Speech Pathology and Audiology Commons^™

How Do Autobiographical Memory Abilities Compare With Other Cognitive Functions In An Adult Presenting With Hsam (Highly Superior Autobiographical Memory) And Autism? A Case Study., Emilia Rzeszutek, Dr. Jamie Mayer

Honors Capstones

Autism Spectrum Disorder (ASD) is a condition widely researched in relation to social communication differences and challenges in areas such as memory and executive functioning. Many areas of research highlight ASD’s deficits, shortcomings, and risk factors. However, research has begun to recognize that autistic individuals demonstrate cognitive strengths that differ from typical patterns of functioning. An example of such ability is Highly Superior Autobiographical Memory (HSAM), a rare phenomenon characterized by the ability to recall specific life events with remarkable accuracy and detail. This study was conducted on a 25-year-old male diagnosed with ASD and presents with characteristics of HSAM. …

Connecting With Augmentative And Alternative Communication Users: An Internship Report, Karaline Kerzie

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

This article evaluates and reflects on personal experiences working with children with autism in an early intervention, multidisciplinary setting. Implementation of Applied Behavior Analysis, Speech-Language Pathology, Augmentative and Alternative Communication, and Occupational Therapy techniques created a multifaceted and comprehensive intervention environment in a free-clinic setting.

Can Music-Based Interventions Improve The Prelinguistic Skills Of Young Children On The Autism Spectrum? A Systematic Review, Blythe Serrano

SACAD: Scholarly Activities

Many children on the autism spectrum have difficulty developing prelinguistic skills

such as joint attention, purposeful vocalization, and gesture, which are strongly

related to later expressive and receptive language development. This systematic

review aimed to evaluate the effectiveness of music-based interventions in

supporting the development of these foundational prelinguistic skills in young

children on the autism spectrum. Five databases were searched, yielding a total of

332 results. Five articles ultimately met criteria for inclusion. Results of these studies

were mixed, with studies in which the intervention was delivered by a professional

rather than a caregiver yielding more positive results. Additional …

A Multi-State Look Into Early Intervention Speech-Language Pathologists’ Confidence Identifying And Diagnosing Autism, Allison Gladfelter, Adelaide Parr, Anna Cannone, Sarah O'Connor

CISLL Publications

Purpose: Although autism can be reliably diagnosed by 18 months of age, long wait times and limited access to qualified providers prevent families from obtaining timely diagnostic services. Trained speech-language pathologists (SLPs) are qualified to diagnose autism, ideally as part of a multidisciplinary team. SLPs working on early intervention (EI) teams are well-situated to help close this diagnostic wait time gap. The purpose of this survey study was to explore EI SLPs’ experiences serving autistic children, confidence in identifying and diagnosing autism, and their perceptions of barriers or facilitators to diagnostic confidence and wait times.

Method: 287 EI SLPs from …

Initial Qualitative Inquiry Into Social Proverb Use And Acceptability, Emma K. Hinds

Graduate Student Theses, Dissertations, & Professional Papers

Currently,  1 in 36 individuals are diagnosed with autism spectrum disorder (ASD), which is characterized by social communication differences and restricted and/or repetitive behaviors. Many children with ASD also present with sensory, behavioral, and emotional differences, underscoring the need for specialized, evidence-based interventions. Social proverb is a novel intervention approach developed by Dr. Schoffer Closson that provides in-the-moment guidance by explicitly stating expected social behaviors and the rationale behind them (e.g., “We cover our coughs, so we don’t spread germs”). To date, no research has examined the use of social proverbs as an intervention strategy. The purpose of this qualitative …

Relationships Between Cultural Factors And Motor Abilities In Autistic And Non-Autistic Children, Lindsey Anderson, Allison Gladfelter, Milijana Buac, Waifong Catherine Cheung, Ziteng Wang, Sinan Onal

CISLL Publications

Autism and motor abilities have been found to be closely related. Culture affects motor development as well as various diagnostic criteria for an autism diagnosis, yet cultural factors are rarely considered in research and in clinical diagnostics. This study explored the relationship between cultural factors, characteristics of autism, and balance abilities in autistic (n = 16) and non-autistic (n = 28) children by utilizing a demographic survey, the Social Responsiveness Scale, 2nd edition (SRS-2), and the Movement Assessment Battery for Children-2 (MABC-2) Balance subtest. A multiple linear regression model was used to analyze whether the relationship between autism characteristics and …

