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Speech Pathology and Audiology Commons™
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Articles 1 - 30 of 62
Full-Text Articles in Speech Pathology and Audiology
Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef
Determinants Of Corporal Punishment And Severe Physical Punishment In Egypt: A Mixed-Methods Analysis For Child Protection Policy, Marwa Moustafa Nassef
Theses and Dissertations
Corporal punishment (CP) and severe physical punishment (SPP) remain a major public health, child rights, and child protection policy concern. In Egypt, despite legislative reforms, survey-weighted analysis of the 2021 Egypt Family Health Survey (EFHS) 2021 (CAPMAS, 2022) reveals prevalence rates of 60.5% for CP and 27.4% for SPP among children aged 1–14 (author’s calculations using EFHS-2021, n=7623), yet evidence distinguishing the determinants of routine corporal punishment from escalation to severe physical punishment remains limited in low- and middle-income contexts. Guided by Bronfenbrenner’s ecological framework, this mixed-methods study identifies key drivers of CP and its escalation to SPP among Egyptian …
Speech-Language Pathologists' Online Discussions Of A Controversial Treatment Approach For Children With Speech Sound Disorders: A Qualitative, Netnographic Study, Rachael Withrow, Tim Brackenbury, Emily Anzicek
Speech-Language Pathologists' Online Discussions Of A Controversial Treatment Approach For Children With Speech Sound Disorders: A Qualitative, Netnographic Study, Rachael Withrow, Tim Brackenbury, Emily Anzicek
Honors Projects
A controversial approach in child speech-sound disorders is nonspeech oral motor exercises (NSOME). NSOME targets the functioning of the articulators in activities that do not involve speaking (such as blowing through whistles, drinking from straws, and pushing the tongue against resistance). The underlying belief of NSOME is that increasing musculature performance and neurological organization through these types of isolated actions will directly improve children’s phoneme productions. However, there is minimal peer-reviewed research evidence to support its use. Despite this, many clinicians use NSOME, citing successes they and their colleagues have had with past and current clients. The use of Evidence-Based …
Educational Services And Language Congruency In Low-Income Children Who Are Deaf Of Hard-Of-Hearing, Courtney J. Austin, Dylan Chan, Jihyun Stephans
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 …
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
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, …
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
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 …
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.
A Review Of Social Media Platforms Of State Early Hearing Detection And Intervention Programs In The United States, Rohit Ravi, Karl R. White
A Review Of Social Media Platforms Of State Early Hearing Detection And Intervention Programs In The United States, Rohit Ravi, Karl R. White
Journal of Early Hearing Detection and Intervention
Purpose: Social media tool is increasingly used to support good health practices. Almost every Early Hearing Detection and Intervention program has a website, and it would be useful to know how they are using social media. The aim of this article was to analyse how social media is being used by Early Hearing Detection & Intervention programs in the United States, as well as how frequently.
Method: The present study analysed existing social media handles of the Early Hearing Detection and Intervention programs. The search for social media accounts & data extraction was carried out between 1st January 2022 to …
Ua12/2/2 Talisman: Pulse, Wku Student Affairs
Ua12/2/2 Talisman: Pulse, Wku Student Affairs
WKU Administration Documents
Spring 2024 Talisman:
- Hunter, Leah. Pulse
- Muscutt, Carson. High on Bluegrass – Jordan Riehm
- Meyers, Jeffrey. Science of Movement – Exercise Science
- Murray, Debra. Pasture to Plate – Agriculture
- Murray, Debra. Vegetarian Tortilla Soup
- Coffee, Bobbi. Passion, Pain, Curiosity – Innovation Campus
- Story, Miriam. Drafts of a Postcard (October 2023)
- Johnston, Katelyn. Beyond Sound – Deaf
- Hunter, Leah. One Good Week – Madison Weis
- Alali, Cecilia. Crafted Cadence – Speech Team
- Blankenship, Alisa. Loving You
- Sandlin, Ellie. Here After – Death
- Booth, Pandora. Rooted in Rhythm – Step Shows
- Booth, Pandora. Horoscopes
- Pulse Playlist
Cultural Competency In Practicing Audiologists Serving Lgbtqia+ Clients, Stella Omilian
Cultural Competency In Practicing Audiologists Serving Lgbtqia+ Clients, Stella Omilian
Honors Projects
