Speech Pathology and Audiology Commons^™

Acceptance Of Bite Presentations And Feeding Behaviors Of 8 To 12-Month-Old Infants: A Reflection Of Typical Feeding Development, Amy Delaney, Ericka Diestler, Parama Sridevi, Arafat Mahmood, Sheikh Iqbal Ahamed

Speech Pathology and Audiology Faculty Research and Publications

Purpose

The lack of age-appropriate expectations for feeding acceptance patterns in early childhood is a barrier to early and accurate identification of pediatric feeding disorder (PFD). The objective of the study was to describe the process by which typically developing children 8–12 months of age accept or refuse bite presentations and their corresponding feeding behaviors, aiming to establish age-appropriate normative data for feeding acceptance.

Method

Using cross-sectional methodology, we studied the proportion of bite presentations accepted, the type of feeding behaviors-passive, disruptive, expulsion, feeding concerns- observed at presentation and acceptance or refusal, and the duration between presentation to acceptance or …

Barriers And Facilitators To Enhance Interprofessional Education For Rehabilitation Science Graduate Students, Mary A. Riopel, Kimberly Wynarczuk, Taylor Grube

The Qualitative Report

Interprofessional education (IPE) aims to develop healthcare practitioners who work effectively in teams, demonstrate strong communication skills, respect others, and have a working knowledge of the roles and responsibilities of other professionals. Of identified research to date, it is unclear what students perceive as important for effective IPE delivery and learning. The purpose of this study was to identify graduate students' perceptions of facilitators and barriers to learning interprofessional practice using phenomenology. Three semi-structured focus groups were conducted including athletic training, occupational therapy, or speech-language pathology students and the transcripts were analyzed using thematic analysis. Four themes emerged about IPE …

The Minority Student Mentoring Group (Msmg) For Csd Students: Perspectives, Goals, And Outcomes Six Years After Inception, Iona Ringgold, Diana C. Emanuel

Teaching and Learning in Communication Sciences & Disorders

Students from historically marginalized racial and ethnic (HMRE) groups often face challenges within the university environment due to implicit biases, microaggressions, and systemic racism. To help counteract these challenges, the Minority Student Mentoring Group (MSMG) at Towson University was launched in 2016 to provide mentoring, support, and a sense of community for students from HMRE groups who are enrolled in speech-language pathology and audiology programs. Rapid growth of the program and anecdotal evidence suggested MSMG participation was impactful; as a result, this study was designed to examine program outcomes more formally using a mixed-methods approach. Eleven participants completed an on-line …

Development Of Interprofessional Socialization In A Multifaceted Live Action Clinical Role-Play Simulation For Speech-Language Pathology And Social Work Students, Cody Marie Busch, Jennifer Anderson, Lynn Gilbertson, Sarah Hessenauer

Teaching and Learning in Communication Sciences & Disorders

Live action clinical role-plays are one of many types of simulated learning experiences that can be crafted for undergraduate and graduate students alike when learning to collaborate interprofessionally. This mixed methods exploratory research project partnered four academic instructors from the disciplines of speech-language pathology and social work, with several additional community members adding their expertise to enrich the experience of a live-action clinical role-play. Students (N = 32) participated in a two-part multifaceted interprofessional education (IPE) experience with the first part consisting of eight hours of online asynchronous training and the second part consisting of eight hours of a multifaceted …

Boosting Confidence In Hearing Loss Services Through An Interprofessional Simulation Led By Peer Instructors, Amanda Stead, Jordan Tinsley, Trent Westrick, Elizabeth Olson, Alexandra Alfieri, Lauren Sams

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists have an ethical responsibility to work with clients with hearing loss. Therefore, speech-language pathology (SLP) students must receive specific education and training in working with this population. SLP students may have low self-efficacy about their ability to work with clients with hearing loss if they haven’t participated in specific training. Interprofessional education utilizing peer teaching by doctor of audiology (AuD) students is one method for helping SLP students learn specific skills to address hearing loss in a clinical setting. The purpose of this study was to investigate SLP graduate students' self-efficacy with working with individuals with hearing loss; …

Fostering Empathy In Communication Sciences And Disorders Through Interprofessional Simulation: Bridging The Gap Between Lecture And Practice, Cynthia A. Hovland, Carol Spears, Melissa Volk

