Speech Pathology and Audiology Commons^™

The Effect Of Telepractice On Vocal Interaction Between Provider, Deaf And Hard-Of-Hearing Pediatric Patients, And Caregivers., Abigail Betts

Electronic Theses and Dissertations

The purpose of this thesis is to examine how telepractice affects a vocal interaction between a speech-language pathologist (SLP), deaf and hard-of-hearing children who received cochlear implants (n = 7), and caregivers as they engage in speech-language interventions conducted in-person and via telepractice (tele). Frequency of vocalizations, vocal turns, pause duration, fundamental frequency (F0) mean and range, utterance duration, syllable rate per utterance duration, and mean length of utterance (MLU) were examined. The SLP vocalized more during in-person than tele-sessions, opposite result for the mother. There were more SLP-child turns during in-person sessions than tele-sessions; opposite result for mother-child turns. …

A Neurophysiological Investigation Of Listening Effort In Normal Hearing Adults Using Fnirs And Pupillometry, Jessica Defenderfer

Theses and Dissertations (ETD)

Real-world conversations are often accompanied by some sort of interference that challenges the clarity of the speaker’s message, causing listeners to exert more effort to understand speech. Previous research has demonstrated that when listening to speech becomes difficult, various regions of the brain are recruited beyond those which engage during optimal listening conditions. However, the neural correlates that underly listening effort are not fully understood. Importantly, the pupillary response can be used to index listening effort, such that pupil size increases with increasing cognitive demand. I proposed that pupillometry can be used to characterize the cortical response, such that changes …

The Nature Of Word Errors And Response Time In Individuals With Aphasia, Alexandra M. Georges

ETD Archive

Anomia is a relevant language deficit secondary to aphasia that is treated in the speech-language pathologist profession. Most aphasia diagnoses utilize aspects of confrontational naming tasks during speech therapy or testing. This study investigated the nature of word errors and the response time (RT) in persons with aphasia (PWA). Six individuals, three with nonfluent and three with fluent aphasia were asked to name objects in four common categories (occupational tools, everyday objects, food, and clothing) presented under two conditions (1) picture objects on a computer screen and (2) real physical objects. To measure RT and word error, participants were instructed …

Animal Activities! : A Children's Book For Vocabulary Intervention, Chloey Dibartolo

Honors Projects

This Honors Project was created as a culmination of research conducted in the fields of Speech-Language Pathology and English. It is a written and illustrated children’s book intended to be used during shared book reading between an adult and a child of preschool age who presents with a language delay or language disorder. Cloze structures are used throughout the book to elicit strategically selected vocabulary words from the child and aid in their vocabulary development. Elements and techniques used in children’s literature were also implemented throughout this book. This book is overall designed a therapy tool that can be used …

The Relationship Between Misophonia Sensitivity And Musicality, Mae Ling Catayong, Sarah Uganiza, William Smithers, Aileen Corral, Sivan Barashy, Solena Mednicoff, Destiny Gonzales

Undergraduate Research Symposium Posters

Misophonia is a condition characterized by negative emotional reactions to certain everyday sounds. Musicality involves Active Musical Engagement (AE), Self-reported Perceptual Abilities (PA), Musical Training (MT), Self-reported Singing Abilities (SA), Sophisticated Emotional Engagement with Music (EM), and General musical sophistication (GM). Numerous active musicians have self-reported having misophonia, while anecdotal reports have shown that music can help treat misophonia symptoms.

Misophonia Sensitivity Is Related To Enhanced Responsiveness To Misophonia, Asmr And Musical Frisson, Alexis Rice, Kiara O'Keefe, Kacey Chang, Sivan Barashy, Solena Mednicoff, Destiny Gonzales

Undergraduate Research Symposium Posters

Misophonia: a condition in which specific everyday sounds (e.g., chewing, breathing) trigger an atypical, negative emotional response.

ASMR: a sensory phenomenon triggered by stimuli that induce a state of relaxation, positive feelings, and tinging sensations that spread from the head to the rest of the body.

Musical frisson: typically characterized by positive affect and strong physiological reactions, such as shivering, goosebumps, and teary-eyes in response to highly pleasurable music.

