Speech Pathology and Audiology Commons^™

Perceived Stress, Self-Compassion, And Emotional Variance In Parents Of Children With Communication Disorders: A Family Approach To Service Delivery In Speech-Language Pathology, Olivia Marie Arnos

Theses and Dissertations

The amount of children born with developmental disorders in the United States is on the rise, increasing from 12.8% in 1998 to 15.04% in 2008 (Huang, Chang, Chi & Lai, 2013). Children with developmental disabilities often have chronic conditions that require additional support across their lifetime, ranging in deficits of attention, physical abilities, visual impairments, hearing impairments, learning disabilities, and communication disorders. Research has shown as dependency of a child on caretakers increases, there is an increase in parental stress and a decrease in perceived well-being. Hall and Graff (2011) found parents of children with developmental disorders are less likely …

They’Re Not Just Big Kids: A Service Delivery Model For Young Adults With Cleft Lip/Palate, Linda Vallino, Brenda Louw

ETSU Faculty Works

No abstract provided.

Language Variation: What's An Educator To Do?, Maura Jones Moyle

Speech Pathology and Audiology Faculty Research and Publications

No abstract provided.

Structured Study Abroad Enhances Intercultural Competence, Lata A. Krishnan, Christi Masters, Horane Holgate, Cong Wang, Charles A. Calahan

Teaching and Learning in Communication Sciences & Disorders

Participation in a service-learning (SL) study abroad (SA) program has been shown to enhance cultural competence (Krishnan, Richards & Simpson, 2016) as measured via the Public Affairs Scale (PAS; Levesque-Bristol & Cornelius-White, 2012). The purpose of this study was 1) to evaluate students’ development of intercultural competence using the Intercultural Development Inventory (IDI®), a tool specifically designed for this purpose, and 2) to evaluate whether intentionally escalating culturally focused developmental experiential learning together with existing course content would increase cultural competence more than program participation alone. Thirty female and one male student participated over three years of the SL SA …

Speech-Language Pathology Students’ Perceptions Of An Ipe Stroke Workshop: A One-Year Follow Up, Sarah E. Wallace

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education (IPE) activities are increasingly included in speech-language pathology (SLP) curriculum; however, little is known about IPE’s impact on students’ clinical experiences. Additionally, few studies have examined students’ perceptions of IPE Competency Domains across a program of study or within specific IPE activities. For this initial study, qualitative and quantitative analyses of 24 SLP students’ survey responses one year after an IPE Stroke Workshop highlighted the value of IPE. Students emphasized the importance of hands on and real life activities as part of interprofessional learning. Additionally, their responses suggest that multiple IPE Competency Domains may be addressed within a …

Communicative Behaviors Elicited By Leisure Activities In Memory Care Units, Tarynn Clune

Honors Projects

A wide variety of leisure activities used in reminiscence care have been studied for their merits in terms of preventing cognitive decline, and increasing quality of life; however, little is known about what different types have to offer in terms of communicative opportunities. Communication with peers is imperative for quality of life, and is crucial for maintenance of relationships between the person with dementia (PWD) and their loved ones. As a result of this importance, an exploration of communication elicited by different activities facilitated in a unit was conducted. The communication explored in this study was solely vocal, and included …

Island Voices: Experiences Of Living With Cleft Lip And Or Palate., Rachna Gopal, Brenda Louw

ETSU Faculty Works

To date there is a lack of information on how young adults in Mauritius, a representation of the majority contexts, experience living with CLP. The aim of this study is to give a voice to young Mauritian adults with CLP; in describing their treatment journey and satisfaction with cleft care.

Adults With Cleft Lip And Palate And Hearing Loss, Rachna Gopal, Brenda Louw

ETSU Faculty Works

Framework and Research Question:

• The International Classification of Functioning, Disability and Health (ICF) developed by the World Health Organization (WHO 2001) is a framework to address functioning and disability related to a health condition within the context of the individual’s activities and participation in everyday life.
• Therefore, in addition to the audiologic test battery the individual’s perception of hearing status and its impact on communication should be considered.
• The aim of this study is to describe the hearing status of Mauritian adultslivingwith CL/P and their perceptions of the role of hearing in their lives

Current Methods Of Evaluating Speech-Language Outcomes For Preschoolers With Communication Disorders: A Scoping Review Using The Icf-Cy, Barbara Jane Cunningham, Karla N. Washington, Amanda Binns, Katelyn Rolfe, Bernadette Robertson, Peter Rosenbaum

