Speech Pathology and Audiology Commons^™

Connecting With Augmentative And Alternative Communication Users: An Internship Report, Karaline Kerzie

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

This article evaluates and reflects on personal experiences working with children with autism in an early intervention, multidisciplinary setting. Implementation of Applied Behavior Analysis, Speech-Language Pathology, Augmentative and Alternative Communication, and Occupational Therapy techniques created a multifaceted and comprehensive intervention environment in a free-clinic setting.

Supporting An Inclusive Summer Camp For Children With Developmental Disabilities Who Use Aac And Their Neurotypical Peers: A Practice-Based Report, Jessica Hicks

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

For my honors research, I completed an internship in an augmentative and alternative communication (AAC) lab at the University of Arkansas. For most of my internship work, I helped support an inclusive AAC summer camp for children with and without developmental disabilities, such as autism, for whom speech does not fully meet their communication needs. AAC includes high-tech tools such as communication apps on tablets that serve as speech-generating devices (SGDs). SGDs were used by many of the AAC summer camp participants with developmental disabilities. In this report, I will provide background information on AAC and developmental disabilities. I will …

Investigating Speech-Language Pathologists’ Perceptions On Bilingual/Multilingual Aac Intervention And Quality Of Care, Lillian D. Griffith

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

This study examined U.S.-based speech-language pathologists' (SLPs) perceptions of bilingual/multilingual AAC service provision and the barriers SLPs encounter to determine if SLP beliefs align with practices. An anonymous survey was distributed to 307 ASHA-certified SLPs, resulting in 21 completed responses. The survey consisted of questions that gathered information on participant demographics, caseload, perceptions/beliefs, and practices, with optional open-ended questions for additional context. SLPs in the participant sample strongly believed that AAC intervention should occur in all the languages spoken by the client. Despite this belief, they struggled to implement it due to barriers. Key barriers identified included SLP language limitations, …

Exploring The Impact Of Age On Traumatic Brain Injury Cause And Recovery In Arkansas: A Retrospective Review, Abby Jones, Steven Wheeler, Jessica Danley

2026 Honors Symposium

Traumatic brain injuries (TBIs) remain a major public health concern, and increasing evidence goes to show the significance of the effect of age in quality of care, diagnosis, and recovery outcomes. In rural states, such as Arkansas, where research has shown a lack of resources and higher fatality rates among TBI patients, healthcare professionals can become better informed and equipped as a result of research efforts to uncover the effects of age on cause and recovery for inpatient TBI individuals in the early stages (Daugherty et al., 2022). Current research and prior evidence suggests that older individuals are more likely …

Language Sample Analysis In Preschool-Age Children At-Risk For Speech Sound Disorders, Hannah Spear

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

Introduction: Language sample analysis is a highly beneficial tool that speech-language pathologists can utilize to provide a more accurate diagnosis and treatment plan for their client. This method is particularly valuable because it assesses a child’s speech in a naturalistic form, allowing therapists to observe how the child communicates in real-world settings. Speech sound disorders account for the highest number of cases treated by speech-language pathologist in the pediatric population. This thesis aims to investigate two different types of language sample analysis software, CLAN and SALT, as well as their benefits and limitations in diagnosing speech sound disorders. Understanding the …

Over-Imitation Skills In Children With Autism Spectrum Disorder Compared To Typically Developing Peers: An Expanded Literature Review, Josephine M. Stadler

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

Abstract

Background:

Imitation, a foundational social and cognitive development mechanism, enables individuals to acquire cultural norms, communication skills, and problem-solving strategies. Over-imitation— the replication of both relevant and irrelevant actions demonstrated by others—plays a critical role in social learning. While typically developing children often engage in over-imitation to promote social bonding and affiliation, the role and underlying motivations for over-imitation in children with ASD remain less clearly understood.

Purpose:

Through a critical synthesis of professional and scholarly literature, this review aims to evaluate the history and development of research on imitation and over-imitation, assess empirical findings regarding typically developing children …

Assessing Language Skills Of Children Within The Head Start Program Using Language Sampling Analysis, Lynley Bowen

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

Fluency disorders, including stuttering and cluttering, disrupt one’s natural rate of speech and can cause implications for one’s emotional well-being. This study explores the relationship between language factors and stuttered events in preschool-age children by analyzing a spontaneous language sample using two transcription software programs, CLAN and SALT. A language sample was collected from a child enrolled in a local Head Start program and was transcribed and analyzed using the software programs. Results from CLAN’s KIDEVAL and FLUCALC features offered analysis of the child’s language profile, as well as SALT’s standards measure report feature. This study highlights the importance of …

Empowering Through Technology: An Internship Report On Augmentative And Alternative Communication Devices, Olivia G. Macdonald

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

Augmentative and Alternative Communication (AAC) devices play a crucial role in supporting individuals with communication challenges, particularly children with developmental disabilities such as Autism Spectrum Disorder (ASD). This paper provides a comprehensive review of the literature on AAC and offers a detailed report of an internship experience at the University of Arkansas WE CARE Summer Camp. During the internship, firsthand experiences provided valuable insights into how AAC technologies can be applied to enhance communication, foster social connections, and support behavioral regulation.

