Speech Pathology and Audiology Commons^™

Pathogenesis And Onset Of Tinnitus And Use Of Holistic And Traditional Audiological Approaches For Management, Christy Mahrt, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is the subjective sensation of noise perceived at the peripheral or central level. Occasionally, tinnitus perception may be severe enough to present debilitating effects on daily activities. The occurrence of tinnitus can be related to occupational or non-occupational hazardous noise exposure. Case Presentation: A 60-year-old male presented with bilateral tinnitus with an initial onset at age 21. The progression of his tinnitus has caused disruptions in sleeping patterns and concentration. His history included extensive occupational and non-occupational noise exposure. Discussion: Hearing conservation is an important aspect of facilitating tinnitus management for individuals who have noise-related tinnitus. Hearing aids, …

Explicit Learning Of Auditory Categories In Preschoolers With And Without Developmental Language Disorder, Lauren Casey

University Honors Theses

This study a part of a broader study including Quam et al. (2020) and Yu (2020) with the aim of understanding how children with and without developmental language disorder learn language. With a better understanding of the underlying learning mechanisms affected in DLD, better interventions can be implemented. The current study investigates explicit language learning in preschoolers with and without developmental language disorder (DLD). This was done by observing sound discrimination and explicit sound-meaning mapping. One child with DLD and 29 children with typical language development (TLD) participated in this study. Inclusion in each group was determined by a hearing …

The Examination Of Morpho-Syntactic Production In Bahamian Children Exposed To Bahamian Creole English And English, Danielle Moss

Dissertations, 2020-current

Purpose. Information on the morpho-syntax development of children who speak varieties of Bahamian English, such as Bahamian Creole English (BCE), remains understudied. Therefore, speech-language pathologists (SLPs) assessing the expressive language of children who speak BCE encounter challenges in making clinical judgments of language difference, developmental errors, and language disorder because they are unable to judge the morpho-syntactic features of this creole to the rules of another variety of Bahamian English, standard English (SE¹), as both varieties, BCE and SE, are independently rule-governed. This dissertation study investigated the morpho-syntax of typically developing four and six-year-old Bahamian children who speak …

Exploring Accessibility And Social Inclusion For Deaf And Hard Of Hearing Children In Residential Camps Through The Occupational Therapy Lens, Tiffany Coles, Susan Macdermott, Becki Cohill

Fall 2020 Virtual OTD Capstone Symposium

Children engage in various play, leisure, and social participation activities to enhance the development of life skills, independence, and social skills. Residential camps provide an opportunity to engage in leisure activities while learning to become independent and self-confident while socializing and making new friends. However, having a disability such as deafness and hearing loss may impact the camper’s experience.

This digital guidebook offers videos, pop-in information, and links to valuable resources for working with and understanding the Deaf and Hard of Hearing culture. The guidebook incorporates inclusionary strategies to help the campers and the staff develop inclusive mindsets and social …

Effect Of Sound Source Location And Spatial Hearing On The Vestibulo-Ocular Reflex (Vor), Mary Easterday

Theses and Dissertations (ETD)

Accurate measurement of the vestibulo-ocular reflex (VOR) is imperative in differential diagnosis of vestibular disorders and balance function. However, the assessment protocol faces a number of limitations, including the need to control for extra- vestibular sensory factors such as hearing. Previous research has shown that the use of an auditory stimulus can have a significant effect on functional measures of balance, and many have contributed effects to be the result of spatial hearing. However, no studies have directly assessed the effect of speaker location on the VOR nor investigated correlations of functional spatial hearing with the VOR. Therefore, the aims …

Effects Of A Telerehabilitation Group On Continuing Language Treatment After Participation In An Intensive Comprehensive Aphasia Program (Icap), Alexis Missel

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Aphasia is an acquired neurogenic language disorder encompassing oral and/or written language expression and comprehension affecting an estimated two- to two to four million people in the United States, (Simmons-Mackie, 2018; National Aphasia Association, 2016). The primary aim of the current study was to investigate an option for targeted intervention as a follow-up to an Intensive Comprehensive Aphasia Program (ICAP). There is little research assessing maintenance of communication profile gains following conclusion of the ICAPs, and there are few options that exist as tailored ICAP follow-up programs or continued intervention guided by the ICAP principle features. To address this, a …

Diagnosing And Managing Post-Stroke Aphasia, Shannon M. Sheppard, Rajani Sebastian

Communication Sciences and Disorders Faculty Articles and Research

Introduction: Aphasia is a debilitating language disorder and even mild forms of aphasia can negatively affect functional outcomes, mood, quality of life, social participation, and the ability to return to work. Language deficits after post-stroke aphasia are heterogeneous.