PRECISe Preschool Speech and Language Publications

Purpose: The purpose of this scoping review was to identify current measures used to evaluate speech-language outcomes for preschoolers with communication disorders within the framework of the International Classification of Functioning, Disability and Health – Children and Youth (ICF-CY) (World Health Organization, 2007). Method: The review included five phases outlined by Arksey and O’Malley (2005) and further developed by Levac et al. 2010: (a) articulating the research question, (b) identifying relevant studies, (c) study selection, (d) charting the data, and (e) collating, summarizing and reporting the results. The WHO ICF-CY was used to frame the measures included. Results: A total …

The Effect Of A Single Bout Of Physical Exertion On Expressive Language And Word Finding In Individuals With Multiple Sclerosis, Marissa A. Barrera

Dissertations, Theses, and Capstone Projects

To date, little research has been conducted on the relationship between fatigue and expressive language among Multiple Sclerosis patients (MS). This study was a response to this knowledge gap. A nonrandom, matched- subject, mixed-factor design model was used with a purposive sample of 17 individuals with MS (five had primary-progressive (PP) MS, and 12 had relapsing-remitting (RR) MS). The research design was subjected to pretesting to ensure validity. Participants were assessed on a range of language tasks after undergoing one bout of cardiovascular exercise (NuStep T5 Recumbent Cross Trainer) and asked to provide a subjective fatigue score. The expressive language …

Perceptions Of Nonclinical Competencies As An Organizational Response: Exploring The Influence Of Institutional. Task Environments, Organizational Factors And Interorganizational Relationships On Educators' And Employers' Perceptions Of Nonclinical Competencies In Newly Graduated Speech Pathologists, Paula H. Boaz

Theses and Dissertations

The qualitative comparative case study had as its purpose to explore perceptions of nonclinical competencies as viewed through the lens of organizational theroy, vis-a-vis the perceptions of educators and employers and the environmental pressures placed on them through institutional and task environments, by organizational factors, and through interorganizational relationships. Knowledge and abilitites which are not clinical in nature, yet are essential in professional postitons, are termed nonclinical competencies. The literature on organizational theory and nonclinical competency in speech pathology was reviewed. A conceptual framework was developed from reviews of the related literature and was used as a guide to the …

Combined Aphasia And Apraxia Of Speech Treatment (Caast): Systematic Replications In The Development Of A Novel Treatment, Julie L. Wambaugh, Sandra Wright, Shannon C. Mauszycki, Christina Nessler, Dallin Bailey

Faculty Publications

Purpose: The purpose of this investigation was to examine the effects of a modified version of a newly developed therapy for aphasia and acquired apraxia of speech (AOS), Combined Aphasia and Apraxia of Speech Treatment (CAAST).

Method: Four speakers with chronic AOS and aphasia received CAAST in the context of multiple baseline designs. Dependent variables included language measures (i.e. production of correct information units (CIUs)) and speech production measures (i.e. speech intelligibility and percent correct consonants (PCC) in sentence repetition).

Result: Three of the participants demonstrated improved CIU production with treated picture sets and two also demonstrated generalization to untreated …

Finding The Experts In The Crowd: Validity And Reliability Of Crowdsourced Measures Of Children’S Gradient Speech Contrasts, Daphna Harel, Elaine Hitchcock, Daniel Szeredi, José Ortiz, Tara Mcallister Byun

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Perceptual ratings aggregated across multiple nonexpert listeners can be used to measure covert contrast in child speech. Online crowdsourcing provides access to a large pool of raters, but for practical purposes, researchers may wish to use smaller samples. The ratings obtained from these smaller samples may not maintain the high levels of validity seen in larger samples. This study aims to measure the validity and reliability of crowdsourced continuous ratings of child speech, obtained through Visual Analog Scaling, and to identify ways to improve these measurements. We first assess overall validity and interrater reliability for measurements obtained from a large …

Knowledge And Perception Of Speech-Language Pathologists By Allied Health Personnel In The Acute Care Hospital Setting, Elizabeth E. King

Merge

No abstract provided.

Do You Know If Your Clients Are Having Challenges Coping, Karen F. Muñoz, Hannah Mcleod, Cache Pitt, Elizabeth S. Preston, Tiffany Shelton, Michael P. Twohig

Communicative Disorders and Deaf Education Faculty Publications

Hearing loss is a common condition, yet, many adults who could benefit from amplification do not use their hearing aids, even though it could help them overcome negative consequences such as social withdrawal, loneliness, and depression. Equally concerning, hearing aid use is highly variable for young children, compromising speech and language developmental outcomes.

