Speech Pathology and Audiology Commons^™

The Process Of Telepractice Implementation During The Covid-19 Pandemic: A Narrative Inquiry Of Preschool Speech-Language Pathologists And Assistants From One Center In Canada, Elaine Yl Kwok, Jessica Chiu, Peter Rosenbaum, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Background: Many professional services were pressed to adopt telepractice in response to the global coronavirus SARS-CoV-2 (COVID-19) pandemic. The need to adopt a new service delivery approach quickly created different implementation challenges. This study explored the lived experiences of frontline clinicians who successfully transitioned their in-person speech-language therapy services to telepractice through an implementation science lens.

Methods: The study was conducted in partnership with one publicly funded program in Ontario, Canada that offers services to preschoolers with speech, language and communication disorders. Sixteen frontline speech-language pathologists and assistants at this organization shared their lived experience transitioning to telepractice during the …

Knowledge And Training In Language Sample Analysis Of Us Speech-Language Pathology Graduate Students, Allegra Cornaglia

Graduate Theses, Dissertations, and Problem Reports (ETD)

Purpose: Speech-language pathologists (SLPs) play an integral role in identification and treatment of developmental language disorders (DLD). Best practices include the use of language sample analysis (LSA) as part of a comprehensive evaluation. However, LSA requires a specific set of foundational morphological and syntactic knowledge. Previous studies have shown a knowledge gap for both SLPs and SLP graduate students for other areas of morphosyntax and phonology. This study examined the language analysis skills of current SLP graduate students on a test of Mean Length of Utterance (MLU) analysis and Clausal Density (CD) and whether there were possible factors associated with …

Pragmatic Deficits In Attention-Deficit/Hyperactivity Disorder: Systematic Review And Meta-Analysis, Paige Kessler

Honors Theses

Background: Most studies have found pragmatic language skills to be poorer in attention-deficit/hyperactivity disorder (ADHD) populations, but there is no conclusive evidence.

Aim: Our aim was to conduct a meta-analysis of pragmatic language abilities in ADHD populations to more definitively demonstrate the extent of pragmatic language deficits in these populations as compared to typically developing (TD) populations.

Methods and procedures: Journal articles were identified using the search terms ((attention deficit) OR (adhd)) AND (pragmatics). Identified studies were screened and reviewed for inclusion criteria, descriptive information, and outcome variables. A meta-analysis was conducted, and individual effect sizes and overall effect size …

Preparing Culturally And Linguistically Diverse Students To Work With Culturally And Linguistically Diverse Populations: A Program Design And Student Outcomes Study, Alliete R. Alfano, Angela M. Medina, Stefanie Moore

Teaching and Learning in Communication Sciences & Disorders

Adequate service provision for culturally and linguistically diverse (CLD) clients has been an issue the field of speech-language pathology (SLP) has been grappling with. At the root of this issue is a lack of professional CLD training in SLP programs and a lack of diversity among the students enrolled in these programs. The current study described the MS-SLP bilingual emphasis curriculum and recruitment practices at Florida International University (FIU). Outcomes for the MS-SLP graduates were also explored. The FIU MS-SLP program entails three dedicated courses on bilingual clientele with communication disorders across the lifespan, infusion of CLD concepts across all …

Developing Cultural Responsive Care: Children With Cleft Lip And Palate And Their Families, Brenda Louw

ETSU Faculty Works

The aim of this presentation is to report on the application and outcomes of an ETSU Cultural Competency grant awarded in 2021.The purpose of the grant was to allow students enrolled in CDIS 5240 (M.Sc. SLP Program) the opportunity to demonstrate understanding of multicultural multilingual issues and their application in the assessment and treatment of children with cleft lip and palate to better prepare them for the workforce, contribute to meeting the requirements of American Speech-Language Hearing Association (ASHA), and most importantly ensure that Hispanic children and other culturally and linguistically diverse (CALD) children with CLP receive improved services to …

Clinical Education Outcomes And Research Directions In Speech-Language Pathology: A Scoping Review, George W. Wolford, Schea Fissel Brannick, Sarah Strother, Laura Wolford

Teaching and Learning in Communication Sciences & Disorders

Purpose: To describe what researchers are investigating and how they are measuring the constructs of their investigations within the speech-language pathology (SLP) clinical education literature.

