Speech Pathology and Audiology Commons^™

An Examination Of Entrainment In Typically Developing Children, Kiersten A. Pope

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

Purpose: Conversational entrainment describes the tendency for individuals to align their behavior with their communication partners and is essential for successful interaction. Evidence of entrainment in adults is robust, yet research regarding its development is sparse. Here, we investigate the effectiveness of a quasi-conversational paradigm for the purpose of identifying the speech rate entrainment abilities of children.

Method: Data were collected from a total of 50 typically developing children from 5-14 years old. Participants completed an entrainment task to identify the presence of speech rate modification depending on the presence of “fast” or “slow” stimuli. The entrainment task utilized a …

After Skilled Therapy: A Curriculum For Functional Social Interactions, Camille Benning, Kylie Crews

Graduate Independent Studies - Communication Sciences and Disorders

A curriculum was created for individuals with developmental disabilities who no longer qualify for skilled speech-language services at the Ecklemann-Taylor Speech & Hearing Clinic. The first portion of the paper includes the terms of eligibility within the clinic, reasons for dismissal, and the population that can potentially benefit from this curriculum. The second part of the paper includes an extensive literature review and the empirical base of the components for the curriculum which provide extra support. Finally, the guide to the curriculum itself is attached.

A Review Of Attention, Memory, Word Finding, And Executive Function To Support Client Rehabilitation In A Group Therapy Setting, Anna Uftring, Michelle Estand, Annie Heineman, Samantha Marusiak

Graduate Independent Studies - Communication Sciences and Disorders

This paper is a review of attention, memory, word finding, and executive function to support individuals with deficits in these areas seen in a rehabilitative speech-language therapy setting. Each chapter contains a definition of the domain and describes the subdomains included. The chapters also include the neurology associated with the domain and common disorders that include deficits in the areas of attention, memory, word finding, and executive functioning. At the end of each chapter, recommended treatment principles are provided to guide therapy with each domain. This paper was created to accompany a therapy manual titled “Providing Connections Through Group Therapy” …

Young Adults With Cleft Lip And Palate: Personal Perspectives Of Transition Of Care, Courtney Buchanan, Bethany Johnson, A. Jade Morgan, Jessica Morgan, Carissa Padgett, Brenda Louw

ETSU Faculty Works

Children with cleft lip/palate receive team care which typically ends at eighteen. Young adults then need to transition into an adult-centered model of care. A paucity of literature exists regarding their perspective on transition of care experience. This research explores the experiences of young adults with CLP regarding their transition of care process, within the person-centered ICF framework.

Personal Commitment Statements In Evaluating Continuing Education: Evolutionary Practice, Juan Bornman, Brenda Louw

ETSU Faculty Works

The use of a Commitment-to-Change (CTC) statement to evaluate Continuing Education was investigated through a case study design. A CE event on communication disorders within the ICF-CY framework was evaluated by a Personal Commitment form and a follow-up survey. Results of a thematic analysis of statements and follow-up survey illustrate the important potential of this evolutionary approach.

Clinician-Research Collaboration: Determining Research Interests And Needs Of Clinicians In The Tri-Cities, Tn, Kara Detty, Lauren Fabrize, Mary Trifiro, Jessica Weiner, Brenda Louw

ETSU Faculty Works

This research explores the disconnect between researchers and practicing clinicians on research collaboration, which is attributed to various barriers, therefore creating a researcher-clinician gap. Survey research was conducted and practicing clinicians in the Tri-Cities region of Tennessee acted as respondents. Results may contribute to establishing practicing clinician-research collaboration in this context.

Early Speech Deterioration In Amyotrophic Lateral Sclerosis: A Case Study Of Newscaster Donna Britt, Emily Watkins

LSU Master's Theses

Abstract

Purpose: The aim of this study is to detect and track speech changes using acoustic and perceptual measures in an individual (a local newscaster) with amyotrophic lateral sclerosis (ALS) using data from before her diagnosis, around the time of her diagnosis, and after her diagnosis.