A Novel Method For Examining Autistic Children’S Comprehension Of Individual Words Produced Within Delayed Echolalia: A Proof-Of-Concept Pilot Study, Janine Mathee-Scott, Grace Corrigan, Emily Lorang, Zachary Hesse, Jennifer Johnson, Courtney E. Venker

Speech Pathology and Audiology Faculty Research and Publications

Delayed echolalia, or the repetition of previously heard speech, is often observed in the expressive language of autistic children. Relatively little is known about how the production of delayed echolalia fits within the overall picture of autistic children’s language ability, including receptive language. To date, no empirical studies have tested autistic children’s comprehension of individual words within their delayed echoes. The present study aimed to establish proof-of-concept for a novel method of examining children’s comprehension of individual words that they produce in their own delayed echoes. Using natural language sampling combined with parent report, we identified instances of delayed echolalia …

Empowering Through Technology: An Internship Report On Augmentative And Alternative Communication Devices, Olivia G. Macdonald

Communication Disorders and Occupational Therapy Undergraduate Honors Theses

Augmentative and Alternative Communication (AAC) devices play a crucial role in supporting individuals with communication challenges, particularly children with developmental disabilities such as Autism Spectrum Disorder (ASD). This paper provides a comprehensive review of the literature on AAC and offers a detailed report of an internship experience at the University of Arkansas WE CARE Summer Camp. During the internship, firsthand experiences provided valuable insights into how AAC technologies can be applied to enhance communication, foster social connections, and support behavioral regulation.

The literature review explores the different types of AAC systems, including both aided and unaided options, and discusses the …

Feeding And Swallowing Disorders In Children With Autism: What Caregivers Need To Know, Olivia Hopkins

Undergraduate Publications

This study investigates the complex topic of feeding and swallowing disorders in children with autism, highlighting the significant challenges they pose, particularly related to sensory sensitivities and oral motor difficulties, and the persistent lack of understanding. We examine diagnostic criteria, risks, familial impacts, cultural nuances, and evidence-based intervention strategies, with a focus on practical guidance for caregivers, to equip them with resources for navigating these challenges (Schulz & Eden, 2016). Despite the prevalence of these disorders, many remain unaware of the struggles, underscoring the urgent need for targeted investigations and supportive measures. Specifically, this paper aims to provide Speech Language …

A Systematic Review Of Reading Comprehension Assessment And Intervention In Minimally And Nonspeaking Autistic Children, Grace T. Clark, Madison Skibicki, Gabriella Pesantes

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Up to 25% of autistic individuals are minimally or nonspeaking and require augmentative and alternative communication (AAC). While literacy instruction for this group is increasing, limited research has examined their reading comprehension. This systematic review examined assessment and intervention practices targeting reading comprehension in autistic children who use AAC. A search of five databases yielded 586 articles, of which 6 studies met inclusion criteria. Studies were included if they featured autistic participants under 18 who were minimally or nonspeaking and addressed reading comprehension beyond single-word decoding. Findings varied widely in participant profiles, comprehension targets, and methodological rigor. There is a …

Diagnostic Overshadowing: A Delayed Diagnosis Of Autism Spectrum Disorder In A Deaf Child, Quynh-Chi Dang, Michael Hoffman, Rachel St. John

Journal of Early Hearing Detection and Intervention

Diagnostic overshadowing occurs when a patient with a pre-existing diagnosis presents with symptoms that are attributed to the diagnosis, but actually reflect a separate issue. This diagnostic overshadowing can lead to delays in diagnosis, as well as disparities in health care and outcomes. The following case will provide an example in which diagnostic overshadowing contributed to the delay of an autism diagnosis in a child who is deaf. With at least 40 to 50% of children who are deaf or hard of hearing having at least one co-existing medical/developmental condition, and the current prevalence of autism at 1 in 36 …

Reimagining Clinical Education Practices For Autism Through The Multi-Client Multilevel Mentorship Model, George W. Wolford, Schea Fissel Brannick