Method: A scoping review methodology (Arksey & O’Malley, 2005) was employed to develop a picture of clinical education articles which reported a measured outcome. Articles that met criteria were categorized by the purpose of the investigation and the outcome measures reported.

Result: 124 articles met inclusion criteria. Analysis of study purposes revealed a wide breadth of foci that were grouped into four broad clusters: Outcome Measures, Student Perspectives, Educational Contexts, and Teaching Methods. Most of …

Language As The Medium: A Literature Review. Harnessing The Prolific Power Of Dramatic Language As A Therapeutic Tool In Drama Therapy, Edward Freeman

Expressive Therapies Capstone Theses

Language in and of the theatre, with its palate of variegated writing styles and playwrights from throughout time, has the potential to be harnessed, focused, and systematized for use as a therapeutic tool within drama therapy – the field’s artistic medium. Drama therapy could benefit from having a specific medium germane to its artform which has the potential to provide practitioners with a common resource and means of communication, assessment, diagnosis, and treatment planning, as well as align the field with other creative arts therapies. Language encompasses all forms of human communication – speaking, writing, signing, gesturing, expressing facially – …

The Influence Of Side-Lying Position On Oropharyngeal Swallow Function In At-Risk Infants: An Exploratory Study, Julian White

Dissertations, 2020-current

Speech-Language Pathologists (SLP) are the primary healthcare providers responsible for the evaluation and treatment of infant feeding and swallowing disorders. At-risk infants, such as those born prematurely or with certain medical conditions, are more prone to swallowing impairments (i.e., dysphagia). Dysphagia in at-risk infants can have severe consequences such as chronic respiratory symptoms, pneumonia, progressive lung disease, undernutrition, and death. Therefore, it is important to have methods of examining an infant’s swallow functioning that are both safe and accurate. A leading method of evaluating infant swallowing is the Modified Barium Swallow Study (MBS). The works contained within this dissertation document …

Exploring The Impact Of Animal-Assisted Therapy On Children’S Literacy Skills In Speech-Language Interventions, Samantha Wingate

Honors College Theses

Animal-assisted therapy (AAT) is a therapeutic approach that uses therapy dogs to improve the clinical goals of individuals who need rehabilitative support. While AAT research within the health professions is developing, there is support showing that this type of milieu therapy has potential benefits when working with children with literacy concerns. Within the field of communication sciences and disorders (CSD), AAT can be used by speech-language pathologists to establish goal-directed therapy sessions to improve children’s literacy skills. This paper will highlight current literature that explores the use of AAT within literacy interventions, the use of evidence-based measures, and the feasibility …

A Survey Of Slp Graduate Students Pre- And Post-Telepractice Training During The Covid-19 Pandemic, Kelly Allison Frost

Masters Theses & Specialist Projects

Many university programs in speech-language pathology who offer clinical training as part of their graduate program, transitioned to a telepractice service delivery model in response to the COVID-19 pandemic. The purpose of the current research project was to survey graduate student opinions and perspectives on the telepractice service delivery model before and after training. Graduate students enrolled in a SLP distance program at WKU participated in a summer clinical internship and were asked to complete pre- and post-surveys about their remote clinical experience. Pre- and postsurveys were completed by 27 graduate students who were enrolled in the summer clinical internship …

Phonological Variation Among Young Spanish-English Dual Language Learners On An English Sentence Repetition Task, Sarah Kate Coleman

Senior Theses

Purpose - There is a need for research informing best practices for assessing the language abilities of bilingual children, as well as research regarding typical phonological development of bilingual children. The purpose of the present paper is to contribute broadly to informing bilingual phonological assessment practice by examining phonological variation in Spanish-English speaking children’s English sentence repetition responses and the relation between these phonological variations and performance on the English sentence repetition task.

Method - 20 Spanish-English speaking kindergarteners completed the English sentence repetition task of the Bilingual English-Spanish Assessment (BESA; Peña et al., 2014). The phonological variations present in …

Student Perceptions Of A Simulated Clinical Experience: A Pilot Study, Haley Elliott, Klaire Brumbaugh

Teaching and Learning in Communication Sciences & Disorders

Purpose: The purpose of this qualitative study was to document the experience of using a computer-based simulated (Simucase, 2019) learning opportunity in a Master of Science in speech-language pathology program.