Teaching and Learning in Communication Sciences & Disorders

This exploratory study sought to understand the experiences of CSD students participating in an interprofessional simulation focused on empathy development and how it could inform their future practice. This study used a non-random, purposive sample of 29 CSD students from one United States university who attended one of three Team STEPPS seminar training days that were offered during three separate semesters. Post-seminar surveys were completed, and conventional content analysis used to analyze data. Three primary themes, and corresponding subthemes emerged: (a) establish trust (build rapport; identify patient care goals; and encourage active participation; (b) facilitate collaborative plan of care (provide …

Using Ar To Teach Ar: Learning Outcomes Of A Guided, Augmented Reality Hearing Loss And Auditory Rehabilitation Simulation With Slp Graduate Students, Alice Henton, Mathew Vansant

Teaching and Learning in Communication Sciences & Disorders

Recent research has found that practicing speech-language pathologists report feeling underprepared to provide services for individuals with hearing loss. At the same time, graduate SLP programs report that students have fewer training opportunities with low-incidence populations. This study examines learning outcomes for a cohort of graduate SLP students using a novel application of an immersive, augmented reality, hearing loss simulation. Results show encouraging outcomes for the simulation experience’s effects on empathy, knowledge, and clinical skills. This simulation offers a unique way to provide training related to auditory rehabilitation in SLP.

Addressing Bias In Slp Problem-Based Tutorials Through Critical Reflexivity, Curriculum Development And Instructor Training, Harmonie Chan, Courtney Tidd, Justine Hamilton, Deidre Sperry, Michelle Phoenix

Teaching and Learning in Communication Sciences & Disorders

Racism is prevalent in the fields of healthcare and education in North America and speech-language pathology and audiology are no exception. Systemic and individual racism in educational, training, and clinical settings creates barriers for student entry and success, and negatively impacts client care. Although the ability to serve clients of diverse backgrounds is a crucial skill for students and clinicians, current educational curricula appears insufficient in supporting culturally diverse students and preparing all students to work with culturally diverse populations. This is, in part, due to a lack of diverse representation in education and clinical settings, bias experienced by SLP …

Evaluating Acoustic Representations And Normalization For Rhoticity Classification In Children With Speech Sound Disorders, Nina R. Benway, Jonathan L. Preston, Asif Salekin, Elaine Hitchcock, Tara Mcallister

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

The effects of different acoustic representations and normalizations were compared for classifiers predicting perception of children's rhotic versus derhotic /ɹ/. Formant and Mel frequency cepstral coefficient (MFCC) representations for 350 speakers were z-standardized, either relative to values in the same utterance or age-and-sex data for typical /ɹ/. Statistical modeling indicated age-and-sex normalization significantly increased classifier performances. Clinically interpretable formants performed similarly to MFCCs and were endorsed for deep neural network engineering, achieving mean test-participant-specific F1-score = 0.81 after personalization and replication (σx = 0.10, med = 0.83, n = 48). Shapley additive explanations analysis indicated the third formant most influenced …

Comparing Online Versus Laboratory Measures Of Speech Perception In Older Children And Adolescents, Tara Mcallister, Jonathan L. Preston, Laura Ochs, Jennifer Hill, Elaine R. Hitchcock

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Given the increasing prevalence of online data collection, it is important to know how behavioral data obtained online compare to samples collected in the laboratory. This study compares online and in-person measurement of speech perception in older children and adolescents. Speech perception is important for assessment and treatment planning in speech-language pathology; we focus on the American English /r/ sound because of its frequency as a clinical target. Two speech perception tasks were adapted for web presentation using Gorilla: identification of items along a synthetic continuum from rake to wake, and category goodness judgment of English /r/ sounds in words …

Cognitive Reserve In Individuals With Frontotemporal Dementia And Primary Progressive Aphasia, Lauren A. Grebe

Dissertations, Theses, and Capstone Projects

Cognitive reserve refers to the brain’s ability to efficiently adapt in the presence of neuropathological disease. This is an active process influenced by individual differences (e.g., genetics) and lifetime experiences (e.g., education, occupation, leisure) (Cabeza et al., 2018; Stern et al., 2020). The cognitive reserve theory has recently been investigated in individuals with frontotemporal dementia (FTD), which refers to various disorders leading to frontotemporal neurodegenerative decline (Young et al., 2018); e.g., behavioral variant of FTD (bvFTD) and variants of Primary Progressive Aphasia (PPA): semantic (svPPA), nonfluent/agrammatic (nfvPPA), and logopenic (lvPPA). However, a clear consensus on the relationship among cognitive reserve, …

The Cross-Linguistic And Cross-Situational Association Between Accentedness And Its Impact As Rated By Speakers, Makaila Groves

The Journal of Purdue Undergraduate Research

No abstract provided.

