Speech Pathology and Audiology Commons^™

Training Clinical Judgment Skills For Interpreting Feeding Behavior In Preterm Infants: A Comparison Of Video And In Vivo Simulation, Jamesa R. Ewing

Electronic Theses and Dissertations

Health and feeding outcomes for preterm infants depend upon healthcare providers’ ability to recognize non-verbal signs of distress during bottle-feeding. Methods of training future providers’ to interpret feeding behavior in preterm infants are unclear. This study used a pre-test/post-test design to compare the effects of in- vivo simulation and video-simulation training on students’ knowledge of feeding abnormalities, clinical judgment, and documentation accuracy. Fifty-two graduate level speech-language pathology students were assigned to the in-vivo (N= 27) or video-simulation (N= 25) group. Results revealed that both methods proved beneficial for increasing knowledge and clinical judgment skills. Participants trained using video-simulation training documented …

The Effects Of Aging On Auditory Duration Discrimination, Rachael N. Luckett

Honors Theses

The goal of this study is to identify how auditory duration discrimination ability varies across age groups by using an unbiased stimulus such as a music tone. This will be accomplished by conducting a quantitative study testing duration discrimination skills in young and elderly adults. Their confidence ratings per response will also be included along with their discrimination results. The author will generate data that compare the duration discrimination abilities of young versus elderly adults. The null hypothesis is that there is no difference in duration discrimination between elderly and young adults.

Bridging Theories Of Phonological Awareness For Deaf And Hard Of Hearing Children: Perspectives From Verbotonal Specialists In The United States, Jazmin Rambeau

Honors Theses

Approaching literacy instruction for children who are deaf and hard of hearing is one of the most significant challenges within global education because there are various evidence-based theories in the literature as to why children who are deaf and hard of hearing often manifest impaired reading abilities compared to children with normal hearing, and how they may acquire literacy skills differently. This study aims to identify agreements within the literature regarding the role of phonological awareness in literacy acquisition for children who are deaf and hard of hearing, and how tools such as the Verbotonal method of auditory therapy may …

A Call For Hearing Loss Prevention Programs In College Music Education Programs, Jason Taurins

Honors Theses

Music educators, ensemble conductors, and students who participate in musical ensembles are exposed to sound pressure levels which exceed the criteria for NIOSH. As such, this population should be enrolled in hearing loss prevention programs. Ensemble directors (many music educators fall into this category) have a direct role in influencing the sound pressure levels produced in rehearsals. Music educators have a role in influencing the knowledge, skills, attitudes, and behaviors of their students. Because of the health risks of noise exposure, and the role music educators (and ensemble directors in general) have in influencing their students, hearing loss prevention should …

Incidental Phonological Awareness Instruction In Early Childhood Education: The Development Of An Observational Tool, Emma Cooper

Honors Theses

Explicit phonological awareness instruction in preschool curricula has been established as playing a fundamental role in improving reading outcomes in children (Carroll, Snowling, Stevenson, & Hulme, 2003). However, to date, there has been a lack of evidential research data that assess the value of incidental phonological awareness instruction as a supplement to regular instruction within these preschool classrooms (Phillips, Clancy-Menchetti, & Lonigan, 2008). This study covers the development and evaluation of an observational tool designed to capture, quantify, and assess instances of incidental phonological awareness instruction in preschool and early childhood education classrooms.

After a review of extant measures, a …

Unsteady Nasalance Traces Among Sustained Vowels In Typical Adult Speakers: Prevalence & Potential Causes, Catherine Hearit

Honors Theses

Background. Vowels are a commonly used stimulus for evaluating speech resonance because hypernasality is best detected in vowel sounds. It was observed that steady-state sustained vowels show considerable within sample nasalance variance, although nasalance is expected to be stable for this speech target.

Purpose. The purpose of the study was to ascertain the prevalence of variability among normal speakers in steady state vowel nasalance traces and to determine the variables that predict variability.

Methods: Sixty-one participants aged 18 through 30 years were recruited. All participants were lifelong residents of the lower peninsula of Michigan with normal hearing sensitivity and no …

Personal Interviews: Do They Make Sense In 2015?, Larry Boles, Kerry Mandulak

School of Pharmacy Faculty Presentations

No abstract provided.