Speech-Language Pathologists' Skills And Knowledge In Dysphagia Management In Long-Term Care Facilities, Madelyn Griffin

Honors Theses

An increasing amount of current research indicates the prevalence of oral and pharyngeal dysphagia in all age groups, with a higher number of cases present in the geriatric population. Dysphagia is common in age-related diseases such as Parkinson’s disease, Alzheimer’s disease, and Dementia. The purpose of this study was to investigate the knowledge and skills of speech- language pathologists (SLPs) working in long-term care, in the area of oral and pharyngeal dysphagia. Participating SLPs responded to a survey asking to self-identify their knowledge/skills in oral and pharyngeal dysphagia. The findings from this study revealed the variety of expertise of SLPs …

Implicit Bias In Speech-Language Pathology Students, Skyller Castello

LSU Master's Theses

Implicit racial biases have been documented across a variety of allied health professions. A systematic review conducted by FitzGerald and Hurst (2017) of implicit bias in healthcare professionals found that 20 out of 25 studies examined displayed bias against BIPOC in diagnosis, treatment recommendations, and other aspects of the medical care they received. A literature review completed by Hall et al. (2015) found similar results, stating that 9 of the 15 studies examined identified bias against Black clients. One allied healthcare profession, speech-language pathology, interacts with a diverse clientele in a clinical environment and yet have been excluded from much …

Implementation Of An Automated Grading Tool For Phonetic Transcription Training, Marisha Speights Atkins, Dallin J. Bailey, Cheryl D. Seals

Faculty Publications

Clinical phonetic transcription is regarded as a highly specialised skill requiring hours of practice for mastery. Although this skill is a critical part of students’ clinical preparation to become speech-language pathologists, students often report feeling unprepared to apply the skill in clinical practice. Previous studies suggest that increased opportunities for practice and timely feedback on transcriptions are needed in order to develop skill confidence. However, providing more opportunities for practice can be impeded by the limited resources to manage the grading of additional assignments. The purpose of this study is to show the implementation of a web-based learning management system …

Caregiver Experiences Of Feeding Instruction For Infants Born With Cleft Lip And/Or Palate, Clare Huang

Masters Theses & Specialist Projects

Purpose: The purpose of this study is to learn what feeding education was provided to caregivers of infants with cleft lip and/or palate and how they view the feeding experience. Method: Participants (n=5) were recruited from two Facebook support groups, Cleft Lip and Palate Support Group :*) and Cleft Mom Support. The data were collected using Qualtrics™ software. The questionnaire consisted of eight demographic questions and seven topic-specific questions. The demographic questions included the exclusion and inclusion criteria. The participants of this study were required to be an English-speaking parent or a caregiver of a child under one year of …

Living With Stuttering: Authenticity, Identity, And Mental Health, Sarah Musilli

Masters Theses

In an effort to manage stigma, some PWS attempt to conceal stuttering and pass as a fluent speaker (Constantino et al., 2017). These efforts to conceal may be counterintuitive, as concealment of stuttering is predictive of elevated distress (Gerlach et al., 2021) and decreased quality of life among PWS (Boyle et. al., 2018). Although this association exists, the factors explaining how and why it exists are unexplored. Identity conflict and feelings of in/authenticity are two potential factors that are explored in this study. Qualitative interviewing supplemented with quantitative survey data is utilized to explore the lived experiences of identity conflict …

Neurogenic Stuttering: Exploring Potential Emotional And Life Impact, Natalie Devries

Masters Theses

The purpose of the current study was to explore the potential emotional and life impact of living with neurogenic stuttering and how and when an impact develops, if present. The current diagnostic criteria for neurogenic stuttering includes no emotional impact (Canter, 1971). The literature is divided in supporting this criterion (Lebrun et al., 1990; Leder et al., 1996; Perino et al., 2000; Theys et al., 2008; Tani &Sakai, 2011; Ellis & Sheehy, 2013; Vanhoutte et al., 2014). The current study relied on qualitative interviewing which was analyzed using Reflexive Thematic Analysis to explore potential for emotional and life impact (Braun …

Data From: A Protracted Developmental Trajectory For English-Learning Children’S Detection Of Consonant Mispronunciations In Newly Learned Words, Carolyn Quam, Daniel Swingley

Speech and Hearing Sciences Faculty Datasets

Children are adept at learning their language’s speech-sound categories, but just how these categories function in their developing lexicon has not been mapped out in detail. Here, we addressed whether, in a language-guided looking procedure, two-year-olds would respond to a mispronunciation of the voicing of the initial consonant of a newly learned word. First, to provide a baseline of mature native-speaker performance, adults were taught a new word under training conditions of low prosodic variability. In a second experiment, 24- and 30-month-olds were taught a new word under training conditions of high or low prosodic variability. Children and adults showed …