The Role Of Vocal Development Patterns: Predicting Neurogenetic Risk In Infancy Using Early Vocal Development And Sex, Alyssa Cregg, Rachel Siela, Olivia Battaglia, Kaylee Bobay, Madison Chin, Athena Fordwor, Conghao Gao, Deeksha Handa, Erin Lee, Tiernan Mcdivitt, Grace Strabala, Victoria Tuell, Laurel Williams

The Journal of Purdue Undergraduate Research

Extant literature documents a higher rate of language/speech disorders in males; however, despite sex being a potential moderator of outcomes, we do not know what role it plays in early vocal behavior of infants at high risk for such disorders. The purpose of this study was to ask: (1) Do high-risk infants demonstrate atypical vocal development patterns? (2) Is the quality and quantity of early babble distinct for male and female infants, and does this pattern vary across risk? To answer these questions, we examined the canonical babbling ratio (CBR; the ratio of canonical syllables, those with a consonant and …

“I’M Staying And You’Re Gonna Love Me”: Finding Authentic Freedom & Fostering Belonging As Black Female Early Faculty, Roszina D. Scott, Tinotenda Mupambo

The Journal of Advancing Education Practice

The purpose of this reflection is to expand the knowledge on the retention of early Black female faculty by exploring their challenges and triumphs in dismantling Whiteness and developing an authentic sense of belonging in the academy. In higher education, Black women experience marginalization at the intersection of anti-black racism and sexism. Faculty of color experience racial microaggressions, excessive workloads and service expectations, and their expertise is seldom recognized. Despite these challenges, marginalized faculty authentically persist and find a sense of belonging within the ivory tower by building mentorship relationships, departmental DEI efforts, opportunities for innovation, and cultivating Black sisterhood. …

Audiologic And Vestibular Testing And Interpretation Of Outcome Data: A Case Series, Kelly Sarhage, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: Nonorganic hearing loss is not typically associated with a detectable pathology.Both adults and children can present to the clinic with nonorganic hearing loss. It is often the result of psychosocial stressors and is more common in children, specifically 6 to 19 years old. Case Presentation: An 11-year-old child presented to the clinic with bilateral mild to moderate sensorineural hearing loss, but prior exams showed unilateral hearing loss on the left side. Discussion: Audiologists need to obtain a detailed case history, determine any underlying complications, inquire about additional auditory diagnoses, and employ objective testing to ascertain test reliability. …

Mothers' Perceptions Of Stigma: Implications For Early Identification And Treatment For Children With A History Of Prenatal Opioid Exposure, Pamela Jane Holland

Theses, Dissertations and Capstones

There is a lack of research that specifies the long-term effects on a child’s language development when prenatally exposed to opioids (Fill et al.,2018; Rutherford et al., 2022). Despite this, children prenatally exposed to opioids are more likely to be referred for, qualify for, and receive therapy services secondary to developmental delays and speech/language deficits. (Kaltenbach et al., 2018). Stigma continues to be a barrier to the initiation of early intervention services for children prenatally exposed to opioids (Levickis et al., 2020; Livingston et al., 2011; Peacock-Chambers et al., 2020). This phenomenological study aims to understand the perceptions of the …

Speech Language Pathology Graduate Handbook - 2023-2024, Department Of Audiology And Speech-Language Pathology, East Tennessee State University

Speech-Language Pathology Handbooks

No abstract provided.

Visualizing Communication Disorders Through Art, Adriana Reyes

Mahurin Honors College Capstone Experience/Thesis Projects

This art series visualizes the signs, symptoms, and intervention strategies for various speech and language disorders. The illustrations were lightly sketched onto the canvas and oil-based paint was used as the medium. In the art series, the disorders depicted are childhood apraxia of speech, dysarthria, articulation disorder, and aphasia. The public and parents may be uninformed or have misconceptions about communication disorders. Therefore, it is important to educate others about communication disorders to construct a network of support, respect, and learning different ways to communicate since speech and language disorders can make a profound impact on a person’s life.

