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Speech Language Pathology Graduate Handbook - 2020-2021, Department Of Audiology And Speech-Language Pathology, East Tennessee State University

Speech-Language Pathology Handbooks

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Assessment Planning By Speech Language Pathologists: Implicit Bias And Clinical Decision-Making, Melinda Yax

Master's Theses and Doctoral Dissertations

The following thesis is comprised of three research articles focused on the topics of implicit bias, clinical-decision making, and cultural competency in the field of speech-language pathology. The first article is a reflection piece in which I thoughtfully lay out my journey towards cultural humility in addressing my biases through different educational and personal experiences. The second article presents and discusses the results of the qualitative research I conducted on speech-language pathologists looking at the effect of implicit bias on clinical decisions. And finally, the third article discusses the importance of having cultural humility rather than cultural competency, specifically regarding …

The Impact Of Faculty Feedback On Student Perceptions Of Faculty-Student Relationships, Lauren Trejo

Master's Theses and Doctoral Dissertations

This qualitive study examined four communication sciences and disorders (CSD) graduate students’ experiences with feedback from CSD faculty members to understand how it affected their relationships with faculty. Review of the literature revealed the importance and impact of feedback; however, it offered little research examining feedback within the field of CSD. Graduate students who completed their undergraduate degrees in CSD were interviewed to reflect on feedback experiences they received from faculty during their undergraduate and graduate education. The students were presented with two mock papers with differing feedback styles and were asked their reactions to the feedback. It was discovered …

Experiences Of People With Aphasia Communicating With Healthcare Providers, Madelaine Bull

Master's Theses and Doctoral Dissertations

Aphasia is an acquired communication disorder, often resulting from a stroke, that impacts millions of Americans. People with aphasia (PWA) may frequent the hospital for a number of services poststroke and are often accompanied by their primary communication partners (PCP), the person with whom the PWA communicates with the most. This qualitative study explored the experiences of four dyads of PWA and their PCPs’ perspectives on communicating with healthcare providers (HCPs). Findings indicated that there are attributes of HCP interactions which contribute to patient-perceived success, such as collaboration with PCPs, and aphasia knowledge. These attributes were also associated with patient-centered …

Speech-Language Pathologist And Parent Perspectives On Speech-Language Pathology Services For Children With Autism Spectrum Disorders, Brenda L. Beverly, L. Amanda Mathews

Brenda L. Beverly Publications

Many speech-language pathologists (SLPs) are underprepared to serve children with ASD, despite a growing need and increased expectation for ASD expertise. To understand this practice gap, 60 SLPs and 26 parents of children with ASD were surveyed regarding SLP knowledge and competency. Of concern was that only about 50% of SLPs correctly identified ASD defining criteria. Respondents rated eight SLP practices as Important to Very Important, but SLPs reported being only Somewhat Competent to Competent. The parents’ rating of SLP competency was significantly lower than parental ratings of importance for one educational practice, use of non-standardized assessment and observational methods. …

Implementing Evidence-Based Assessment Practices For The Monitoring Of Spoken Language Outcomes In Children Who Are Deaf Or Hard Of Hearing In A Large Community Program, Barbara Jane Cunningham, Janis Oram Cardy, Olivia Daub University Of Western Ontario

PRECISe Preschool Speech and Language Publications

The purpose of this quality improvement pilot was to evaluate the effectiveness of an online learning module for (a) changing speech-language pathologists’ perceptions about outcome monitoring and assessment protocols for children who are deaf or hard of hearing and (b) supporting speech-language pathologists’ understanding of evidence-based protocols to be implemented in their community-based program. Using principles of integrated knowledge translation and the Ottawa Model of Research Use, an online learning module was designed to support the implementation of evidence-based assessment protocols for these children in a large publicly funded program in Ontario, Canada. A pre–post study was then conducted with …

Developing A Spoken Language Outcome Monitoring Procedure For A Canadian Early Hearing Detection And Intervention Program: Process And Recommendations, Janis Oram Cardy, Olivia Daub University Of Western Ontario

PRECISe Preschool Speech and Language Publications

Abstract

Purpose: Routine spoken language outcome monitoring is one component of Early Hearing Detection and Intervention (EHDI) programs for children who are hard of hearing and learning a spoken language. However, there is no peerreviewed research that documents how spoken language outcome monitoring may be achieved, or what processes EHDI programs can use to develop these procedures. The present article describes the process used by a Canadian EHDI program and the final recommendations that were developed from this process.