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathology students require comprehensive graduate education to address the needs of their future autistic clients. Despite this need, survey research suggests that students receive limited didactic and clinical graduate training that sufficiently prepares them to work with autistic clients. Contemporary research into clinical education for autism includes several features, such as more support and group-based services, that do not align with traditional clinical education in the field (Anderson, 1988; Dudding et al., 2017). The purpose of this study is to describe feasibility (by acceptability and implementation) of a new clinical education protocol, the Multi-client Multilevel Mentorship (M³) …

Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann

Open Educational Resources

This course will provide an introduction to the development and disorders of speech, language, and communication in children and adults. Disorders such as autism, aphasia, stuttering, and learning disabilities will be discussed. Differences noted in culturally and linguistically diverse communities will also be addressed. The course activities will give students an experiential appreciation of the experience of communication challenges and supporting people with those challenges. Information about the professions of Speech-Language Pathology (SLP), Audiology, and Speech and Hearing Science will be reviewed as potential career paths.

Toilet Training And Teaching Self-Initiations To Children With Autism Who Use Augmentative And Alternative Communication, Darcy A. Douglass

Honors Capstones

Within this project, we address the challenges faced by individuals, particularly those with autism spectrum disorder (ASD), during toilet training, which often takes longer than neurotypical children. Practitioners who use traditional methods often overlook teaching children how to request bathroom use, especially among those who use augmentative and alternative communication (AAC) devices. Drawing from literature and expert recommendations, we summarize the importance of teaching independence in bathroom use for children with complex communication needs by incorporating their AAC devices when teaching toilet training.

Inspired by Perez et al. (2020), who demonstrated positive responses from individuals with ASD to reinforcement-based procedures, …

Comparing The Social Skills Of Male And Female Children With Autism Using Facesay, Elijah Williams, Kimberly Frazier, Cynthia A. Watson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

This study examined the pre- and post-test performance on the Social Skills Improvement Scale (SSiS) Student Forms between groups of male and female children (n=6) with autism spectrum disorder (ASD) aged 6–13 years following 10 sessions of 15-minute engagements with the FaceSay computer program. Between the group of males with ASD and the group of females with ASD, there was no significant difference in the compared difference of scores for the Social Skills Scale between the male group (M=6.3333, SD=28.72862) and the female group (M=4.3333, SD=6.80686); t(4)=-0.117, p=0.912 following independent t-test analysis. Also, between these groups, there was no significant …

Gestalt Language Processing In Accredited Communication Sciences And Disorders Programs, William Harris

Master's Theses

The language development and usage of autistic individuals has become a controversial topic in many of the disciplines and professions providing support to these individuals. As a result, two theories of language processing have been proposed. Analytical language processing suggests that children process and develop language from its most simple form, a phoneme, to its most complex form, a word or phrase. However, the theory of gestalt language processing proposes that some children may instead extract larger, more complex language such as whole words and phrases first and break it down to the simpler language. Gestalt language processing is often …

We Were The Best People To Do The Job”: Caregivers’ Reported Outcomes Of A Virtual Caregiver-Delivered Program For Autistic Preschoolers, Lauren Denusik, Danielle Glista, Michelle Servais, Jodi Friesen, Janis Oram, Bj Cunningham

PRECISe Preschool Speech and Language Publications

Background and aims: Caregiver-delivered programs are a recommended best practice to support young autistic children. While research has extensively explored children's outcomes quantitatively, minimal qualitative research has been conducted to understand caregivers' perspectives of program outcomes for themselves and their children. Hearing directly from caregivers is an important step in ensuring these programs are meeting the needs of those who use them. This study explored caregivers' perceived outcomes following one virtual caregiver-delivered program, The Hanen Centre's More Than Words® (MTW) program.

Methods: This study was a secondary analysis of data from individual interviews conducted with 21 caregivers who had …

Utilizing Special Interests: Developing A Storybook For A Minimally Speaking Autistic Child To Support Communication, Olivia Fordyce

Honors Projects

The purpose of my Honors Project is to develop a framework for designing a storybook that can be used as a communication tool with minimally speaking autistic children. The project answers two clinically relevant questions within the field of Speech-Language Pathology.

1. What do we know from prior literature about the use of storybooks to support communication in minimally speaking autistic children?
2. What factors are important to consider in designing a storybook for minimally speaking autistic children?

