Speech Pathology and Audiology Commons^™

Evaluating Preschoolers Who Are Deaf/Hard Of Hearing Using Listening And Spoken Language To Determine Special Education Eligibility, Kameron C. Carden, R. A. Mcwilliam

Journal of Early Hearing Detection and Intervention

The aim of this study was to increase understanding of evaluation practices used when determining special education eligibility for preschoolers who are deaf/hard of hearing (DHH) using listening and spoken language (LSL), particularly during the early intervention to preschool transition. Specifically, we explored alignment of school-based practices with recommended practices from the National Association of State Directors of Special Education (NASDSE, 2018). An online survey was distributed to school-based special educators, including speech-language pathologists (SLPs), special education teachers, and teachers of the deaf within the United States that included a) evaluation practices, b) eligibility requirements, and c) practice demographics. Participant …

The Follow-Up Gap: Racial Disproportionality And Social Determinants Of Health In New Jersey’S Hearing Detection And Intervention Program, Maryrose Mcinerney, Wendy Zeitlin

Journal of Early Hearing Detection and Intervention

Objectives. To assess how race/ethnicity and social determinants of health are related to loss to follow-up (LTF) from NJ’s Early Hearing Detection and Intervention (EHDI) program.

Methods. All infants born in NJ between June 2015 and June 2017 referring for additional hearing healthcare after hospital discharge were considered for inclusion in this study. The sample consisted of 4,141 babies, 10.7% of which received no follow-up care. Step-wise multi-level logistic regression was used to determine how race/ethnicity, family-level, and community-level social determinants of health (SDOH) were predictive of LTF.

Results. In each model, the odds of being LTF were significantly higher …

Exploring Perception Of Coarticulatory Cues In Childhood Apraxia Of Speech And Residual Speech Sound Disorders: A Pilot Study, Molly Beiting, Navin Viswanathan, Nicole Caballero, Elaine Hitchcock, Tara Mcallister, Jonathan L. Preston

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Introduction: Children with childhood apraxia of speech (CAS) exhibit speech production deficits beyond segmental errors, including atypical coarticulation. Broadly, children with speech sound disorders (SSD) also exhibit weaknesses in speech perception, which may directly relate to specific production difficulties. This study examined differences in categorical perception among children with CAS, residual SSD affecting /ɹ/ (rSSD), and typical speech (TD). We hypothesized that children with CAS would demonstrate weaker performance on a task requiring perception of coarticulatory cues—a defining weakness in their speech production—but perform similarly to rSSD peers on a segmental task. Methods: This study was designed as an exploratory …

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 …

Too Loud To Ignore: Knowledge, Attitudes, And Practices Regarding Hearing Protection In Student Musicians And Ensemble Directors, Lucile Donald, Ashley G. Flagge

Ashley Flagge Publications

Musicians are at an elevated risk for noise-induced hearing loss (NIHL) due to repeated exposure to sound levels exceeding occupational safety guidelines. Although many strides have been made in educating music students on the potential dangers of noise exposure and the mitigating effects of hearing protection devices, the current attitudes on this topic among high school and college-level student musicians remain largely unknown. An electronic survey was administered to high school (n = 195) and university (n = 161)-level band students and ensemble directors (n = 15) regarding knowledge of noise/music-induced hearing loss (MIHL), personal practices with HPDs, and types …

Vestibular Migraine And Ssri Withdrawal: A Case Report, Grace Fairchild, Sarah Redding, Ashley G. Flagge

Ashley Flagge Publications

Vestibular migraine (VM) has been described as a diagnosis of exclusion, with no one singular definitive assessment for diagnosis. It has been suggested that possible pharmaceutical intervention for VM can include antidepressant drugs, but this is potentially complicated by the fact that dizziness is a common side effect of both use and withdrawal for certain types of antidepressant medications. This article describes the case of a 56-year old with probable VM, who was previously diagnosed with depression and treated with the selective serotonin reuptake inhibitor (SSRI) Citalopram. Following discontinuation with no taper, the patient experienced a series of withdrawal side …

Econometric Analyses Across The Continuum Of Care For Individuals With Hearing Loss, Teresa I. Anthony

USF Tampa Graduate Theses and Dissertations

Hearing loss affects individuals across the age span and, if left untreated, can lead to developmental delays and health and well-being concerns. This dissertation applies econometric analyses to investigate factors influencing diagnostic outcomes in the neonatal intensive care unit (NICU), intervention enrollment rates among babies with permanent childhood hearing loss (PCHL), and utilization and hospitalization outcomes among adults with sensory impairment (SI). The first study evaluates the cost-effectiveness of automated auditory brainstem response (aABR) versus transient evoked otoacoustic emissions (TEOAE) for newborn hearing screenings in a Thailand hospital NICU. Decision tree modeling and economic evaluation suggested that although aABR is …

