Speech Pathology and Audiology Commons^™

Integrating Perspectives Of People With Aphasia: A Holistic Approach To Community Aphasia Groups Within An Intensive Comprehensive Aphasia Program, Mckinlee A. Mihelish

Graduate Student Theses, Dissertations, & Professional Papers

Introduction: People with aphasia (PWA) experience chronic communication deficits that impact daily life. Community Aphasia Groups (CAGs) are commonly used to address these challenges and have demonstrated psychosocial and communicative benefits; however, they lack standardized structure and are implemented with variability across settings. Additionally, much of the existing research focuses on group-level outcomes rather than participant-driven priorities, limiting clinicians’ ability to tailor interventions. This study examined what PWA want from CAG participation and how these priorities may change over time.

Methods: This quantitative study investigated priority changes among PWA participating in a CAG within a summer 2025 Intensive Comprehensive Aphasia …

Initial Qualitative Inquiry Into Social Proverb Use And Acceptability, Emma K. Hinds

Graduate Student Theses, Dissertations, & Professional Papers

Currently,  1 in 36 individuals are diagnosed with autism spectrum disorder (ASD), which is characterized by social communication differences and restricted and/or repetitive behaviors. Many children with ASD also present with sensory, behavioral, and emotional differences, underscoring the need for specialized, evidence-based interventions. Social proverb is a novel intervention approach developed by Dr. Schoffer Closson that provides in-the-moment guidance by explicitly stating expected social behaviors and the rationale behind them (e.g., “We cover our coughs, so we don’t spread germs”). To date, no research has examined the use of social proverbs as an intervention strategy. The purpose of this qualitative …

Integrating Hippotherapy Into Interprofessional Aphasia Rehabilitation: A Feasibility Pilot Study, Bethany H. Wenger

Graduate Student Theses, Dissertations, & Professional Papers

Background and Significance: Stroke remains a leading cause of disability in the United States, affecting over 2.5 million individuals annually. Stroke-related motor and communication deficits often co-occur, increasing challenges for recovery, increasing social isolation, depression, and dependency. Hippotherapy has emerged as a novel treatment approach for neurorehabilitation; however, its application within interprofessional models for individuals with stroke-related motor and communication impairments remains underexplored. This study examines the feasibility, fidelity, and acceptability of an interprofessional intervention using hippotherapy for adults with chronic post-stroke aphasia, the purpose of which is to generate methodological guidance for future controlled trials.

Methods: A non-randomized, single-group …

Do High School Students Understand Their Miranda Rights? A Preliminary Investigation, Emma K. Hinds

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Background: Numerous studies have established that the linguistic complexity of the Miranda warning often results in poor comprehension, particularly for adolescents. Several studies have shown that persons with language disorders are overrepresented in U.S. prisons. Additionally, a few studies have shown a strong positive correlation between language scores and scores on Miranda assessments. These findings suggest that individuals with language disorders are at risk for poor comprehension of their Miranda rights, placing them at greater risk of waiving those rights, which can lead to incarceration.

Aims: The goal of this preliminary investigation is to examine how well adolescents with typical …

The Impact Of Treatment Dosage On Cognitive-Linguistic Outcomes Of Patients With Aphasia: An Investigation Of Three Service Delivery Models, Adele J. Derendinger

Graduate Student Theses, Dissertations, & Professional Papers

This study addresses the gap in literature by directly comparing the effectiveness of Intensive Comprehensive Aphasia Programs (ICAPs) and modified ICAPs (mICAPs) to usual care service delivery models for people with aphasia. Through a prospective study design, cognitive-linguistic function change scores across different service delivery models were examined. The findings reveal significant within-group improvements in cognitive-linguistic function for participants in ICAPs, with some improvement seen in mICAPs and usual care conditions. Intensive models demonstrated greater improvement compared to non-intensive usual care models, particularly evident in the Western Aphasia Battery – Revised and the Boston Naming Test – Second Edition. …

The Influence Of Intensive Treatment In A Cohort Model On Psychosocial Well-Being Of Patients With Aphasia: An Investigation Of Patients’ Quality Of Life Across Three Service Delivery Models, Helena Riley

Graduate Student Theses, Dissertations, & Professional Papers

Aphasia, a common communication disorder following a stroke, significantly impacts psychosocial wellbeing and quality of life. Despite advancements in rehabilitation frameworks, traditional impairment-based interventions prevail, leaving gaps in addressing holistic needs. This study aims to compare patient-reported outcome measures (PROMs) between intensive comprehensive aphasia programs (ICAP), modified ICAPs (mICAPs) and individual usual care (UC) service delivery models for aphasia intervention. Eighteen participants with aphasia were broadly recruited for this study. Each completed a series of PROMs pre-and post-treatment examining psychosocial wellbeing, communicative participation, and health related quality of life. Results indicate that intensive programs show potential for greater gains in …