Areas covered: The first part of this manuscript reviews the traditional syndrome-based classification approach as well as recent advances in aphasia classification that incorporate automatic speech recognition for aphasia classification. The second part of this manuscript reviews the behavioral approaches to aphasia treatment and recent advances such as noninvasive brain stimulation techniques and pharmacotherapy options to augment the effectiveness of …

Inclusion For Speech-Language Pathology Minority Graduate Students, Teresa Michelle Roberts

Dissertations and Theses

Speech-language pathologists provide assessment and intervention for communication, cognition, and swallowing disorders for individuals across the lifespan in educational, medical, and private practice settings. The demographics of professionals in the field do not reflect those of the general public in regard to race and ethnicity, gender, socioeconomic status, LGBTQ+, and disability. Lack of representation of minorities limits research, policy, and services designed to serve diverse populations. Although initiatives have sought to address lack of diversity of speech-language pathologists, limited research on the graduate training experience for minority students is available. Since a master's degree is required to become a speech-language …

Hearing Aid Acclimatization In The Context Of Central Gain Mechanisms, Peter J. Hutchison

USF Tampa Graduate Theses and Dissertations

The primary goals of this dissertation were to 1) identify markers of central gain in the auditory system following short-term acoustic attenuation via earplugging and acoustic enhancement via sound generators, and 2) determine if acoustic enhancement is effective in modulating central gain in older adults with age-related hearing loss, and if so, to what extent. Additionally, a further goal of this dissertation was to explore the possibility that central gain is related hearing aid acclimatization. The results described in Chapter 2 are further evidence that altering acoustic input to the peripheral auditory system modulates central auditory plasticity and is evident …

Audiovisual Integration During Novel Word Learning Among School-Aged Children With Cochlear Implants, Kristen Elizabeth Thompson Thornton

Theses and Dissertations (ETD)

Objective. It is well established that being able to see someone’s mouth move as they speak boosts speech perception for children with cochlear implants (CIs). Thus, children with CIs are often instructed to orient themselves toward the person they are listening to, to gain access to visual speech cues. Children with CIs who are better “audiovisual integrators,” or those who experience an auditory-visual (AV) enhancement effect (higher performance for AV information than auditory-alone (AO) or visual-alone (VO)), are more likely to have better speech and language outcomes after receiving their CI than children with poorer AV integration skills. While AV …

Pathway To Amplification In Children Who Passed Their Universal Newborn Hearing Screening Bilaterally, Derek J. Stiles, Kathryn Broughton, Jane Rose, Emily Trittschuh

Journal of Early Hearing Detection and Intervention

Purpose: The aim of this study was to investigate the pathway to amplification technologies for children who passed their universal newborn hearing screening (UNHS) bilaterally with the intent of revealing effective strategies to identify children with acquired or progressive hearing losses. Additionally, the degrees, types, and causes of hearing loss, as well as the types of amplification used by the patients were investigated. Methodology: Medical records were reviewed for 102 children who passed their UNHS bilaterally and who are enrolled in the Boston Children’s Hospital Amplification or Cochlear Implant Programs. Of the 204 total ears, 177 ears were identified with …

Timeliness Of Ehdi Benchmarks In Infants With A Nicu Admission Greater Than Five Days: Analysis From A Retrospective Cohort, Caitlin Sapp, Tammy O'Hollearn, Elizabeth Ann Walker

Journal of Early Hearing Detection and Intervention

The purpose of this study was to examine the timeline of early hearing healthcare in infants with a history of lengthy (> 5 days) admission to a neonatal intensive care unit (NICU) compared to non-NICU peers. We compiled four years of state Early Hearing Detection and Intervention (EHDI) records from 156,335 infants using a statewide administrative database. We compared age at the time of newborn hearing screening, diagnostic audiological evaluation, and entry into early intervention in NICU infants and non-NICU infants. We also compared the proportion of NICU and non-NICU infants meeting prescriptive EHDI timing benchmarks based on the Joint …