The primary objective of this project is to cultivate a better understanding of clinicians' cultural attitudes and behaviors within the field of audiology concerning LGBTQIA+ clients. The study describes the attitudes and behaviors of clinical audiologists serving individuals in the LGBTQIA+ community. It also explores a few barriers to healthcare needs for these clients, including hearing habilitation and rehabilitation. An anonymous survey was used to collect data from the clinicians in the United States on their current knowledge of LGBTQIA+ related terminology and language, affirmative attitudes and behaviors, and cultural sensitivity to these clients receiving audiological services. Analysis of the …
Chatgpt As Metamorphosis Designer For The Future Of Artificial Intelligence (Ai): A Conceptual Investigation, Amarjit Kumar Singh (Library Assistant), Dr. Pankaj Mathur (Deputy Librarian)
Chatgpt As Metamorphosis Designer For The Future Of Artificial Intelligence (Ai): A Conceptual Investigation, Amarjit Kumar Singh (Library Assistant), Dr. Pankaj Mathur (Deputy Librarian)
Library Philosophy and Practice (e-journal)
Abstract
Purpose: The purpose of this research paper is to explore ChatGPT’s potential as an innovative designer tool for the future development of artificial intelligence. Specifically, this conceptual investigation aims to analyze ChatGPT’s capabilities as a tool for designing and developing near about human intelligent systems for futuristic used and developed in the field of Artificial Intelligence (AI). Also with the helps of this paper, researchers are analyzed the strengths and weaknesses of ChatGPT as a tool, and identify possible areas for improvement in its development and implementation. This investigation focused on the various features and functions of ChatGPT that …
Revisiting The Rainbow: Culturally Responsive Updates To A Standard Clinical Resource, Angela M. Dietsch, Richard Mocarski, Debra A. Hope, Nathan Woodruff, Miechelle Mckelvey
Revisiting The Rainbow: Culturally Responsive Updates To A Standard Clinical Resource, Angela M. Dietsch, Richard Mocarski, Debra A. Hope, Nathan Woodruff, Miechelle Mckelvey
Department of Special Education and Communication Disorders: Faculty Publications
Purpose
Cultural responsivity is essential for efficacious and affirming clinical relationships. This may be especially important with historically marginalized clients, such as transgender and gender-diverse (TGD) people seeking behaviorally based affirming communication services. We recommend modifications to standard tools for diagnostics and training that otherwise might undermine our efforts to create an inclusive and affirming environment.
Method
Modifications to the Rainbow Passage, a standardized paragraph utilized for eliciting speech samples in clinical settings, focused on nongendered terminology and the elimination of content with religious connotations.
Results
The recommended edits to the Rainbow Passage maintain similar length, cadence, and phonetic balance …
Professional Partners
DePaul Magazine
DePaul students draw on specialized skills to serve business and industrial clients.
The Lived Experiences Of Transmasculine Speakers: A Phenomenological Investigation Of Vocal Quality And Function In Relation To Gender, Micah Wylie
Graduate Theses and Dissertations
The objective of this study was to learn how transmasculine individuals perceive the quality and function of their voices, and how those perceptions influence how they experience gender identity and communicate with others. This qualitative study adopted a hermeneutical phenomenological approach that involved using content analysis and thematic analysis to describe and interpret phenomena. This approach assumes that the researcher is not biased, but is a part of the world being studied and, therefore, understands the phenomenon by interpretive means. Saturation was achieved when all relevant information was introduced, and patterns of information had been identified. Sixteen interviews were conducted. …
Promoting A Walk/Run Event To Expand Services For Individuals With Disabilities, Mckenzie Rodgers
Promoting A Walk/Run Event To Expand Services For Individuals With Disabilities, Mckenzie Rodgers
Mahurin Honors College Capstone Experience/Thesis Projects
The Suzanne Vitale Clinical Education Complex (CEC) at WKU provides services to many individuals and families affected by autism spectrum disorders and other developmental delays and disabilities. As a nonprofit organization, the clinic relies heavily on donations and fundraisers as sources of income. One of the CEC’s primary fundraisers is the annual LifeSkills Run/Walk for Autism. This event is held each April during autism awareness month, at the Bowling Green Ballpark, providing an opportunity for the community to support the clinic in an enjoyable way.