Working Towards Recommended Terminology In The Canadian Preschool Speech-Language Pathology Context, Alison Csercsics, Lisa Md Archibald, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose: This quality improvement project aimed to address the inconsistent use of clinical labels across a preschool speech and language program in Ontario, Canada. The study investigated whether a multi-component knowledge translation intervention could increase speech-language pathologists’ (SLPs’) knowledge about the recommended clinical labels, motivate their intentions to use the labels, and facilitate practice change during a three-month pilot period.

Method: The Diffusion of Innovations Theory was utilized to identify and address known and suspected barriers and facilitators that could influence the adoption of consistent terminology. The intervention was evaluated using a pre-experimental study design (with pre-post-follow-up testing) and included …

Collapsed Ear Canal And Sudden Sensorineural Hearing Loss, Emily Adelman

AuD Capstone Projects - Communication Sciences and Disorders

No abstract provided.

Research Priorities For Childhood Apraxia Of Speech: A Long View, Patricia Mccabe, Molly Beiting, Elaine R. Hitchcock, Edwin Maas, Amy Meredith, Angela T. Morgan, Nancy L. Potter, Jonathan L. Preston, Laura Moorer, Pooja Aggarwal, Kirrie Ballard, Laura Baskall Smith, Nicole F. Caballero, Kathryn Cabbage, Julie Case, Susan Caspari, Karen V. Chenausky, Shina Cook, Ewa Grzelak, Maryane Gomez, Aubrie Hagopian, Chantelle Highman, Anne Hodits, Jenya Iuzzini-Seigel, Jillian Levos-Carlson, Barbara A. Lewis, Patricia Mayro, Jyutika Mehta, Gabrielle Miller, Kimberly D. Mory, Elizabeth Murray, Megan S. Overby

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

This article introduces the Journal of Speech, Language, and Hearing Research Special Issue: Selected Papers From the 2022 Apraxia Kids Research Symposium. The field of childhood apraxia of speech (CAS) has developed significantly in the past 15 years, with key improvements in understanding of basic biology including genetics, neuroscience, and computational modelling; development of diagnostic tools and methods; diversity of evidence-based interventions with increasingly rigorous experimental designs; and understanding of impacts beyond impairmentlevel measures. Papers in this special issue not only review and synthesize the some of the substantial progress to date but also present novel findings addressing critical research …

“Your Legs Don’T Look All That Good” An Analysis Of Impoliteness And Politeness In Individuals With Traumatic Brain Injuries In The Workplace, Grace Kozal

Theses and Dissertations--Communication Sciences and Disorders

Background: Social communication disorders are a common outcome from traumatic brain injury (TBI). This social communication disorder can be seen through impolite speech acts during conversation. While politeness is a social norm for workplace discourse, instances of impoliteness may have poor consequences. This research explores the use of impoliteness in persons with TBI within computer generated work-based conditions.

Methods: Language samples from the Voicemail Elicitation Task (VET) and Feedback/Advice Spoken Task (FAST) were transcribed word-for-word. Transcripts from all 62 participants were coded for impoliteness using a developed Impoliteness Codebook and were analyzed to identify significant differences in the number of …

Applying The Evidence: Taste Manipulation As A Dysphagia Management Strategy, Ross M. Westemeyer, Angela M. Dietsch, Rachel W. Mulheren

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This narrative review aims to summarize the evidence regarding taste manipulation as a dysphagia management strategy within the evidence-based practice framework, with a focus on clinical application for speech-language pathologists.

Method: First, we present background information on the physiology of taste and swallowing. A summary of research evidence on the effect of taste on swallowing is presented, followed by suggested methods for incorporating taste into swallowing evaluation and intervention. An overview of individual factors that can impact taste perception is provided. Finally, we discuss methods of clinical application and future directions for clinicians.

