Speech Pathology and Audiology Commons^™

Preliminary Investigation Of An Aphasia-Friendly Version Of The Patient Health Questionnaire – 8 (Phq-8) Compared To Other Patient And Proxy Reported Outcome Measures Of Depression, Kaylee Marie Walter

Graduate Student Theses, Dissertations, & Professional Papers

Persons with aphasia (PWA) experience post-stroke depression more frequently than stroke survivors who do not have aphasia. Currently, no patient reported outcome measures that screen for depression have been created specifically for PWA or modified to be aphasia friendly for PWA. The purpose of this preliminary study is to modify the Patient Health Questionnaire- 8 (PHQ-8) to an aphasia friendly format and to assess the feasibility of administering the modified assessment compared to other patient-reported and proxy-reported outcome measures used to screen depression. This retrospective analysis examined pre- and post-treatment outcome measures of depression for seven stroke-survivors with aphasia. The …

School-Based Speech-Language Pathologist Collaborative Practice: A Literature Review, Kaija R. Elenko

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Background: School-based speech language pathologists (SLPs) are increasing collaborative engagement with educators and other professionals in school settings. Collaborative practice in the general education classroom increased student’s awareness of literacy concepts. The push-in model of service delivery reached students with varied levels of literacy understanding. There is insufficient empirical evidence regarding school-based interprofessional practice (IPP) available to clinicians. Systemic reviews provide a model for educators and SLPs to follow; many professionals hesitate to engage in IPP because there is a deficiency in evidence of success.

Aims: Investigation of the necessary components for successful IPP and the impacts of collaboration on …

Using Transcranial Direct Current Stimulation To Improve Naming Ability In Post-Stroke Aphasia: Evaluating Evidence And Optimizing Outcomes, Mohammed Alharbi

Theses and Dissertations--Rehabilitation Sciences

Introduction. Aphasia is a devastating acquired language disorder that affects about one third of stroke survivors. Aphasia can severely affect quality of life and can be associated with economic burdens due to the need for long-term communication rehabilitation. Traditional aphasia therapies are known to be effective; however, progress is often slow and limited in severe cases – full restoration of communication abilities is rarely achieved. Thus, there is a critical need for therapeutic solutions that can reduce the associated burden of aphasia. Transcranial direct current stimulation (tDCS) is a non-invasive and inexpensive neuromodulation technique that has the potential to boost …

Vocal Fry: Acoustics, Airflow, And Egg Analysis Of Various Types, Kiersten Mccormick, Dr. Ronald Scherer, Katherine Proctor

Honors Projects

Objective: Current studies on vocal fry at BGSU involve categorizing various types of vocal fry production (Proctor et al., 2019 ASHA conference). The objective of the current study was to characterize vocal fry types using acoustic, airflow, and electroglottographic measures. Such characterization should shed light on the physiological production of vocal fry and potential clinical understanding and intervention.

Methods/design: Three men and three women, 18-22 years old, read the Rainbow passage as well as spoke conversationally and spontaneously in a sound treated booth. The participants spoke using a microphone and an EGG system (Kay Model 6103), as well …

Impact Of Nicu Design On Feeding-Related Outcomes In Preterm Infants, Emma Kate Calvert

Theses and Dissertations--Communication Sciences and Disorders

Many NICUs around the country are moving away from traditional open-bay designs in favor of single-family rooms (SFRs) as more is understood about the impact of the sensory environment on neurodevelopment in preterm infants. SFRs house one infant and their family for the length of the infant’s stay and are associated with improvements in numerous outcomes, including increased milk intake and weight gain and earlier transition to enteral feeding. Oral feeding remains a critical requirement for NICU discharge; however, the impact of NICU design on feeding outcomes remains unknown.