Method: Focus groups were held utilizing a semi-structured interview format. Themes were identified using a qualitative methodological approach. Participants were first year graduate students (N=10) that were interviewed after completing an eight-week simulated learning opportunity.

Results: Seven themes emerged from the data. The themes were as follows: setup of the computer-based simulation, the incorporation of computer-based simulation in courses, supplemental information that assisted in development of clinical knowledge, …

Interprofessional Experience For Future Education Professionals: School Psychology And Speech-Language Pathology Students, Shari L. Deveney, Brian Mckevitt

Teaching and Learning in Communication Sciences & Disorders

Educational training programs are tasked with addressing potential barriers to interprofessional practice through experiences that promote interprofessional collaborations. The present study of interprofessional experiences (IPE) had both research and pedagogical purposes. The research purpose was to describe graduate student self-perceptions related to interprofessional teaming/collaboration before and after an IPE involving two educational training programs, school psychology and speech-language pathology. The pedagogical purpose was to convey a detailed description of a case-based IPE offered as a course assignment and offer implementation suggestions. Participants in this course-based IPE were 109 students in the school psychology and speech-language pathology graduate programs at a …

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 …

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

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

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

The Impact Of Active Learning In A Speech-Language Pathology Swallowing And Dysphagia Course, Rebecca H. Affoo, Justin L. Bruner, Angela M. Dietsch, Ciara E. Nellenbach, Theresa M. Jones, Mark E. Lehman

Teaching and Learning in Communication Sciences & Disorders

The signature pedagogy in Speech-Language Pathology (SLP) higher education programs has been criticized for its instructor-centric lecture format and emphasis on the lower tiers of Bloom’s taxonomy (simply memorizing knowledge) at the expense of helping students develop the clinical problem-solving skills required for a lifetime of practice and learning. The purpose of this study was to examine the responses of a cohort of graduate speech-language pathology students to an active learning-oriented swallowing and dysphagia course design. A potential relationship between student perceptions of the active learning pedagogy and academic performance was also explored. The results suggest that active learning positively …

The Effectiveness Of Visual Phonics To Promote Phonological Awareness In Preschool Children With And Without Speech Sound Delays, Katelyn Derby

Dissertations, Theses, and Projects

The purpose of this study was to examine the phonological awareness skill of letter-sound relationships for preschool students using the multi-kinesthetic Visual Phonics intervention, See the Sound/Visual Phonics. The study had a non-concurrent multiple baseline data procedure, where each child was exposed to a general phonics curriculum in comparison to a Visual Phonics intervention. A specific interest was understanding potential benefits (i.e., rate of mastery) for preschool students with typical hearing, and the potential for Visual Phonics to support improved letter-sound accuracy for children at risk for speech sound disorders and delays. The results of the study indicated See the …

Dialect Variation Assessment In Speech-Language Pathology, Maliah Wilkinson

Honors Theses

During speech and language assessment, speech language pathologists often utilize tools from sociolinguistics to differentiate between accent and dialect variation from actual speech or language impairments. Perceptual dialectology, is one of these tools. This method of research seeks to investigate the linguistic perspectives of various populations in specific situations (Montgomery, 2012, p. 638). To investigate the perspectives of college students, linguists, and speech-language pathologists surveys analyzed they perceptions of dialects in various settings and their backgrounds. Results from the surveys indicate linguists who participated have educational experience with dialects but not dialect assessments. While speech-language pathologists, have certification that insists …

Bilingual Practices In Speech-Language Pathology In Nebraska Schools, Kylee Beyea

Theses/Capstones/Creative Projects

The United States is home to a population that is nearly 20% bilingual. A statistic such as this almost guarantees that speech-language pathologists (SLPs) will work with someone from this bilingual population at some point during their career. Many factors contribute to how children learn language, and there are added complexities in the acquisition of multiple languages which can complicate the job of a clinician. Silent periods, codeswitching, transfer, and other bilingual language phenomena make diagnosing speech and language disorders difficult. The American Speech-Language-Hearing Association (ASHA) provides guidelines and a code of ethics to be followed to ensure best practice. …

