidence in stuttering research.

To achieve our objective, we used both qualitative and quantitative methods to gain a more holistic understanding of barriers and facilitators to seeking continued speech therapy. Simultaneously, across two studies, we conducted and analyzed semi- structured interviews …

Speech & Language Services: Examining The Experiences Of Deaf / Hard Of Hearing People, Milayna N. Barker

University Honors Theses

The purpose of this study is to examine the experiences of Deaf and Hard of Hearing (HoH) adults and parents of Deaf/HoH children related to speech and language services, and their recommendations for service providers. Historically, professionals have focused on the development of speech and aural/oral skills of Deaf and HoH people. As such, when working with families of newly-identified children with hearing loss, hearing professionals may be ill-equipped to provide culturally-responsive, fully inclusive information and education regarding communication options and opportunities.

Method: This study used a qualitative research design to examine participant experiences related to speech and language services …

Quality Of Life Factors In Children With Dual Diagnosis Stuttering And Autism Spectrum Disorder, Kristen N. Rollins

USF Tampa Graduate Theses and Dissertations

Addressing quality of life is a critical part of speech-language pathology. Understanding quality of life deficits and challenges in our patients’ lives allows us to provide well-rounded treatment. Quality of life in children who stutter and children with autism spectrum disorder has been heavily researched (children with autism spectrum disorder to a lesser extent). However, despite approximately 1 in 1000 children being dually diagnosed with stuttering and autism spectrum disorder (Briley & Ellis, 2018), quality of life in this population has never been researched. This thesis aims to determine whether children diagnosed with both conditions experience similar quality of life …

Postural Control In Adults With Age-Related Hearing Loss, Elizabeth Tobener

Alternative Theses and Dissertations (AETDs)

The present study investigated postural control measures in adults with age-related hearing loss (ARHL). Individuals between the age of 50 and 70 were recruited (10 with normal hearing, 32 with ARHL) and evaluated using pure-tone audiometry, vestibular function assessments, and postural control measures. Results of this study revealed significant correlations between ARHL and cervical vestibular evoked myogenic potential (VEMPs) and ocular VEMPs. As ARHL increased, amplitude of cervical VEMPs and ocular VEMPs decreased. There were no significant correlations for ARHL and video head impulse test (vHIT) gain. Single leg stance with head tilt was significantly associated with ARHL. As ARHL …

Representation Of Nouns And Verbs During Play Between Caregivers And Children With Developmental Language Disorder, Alaina Grissom

Alternative Theses and Dissertations (AETDs)

Purpose. This project compared how children and caregivers use gestures and objects to contribute to the representation of nouns and verbs during play interactions between children with developmental language disorder (DLD) and their caregivers. Observations were used to determine if there was any differentiation in how children or caregivers used gestures and/or objects when nouns and verbs were presented within the play context.

Methods. Observations of parent-child dyads were recorded at a local children’s museum. All dyads included children with DLD between four and six years of age. The child and caregiver’s use of gestures and objects within the interaction …

Audiological Evaluation Of Persons With Dementia: A Systematic Review, Yehudis Hoch

Dissertations, Theses, and Capstone Projects

Background: Dementia and hearing loss are both prevalent, age-related conditions and recent research has established a correlation between the two. Audiological evaluations of persons with dementia are important due to a likely comorbidity of dementia and hearing loss, the detrimental effect that hearing loss has on cognition and cognitive tests, and because the similar presentation of the two conditions can cause hearing loss to be overlooked. Hearing loss intervention is critical for this population due to the positive effects that amplification has on cognition, social engagement, and listening effort. Despite the importance of hearing assessment and intervention, audiological evaluation of …

Development Of The Hearing Emotion/Activity Restrictions On Teenagers (Heart), Robin G. Axelrod

Dissertations, Theses, and Capstone Projects

DEVELOPMENT OF THE HEARING EMOTION/ ACTIVITY RESTRICTIONS ON TEENAGERS (HEART)

