Speech Pathology and Audiology Commons^™

Speech-Language Pathologists’ Perceptions Of The Severity Of Speech Sound Disorder, Alexis Moser

Electronic Theses and Dissertations

Objective: The purpose of this study was to determine speech-language pathologists’ (SLPs’) perceptions regarding the concept of severity of speech sound disorder (SSD).

Methods: An online survey of 40 questions was created using REDCap® and disseminated to currently practicing SLPs across the United States. A total of 296 responses were completed, and data were analyzed using descriptive statistics and coding according to grounded theory.

Results: The top five factors SLPs consider when determining SSD severity are types of errors, intelligibility, perceptual judgment, normative data, and percentile rankings. Most SLPs were unfamiliar with the International Classification of Functioning, Disability and Health …

Communication In Phelan-Mcdermid Syndrome: Assessment And Genotype-Phenotype Correlation, Sarah Quadri

All Dissertations

Phelan McDermid Syndrome (PMS) is a rare genetic disorder caused by deletions or mutations of the SHANK3 gene on chromosome 22q13.3. Language and communication impairment are hallmark features of PMS, and this dissertation aims to address the lack of consensus on appropriate methods for assessing these abilities and genotype-phenotype correlations of language and communication impairments in PMS.

The first chapter introduces PMS and associated language and communication impairment, identifies gaps in the literature, and shows how this research fills those gaps to advance our understanding of this rare genetic disease. The second chapter identifies and analyzes practices for assessing speech, …

The Effects Of Using Baby Sign Training On The Interactions Between Mothers And Infants, Ayzzar Gurrola

Open Access Theses & Dissertations

Baby sign has been becoming more popular and known through the publication of parenting books and websites dedicated to its use. Research continues to blossom on the subject, demonstrating that it is indeed beneficial on many levels for both the infant and their caregiver. Several researchers have implicated the effects of baby sign on infantsâ?? cognitive and behavioral development. The purpose of this research is to analyze the effects of a baby sign training on the interactions of mothers and their babies. Five typically developing infants between the ages of eight and fourteen months and their parent participated in this …

The Effectiveness Of Naturalistic Sign Language Training For Nonspeaking Individuals On The Autism Spectrum, Elizabeth Michael

Honors Projects

This study examined the impacts of sign language training on the communication of two adult brothers with level 3 autism spectrum disorder (ASD). A single-subject, multiple-baseline design was used. Sign language targets were selected based on a parent survey and the participants’ predicted motivation towards the target items. The baseline and intervention were conducted naturalistically in the home. Results indicated that the individual, environment, target signs, reinforcement, and motivation are all factors that play into sign language acquisition for nonspeaking individuals with ASD.

Resting-State Functional Connectivity Of The Dorsolateral Prefrontal Cortex In Parkinson's Disease: A Longitudinal Study, Kaler Terry

Honors Theses

Understanding the role of brain network reallocation and adaptation within neurodegenerative disorders, such as Parkinson’s disease, is key in tracking disease progression and identifying potential biomarkers. In recent years, resting-state functional magnetic resonance imaging (rs-fMRI) has been applied in order to better understand the cognitive decline and overall pathophysiology in individuals with Parkinson’s disease. The present study aimed to determine the potential role of functional connectivity changes in the dorsolateral prefrontal cortex in individuals with Parkinson’s disease. This is a key brain region associated with cognitive skills and executive functions. Using rs-fMRI, clinical, and demographic data obtained from the Parkinson's …

Examining Perception And Understanding Of Stroke And Its Risk Factors In A Rural Population, Mackenzie King, Gabrielle Scarpa, Mary Gardiner

Theses & Honors Papers

Stroke, also sometimes referred to as a brain attack, occurs when there is a blockage in blood supply to the brain or when a blood vessel bursts within the brain (CDC, 2022). Rural populations have a higher incidence of stroke and higher stroke mortality in the United States (Howard et al., 2017). Although there is a higher incidence rate of stroke in rural populations, researchers have also found that these populations appear to have limited knowledge on stroke and its risk factors. The current study employed a non-experimental descriptive design that explored stroke knowledge in adults residing in rural populations …

The Role Of The Pcc And Acc In Autism Spectrum Disorder: A Functional Connectivity Study, Claudia Gonzalez

Honors Theses

Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that impacts behavior control and social skills. Currently, ASD diagnoses are largely qualitative; thus, having more quantitative means of identification would aid in earlier diagnosis of ASD. However, more research is needed to pinpoint observable neurobiological markers of ASD. Our study focused on the posterior cingulate cortex (PCC) due to past evidence suggesting its involvement in ASD symptomatology. The PCC has been linked to behavioral control and executive functioning. Moreover, previous studies support executive functioning’s responsibility for the repetitive and restricted behaviors (RRB) in ASD.