Exploring Discourse Markers As A Treatment Outcome Measure For Aphasia, Anna K. Cedoz

Masters Theses

Discourse Markers (DMs) are communicative tools or resources that people use to organize conversations. The use of DMs among individuals with aphasia has been documented to support their communicative competence (Simmons-Mackie & Damico, 1996). Further research on the use of DMs by individuals with aphasia has been limited. The current study features a secondary analysis using existing data from Devanga (2020), which studied the effects of Collaborative Referencing Intervention (CRI; Hengst et al., 2010) on three participants with chronic aphasia. This study analyzed 18 conversation probes from one participant across baseline, treatment, and maintenance phases with clinician and spouse partners. …

Perceptions And Experiences Of Indian And Indian-American Multilingual And Multicultural Adults Who Stutter, Bhavani Ganesh

University Honors Theses

Purpose: The purpose of this study is to investigate the intersectional identities of Indian and Indian American people who stutter and explore how their multicultural and/or multilingual identities contribute to their self-perceptions and experiences of disability.

Method: Five Indian or Indian American adults (all male) who stuttered participated in a semi-structured interview via Zoom. Interview transcripts were analyzed using a phenomenological qualitative research methods process. The qualitative research process included in-vivo coding, identification of categories, and emergence of themes.

Results: Participants reported both unique and shared experiences related to their stuttering and their multicultural and multilingual backgrounds. Four major themes …

Mental Health Professionals' Beliefs About, Reactions Toward, And Overall Impression Of Stuttering, Elise Anne Nasser

Masters Theses

The purpose of the current study is to better understand mental health professionals' beliefs, reactions, overall impression, and familiarity with stuttering to gain insight into areas where they may need more support. Some people who stutter develop increased levels of anxiety because of negative evaluation from the public (Iverach & Rapee, 2014). It is likely that a sub-group of people who stutter may benefit from mental health services; however, misinformation about stuttering may serve as a barrier in effective service provision for those who work with people who stutter (Ginsberg & Wexler, 2000). Quantitative survey data (Public Opinion Survey of …

The Importance Of Learning Deaf Culture Through A Black Deaf Perspective In The Field Of Communication Sciences And Disorders, Lindsay Lee

Honors College Theses

As the diversity in the demographics of clinical populations increases in the United States, clinicians must also be accountable for learning the culture of their patients. The Deaf community, specifically individuals who identify with Deaf culture and Black Deaf culture, is a multifaceted, cultural group that has been marginalized within various settings including social, political, and employment settings, including academic and clinical research. This review will examine the historical developments within Deaf History in the United States, the injustices related to Deaf culture, and more specifically Black Deaf culture, and discuss the critical need for Deaf research and tools that …

Differential Effects Of Speech And Language Therapy And Rtms In Chronic Versus Subacute Post-Stroke Aphasia: Results Of The Northstar-Ca Trial, Anna Zumbansen, Heike Kneifel, Latifa Lazzouni, Anja Ophey, Sandra E. Black, Joyce L. Chen, Dylan Edwards, Thomas Funck, Alexander Erich Hartmann, Wolf Dieter Heiss, Franziska Hildesheim, Sylvain Lanthier, Paul Lespérance, George Mochizuki, Caroline Paquette, Elizabet Rochon, Ilona Rubi-Fessen, Jennie Valles, Susan Wortman-Jutt, Alexander Thiel

Research outputs 2022 to 2026

Background & objective: Contralesional 1-Hz repetitive transcranial magnetic stimulation (rTMS) over the right pars triangularis combined with speech-language therapy (SLT) has shown positive results on the recovery of naming in subacute (5–45 days) post-stroke aphasia. NORTHSTAR-CA is an extension of the previously reported NORTHSTAR trial to chronic aphasia (>6 months post-stroke) designed to compare the effectiveness of the same rTMS protocol in both phases. Methods: Sixty-seven patients with left middle cerebral artery infarcts (28 chronic, 39 subacute) were recruited (01-2014 to 07-2019) and randomized to receive rTMS (N = 34) or sham stimulation (N = 33) with SLT for …

Predicting Autism From Infant Characteristics: A Systematic Review, Alysha Y. Henrichs, Cynthia Cress Ph.D.