Preparedness And Engagement Of Rehabilitation Professionals In Disaster Management: A Cross-Sectional Survey Of Ots, Pts, And Slps In Florida, Rebecca I. Estes, Shari Rone-Adams

Internet Journal of Allied Health Sciences and Practice

Purpose: Allied health professionals, specifically, physical therapists (PTs), occupational therapists (OTs), and speech-language pathologists (SLPs), are under-recognized and underutilized in disaster management. The purpose of this study was to investigate awareness, prevalence of engagement, interest level, roles, perceptions, and training of rehabilitation professionals in the disaster management cycle. Method: The Healthcare Practitioner Disaster Management Questionnaire, an anonymous quantitative survey, was deployed to OTs, PTs, and SLPs, licensed in Florida, a convenience sample. Descriptive analysis and Spearman Rho correlation were used to understand the data. Results: Respondents believe that licensed clinicians have a role in disaster management. Respondents had little familiarity, …

Educating Future Nurse Practitioners And Physician Associates On Pretreatment Of Swallowing In Head And Neck Cancer, Hannah M. Berk, Erin L. O'Bryan, Imran Musaji, Carly A. Thomas, Jamie Harrington

Teaching and Learning in Communication Sciences & Disorders

Head and neck cancer treatment frequently results in long-term severe swallowing deficits, often requiring feeding tube dependency. Patients who have completed swallowing exercise programs before and during cancer treatment experienced more positive swallowing outcomes, but most patients are not referred for swallowing intervention early enough in their care to prevent long-term deficits. This student research project aimed to measure health profession students’ knowledge of swallowing pretreatment for head and neck cancer patients and to investigate the impact of an educational module developed and presented by a Communication Sciences and Disorders graduate student to improve knowledge and awareness of this clinical …

The Role Of Interprofessional Education In Preparing The Next Generation Of Pre-Service Professionals: A Pilot Study, Shannon Wade Salley, Jennifer Cuchna, Tammy M. Hines, Karla Collins, Jennifer Hutchinson

Teaching and Learning in Communication Sciences & Disorders

Interprofessional practice is a growing expectation in health and human services professions, as is collaboration between education professionals, to bring the best care and services to clients and students. Future professionals need to learn about other professions and be taught how to work with others as members of an interprofessional team. This mixed-methods pilot study examined the impact of an interprofessional education experience on future education, health, and human services professionals, including speech language pathologists, teachers, and counselors. Event participants showed an increased understanding of the roles of other professionals and recognition of the benefits of working in an interprofessional …

Comparing Massed And Distributed Course Formats: Effects On Outcomes In A Graduate Augmentative And Alternative Communication Course, Brandon Scott Eddy, Alli Sauerwein, Leah Meloy, Eric Sanders

Teaching and Learning in Communication Sciences & Disorders

The effects of massed versus distributed learning have been well studied in the verbal and motor learning literature, with findings suggesting enhanced outcomes from distributing learning over time. However, some studies have found limited evidence to support enhanced outcomes from distributed learning when applied to an entire academic course. The effects of course scheduling on student learning in speech-language pathology graduate coursework have received limited attention. This study compared learning outcomes between a one-week massed format and an eight-week distributed format in an online two-credit augmentative and alternative communication graduate-level course. Learning outcomes were assessed before students enrolled, immediately after …

Students’ And Faculty’S Experiences With An Objective Structured Clinical Examination: A Pilot Study, Carrie A. Axt, Jessica M. Smith, Kathie M. Stillwell

Teaching and Learning in Communication Sciences & Disorders

This study examined the implementation of an objective structured clinical examination (OSCE) as a competency-based assessment in a graduate speech-language pathology program. Although OSCEs are widely used in health professions education, they remain less common in speech-language pathology. OSCEs provide opportunities to assess clinical skills beyond traditional knowledge-based measures through simulated patient encounters across multiple stations. The purpose of this mixed-methods study was to explore student and faculty perceptions of OSCE participation, identify factors contributing to effective competency assessment, and gather feedback for future use. Fifteen first-year graduate students and four faculty members completed surveys, station rating scales, and interviews. …

Impact Of A Novel Hybrid Computer-Based Simulation Adult Dysphagia Training On The Confidence And Clinical Knowledge Of Speech-Language Pathology Graduate Students, Jaime Bauer Malandraki, Jennine Bryan, Dawn Wetzel, Allison Schaser, Bruce A. Craig, Georgia A. Malandraki

