Speech Pathology and Audiology Commons^™

Cross-Cultural Comparison Of Mother-Child Interactions During Shared Reading, Yingshan Huang, Brenda L. Beverly, Victoria Henbest

Victoria S. Henbest Publications

The quantity and quality of maternal interactive behaviours during shared reading were compared for mothers from China and mothers from the US.Ten Chinese mothers from Fuzhou City in Fujian Province, China and 10 mothers from four US states video-recorded themselves reading two storybooks, one selected by the families and one by investigators, to their typically developing 4-year-olds. Videotapes were transcribed in Mandarin and English, respectively, and analysed using investigator-developed codes. Chinese mothers had a higher percentage of extra-textual talk than US mothers and attention to print (i.e. English letters or Chinese characters) was uncommon among mothers in both groups. Chinese …

Recognizing Individual Variability In Misophonia: Identifying Symptom-Based Subgroups With Gaussian Mixture Modeling, Mercedes G. Woolley, Amanda M. Ramos, Emily M. Bowers, Karen Muñoz, Julie M. Petersen, Michael P. Twohig

Psychology Student Research

Misophonia is characterized by intense emotional and physiological reactions to everyday sounds such as chewing and tapping. While previous researchers have focused on defining and characterizing the disorder, limited attention has been given to the variability in symptom presentations across individuals. In this study, we sought to identify distinct subgroups of individuals with misophonia by applying a Gaussian finite mixture model to explore the heterogeneity of symptom profiles. Sixty treatment-seeking participants completed the Duke Misophonia Interview, which assessed the presence and severity of various behavioral, affective, and cognitive symptoms. Items from this measure served as model indicators. Two clusters were …

Reimagining Stuttering Therapy And Outcomes Through An Acceptance And Collaborative Lens, Farzan Irani, Michael Azios, Michael Boyle, Geoffrey A. Coalson, Scott Palasik, Jack Rodriguez, Eric Swartz

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

The purpose of this paper is to summarize a panel discussion at the 2024 World Stuttering and Cluttering Organization Congress that aimed to explore and reflect on the shifting landscape of stuttering therapy across the lifespan. The panel comprised of speech-language pathologists who have experience in stuttering therapy as clients, professionals, and researchers. The panel members reflect on the research, their professional experiences, and their own personal journey toward a more acceptance-based therapy and its outcomes. The paper concludes with the panel's reflections on the future of stuttering therapy across the lifespan.

Assessment Of Auditory Conditions In Misophonia Treatment Research: A Scoping Review, Karen F. Muñoz, Doris Velasquez, Makara Humes, Diana Ortiz, Michael P. Twohig

Communicative Disorders and Deaf Education Faculty Publications

Objective: To identify treatment research that used a behavioral approach to treat misophonia as the primary focus of treatment, and the audiological testing included in the research.

Design: Scoping literature review completed in February 2023 and updated in March 2024.

Study Sample: Included studies provided a behavioral or audiological intervention for misophonia, were peer-reviewed, and published in English before February 29, 2024. Studies were excluded if a pharmacological treatment was provided, if misophonia was not the primary treatment target, or if assessment of misophonia severity was not a treatment outcome.

Results: Fifteen articles met the inclusion criteria. …

Factor Structure And Longitudinal Changes In Bilinguals’ Oral Narratives Production: Role Of Language Exposure, Language-Domain Proficiency, And Transfer, Joseph Hin Yan Lam, Molly Ann Leachman, Cecilia Del Carmen Perez, Amy S. Pratt, Elizabeth D. Peña, Lisa M. Bedore, Ronald B. Gillam

Communicative Disorders and Deaf Education Faculty Publications

This paper examined the interaction between narrative performance, language exposure, and standardized measures of morphosyntax and semantics, in bilingual children tested two times, 1 year apart. We aimed to 1) identify the factor structure of oral narrative measures, and 2) examine the direction and strength of the effects of (i) language exposure and (ii) the relationship between language domains and narrative production. A total of 143 Spanish (L1)-English (L2) bilingual children completed a battery of oral narrative and oral language proficiency assessments in Spanish and English at two time points (kindergarten and Grade 1). Factor analyses yielded an identical two-factor …