Parent Perceptions Of Person-Centered Care: A Randomized Controlled Trial Of The Childhood Hearing Loss Question Prompt List For Parents, Karen F. Munoz, Shannon Edelman, Clarissa W. Ong, Holle Aungst, Kali Markle, Michael P. Twohig

Journal of Early Hearing Detection and Intervention

Objective: When children are identified with hearing loss, parents are often unsure about what they need to know. A Childhood Hearing Loss Question Prompt List for Parents (CHLQPL) was recently developed to help parents and providers address questions. This exploratory study investigated if parents who used the CHLQPL in their audiology appointment perceived their appointment as more person-centered than parents who received treatment as usual. Parent perceptions regarding use of the CHLQPL during the audiology appointment was also sought.

Design: Randomized control trial.

Study sample: Parents of children with permanent hearing loss (N=50).

Results: There were no statistically significant differences …

Verbal Response Inhibition And Stuttering In Adults, Shanley Belle Treleaven

LSU Doctoral Dissertations

Many adults who stutter (AWS) attempt to modify or suppress their stuttered speech daily. The ability to effectively suppress motoric behavior after initiation relies on executive functions such as inhibition – specifically verbal inhibition – a challenging task regardless of clinical status. Minimal published data are available about verbal inhibition in non-stuttering adults, and no data are available for AWS. Researchers have reported slower inhibition for AWS during manual tasks, but inconsistent relationships have been found between manual and verbal inhibition. It is often presumed that inhibition differences in AWS, if detected, would be associated with greater difficulties suppressing the …

Comparison Of High-Tech Augmentative And Alternative Communication Interfaces: Do Age And Technology Experience Matter?, Surani Gopika Nakkawita

LSU Doctoral Dissertations

Previous research has demonstrated that individuals with stroke-induced aphasia can use augmentative and alternative communication (AAC) when they cannot meet their communication needs using spoken language (Dietz, Weissling, Griffith, McKelvey, & Macke, 2014; Purdy & Van Dyke, 2011). Of the various interfaces found in the different AAC systems, the grid display and the visual scene display (VSD) have been used by individuals with aphasia (Hough & Johnson, 2009; Dietz et al., 2018). However, there is a scarcity of research examining the comparative usefulness of these interfaces.

This prospective study attempted to understand how neurologically healthy individuals of different ages and …

Assessing Outcomes Of Simulation In Communication Sciences And Disorders, Erin S. Clinard

Teaching and Learning in Communication Sciences & Disorders

Assessment is an ongoing process that is necessary at every stage of designing, implementing, and evaluating simulation-based learning experiences (SBLEs). Designing and aligning a high-quality assessment process provides instructors and researchers with valuable data to understand if students have met the desired simulation learning objectives, where students are in their learning, and opportunities to enhance the SBLE. This reflection discusses the importance of assessing student learning outcomes as well as the effectiveness of all simulation-based learning experiences (SBLEs) in communication sciences and disorders (CSD). While the benefits and effectiveness of simulation have been demonstrated in other health professions, simulation research …

Developing An Acute Care Simulation Lab And Practicum, Erin Clark, Lori Lombard

Teaching and Learning in Communication Sciences & Disorders

The benefits of simulation-based education have been well-documented in health-related disciplines and are emerging in speech-language pathology. Several clinical training paradigms for acute care speech-language pathology skills have been successful when implemented in high fidelity, nursing simulation labs with price tags that are cost prohibitive for most speech-language pathology programs. Through funding support from a grant and a four-phased simulation development program, the authors developed an acute care simulation lab dedicated to speech-language pathology students for under $9,000 and simultaneously piloted a one-credit, acute care, adult- and geriatric-focused clinical practicum course. The clinical practicum was structured to scaffold student learning …

Comparing In Vivo Versus Simulation Training For Transnasal Endoscopy Skills, Laura L. Wolford, George W. Wolford

Teaching and Learning in Communication Sciences & Disorders

Fiberoptic endoscopic evaluations of swallowing (FEES) is as important of a swallowing evaluation as the videoflouroscopic swallow study, but far fewer speech-language pathologists are competent in its use (Ambika, Datta, Manjula, Warawantkar, & Thomas, 2019; Brady & Donzelli, 2013; Pisegna & Langmore, 2016). One hurdle in FEES training is the necessity of practicing transnasal endoscopy on volunteers. The primary aim of this study was to compare the learning effectiveness of practicing transnasal endoscopy via simulation with practice in vivo for a student’s first passes of the endoscope. The end goal of this study was to determine the most cost-effective and …