Methodology: Through consultation with the program’s stakeholders, consideration of the Joint Committee on Infant Hearing’s recommendations, and drawing on our own …

Exploring Speech And Language Intervention For Preschoolers Who Are Deaf And Hard Of Hearing: A Scoping Review, Janis Oram Cardy, Hillary Ganek

PRECISe Preschool Speech and Language Publications

Purpose: The objective of this study was to summarize the extant literature on the effectiveness of speech and spoken language interventions for young children who are deaf or hard of hearing (DHH) to determine which types of speechlanguage interventions might be most effective, for which hearing levels and types of hearing losses, and at which dosage.

Methods: Using a scoping review methodology, a database search identified 10,360 studies of which 16 met the requirements for inclusion. Data was extracted from each for analysis.

Results: Due to the limited number of studies available, high variability in the nature of the studies, …

Assessing Communicative Participation In Preschool Children With The Focus On The Outcomes Of Communication Under Six: A Scoping Review, Barbara Jane Cunningham, Nancy Thomas-Stonell, Peter Rosenbaum

PRECISe Preschool Speech and Language Publications

Aim: To describe uses of the Focus on the Outcomes of Communication Under Six (FOCUS) in research since its publication in 2010. Method: Six databases were searched for the term ‘Focus on the Outcomes of Communication Under Six’. With additional searches we ascertained 70 articles, of which 25 met inclusion criteria for full review and data extraction. Results: The FOCUS has been used in research across multiple countries, purposes, populations, contexts, and versions. Evaluative studies have described the development of children’s communicative participation skills and factors that impact development of communicative participation; the impact of specific interventions …

Lifting The Heavy Vocal Load: Slps And Their Vocal Habits, Sydney Sedlock

Murray State Theses and Dissertations

Novice speech-language pathologists (SLPs) are a vulnerable population that is at-risk for dysphonia. Previous literature has highlighted the high vocal-demand occupations of teaching and entertaining but there is minimal research to understand the prevalence of dysphonia in SLPs. The purpose of this investigation was to determine the prevalence of vocal fatigue and vocal loading in novice SLPs in western Kentucky to increase awareness of the vulnerability for dysphonia in this population. This investigation was descriptive in nature using a survey format and was sent to SLPs in the western Kentucky region. A total of 21 SLPs responded to the survey. …

Cognitive Abilities In Hearing Loss: Perceived And Performance Abilities Of Adults Related To Attention, Memory, And Social Cognition, Karah Gottschalk

Theses and Dissertations--Gerontology

Hearing loss is the most common sensory deficit noted in aging adults. It is commonly known to reduce an individual’s ability to detect, identify, and localize sounds and speech and to cause issues in communication. However, there are other less commonly discussed impacts that hearing loss has beyond the auditory system. Literature suggests a correlation between hearing loss and cognition in aging adults. Similar to hearing loss, the domains of cognition experience performance and functional changes across the life span. In an aging adult, changes related to cognition are also suggested to be associated with hearing loss. This study aimed …

Strengthening The Semantic Verb Network In Multilingual People With Aphasia: Within- And Cross-Language Treatment Effects, Aviva Lerman, Mira Goral, Lisa Edmonds, Loraine K. Obler

Publications and Research

In multilingual people, semantic knowledge is predominantly shared across languages.
Providing semantic-focused treatment to people with aphasia has been posited to strengthen
connectivity within association cortices that subserve semantic knowledge. In multilingual people, such treatment should result in within- and cross-language generalisation to all languages, although not equally. We investigated treatment effects in two multilingual participants with aphasia who received verb-based semantic treatment in two pre-stroke highly
proficient languages. We compared within- and cross-language generalisation patterns across languages, finding within- and cross-language generalisation after treatment in the less-impaired, pre-morbidly more-proficient first-acquired language (L1). This observation supports the theory that connectivity …

Aphasia In Multilingual Patients, Mira Goral, Zahra Hejazi

Publications and Research

Purpose of Review

We summarize recent published work concerning assessment and treatment of aphasia in bilingual and multilingual people and review current related models of treatment outcomes. As well, we discuss studies that address the recently debated topic of cognitive processes in bilingual individuals with aphasia, with a focus on the effects of bilingualism on aphasia recovery and its potential protective effects.

