Speech Pathology and Audiology Commons^™

A Call For Hearing Loss Prevention Programs In College Music Education Programs, Jason Taurins

Honors Theses

Music educators, ensemble conductors, and students who participate in musical ensembles are exposed to sound pressure levels which exceed the criteria for NIOSH. As such, this population should be enrolled in hearing loss prevention programs. Ensemble directors (many music educators fall into this category) have a direct role in influencing the sound pressure levels produced in rehearsals. Music educators have a role in influencing the knowledge, skills, attitudes, and behaviors of their students. Because of the health risks of noise exposure, and the role music educators (and ensemble directors in general) have in influencing their students, hearing loss prevention should …

Stakeholder Perspectives Of The Effectiveness Of Augmentative And Alternative Communication Techniques In Children With Autism, Daria Constantinescu

Theses and Dissertations

The purpose of this study was to utilize focus groups and individual interviews to investigate the effectiveness and efficiency of augmentative and alternative (AAC) techniques in facilitating language in children with Autism Spectrum Disorder (ASD) as expressed by the opinions and attitudes of stakeholders involved in the process. ASD is a disorder that affects an individual's social and communication skills that usually surfaces within a child's first three years of life. There have been numerous studies conducted comparing different types of AAC intervention systems, but there is little information on stakeholders' opinions. The current study utilized one focus group interview …

Interpreter-Assisted Speech-Language Intervention In Poland: Needs, Possibilities And Prospects (Współpraca Polskiego Logopedy Z Tłumaczem – Potrzeby, Możliwości I Perspektywy), Katarzyna Gaweł, Henriette Langdon, Katarzyna Węsierska

Faculty Publications

Due to the constantly evolving global demographic situation, speech-language therapists (SLTs, also: speech-language pathologists – SLPs) have to deal with an increasing workload of bilingual/multilingual clients. This article presents results of a survey conducted among Polish SLTs aimed at investigating their views with regards to the possibility of collaboration with an interpreter during therapeutic intervention. The original version of the questionnaire (Gaweł & Węsierska, 2014) used in this survey was filled out by 206 respondents from different areas across Poland. The following issues were addressed in the study: the SLTs’ views on the incidence of bilingualism in Poland, their self-evaluation …

Evidence-Based Practice In Stuttering: Views From American And Polish Clinical Perspectives, Henriette W. Langdon, Pei-Tzu Tsai, Katarzyna Węsierska

Faculty Publications

In this paper the authors present the underpinnings of Evidence-Based Practice (EBP) with application to stuttering. The application of intervention practices using EBP are discussed from two different countries, the United States and Poland. Advantages, Challenges and Future Directions as well as Solutions are presented. In sum, the authors conclude that both perspectives are relatively similar and going generally in the same direction.

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 …

The Effects Of Sign On Speech Segmentation In Infants, Alma Rosa Acosta

Open Access Theses & Dissertations

Introduction: The ability to extract words from fluent speech (speech segmentation), perhaps one of the greatest obscure achievements for the purpose of learning language, is dependent upon imperceptible endeavors. Remarkably, infants are active participants from the moment they are born, using auditory and visual information to assist them segmenting speech. As motivated parents attempt to use baby sign to bridge communication gaps, visual information in the form of baby sign may benefit children in extracting words from speech. To examine the effects of baby sign on speech segmentation, a systematic replication of the Hollich et al. (2005) study, a within-subject …

A Combination Of Therapeutic Techniques: Severe Broca's Aphasia, Kimberly Ann Homan

All Graduate Theses, Dissertations, and Other Capstone Projects

The effects of Modified Melodic Intonation Therapy for a fifty-nine year old adult with severe Broca's aphasia were examined. Intervention included inner rehearsal and first sound practice to potentially increase initiation abilities. Pre and post self-assessments were used to evaluate self-awareness. Six target phrases (four three-syllable phrases and two two-syllable phrases) were treated over the course of fifteen weeks with two one-hour sessions per week. Results showed an increase in the participant's ability to produce the target phrase. Inner rehearsal proved to be an initiation strategy that met functional needs of the participant in a timelier manner; on the other …

Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in …

An Interpretative Phenomenological Analysis Of Caregivers' Support For Their Preschool Children's Language And Social Skills Development, Sheri Stein Blum

Walden Dissertations and Doctoral Studies

Some children have difficulty communicating due to a lack of age-appropriate language and social skills. Researchers have explored how music and language share features that shape language processing. The purpose of this interpretive phenomenological analysis was to explore the experiences of caregivers of preschool children who participated in a music-based program and to understand their perspectives related to children's language and social skill development. Learning style and sensory integration processing theories were used as framework to provide foundations of skills in this study. Research questions addressed caregivers' choices related to this program for their children, their experiences of their children's …