Grant Proposal: Effects Of Sound Field Amplification On Standardized Test Scores, Jessica Ivey Coker

Doctoral Dissertations

Research has shown that the majority of classroom environments lack appropriate acoustical standards to ensure optimal learning conditions. During the early school grades, it is especially crucial that students overcome poor listening environments to obtain the fundamental educational skills necessary for academic success. Furthermore, the State of Louisiana conducts standardized test assessments (LEAP and iLEAP) to measure the students' knowledge and skills gained. These standardized test scores not only determine if the student progresses to the next grade, but also influences the amount of federal revenue and how the revenue is allocated to the schools. A proposed remedy to …

Ear Specific Anl Measurements In Individuals With Unilateral And Asymmetrical Sensorineural Hearing Loss, Rebecca Howard

Doctoral Dissertations

The present study sought to determine if ANLs differ between ears within subjects with unilateral or asymmetrical SNHL. ANL was measured in four conditions (i.e., binaural, better ear, poorer ear unmasked, and poorer ear masked) in fifteen adults, nine with unilateral SNHL and six with bilateral asymmetrical SNHL. A significant difference between ANL in the four conditions (i.e., binaural, better ear, poorer ear unmasked, and poorer ear masked) was identified; however, the subjects with unilateral and asymmetrical SNHL behaved similarly throughout the testing. When comparing the four conditions, the results showed a significant difference between both the binaural ANL and …

The Effect Of Auditory Processing Abilities On Acceptable Noise Levels, Brandee E. Richardson

Doctoral Dissertations

The purpose of the present study was to determine typical acceptable noise levels (ANLs) in children diagnosed with auditory processing disorder (APD) and compare those to ANLs in children without APD. Sixteen participants, eight children with APD and eight children without APD, were administered a complete audiological evaluation and a series of APD tests [Filtered Words, Competing Sentences, and Auditory Figure Ground (0) subtests of the SCAN– 3C; Staggered Spondaic Word test; and Pitch Pattern test] to determine normal or abnormal auditory processing ability. Conventional ANLs were measured on each participant to determine acceptance of background noise. The results …

Let's Talk Speech! Volume 8 Issue 1, Barbara T. Schmidt Ph.D.

Communication Sciences and Disorders Newsletter

This has been an AMAZING year for all of us here at Molloy College. First, the New York State Education Department (NYSED) awarded the M.S. Program the opportunity to offer teacher certification to our graduate students in speech-language pathology. This certification is commonly referred to as the TSSLD and was the result of the tireless efforts of Professor Joanne Ascher, who initiated the application and the discussions with NYSED. Second, the Council of Academic Accreditation in Audiology and SpeechLanguage Pathology (CAA) of the American Speech-Language-Hearing Association, awarded the MS degree program accreditation for a period of five years. This was …

Effects Of Moderate-Level Sound Exposure On Behavioral Thresholds In Chinchillas, Maria Sandra Carbajal De Nava

Open Access Theses

Normal audiometric thresholds following noise exposure have generally been considered as an indication of a recovered cochlea and intact peripheral auditory system, yet recent animal work has challenged this classic assumption. Moderately noise-exposed animals have been shown to have permanent loss of synapses on inner hair cells (IHCs) and permanent damage to auditory nerve fibers (ANFs), specifically the low-spontaneous rate fibers (low-SR), despite normal electrophysiological thresholds. Loss of cochlear synapses, known as cochlear synaptopathy, disrupts auditory-nerve signaling, which may result in perceptual speech deficits in noise despite normal audiometric thresholds. Perceptual deficit studies in humans have shown evidence consistent with …

Reliance On Auditory Feedback In Children With Childhood Apraxia Of Speech, Jenya Iuzzini-Seigel, Tiffany P. Hogan, Anthony J. Guarino, Jordan R. Green

Speech Pathology and Audiology Faculty Research and Publications

Children with childhood apraxia of speech (CAS) have been hypothesized to continuously monitor their speech through auditory feedback to minimize speech errors. We used an auditory masking paradigm to determine the effect of attenuating auditory feedback on speech in 30 children: 9 with CAS, 10 with speech delay, and 11 with typical development. The masking only affected the speech of children with CAS as measured by voice onset time and vowel space area. These findings provide preliminary support for greater reliance on auditory feedback among children with CAS.

Learning outcomes: Readers of this article should be able to (i) …

Stakeholder Perspectives Of The Effectiveness Of Augmentative And Alternative Communication Techniques In Children With Autism, Daria Constantinescu

Theses and Dissertations

The purpose of this study was to utilize focus groups and individual interviews to investigate the effectiveness and efficiency of augmentative and alternative (AAC) techniques in facilitating language in children with Autism Spectrum Disorder (ASD) as expressed by the opinions and attitudes of stakeholders involved in the process. ASD is a disorder that affects an individual's social and communication skills that usually surfaces within a child's first three years of life. There have been numerous studies conducted comparing different types of AAC intervention systems, but there is little information on stakeholders' opinions. The current study utilized one focus group interview …

Tell Me A Story: The Relationship Between Identity And Life Stories Following Brain Injury, Sara Henson