Infants’ Discrimination Of Consonant Contrasts In The Presence And Absence Of Talker Variability, Carolyn Quam, Lauren Clough, Sara Knight, Louann Gerken

Speech and Hearing Sciences Faculty Publications and Presentations

To learn speech‐sound categories, infants must identify the acoustic dimensions that differentiate categories and selectively attend to them as opposed to irrelevant dimensions. Variability on irrelevant acoustic dimensions can aid formation of robust categories in infants through adults in tasks such as word learning (e.g., Rost and McMurray, 2009) or speech‐sound learning (e.g., Lively et al., 1993). At the same time, variability sometimes overwhelms learners, interfering with learning and processing. Two prior studies (Kuhl & Miller, 1982; Jusczyk, Pisoni, & Mullennix, 1992) found that irrelevant variability sometimes impaired early sound discrimination. We asked whether variability would impair or facilitate discrimination …

Empower: An Adaptable Writing Intervention, Carly Dinnes

The Nebraska Educator: A Student-Led Journal

EmPOWER is a six-stage writing intervention designed by speech-language pathologists to improve the expository writings of school-aged children with language learning and executive function disabilities. The intervention uses scaffolded instruction to transform struggling students into independent and self-regulating writers by training the students to use a variety of supports (e.g., graphic organizers, checklists) and strategies (e.g., referring back to the writing prompt) throughout the writing process. Many key features of the EmPOWER approach to writing instruction directly support components described in cognitive models of writing, which indicates that EmPOWER is a theory-guided writing intervention that may benefit a wide range …

The Ongoing Disparity Between Early Intervention Services And Those Who Need Them, Addison Goerl

Honors Program: Senior Projects (Public)

Although early intervention (EI) services have been shown to be highly effective and beneficial for young children, only 12% of those who qualify at 24 months receive services (Feinberg et al., 2011). There is a myriad of barriers that impedes access to EI services for those who need them. These barriers include myths about development and intervention, parent’s concerns being ignored, social inequalities limited access to early intervention, systemic barriers within the professional world, unperceived benefits of intervention, and limited communication flow to parents. However, there are some supports that help more families access EI services including doctors, early interventionists, …

Variables And Mechanisms Affecting Response To Language Treatment In Multilingual People With Aphasia, Mira Goral, Aviva Lerman

Publications and Research

Background: Despite substantial literature exploring language treatment effects in multilingual people with aphasia (PWA), inconsistent results reported across studies make it difficult to draw firm conclusions. Methods: We highlight and illustrate variables that have been implicated in effecting cross-language treatment effects in multilingual PWA. Main contribution: We argue that opposing effects of activation and inhibition across languages, influenced by pertinent variables, such as age of language acquisition, patterns of language use, and treatment-related factors, contribute to the complex picture that has emerged from current studies of treatment in multilingual PWA. We propose a new integrated model—Treatment effects in Aphasia in …

Conversations With Health Care Providers And Parents Before Autism Diagnosis: A Qualitative Study, Norah L. Johnson, Wendy Krueger, Elizabeth Jilek, Kristin Haglund

College of Nursing Faculty Research and Publications

Introduction

The purpose of this study was to explore communication with health care providers from the perceptions of parents before their child's diagnosis of autism spectrum disorder and provide some examples of how communication may contribute to the autism diagnosis.

Method

This study used a qualitative descriptive design with multiple individual structured in-person interviews.

Results

Three themes captured parents’ (n = 8) descriptions of the phases of communication during their children's diagnoses including, (1) anguished questioning, (2) urgently seeking help, and (3) expecting a diagnosis. In addition, three themes characterized the communication style that parents needed, although not always …

Aphasia Friendly Medication Instructions: Effects On Comprehension In Persons With And Without Aphasia, Anna Saylor

Electronic Theses and Dissertations

Accessible health information supports people to understand and manage chronic medical conditions and is frequently presented via text. Comprehension of written health information becomes more difficult for people with language impairments, such as aphasia. Nine people with aphasia (PWA) and nine people without aphasia (PWoA), participated in this study. Each participant reviewed two unmodified medication instructions and two modified medication instructions using aphasia-friendly principles, then answered eight multiple choice questions and provided their preferences. Results showed that PWA demonstrated improved comprehension given modifications, but PWoA’s comprehension did not improve with modifications. Group comparison in the modified condition demonstrated that PWoA …