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

Undergraduate Publications

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

Speech-Language Pathology And Occupational Therapy Students’ Perceptions Of An Interprofessional Stroke Workshop: A Mixed Methods Analysis, Casey Keck, Ashley Lankford, Danika Pfeiffer, Alexandra Durfee, Rachel Guilfoyle

Teaching and Learning in Communication Sciences & Disorders

Stroke rehabilitation often necessitates coordinated intervention services; however, few studies have examined stroke-based interprofessional education (IPE) interventions for graduate speech-language pathology (SLP) and occupational therapy (OT) students. The purpose of this mixed methods study was to examine graduate SLP and OT students' interprofessional collaboration competence before, immediately, and several months after participating in an IPE stroke workshop. Participants were 38 SLP and 14 OT students who took part in a 2-hour case study workshop, completed an online survey, and participated in a 1-hour virtual focus group. Four months later, students were asked to complete the survey again to assess the …

Addressing The Theory-Practice Gap Using Case-Based Learning And Imagined Roles In The Graduate Communication Disorders Classroom, Diane L. Laverty, Carol C. Thompson

Teaching and Learning in Communication Sciences & Disorders

The American Speech-Language-Hearing Association (ASHA) Code of Ethics (2023) requires all practitioners to uphold the welfare of others without discrimination. Graduate programs in communication sciences and disorders, therefore, must guide future clinicians to apply theoretical knowledge to clinical practice equitably and inclusively. This grounded theory study investigated how an instructor in a graduate communication sciences and disorders (CSD) class used case-based learning (CBL) to fill the theory-practice gap and guide students to think equitably and inclusively for future complex cases. Audio recordings from 12 hours of instructor-student discourse during one semester were transcribed and analyzed verbatim. Three interrelated, interactional themes …

Academic And Clinical Experiences Of Au.D. Students Who Identify As Members Of Historically Marginalized Racial And Ethnic (Hmre) Groups, Annicka S. Golding, Diana C. Emanuel, Iona Ringgold, Artice Weston

Teaching and Learning in Communication Sciences & Disorders

Few qualitative research papers detail the experiential narratives of communication sciences and disorders (CSD) students from historically marginalized racial and ethnic (HMRE) groups, especially Doctor of Audiology (Au.D.) students. This study examined the educational experiences of Au.D. students from HMRE groups. A mixed methods design including a survey (n = 28) and journal narratives (n = 9) was used. Qualitative analysis of survey questions and journal entries revealed five themes: Wellness Management, Presence of Stressors, Significance of Representation, Discrimination Experiences, and Diversity Initiatives. Participant narratives revealed academic and clinical experiences are often influenced by racial and ethnic identity …

Developing Active Listening In Csd Undergraduates: A Pilot Comparison Of Computer-Based Simulations And Immersive Virtual Reality, David M. Rehfeld, Payton Demeyer, Abby Kugler, Kristin Pelczarski

Teaching and Learning in Communication Sciences & Disorders

Simulated learning experiences (SLEs) are becoming increasingly popular in communication sciences and disorders (CSD) training programs. This pilot study examines the relative effectiveness of delivering a SLE via standard computer or using virtual reality headsets for a more immersive learning experience. Seventy undergraduate CSD students were randomly assigned to complete the same SLE using one of these two modes of delivery to explore the technology’s effect on learning outcomes and self-confidence. Although no statistically significant difference in outcomes was observed, medium effects of intervention were observed on all outcomes, suggesting further is research is needed into the impact different technologies …

Meta-Synthesis Of Outcomes Of Simulated Learning Among Speech-Language Pathology Graduate Students, Haley M. Coleman, Kelly S. Hall, Debra A. Forman, Daniella G. Varela

Teaching and Learning in Communication Sciences & Disorders

Simulated learning is firmly established in health-related disciplines with a growing presence in the field of speech-language pathology. However, research on its efficacy and outcomes in this field is still emerging. A synthesis of simulated learning practices and associated student learning outcomes within the field of speech-language pathology is needed. As such, this study aims to explore perceived student learning experiences, perspectives, and the associated impact of simulated learning in speech-language pathology education. Guided by the research question of student attitudes and subjective outcomes that shape the simulated experience, the study employs criterion-based, purposeful sampling from empirical studies in peer-reviewed …