The purpose of this study was to compare feeding outcomes between …

Spectrographic Analysis Of The Lombard Effect, Julia Saxon

Williams Honors College, Honors Research Projects

In my honors project I will study the feasibility of using spectrographic analysis to measure the Lombard effect. The Lombard effect is a well-known phenomenon in which talkers reflexively increase the intensity of their voices in the presence of background noise. We hypothesize that other measurable features of speech will also change with vocal intensity consistent with what is shown in literature. However, the current authors will discuss findings in terms of its potential value as a test of pseudohypoacusis, also known as nonorganic or functional hearing loss. The author and a licensed audiologist will examine the /i/ and /u/ …

Cochlear Implants And Executive Function In Children: A Current Review Of Literature, Jessica Bonezzi, Dr. Alex Meibos

Williams Honors College, Honors Research Projects

We systematically reviewed existing research on cochlear implantation and executive function to determine if children with bilateral profound hearing loss with cochlear implantation have executive functioning levels similar to their normal hearing peers. Overall, we wanted to know if cochlear implantation resulted in executive functioning in deaf children. A systematic analysis of research was performed using the Preferred Reporting of Systematic Reviews and Meta-Analyses (PRISMA) technique. Research comparing unilaterally implanted children to bilaterally implanted children shows that bilaterally implanted children scored higher on verbal IQ tests. Research comparing predominately bilaterally implanted children to norms presents split results.

Programmatic Desensitization Of The Cough Reflex In Patients With Refractory Chronic Cough, Emma Bozarth Dailey

Graduate Student Theses, Dissertations, & Professional Papers

Aim: The purpose of this blinded, randomized, placebo-controlled pilot clinical trial was to determine the potential of treating refractory chronic cough (RCC) using a progressive desensitization model paired with behavioral cough suppression.

Methods: Twelve adults with chronic cough who had failed behavioral cough treatment enrolled in and completed the study. Participants were randomly assigned to a treatment (n=8) or placebo group (n=4). The study consisted of three phases. During Phase I, participants completed baseline testing, including cough sensitivity testing with capsaicin, the Leicester Cough Questionnaire (LCQ), urge-to-cough-testing, and 24-hour cough frequency testing. During Phase II, participants practiced behavioral cough suppression …

The Contribution Of Frequency Discrimination Ability To Auditory Temporal Patterning Tests In Children, Ashley G. Flagge, Tara M. Davis, Victoria Henbest

Ashley Flagge Publications

Purpose: The Pitch Patterns Test (PPT) and Duration Patterns Test (DPT) are clinical auditory processing tests that evaluate temporal patterning skills based on pitch (PPT) or duration (DPT) aspects of sound. Although temporal patterning tests are categorized under the temporal processing domain, successful performance on the PPT also relies on accurate pitch discrimination. However, the relationship between pitch discrimination ability and temporal patterning skills have not been thoroughly evaluated. This study examined the contribution of pitch discrimination ability to performance on temporal patterning in children through the use of a pitch discrimination task and the PPT …

Inner Ear Disorders Associated With Hearing And Vestibular Loss: A Case Series, Kelly Retzlaff

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Sudden sensorineural hearing loss (SSNHL), a hearing loss of at least 30 dB at three or more consecutive frequencies within a 72-hour period, is typically idiopathic. Potential causes are thought to include viral, autoimmune, vascular, neurologic, neoplastic, or traumatic origins. Treatment consists of steroids. Poor patient follow up and compliance with rehabilitation negatively affect outcomes. Poor follow-up also results in the inadequate medical documentation of outcomes. Case Presentation: a 20-year old female presented with unilateral SSNHL with high-frequency tinnitus in the right ear. Her audiological history includes a known profound hearing loss in the left ear, as well as, …

Morphological Production Accuracy Patterns In Younger And Older Spanish-English Bilingual Children, Isabel Angelica Cano

Open Access Theses & Dissertations

Clinicians require a model of typical bilingual language development. Morphological production accuracy patterns vary in Spanish-English (S-E) bilingual children considering differences in the exposure and use of their two languages compared to their monolingual peers. The purpose of the current study was to examine morphological production accuracy patterns in thirty younger (3- to 4-years old) and older (5- to 6-years old) S-E bilingual children utilizing English and Spanish Morphosyntax subtests from a bilingual language screener. Across development, older bilingual children were more accurate on all forms in both English and Spanish than younger bilingual children. Across languages, all S-E bilingual …

Assessing Attitudes And Knowledge Regarding Voice Modification In Transgender People Among Practicing Speech Language Pathologists (Slps) In Texas, Iliana Renee Lopez