By: Robin Axelrod

Advisor: Barbara Weinstein

Background:

The Hearing Handicap Inventory for the Elderly is a self-assessment tool used to assess and quantify the impact of hearing loss on emotional and social wellness in the geriatric population. However, there is not an existing version for the teenage population. Hearing loss has the potential to impact social, emotional, and academic domains in the daily lives of teenagers with hearing loss. In this study, a new self-assessment tool called the Hearing Emotion/ Activity Restrictions on Teenagers (HEART) was created and distributed via …

Toolkit For Users Of Over-The-Counter Hearing Aids, Sabrina Malasarte

Dissertations, Theses, and Capstone Projects

Untreated hearing loss oftentimes has significant adverse effects on the quality of life of older adults. The associations include, but are not limited to loneliness, isolation, anxiety, and a decrease in cognitive function. Hearing aids significantly improve audibility, social interactions, and decrease feelings of loneliness or isolation. However, despite technological advances, and evidence of positive outcomes associated with hearing aid use, uptake and continued use of hearing aids remain low. Accessibility and affordability are considered barriers to uptake. Purchasing a prescription hearing aid from an audiologist is the traditional approach to receiving an amplification device, but the advent of over …

Best Practices For Healthcare Providers When Communicating With Individuals With Hearing Loss: A Systematic Review, Ashley Mccaig

Dissertations, Theses, and Capstone Projects

Objectives: The purpose of this study is to conduct a systematic review of the literature to gather information about strategies to use when communicating with people with hearing loss, specifically in healthcare settings or environments where face masks are frequently used. The compiled literature was used to establish the best practices for healthcare providers to use when communicating with their patients with hearing loss, especially when utilizing face masks.

Methods: A comprehensive search of the literature was conducted using the Google Scholar, PubMed, and MEDLINE Complete databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used to …

Articulatory Activity Of The Tongue, Jaw, And Lips During The Second Passaggio Transition Of The Soprano Voice, Richard C. Lissemore

Dissertations, Theses, and Capstone Projects

This dissertation describes three experiments designed to explore the acoustic and articulatory activity of a perceptible change in the soprano voice known as the secondo passaggio, or second transition, which typically occurs for the [ɑ] vowel between D♮5 (587 Hz) and F♮5 (698 Hz). Acoustically, the transition involves a shift in resonance strategy from second resonance tracking of the second harmonic (f_R2/2f_o) to first resonance tracking of the fundamental frequency (f_R1/f_o). To quantify the acoustics of the transition, we employed the measure L₁-L₂, the …

Knowledge And Attitudes Towards Usage Of Hearing Protection In Volunteer Firefighters, Rachel S. Combs

Dissertations, Theses, and Capstone Projects

Background: Occupational noise-induced hearing loss (NIHL) represents a substantial global public health concern. Regulatory agencies such as the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupation Safety and Health (NIOSH) aim to establish noise exposure limits in occupational settings, yet certain professions, such as firefighting, remain at a heightened risk. Although research has been conducted on noise exposure and hearing protection in career firefighters, a lack of research exists on volunteer firefighters. The purpose of this study was to 1) establish the extent that volunteer firefighters are currently educated on hearing conservation and hearing protection 2) …

A Phase-1 Trial Of Intensive Hybrid Stuttering Modification/Fluency Shaping Therapy, Jessica Smith

USF Tampa Graduate Theses and Dissertations

Purpose: The purpose of this study was to analyze changes in frequency stuttering behaviors, speech rate, and feelings/attitudes following the University of South Florida Program for Advanced Treatment of Stuttering (USF-PATS), a hybrid stuttering modification/fluency shaping program intended for teenagers and adults who stutter moderately to very severely.

Method: Baseline and post-treatment speech samples for participants (N = 3) were analyzed for speech rate and presence of stuttering behaviors (repeated movements, fixed postures, and superfluous behaviors) across conditions (monologue and reading). An abbreviated thematic analysis was completed to analyze feelings/attitudes post-treatment.