Honors Program: Senior Projects (Public)

A literature review was conducted of 73 articles to explore 12-month-old characteristics in infants that predicted later diagnosis with autism (ASD). Articles were reviewed if they discussed ASD, infants with siblings diagnosed with autism (high-risk) and/or infants later diagnosed with autism without known family history of ASD (low risk). Articles were not reviewed if the participants were 36 months or older at the start of the study. More factors were identified that discriminate characteristics associated with later ASD diagnosis in infants between 12-24 months compared to characteristics of infants below 12 months. Characteristics of infants under 12 months that were …

Morphological Awareness Performance Profiles Of First Through Sixth Grade Students, Victoria Henbest

Victoria S. Henbest Publications

Purpose: We examined whether diverse profiles of strengths and weaknesses would emerge when assessing different aspects of morphological awareness in first- through sixth-grade students using a recently developed standardized test, the Morphological Awareness Test for Reading and Spelling (MATRS; Apel et al., 2021).

Method: Four thousand fifty-nine first- through sixth-grade students completed the eight morphological awareness tasks of the MATRS. The eight tasks represent the multiple ways that morphological awareness impacts both spoken and written language skills for the English language. Exploratory finite mixture models estimated the number of latent subgroups that best reflected heterogeneity in task-level performance by grade …

Dosage, Intensity, And Frequency Of Language Therapy For Aphasia: A Systematic Review-Based, Individual Participant Data Network Meta-Analysis., Rehabilitation And Recovery Of People With Aphasia After Stroke (Release) Collaborators, Jackie Hinckley

HPD Articles

BACKGROUND AND PURPOSE: Optimizing speech and language therapy (SLT) regimens for maximal aphasia recovery is a clinical research priority. We examined associations between SLT intensity (hours/week), dosage (total hours), frequency (days/week), duration (weeks), delivery (face to face, computer supported, individual tailoring, and home practice), content, and language outcomes for people with aphasia.

METHODS: Databases including MEDLINE and Embase were searched (inception to September 2015). Published, unpublished, and emerging trials including SLT and ≥10 individual participant data on aphasia, language outcomes, and time post-onset were selected. Patient-level data on stroke, language, SLT, and trial risk of bias were independently extracted. Outcome …

Comparing Measures Of Phonological Development For Bilingual Speech Sample Analysis: A Descriptive Study, Julianna Ciccarelli

Honors Projects

The present study analyzed two common measures of phonology for use within a bilingual (Spanish-English) preschool population. The utilized measures include Percentage of Consonants Correct-Revised (PCC-R) and Phonological Mean Length of Utterance (pMLU) and were selected to avoid sources of bias, often found in standardized, norm-referenced assessments. The scores calculated from these measures were analyzed across language.

Implications Of Facial Coverings On Communication, Katherine Giustino

Honors Theses

Nonverbal communication constitutes over half of communication in verbal communicators’ production. With so much lost to covering essential parts of expressing nonverbal communication, for example the mouth, this study aims to find how that impacts the general population’s ability to communicate effectively.

A study found that masks act as an acoustic filter for speech and can attenuate high frequencies (Marler & Ditton, 2020). At the most basic level, a facial covering creates a physical barrier to communication.

This study was designed in a survey format to gather data. A total of 95 participants completed the survey in its entirety. The …

Retrospective Case–Control Study Of Communication And Motor Abilities In 143 Children With Suspected Childhood Apraxia Of Speech: Effect Of Concomitant Diagnosis, Jenya Iuzzini-Seigel, Amy Delaney, Ray D. Kent

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This study sought to determine if children with childhood apraxia of speech (CAS) plus another major diagnosis (CAS+) are equivalent in communication and motor profiles to those with a primary diagnosis of CAS and no indication or report of any other diagnosis (CAS-Primary).

Method:

This retrospective case–control study included a chart review of 143 children who were suspected of having CAS at Children's Hospital-Wisconsin between 1998 and 2004. Participants were between 30 and 127 months old and included 107 males. Participants were assigned to the suspected CAS-Primary group (n = 114) if they had characteristics of CAS but …

Sudden Hearing Loss: Wrs Importance And Timing Of Medical Intervention, Irina Linkov Middleton, Alexandra Costlow, Molly Wolfson, Midori Wakabayashi, Tingting Zhan

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Objective: The aim of this study was to evaluate recovery in hearing acuity of idiopathic sudden sensorineural hearing loss (ISSNHL) based on timing of onset to determine how late is too late to medically intervene.