How clients are coping with emotional challenges may be a contributing factor to hearing aid usage, and such challenges may go undetected by audiologists. Depression and anxiety are common mental health conditions, and can interfere with effective healthcare management and treatment adherence; for example, when parents of …

Do Bilingual Speakers Shift Fundamental Frequency Based On Language Acquisition Or Language Dominance?, Nydia Abigail Mendez

ETD Archive

As Spanish-English bilingual speakers continue becoming a growing part of the population in the United States it is essential to investigate their acoustic measures. The purpose of this study was to investigate a possible shift in fundamental frequency (F0) measures in bilingual speakers, and it sought to determine whether that shift was based on language acquisition or language dominance. Eleven Spanish-English bilinguals were asked to complete the following tasks 1) answer the Language Experience and Proficiency Questionnaire (LEAP-Q) 2) complete 3 Spanish and 3 English category fluency trials by naming words belonging to a category (e.g. animals), each one minute …

Assessment With Children Who Need Augmentative And Alternative Communication (Aac): Clinical Decisions Of Aac Specialists, Shelley Lund, Wendy Quach, Kristy S. E. Weissling, Miechelle L. Mckelvey, Aimee R. Dietz

Department of Special Education and Communication Disorders: Faculty Publications

Purpose

The purpose of this study was to explore how speech-language pathologists (SLPs) who are augmentative and alternative communication (AAC) specialists approach the assessment process for 2 case studies, 1 child with cerebral palsy and 1 with autism spectrum disorder. The aim of the study was to answer the following questions: (a) How do clinicians with expertise approach the AAC assessment process for children with developmental disabilities? (b) Can any initial hypothesis be drawn about how SLPs approach the assessment of children with motor versus social interactive deficits?

Method

This study used a phenomenological qualitative design. The researchers conducted 2 …

Social Communication And Technology, Lesli G. Hughes

Murray State Theses and Dissertations

Research has been well documented as to the effects of screen time on mental health, physical health, cognitive development, and social development. However, little research exists as to the effects of screen time on the nonverbal aspects of communication, specifically eye gaze. In order to inform speech language pathologists when treating children with language and pragmatic disorders, this study examined the eye gaze of participants during physical play. Twenty-six participants from 5 to 8 years of age were recruited from a western Kentucky school. Results of eye gaze durations in participants were compared to screen time amounts in the home. …

The Psychosocial Effects Of Aphasia On The Caregiver, Lauren A. Ferrara

Honors Undergraduate Theses

Studies have investigated the physical and emotional wellbeing of family members and spouses who care for persons with stroke (Bakas, et al. 2006). Literature shows burden of care is high in role reversal and depression is frequent. Variables that affect the caregiver burden with persons with aphasia (PWA) have not been identified prior to this study. Results from caregiver interviews found six themes, some which have not been identified prior, such as feelings of optimism.

The Advancement Of Voice Therapy And The Contribution Of Vocal Function Exercises, Sydney Barnett

Lewis Honors College Capstone Collection

The human voice can transmit multiple streams of information about a person including physical, emotional, and social state. Voice disorders can interfere with social relationships, work productivity, and ultimately, impair an individual’s image. Speech-language pathologists have developed several approaches to voice therapy over the past several decades. Vocal function exercises (VFE) are physiological in nature and aim to restore the balance between the three subsystems of vocal production: respiration, phonation, and resonance. With advancing technology and more sophisticated experiments, researchers have shown positive outcomes with VFE regimens in the normal voice population, superior voice population, and disordered voice population. Data …

The Distribution Of Talker Variability Impacts Infants’ Word Learning, Carolyn Quam, Sara Knight, Louann Gerken

Speech and Hearing Sciences Faculty Publications and Presentations

Infants struggle to apply earlier-demonstrated sound-discrimination abilities to later word learning, attending to non-constrastive acoustic dimensions (e.g., Hay et al., 2015), and not always to contrastive dimensions (e.g., Stager & Werker, 1997). One hint about the nature of infants’ difficulties comes from the observation that input from multiple talkers can improve word learning (Rost & McMurray, 2009). This may be because, when a single talker says both of the to-be-learned words, consistent talker’s-voice characteristics make the acoustics of the two words more overlapping (Apfelbaum & McMurray, 2011). Here, we test that notion. We taught 14-month-old infants two similar-sounding words in …

Speech-Language Pathologists' Perceptions And Use Of Service Delivery Methods And Models In School-Based Practice, Burgandy Deann Henderson

Online Theses and Dissertations

ASHA (1991c) identifies the value of consultation and collaboration across disciplines in the public school setting. Historically, speech-language pathologists (SLPs) have pulled children out of the classroom to provide therapy in individual or small group settings. However, evidence continues to show the merit of consulting and collaborating with other professionals in the school in order to fully integrate classroom curriculum and support service goals (ASHA, 1991c; ASHA, 2010f; Mecrow, Beckwith, & Klee, 2010; Ritzman, Sanger, & Coufal, 2006). The purpose of this study was to explore SLPs' perspectives and use of consultation and collaboration in the public schools. A survey …