Method: Our study sought to …

Identifying Key Language Research Priorities In Autistic Children According To Parents, Taylor Hale

LSU Master's Theses

The lack of involvement of the autistic community and its stakeholders in autism research has led to a call to action. At present, autism researchers have limited knowledge about stakeholders’ priorities for research. The current study aimed to bridge the disconnect between the extant autism research and the recent neurodiversity movement by surveying key stakeholders – parents of autistic children – on their perspectives on autism research that focuses on language. Twenty-six parents of autistic children completed an online survey on their views on autism language research with an option to participate in a follow-up interview. Six parents participated in …

Exploring The Interactive, Linguistic, And Conceptual Dimensions Of Parent Input And Their Role In Children's Pragmatic Development, Nickolas T. Day

LSU Master's Theses

The development of children’s pragmatic language, which can be defined as conversational competence in social contexts, has been attributed to variation in the language they hear in their environment. When studying the impact language input has on pragmatic development, it is important for clinicians and linguists to measure both the quantity and quality of this language input. Measures of quality, however, are much more relevant when studying the development of pragmatic language, as discussed in Zhang (2020) and Hirsh-Pasek et al. (2015). Rowe and Snow (2016) discussed three dimensions of language quality: interactive, linguistic and conceptual. There is a current …

Cultural Competency In Practicing Audiologists Serving Lgbtqia+ Clients, Stella Omilian

Honors Projects

The primary objective of this project is to cultivate a better understanding of clinicians' cultural attitudes and behaviors within the field of audiology concerning LGBTQIA+ clients. The study describes the attitudes and behaviors of clinical audiologists serving individuals in the LGBTQIA+ community. It also explores a few barriers to healthcare needs for these clients, including hearing habilitation and rehabilitation. An anonymous survey was used to collect data from the clinicians in the United States on their current knowledge of LGBTQIA+ related terminology and language, affirmative attitudes and behaviors, and cultural sensitivity to these clients receiving audiological services. Analysis of the …

Students' Understanding Of Self-Management In Aphasia Treatment, Maryse Azer

Honors College Theses

Aphasia is a neurogenic language disorder caused by damage to the language areas of the brain in the left hemisphere, resulting in speech and language impairments. People with aphasia (PWA) often receive services from speech-language pathologists (SLPs) who provide screening, assessment, diagnosis, and treatment to address communication deficits. Aphasia is a chronic condition and PWA experience symptoms throughout their lives. Healthcare costs related to aphasia account for $46 billion annually. Provider shortages, lack of transportation, insurance constraints, and travel expenses can leave PWA without adequate care. One possible solution to the costs and access issues is the implementation of self-management …

The Relationship Between Recent Csd Graduates' Comfort And Training With Aac And Their Knowledge Of Aac, Delanie Amend, B.S.

Theses & Honors Papers

The purpose of this research was to investigate the perspectives of recent Communication Sciences and Disorders (CSD) graduate students regarding their comfort and training around Augmentative and Alternative Communication (AAC) and examine the Dunning-Kruger effect between recent CSD graduates’ knowledge with AAC versus their perceived expertise of AAC. The researcher distributed an online survey via email, social media, American Speech-Language- Hearing Association (ASHA) Special Interest Groups to individuals who graduated from a CAA- accredited Speech-Language Pathology master’s program with a graduation year of 2018-2022 who now currently hold either their Certificate of Clinical Competency (CCC-SLP) or their Clinical Fellowship license …

Access To Gender-Affirming Voice Services Among Emerging Adults In The Gender-Expansive Community, Erin O. Wind

Theses & Honors Papers

Emerging adulthood, occurring between the ages of 18 to 25, is a time of significant identity exploration. This age group has the highest prevalence of individuals who are transgender or nonbinary; however, there is minimal current research on access to gender-affirming voice services among this demographic. This study utilized a healthcare access framework by Levesque et al. (2013) to analyze organizational barriers to care including approachability, acceptability, availability, affordability, and appropriateness for this population.

