Speech Pathology and Audiology Commons^™

Sudden Hearing Loss: Wrs Importance And Timing Of Medical Intervention, Irina Linkov Middleton, Alexandra Costlow, Molly Wolfson, Midori Wakabayashi, Tingting Zhan

Jefferson Health - Northeast Posters (formerly Aria Health Posters)

Objective: The aim of this study was to evaluate recovery in hearing acuity of idiopathic sudden sensorineural hearing loss (ISSNHL) based on timing of onset to determine how late is too late to medically intervene.

Study Design: A retrospective chart review was conducted in patients previously treated for primary complaint of sudden hearing loss (HL). Participants meeting inclusion criteria were analyzed based on timing of onset to service date, age, gender, associated ear, associated symptoms as well as recovery in pure tone average (PTA) and recovery in word recognition scores (WRS).

Setting: All patients seeking treatment for SSNHL were seen …

The Flipped Classroom Model As Applied To An Augmentative And Alternative Communication Course, Eric J. Sanders, Louise C. Keegan, Mary Culshaw, Colin Tomes

Teaching and Learning in Communication Sciences & Disorders

The Flipped Classroom Model (FCM) is an andragogical approach where students complete content-related work outside of the class and engage in activities related to this content during the class period. This approach has garnered recent attention in the field of speech-language pathology, but its implementation has not been studied in an augmentative and alternative communication (AAC) course and there is limited information on student perspectives of the experience. This study presents the results of a qualitative investigation designed to investigate the preferences and experiences of preservice speech-language pathology graduate students in an AAC course utilizing the FCM. Semi-structured interviews with …

The Effectiveness Of Near-Peer Mentoring And Clinical Laboratory Experiences In Undergraduate Student Perceptions Of Career Preparedness And The Profession Of Audiology, Ashley G. Flagge, Julie M. Estis

Teaching and Learning in Communication Sciences & Disorders

Students in undergraduate Communication Sciences and Disorders (CSD) programs with an interest in audiology often report feeling unprepared to make career and graduate school decisions due to a lack of exposure to the field. The present study examines the impact of near-peer mentoring and hands-on lab experiences on undergraduate student perceptions of career preparedness and of the profession of audiology by examining pre- and post-course survey responses and lab wrapper responses of 41 undergraduate speech and hearing science majors enrolled in an introductory audiology course. Students were paired in groups with a first-year audiology graduate mentor to walk through a …

Using Ability Grouping To Examine The Effects Of Differentiated Instruction In An Undergraduate Course In Communication Sciences & Disorders, Katherine B. Green, Jacqueline Towson

Teaching and Learning in Communication Sciences & Disorders

Differentiated instruction is a student-centered approach to instruction that considers the differing characteristics and aspects of the learner. With increasing diversity in higher education, differentiated instruction is one strategy that instructors may use to facilitate student success. However, there is limited empirical research examining the effectiveness of differentiated instruction in higher education. Using a quasi-experimental pretest posttest group design, the effects of differentiation of instruction, specifically differentiation of content and variable grouping, on student content knowledge were examined in an undergraduate course in a Communication Sciences and Disorders program. Students in the intervention group scored significantly higher on final course …

Implementing Interprofessional Education: Challenges For Csd Graduate Programs, Claire M. Edwards, Jason M. Newell

Teaching and Learning in Communication Sciences & Disorders

The focus on interprofessional education (IPE) for professional training programs in allied health professions, such as speech-language pathology, has recently increased. There is currently limited pedagogical literature regarding both the instruction and application of IPE in any given discipline. This paper will outline challenges CSD graduate programs may face when implementing IPE content within the existing curricula and explore possible solutions. Delineation of preparation and integration process of an IPE course taught at a small liberal arts university where it was cross-listed in two undergraduate pre-professional programs in speech-language pathology and social work will be provided. Elements of the course, …

A Practice-Based Interprofessional Emergent Writing Intervention: Impacts On Graduate Students And Preschoolers, Danika Pfeiffer, Stacey Pavelko, Dannette Allen-Bronaugh, Carol C. Dudding, Geralyn Timler