Open Access Theses & Dissertations

The purpose of this cross-sectional study is to examine the attitudes and knowledge of voice modification in TG persons among practicing SLPs in the state of Texas. Thirty-nine individuals completed the 10-minute survey with 38 questions. SLPs in Texas who responded are professionally and personally comfortable working with transgender individuals. Most respondents did not know what was targeted in voice modification services, however are willing to learn. Respondents' attitudes, knowledge and comfort were impacted most by personal values, graduate school education and personal relationships. The results from this study support the need for education and clinical training on cultural competence …

Automated Phonetic Transcription Grading Tool (Aptgt), Marisha Speights Atkins, Dallin J. Bailey, Cheryl D. Seals, Guorui Li, Robertson Bassy, Yang Cao, Sicheng Li, Bennett Abigail

Faculty Publications

The Automated Phonetic Transcription Grading Tool (APTgt) is an online Learning Management System (LMS) that facilitates the comparison of phonetic transcriptions for instruction and clinical training purposes. It uses an embedded IPA graphical keyboard for transcription input. A custom edit distance algorithm aligns transcriptions in an intuitive way and then calculates differences quantitatively. This allows for objective scoring of transcriptions of even severely impaired productions, which may be difficult to score via traditional comparison methods. APTgt also includes support for comparing narrow phonetic transcriptions with diacritics. Contact the Technologies for Speech Language Pathology Research Lab at [email protected] for registration information.

Moving Toward Non-Transcription Based Discourse Analysis In Stable And Progressive Aphasia, Sarah Grace Dalton, H. Isabel Hubbard, Jessica D. Richardson

Speech Pathology and Audiology Faculty Research and Publications

Measurement of communication ability at the discourse level holds promise for predicting how well persons with stable (e.g., stroke-induced), or progressive aphasia navigate everyday communicative interactions. However, barriers to the clinical utilization of discourse measures have persisted. Recent advancements in the standardization of elicitation protocols and the existence of large databases for development of normative references have begun to address some of these barriers. Still, time remains a consistently reported barrier by clinicians. Non-transcription based discourse measurement would reduce the time required for discourse analysis, making clinical utilization a reality. The purpose of this article is to present evidence regarding …

Vocal Health Preservation For Teachers Of Music: A Literature Review, Lyndsay Byers, Lisa Vinney Phd Ccc-Slp, Kimberly Adelman Ms Ccc-Slp

Graduate Independent Studies - Communication Sciences and Disorders

This literature review explores research findings regarding risk factors of voice disorders for teachers of music. It summarizes current research regarding personal, environmental, and occupational practices teachers of music can implement to help preserve their voices. This document also reviews literature findings regarding when, where, and how music teachers can seek assistance for voice symptoms.

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.

Average Speech Directivity, Samuel D. Bellows, Claire M. Pincock, Jennifer K. Whiting, Timothy W. Leishman

Directivity

Speech directivity describes the angular dependence of acoustic radiation from a talker’s mouth and nostrils and diffraction about his or her body and chair (if seated). It is an essential physical aspect of communication affecting sounds and signals in acoustical environments, audio, and telecommunication systems. Because high-resolution, spherically comprehensive measurements of live, phonetically balanced speech have been unavailable in the past, the authors have undertaken research to produce and share such data for simulations of acoustical environments, optimizations of microphone placements, speech studies, and other applications. The measurements included three male and three female talkers who repeated phonetically balanced passages …

Speech-Language Pathologist–Guided Morphological Awareness Instruction In The General Education Classroom, Victoria Henbest

Victoria S. Henbest Publications

Research has shown that instruction in morphological awareness improves students' understanding and use of affixes. However, morphological awareness instruction, typically, is not provided in the general education classroom, and there are few documented collaborations between teachers and speech-language pathologists (SLPs), the latter of whom have a unique expertise in language. Thus, the purpose of this article was to determine the feasibility of an SLP-guided morphological awareness instructional program in a general education classroom.After completing a webinar training in morphological awareness, 2 general education teachers implemented morphological awareness lessons in their classrooms over an 8-week period. The teachers and collaborating SLP …

Outcomes In Children With Additional Disabilities Following Cochlear Implantation: A Systematic Review, Rebecca M. Tuchman

Dissertations, Theses, and Capstone Projects

Background: Thirty percent of children with hearing loss have an additional disability. These children may be difficult to test according to standard audiologic behavioral test protocols. Additionally, progress within this population may present differently than in children with no additional disability. Currently, no evidence-based protocol exists for assessing cochlear implant benefit and outcomes in this population.