The researchers collected data from 104 participants with an electronic survey. Survey data showed most participants (64%) are aware of and desire gender-affirming voice services. Of …

Surgical Management Of Velopharyngeal Dysfunction: Major Techniques And Trends For The 21st Century, Dominic Alessio-Bilowus, Sadaf Hashemian, Kylie Nikolli, Ahmed Hashem Md

Medical Student Research Symposium

INTRODUCTION: Surgical management of velopharyngeal dysfunction (VPD) has become increasingly complex over recent decades with advances in diagnosis, evaluation and technique, and research focus in this area is expected to shift accordingly. This study aims to educate readers on updates in management of VPD and explore changes in surgical methods through the 21st century.

METHODS: A systematic review was conducted of all literature published on surgical treatment of VPD since the year 2000, following PRISMA reporting guidelines. Adult-acquired VPD, any non-surgical management, implants and prosthetic devices, animal or cadaver models, and case series involving less than 10 subjects were excluded. …

Head Movement Behaviors In Various Communication Environments, Angkana Lertpoompunya

USF Tampa Graduate Theses and Dissertations

In a complex environment with only a single-source speech target, modern hearing aids can improve signal-to-noise ratios (SNRs) by using directional microphones, and consequently, improve speech intelligibility. However, in many realistic listening situations where there are multiple sound sources, especially in a turn-taking conversation, improving the SNRs in one location may come at a cost of another equally important location. Critically, the hearing aid user is also unlikely to retain a static head orientation to which the hearing aids reference in these complex environments. For this reason, modern premium hearing aids are now equipped with motion sensors (e.g., accelerometers) to …

Thresholds Of Quantitative Swallowing Measures Following Intensive Prophylactic Therapy In Head And Neck Cancer, Deirdre Larsen

LSU Doctoral Dissertations

This retrospective, case-controlled study sought to identify salient features of swallowing physiology in head and neck cancer (HNC) patients and the threshold for features associating with increased dysphagia severity or decreased functional status. Quantitative measures of videofluoroscopic swallow studies (VFSS) were taken during three graduating liquid boluses and a paste bolus. Fifteen HNC subjects that received high frequency swallowing exercises (2 - 5 weekly sessions) during (chemo)radiation were compared pre- and(n = 15) or normal (n = 15) swallowing. HNC subjects were also stratified to compare those attending only pre- and(n = 8) to those also returning with dysphagia complaints …

Alternative Techniques For Amplification: A Capstone Case Series, Toryn Davis, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: Charcot-Marie-Tooth (CMT) disease is a rare and chronic hereditary disorder that causes motor and sensory damage to the peripheral nervous system. As the disease progresses, hearing sensitivity may worsen. Case Presentation: A young adult-aged patient presented to the clinic with congenital hearing loss and difficulty with conversational speech in quiet and noisy conditions. Discussion: When encountering a patient with CMT, clinicians should be cognoscente of amplification options, especially if nerve pathways begin to deteriorate. When audiologic testing reveals a progression of hearing loss, alternative amplification may be indicated because conventional hearing aids may not provide enough …

Audiological Intervention For Late-Identified Children And Teenagers With Hearing Loss, Melissa Wiedeman, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1 - Introduction: The family of every child referred for definitive care after a newborn hearing screening should follow up with an audiologist to rule out hearing impairment. Early identification, diagnosis, and intervention are crucial for individualized planning and outcomes. Children who need binaural amplification and are not managed appropriately become exposed to sound deprivation, which leads to diminished speech audibility, sound localization, and speech and language development. Case Presentation: A young child presented to the clinic with an unspecified bilateral mild to moderate hearing loss at 500, 2000, and 4000 Hz. Discussion: Children with monaural amplification have shown …

Chatgpt As Metamorphosis Designer For The Future Of Artificial Intelligence (Ai): A Conceptual Investigation, Amarjit Kumar Singh (Library Assistant), Dr. Pankaj Mathur (Deputy Librarian)

Library Philosophy and Practice (e-journal)