Teaching and Learning in Communication Sciences & Disorders

Despite the importance of collaboration in schools, few studies have examined interprofessional education (IPE) interventions for graduate speech-language pathology (SLP) students designed to prepare them with the skills necessary to effectively work on school-based teams. The current pilot study implemented a five-week practice-based IPE intervention with six SLP graduate students and three occupational therapy (OT) graduate students. Three SLP students were randomly assigned to the ‘unpaired’ condition and delivered emergent writing activities independently to a small group of preschoolers (n = 10). The other three SLPs were each randomly assigned an OT student to collaborate with in a ‘paired’ …

Developmental Changes In Graduate Student Supervisory Needs And Expectations: A Longitudinal Investigation, David M. Rehfeld, R. Noah Padgett, Deborah Rainer

Teaching and Learning in Communication Sciences & Disorders

Supervision of graduate students in the field of speech-language pathology during their pre-service training is critical to their professional development. The present study followed a cohort of graduate students (N=31) over the course of their clinical training to track changes in their self-reported needs and expectations regarding clinical supervision practices. Over the course of one year, graduate students’ self-reported supervisory needs and expectations decreased significantly with the exception of those variables associated with supervisor-controlled behaviors such as serving as a teacher rather than a colleague. Implications for incorporating supervisee perceptions into effective supervision practices and directions for future …

Objective Detection Of The Speech Frequency Following Response (Sffr): A Comparison Of Two Methods, Fan-Yin Cheng, Spencer Smith

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Speech frequency following responses (sFFRs) are increasingly used in translational auditory research. Statistically-based automated sFFR detection could aid response identification and provide a basis for stopping rules when recording responses in clinical and/or research applications. In this brief report, sFFRs were measured from 18 normal hearing adult listeners in quiet and speech-shaped noise. Two statistically-based automated response detection methods, the F-test and Hotelling’s T2 (HT2) test, were compared based on detection accuracy and test time. Similar detection accuracy across statistical tests and conditions was observed, although the HT2 test time was less variable. These findings suggest that automated sFFR detection …

The Process Of Telepractice Implementation During The Covid-19 Pandemic: A Narrative Inquiry Of Preschool Speech-Language Pathologists And Assistants From One Center In Canada, Elaine Yl Kwok, Jessica Chiu, Peter Rosenbaum, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Background: Many professional services were pressed to adopt telepractice in response to the global coronavirus SARS-CoV-2 (COVID-19) pandemic. The need to adopt a new service delivery approach quickly created different implementation challenges. This study explored the lived experiences of frontline clinicians who successfully transitioned their in-person speech-language therapy services to telepractice through an implementation science lens.

Methods: The study was conducted in partnership with one publicly funded program in Ontario, Canada that offers services to preschoolers with speech, language and communication disorders. Sixteen frontline speech-language pathologists and assistants at this organization shared their lived experience transitioning to telepractice during the …

Aac Use By Children With Asd And Their Aac Co-Pilots, Kelcy Rolak

Master's Theses and Doctoral Dissertations

Employing a multiple case study approach, this study explored the perspectives of parents of children with autism spectrum disorder (ASD) on their child’s use of augmentative and alternative communication (AAC). Deemed “AAC co-pilots” by this study, these parents play a crucial role in their children’s daily AAC use, yet their perspective is largely under-explored in existing research that otherwise explores AAC use by individuals with ASD extensively. Semi-structured interviews were conducted with parents of children with ASD who have used AAC for at least one year and whose AAC use is documented in their IEP. Findings indicated the depth and …

What Do Speech-Language Pathologists Want To Know When Assessing Vocal Development In Children Who Are Deaf/Hard-Of-Hearing?, Olivia Daub, Marlene P. Bagatto, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

Abstract

Purpose: Delays in vocal development are an early predictor of ongoing language difficulty for children who are deaf/hard-of-hearing (CDHH). Despite the importance of monitoring early vocal development in clinical practice, there are few suitable tools. This study aimed to identify the clinical decisions that speech-language pathologists (SLPs) most want to make when assessing vocal development and their current barriers to doing so.