Teaching and Learning in Communication Sciences & Disorders

The purpose of this project was to examine the impact of a novel hybrid computer-based dysphagia simulation training on student confidence and clinical decision-making in the area of adult dysphagia. We developed a pilot SBT database, including computer-based simulations utilizing real-life actors who simulated standardized adult patients with dysphagia. Students completed a comprehensive bedside swallowing evaluation and analysis of a videofluoroscopic swallow study (VFSS) as part of the training. We evaluated confidence and clinical decision-making through the following outcome measures: student self-rated confidence levels using a self-efficacy survey and agreement levels with our gold standard rater on clinical evaluation forms. …

A Scoping Review Of Oral Feeding Skill Development In Typically Developing Children Part Ii: Exploring Variability In Oral Feeding Skill Descriptions, Amy Delaney, Anna Flatt, Hannah Koepp, Alissa Fial, Katherine C. Hustad

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This scoping review is the second in a two-part series that aims to synthesize the literature on oral feeding skills development and to create a classification system of observable skills. Building on the findings from Part 1, this article compiles and analyzes the types of feeding skills reported across studies and proposes a framework for standardizing terminology.

Method:

The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Of the 14 studies identified in Part 1 that focused on feeding skill development, 11 included unique skill descriptions. These skills were coded and …

The Science Of Sound: Studying The Cognitive, Emotional, And Physiological Effects Of Frequency, Genre, And Music, Jett Yarborough

Senior Honors Theses

Music influences emotion, physiology, and cognition, yet little is known about how the frequency it is tuned to affects these influences. Prior research has shown that music tuned to 432 Hz can reduce stress, lower blood pressure, and improve sleep. My colleagues and I conducted two studies to investigate this. Our research found that music tuned to 432 Hz promotes a significant increase in memory retention and induces a state of focus and relaxation. These results suggest that shifting from the standard tuning frequency of 440 Hz to 432 Hz could have a profoundly positive impact on our daily lives. …

English-Spanish Bilingual Speech Language Pathologists’ Experiences Evaluating English Language Learner Students: Incorporating Conceptual Scoring, Barbara De Jesus Rivera, Raul Prezas

Journal of Human Services: Training, Research, and Practice

The number of multilingual/bilingual students has increased across schools in the United States. Assessment in both the native language and English is considered the standard for evaluating bilingual children referred for language testing. Conceptual Scoring is an evaluation approach for bilingual students that considers the students’ responses in both languages to obtain an overall language score; however, there is variability among practitioners on best practices for multilingual assessment.

Purpose: The current study (a) sought to explore the decision-making process of bilingual SLPs when evaluating bilingual students, (b) to gain a deeper understanding of how bilingual SLPs incorporate conceptual scoring in …

Educational Services And Language Congruency In Low-Income Children Who Are Deaf Of Hard-Of-Hearing, Courtney J. Austin, Dylan Chan, Jihyun Stephans

Research Colloquium

Background: Children who are deaf or hard-of-hearing (DHH) are required by United States law to have access to educational services through the Individuals with Disabilities in Education Act (IDEA). However, access to language-congruent providers, as well as supplemental services, varies considerably. Household income is associated with poorer hearing care access and outcomes in DHH children. We predict that access to supplemental, language-congruent DHH services is poorer in DHH children from lower-income homes.

Methods: This is a secondary, ad hoc exploratory study of DHH children aged 0-27 months enrolled in a randomized clinical trial (CT.gov: NCT04928209). Children were enrolled across all …

The Relationship Between Language And Musical Skill Development In Individuals With Complex Communication Needs: Implications For Interprofessional Pedagogical And Research Practice, Lisa Pierce-Goldstein

Educational Studies Dissertations

The relationship between music and language has long fascinated scholars and educators. Observational and experimental research has yielded evidence of music’s positive impact on language development. However, research has largely focused on individuals who primarily use speech to communicate. Individuals with complex communication needs (CCNs), who use augmentative and alternative communication (AAC) to communicate, are underrepresented in the literature.