Using Visual Scene Displays As Communication Support Options For People With Chronic, Severe Aphasia: A Summary Of Aac Research And Future Research Directions, David R. Beukelman, Karen Hux, Aimee R. Dietz, Miechelle L. Mckelvey, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Research about the effectiveness of communicative supports and advances in photographic technology has prompted changes in the way speech-language pathologists design and implement interventions for people with aphasia. The purpose of this paper is to describe the use of photographic images as a basis for developing communication supports for people with chronic aphasia secondary to sudden-onset events due to cerebrovascular accidents (strokes). Topics include the evolution of AAC-based supports as they relate to people with aphasia, the development and key features of visual scene displays (VSDs), and future directions concerning the incorporation of photographs into communication supports for people with …

Speech-Language Pathologists On Multicultural Counseling Competency, Denise Moore Revel

Walden Dissertations and Doctoral Studies

Despite reports of speech-language pathology graduate-level programs focusing on multicultural competence, the literature suggests speech-language pathologists are not adequately educated and trained to be culturally competent. The purpose of this study was to examine the experiences of public school-based speech-language pathologists' graduate-level academic instruction and the clinical practicum experiences in multicultural competence, specifically in the area of multicultural counseling. Guided by the theory of multicultural counseling and therapy, this study used a phenomenological approach, employing semistructured, in-person interviews with 7 participants. The inclusion criteria used for selecting study participants included: having a master's degree in speech-language pathology, graduation from an …

Monolingual And Bilingual Intervention Outcomes In A Bilingual Child With Autism, Victoria Alexander

Open Access Theses & Dissertations

Background: When treating bilingual children with autism spectrum disorder (ASD), the language of intervention has been a controversial topic among professionals. There is limited research on the treatment of bilingual children with ASD.

Purpose: To extend the limited research on the use of language of intervention in bilingual children with ASD. This study compared a monolingual English treatment and a bilingual English-Spanish treatment, to examine which one was more efficient.

Methods: A single-subject alternating treatment design with a baseline was used to compare the efficacy of two treatment conditions in increasing language skills in a bilingual child with ASD. The …

Processing Of Language Switches In Bilingual Individuals With Aphasia: An Event-Related Potential Comparison, Lizette Rodarte

Open Access Theses & Dissertations

Switching between languages, or code-switching, is a common phenomenon in bilingual individuals. In proficient bilinguals, these switches are done with ease and are used for many purposes. Contrary to popular belief, these switches are rule-governed and follow grammatical structure. Bilingual individuals diagnosed with aphasia present with difficulty processing languages and these language switches. With the increase in bilingual individuals, it is likely that the speech-language pathology community will see an increase of bilingual individuals with aphasia on their caseload. For this reason, the purpose of this study is to increase our understanding of the neural processes involved in processing of …

The Impact Of Accented English On Speech Comprehension, Benigno Valles

Open Access Theses & Dissertations

ABSTRACT

In the context of shifting demographics in the United States and with an increasing multicultural workforce, the verbal exchange of information is vital especially between health care providers and patients. Although English is the official language in the United States, many individuals from different national origins speak English with some degree of accent. Before we can address health care provider/patient communication, it is necessary to investigate the potential impact of accented English on speech comprehension and its implications on basic communicative interactions. The verbal exchange of information between health care providers and patients is important in diagnostics, treatment, patient …

The Effects Of Baby Sign Training On Child Development, Bethany Iris Urquidi

Open Access Theses & Dissertations

Introduction: Baby sign has gained the attention of many researchers and parents. Relatively little is known about the use of baby sign and the impact it has on the development of children. As the use of baby sign increases in popularity, research studies have had limited and inconsistent results regarding its influence. Purpose: The purpose of this study is to measure the effects of baby sign training on the overall development of normally hearing children while improving on the limitations of current studies (between group study). Methods: Participants in the study included 22 children, ages 6 months to 2 years; …

A Comparative Assessment Of Electrophysiological And Behavioral Performance In Individuals With Aphasia Responding To Spoken And Written Sentence Length Commands, Sha-Renae Alexander

Open Access Theses & Dissertations

The aim of this study is to investigate whether deficits in processing affect auditory and reading comprehension in the same manner. This study compared the behavioral and electrophysiologic performance of four individuals with aphasia and four participants with no brain damage responding to spoken and written sentence length commands using a modified version of the Revised Token Test (McNeil & Prescott, 1978). Electrophysiological responses were recorded from the scalp using event related potentials (ERP). The latency and amplitude of the N400 ERP component were measured and analyzed. Behavioral reaction times and correct responses were collected and examined. Performance differences between …