Method: 58 SLPs who provide services to CDHH younger than 22 months completed a survey. The first section measured potential barriers to vocal development assessment. The second section asked SLPs to rate the importance of 15 clinical …

Current Practices, Supports, And Challenges In Speech-Language Pathology Service Provision For Autistic Preschoolers, Amanda V. Binns, Barbara Jane Cunningham, Allison Andres, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

Background: Speech-language pathology services are among the most frequently accessed services for young autistic children. Therefore, understanding the nature of these services, what challenges these clinicians face, and what supports they value is critical for developing appropriate policies and practices that can maximize positive outcomes for children and families. This study had two primary aims. The first was to examine the self-reported assessment and intervention practices of community-based Speech Language Pathologists (SLPs) and communicative disorders assistants (CDAs; who provide services under the supervision of a SLP) in supporting preschool children with suspected and diagnosed autism. The second aim was to …

Exploring Practice-Based Clinical–Research Partnerships In Speech-Language Pathology: A Scoping Review, Meghan Vollebregt, Lisa Archibald, Julie Theurer, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

Collaborative partnerships between speech-language pathologists and researchers present an opportunity for practice-based research. For practice-based research to become more widely used in speech-language pathology, a crucial step is outlining the potential purposes and outcomes of these partnership projects. The current article is two-fold. First, we describe a model for practice-based partnerships between researchers and speech-language pathologists. The practice-based research cocreation model developed for this project includes three distinct partnership outcomes: (a) creating practice, (b) capturing current practice, and (c) changing practice. Then, informed by our model, we completed a scoping review to explore the extent and type of practice-based research …

Developmental Language Disorder: A Literature Review, Laura M. Gaudette

The Graduate Review

Developmental language disorder (DLD) is a life-long language condition characterized by difficulty using, learning, and understanding language across modalities (speaking, writing, reading) despite average cognitive and intellectual skills. There is no single cause of DLD, though research suggests a genetic component and environmental factors act as possible predictors. Although there is an incidence rate of around 2-3 students in each class of 30, DLD has very little awareness and is significantly under-researched. There are many factors contributing to this. Most notably, DLD is considered a hidden disability as many people learn to mask their symptoms pretty early in life through …

Learner Outcomes From An Echo In Augmentative And Alternative Communication, Lillie Reinhart

Theses and Dissertations--Communication Sciences and Disorders

Background: Students with complex communication needs (CCN) rely on the use of augmentative and alternative communication (AAC) to support their communication; however, many students are leaving high school without an effective form of communication. To build capacity and increase school professionals’ knowledge and self-efficacy in AAC, this thesis used an adaptation of Project ECHO (Extension for Community Healthcare Outcomes) for use with AAC.

Methods: Using a post then pre-retrospective survey, participants self-reported changes in knowledge, confidence, and overall satisfaction with ECHO sessions. Paired sample t-tests assessed participant-reported change in knowledge. Frequency counts were used to analyze responses about confidence and …

Comparison Of Maintenance Gains From Two Treatment Approaches For Patients Diagnosed With Apraxia Of Speech And Broca’S Aphasia: A Critically Appraised Topic, Kalli B. Whiting

The Graduate Review

Three peer-reviewed research articles demonstrated benefits in using the articulatory-kinematic approaches of sound production treatment (SPT) and speech motor learning (SML) for intervention of patients diagnoses with apraxia of speech (AOS) concomitant with aphasia over the age of 50. This CAT was intended to review and compare the treatment maintenance between the two approaches using a specific search question; however, there was limited evidence for the specified population in that question. Although both approaches warranted positive outcomes, the SML approach may demonstrate a stronger linkage to the underlying features of apraxia of speech based on the method’s rationale. Through the …

School Provided Speech-Language Therapy Plans Amid The Coronavirus Pandemic And Correlating Provider Attitudes, Zabia Evans

OUR Journal: ODU Undergraduate Research Journal

As the Coronavirus pandemic continues to be a threat for those of all ages, schools were a main concern when discussing how we should attempt to return to our “normal” lives. A considerable amount of speech therapy is done in schools, and speech-language pathologists nationwide are also being impacted by the changes during this school year. This research examined many aspects of providing speech therapy during the 2020-2021 school year, beginning with introductory statistics concerning the number of children participating in each session, the instruction styles, and grade levels taught. Respondents answered a set of questions concerning their attitudes towards …

Ehealth Education And Support For Pediatric Hearing Aid Management: Parent Goals, Questions And Challenges, Natalie Nichols, Karen F. Munoz, Guadalupe G. San Miguel, Michael P. Twohig

Communicative Disorders and Deaf Education Student Research

Purpose: To investigate parent goals, questions, and challenges that emerged during coaching phone calls in an eHealth program designed to provide education and support for hearing aid management.