Recent Findings

Providing assessment and treatment tools that best serve multilingual individuals with aphasia and unpacking the variables and mechanisms that underlie response to treatment have emerged as goals of several recent studies. Additionally, while findings are still …

A Study Of Factors That Influence Symbol Selection On Augmentative And Alternative Communication Devices For Individuals With Autism Spectrum Disorder, William Todd Dauterman

CCAC Theses and Dissertations

According to the American Academy of Pediatrics (AAP), 1 in 59 children are diagnosed with Autism Spectrum Disorder (ASD) each year. Given the complexity of ASD and how it is manifested in individuals, the execution of proper interventions is difficult. One major area of concern is how individuals with ASD who have limited communication skills are taught to communicate using Augmentative and Alternative Communication devices (AAC). AACs are portable electronic devices that facilitate communication by using audibles, signs, gestures, and picture symbols. Traditionally, Speech-Language Pathologists (SLPs) are the primary facilitators of AAC devices and help establish the language individuals with …

Computer-Assisted Challenge Point Intervention For Residual Speech Errors., Tara Mc Allister Byun, Elaine R. Hitchcock, Jose Ortiz

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: This preliminary case series investigated the effects of biofeedback intervention for residual rhotic errors delivered within a modified challenge point framework. In the challenge point framework, practice difficulty is adaptively adjusted with the goal of enhancing generalization learning. This study more specifically evaluated the feasibility of a computer-mediated implementation of challenge point treatment for rhotic errors using a custom open-source software, the Challenge Point Program.

Method: Participants were five native English speakers, ages 7;3–15;5 (years; months), who had established but not generalized correct rhotic production in previous treatment; overall treatment duration was flexible. Treatment incorporated either electropalatographic …

A Critical Review Of Apraxia Of Speech And Childhood Apraxia Of Speech, Madison Joan Smith

Honors Theses and Capstones

The theories and neural bases of Apraxia of Speech (AOS) have long been debated. In 1861, Paul Broca identified two patients with speech/language impairments who became the basis for the theory on aphemia, now known as apraxia. Broca noted of patients with AOS that “there are cases in which the general faculty for language remains unaltered; where the auditory apparatus is intact; where all muscles—including those of speech and articulation—are under voluntary control; and where nevertheless, a cerebral lesion abolishes articulated language” (Broca, 1861/2000). The term “apraxia” was first introduced by Hugo Liepmann in 1908 and was described as “the …

Beyond The Treatment Protocol: Active Ingredients For Precision Voice Rehabilitation, Maria H. Bane

Theses and Dissertations--Rehabilitation Sciences

Despite the growing body of research demonstrating voice therapy efficacy, only 12 of 100 people referred to a speech-language pathologist (SLP) for a voice evaluation will successfully complete therapy. One possible reason for this discrepancy is that clinical laboratory and clinical outcomes studies have focused on if voice therapy works while failing to explain how voice therapy works. While the if question is important, the yes or no response this question generates is of limited utility when those referred for voice therapy fail to complete. Consequently, the how question, which concentrates on the mechanisms and processes underlying effective voice therapy, …

The Effects Of Complex Listening Environments On Semantic Processing In Young And Middle-Aged Adults, Emily Ferguson B.S., Nicholas Stanley Ph.D. Au.D.