The Contribution Of Mild Traumatic Brain Injury/Concussion To The Development Of Post-Traumatic Stress Disorder Symptoms, Kylie Lauren Marshall

Open Access Theses & Dissertations

A controversial issue is whether TBI is a necessary precursor to the development of PTSD symptoms, or if the two variables are mutually exclusive. Recent rodent-models reveal that a stressful environment cannot cause PTSD symptoms directly without TBI, yet it is unknown if PTSD symptoms can develop following a TBI. This study provides a potential analogue to study this relationship by evaluating the effects of sports-related concussion. Purpose: This study investigated two questions, 1) Is there a significant difference in the frequency of PTSD symptoms reported by athletes at baseline (BL) testing and post-concussion (PC) testing over time? 2) Is …

The Effects Of Baby Sign On Child Development, Joanna Scott

Open Access Theses & Dissertations

Introduction: Although the popular media supports the use of baby sign for enhanced developmental outcomes of children, empirical research verifying the actual effects of baby sign on the areas of communicative, cognitive, social, and physical development, is limited. Advocates of baby sign suggest pre-lingual symbolic communication may result in accelerated development whereas critics claim definitive conclusions cannot be drawn because of flawed methodology in the research. Purpose: The purpose of the present study was to explore whether baby sign has an impact on the developmental growth of children. Methods: Using a between groups research design, assessment data were obtained from …

Predicting Protracted Recovery From Sports-Related Concussion Using Computerized Neurocognitive Test Scores And Symptom Cluster Scores, Amanda Sepulveda

Open Access Theses & Dissertations

Background: A previous study showed that symptom evaluation, in conjunction with computerized neurocognitive testing, improved predictions of protracted recovery in a group of male high school football players. The determination of prognosis following sports-related concussion can be used to facilitate return-to-play and academic decision making in concussion management.

Purpose: The purpose of this study was to replicate and extend previous research in determining the accuracy, sensitivity, specificity, and predictive value of computerized neurocognitive test scores and symptom cluster scores in predicting protracted recovery following sports-related concussion.

Study Design: Systematic replication, Cohort study (prognosis)

Methods: 30 concussed collegiate athletes were followed …

A Comparison Of Maze Frequency And Type Across Language And Speaker: A Look At English And Spanish Narrative Retells, Melissa Silver

Open Access Theses & Dissertations

Background: Mazes, as they are referred to in the language literature, are disfluencies that do not add meaning to an utterance including filled pauses, whole word revisions, part word revisions, part word repetitions and whole word repetitions. Extensive research has been conducted on mazes in monolingual and bilingual children, yet the research has not been extended to adults' narrative retell production.

Aims: The current study analyzes monolingual English, monolingual Spanish, and bilingual English and Spanish narrative retells to compare the percent of maze use and type of maze use amongst groups.

Methods & Procedures: The narrative retells of thirty-nine bilingual …

Does Knowledge Of Concussion Symptoms Influence An Athlete's Self-Report Of History Of Concussion Across Age Groups?, John Pfirman

Open Access Theses & Dissertations

Purpose: The purpose of this study was to determine if an athlete's self-report of a history of concussion would increase if they are provided with information about concussions.

Study Design: This study used a group design pre-test information group and a post-test information group matched for age.

Methods: Prior to cognitive testing, the athletes were divided into an experimental and control group. The experimental group received information about concussions before taking the cognitive test. The control group did not receive concussion information before cognitive testing. Both groups completed a questionnaire following testing that asked: "Based on your experience here today, …

The Impact Of Baby Sign Training On Stress Levels Of Daycare Providers, Grisel Julieta Rodriguez

Open Access Theses & Dissertations

Proponents of baby sign claim improvements in child-caregiver interactions and reductions in parental stress as benefits of implementing baby sign. Due to research contradicting the claims, and to the rise in daycare attendance, the current study investigated the effects of a baby sign workshop on the stress perception of daycare providers. A pre-test post-test between groups design with 20 participants was conducted using the Perceived Stress Scale (PSS10) and a workshop-specific descriptive survey as measures. The difference between the post-test stress levels of experimental and control groups approached significance, as did the differences between pre-test and post-test results for the …

Event Related Potentials In A Two Stimuli Auditory Oddball Task In Concussed College Athletes: A Linguistic Component Replication Study, Christopher Anthony Roosmalen