Csd Students Of Color Navigating The Graduate School Admissions Process: A Gauntlet, Marcella Cardoza Mccollum

Teaching and Learning in Communication Sciences & Disorders

Regardless of entry point, nearly all potential speech-language pathologists (SLPs) in the United States (US) share the experience of navigating the arduous application process for graduate school. For students of color, especially first-generation students, this application process can serve to cause them to question whether they belong in the field. This may be one of the key factors that manifests itself in the lack of diversity within the profession. This study followed nine undergraduate Communication Sciences and Disorders (CSD) students across nine months from application cycle through post-baccalaureate life as they shared their experiences about deciding whether to apply for …

Speech And Language Assessment Practices For Bilingual Children In The School Setting: Where Do We Go From Here?, Seijra Toogood, Raul Prezas

Journal of Human Services: Training, Research, and Practice

Abstract

The field of speech-language pathology has demonstrated growth in bilingual assessment and evaluations. However, many questions remain regarding formal and informal assessment practices, intervention recommendations, and cultural competency or responsiveness. Sixty-one SLPs in Virginia completed a survey on demographics, bilingual assessment practices, cultural competence, and language development of ELL students. Seven SLPs who work with bilingual and/or ELL students were also interviewed to ascertain bilingual assessment practices, cultural competence, and language development knowledge. Areas of concern included assessment of bilingual students, lack of developmental norms and standardized assessment tools in languages other than English, and lack of knowledge of …

Introducing Immersion Techniques To Shift Augmentative And Alternative Communication Uses: A Brief Report, Lisa Taylor Cook, Deann O'Lenick

Journal of Human Services: Training, Research, and Practice

Caregivers and interventionists all need the same information about how to support language development when language is being developed through augmentative communication systems. Through learning about the importance of immersion practices, caregivers and interventionalists were empowered to support and advocate for various types of verbal expressions and speech that occurred through speech generating devices.

A Qualitative Study Of The Role Of Hearing Aid Use And Physical Fit Accessories In A Sample Of Older Adults, Mohamed Rahme, Paula Folkeard, Susan Scollie

Communication Sciences and Disorders Publications

Objective: The purpose of the study was to qualitatively describe the experiences of hearing aid andphysical fit accessories use during physical activity and exercise participation in a sample of older adultswith hearing loss.

Design: A prospective qualitative research design was employed with the use of focus groups with older adult participants who were fitted with hearing aids and physical fit accessories.

Study Sample: Twelve older adults with hearing loss (six experienced and six new hearing aid users, age range 64 – 88 years) were recruited in this study.

Results: The barriers to hearing at physical activity and exercise environments were …

Practice Patterns In Pediatric And Adult Dysphagia: Implications For Clinical Training, Jane Grothaus, Kaitlyn Hill, Marlee Nebesniak, Anastasia Raymer

Speech-Language Pathology Faculty Publications

Objective: Most speech language pathologists (SLPs) receive training to work with patients with swallowing disorders in graduate school, focusing primarily on adult dysphagia. Although SLPs share common foundational knowledge and skills for adult and pediatric dysphagia populations, there are considerable differences in these two specialized areas of practice. We aimed to query SLPs’ practice patterns for dysphagia assessment and management for adults and pediatric populations to consider differences and guide training efforts.

Methods: We distributed two comprehensive anonymous surveys to explore practice patterns of SLPs who provide assessment and management of dysphagia for adult or pediatric populations. The 118 respondents, …

An Observational Study Of Discourse Tasks And Running Speech Sampling In The Assessment Of Paediatric Voice Quality, Victoria Reynolds, Kristin Scavo-Smith, Kate Oteng-Bediako, Sophie Scanlon

Speech-Language Pathology Faculty Publications

Introduction

Running speech sampling is an essential component of a paediatric voice evaluation, in that it should provide the examiner with a representative vocal sample of the child's everyday voice use outside of the clinic setting. Current speech sampling practices, consisting of reading tasks, informal conversation sampling and the voice question ('Tell me about your voice problem'), may not elicit consistent samples or samples of sufficient length to allow the examiner to make a reliable and valid judgement about vocal quality. The aim of this study is to compare the voice quality of children produced in response to existing running …

Addressing Ai Usage In Your Course Syllabus: A Guide For Faculty, Diana Almodovar Ph.D.