Purpose: The primary purpose of this study is to gain a deeper understanding of the relationship between language development and musical skill development in individuals with complex communication needs using alternative assessment tools: the Communication Matrix (CM; i.e., language) and the …

Towards Accessibility In Healthcare For Individuals With And Without Hearing Loss: Evaluation Of Usability, Fit, And Communicative Effectiveness Of A Transparent N95 Mask Prototype, Samuel R. Atcherson, Brooklyn Schultes, Jeanne Hahne, Barbara Debaun, Chris Showell

JADARA

The COVID-19 pandemic has underscored the necessity of effective face masks in both public and healthcare settings for mitigating the spread of disease. However, traditional face masks impede communication, posing significant challenges for approximately 13% of the general population and 10% of healthcare and social assistance workers who have hearing loss and who rely on lipreading and other non-verbal cues. Traditional surgical masks and N95 respirator masks serve important roles in healthcare, but they differ in levels of protection. Currently, a transparent surgical mask is available, but not an N95 version. Thus, this study aimed to evaluate the usability, fit, …

Imagining What’S Next In Pediatric Feeding Care, Amy L. Delaney

Speech Pathology and Audiology Faculty Research and Publications

Pediatric feeding disorder (PFD) is now recognized as a diagnostic entity, and we have the diagnostic and procedural codes for it. This is a turning point in our field because these codes don’t just unlock reimbursement—they validate and name the invisible. They allow us to collect data and identify patterns, and they open a door to remarkable things.

Polish Adaptation Of The Self-Stigma Of Stuttering Scale: Scale Development And Analysis, Marta Wesierska, Natalia Świsłocka, Katarzyna Węsierska, Michael P. Boyle

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: There is currently no available assessment of self-stigmatization for people who stutter in Polish, and previous research has identified a clear need for such a measure to be implemented in therapy settings. The aim of this study was to adapt the Self-Stigma of Stuttering Scale (4S) to Polish. Method: The study recruited 108 Polish adults who stutter (48.1 % female, 51.9 % male), ranging in age from 18 to 67. Participants were mainly recruited via speech language pathologists (SLPs) and self-help group leaders. Participants completed the Polish translation of the 4S scale, as well as questions on general mental …

A Scoping Review Of Oral Feeding Skill Development In Typically Developing Children Part I: Methodologies, Populations, And Normative Data, Amy L. Delaney, Anna Flatt, Hannah Koepp, Alissa V. Fial, Katherine C. Hustad

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This scoping review is the first in a two-part series aimed at synthesizing literature on oral feeding skills and informing the development of a classification system of observable skills. This article consolidates research on feeding skill development in typically developing children. The second paper analyzes individual skills identified. This review addresses three questions: (a) What methods have been used to study feeding skill development? (b) What populations of typically developing children without feeding disorders have been studied? (c) What normative data on feeding skills are available?

Method:

Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for …

Dominant Mid-To-High-Frequency Harmonics Predict Neural Encoding And Perception Of Concurrent Vowels With Large F0 Differences, Fan-Yin Cheng, Sarah Medina, Olaedochim Obinna, Spencer Smith

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Concurrent vowel perception experiments have revealed the importance of fundamental frequency (f₀) differences in speech stream segregation. Understanding neural processes that support speech streaming using f₀ differences remains an active area of perceptual and neurocomputational modeling research. This study simultaneously measured subcortical neural encoding [frequency following responses (FFRs)] and cued vowel identification accuracy of 12 concurrent vowel mixtures with large f₀ differences (>8 semitones) to assess whether f₀-based neural channel selection predicted perception. Results indicated that the strength of f₀-based neural channel selection for one vowel often depended on the …

Increasing Implementation Of The Comfortable Cafeteria Program To Promote School-Age Children’S Mental Health And Well-Being, Reinecka Mondesir, Angela Labrie Blackwell Phd, Otr

Summer 2025 OTD Capstone Symposium

Every Moment Counts (EMC) is a positive mental health promotion initiative that offers several initiatives to create inclusive environments that support student participation and emotional well-being throughout the school day. Comfortable Cafeteria, part of EMC, fosters positive mealtime experiences supporting peer interaction, emotional regulation, and inclusion. Many SBOT practitioners lack the resources to implement Comfortable Cafeteria, despite its benefits. This capstone project addresses the need for practical tools to help school-based occupational therapy (SBOT) practitioners integrate the Comfortable Cafeteria program into daily practice. Using the Multi-Tiered System of Supports (MTSS) framework, the project developed and disseminated an interactive, evidence-based video …

Chew On It: A Pilot Study Of A Multimodal Assessment Of Mastication Protocol, Michelle Catão

Electronic Theses and Dissertations

Despite its subconscious nature, deglutition is an elaborate and multifaceted process, contingent on the activation of specific neural pathways and muscles. The inherent complexity gives rise to a wide array of potential complications and difficulties, known as dysphagia. Screening and assessment for dysphagia aid in determining the presence and etiology of swallowing difficulties, providing information that is critical for maintaining and improving the health status of vulnerable populations from the standpoint of nutrition, hydration, and socialization (Dziewas et al., 2017). Previous studies surrounding dysphagia assessment have prioritized formulating clinical protocols to evaluate the nonvolitional stage, often failing to address the …