Objective: The purpose of this investigation is to perform a systematic review on the outcomes of cochlear implantation in children with additional disabilities. Specifically, this study focused on areas of function assessed, outcome measures used, and evidence of benefit observed.

Methods: A comprehensive search …

Taste Manipulation And Swallowing Mechanics In Trauma-Related Sensory-Based Dysphagia, Angela M. Dietsch, H. Duncan Dorris, William Pearson, Katie E. Dietrich-Burns, Nancy Pearl Solomon

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This study explored the effects of highconcentration taste manipulation trials on swallow function in persons with sensory-based dysphagia.

Method: Dysphagia researchers partnered with clinical providers to prospectively identify traumatically injured U.S. military service members (N = 18) with sensorybased dysphagia as evidenced by delayed initiation and/or decreased awareness of residue/penetration/ aspiration. Under videofluoroscopy, participants swallowed trials of 3 custom-mixed taste stimuli: unflavored (40% weight/volume [wt/vol] barium sulfate in distilled water), sour (2.7%wt/vol citric acid in 40% wt/vol barium suspension), and sweet–sour (1.11% wt/vol citric acid plus 8% wt/vol sucrose in 40% wt/vol barium suspension). Trials were analyzed …

Motor-Induced Suppression Of The N100 Event-Related Potential During Motor Imagery Control Of A Speech Synthesizer Brain–Computer Interface, Jonathan S. Brumberg, Kevin M. Pitt

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: Speech motor control relies on neural processes for generating sensory expectations using an efference copy mechanism to maintain accurate productions. The N100 auditory event-related potential (ERP) has been identified as a possible neural marker of the efference copy with a reduced amplitude during active listening while speaking when compared to passive listening. This study investigates N100 suppression while controlling a motor imagery speech synthesizer brain–computer interface (BCI) with instantaneous auditory feedback to determine whether similar mechanisms are used for monitoring BCI-based speech output that may both support BCI learning through existing speech motor networks and be used as a …

Involvement Of Adults Who Are Deaf Or Hard Of Hearing In Ehdi Programs, Elizabeth Shuler-Krause, Karl R. White

Journal of Early Hearing Detection and Intervention

Consistent with a position statement of the Joint Committee on Infant Hearing (JCIH, 2007), several key organizations and groups have supported involving deaf and hard of hearing (DHH) adults in Early Hearing Detection and Intervention (EHDI) systems, including providing families of children who are DHH with opportunities to interact with adults who are DHH. This article reviews the available data on the involvement of adults who are DHH in EHDI systems to determine the availability of opportunities for families who have children who are DHH to interact with adults who are DHH, how families feel about these experiences, and to …

Family Impact Of Pediatric Hearing Loss: Findings From Parent Interviews And A Parent Support Group, Kristen L. Haddad, Wendy W. Steuerwald, Lori Garland

Journal of Early Hearing Detection and Intervention

Parents experience numerous stressors tied to their child's diagnosis as deaf or hard of hearing (DHH). This study sought to inquire about the lived experiences of parents with children who are DHH to inform the types of supports that should be provided within an audiology care coordination system. Semi-structured phone interviews were conducted with parents of children under the age of five who are DHH and patients of the Division of Audiology at Cincinnati Children’s Hospital Medical Center (CCHMC). Interview findings informed focus group questions, which were facilitated in a parent support group with parents of children who are DHH …

A Method Paper For Earplug-Fitting Augmentative Procedures Tested In Groups Of More Experienced And Less Experienced Users Of Hearing Protection, Natalie Dixon, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Although a long history of research has led to extensive knowledge about hearing protection devices (HPDs), there has been limited research about procedures that provide aid and verification during HPD insertion, although several studies have reported about HPD training. No standard methods have been established for training of earplug use (Takahashi, 2011).