For an honors capstone experience, the author promoted the 15th annual LifeSkills Run/Walk for Autism …
Strategies Utilized By Speech-Language Pathologists When Treating Speech-Language Disorders In Children Who Are Bilingual, Julianne L. Monceaux-Visser
Strategies Utilized By Speech-Language Pathologists When Treating Speech-Language Disorders In Children Who Are Bilingual, Julianne L. Monceaux-Visser
Dissertations, Theses, and Projects
In the state of Minnesota, more children who use a language other than English were reported to speak English less than “very well” (U.S. Census Bureau, 2020). There was neither a “gold standard” (Verdon, McLeod, & Wong, 2013), nor Preferred Practices (ASHA, 2020) for the treatment of speech-language disorders for children who were bilingual. The current study investigated the practices for treating speech-language disorders in this population by SLPs employed in schools in a region of west-central MN and eastern ND. Using an interpreter, and explicit instruction on targeted language skills were the most common clinical approaches utilized. The child’s …
Three's Company: Collaborative Instructional Design On A Librarian-Instructor Team, Brittany L. O'Neill, Allen Leblanc, Deirdre Larsen
Three's Company: Collaborative Instructional Design On A Librarian-Instructor Team, Brittany L. O'Neill, Allen Leblanc, Deirdre Larsen
Georgia International Conference on Information Literacy
This session will describe a unique collaboration that resulted in development of a strategic research assignment design supported by relevant information literacy sessions. This effort stems from an existing relationship between research librarians and an instructor who was previously a graduate assistant in Research & Instruction Services and became an instructor of a general education course in Communication Sciences and Disorders. Through this collective, a synergistic arrangement developed where librarians contribute to research assignment design and the instructor contributes to developing the information literacy sessions to prepare students for finding, evaluating, and understanding relevant scholarly articles early in their college …
Qualitative Study Of Collaboration Between Independent Reading Specialists And Elementary Classroom Teachers, Lindsay Lee Hawbaker
Qualitative Study Of Collaboration Between Independent Reading Specialists And Elementary Classroom Teachers, Lindsay Lee Hawbaker
Electronic Theses and Dissertations
Abstract
The failure of educators to meet the needs of elementary students who require separated, differentiated, and intensive reading interventions (Tier 3) has been attributed to the scarcity of administrative resources and a lack of effective collaboration between reading specialists and classroom teachers. Experts opine that common barriers to effective collegial collaboration between institutional reading specialists, who are employed by the school, and classroom teachers include: an unsupportive school culture, the classroom teachers’ fear of losing pedagogical autonomy, the absence of mutual trust and interdependence between the reading specialists and their students’ classroom teachers, and the inability of reading specialists …
Research To Practice- Implementing Sign-Infused Intervention As A Novice Clinician, Loren Stoller
Research To Practice- Implementing Sign-Infused Intervention As A Novice Clinician, Loren Stoller
LSU Master's Theses
Speech-Language Pathologists often infuse manual signs into oral language interventions for children with various communication disorders. The current study was designed to learn more about sign-infused language intervention by examining one novice clinician’s use of signs during oral language intervention with a child diagnosed as a late talker. The researcher was the clinician, and while a novice interventionist, she was proficient in American Sign Language (ASL) and had five years of experience using ASL with others. The child was 26 months of age at the start of the study, and data collection included three pre-intervention sessions, 12 intervention sessions, and …
An Experimental Analysis Of Voice Volume For Children With Autism Spectrum Disorder, Arturo Garcia
An Experimental Analysis Of Voice Volume For Children With Autism Spectrum Disorder, Arturo Garcia
Thesis Projects
Inappropriate prosodic production is an often observed, but rarely treated, communication skill deficit for individuals with autism. Expanding on previous literature, we conducted a functional analysis on the voice volume responses (VVR) of two children with ASD utilizing similar procedures to those from Edgerton and Wine (2017). Further, we evaluated the efficacy of using visual feedback from an app and a function-based treatment to decrease inappropriate VVR and increase appropriate VVR. Results of the functional analysis indicated loud VVR was maintained by social negative reinforcement (escape from demands) for one participant and by both social negative and automatic reinforcement for …
Communicative Function And Diversity In Provider, Deaf And Hard-Of-Hearing Child, And Caregiver Speech During Telepractice, Rebekah G. O'Bryan, Jessica M. Julian, Maria V. Kondaurova
Communicative Function And Diversity In Provider, Deaf And Hard-Of-Hearing Child, And Caregiver Speech During Telepractice, Rebekah G. O'Bryan, Jessica M. Julian, Maria V. Kondaurova
Undergraduate Arts and Research Showcase
How does the use of telepractice during speech language therapy affect the communicative function and communicative diversity of provider, deaf and hard-of-hearing (DHH) pediatric patient, and caregiver speech? This study examined communicative functions and diversity in the provider, DHH children with cochlear implants (n = 7, mean age = 4.9 years, range = 3.5-6.75 years), and caregiver utterances during one 30-minute in-person and one sequential tele session, order counterbalanced. To measure communicative function, each utterance was classified into 16 mutually exclusive categories for the child and into 15 categories for the adults. Communicative diversity was calculated as the number of …
Long-Term Effects Of A Short-Term Study Abroad On Mindset, Madasyn Hofstedt, Heidi Harbers, Amy Yacucci
Long-Term Effects Of A Short-Term Study Abroad On Mindset, Madasyn Hofstedt, Heidi Harbers, Amy Yacucci
Graduate Independent Studies - Communication Sciences and Disorders
This literature review will examine 10 studies. The first section will discuss one study regarding common personality traits that practicing SLPs and SLP graduate students possess. The next section will review four studies about studying abroad. The final section will summarize four studies about the impact of mindset on life experiences and one study on how a growth mindset may potentially affect a study abroad experience.