Role Of Morphological Awareness In Language And Literacy In Children With And Without Developmental Language Disorder, Melissa Phelan

Graduate Student Theses, Dissertations, & Professional Papers

Past research has shown phonological awareness is highly correlated with language and literacy success in children with and without Developmental Language Disorder (DLD), but a less examined area of language and literacy is morphological awareness. Delayed morphology in children with DLD has been studied extensively in spoken language, but relatively little in written language in the DLD population. This study explored two research questions: 1) Is morphological awareness related to language and literacy success in children with and without DLD, and 2) Is morphological awareness impaired for those children with DLD and dyslexia similarly to that of phonological awareness. A …

Feasibility And Acceptability Of Administering A Functional Cognitive-Communication Assessment To Individuals With Self-Reported Concussion, Mackenzie Ann Brown

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: Individuals who experience ongoing symptoms after sustaining a mTBI may not receive the help they need because the deficits they endorse on self-report measures are not identified on current standardized cognitive assessments. The purpose of the current investigation is to determine how to better document ongoing cognitive-communication deficits and to characterize the nature of how these deficits impact daily life and communicative participation, using a multidimensional assessment protocol.

Method: A multiple case study design was selected to comprehensively document the cognitive-linguistic functioning of multiple individuals with concussion. Five participants completed one session over a telehealth platform that included four …

Parent And Child Characteristics Impacting Identification Of Children With Developmental Language Disorder (Dld), Sarah E. Floyd

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: Previous research has shown that children with developmental language disorder (DLD) and dyslexia are under-identified in the general population. Parent or caregiver concern is a primary referral tool for these conditions, but may fail to accurately align with the actual presence of a disorder. The purpose of this study was to examine child and parent characteristics related to a child’s likelihood of receiving a diagnosis of DLD.

Methods: Within a large, 5-year, longitudinal study, kindergartener performance on a battery of speech, language, and literacy measures was examined to identify children with and without DLD and possible risk of dyslexia. …

Articulation And Phonological Disorders: Resource List, Amy M. Glaspey

Open Educational Resources (OER) at University of Montana

List of open and free resources used in a course on articulation and phonological disorders. This class covers theoretical perspectives on phonological and articulation disorders with an emphasis on application to clinical management including evaluation, assessment techniques, and intervention strategies.

A PDF and an EPUB version are available using the Download links above.

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 …

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 Impact Of Depression On Treatment Outcomes For Patients With Aphasia Who Participate In An Intensive Comprehensive Aphasia Program (Icap), Harley B. Kincheloe

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Abstract

Background: Aphasia is a multi-modal impairment resulting from left-hemisphere stroke. Aphasia is often accompanied by post-stroke depression. Acquiring aphasia and depression is seen to hinder quality of life and rehabilitative outcomes. Traditional stroke therapy often does not monitor or treat psychological difficulties such as depression. Such psychological difficulties hinder progress in recovery and may need to be addressed in therapy to ensure the best possible outcomes.

Aims: In response to the lack of psychological support for persons with aphasia, this literature review aims to explore the impact of depression on functional outcomes. Furthermore, this literature review will explore how …

Patient Perspectives Of An Intensive Comprehensive Aphasia Program For Stroke Survivors, Anya A. Leyhe, Catherine A. Off, Carolyn R. Baylor, Jenna R. Griffin, Kirsten W. Murray

Graduate Student Theses, Dissertations, & Professional Papers

Introduction: Persons with aphasia (PWA) who participate in intensive comprehensive poststroke language rehabilitation programs make a variety of significant investments. While intensive aphasia programs and intensive comprehensive aphasia programs (ICAPs) are becoming increasingly prevalent across health care settings, patient perspectives of ICAPs have not been explored. The purpose of this qualitative study was to examine patient perspectives about the experience of participating in an ICAP at the University of Montana. The primary research question of this study was: “what is it like to be a PWA in an ICAP?” Methods: Researchers used an interpretive phenomenological approach to conduct …

Speech-Language Pathology And Psychology Students' Perceptions Of An Interprofessional Autism Intervention: An Exploratory Case Study, Haley Marie Nelson