Perceptions Of Guilt Of Individuals With A Visible Communication Disorder Versus An Invisible Communication Disorder, Zoe Hochberg

Honors Scholar Theses

This study explored how communication disorders may impact listeners’ perception of guilt. More specifically, it looked at how visible communication disorders (e.g., stuttering) and invisible communication disorders (e.g., high functioning autism) are judged by the general public. 51 adults (18-71 years) participated in the study which asked them to view video recordings of narrative samples produced by an individual who stuttered (PWS), an individual with high-functioning autism (PHFA), and an individual with no communication disorder (PNCD). Participants were not informed of the individuals’ communication abilities (PWS, PHFA, or PNCD), but were told that one of the individuals had committed a …

Qualitative Case Review Of A Male With Down Syndrome, Mary Josephine Hoyer

Mahurin Honors College Capstone Experience/Thesis Projects

Down syndrome is the most common chromosomal condition in the United States. In the United States, about one of every 700 babies is diagnosed with Down syndrome. The purpose of this study was to assess pre-existing data on a 13-year-old male with a diagnosis of Down syndrome to contribute to research on this chromosomal abnormality. The individual received speech and language related services at Western Kentucky University beginning in 2007. Through analysis of previously collected data, the researcher created a qualitative case review that identified the progress of an individual with Down syndrome and emphasized what attributed to his progress. …

Toward The Development Of A Quick, Reliable Assessment Tool For Reflective Journals, April Garrity, Casey Keck, Janet L. Bradshaw, Keiko Ishikawa

Teaching and Learning in Communication Sciences & Disorders

Reflective practice, including reflective writing, can facilitate enriched learning, especially when implemented as part of a service-learning (SL) experience. Reflection is a central component of service-learning (SL) experiences. Students’ reflective abilities are often measured through reflective journaling; however, assessment of students’ reflective journals is not always efficient and straightforward. The goal of the present study was to establish a simple, reliable, and relatively quick tool for use by busy college instructors seeking to encourage students’ deep learning through reflective writing. A total of 258 reflective journals from 43 graduate students in speech-language pathology were evaluated by three raters using a …

The Gendered Experiences Of Male Students In A Speech-Language Pathology Graduate Program: A Multi-Case Study, Jairus-Joaquin R. Matthews, Derek E. Daniels

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathology is a profession with a gender disparity wherein the majority of speech-language pathologists are female. This disparity is also reflected in speech-language pathology graduate programs. The American Speech, Language, and Hearing Association has developed many initiatives over the years to address this issue, yet the gender disparity still remains. The purpose of this study was to develop some initial insights into reasons that men enter into the profession of speech-language pathology, and their experiences in graduate programs. In this qualitative case-study approach, interviews were conducted with four male graduate students. The interviews were transcribed and analyzed for major …

Narratives Of Expert Speech-Language Pathologists: Defining Clinical Expertise And Supporting Knowledge Transfer, Natalie F. Douglas, Katie Squires, Jacqueline Hinckley, Erline V. Nakano

HPD Articles

Clinical expertise is a component of evidence-based practice; however, relatively little attention has been paid to this phenomenon in the professional literature of speech-language pathology. This may have negative impacts on the training of pre-professional and novice speech-language pathologists. The purpose of this study was to examine professional narratives of expert Speech-Language Pathologists (SLPs) to consider applications for knowledge transfer between expert clinicians and novice clinicians. Collection of the professional narratives of 10 expert SLPs were obtained through in-depth interviews. Interviews were transcribed and coded for themes. Themes that impacted expertise in SLP included: training; work sites; individual and clinician …

Using Implementation Science To Engage Stakeholders And Improve Outcome Measurement In A Preschool Speech-Language Service System, Barbara Jane Cunningham, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