Study Design: A retrospective chart review was conducted in patients previously treated for primary complaint of sudden hearing loss (HL). Participants meeting inclusion criteria were analyzed based on timing of onset to service date, age, gender, associated ear, associated symptoms as well as recovery in pure tone average (PTA) and recovery in word recognition scores (WRS).

Setting: All patients seeking treatment for SSNHL were seen …

The Flipped Classroom Model As Applied To An Augmentative And Alternative Communication Course, Eric J. Sanders, Louise C. Keegan, Mary Culshaw, Colin Tomes

Teaching and Learning in Communication Sciences & Disorders

The Flipped Classroom Model (FCM) is an andragogical approach where students complete content-related work outside of the class and engage in activities related to this content during the class period. This approach has garnered recent attention in the field of speech-language pathology, but its implementation has not been studied in an augmentative and alternative communication (AAC) course and there is limited information on student perspectives of the experience. This study presents the results of a qualitative investigation designed to investigate the preferences and experiences of preservice speech-language pathology graduate students in an AAC course utilizing the FCM. Semi-structured interviews with …

The Effectiveness Of Near-Peer Mentoring And Clinical Laboratory Experiences In Undergraduate Student Perceptions Of Career Preparedness And The Profession Of Audiology, Ashley G. Flagge, Julie M. Estis

Teaching and Learning in Communication Sciences & Disorders

Students in undergraduate Communication Sciences and Disorders (CSD) programs with an interest in audiology often report feeling unprepared to make career and graduate school decisions due to a lack of exposure to the field. The present study examines the impact of near-peer mentoring and hands-on lab experiences on undergraduate student perceptions of career preparedness and of the profession of audiology by examining pre- and post-course survey responses and lab wrapper responses of 41 undergraduate speech and hearing science majors enrolled in an introductory audiology course. Students were paired in groups with a first-year audiology graduate mentor to walk through a …

Using Ability Grouping To Examine The Effects Of Differentiated Instruction In An Undergraduate Course In Communication Sciences & Disorders, Katherine B. Green, Jacqueline Towson

Teaching and Learning in Communication Sciences & Disorders

Differentiated instruction is a student-centered approach to instruction that considers the differing characteristics and aspects of the learner. With increasing diversity in higher education, differentiated instruction is one strategy that instructors may use to facilitate student success. However, there is limited empirical research examining the effectiveness of differentiated instruction in higher education. Using a quasi-experimental pretest posttest group design, the effects of differentiation of instruction, specifically differentiation of content and variable grouping, on student content knowledge were examined in an undergraduate course in a Communication Sciences and Disorders program. Students in the intervention group scored significantly higher on final course …

Implementing Interprofessional Education: Challenges For Csd Graduate Programs, Claire M. Edwards, Jason M. Newell

Teaching and Learning in Communication Sciences & Disorders

The focus on interprofessional education (IPE) for professional training programs in allied health professions, such as speech-language pathology, has recently increased. There is currently limited pedagogical literature regarding both the instruction and application of IPE in any given discipline. This paper will outline challenges CSD graduate programs may face when implementing IPE content within the existing curricula and explore possible solutions. Delineation of preparation and integration process of an IPE course taught at a small liberal arts university where it was cross-listed in two undergraduate pre-professional programs in speech-language pathology and social work will be provided. Elements of the course, …

A Practice-Based Interprofessional Emergent Writing Intervention: Impacts On Graduate Students And Preschoolers, Danika Pfeiffer, Stacey Pavelko, Dannette Allen-Bronaugh, Carol C. Dudding, Geralyn Timler

Teaching and Learning in Communication Sciences & Disorders

Despite the importance of collaboration in schools, few studies have examined interprofessional education (IPE) interventions for graduate speech-language pathology (SLP) students designed to prepare them with the skills necessary to effectively work on school-based teams. The current pilot study implemented a five-week practice-based IPE intervention with six SLP graduate students and three occupational therapy (OT) graduate students. Three SLP students were randomly assigned to the ‘unpaired’ condition and delivered emergent writing activities independently to a small group of preschoolers (n = 10). The other three SLPs were each randomly assigned an OT student to collaborate with in a ‘paired’ …