Exploring The Experiences Of Communication Partners Of People With Parkinson's Disease: A Qualitative Study, Jacqueline Bell
Exploring The Experiences Of Communication Partners Of People With Parkinson's Disease: A Qualitative Study, Jacqueline Bell
Dissertations, Theses, and Projects
The purpose of this phenomenological qualitative study was to explore interactions between persons with Parkinson's disease (PD) and their communication partners. People with PD experience difficulties that can have a profound effect on their ability to communicate. This qualitative study explored the thoughts and feelings of primary communication partners of people with PD. The primary communication partners were interviewed using open-ended questions. The seven participants identified and detailed how declines in communication due to PD have resulted in changes in daily life, including; social participation, daily tasks, and psychosocial well-being. Commonalities that communication partners experienced will aid speech-language pathologists to …
The Effect Of Electronic Nicotine Delivery Systems On The Vocal Folds, Hilary Gayle Sample
The Effect Of Electronic Nicotine Delivery Systems On The Vocal Folds, Hilary Gayle Sample
ETD Archive
Electronic Nicotine Delivery Systems (ENDS) are non-combustible tobacco products that are rapidly gaining in popularity worldwide. ENDS are marketed as safer alternatives to cigarettes; however, very little research is available to support or deny these claims. ENDS aerosol is inhaled over the vocal folds and into the lungs consistent with cigarette smoke. The larynx is among the primary locations affected by smoking; therefore, it is necessary to evaluate the effect, if any, of ENDS on the larynx. The goal of the present study was to evaluate the laryngeal appearance and function of seven ENDS users as compared to four cigarette …
Perseveration Or Perseverance: Investigating Interpretations Of Echolalia, Self-Stimulatory Behaviors, And Intervention Approaches For Children Who Have Autism, Ashlynn Rae Kufleitner
Perseveration Or Perseverance: Investigating Interpretations Of Echolalia, Self-Stimulatory Behaviors, And Intervention Approaches For Children Who Have Autism, Ashlynn Rae Kufleitner
Senior Independent Study Theses
The broad purpose of this study was to examine professionals’ perceptions of self-stimulatory behaviors in school-age children who have autism and the relation of these behaviors to communication. More specifically, I investigated whether and how speech-language pathologists and applied behavior analysis therapists address these behaviors during therapy by analyzing what factors may influence the selection of intervention methods and how these methods may be used to shape restrictive behaviors into functional communication. Through pursuing this topic, I hoped to increase research concerning the ways that echolalia and self-stimulatory behaviors are perceived by clinicians who work with clients on the autism …
Testing The Relationship Between Dialect Density And Social Interaction, Madeline Marita
Testing The Relationship Between Dialect Density And Social Interaction, Madeline Marita
Mahurin Honors College Capstone Experience/Thesis Projects
With over 1300 international students from more than 70 countries, Western Kentucky University prides itself on being a diverse, welcoming community. However, many international students have a tendency to associate with other international students with similar dialects rather than with English-speaking students from the United States. This research explores the relationship between dialect density (how strongly a dialect or accent is expressed) and social interaction of individuals from the international student population on Western Kentucky University’s campus. Results revealed that the international students who had the mildest self-perceived dialect density had high self-perceived social interaction scores. Results also indicated that …
Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.