The literature review explores the different types of AAC systems, including both aided and unaided options, and discusses the …

Over-Imitation In Adolescents With Autism Compared With Typically Developing Peers: An Expanded Literature Review, Elizabeth Floeck

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

Abstract

Background:

Over-imitation, the act of imitating both relevant and irrelevant actions, is a behavior commonly found in human learning and social development. It is often observed in typically developing (TD) children and is believed to play a role in both social and learning development. While the exact motivations behind over-imitation remain a mystery, over-imitation appears to be a socially motivated behavior. Children may over-imitate when they know certain actions are unnecessary, suggesting this behavior stems from social acceptance and norms. In individuals with autism spectrum disorder (ASD), social and communicative behaviors are drastically different from TD individuals. In individuals …

Comparing The Social Skills Of Male And Female Children With Autism Using Facesay, Elijah Williams, Kimberly Frazier, Cynthia A. Watson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

This study examined the pre- and post-test performance on the Social Skills Improvement Scale (SSiS) Student Forms between groups of male and female children (n=6) with autism spectrum disorder (ASD) aged 6–13 years following 10 sessions of 15-minute engagements with the FaceSay computer program. Between the group of males with ASD and the group of females with ASD, there was no significant difference in the compared difference of scores for the Social Skills Scale between the male group (M=6.3333, SD=28.72862) and the female group (M=4.3333, SD=6.80686); t(4)=-0.117, p=0.912 following independent t-test analysis. Also, between these groups, there was no significant …

Foster Children Facing Communication Disorders, Ashlyn Carter

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The foster care system is alarmingly overpopulated, which leads to many foster children experiencing neglect of care in many issues they face, whether medical, speech, or mental conditions; which is unacceptable. These children already face so many trials and difficulties throughout life and deserve to receive care and treatment in these situations the same as any other child. The purpose of this research is to work to make sure children who are dealing with speech and communication disorders are having those issues recognized, being taken to treatment, and being given the opportunity to fix these things, thus helping to avoid …

How Engaged Are Infants And Toddlers While Picture Book Reading?, Zoe Lawless

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Introduction: Literacy is a very important skill that begins to be acquired at birth. Most children start to develop pre-literacy skills by being read to by their parents or other adults around them. Being read aloud to can occur at many different ages and can start as early as infancy. As children grow, they interact and engage with books in different ways. This thesis aims to investigate the read-aloud behaviors of two different groups of young children, to reveal differences in engagement interactions among infants and young toddlers when being read picture books by their teacher.

Methods: The …

The Perceptions Of Psychologists And Speech-Language Pathologists On Intervention Methods For Selective Mutism, Abby Olmstead

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Introduction: This is a study done to evaluate the perceptions of speech-language pathologists, psychologists/licensed professional counselors and their thoughts on selective mutism intervention. These thoughts will be gathered and analyzed to be compared to speech-language pathologists perceptions to see if there are differences. The goal is to be able to see the overall most-shared opinion to better be able to understand the intervention involving selective mutism. Selective Mutism (SM) is a rare disorder as only 1% of the population is diagnosed with it. The purpose is to provide more education on the disorder and help various kinds of professionals better …

Dyslexia Training: The Impact On The Perceptions And Knowledge-Base Of Pre-Professionals Preparing To Work In K-12 Educational Settings, Colby Fowler

Graduate Theses and Dissertations

This research explores the perceptions and understanding of dyslexia among first-year graduate students in speech-language pathology. Employing survey methodology, specifically a pre- and post-survey approach, this research investigates the attitudes and knowledge that the participants have in understanding and addressing dyslexia at the beginning of their graduate training. The study seeks to uncover the existing awareness, potential misconceptions, and the overall preparedness of these emerging professionals in dealing with individuals affected by dyslexia. Through a comprehensive survey analysis, the research aims to contribute valuable insights that can inform the development of targeted educational strategies and interventions within speech-language pathology programs, …

A Mixed Methods Exploration Of Interoceptive Awareness In Adults Who Stutter, Hazel Malcolm