Theses, Dissertations and Capstones

Following brain injury, people can demonstrate cognitive-linguistic deficits as well as a shift in their identities. Clinicians use assessment and treatment methods that focus on cognitive-linguistic deficits with this population; however, they rarely (if ever) consider identity as a viable and necessary target for intervention efforts. For individuals with brain injury, life narratives can be used to assess and treat the cognitive-linguistic skills and discourse at a macro-systemic level, build relationships through the use of a client-centered approach, develop a strong sense of self-identity that aids in goal setting, establish life purpose that motivates greater participation and effort in rehabilitation, …

Interpreter-Assisted Speech-Language Intervention In Poland: Needs, Possibilities And Prospects (Współpraca Polskiego Logopedy Z Tłumaczem – Potrzeby, Możliwości I Perspektywy), Katarzyna Gaweł, Henriette Langdon, Katarzyna Węsierska

Faculty Publications

Due to the constantly evolving global demographic situation, speech-language therapists (SLTs, also: speech-language pathologists – SLPs) have to deal with an increasing workload of bilingual/multilingual clients. This article presents results of a survey conducted among Polish SLTs aimed at investigating their views with regards to the possibility of collaboration with an interpreter during therapeutic intervention. The original version of the questionnaire (Gaweł & Węsierska, 2014) used in this survey was filled out by 206 respondents from different areas across Poland. The following issues were addressed in the study: the SLTs’ views on the incidence of bilingualism in Poland, their self-evaluation …

Evidence-Based Practice In Stuttering: Views From American And Polish Clinical Perspectives, Henriette W. Langdon, Pei-Tzu Tsai, Katarzyna Węsierska

Faculty Publications

In this paper the authors present the underpinnings of Evidence-Based Practice (EBP) with application to stuttering. The application of intervention practices using EBP are discussed from two different countries, the United States and Poland. Advantages, Challenges and Future Directions as well as Solutions are presented. In sum, the authors conclude that both perspectives are relatively similar and going generally in the same direction.

In A Right State Of Mind: An Analysis Of Cognitive And Linguistic Function Following A Rare Case Of Atypical Language Dominance In Aphasia, Emily Manton

Undergraduate Review

As the foundation for effective communication, the power of the human brain to create and execute language derives from the ability of its structural components to remain intact. Extensive research has found that in 97% of people worldwide, language is typically carried out by the left hemisphere of the brain. Research for lesions in this area therefore, have been well documented. For the 3% of individuals who fall in the category of "atypical cerebral dominance" however, there is little in the available literature. Therefore, this empirical prospective case study sought to document the cognitive and linguistic functions of a 59 …

The Use Of Theatre To Develop Social And Communication Behaviors For Students With Autism, Suzanne Reading, James Reading, Robert J. Padgett, Samantha Reading, Pete Pryor

Scholarship and Professional Work - Communication

Social and communication behaviors are often a focus of instruction for individuals with autism. A theatre rehearsal and production process is challenging and joyful work that nurtures the development of social and language skills. This study evaluated and described social and language behaviors for students with autism both before and after a 10-week theatre experience. The results indicated that, when compared with a control group, the students with theatre experiences had significant and positive changes in the development of social and language skills. Most particularly, these students had significant improvement in social responsiveness, acknowledgement of the perspective of others, and …

Examining Barriers With Implementing Augmentative And Alternative Communication In A Midwest School, Ashley Renee Fields

Walden Dissertations and Doctoral Studies

Many speech-language pathologists (SLPs) in a Midwest urban public school system have experienced barriers that prohibit the effective use of augmentative and alternative communication (AAC). The result has left some students with speech language impairments (SLI) without the communication skills for meaningful relationships and success in and out of school. The purpose of this exploratory case study was to determine the perceived barriers of 8 local school SLPs regarding the successful implementation of AAC and their suggestions for addressing the problem. Data were collected from semi-structured interviews with the SLPs. Data collection and analysis were grounded by Ely's conditions of …

A Clinical Case Study Exploring The Impact Of Bilingual Support In Speech-Language Intervention For A Child With Autism, Zaynab Taei

Theses and Dissertations--Communication Sciences and Disorders

Managing language choice in speech-language intervention is increasingly an issue for speech-pathologists treating bilingual children. Frequently L2 approaches only are implemented, resulting in negative effects on L1 acquisition, familial ties, and cultural transmission. This study examined the impact of a bilingual intervention on a school-aged child and her family. Providing intervention and therapy activities in the L1 resulted in increased parental engagement, increased L1 use by the child, and increased awareness of strategies for treating bilingual children among SLPs at the study site.

Graduate Bulletin, 2015-2016, Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.

Perception And Use Of Communication Care Plans By Certified Nursing Assistants In Nursing Homes: The Role Of Professional Support, Christen G. Page

Theses and Dissertations--Rehabilitation Sciences

The majority of individuals in nursing homes have cognitive-communication impairments which impact quality of care because direct care providers, certified nursing assistants, (CNAs) are unsure how to respond to resident’s communication behaviors. One intervention that facilitates staff-resident communication in nursing homes is communication plans; however, the research to date about communication plans has not specifically involved CNAs.