I conducted a literature review exploring adapted storybooks and autistic children’s special interests to answer the project questions. Informed by this knowledge, I have …

Telepractice-Based Language Intervention Training For Parents Of Children With Autism Spectrum Disorders, Sarah Bryan

Honors Theses

This study closely examined the progression and fidelity of strategy implementation of parents undergoing an ASD language intervention training program. This instructional, interactive program was designed for parents of children with autism, thus catering to the needs of participants involved. This study assessed the use of parent comments and redirects, two kinds of parent strategies, during each parent-child interaction to provide more information about the impact of training sessions. The researchers hypothesized that by the end of training, parent participants would increase their fidelity of strategy implementation, increase their use of comments rather than redirects, and employ more open-ended questions …

The Effects Of Calmer On The Quality Of Life In Adults With Level 1 Autism Spectrum Disorder, Madilyn Morris

Honors Theses

Level 1 autism spectrum disorder (ASD) is a high-functioning neurodevelopmental disorder (Hodges et al., 2020; Hosseini & Molla, 2023). Several features of level 1 ASD negatively impact quality of life (QOL), and auditory sensitivity (specifically hyperacusis) is one of the most prevalent and disabling features (Danesh et al., 2015, 2021; Kuiper et al., 2019; Williams et al., 2021). Hyperacusis significantly impacts QOL in the level 1 ASD population, as current hyperacusis treatment strategies often result in various forms of social isolation (Adams et al., 2021; Danesh et al., 2015; Neave-DiToro et al., 2021).

However, Flare Audio markets a product (“Calmer”) …

The Effect Of Microglial Cell Dysfunction On Multi-Modal Pre-Pulse Inhibition, Michelle Besser

Dissertations, 2020-current

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by persistent deficits in social communication, restricted behaviors, and executive functioning deficits. Mutations in fractalkine signaling, particularly in CX3CR1, in the brain have been linked to ASD and other neurodevelopmental disorders. This investigation examined wild-type mice and mice with one or two copies of mutated CX3CR1 and their uni-modal (auditory and somatosensory) and multi-modal (combined) pre-pulse inhibitions (PPI). PPI is an unconditioned response – a decrement in the acoustic startle reflex when the mouse detects a non-startling stimulus presented a few hundred ms before the startling sound. In this study, the …

The Role Of The Pcc And Acc In Autism Spectrum Disorder: A Functional Connectivity Study, Claudia Gonzalez

Honors Theses

Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that impacts behavior control and social skills. Currently, ASD diagnoses are largely qualitative; thus, having more quantitative means of identification would aid in earlier diagnosis of ASD. However, more research is needed to pinpoint observable neurobiological markers of ASD. Our study focused on the posterior cingulate cortex (PCC) due to past evidence suggesting its involvement in ASD symptomatology. The PCC has been linked to behavioral control and executive functioning. Moreover, previous studies support executive functioning’s responsibility for the repetitive and restricted behaviors (RRB) in ASD.

Method: Our study sought to …

Identifying Key Language Research Priorities In Autistic Children According To Parents, Taylor Hale

LSU Master's Theses

The lack of involvement of the autistic community and its stakeholders in autism research has led to a call to action. At present, autism researchers have limited knowledge about stakeholders’ priorities for research. The current study aimed to bridge the disconnect between the extant autism research and the recent neurodiversity movement by surveying key stakeholders – parents of autistic children – on their perspectives on autism research that focuses on language. Twenty-six parents of autistic children completed an online survey on their views on autism language research with an option to participate in a follow-up interview. Six parents participated in …

Paths To Equity: Parents In Partnership With Ucedds Fostering Black Family Advocacy For Children On The Autism Spectrum, Elizabeth H. Morgan, Benita D. Shaw, Ida Winters, Chiffon King, Jazmin Burns, Aubyn Stahmer, Gail Chodron

Developmental Disabilities Network Journal

Racism and ableism have doubly affected Black families of children with developmental disabilities in their interactions with disability systems of supports and services (e.g., early intervention, mental health, education, medical systems). On average, Black autistic children are diagnosed three years later and are up to three times more likely to be misdiagnosed than their non-Hispanic White peers. Qualitative research provides evidence that systemic oppression, often attributed to intersectionality, can cause circumstances where Black disabled youth are doubly marginalized by policy and practice that perpetuates inequality. School discipline policies that criminalize Black students and inadequate medical assessments that improperly support Black …