AuD Capstone Projects - Communication Sciences and Disorders

The purpose of this research study is to determine how young adults and middle-aged adults process speech in different complex listening environments. Young adult and middle-aged adult volunteers will complete a cognitive screening and audiological evaluation to establish inclusionary status for experimental speech understanding in noise testing. If they meet the requirements of the study and wish to participate further, they will continue with a semantic judgement task, in which they will be asked to listen and respond to words presented in different background noises. Within the task, participants will be asked to identify word pairs into either a "match" …

The Readability Of Cochlear Implant Brochures: A Potential Factor In Parent Choice, Jennifer Dannemarie La Scala

Honors Undergraduate Theses

The early diagnosis of hearing loss can be a life-changing event for families. Parents are required to make several prompt decisions where they might be overwhelmed with all the information being shared with them. Patient education materials (PEMs) are often provided by clinical health professionals – yet these materials are often written above the average reading level of adults in the United States, thus presenting an additional challenge to many parents.

The purpose of this study was to examine the ease of reading cochlear implant (CI) brochures that are provided to parents who are making informed decisions about the management …

3d Mri Investigations Of The Musculus Uvulae In Children With 22q11.2 Deletion Syndrome, Riley Cashon

Honors Undergraduate Theses

22q11.2 Deletion Syndrome (22q) is the most common genetic cause for velopharyngeal dysfunction. Several velopharyngeal muscles in children with 22q have been shown to be hypoplastic, but no studies to date have examined the musculus uvulae in children with 22q. This study aimed to investigate the presence and characteristics of the musculus uvulae in children with 22q using3D modeling software MRI scans of 13 children (8 with 22q and 5 control participants) were used to measure the musculus uvulae using Amira 6 visualization modeling software. The muscle was segmented by selecting voxels displaying the musculus uvulae on successive oblique coronal …

Remote Supported Communication For Adults With Chronic Aphasia: A Serendipitous Study, Allie Hopper

Theses and Dissertations--Communication Sciences and Disorders

Supported communication is defined as anything that improves access to or participation in communication events or activities (King, Simmons-Mackie, & Beukelman, 2012). This thesis describes the results of a study that took place when a training program to provide graduate students in Communication Sciences and Disorders (CSD) with “hands on” experience in providing supported communication to persons with chronic aphasia (PWA) was interrupted by the outbreak of Coronavirus-19 and switched to a remote delivery format to fulfil service and training obligations to the PWA and the CSD graduate students respectively. The study (1) describes the actions taken to covert a …

A Workbook Presenting Fluency Shaping And Narrative Therapy Strategies For School-Age Children Who Stutter, Bailey Nicole Rustad

Honors Program Theses

Stuttering occurs when there are frequent and effortful disfluencies in speech. People who stutter may have individual difficulties with particular sounds, but the research showed that some commonalities exist. Fluency shaping may be a helpful strategy for those who stutter to reduce the occurrence and frequency of and tension in stuttering. The majority of struggles that people who stutter have are related to negative thoughts and feelings about their stuttering, so this is also important to be targeted in therapy. Narrative therapy is a possible option to reduce these negative thoughts and feelings.

In order to provide a resource for …

Pre-Service Students Understanding Of Professional Roles, Anne Whalen Gradoville

Honors Program Theses

This study aims to begin understanding how well pre-service speech-language pathologists and teachers understand their roles in collaboration in the schools. Data were collected from a survey completed by undergraduate and graduate students in the Communication Sciences and Disorders and Education departments at one middle-sized university in the Midwest. Results indicated a wide range of understanding and preparedness. Several themes emerged as to what students feel confident about in terms of collaboration, as well as what they believe they still need to learn before they can be confident in collaborating in the schools. The data provides insight into what pre-service …

Stepping Up And Taking The Lead: School-Based Slps' Perceptions And Attitudes Of Leadership, Millie Newport, Gabrielle Saliba, Mary C. Smith, Brenda Louw

ETSU Faculty Works

This research explores the personal perspectives of school-based SLPs regarding their training in, perceptions of, and experiences regarding leadership. Survey research was conducted, and school based SLPs acted as respondents. Results may inform education in leadership, both in student training and in continuing education. Leadership in the field of speech-language pathology is essential to not only advocate for better outcomes of clients and patients, but also to foster an environment for change and understanding for future generations of SLPs.