Home Visiting Programs For Families Of Children Who Are Deaf Or Hard Of Hearing: A Systematic Review, Nannette Nicholson, Patti Martin, Abby Smith, Sheila Thomas, Ahmad A. Alanazi M.Aud.
Journal of Early Hearing Detection and Intervention
Prelingual hearing loss greatly restricts a child’s language development, hindering his or her behavioral, cognitive and social functioning. Although technology such as hearing aids and cochlear implants are an option for providing access to sound, they fail to teach the child how to listen or attend, how to process language (whether visual or spoken), or how to produce language and communicate. Home visiting is widely recognized as a cost-effective intervention service delivery model. Home visiting programs for promoting language development in children who are diagnosed as deaf or hard of hearing have been in existence for over 50 years, yet …
Development Of A Patient-Centered Health Literacy Toolkit For Audiology And Hearing Loss (The 'Hh Lit Kit'), Jennifer L. Gilligan
Development Of A Patient-Centered Health Literacy Toolkit For Audiology And Hearing Loss (The 'Hh Lit Kit'), Jennifer L. Gilligan
Dissertations, Theses, and Capstone Projects
The Patient-Centered Health Literacy Toolkit for Audiology & Hearing Loss (‘HH Lit Kit’) represents four years of inquiry into health literacy and Patient-Centered Care (PCC) in audiology. While awareness of health literacy continues to gain momentum in medicine and public health, there is a paucity of information on PCC and health literacy in audiology.
Low health literacy is linked to poorer health and poorer quality of life. Patients with hearing loss are at high risk for low health literacy. This presents a major concern because hearing loss affects the way information is processed, retained, and applied. Gaps have been identified …
Toddlers And Technology: An Examination Of How The Digital Surround May Be Related To Prototypic Vocabulary Development And Social Interactions During Play, Hannah Biarnesen Hutcheson
Toddlers And Technology: An Examination Of How The Digital Surround May Be Related To Prototypic Vocabulary Development And Social Interactions During Play, Hannah Biarnesen Hutcheson
Graduate Theses and Dissertations
This study sought to examine how the digital technology that surrounds young children may be related to prototypic vocabulary development and Social interactions during play. Twenty-six families in the Northwest Arkansas region with children between 15-36 months of age participated in the study. Thirteen children attended a campus preschool, six children attended a grant-funded local preschool, and seven children, all from the Northwest Arkansas area, were part of an earlier home-based study. The materials for the study included a developmental-technology use questionnaire and the MacArthur-Bates Communicative Development Inventories. Archival videotaped play sessions with the seven home-based children utilized a “Little …
The Use Of Theatre To Develop Social And Communication Behaviors For Students With Autism, Suzanne Reading, James Reading, Robert J. Padgett, Samantha Reading, Pete Pryor
The Use Of Theatre To Develop Social And Communication Behaviors For Students With Autism, Suzanne Reading, James Reading, Robert J. Padgett, Samantha Reading, Pete Pryor
Scholarship and Professional Work - Communication
Social and communication behaviors are often a focus of instruction for individuals with autism. A theatre rehearsal and production process is challenging and joyful work that nurtures the development of social and language skills. This study evaluated and described social and language behaviors for students with autism both before and after a 10-week theatre experience. The results indicated that, when compared with a control group, the students with theatre experiences had significant and positive changes in the development of social and language skills. Most particularly, these students had significant improvement in social responsiveness, acknowledgement of the perspective of others, and …
Examining Barriers With Implementing Augmentative And Alternative Communication In A Midwest School, Ashley Renee Fields
Examining Barriers With Implementing Augmentative And Alternative Communication In A Midwest School, Ashley Renee Fields
Walden Dissertations and Doctoral Studies
Many speech-language pathologists (SLPs) in a Midwest urban public school system have experienced barriers that prohibit the effective use of augmentative and alternative communication (AAC). The result has left some students with speech language impairments (SLI) without the communication skills for meaningful relationships and success in and out of school. The purpose of this exploratory case study was to determine the perceived barriers of 8 local school SLPs regarding the successful implementation of AAC and their suggestions for addressing the problem. Data were collected from semi-structured interviews with the SLPs. Data collection and analysis were grounded by Ely's conditions of …