This tutorial presents one example of collaborative implementation research in a preschool speech-language service system - Ontario Canada’s Preschool Speech and Language Program. Working collaboratively with stakeholders including policy makers, managers, and speech-language pathologists (SLPs), four webinar modules were developed to support implementation of the Focus on the Outcomes of Communication Under Six (FOCUS), a new participation-focused outcome measurement tool in pediatric speech-language pathology. The webinar modules were pilot tested at two community sites to determine whether they were effective at increasing SLPs’ knowledge, perceptions, and intentions for practice. The Knowledge-to-Action framework was used to inform all phases of this …

Examining The Effectiveness Of Interprofessional Collaboration For Preprofessional Speech-Language Pathology And Occupational Therapy Graduate Students, Morgan Cornwell

Senior Honors Projects, 2010-2019

This study explores the effects of an emergent writing interprofessional collaboration experience for preprofessional speech-language pathology (SLP) and occupational therapy (OT) graduate students. The preprofessionals were split into two groups (SLP only and SLP-OT pairs) and delivered emergent writing interventions to preschoolers either individually (SLP only) or collaboratively (SLP-OT pairs). The purpose of this study was to investigate how working collaboratively versus working individually to deliver the interventions to preschoolers influences the preprofessionals’ knowledge of theInterprofessional Education Collaborative’s (IPEC) core competencies and emergent writing concepts. The results showed that paired preprofessionals reported higher levels of interprofessional competency than unpaired preprofessionals. …

The Importance Of Interprofessional Education To Develop Successful Interprofessional Collaborative Teams In Healthcare, Christina Sebastiao

Senior Honors Projects

Many individuals live with chronic illnesses, various disabilities, and other complex needs that require an array of medical services from multiple disciplines within the healthcare field. To address the medical, behavioral and social needs of these patients, there has been an emphasis on providing treatment through interprofessional collaborative teams and interprofessional practice (IPP). These teams consist of multiple health professionals from various disciplines.

To ensure IPP teams are efficient and effective in the workplace, the application of interprofessional education (IPE) is key. The goal of IPE is to increase competency in interdisciplinary collaborative skills in students and future practitioners. In …

Investigating Predictive Relationships Between Speech-Language Pathology Graduate Students' Sense Of Classroom Community, Perceived Learning, And Perceived Anxiety., Emily B. Schantz

Electronic Theses and Dissertations

Mental health is an all-encompassing term that focuses on a person’s ability to achieve work-life balance inclusive of positive mental health and mental ill-health. Current trends suggest an overall increase in mental ill-health for undergraduate and graduate students. McMillan and Chavis’ sense of community theory provided the theoretical framework for this study. This study aimed to examine whether speech-language pathology graduate students’ sense of classroom community and perceived learning predict anxiety levels while controlling for demographic variables. Three-hundred-sixteen master’s level speech-language pathology students completed an online survey containing the Generalized Anxiety Disorder Questionnaire, Perceived Learning Scale, and Classroom Community Scale. …

“Evaluating Knowledge And Perspectives Of Behavior Analytic Language Strategies In The Clinical Practice Of Speech-Language Pathology”, Mackenzie Sturman

Honors Theses

Research shows that principles of applied behavior analysis (ABA) may be beneficial to language acquisition. Speech-language pathologists (SLPs) have the responsibility of assessment, diagnosis, and treatment for individuals with various speech and language impairments, and work directly with language instruction. However, there is limited knowledge of the degree to which SLPs use concepts of behavior analytic language interventions in clinical practice for individuals of varying language and communication disorders. This study investigated the extent to which practicing SLPs use language strategies from ABA in their clinical practice. A qualitative approach was utilized by conducting individual semi-structured interviews with four practicing …

Language Sampling Methods For Early Adolescents With Specific Language Impairment, Anna Mckay

Mahurin Honors College Capstone Experience/Thesis Projects

One essential component of clinical practice in the field of speech-language pathology is eliciting language to assess an individual’s communication abilities. Language becomes more sophisticated during the adolescent stage of development, particularly in the areas of vocabulary and complexity of sentence structures used. The current protocols used to evaluate adolescents are limited in their ability to elicit and analyze language samples, resulting in decreased effectiveness of identifying adolescents with language disorders. Preliminary data was collected at Western Kentucky University in 2018 regarding a new language sampling technique, the Dixit Method (DM), to elicit more lexically diverse language than standard interview …