Identifying Molecular Pathways Underlying Noise-Induced Tinnitus, Mckenzie Rice

Williams Honors College, Honors Research Projects

Tinnitus is a serious neurological condition effecting 10-15% of adults, and can lead to other symptoms such as difficulty concentrating and sleeping, anxiety, and depression. Currently there are no FDA approved drugs to prevent or treat tinnitus, mainly due to a lack of understanding of its cellular and molecular pathways. T- and L- type calcium channels have been implicated in the modulation of tinnitus, as well as the dysfunction of gamma-aminobutyric acid (GABA) neurons. This study used the sound-based avoidance detection (SBAD) method in order to detect tinnitus and determine whether pharmacological treatments had an effect in mediating tinnitus. T-type …

Musicians Who Use Cochlear Implants Proposal, Leanne Bunnell

Williams Honors College, Honors Research Projects

The purpose of this scoping review was to provide information about the current research related to audiological practices regarding the population of musicians who use cochlear implants technology. This scoping review included studies that investigated post implantation therapy/activities designed to assist users who were also musicians. A scoping review identifies trends and gaps in available evidence. This information can be used to inform on practices currently being used in the audiologic field and identify areas for further research. A scoping review was conducted in April 2021 to identify English-language peer-reviewed journal articles published from 2010 to March 2021. Thematic analysis …

Qualitative Analysis Of An Interdisciplinary Team’S Treatment Of Velocardiofacial Syndrome, Marissa Meredith

Williams Honors College, Honors Research Projects

In this project two members of the 22q center from Nationwide Children’s Hospital will be interviewed to collect qualitative data about the operations and functions of the clinic. These interviews will provide information about which types of professionals are necessary for the operation of the team, how the team conducts research, how the team treats patients, how research is used to advance treatment, and why such a diverse team is necessary in the treatment of Velocardiofacial Syndrome. Upon completion of data collection, this information will be analyzed to determine the different perspectives of team members and how they interact with …

Perspectives Of Individuals With Acquired Neurogenic Communication Disorders And Co-Survivors On Person-Centered Care Within Speech-Language Therapy, Logan Macrae Ellis

Online Theses and Dissertations

Main Argument: Acquired brain injury impacts 2.8 million individuals each year in the United States (Taylor et al., 2017). Stroke, traumatic brain injury, tumor, infection, and other conditions cause life-altering changes to the way humans interact with each other. Social interaction and communication are important in many aspects of life, including but not limited to work, community, relationships, and mental health, etc. Damage to the brain often changes the ability to communicate drastically, which can impact all of the aforementioned aspects of life (Ardila & Rubilo, 2018). Speech-language pathologists (SLPs) address the acquired neurogenic communication disorders associated with brain injury …

Implementation Of Dual System Hypothesis In Speech-Language Pathology, Kelsey Hyde

Master's Theses and Doctoral Dissertations

Over the course of the past few decades, dual system hypothesis has become the prevailing model of bilingual language development. This replaced the previously accepted unitary system hypothesis after decades of debate and research. It has also had an impact on the understanding of bilingual literacy development in children. This qualitative study investigates how this hypothesis influences and informs the work of speech-language pathologists (SLPs) who work with bilingual children. For this study, four bilingual SLPs who work with bilingual children in various settings were interviewed regarding their views and education on bilingual language development for the purpose of understanding …

Exploring The Diagnostic Journey Of A Preschool-Aged Female: A Retrospective Case Study, Lindsay Nicole Crafton

Murray State Theses and Dissertations

The purpose of this case study was to investigate the diagnostic route of a preschool-aged female initially suspected of having ASD with communication deficits and explore her journey to seek and receive services. In any diagnostic experience, it is imperative that caregivers understand the steps to seek appropriate evaluations and receive necessary services to improve their child’s quality of life. While there are some systemic procedures in place aimed to identify children with communication disorders or other developmental concerns such as ASD early; the ultimate responsibility falls on the caregiver to follow up and follow through. Although diagnostic criteria for …