Methods: Six time points, ranging from 37 months around her diagnosis, were analyzed from one speaker with ALS. Three acoustic parameters were measured: articulation rate, acoustic vowel space, and the slope of the second formant. Additionally, two experts with more than 10 years of experience perceptually analyzed the speech samples on 17 characteristics using …

Use Of Hearing Protection In Neonatal Intensive Care Unit Patients: A Systematic Review Of The Evidence, Nathalie Chouery, Kathleen T. Dunckley

Journal of Early Hearing Detection and Intervention

Neonatal intensive care unit (NICU) settings present neonates with many environmental hazards, including exposure to dangerous sound intensity levels. Noise levels in NICUs worldwide overwhelmingly exceed the recommendations for safe exposure by the American Academy of Pediatrics. Environmental modifications and staff behavioral changes have proved ineffective to sufficiently reduce infant noise exposure. A systematic review of the literature was undertaken to answer if earmuffs improves physiologic stability, behavioral response, and sleep behavior, which are markers of stress response in NICU patients. Seven databases were searched for pertinent records using a specific search protocol. Seven studies met the review’s inclusion criteria …

Hispanic Parents’ Beliefs, Attitudes And Perceptions Toward Pediatric Hearing Loss: A Comprehensive Literature Review, Ana Caballero, Karen F. Munoz, Jared Schultz, Laurel Graham, Alex Meibos

Journal of Early Hearing Detection and Intervention

Objective: The purpose of this review was two-fold: (a) to understand research findings about Hispanic parents’ beliefs, attitudes, and perceptions related to hearing loss after having children who are deaf or hard of hearing, and (b) to inform future research needs that could expand audiologists’ ability to provide patient-centered care with this population.

Design: A comprehensive review of the literature was used to identify relevant articles for the review.

Study Sample: Five research articles met the inclusion criteria.

Results: Three primary themes emerged: (1) deafness causality, parents tended to describe the cause of the hearing loss in terms of religion …

Progress In Documented Early Identification And Intervention For Deaf And Hard Of Hearing Infants – Cdc’S Hearing Screening And Follow-Up Survey, United States, 2006–2016, Krishnaveni Subbiah, Craig A. Mason, Marcus Gaffney, Scott D. Grosse

Journal of Early Hearing Detection and Intervention

The national EHDI 1-3-6 goals state that all infants should be screened for hearing loss before 1 month of age; with diagnostic testing before 3 months of age for those who do not pass screening; and early intervention (EI) services before 6 months of age for those with permanent hearing loss. This report updates previous summaries of progress on these goals by U.S. states and territories. Data are based on the Hearing Screening and Follow-up Survey (HSFS) conducted annually by the Centers for Disease Control and Prevention for the years 2006–2016. Trends were assessed using 3-year moving averages, with rates …

Barriers To Change For Augmentative And Alternative Communication Use, Lauren E. Brown

Scholars Week

Title: BARRIERS TO CHANGE FOR AUGMENTATIVE AND ALTERNATIVE COMMUNICATION USE

Keywords: speech language pathology, augmentative and alternative communication, counseling, readiness to change, self-efficacy

In recent literature, there has been a marked increase in importance placed upon understanding what factors both positively and negatively impact the progress made by a client and that client’s family in response to speech and language therapy. Today, clinicians prioritize evidence based practice (EBP) when making clinical decisions, focusing on not only clinical expertise and best evidence, but also client and caregiver perspectives, or preferences (ASHA, 2018). In consideration of EBP for augmentative and alternative communication …

Teaching Counseling Skills In Audiology Graduate Programs: Clinical Supervisors’ Perceptions And Practices, Karen F. Muñoz, Trenton J. Landon, Kim Corbin-Lewis

Communicative Disorders and Deaf Education Faculty Publications

Background: Counseling is a critical component within audiological service delivery. Partnering with patients to support them in learning to effectively cope with their hearing challenges is a key component in achieving desired outcomes. Even though there is agreement on the foundational role counseling plays in audiology service delivery, counseling instruction varies among audiology training programs.

Purpose: The purpose of this study was to investigate the perspectives and practices of supervisors in audiology graduate training programs related to mentoring students in the acquisition of counseling skills.

Research Design: A cross-sectional design was used; participants completed a self-report survey.