Abstract

Purpose: The purpose of this research paper is to explore ChatGPT’s potential as an innovative designer tool for the future development of artificial intelligence. Specifically, this conceptual investigation aims to analyze ChatGPT’s capabilities as a tool for designing and developing near about human intelligent systems for futuristic used and developed in the field of Artificial Intelligence (AI). Also with the helps of this paper, researchers are analyzed the strengths and weaknesses of ChatGPT as a tool, and identify possible areas for improvement in its development and implementation. This investigation focused on the various features and functions of ChatGPT that …

Families' Experiences In The Virtual Hanen More Than Words Program During The Covid-19 Pandemic, Lauren Denusik, Michelle Servais, Danielle Glista, Kathryn Hatherly, Sheila Moodie, Janis Oram Cardy, Elaine Weitzman, Bj Cunningham

PRECISe Preschool Speech and Language Publications

Abstract

Purpose: The COVID-19 pandemic required most pediatric rehabilitation programs to shift to a virtual delivery format without the benefits of evidence to support this transition. Our study explored families' experiences participating virtually in More Than Words, a program for parents of autistic children, with the goal of generating new evidence to inform both virtual service delivery and program development.

Method: Twenty-one families who recently completed a virtual More Than Words program participated in a semistructured interview. The interviews were transcribed and analyzed in NVivo using a top-down deductive approach that referenced a modified Dynamic Knowledge Transfer Capacity model. …

How A Power Differential Between Clinicians And Researchers Contributes To The Research-To-Practice Gap, Natalie Douglas, Jacqueline Hinckley, Kate Grandbois, Megan Schliep, Amy Wonkka, Jennifer Oshita, Julie Feuerstein

HPD Articles

PURPOSE: The purpose of this article is to contend that there is a power differential between researchers and clinicians where researchers are the primary creators of knowledge and clinicians are the primary consumers of knowledge. Rooted in a sociological model illustrating interacting levels of power at macro-, meso-, and microlevels, we argue that authentic research-practice partnerships and clinician-researcher collaborations can mitigate this power differential. CONCLUSIONS: Clinicians and researchers in our field have vastly different responsibilities and priorities that impact our ability to work collaboratively to solve the most pressing problems for the clients we serve. Although some current research practices …

Case Reports On Auditory Deprivation And Audiologic Management, Marysue Koelling, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: Long-term follow-up appointments are beneficial for cochlear implant (CI) users. Several factors can influence individual auditory performance, even after years of experience with amplification use. Maintaining routine follow-up appointments with an audiologist can provide verification measures, auditory monitoring, and ongoing counseling to achieve optimal performance with CI technology. Case Presentation: An elderly, female patient with a monaural CI presented to the clinic with a significant decline in speech perception after years of use. Discussion: The goal of CI programming is to effectively convert acoustic input into a usable electric signal for each stimulated electrode to produce adequate …

Factors Affecting Variability In Vestibulo-Ocular Reflex Gain In The Video Head Impulse Test In Individuals Without Vestibulopathy: A Systematic Review Of Literature, Laurel Elise Money-Nolan, Ashley G. Flagge

Ashley Flagge Publications

The purpose of this systematic review was to summarize and synthesize published evidence examining variations in vestibulo-ocular reflex (VOR) gain outcomes for the Video Head Impulse Test (vHIT) in healthy individuals without vestibulopathy in order to describe factors that may influence test outcomes. Computerized literature searches were performed from four search engines. The studies were selected based on relevant inclusion and exclusion criteria, and were required to examine VOR gain in healthy adults without vestibulopathy. The studies were screened using Covidence (Cochrane tool) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement standards (PRISMA-2020). A total of …

Ensuring Equitable Treatment For People Of Color Receiving Audiology Care, Isabel Guidotti, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: As health care providers, serving patients equitably may require concurrent caring for the concerns and demands of family members as well. When striving to provide equitable care to patients of all backgrounds, familial participation throughout an appointment can play a substantial role. Case Presentation: An older adult male patient who used English as a second language presented with moderate, sloping to severe, mixed hearing loss, bilaterally. Hearing aid options were counseled and discussed in detail with the patient and his spouse. Discussion: The patient’s wife played an active role throughout the appointment and served as a valuable …

Audiological Accommodations For Special Populations: A Capstone Case Series, Hannah Belke, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Deaf-blindness is a term that refers to people with dual sensory impairments who, typically, have some residual hearing and usable vision. Individualized attention should be employed when working with these patients to ensure effective intervention. Case Presentation: A young female presented to the clinic with cortical blindness and essentially unilateral (right-sided) sensorineural hearing loss. Discussion: For special populations, such as those with deaf-blindness, audiologists need to be aware of testing and environmental considerations due to challenges presented by comorbidities. Senses, such as touch, may be used when testing these patients. The use of paper material, placement of furniture, and …