Conclusions: Although taste …

The Effectiveness Of Aac Training For Nursing Students To Increase The Knowledge And Success For Communicating With Patients With Complex Communication Needs, Hanna Hill Webb

Murray State Theses and Dissertations

Effective communication is an essential practice for nurses and is fundamental for the care of patients. Nurses have significant difficulties communicating with patients with complex communication needs (CCN), which can lead to communication breakdowns and sentinel events. While AAC is a viable option for communicating with patients with CCN, nurses do not receive any training on how to effectively communicate or use AAC with patients with CCN. Nursing students are in the ideal position for learning how to use AAC and communicate with AAC, as they are in the process of learning and entering the field for medical placements. This …

Scholarship Of Teaching And Learning In Communication Sciences And Disorders: Past, Present, And Future, Sarah M. Ginsberg, Colleen F. Visconti, Jennifer C. Friberg

Books - Communication Sciences and Disorders

No abstract provided.

Key To Success: A Comprehensive Examination Of Support Personnel In School-Based Speech-Language Telepractice, Hannah Douglass

Theses and Dissertations--Rehabilitation Sciences

In the school setting, the telepractice team primarily consists of the clinician and a support person known as a telefacilitator. Though telepractice is an accepted method for delivering school-based speech-language therapy, many barriers to the integration of telepractice as routine care persist. A major barrier is clinicians' acceptance of telehealth. However, there has been limited investigation of factors that influence clinician acceptance. Another barrier is related to support personnel. Telefacilitators have been shown to be an integral part of the telepractice program. Yet there are significant gaps in knowledge regarding the roles and responsibilities, staffing and management, and barriers/facilitators to …

Implementation Of Prognosticator Algorithm For Initiation Of Serious Illness Discussions And Improving The Rate Of Palliative And Hospice Referrals, Joy Isebor

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Context: Early serious illness conversations related to end-of-life and goals of care with seriously ill patients have been associated with improving patients' outcomes and quality of care (Bernacki et al., 2015). However, initiating these serious illness discussions has been challenging in the home-based primary care setting.

Objectives: To train and support home-based primary care clinicians in integrating best practices in serious illness discussions and decision-making engagement among patients sixty-five and older with serious illnesses, optimize the alignment between patient goals and the medical care they receive, improving their quality of life and the rate of palliative care and hospice referrals. …

Advancing Dysphagia Screening: A Comparison Of Patient-Reported Outcome Measures And Bolus-Driven Screenings In Aspiration Prediction, Arica Amie Rusco

Theses and Dissertations--Communication Sciences and Disorders

It is known that dysphagia impacts an individual’s health and quality of life. Due to this, early identification of dysphagia is crucial. There are many different dysphagia screening tools with no consensus. This study aimed to compare the two most frequently used dysphagia screenings, a patient-reported outcome measure (PROM), the EAT-10, and bolus-driven swallow screening, the Yale Swallow Protocol, to determine if one tool is superior in aspiration prediction on a videofluoroscopic swallow study (VFSS). This study also aimed to discover the best cutoff score on the EAT-10 for aspiration prediction. A total of 66 participants were recruited after physician …

The Effects Of Exercise-Based Voice Therapy On Swallowing Outcomes: A Pilot Study Framework, Jenna F. Johnson

Theses and Dissertations--Communication Sciences and Disorders

In a 2019 study analyzing dysphonic patients in relation to coexisting dysphagia, approximately 11.8% of clients receiving treatment for voice disorders reported difficulty swallowing. However, the literature exploring the use of voice exercises to improve swallow function is limited to a small amount of voice treatment approaches, which does not reflect the wide range of evidence-based treatment approaches that may be prescribed for treatment of one’s voice complaints. This project proposes a descriptive study that would identify if completion of prescribed voice therapy exercises has implications on swallowing function in clients with co-occurring voice and swallow impairments. A pilot study …

The Critical Need For Early Language Access For Deaf And Hard Of Hearing Children, Kinya D. Embry-Wright

Theses and Dissertations--Rehabilitation Sciences

According to the American Speech-Language-Hearing Association (ASHA), speech-language pathologists (SLPs) are referred to as the experts of communication (ASHA, n.d.) utilizing their specialized training, extensive education, and clinical expertise to work with individuals across the lifespan with a variety of different speech and language delays, disorders, and deficits. However, when working with deaf or hard of hearing (DHH) children, there is often precedent given to speech and listening (M. L. Hall et al., 2019). For example, ASHA only recently updated their DHH portal to include American Sign Language (ASL), though they still list it on some webpages as an Augmentative …