Measuring Listening Effort Using Physiological, Behavioral And Subjective Methods In Normal Hearing Subjects: Effect Of Signal To Noise Ratio And Presentation Level, Lakshmi Magudilu Srishyla Kumar

Dissertations, 2020-current

The main objective of the study is to compare the effectiveness of pupillometry, working memory and subjective rating scale —the physiological, behavioral, and subjective measures of listening effort— at different signal to noise ratios (SNR) and presentation levels: when administered together. Eleven young normal hearing individuals with mean age of 21.7 years (SD=1.9 years) participated in the study. The HINT sentences were used for speech perception in noise task. The listening effort was quantified using peak pupil dilation, working memory, working memory difference, subjective rating of listening and recall effort. The rating of perceived performance, frustration level and …

Feeding And Swallowing Development In Children, Lauren Kaiser, Taeok Park

Graduate Independent Studies - Communication Sciences and Disorders

The feeding and swallowing developments are involved in maturation of anatomy, food textures, and utensils. As children grow, the dependence of feeding moves to self-feeding. Understanding and educating individuals about feeding and swallowing development is critical. The knowledge of feeding and swallowing development can help parents support nutrition and growth in their children by learning timelines and normal feeding and swallowing expectations. This project is to provide clinical resources in order to assist in providing proper care for patients, recognizing signs demonstrating difficulty swallowing, and implementing appropriate self-feeding and consistency development timetables. Caregivers and clinicians will benefit from this information.

The Relationship Between Self-Reported Emotional Intelligence And Emoji Identification Accuracy In College Students, Jessica O'Brian

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

The current study examined the use and interpretation of emojis by neurotypical college students through emotional recognition and social understanding and the implications for their use in supportive communication inside the classroom for individuals with autism spectrum disorder (ASD). Emotional awareness and reciprocity are essential for establishing friendships and developing social skills. At this point, there remains limited research on the implications of emoji use for individuals with ASD and any boundaries that may be associated with emojis in social understanding and emotional awareness. The specific research questions that will be addressed in this study are as follows: (1) Is …

Application Of Self-Efficacy Training In Group Aural Rehabilitation: An Interprofessional Collaborative Model, Stephen D. Roberts, Nancy A. Delich

JADARA

Few studies have explored self-efficacy training with persons with hearing loss (PHLs), yet alone with their communication partners (CPs). The purpose of this mixed-method study was to examine the impact of self-efficacy training as a framework for an Interprofessional Psychosocial Group Aural Rehabilitation (IPGAR) workshop with PHLs and their CPs. Four PHLs and their four CPs consented to participate in the IPGAR workshop that employed interventions including short lectures, psychosocial exercises, communication strategies training, speech perception training, adaptive/stress reduction exercises, and group discussions relevant to mutually established shared goals for each couple. The participants reported improved communication abilities in the …

Factors Influencing Choice Of Communication Sciences And Disorders Major For Students Who Are Culturally And Linguistically Diverse, Joanna Reinders

Dissertations, Theses, and Projects

The purpose of this study was to explore the motivating factors that influenced undergraduate students from culturally and linguistically diverse (CALD) backgrounds in the West North Central division of the United States to major in communication sciences and disorders (CSD). This was a nonexperimental study that was conducted by sending a quantitative survey on Qualtrics to undergraduate CSD students in schools in the West North Central division of the United States as defined by the U.S. Census (Census Regions and Divisions of the United States, n.d). All states had respondents to the survey except Nebraska and among the responses, 16 …

Using Think-Alouds To Uncover Expert-Novice Gaps In Aac Intervention Planning Skills, Allison M. Sauerwein, Jane R. Wegner

Teaching and Learning in Communication Sciences & Disorders

Because few studies have explored preservice speech-language pathologists’ (SLP’s) learning outcomes in augmentative and alternative communication (AAC) coursework and clinical practica, there is a need to investigate student learning in this area. This article represents a portion of a larger study that explored the expert-novice gap in planning for intervention with children who use AAC. The companion article reports clinical reasoning skills, whereas the present study revealed intervention planning skills. The methods are the consistent with those reported in the companion article. In summary, eight novice (i.e. preservice) SLPs and eight expert SLPs completed think-aloud tasks while they developed intervention …