Graduate Theses and Dissertations

Stuttering is commonly described as a disorder of speech fluency characterized by primary speech behaviors that are judged by external observers to be typical of stuttering, including part-word repetitions, prolongations, and blocks (i.e., silent prolongations or postural fixations). Despite wide use in the field of speech-pathology, definitions focusing on these ‘primary’ behaviors have also been criticized as ‘surface’ or ‘perceptual’ definitions that favor the experience of a listener over that of the speaker. Recent qualitative evidence suggests that, when asked, adults who stutter (AWS) instead define stuttering as an internal feeling or awareness of being ‘stuck’ that is surrounded by …

Using Aac To Build Young Beginning Communicators’ Inclusion In Song Routines, Sydney Miller

Graduate Theses and Dissertations

The present study examined the effectiveness of augmentative and alternative communication (AAC) on preschool-aged beginning communicators’ ability to participate linguistically during song social routines. The AAC used during the intervention phase were visual scene displays (VSDs). VSDs are color-realistic photos, often depicting real people, that are context-rich for the user. VSDs are less demanding and offer the user a way to communicate their thoughts, feelings, or emotions in a more contextualized way. The present study used a multiple-baseline across participants approach. The primary dependent measure was the linguistic participation of each participant using the VSD. The results indicated that each …

Examination Of Spelling Skills Of Elementary Students Who Are Deaf And Hard Of Hearing, Lacey Simpson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Spelling is a crucial skill that children must learn to read, write, and communicate effectively, but this comes with challenges for students with hearing loss. Linguistic processes, such as phonological awareness, morphological awareness, orthographic awareness, semantic awareness, and mental graphemic representations are building blocks to understanding how to spell words accurately but are more difficult to grasp and apply with hearing loss. The purpose of this study was to evaluate the spelling skills of deaf and hard of hearing (d/hh) students to identify which linguistic processes need to be corrected and strengthened. By identifying which linguistic processes need remediation, educators …

Speech-Language Pathologists' Academic Preparation For Transition Services, Kathleen Bridgforth

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

When individuals with disabilities reach their senior year of high school, they undergo a transition period. Speech-language pathologists are often tasked with working on an interdisciplinary team to assist individuals undergoing transition. While research has been done on how professionals as a group can help with transition, there has been little to no research done on how SLPs can be better prepared to assist during this process. The purpose of this study is to evaluate the preparedness of SLPs in high schools to assist individuals undergoing the transition period. The requirements for the participants include being a practicing or past …

Assessment And Treatment Of Childhood Apraxia Of Speech: The Perspective Of Current Speech-Language Pathologists, Sabrina White

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

“Childhood apraxia of speech (CAS) is a neurological childhood (pediatric) speech sound disorder in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g. abnormal reflexes, abnormal tone)” (ASHA, 2007b, Definitions of CAS section, para. 1). The role of speech-language pathology in conjunction with childhood apraxia of speech is the treatment of whichever speech sound disorders exist. The variable nature of CAS creates challenges for SLPs. Presently, “there are no validated diagnostic features that differentiate CAS from other childhood speech sound disorders.” (ASHA, 2007b, Signs and Symptoms, para 1). Due to this …

An Examination Of The Spelling Patterns Of Deaf And Hard Of Hearing Elementary School Students, Emma Villanueva

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Learning how to spell and applying knowledge from the five domains of language to spelling (phonology, morphology, syntax, semantics, pragmatics) is an essential component of academic success. In order to excel in school, all students need to learn how to spell. Students who are D/deaf and hard of hearing (d/hh) often struggle with spelling due to most methods of spelling education involving connecting spoken/heard sounds to letters, syllables, and words. There is limited research available regarding the methods deaf and hard-of-hearing students use to spell as well as error patterns typically made by this population.

The purpose of this research …

The Presence Of The Halo Effect In Individuals Diagnosed With Autism Spectrum Disorder And Neurotypical Individuals, Margo Mainord

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Individuals with Autism Spectrum Disorder (ASD) have difficulty perceiving subtle social cues such as tone of voice, facial expressions, body language, and physical boundaries. These difficulties are well-established in the literature and lead to the social communication challenges characteristic of the disorder. Although the detection of subtle social cues is critical to all human interaction, there are other processes at play as humans relate and interact on a day-to-day basis. One such principle that has been firmly established but seldom considered is a cognitive bias known as the Halo Effect (HE), which is the tendency to assign numerous traits to …

Examination Of The Colorful Semantic Approach Via Telepractice For Children Who Are Deaf Or Hard Of Hearing, Samadhi Pusuba Devayalage