Study Sample: The …

Selective Stimulability In The Speech And Language Assessment Of Bilingual Children With Selective Mutism, Elizabeth Harbaugh , M.S., Ccc-Slp, Raul F. Prezas , Ph.D., Ccc-Slp, Robin L. Edge , Ph.D., Ccc-Slp

Journal of Human Services: Training, Research, and Practice

English Language Learners (ELLs) with Selective Mutism (SM) mirror their typically developing, bilingual peers who are going through the silent period. The silent period is a normal phenomenon characterized by decreased expressive language and a general lack of communication that is temporary. Understanding second language acquisition and differentiating SM from the silent period, however, is critical to reduce over- and under-identification of children for services. Whereas bilingual children with SM do not speak in either of their languages, bilingual children in the silent period are only silent in their second language. Although limited information exists regarding assessment and treatment for …

Scaffolded Play As A Predictor Of Change In Language And Play In Children With Autism, Cara Tyson

LSU Doctoral Dissertations

A child’s play is facilitative of language development, creating a situation where words are needed to speak to and for toy characters, socially engage with peers, and develop play narratives. Children with language disorders, in particular autism spectrum disorder, often fail to engage in play activities at levels of their typically developing peers. However, under highly structured conditions, or scaffolded conditions, children with autism have demonstrated the ability to engage in play at similar levels as their typically developing peers. It remains unclear whether direct teaching of play under scaffolded conditions will predict language skills over time for this population. …

Evaluation Of Oral Function Before And After Frenectomy In Breastfed Infants Diagnosed With Tethered Oral Tissue, Cindy L. Parr

LSU Doctoral Dissertations

Assessment and treatment of tethered oral tissue, or tongue tie, vary within and across providers, resulting in inconsistent surgical and therapeutic outcomes. Assessment and treatment have historically focused on the anatomical (structural) underpinnings of tongue tie, as opposed to the physiological (functional) aspects that can affect daily activities. This is particularly noteworthy in the infant population in regards to breastfeeding. Clinical findings, however, suggest that connections exist between tongue tie and a variety of other oral functions that go beyond breastfeeding. The goal of this research was to examine a relatively small group of breastfed infants with tethered oral …

Selecting An Acoustic Correlate For Automated Measurement Of American English Rhotic Production In Children, Heather Campbell, Daphna Harel, Elaine Hitchcock, Tara Mcallister Byun

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: A current need in the field of speech–language pathology is the development of reliable and efficient techniques to evaluate accuracy of speech targets over the course of treatment. As acoustic measurement techniques improve, it should become possible to use automated scoring in lieu of ratings from a trained clinician in some contexts. This study asks which acoustic measures correspond most closely with expert ratings of children’s productions of American English /ɹ/ in an effort to develop an automated scoring algorithm for use in treatment targeting rhotics. Method: A series of ordinal mixed-effects regression models were fit over a large …

Effects Of Hearing Loss On General Cognitive Health And Social Auditory Lifestyle Within The Older Population, Sawyer Milam, Scott Seeman

AuD Capstone Projects - Communication Sciences and Disorders

Hearing loss is a common medical condition associated with the elderly. Its impact on general cognitive health has been extensively studied, along with its association with social auditory lifestyle. Hearing loss has been associated with a decline in both aspects (Lin, 2011a; Wu and Bentler, 2012), however, studies involving all three of these factors have yet to be performed. Further research is needed to encompass how these three facets, when combined, affect the elderly population. A literature review of 21 articles was conducted in order to reveal how hearing loss is associated with general cognitive health and social auditory lifestyle.

An Exploratory Study Of Speech-Language Pathologists' Perceptions Of Multicultural Counseling In Communication Sciences And Disorders, Crystal C. Randolph, Janet L. Bradshaw

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists’ (SLPs) perceptions of multicultural counseling vary according to their academic (teaching and learning), educational, supervisory, supervisee, and clinical experiences. With the increase of culturally and linguistically diverse populations, the implementation of multicultural counseling in communication sciences and disorders (CSD) is essential to providing efficacious assessments and interventions. The current research reports data from a recent survey that queried SLPs’ perceptions of multicultural counseling in CSD. Results from the survey reveal that SLPs' perceptions of MC vary according to their experiences (e.g., educational, supervisory, clinical).

