Speech Pathology and Audiology Commons^™

Spontaneous Vocal Matching In Mothers And Their Hearing Impaired Infants With Cochlear Implants : A Quantitative Analysis., Lydia Doggett

Electronic Theses and Dissertations

Vocal matching, the ability to imitate phonetic properties of speech, was examined in spontaneous interactions of sixteen dyads of mothers and their hearing-impaired (HI) infants with cochlear implants and age-matched normal-hearing (NH) infants. Mother-infant dyads came to three sessions at three, six, and 12 months post-implantation. Vocal matching was defined as an instance of perceptual and acoustic similarity of vowels and consonants between adjacent maternal and infant utterances. Vocal matching occurred in 25% to 50% of infant and in 17% to 64% of mother vocalizations across dyads. Both mothers and infants in the HI group produced fewer matches as compared …

Prevalence Of Communication Disorders In Children With Neonatal Abstinence Syndrome On School Speech-Language Pathology Caseloads: A National Survey, Brittany V. Ratliff

Electronic Theses and Dissertations

There is concern about the recently increasing number of infants born with Neonatal Abstinence Syndrome (NAS), yet little is known about its long-term neurodevelopmental effects. School-based speech-language pathologists (SLPs) are in a unique position to comment on potential long-term consequences of NAS because their caseloads include children with a variety of communication disorders and comorbidities. School-based SLPs across the United States (N = 258) responded to a survey about the presence of children with NAS on their caseloads and their perceptions of the children’s communication disorders and comorbidities. Results revealed that children with NAS currently are being treated by …

Effects Of Symbol Type On Naming And Identification Of Graphic Symbols By Typically Developing Three, Four, Five And Six-Year Olds Children., Pamela Resnick

Electronic Theses and Dissertations

Speech-language pathologists and educators face unique challenges in assessing the language skills of children with complex communication needs due to the wide array of impairments with which these individuals present. For example, most receptive language assessment tools require that children either point to or label line drawings to determine whether or not they comprehend the depicted concepts; task demands such as these preclude administering such assessment tools with children who are unable to physically point to or verbally label presented stimuli. In light of these challenges, the use of eye tracking technologies has become particularly appealing since this alternate response …

Interprofessional Patient Simulation Training Compared To Online Training For Learning To Use In-Line Speaking Valves, Kristi A. Moore

Electronic Theses and Dissertations

Restoring speech in persons who are tracheostomy and ventilator dependent, through the use of a Passy-Muir Speaking Valve (PMSV), requires specific training. Methods of training interprofessional team members to assess in-line PMSVs are unclear. This study used a pretest/ post-test design to compare effects of online training and online training plus simulation training on knowledge acquisition, skills performance, and comfort levels when working with persons who are tracheostomy and ventilator dependent. Twenty-six students studying either respiratory therapy (N=13) or speech-language pathology (N=13) were assigned to the control group or experimental group. Results revealed that online training proved beneficial for increasing …

Comparison Of In Vivo Simulation Training Compared To Video Simulation Training For Identifying Clinical Markers Of Distress When Feeding Preterm Infants, Emily M. Wagner

Electronic Theses and Dissertations

Preterm infants have multiple health complications due to their underdeveloped neurological systems. Bottle-feeding difficulties are one complication that leads to pulmonary illness secondary to aspiration. Preterm infants exhibit clinical markers when experiencing distress during bottle-feeding. Training caregivers to identify clinical markers reduces the risk for aspiration. Simulation training provides a safe learning environment without harming patients. Twenty-two speech-language pathology and pre-requisite students divided into two simulation groups, video-simulation (N=12) and in-vivo simulation (N=10), were trained to document clinical markers of distress exhibited by preterm infants and make clinical judgments about bottle-feeding. Students rated their levels of anxiety during simulation training. …

Productions Of Metalinguistic Awareness By Young Children With Sli And Typical Language, Lucy E. Long

Electronic Theses and Dissertations

This study seeks to: (1) determine if differences exist between children with Specific Language Impairment (SLI) compared to age-matched (AM) and language- matched (LM) children with typical language development (TL) in rates and proportions of five types of metalinguistic productions and (2) test theories of metalinguistic production. Forty-five children, 24 with TL and 21 with SLI, paired for age or language level, formed two groups. Previously collected data from two studies of verb learning (Proctor-Williams & Fey, 2007; Proctor- Williams, unpublished) were analyzed for rates and types of metalinguistic productions. Results yielded no within or between group significant differences in …

Training Clinical Judgment Skills For Interpreting Feeding Behavior In Preterm Infants: A Comparison Of Video And In Vivo Simulation, Jamesa R. Ewing