Recovery From Diffuse Brain Injuries: Two Case Studies., Alejandro E. Brice, Roanne G. Brice

USF St. Petersburg Campus Faculty Publications

Subarachnoid hemorrhages (SAHs) are grave medical emergencies, whereas 30–50% of all SAHs may ultimately result in death. Subarachnoid hemorrhages share many resemblances with other neurological traumas such as a cerebral vascular accident, meningitis, and/or traumatic brain injury. Autoimmune encephalopathies (AE) occur when human antibodies assault the body’s cell surfaces and/or synaptic proteins. Consequently, widespread nervous system and diffuse brain involvement may occur. With subarachnoid hemorrhages and autoimmune encephalopathies, multiple areas of cognition and language can be impaired. Case studies in communication sciences and disorders are underutilized, yet are important in evidenced‐based practice. Speech-language pathologists in medical settings have worked with …

The Effect Of Road Noise On Sound Pressure Levels And Preferred Listening Levels Using Personal Listening Devices, Hayley Himstedt

Doctoral Dissertations

Using a PLD in an automobile introduces unique threats such as volume levels set at higher levels to reduce the masking effects of road noise that enters the automobile. Passengers enjoying prolonged PLD exposure may be at an increased risk of noise exposure or fluctuating sound pressure levels resulting in hearing loss. Historically, hazardous noise has been primarily associated with industrial/occupational activities; however, harmful noise from recreational activities is also prevalent. The Center for Disease Control (2015) lists turning down PLD volume as one of their top three methods for reducing the possibility of NIHL in children. Excessive listening level …

Caregiver Training Program On Emergent Literacy Development Of Augmentative And Alternative Communication Users, Meghan Bowers

Murray State Theses and Dissertations

Teaching early literacy to typically developing individuals is widely practiced and has a vast amount of research backing its success (Strum et. al., 2006). Current research has shown that both children and adult augmentative and alternative (AAC) users are underachieving in the development of reading and spelling skills, but the underachievement in these areas is not correlated to a lack of cognitive and linguistic abilities (Sandberg, Smith, Larsson, 2010). Like their typically developing peers, AAC users must have the same repeated opportunities to participate in a wide range of literacy tasks to attain literacy skills (Strum et. al., 2006).

Children …

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 …

Gender Differences In Parents' Assessment Of Language Development, Michelle Lacroix

Honors Theses and Capstones

This study aims to determine if there is a statistically significant difference between genders in the reporting of their child’s communication abilities. Possible variances between men and women are important to consider because parent-based questionnaires are often used to help identify children who are in need and eligible for the services of a speech-language pathologist. Literature surrounding parental stereotypes and the impact of the parent in development, as well as stigma in relation to the need for speech therapy services is explored. A survey based off of the Ages and Stages Questionnaire, Third Edition was distributed to parents of children …

Social-Pragmatic Communication In Women With Autism Spectrum Disorder: A Multiple Case Study, Lacey W. Ryder

Honors Theses and Capstones

Autism spectrum disorder (ASD) is identified much later and less often in females than in males. Some researchers suspect that a different set of characteristics of ASD in females may not be consistent with the more established and widely recognized characteristics of ASD, leading to under-identification in women. In the present study, four women and one non-binary feminine-presenting person with ASD were interviewed. The five participants conveyed their experiences with social-pragmatic communication, and their views on gender, ASD, and gender differences in ASD. The results are discussed in relationship to the limited amount of past research on women with ASD.

A Vowel Analysis Of The Northwestern University-Children's Perception Of Speech Evaluation Tool, Kassie Nicole Zukowski

Honors Theses and Capstones

In an analysis of the speech perception evaluation tool, the Northwestern University – Children’s Perception of Speech test, the goal was to determine whether the foil words and the target word were phonemically balanced across each page of test Book A, as it corresponds to the target words presented in Test Form 1 and Test Form 2 independently. Based on vowel sounds alone, variation exists in the vowels that appear on a test page on the majority of pages. The corresponding formant frequencies, at all three resonance levels for both the average adult male speaker and the average adult female …

Characterizing Food Selectivity In Children With Autism, Samantha H. Wohlmacher

Honors Theses and Capstones

Food selectivity or “picky eating” affects a large percentage of children on the autism spectrum and as a result can have negative impacts on a child’s health and nutritional status (Cermak, Curtin, & Bandini, 2010). Few studies compare food selectivity in children on the autism spectrum to children with other developmental issues. Such a comparison may reveal how food selectivity presents itself uniquely in children on the autism spectrum. This study examined data from past health records collected from the Seacoast Childhood Development Center (SCDC). Thirty-eight children whose parents were concerned about their diets were taken from a larger sample …