Results: Results revealed a decrease to zero and near-zero …

Assessing The Reliability Of The Pairwise Variability Index For Differential Diagnosis Of Apraxia Of Speech, Celeste Sinko

University Honors Theses

Differential diagnosis of apraxia of speech (AOS) from other speech and language disorders is a prevailing challenge in the field of speech language pathology. Presently, existing measures for assessing AOS consist of perceptual rating scales, such as the Apraxia of Speech Rating Scale developed by Duffy, Strand, Clark, and Josephs. While perceptual rating scales are the current gold standard for assessment and diagnosis of AOS, they require a high degree of clinical expertise, and are susceptible to rater bias and rater drift. Thus, there exists a need for quantitative, objective measures for differential diagnosis of AOS. The purpose of this …

Functional Connectivity Of The Hippocampus In Autism Spectrum Disorder, Noah Watts

Honors Theses

Autism spectrum disorder (ASD) is a neurological developmental disorder that affects around 1/44 of individuals in the United States. ASD individuals tend to struggle with things such as communication and socialization. This disorder has been found to affect many brain regions; however, autism’s effect on the hippocampus has been heavily understudied. Since the hippocampus is not commonly referred to as the brain region affected by autism, the importance of the hippocampus in ASD may have been unrecognized. While ASD hippocampi have been very narrowly researched (only size and shape), there is compelling evidence that the hippocampus could be another part …

“Neur-Aud-Diversity”: Young Adults With Adhd Are More Impulsive And Can Be Accurately Selected From Their Neurotypical Peers Using False Alarm Rates In Masked And Unmasked Auditory Tasks, Katelyn Hobbs

Dissertations, 2020-current

Objective diagnostic measures are desired for those with ADHD (attention deficit/hyperactivity disorder) to overcome current subjective measures. Listeners with ADHD are more impulsive than their neurotypical peers (those without a neurological disorder). Greater impulsivity can lead to lower thresholds on an informational masking task. It was hypothesized that people with ADHD would have lower thresholds on an informational masking task, however, no significant difference was found between the groups’ thresholds (t ₄₀=.49, p=.62, Cohen d=.16). A significant difference was found when comparing the initial false alarm rates from the long testing period with the final false alarm rates (p=.035, …

Magnitude Estimations Of Angular Motion: Test-Retest Reliability, Elizabeth C. Pahygiannis

Dissertations, 2020-current

Dizziness and imbalance are one of the most common complaints of people 65 years and older, as it affects 20-30% of this population and puts one at a higher risk of falling (Iwasaki & Yamasoba, 2015). Vestibular impairments are identified through measures of vestibular reflexes such as the VOR. However, the extent of impairment observed through the VOR may not correlate with the patient’s perceptions of their symptoms (Kobel et al., 2021).A large portion of patients with vestibular symptoms cannot be diagnosed with the testing that is currently available (Agrawal et al., 2009). Magnitude estimation is a psychophysics technique used …

Exploring Speech Experiences, Cpib Scores, And Aac Assessment Experiences Of Autistic Aac Users With Intermittent, Unreliable, Insufficient, And/Or Expensive Speech, Karina Rayl, Pang Lee Herr, Brandon Eddy, Amy Donaldson, Stephanie Fuller, Alyssa Zisk

Student Research Symposium

There is growing evidence from the perspectives of speaking autistic people that augmentative and alternative communication (AAC) supports their self-expression and communicative agency. Despite the evidence supporting the communication effectiveness of AAC, autistic adults have reported that professionals often prioritized speech as the ideal communicative method rather than offering AAC as a communication option. This study will investigate autistic adults’ AAC assessment experiences and explore whether a modified version of the Communication Participation Item Bank (CPIB) self-rating questionnaire could be an effective tool to document the internal states of intermittent, unreliable, insufficient, and/or expensive speech. Surveys will be distributed to …