A review of the literature revealed a need for tools that might be used to improve user ability to properly insert HPDs consistently, even in the absence of training, because training is rarely provided in the workplace. The prevailing research question was "Does the use of simple fitting …

Relationships Between Ambient Noise Levels And Vocal Effort When Working As A Restaurant Bartender, Ashley Bautista

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

Workers in many different fields depend upon their voice for job performance. Vocal load, the way a voice is used and how much it is used, increases as a function of the total time speech is produced and the intensity (“loudness”) of the voice. Speakers tend to increase pitch, intensity, and duration of speech in the presence of noise, known as the Lombard Effect, which can lead to greater vocal fold stress and subsequent risk of vocal injury. In addition to increased risk of vocal injury, high levels of ambient noise might put workers at risk of auditory damage. …

Cervical Vestibular-Evoked Myogenic Potentials (Cvemps): "Differentiation Of Inter-Neck Emg Symmetry Between Children And Adults", Ellen Jones

Senior Honors Projects, 2010-2019

A cervical Vestibular-Evoked Myogenic Potential (cVEMP) is one of the few objective vestibular diagnostic tests available for pediatric populations. This test evaluates the functionality of the saccule end organ through an inhibitory reflex on the sternocleidomastoid (SCM) muscle that inhibits the level of electromyographic (EMG) activity (Wiener-Vacher, 2013). Because the saccule response is measured as an inhibition of EMG in the SCM, it is imperative that the SCM have a tonic contraction prior to eliciting the response and that the contraction of the SCM is equal on the right and left sides. It is generally accepted that young, healthy adults …

The Feasibility Of Standardized Cognitive Assessments For Vestibular Patients, Brynn Morales

Senior Honors Projects, 2010-2019

Vestibular dysfunction, or impairments in the inner ear and/or brain structures that process sensory information and help control balance, has a high correlation with cognitive deficits, or problems with mental processes. This relationship negatively affects daily activities and quality of life in persons that live with vestibular dysfunction. Though there is sufficient research proving the relationship, few studies have applied that information in ways to better help the population with vestibular dysfunction. The purpose of this study was to assess the feasibility of a cognitive assessment battery (a set of correlated assessments delivered in one session) tailored to measuring performance …

Music And Speech Perception In Children Using Sung Speech: Effects Of Neurocognitive Factors, Victoria A. André

Dissertations, 2014-2019

The current study aimed to explore normal-hearing children's ability to utilize pitch and timbre cues and how these findings correlate with neurocognitive factors. Participants were recruited if they had English as their first language and no formal musical training or 3+ years of formal musical training. Twenty normal-hearing children, age 7.5-14.5 years (mean = 10.5; n=20) were recruited for the study. Nonverbal intelligence, receptive vocabulary, and auditory working memory were assessed using subtests of the Kaufman Brief Intelligence Test-2, Peabody Picture Vocabulary Test-4, and Comprehensive Test of Phonological Processing-2, respectively. Raw scores were used to analyze these neurocognitive abilities in …

The Test-Retest Reliability Of Binaural-Processing Tasks At Home Versus A Clinical Environment, Logan Grace Faust

Dissertations, 2014-2019

Objective: Investigate the reliability of a custom-designed, portable, stereo-hearing testing system (as in the Ganev, 2017, Au.D. dissertation) when subjects self-administer two different stereo-hearing tasks at home. Results obtained under known and supervised conditions at a university clinic or lab versus unknown conditions at the participants’ homes were compared. Intra-subject comparison, and inter-subject trends, discerned the reliability of patient setup and self-administration of the two tasks.
Design: Ten subjects were evenly split among two conditions: five subjects each setup and self-administered the tasks first at home and then received direction in the clinic, and five received direction and did the …

Counseling For Patients With Hyperacusis, Mary Maraist

Communication Sciences and Disorders: Student Scholarship & Creative Works

Hyperacusis is the phenomenon of experiencing moderately loud sounds as overly loud and/or intensely annoying. Hyperacusis can also cause fear or pain in response to sound. There is no one known cause of hyperacusis, and because of the variety of ways it presents itself, the approximate prevalence is difficult to determine. Despite the ambiguity of hyperacusis, the audiologist is an important part of diagnosing and educating clients with hyperacusis. During this project we aimed to discover the challenges individuals with hyperacusis face. These include anxiety, depression and avoidance behavior, and sometimes co-occurring tinnitus and hearing loss. Another aim was to …