Improving The Interprofessional Relationship Between Nurses And Speech-Language Pathologists: A Pilot Study, Christina Hamling, Kristy Weissling

Honors Program: Senior Projects (Public)

The research presented in this thesis explores the impact of interprofessional education on undergraduate nursing and speech-language pathology students with an overall goal of improving the interprofessional relationship between the two fields. Utilizing quantitative and qualitative methods in the form of a pre-test, educational materials, live guided observation, and post-tests, the researchers found an increase in the nursing students ’ ability to identify the role of the speech-language pathologist in a medical setting (knowledge). There was also an increase in the speech-language pathology students’ ability to understand how and when to communicate with nurses in a medical setting (knowledge).

Procedural-Memory, Working-Memory, And Declarative-Memory Skills Are Each Associated With Dimensional Integration In Sound-Category Learning, Carolyn Quam, Alisa Wang, W. Todd Maddox, Kimberly Golisch

Speech and Hearing Sciences Faculty Publications and Presentations

This paper investigates relationships between procedural-memory, declarative-memory, and working-memory skills and adult native English speakers’ novel sound-category learning. Participants completed a sound-categorization task that required integrating two dimensions: one native (vowel quality), one non-native (pitch). Similar information-integration category structures in the visual and auditory domains have been shown to be best learned implicitly (e.g., Maddox et al., 2006). Thus, we predicted that individuals with greater procedural-memory capacity would better learn sound categories, because procedural memory appears to support implicit learning of new information and integration of dimensions. Seventy undergraduates were tested across two experiments. Procedural memory was assessed using …

Vowel Production In Down Syndrome: An Ultrasound Study, Micalle Carl

Dissertations, Theses, and Capstone Projects

The present study investigated the articulatory and acoustic characteristics of vowel production in individuals with Down syndrome (DS). Speech production deficits and reduced intelligibility are consistently noted in this population, attributed to any combination of phonological, structural, and/or motor control deficits. Speakers with DS have demonstrated impaired vowel production, as indicated by perceptual, acoustic, and articulatory data, with emerging evidence of vowel centralization. Participants in the study included eight young adults with DS, as well as eight age- and gender-matched controls. Ultrasound imaging was utilized to obtain midsagittal tongue contours during single-word productions, specifically targeting the corner vowels /ɑ/, /æ/, …

The Effect Of The Movie Time Social Learning Method On The Emotional Inferencing Skills In An Adult With Autism Spectrum Disorder, Jenna Reade

Electronic Theses and Dissertations

Individuals with autism spectrum disorder (ASD) have difficulty finding employment and maintaining social relationships. Professional and personal interactions require individuals to make inferences, or read between the lines. Inferencing is a challenge for individuals with ASD because it requires complex information processing. More specifically, it involves the integration of cognitive and linguistic information. There is a lack of research using complex stimuli to treat inferencing. An A-B-A-B design with one adult with ASD was used to examine the effectiveness of a movie-based method, Movie Time Social Learning(Vagin, 2012), on improving the emotional inferencing skills of one young adult with …

Differential Diagnosis Of Auditory Processing Disorder In Children: A Literature Review, Jessica Glennon, Benjamin Kirby

AuD Capstone Projects - Communication Sciences and Disorders

Although there is no consensus on the definition of auditory processing disorder (APD), it is typically characterized by listening difficulties resulting from deficits in auditory perceptual processing of sounds in the central auditory nervous system. APD often co-occurs with other disabilities such as ADHD, dyslexia, and specific language impairment. Presenting symptoms can be very similar to these other disorder, complicating diagnosis. Due to the overlap of symptoms between APD and various other deficits, there are concerns that professionals in different fields are providing children with different labels for the same group of symptoms. Therefore, the aim of this literature review …

Speech-Language-Hearing Clinic Handbook - August 2018, Department Of Audiology And Speech-Language Pathology, East Tennessee State University

Speech-Language Pathology Handbooks

No abstract provided.