Methods: Coaching phone calls were audio-recorded, transcribed and qualitatively analyzed for emergent themes within the categories of goals, questions, and challenges.

Results: Emergent themes revealed parent goals were focused on self-efficacy, routines, device care and child development. Emergent themes for questions revealed parents asked questions related to the device care, audiology appointments, confirmation of learning, and child development. For challenges emergent themes revealed parents’ own struggles (e.g., with emotions), issues related to …

Speech Language Pathology Graduate Handbook - 2021-2022, Department Of Audiology And Speech-Language Pathology, East Tennessee State University

Speech-Language Pathology Handbooks

No abstract provided.

Percept-R: An Open-Access American English Child/Clinical Speech Corpus Specialized For The Audio Classification Of/ɹ/, Nina R. Benway, Jonathan L. Preston, Elaine Hitchcock, Asif Salekin, Harshit Sharma, Tara Mcallister

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

We present the PERCEPT-R corpus, a labeled corpus of child speakers of American English with typical speech and residual speech sound disorders affecting rhotics. We demonstrate the utility of age-and-gender normalized formants extracted from PERCEPT-R in training support vector classifiers to predict ground-truth perceptual judgments of “rhotic” (i.e., dialect-typical) and clinical “derhotic”/ɹ/for novel speakers (mean of participant-specific f-metrics=.83; SD =.18, N = 281).

A Preliminary Descriptive Examination Of Divorce And Grief Resolution Portrayed In Children’S Literature, Tricia Martin

2022 Celebration of Scholarly Works

Books expose children to language and introduce issues that help children cope with trauma (Heath & Young, 2017). About 33% of children in the U.S. live with divorced parents (U.S. Census Bureau, 2021). The effects of parental divorce have been categorized in multiple ways. Wallerstein (1983) conceptualized 6 coping tasks for children while Kubler and Ross (2009) describe a 5-stage grief process.

PURPOSE: We sought to examine the language in children’s books about divorce to determine whether (1) the grief resolution process is accurately portrayed and (2) male vs. female characters experience realistically different grief stages in the divorce process. …

Conversation As An Outcome Of Aphasia Treatment: A Systematic Scoping Review, Jamie H. Azios, Brent Archer, Nina Simmons-Mackie, Anastasia Raymer, Marcella Carragher, Shriya Shashikanth, Eleanor Gulick

Communication Disorders & Special Education Faculty Publications

PURPOSE: Conversation-focused speech-language pathology services are a top priority for people living with aphasia, but little is known about how researchers measure conversation as an outcome of treatment. This scoping review was undertaken to systematically review the evidence regarding the measurement of conversation in aphasia studies and to identify current practices and existing gaps.

METHOD: A systematic literature search was conducted for studies published between January 1995 and September 2019 in multiple electronic databases. Covidence software was used to manage search results, study selection, and data charting processes. Data were extracted from each study and then collated and organized to …

Modulation Of Electrocochleography Responses By Contralateral Broadband Noise In Young Adults, Riley J. Rickman

Graduate Theses/Dissertations

While it is known the auditory efferent system contains two distinct subgroups – the medial olivocochlear nucleus (MOC) and the lateral olivocochlear nucleus (LOC) – not much is known regarding the function of the LOC in humans. This study aims to evaluate the effect of activating the lateral olivocochlear (LOC) neurons via contralateral broad band noise (CBBN) on electrocochleography responses. A ten-minute time-blocked paradigm was utilized to evaluate both the slow and fast effect of the LOC neurons. Recordings were obtained at four points within this ten-minute block both with and without the presence of 50 dB SPL CBBN to …

Effect Of Electrocochleography Stimulus Rate And Intensity On Identification Of Noise Induced Hidden Hearing Loss In Humans, Amanda E. Mccarthy

Graduate Theses/Dissertations

Noise exposure has been known to cause both temporary and permanent shifts in hearing thresholds in humans. Animal and human studies have shown noise exposure to lead to damage to the ribbon synapses of the cochlea. This damage, referred to as noise induced hidden hearing loss (NIHHL), is not detectable with standard hearing assessments, though can be the cause of difficulties understanding speech in the presence of background noise. Recent studies have begun to explore the use of electrocochleography (ECochG) to detect this neural damage in humans. Such studies strive to aid in the development of a clinical tool for …