Improving Diagnostic Outcomes For Individuals With Autism Spectrum Disorders Within The Hispanic Community In Bowling Green, Kentucky, Bethany Waddey

Mahurin Honors College Capstone Experience/Thesis Projects

Despite the importance of early identification and intervention of autism spectrum disorder (ASD), Hispanic children are significantly under-diagnosed with ASD in comparison to non-Hispanic, white children due to barriers to ASD identification in this population. The purpose of this research is to determine the levels of ASD knowledge in the Hispanic community in Bowling Green, the barriers that may contribute to why ASD is underdiagnosed in Hispanic children, and how to mitigate these barriers. This research analyzes the results of a survey, called the “Autism Spectrum Knowledge Scale- General Population Version”, administered to 51 participants from the Hispanic population of …

Dynamic Measures Of Referential Communication Reveal Hidden Pragmatic Strengths For Adolescents With Autism Spectrum Disorder, Mariana Schreuders

Senior Honors Projects, 2020-current

The ability to communicate effectively and efficiently while maintaining mutual understanding is a fundamental aspect of human-to-human interaction. Studies have shown that individuals with autism spectrum disorder (ASD) face challenges in areas of social communication skills, such as aspects of referential communication; or the ability to refer to things in such a way that a listener will know what the speaker is describing. The current study used data from a preexisting Barrier study to compare the referential communication abilities of school-aged children with ASD to those of neurotypical children (NT). Referential communication was observed during a barrier task, where participants …

Pre-Pulse Inhibition In Mutated Mice: Studying Compromised Microglial Cells To Discover New Genetic Connections To Autism, Bailey R. Kramarik

Senior Honors Projects, 2020-current

Microglial cells “play a pivotal role in refining neural networks during early critical periods” (Gabriele & Gray, 2020, p. 1). A disturbance in the functioning of these microglial cells contribute to specific characteristics of some neurodevelopmental disorders- including autism spectrum disorder. In this study, we used a mouse model to study disruptions in cell activity, as understanding the biological and genetic background of autism spectrum disorder could help us provide better treatment and therapy options to those diagnosed.

The mutated mice in this experiment have microglial cells with “compromised fractalkine signaling” (Gabriele & Gray, 2020, p. 4-5). We studied multimodal …

The Impact Of Distance Education On Therapy Services For Students With Asd: An Slp Perspective, Andrea Spragg

Dissertations, Theses, and Projects

The coronavirus disease of 2019 (COVID-19) pandemic caused an abrupt change in the day-to-day lives of individuals across the world as adults were forced to work from home and children were forced into virtual school environments. For all students, this disruption in schedule and daily routine been hard, but especially those with autism spectrum disorder (ASD) (Mumbardo-Adam et al., 2021). For many students with ASD, school is a place in which they receive many essential services and social interactions, such as speech therapy, that they may not receive other places. The purpose of this survey research was to understand the …

Like, It’S Important: The Frequency And Use Of Like In Autism Spectrum Disorder, Rebekah Jones

Masters Theses, 2020-current

Background & Aims: Discourse markers, such as well or like serve a variety of functions to support conversational reciprocity: filling pauses, aiding word-finding, holding conversational turns, and providing information about pause length. Previous research shows that individuals with ASD use discourse markers less frequently than neurotypical (NT) peers; however, the discourse marker like has been left out of that research, despite its ubiquitous use by NT individuals, and despite the fact that like serves important pragmatic functions that are not encoded by any other discourse marker. Specifically, like signals to the listener that the content of upcoming speech is 1) …

Measuring Referential Communication Dynamically In Older Children With Asd, Caitlin Lee

Masters Theses, 2020-current

Research finds individuals with autism spectrum disorder (ASD) are relatively ineffective and/or inefficient at referential communication. However, this research typically uses static metrics of efficacy (how accurately messages were relayed) and efficiency (overall word count), rather than dynamic ones (e.g., Does the speaker alter subsequent descriptions when the listener previously misunderstood them?). The aim of this research is to use dynamic measures of efficacy and efficiency to examine how speakers with and without ASD adjust their message to meet listener needs across time. Fifteen older children with (n = 8) and without (n = 7) ASD were included. …