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this qualitative case study was to understand how the interprofessional collaboration (IPC) experience of Youth Engagement Through Intervention (YETI) changes perceptions and knowledge regarding scope of practice of pre-service professionals in the Communicative Sciences and Disorders (CSD), School Psychology, and Clinical Psychology programs. Semi-structured interviews were conducted with pre-service professionals participating in YETI as student clinicians at three different time periods. The results contribute to the existing literature base affirming that interprofessional experiences during pre-professional programs are beneficial. For the Departments of Communicative Sciences and Disorders and Department of Psychology at University of Montana, findings have the …

Backward Masking With Simultaneous Early, Middle And Late Evoked Potentials, Silas Smith

Graduate Student Theses, Dissertations, & Professional Papers

Auditory processing disorders (APDs) affect a diverse range of people. These types of disorders impair auditory function, despite the outer, middle and inner ear maintaining proper function and health. APD is not necessarily related to auditory thresholds. When people with APD have difficulty discriminating sounds in connected speech, it may be due in part to an effect called Backward Masking (BM). Masking occurs when one stimulus inhibits another, which can lead to a variety of impairments. The neural locus of APDs is for the most part unknown, including the specific conditions which cause BM. A better understanding of these processes …

Caregiver Perspectives: A Phenomenological Study Of Group Education During An Intensive Comprehensive Aphasia Program, Maggie Colstad

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this study was to explore the benefits of a caregiver education, training, and wellness program to improve caregiver outcomes in the context of aphasia rehabilitation. Eight caregivers participated in one-hour group treatment sessions across four weeks as part of an intensive comprehensive aphasia program. Information about stroke and aphasia was provided in a didactic format, and facilitative communication strategies were discussed and practiced using Kolb’s (1984) experiential learning cycle model. This qualitative study adhered to Moustakas’ phenomenological approach. Participant post-treatment interviews were transcribed and coded for themes relating to their experiences throughout the treatment program. Caregivers described …

A Brief But Intensive Language-Literacy Intervention For An Adolescent, Minako I. May

Graduate Student Theses, Dissertations, & Professional Papers

The current service delivery model most frequently used in a school setting involves short, infrequent sessions over a 180-day school year. To date, there is no research that supports the current service delivery model as being the most effective and efficient model of intervention. As students transition from elementary to middle school, this model is particularly problematic for the adolescent student because of a rotating school schedule, increasing language demands of the academic curriculum, and development of self-perception and academic self-concept. A brief but intensive language-literacy intervention that takes place outside of the school year may be an effective and …

Patient-Reported Variables Associated With The Success Of Behavioral Intervention For Patients With Chronic Cough, Bridget Loomis

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: To determine if patient-related variables exist that can potentially discriminate patients with refractory chronic cough (RCC) that are reasonable candidates for behavioral cough therapy (BCT). This study is a small sub-set of a larger, ongoing study, which aims to create and validate a screening tool that primary care physicians can use in order to refer patients early and appropriately for medical or behavioral intervention.

Methods: In this prospective, exploratory study, 20 adult participants, aged 29-68 years of age, answered a bank of questions developed by an expert panel, and the Leicester Cough Questionnaire (LCQ), before and after BCT. Questions …

Repetition Priming And Anomia: An Investigation Of Stimulus Dosage, Catherine A. Off

Speech, Language, Hearing, and Occupational Sciences Faculty Publications

In a recent review of anomia management, Maher & Raymer reported that 30% of aphasia intervention research from 1946 to 2001 focused on naming; however, "despite this proliferation of case reports and small group studies, there is still no clear agreement on how best to manage these deficits" (Maher & Raymer, 2004, p. 13). The inconsistency of acquisition, maintenance, and generalization effects observed across participants and types of treatment protocols is likely to stem from an inadequate knowledge base about how subject and treatment variables influence learning.

One treatment variable that has received increasing attention over the past two or …

Subcortical Lesions And Language: A Conversational Discourse Analysis, Catherine A. Off

Speech, Language, Hearing, and Occupational Sciences Faculty Publications

The present study investigated the nature of conversational discourse data at the point of breakdown in specific neurologically compromised patients. Data were obtained during the observation and video recording of informal conversational situations (i.e., clinical settings or the patient’s natural environment). Three adult patients who had suffered neurological damage, at the site of the basal ganglia were assessed. Due to the inappropriateness of two of the patients, a case study was conducted on the remaining patient. In lieu of formal assessment via standardized instruments and test batteries, conversational discourse, in natural, non-artificial settings, were descriptively analyzed at the point of …