Open Educational Resources

No abstract provided.

Clinicians Perspective On The Implementation Of Person-Centered Care In Persons With Aphasia, Carmen S. Alderman

Theses and Dissertations--Communication Sciences and Disorders

This paper examines speech-language pathologist perspective on implementing person-centered care for persons with aphasia. Person-centered care is based on the social model, which emphasizes the importance of including the client. The survey addressed clinicians’ use of person-centered care related to collaborative goal setting and treatment planning, as well as facilitators and barriers to implementing person-centered care for individuals with aphasia based on the view of practicing clinicians across a variety of settings. The results indicated most speech-language pathologists have heard of person-centered care, understand the importance of involving clients in goal setting, ask clients about their preferences when setting goals, …

Examining The Relationship Between Cognitive Auditory Processing And Sex Hormones, Trey A. Cline

Theses and Dissertations--Gerontology

Estrogen and progesterone have demonstrated modulatory effects on central auditory nervous system (CANS) function. Post-menopausal females often present to audiology clinics with complaints of difficulty hearing in background noise. However, these individuals often have normal peripheral hearing sensitivity on standard audiometry. Previous studies using the auditory brainstem response (ABR) in post-menopausal females demonstrated longer response latencies compared to their premenopausal counterparts, suggesting that sound does not transmit through the CANS as efficiently. However, to date, the available literature focused on sex hormones and the CANS relies mainly on objective measures, predominantly the ABR. The ABR reflects physiologic function through the …

Challenge Based Learning For Social Entrepreneurship Education, Koen Depryck, Ilse Wambacq

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Challenge Based Learning (CBL) provides a promising educational framework for teaching social entrepreneurship, addressing the persistent gap between theoretical knowledge and practical implementation. Through a comprehensive analysis of existing literature and theoretical frameworks, this paper demonstrates how CBL’s seven key elements-authentic challenges, stakeholder involvement, interdisciplinary approaches, student agency, work and life skills development, entrepreneurial mindset cultivation, and impact focus-directly align with and support core social entrepreneurship competencies. The integration of Kolb’s experiential learning theory, Santos’ social entrepreneurship framework, and Rogers’ innovation diffusion theory provide a basis for understanding how CBL can enhance social entrepreneurship education. Evidence suggests that CBL particularly …

Practicing Clinicians' Views Of The Life Participation Approach To Aphasia Therapy, Stephanie H. Mays

Theses and Dissertations--Communication Sciences and Disorders

The Life Participation Approach to Aphasia therapy (LPAA) aligns with a person-centered, functional approach to speech therapy. Past research has demonstrated that persons with aphasia (PWA) benefit from this approach and prefer it when compared to the traditional medical model to therapy. However, a disconnect between PWA preferences and SLP treatment approaches in therapy persists. This study aims to identify both barriers and facilitators that SLPs face when implementing LPAA. Five CCC-SLPs practicing in the state of KY with experience working with PWA were recruited as participants. Participants were placed into two focus groups, with each group meeting for 2-3 …

Critical Appraisal Of Language Assessment Tasks For African American Children, Tamara Diana Jacobs

Selected Full-Text Master Theses 2021-

Language assessment is a fundamental aspect of the speech-language therapist's role. However, a critical examination of standardized assessments reveals their historical association with constructing disability and exerting control over individuals with a disability, often rooted in the medical model of disability (Nair et al., 2023). As a result, there has been a growing interest in developing alternative methods for evaluating language and speech, particularly in diverse populations (Hyter, 2022). This interest has extended to the study of assessment methods within urban communities, including African American English (AAE) speakers.