Effects Of Age And Gender During Three Lingual Tasks On Peak Lingual Pressures In Healthy Adults, Elizabeth Oommen, Youngsun Kim

University Faculty Publications and Creative Works

This study examined the effects of age and gender during three intra-oral lingual tasks (elevation, protrusion, and depression) on peak lingual pressure in healthy adults. Methods: Healthy adults were divided into groups based on age, young (18 to 35 years) and older (>60 years) adults, and gender. All the 49 participants completed maximum isometric pressure intraoral lingual tasks (elevation, protrusion, and depression) and peak anterior lingual pressures were recorded using the three-bulb tongue array of the Digital Swallowing WorkstationTM. Peak lingual strength was recorded as the average of peak lingual pressures of the three trials for each lingual task. …

Immature Auditory Evoked Potentials In Children With Moderate-Severe Developmental Language Disorder., Elaine Yuen Ling Kwok, Marc F Joanisse, Lisa Archibald, Janis Oram Cardy

Health and Rehabilitation Sciences Publications

Purpose: Immature auditory processing has been proposed to underlie language impairments in children with developmental language disorder (DLD; also known as specific language impairment). Using newly available normative auditory evoked potential (AEP) waveforms, we estimated AEP maturity in individual children with DLD and explored whether this maturational index was related to their language abilities.

Method: AEPs were elicited by 225 trials of a 490-Hz pure tone. Using intraclass correlation and our previously established normative AEP waveforms of 7- to 10-year-old children with typical development, we estimated the age equivalent of the AEPs (AEP-age) from 21 children with DLD. The relation …

Mixed-Methods Research: A Tutorial For Speech-Language Therapists And Audiologists In South Africa, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

Background: Mixed-methods research (MMR) offers much to healthcare professions on clinical and research levels. Speech-language therapists and audiologists work in both educational and health settings where they deal with real-world problems. Through the nature of their work, they are confronted with multifaceted questions arising from their efforts to provide evidence-based services to individuals of all ages with communication disorders. MMR methods research is eminently suited to addressing such questions.

Objective: The aim of this tutorial is to increase awareness of the value of MMR, especially for readers less familiar with this research approach.

Method: A literature review was conducted to …

Speech-Language Pathology Student Participation In Verbal Reflective Practice Groups: Perceptions Of Development, Value And Group Condition Differences., Gina D. Tillard, Kate Cook, Daniel Gerhard, Lydia Keast, Megan Mcauliffe

Teaching and Learning in Communication Sciences & Disorders

The aim of this study was to determine whether significant differences in perceptions of reflective practice were present across two groups of students engaged in standard practice and experimental group conditions. Twenty-seven undergraduate speech-language pathology students participated in the study. A two-condition, non-randomised, pre-test post-test design was employed with two groups (a standard practice condition and an experimental practice condition, utilizing structured activities and prompts). Participants took part in weekly reflective practice groups over a six week period, in which discussion centered on students’ clinical experiences. Pre and post intervention, the students completed a questionnaire designed to examine perceptions of …

Impact Of Virtual Simulation And Coaching On The Interpersonal Collaborative Communication Skills Of Speech-Language Pathology Students: A Pilot Study, Jacqueline A. Towson Ph.D., Ccc-Slp, Matthew S. Taylor Ph.D., Jennifer Tucker Pt, Dpt, Pcs, Claire Paul Ph.D., Bcba, Patrick Pabian Pt, Dpt, Scs, Ocs, Richard I. Zraick Ph.D., Ccc-Slp

Teaching and Learning in Communication Sciences & Disorders

Communication between clinicians, teachers, and family members is a critical skill when addressing and providing for the individual needs of patients. However, graduate students in speech-language pathology (SLP) programs often have limited opportunities to practice these skills prior to or during externship placements. The purpose of this study was to explore the use of virtual-reality based rehearsal with coaching on the interpersonal collaborative communication skills of SLP graduate students when delivering information regarding a singular patient to different stakeholders. Three graduate students completing their third semester in a SLP program participated in the study. Each participant was provided a clinical …

Factors Related To Hearing Aid Use Among Older Adults From Hispanic/Latino Backgrounds: Findings From The Hispanic Community Health Study/Study Of Latinos, Michelle L. Arnold

USF Tampa Graduate Theses and Dissertations

The purpose of this dissertation was to understand perceived hearing loss and hearing health care use among older adults from Hispanic/Latino backgrounds using the Andersen model of health care utilization as a framework. A cross sectional analysis of audiometric and survey data from the Hispanic Community Health Study/Study of Latinos was used to estimate factors that characterize perceived hearing handicap and hearing aid use, and to determine hearing aid use rates in a large group of older Hispanic/Latino adults. Data came from 6970 adults aged 45 to 76. Results revealed that self-perceived hearing handicap is significantly correlated to measured hearing …