An Implementation Study Of Phonological Awareness Assessment Tasks For Literacy Development In D/Deaf And Hard Of Hearing Students, Sara Tuddenham

Electronic Theses and Dissertations

Minimal auditory input can impact phonological awareness skill acquisition in d/Deaf and hard of hearing (DHH) students. Teachers of the Deaf and speech-language pathologists can assess and instruct DHH students through methods tailored to their needs, but research on effective strategies is limited. This study explores the development and implementation of a linguistically and culturally inclusive set of phonological awareness tasks for DHH students at Western Pennsylvania School for the Deaf (WPSD). Tasks investigate phonological awareness in spoken English (i.e., rhyming, sound matching, blending, etc.) and American Sign Language (i.e., ASL parameters) for nine DHH students. Results indicate the feasibility …

Individual Noise-Tolerance Profiles And Neural Signal-To-Noise Ratio: Insights Into Predicting Speech-In-Noise Performance And Noise-Reduction Outcomes, Subong Kim, Susan Arzac, Natalie Dokic, Jenn Donnelly, Nicole Genser, Kristen Nortwich, Alexis Rooney

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Background/Objectives: Individuals with similar hearing sensitivity exhibit varying levels of tolerance to background noise, a trait tied to unique individual characteristics that affect their responsiveness to noise reduction (NR) processing in hearing aids. The present study aimed to capture such individual characteristics by employing electrophysiological measures and subjective noise-tolerance profiles, and both were analyzed in relation to speech-in-noise performance and NR outcomes. Methods: From a sample of 42 participants with normal hearing, the neural signal-to-noise ratio (SNR)—a cortical index comparing the amplitude ratio between auditory evoked responses to target speech onset versus noise onset—was calculated, and individual noise-tolerance profiles were …

Clinician And Caregiver Perspectives On A Community-Based Dynamic Temporal And Tactile Cueing Treatment Trial For Childhood Apraxia Of Speech: Exploring Perceptions Of Research And Routine Clinical Practice, Donna C. Thomas, Geraldine Bricker-Katz, Elizabeth Murray, Shelley L. Velleman, Jenya Iuzzini-Seigel

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

Dynamic Temporal and Tactile Cueing (DTTC) is an evidence-based treatment for children with childhood apraxia of speech. In clinical practice, speech-language pathologists (SLPs) frequently use an eclectic approach incorporating aspects of DTTC, for reasons that are not well understood. This research note describes a qualitative investigation of the experiences of SLPs and caregivers who participated in protocolized research DTTC for a 24-session treatment efficacy study. Specifically, we sought to understand the perspectives of these SLPs and caregivers regarding (a) DTTC treatment, as provided during the study, and (b) participating in a treatment research study.

Method:

Four SLPs and three …

14-Year Retrospective Review Of Audiology Graduate Admission Data: Comparative Analysis With Other First Professional Health Programs, Alyssa R. Needleman, Patricia A. Gaffney, Erica B. Friedland, Josiah Alamu

Internet Journal of Allied Health Sciences and Practice

Purpose: Demographic and cognitive data on students entering audiology programs is incomplete, and there is a lack of comparison among audiology students and those entering other first professional health (FPH) programs. This paper is the first of a multi-part series to provide evidence into the characteristics of the typical audiology student and their graduate outcomes. This is valuable for improving recruiting, admissions, retention, and success rates of audiology programs. A comprehensive descriptive analysis of admission criteria was performed for students who entered the NSU Doctor of Audiology (AuD) program over the last 14 years. Additionally, NSU admissions data was compared …

Exploring The Validity Of Vocabulary Assessments In Racially, Dialectically, And Socioeconomically Diverse Preschool Populations, Lauren Betzer

LSU Master's Theses

Recent research has advocated for interactive assessments of vocabulary over more traditional, static assessments, as interactive assessments are more sensitive to linguistic and cultural diversity. Static vocabulary assessments, such as the Peabody Picture Vocabulary Test (PPVT), probe existing knowledge, while interactive assessments, such as the Quick Interactive Language Screener (QUILS), examines a child’s language in a wholistic manner by assessing previously learned vocabulary knowledge, syntactic knowledge, and processing when learning a new concept. It remains unclear which assessment more accurately captures children's vocabulary knowledge throughout the Deep South—a region characterized by its unique cultural and linguistic environment, which includes the …