Language assessment is a fundamental aspect of the speech-language therapist's role. However, …

Promoting Parent-Child Connectedness: Insights From A Parent Education Training., Bisola E. Duyile, Robyn Becker, Kate Papas, Shanta K. Pamphile

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose: This study explores the interrelationship of speech, language, and literacy development, parentchild connectedness, and children’s mental health when viewed as social determinants of health, specifically among families of children with developmental disabilities. Through interprofessional collaboration, researchers aim to identify effective strategies that parents can use to enhance their children’s communication skills and emotional well-being.

Methods: A mixed methods design was employed, involving a post-workshop survey completed by five mothers. The quantitative component included Likert scale items to measure satisfaction with social support. We also evaluated satisfaction with the workshop. The qualitative component comprised openended questions about newly learned tools …

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

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

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

Orthographic Support For Verb Identification In Typically Developing Three-Year-Old Children, Grace T. Clark, Christina Reuterskiold

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Children, as young as four years of age, have demonstrated enhanced noun learning when presented with orthographic representations during word learning tasks. This study sought to determine if three-year-old typically developing children would demonstrate an orthographic facilitation effect during an asynchronous computer-based verb learning task. One-hundred ten children were taught 8 novel verbs by presenting videos of novel actions paired with novel labels in sentence frames. Four novel verbs were taught with orthographic support present and four were taught without orthographic support. Participants were exposed to the words a total of two times and then given a post-test to assess …

Verbs Are Tricky: Does Orthography Support Verb Identification In Typically Developing Children Ages 3–8?, Grace T. Clark, Gabriella Pesantes, Madison Skibicki

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose:
This study examined whether orthographic representations—seeing a printed word while hearing it—facilitate verb identification accuracy in typically developing children and whether developmental or literacy factors modulate this effect.

Method:
One hundred eight English-speaking children ages 3–8 years (M = 5.86) completed a web-based verb learning task through Children Helping Science. Participants were randomly assigned to an orthography-present or orthography-absent condition while learning six novel verbs paired with dynamic action videos. Accuracy during a two-alternative forced-choice test was coded from parent-verified pointing responses. Caregivers completed a literacy interest questionnaire, and children completed a letter–sound correspondence task. Multilevel logistic regression …

Exploring Physicians/Physician Assistants Perspectives On The Challenges And Communication Approaches When Communicating With People With Aphasia, Alexandra M. Rogers

SURF Posters 2025

Aphasia is an acquired language disorder that results from damage to the language areas of the brain, typically located within the left hemisphere. Individuals with aphasia often experience significant challenges while communicating with other individuals, including physicians and healthcare professionals. These barriers can ultimately lead to negative impacts on the quality of care, patient experiences, and overall health outcomes. The lack of consistent use of communication strategies as well as a general misunderstanding of aphasia by medical staff, further contributes to communication breakdowns. As a result, medical assessments can be misinterpreted, treatments may be delayed, and patients may feel less …

Clear Speech Intervention In Parkinson’S Disease: A Single Case Design Examining Acoustic And Aerodynamic Outcomes Following A Structured Protocol, Zachariah Jordan Backus

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Clear Speech Intervention in Parkinson’s Disease: A Single Case Design Examining Acoustic and Aerodynamic Outcomes Following a Structured Protocol

Zachariah Backus

Purpose:

Parkinson Disease (PD) is a neuro-progressive movement disorder that impacts all movement of the body, including speech production. Ninety percent of individuals living with PD will experience hypokinetic dysarthria, a motor speech disorder, during the progression of their disease. Clear speech instruction is a treatment strategy used to increase motor speech outcomes in those with PD. Studies have shown positive changes in articulation, prosody, voice, and listener perception measures in those with PD after clear speech instruction …

An Aphasia Friendly Questionnaire For Post-Stroke Fatigue, Abigail Best

Williams Honors College, Honors Research Projects

A stroke is when there is lack of blood flow to part of the brain. It can cause permanent damage, such as paralysis, sensory changes, difficulty with speech and language (such as aphasia), and decreased memory. Within this project, we will discuss individuals post-stroke who are diagnosed with aphasia, which is the inability to understand and express language. Currently, there are minimal resources available to help a healthcare worker define and assess the fatigue level of a patient post-stroke who is also diagnosed with aphasia. The first objective of this research is to discuss stroke and aphasia. The second objective …