Graduate Theses and Dissertations

Introduction: Hearing loss, deafness or hard of hearing are considered to be the inabilityof perceiving sounds beyond 20 dB. Due to a direct impact of a hearing loss, a developing brain undergoes difficulties in acquiring age-appropriate syntax and speech sounds. As a result, children with hearing loss present language, speech, and literacy disabilities. The current study discusses the efficacy of the colorful semantics approach in order to see its impact on sentence structure development. Methodology: A single subject withdrawal experimental study conducted following ABAB model. Two participants (6 years and 10 years) were recruited to the study following an inclusion …

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. …

Loss And Attainment Of Identity For Individuals Experiencing Early Onset Dementia, Benjamin Wright

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Qualitative research over the last decade suggests that connection with others and continued engagement in everyday life contribute to quality of life for those with EOD. This study aimed to map how personal and socially attributed identity shifted as everyday life changed over the dementia continuum. The goal was to determine if common narrative and life story themes marked key indicators of perceptions about and maintenance of self, others, and everyday life roles. The materials of the study were eleven open-source video, audio, and written documents submitted by individuals experiencing EOD and their family members for public use. The selected …

How Music Shapes Our Identities And Why It Matters: Case Studies Of Professional Musicians, Annabelle C. Linker

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Brain research has demonstrated that music uniquely contributes to neural functioning, but little is known about how losing the ability to produce music, which may be inherent to personal identity for professional singers, impacts quality of life. This study explored identity and music in the lives of five well-known vocal music professionals selected because they have publicly talked about the role of music in their lives via books, televised interviews, and documentaries. The careers of three of the individuals were disrupted by neurogenic disease; one lost the ability to sing after treatment for vocal nodules; and the fifth individual remains …

Language Abilities Of Children Who Qualify For Both Speech And Language Therapy And Play Therapy, Rylee Atkins

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Play is an essential role in the development of children’s language and social-emotional well-being. Intervention methods with the use of play are used by both registered play therapist and speech-language pathologists. This study aims to explore if students who have met the eligibility requirements for speech-language therapy services are also eligible for child-centered play therapy services, as well as examine if students who qualify for both services have common characteristics. Findings demonstrated that students who qualified for CCPT and had individualized education plans (IEPs) for speech-language services had significantly lower poor peer social skills, as determined by teacher’s rating scores, …

A Qualitative Case Study: Exploring The Application Of Physiological Measures In Prelinguistic Aac Intervention, Chloe Putnam

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Background: The goal of completing this research was to explore the potential promise of the novel approach of applying physiological measures to AAC intervention for individuals with intellectual and developmental disabilities (IDD) who are prelinguistic communicators. Purpose: The purpose of this project was to investigate the primary forms of prelinguistic communication and aided AAC used by a family with an individual with IDD and how taking physiological measurements might improve AAC intervention. Methodology: One family with an individual diagnosed with profound intellectual and multiple disabilities (PIMD) who primarily utilized prelinguistic communication and frequently uses aided, linguistic augmentative and alternative communication …

Noise Exposure And Hearing Protection In Marching Band Students, Emily Myers

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this research project was to investigate collegiate marching band members’ use of hearing protection during rehearsals and performances. A second purpose was to identify the concerns of marching band members about the use of hearing protection. Finally, the third purpose was to determine if the type of protection used, standard or custom, impacted wearing time. Hearing threshold sensitivity, tympanometry, and use of hearing protection were measured prior to the fitting of the custom earmolds and again at the end of the marching season.

Pre-season results indicated that the majority of band members reported they did not wear …

Bimodal And Bilingual: Language Characteristics Of Asl And English Users, Caitlin Bumpass

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Bimodal bilingualism is the use of both an oral and a sign language, which in the United States often includes the ability to perceive and produce both American Sign Language (ASL) and spoken English (Emmory, Borinstein, Thompson, & Gollan, 2008). The primary focus of this research is to examine the operational definition of bilingualism, specifically when English and ASL are the two languages used, within the scholarly journals in the related field of deaf education. There is an abundant amount of research regarding language of children and adults who are deaf or hard of hearing (d/hh); however, it is unclear …

Telepractice In The Communication Treatment Of Individuals With Post-Stroke Aphasia: Systematic Review, Gayanthi Kodituwakku-Wewalwala

Graduate Theses and Dissertations

Telepractice, a branch of telehealth, which is the delivery of services to distant sites employing telecommunication, has been developing rapidly nowadays. Owing to the nature of the condition and treatment foci in aphasia, telepractice has been identified as a potential mode for intervention to persons with aphasia (PWA) in the field of speech-language pathology. Based on the American Speech-Language Hearing Association (2005), telepractice is considered a means to extend services to a wider context overcoming the barriers of transportation, costs, and limited availability of services. Thus, exploration of treatment accessibility to underserved populations in middle/low-income countries or rural areas via …