Hearing Healthcare Professionals’ Views About Over-The-Counter (Otc) Hearing Aids: Analysis Of Retrospective Survey Data, Vinaya Manchaiah, Anu Sharma, Hansapani Rodrigo, Abram Bailey, Karina C. De Sousa, De Wet Swanepoel

School of Mathematical & Statistical Sciences Faculty Publications

Over-the-counter hearing aids have been available to consumers in the US since 17 October 2022 following a ruling by the Food and Drug Administration. However, their reception by hearing healthcare professionals (HHP) has been mixed, and concerns have been expressed by many HHPs. The aim of this study was to examine the concerns that HHPs have towards over-the-counter (OTC) hearing aids. The study used a retrospective survey design. The survey data of HHPs (n = 730) was obtained from Hearing Tracker. A 22-item structured questionnaire was administered using a Question Scout platform. Descriptive analyses examined reported areas of concern and …

Paths To Equity: Parents In Partnership With Ucedds Fostering Black Family Advocacy For Children On The Autism Spectrum, Elizabeth H. Morgan, Benita D. Shaw, Ida Winters, Chiffon King, Jazmin Burns, Aubyn Stahmer, Gail Chodron

Developmental Disabilities Network Journal

Racism and ableism have doubly affected Black families of children with developmental disabilities in their interactions with disability systems of supports and services (e.g., early intervention, mental health, education, medical systems). On average, Black autistic children are diagnosed three years later and are up to three times more likely to be misdiagnosed than their non-Hispanic White peers. Qualitative research provides evidence that systemic oppression, often attributed to intersectionality, can cause circumstances where Black disabled youth are doubly marginalized by policy and practice that perpetuates inequality. School discipline policies that criminalize Black students and inadequate medical assessments that improperly support Black …

Racial And Ethnic Disparities In Speech-Language Pathology (Slp) Services, Hope A. Lemmons

Student Theses and Dissertations

The purpose of the study was to examine the experiences with and perceptions of racially and socioeconomically diverse people in accessing early intervention day treatment (EIDT) facilities. Participants completed a questionnaire which included questions regarding the parents’ age, ethnicity, socioeconomic status (SES), gender, education level, income level, along with other questions. Participants were recruited from the KidSPOT facility, an EIDT center in Jonesboro, Arkansas. Participants had to have a child enrolled in speech therapy and enrolled in EIDT services at KidSPOT. A total of 10 participants completed the questionnaire: six females and four males. When asked the participants’ race, only …

The Integration Of The Scholarship Of Teaching And Learning Into The Discipline Of Communication Sciences And Disorders, Jennifer Friberg, Jerry K. Hoepner, Allison M. Sauerwein, Kerry Mandulak

Teaching and Learning in Communication Sciences & Disorders

McKinney (2018) has argued that for the scholarship of teaching and learning (SoTL) to advance within a discipline, the integration of SoTL must be closely examined and opportunities for growth in SoTL must be recognized and discussed. To that end, this paper reflects on the degree to which SoTL is integrated into communication sciences and disorders (CSD) by examining a variety of topics: perspectives and theories historically valued by our discipline, existing supports for SoTL at various levels (i.e., individual teacher-scholars, departments, institutions, and the CSD discipline as a whole), the application of SoTL findings in teaching and learning. Four …

Partnering With Students To Increase Engagement And Inclusion In An Undergraduate Phonetics & Acoustics Course, Teresa Roberts, Rik Lemoncello

Teaching and Learning in Communication Sciences & Disorders

An introductory phonetics course provides foundational content for future clinical practice and may serve as a student’s first experience within the field of Communication Sciences and Disorders. The Students as Partners framework (Cook-Sather et al., 2014) offers a model for valuing student assets and experiences in co-creating learning materials to enhance active learning and deepen understanding. Incorporating positive affective feelings around learning complex material, integrating technology, and building a mutually respectful learning community can foster inclusive practices. In this manuscript, the authors share how redesigning an introductory Phonetics and Acoustics course at a large, urban, commuter, public university led to …