The purpose of this study, using a grounded theory qualitative approach, was to describe development, implementation and evaluation of communication care plans (CCPs) for residents with cognitive-communication impairments in nursing homes by CNAs who did and did not receive professional support. Communication care …

Problem Solving Of Typically Developing Children On An Adaptation Of The Twenty Questions Task, Janice Carter Smith

Theses and Dissertations--Rehabilitation Sciences

This cross sectional study examined problem solving by typically developing children on the Rapid Assessment of Problem Solving test (RAPS). The RAPS, a modification of Mosher and Hornsby’s 20Q task, requires the examinee to solve three problems. Each problem involves asking yes/no questions to identify a target picture from a 32-picture array with as few questions as possible. Participants were 73 young (ages 7-9), 79 early adolescent (ages 10-13) and 77 adolescent (ages 14-17) children residing in Kentucky. Children were seen in the summer months and administered the RAPS on a single occasion, with 22 of the children being testing …

Effects Of An Online Training In The Ziggurat Model On The Autism Knowledge Of School-Based Speech-Language Pathologists (Slps), Wendy L. Wilkerson

Theses and Dissertations--Rehabilitation Sciences

Autism Spectrum Disorder (ASD) is a low-incidence disorder with high impacts on individuals, families, and society. School-based speech-language pathologists (SLPs) have tremendous responsibilities toward individuals with ASD, but pre-service SLPs are not adequately trained to fulfill these expectations. In order to reduce the widespread financial and social impact of ASD, school-based SLPs need to complete effective training to prepare them for the selection of established social-communication practices. One framework for the selection of individualized intervention is the Ziggurat Model (Aspy & Grossman, 2008). The following study used mixed methods to investigate the research question: “Does the ASD knowledge base of …

Parent/Caregiver Knowledge And Satisfaction Of Information And Referrals Related To Speech-Language Pathology Services For Children With Down Syndrome, Erin K. Salmons

Theses and Dissertations--Communication Sciences and Disorders

Down syndrome, also known as Trisomy 21, is the most commonly occurring chromosomal abnormality present at birth. The Centers for Disease Control and Prevention estimates that there are approximately 6,000 diagnoses of Down syndrome per year in the United States, further indicating that 1/700 infants are born with Down syndrome. A diagnosis of Down syndrome can be made either prenatally or postnatally. Early intervention services will be warranted to address underlying deficits associated with the syndrome, (i.e., speech-language/feeding/swallowing). Communicative disorders are among the most prominent concomitant deficits associated with Down syndrome. Therefore, it is critical that parents/caregivers of children with …

Dialect And Word Learning: Are Phonological Properties Maintained When Dialectal Influence Changes Word Meaning?, Heather C. Iwinski

Theses and Dissertations--Communication Sciences and Disorders

Word learning requires the accurate encoding and decoding of a word’s phonological and semantic properties. Errors in establishing an accurate phonemic-semantic connection can hinder accurate word comprehension and use. Geographical location, culture, and ethnicity can affect the phonology used by a speaker referred to as dialect. African American Vernacular English (AAVE) is one of the most commonly used dialects in the United States. In addition to grammatical changes AAVE is characterized by phonemic changes. The current study sought to determine the effects of AAVE use on the receptive and expressive learning of nonsense words that differ in meaning as noted …

The Effects Of Sign On Speech Segmentation In Infants, Alma Rosa Acosta

Open Access Theses & Dissertations

Introduction: The ability to extract words from fluent speech (speech segmentation), perhaps one of the greatest obscure achievements for the purpose of learning language, is dependent upon imperceptible endeavors. Remarkably, infants are active participants from the moment they are born, using auditory and visual information to assist them segmenting speech. As motivated parents attempt to use baby sign to bridge communication gaps, visual information in the form of baby sign may benefit children in extracting words from speech. To examine the effects of baby sign on speech segmentation, a systematic replication of the Hollich et al. (2005) study, a within-subject …

A Combination Of Therapeutic Techniques: Severe Broca's Aphasia, Kimberly Ann Homan

All Graduate Theses, Dissertations, and Other Capstone Projects

The effects of Modified Melodic Intonation Therapy for a fifty-nine year old adult with severe Broca's aphasia were examined. Intervention included inner rehearsal and first sound practice to potentially increase initiation abilities. Pre and post self-assessments were used to evaluate self-awareness. Six target phrases (four three-syllable phrases and two two-syllable phrases) were treated over the course of fifteen weeks with two one-hour sessions per week. Results showed an increase in the participant's ability to produce the target phrase. Inner rehearsal proved to be an initiation strategy that met functional needs of the participant in a timelier manner; on the other …

Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in …