Promoting A Walk/Run Event To Expand Services For Individuals With Disabilities, Mckenzie Rodgers

Mahurin Honors College Capstone Experience/Thesis Projects

The Suzanne Vitale Clinical Education Complex (CEC) at WKU provides services to many individuals and families affected by autism spectrum disorders and other developmental delays and disabilities. As a nonprofit organization, the clinic relies heavily on donations and fundraisers as sources of income. One of the CEC’s primary fundraisers is the annual LifeSkills Run/Walk for Autism. This event is held each April during autism awareness month, at the Bowling Green Ballpark, providing an opportunity for the community to support the clinic in an enjoyable way.

For an honors capstone experience, the author promoted the 15th annual LifeSkills Run/Walk for Autism …

The Effects Of Script Therapy In A Patient With Old Chronic Aphasia, Busra Ensar

Graduate Theses, Dissertations, and Problem Reports (ETD)

There are some gaps in the literature regarding the efficacy of script therapy in patients with chronic aphasia, particularly chronic aphasia that lasts for several years post-onset, in terms of treatments to improve functional communication during daily activities. This study investigates the relationship between script therapy and communication effectiveness and communicative efficiency. In this context, communication effectiveness was measured by the percent script correct, and communicative efficiency was measured by the total duration to produce the script and the mean duration of pauses at the beginning of sentences.

The efficacy of intensive script training on discourse effectiveness and efficiency was …

Patient And Therapist Perceptions Of Respiratory Functioning Due To Spinal Cord Injury: Implications For Music Therapists, A'Marie Dotson

Theses and Dissertations--Music

Decreased respiratory functioning is a common symptom of spinal cord injury (SCI) and can impact individuals’ personal, professional, and social lives. In spite of this, researchers have not explored the use of music in the lives of individuals with SCIs or music’s role in their healthcare professionals’ treatment plans to improve respiratory functioning. The purpose of this qualitative study was to better understand how decreased respiratory functioning affects individuals with SCIs and healthcare professionals through a multiple case study design. Participants were two individuals with SCIs and three healthcare professionals (physical therapist, recreational therapist, and music therapist) who worked with …

The Impact Of The Covid-19 Pandemic On Special Education: A Case Study, Megan Cercone

Williams Honors College, Honors Research Projects

The purpose of this research project is to explore the possible impact of the COVID-19 pandemic on special education by evaluating the experiences of one child with disabilities who attends public schools. METHODS: A semi-structured interview was conducted with the two parents of the child, who has physical disabilities and an IEP through his school, meaning he receives special education services through intervention teachers, physical therapists, occupational therapists, and speech therapists. The interview was recorded and transcribed, and then interview transcripts were evaluated to identify themes in the subjects’ responses regarding their child’s experience with public education during the pandemic. …

The Patterns And Prevalence Of Vestibular Disorders In Relation To Pediatric Concussions, Emma Vosniak

Williams Honors College, Honors Research Projects

INTRODUCTION: Concussions are a movement of the brain that can cause damage to the cells of the brain and any surrounding structures. One of the closest structures is the vestibular system, a part of the inner ear, controlling our balance and bodily movement. Though it is known that vestibular disorders and related symptoms are common after a concussion, there remains limited research regarding approaches to better address these disorders. STUDY AIM: The purpose of this study is to identify patterns regarding the prevalence, assessment, and treatment of vestibular disorders in pediatric patients who have sustained past concussions. METHODOLOGY: An online …

Hearing And Other Factors Influencing Memory Performance In Remote Assessment, Erika Squires

Wayne State University Dissertations

With the revitalization of aural rehabilitation (AR) and increased use of telepractice services, there is a paucity of research examining factors that have the potential to affect remote assessment. An assessment of memory is commonly included in a comprehensive AR assessment because recently developed auditory-cognitive training programs include auditory-based cognitive activities, such as auditory memory tasks. This investigation explored the effect of presentation modality on speech discrimination performance and whether self-reported hearing ability correlated with remote memory assessment in older adults.Older adults self-reported their hearing abilities and completed speech discrimination and memory tasks. Data were collected remotely via a telephone …