Electronic Theses and Dissertations

Health and feeding outcomes for preterm infants depend upon healthcare providers’ ability to recognize non-verbal signs of distress during bottle-feeding. Methods of training future providers’ to interpret feeding behavior in preterm infants are unclear. This study used a pre-test/post-test design to compare the effects of in- vivo simulation and video-simulation training on students’ knowledge of feeding abnormalities, clinical judgment, and documentation accuracy. Fifty-two graduate level speech-language pathology students were assigned to the in-vivo (N= 27) or video-simulation (N= 25) group. Results revealed that both methods proved beneficial for increasing knowledge and clinical judgment skills. Participants trained using video-simulation training documented …

Relationship Between A Measure Of Social And Emotional Development And Early Communication Development In Young Children With Cleft Palate, Jenna L. Pugh

Electronic Theses and Dissertations

This study was an examination of responses to a standardized assessment of social-emotional behaviors and correlation with speech and language development in young children with cleft palate and/or lip. Twenty-eight participants aged 14-35 months with nonsyndromic cleft palate and or lip were included in this study. The Infant-Toddler Social and Emotional Assessment (ITSEA) was used to identify emerging social and emotional behaviors. Descriptive analysis of ITSEA results was completed. Pearson correlation coefficient and effect size estimates were calculated between ITSEA domain raw scores and measures of speech and language development. A small proportion of participants (14%) showed ITSEA scores beyond …

Modeling Hrtf For Sound Localization In Normal Listeners And Bilateral Cochlear Implant Users, Douglas A. Miller

Electronic Theses and Dissertations

Mathematical models can be very useful for understanding complicated systems and for testing algorithms through simulation that would be difficult or expensive to implement. This dissertation presents a model that attempts to simulate the sound localization performance of persons using bilateral cochlear implants. The expectation is that this model could prove to be a useful tool in developing new signal processing algorithms for neural encoding strategies.

The head related transfer function (HRTF) is a critical component of this model, and in the ideal case, provides the base characteristics of head shadow, torso and pinna effects. This defines the temporal, intensity …

Role Of Therapeutic Devices In Enhancing Speech Intelligibility And Vocal Intensity In An Individual With Parkinson’S Disease, Swetha Swaminathan

Electronic Theses and Dissertations

The prevailing speech therapy techniques for treating hypokinetic dysarthria in individuals with Parkinson's disease (PD) yields improvements within the clinical setting, however, maintenance and generalization of acquired behaviors continue to be a challenge. The purpose of this study was to investigate the effects of portable therapeutic devices including Ambulatory Phonation Monitor with biofeedback (APM) and auditory masker in maintenance and carryover of improved speech. Our participant was an individual diagnosed with PD for the past 25 years who continued to display speech disturbances despite undergoing several behavioral speech therapy programs and neurosurgical procedures. Speech intelligibility and average intensity measures under …

A Model For Electrical Communication Between Cochlear Implants And The Brain, Douglas A. Miller

Electronic Theses and Dissertations

In the last thirty years, cochlear implants have become an invaluable instrument in the treatment of severe-to-profound hearing impairment. An important aspect of research in the continued development of cochlear implants is the in vivo assessment of signal processing algorithms intended to improve perception of speech and other auditory signals. In trying to determine how closely cochlear implant recipients process sound relative to the processing done by a normal auditory system, various assessment techniques have been applied. The most common technique has been measurement of auditory evoked potentials (AEPs), which involves the recording of neural responses to auditory stimulation. Depending …

Promoting Speech And Vocabulary Development Through Specialized Storybooks In Children With And Without Cleft Palate., Joellyn Ruth Smith

Electronic Theses and Dissertations

This study investigated changes in vocabulary and speech production in response to storybooks embedded with specialized language prompts and speech recasts. Six children received intervention, 3 with cleft palate (CLP), displaying speech-language delays, and 3 with nonclefts, each 12-24 months of age. A multiple baseline design across behaviors was implemented by a clinician. Results indicated all children increased use of target vocabulary and production of stop consonants, while reducing compensatory articulation errors. Generalization of targets to a picture-naming task, a free-play task, and to the home was observed. Effect sizes were moderate-to-high. Children with CLP required more sessions to achieve …

Supervisory Feedback In Speech-Language Pathology: Preferences And Practices., Janet Michelle Gurley

Electronic Theses and Dissertations

Research in the area of clinical supervision has historically been limited, especially in the field of speech-language pathology. Furthermore, those few studies that do exist were primarily published during the decade of the 1980's. Clinical supervision, and specifically its critical component of supervisory feedback, is crucial to all clinical training programs. However, supervision research only mentions the topic of supervisory feedback and neglects the relationship between supervisory feedback preferences and actual supervisory practices. This study was designed to identify and compare supervisor and supervisee preferences and perceptions regarding supervisory feedback, to relate these preferences to a continuum-based model of clinical …