Open Access Theses & Dissertations

Concussions affect an estimated 1.6 to 3.8 million individuals annually and can result in persistent symptoms and cognitive impairments in attention and memory. Concussions are a rising health concern especially in concussion management. Event Related Potentials (ERP) may more accurately assess cognitive recovery making better return to play decisions. In 2013, Sanchez found no significant difference between concussed athletes and non-concussed individuals in the in amplitude of the P300 ERP component using an auditory oddball task consisting of 2 different consonant, vowel (CV) syllables. Because participants were instructed to maintain a mental and verbal count of the target stimuli, a …

Psychometric Evaluation Of Lexical Diversity Indices: Assessing Length Effects, Gerasimos Fergadiotis, Heather Harris Wright, Samuel B. Green

Speech and Hearing Sciences Faculty Publications and Presentations

Purpose—Several novel techniques have been developed recently to assess the breadth of speaker’s vocabulary exhibited in a language sample. The specific aim of this study was to increase our understanding of the validity of the scores generated by different lexical diversity (LD) estimation techniques. Four techniques were explored: D, Maas, Measure of Textual Lexical Diversity (MTLD), and the Moving Average Type Token Ratio (MATTR).

Method—Four LD indices were estimated for language samples on four discourse tasks (procedures, eventcasts, story retell, and recounts) from 442 neurologically intact adults. The resulting data were analyzed using structural equation modeling.

Results—The scores on the …

The Effect Of Hearing Impairment On Word Processing Of Infant- And Adult-Directed Speech, Velma Sue Robertson

Theses and Dissertations (ETD)

Objective. Little is known about how children with hearing loss (CHL) process words. The Emergent Coalition Model (ECM) of early word learning proposes that multiple cues (e.g., perceptual, social, linguistic) are used to facilitate word learning. Because hearing loss influences speech perception, different word learning patterns may emerge in CHL relative to children with normal hearing (CNH). One perceptual cue used by young children to access word learning is infant-directed-speech (IDS). Specifically, twenty-one month-olds can learn words in IDS but not in adult directed speech (ADS); however, by 27 months children can learn words in ADS. Currently, it is unknown …

Student Training In A University Setting Voice Clinic- How Do We Do It?, Chaya D. Nanjundeswaran (Guntupalli), Celia Bassich, Robin Samlan

ETSU Faculty Works

This presentation will discuss the challenges that clinical supervisors face when trying to balance efficient graduate student training and patient welfare in university voice clinics. We will propose a model in which we seek to balance the needs of the patient, student clinician, and clinical instructor.

Development Of Metalinguistic Awareness: Evidence From Children’S Overt Productions, Laura Kirkby, Mallory Dingess, Jamesa Ewing, Whitney Salvers, Kerry Proctor-Williams

ETSU Faculty Works

This study examined whether metalinguistic frequency increases or utterance type changes with age in children with typical language. Overt metalinguistic productions of 32 children, 3;0-5;7, were collected during recast intervention. Overall, the data showed changes in frequency and proportion of types with age.

Students’ Attitudes And Perceptions Toward Interprofessional Education, Rabia Foreman, Lacey Harris, Kathryn Mcguire, Kerry Proctor-Williams, Katie Baker

ETSU Faculty Works

Three scales were administered to measure attitudes of graduate students in health professions prior to their participation in an interprofessional education (IPE) pilot program. Overall, results indicated that students’ attitudes toward IPE were generally positive, but there is room for improvement. Additionally, medical students’ attitudes differed from the other disciplines.

Neurodevelopmental Outcomes For Infants With Neonatal Abstinence Syndrome: Implications For Speech-Language Pathologists And Audiologists, Kerry Proctor-Williams

ETSU Faculty Works

The causes and neurodevelopmental outcomes of children exposed to drugs and/or alcohol prenatally are presented. The incidence of this population is rising rapidly and appearing in increasing numbers on the caseloads of speech-language pathologists. Topics include prevalence, common drugs, Neonatal Abstinence Syndrome, longer-term neurodevelopmental outcomes, and treatment challenges.

Bilingual Language Assessment: Contemporary Practice Versus Recommended Practice, Graciela Arias

Theses and Dissertations

Due to the increasing number of culturally and linguistically diverse students within American school systems, speech-language pathologists (SLPs) in school settings must be prepared to distinguish between typically developing bilingual students and those with language impairments. The purpose of this study was to identify current practices of school-based SLPs for bilingual language assessment and compare them to both American Speech-Language-Hearing Association (ASHA) best practice guidelines, and mandates of the Individuals with Disabilities Education Act (IDEA). The study was modeled to replicate Caesar and Kohler's (2007) study to include a nationally representative sample. While the survey was opened over 400 times, …