Communication Sciences and Disorders Commons^™

Intra-Operative Language Assessment For Adult Brain Tumor Survivors: A Systematic Review, Carissa Jolley

All Graduate Theses and Dissertations

Awake craniotomy and language assessment procedures for brain tumor survivors can drastically affect patient outcomes and quality of life. The goal of intra-operative language mapping is to help preserve vital communicative functions. However, there is currently no standardized set of measures for intra-operative language assessment. This systematic review identified behavioral language measures used during intra-operative procedures and the resulting outcomes for adult brain tumor patients, with the aim of helping clinicians and researchers select intra-operative language assessments supported by the highest levels of evidence.

PRISMA guidelines were used to systematically identify articles. Patient demographic and medical information, neuroimaging data, intra-operative ...

Cvemp Frequency Tuning In Adults Aged 60 And Above: A Systematic Review, Kiersten P. Dudman

Dissertations, Theses, and Capstone Projects

Objective: This systematic review aims to evaluate if there is a significant difference in the frequency specificity of cVEMP amplitude responses in the older adult population, and if so how clinical protocols should reflect age related changes in the vestibular system to properly assess for vestibular pathology.

Methods: A comprehensive search was conducted using various databases through the Mina Rees Library of the City University of New York’s Graduate Center. This search identified articles relevant to this systematic review. Inclusion criteria encompassed quantified studies that utilized various frequency tone bursts to elicit VEMP responses among several age groups.

Results ...

A Diagnostic Pocket Guide For Audiologists: Outer, Middle, And Inner Ear Disorders And Chronic Diseases, Ashley Andino

Dissertations, Theses, and Capstone Projects

Given the Scope of Practice for Audiologists as outlined by the American Speech-Language-Hearing Association (ASHA), the diverse occupational settings audiologists belong to, and the varied multidisciplinary collaboration necessary, audiologists are tasked with needing, at minimum, a baseline understanding of a wide range of disorders. This includes not only otological diseases, but multisystem disorders that affect the auditory system. While an abundance of diagnostic audiological information on various disorders and their impacts are available, there exists a gap in the availability of condensed and accessible diagnostic information for everyday use. The goal of the resulting diagnostic pocket guide is to provide ...

Monolingual Versus Bilingual Use Of Context To Facilitate Speech Recognition In Background Noise: A Systematic Review, Rachel Abucasis

Dissertations, Theses, and Capstone Projects

Introduction: Previous literature has shown that bilingual listeners face more challenges than monolinguals during speech recognition in adverse listening conditions. As noisy environments degrade the acoustic stimuli and leave the listener with a partial or ambiguous signal to pair to a lexical representation, it is not possible to do so with the acoustic and phonological features alone. Bilinguals consistently use a significant amount of their cognitive resources during the early stages of speech processing, partially due to their need to navigate between the two languages. With exhaustion of most of their cognitive resources, there is limited capacity available to use ...

Audiologists' Perspectives On Noise Induced Hearing Loss, Rachael L. Cleary

Dissertations, Theses, and Capstone Projects

Excessive noise has long been established in the literature as a prevalent workplace hazard. The high prevalence of occupational noise-induced hearing loss (NIHL) has led to high economic costs and has produced many physical and mental health effects on workers exposed to occupational noise. Standards set by OSHA are implemented in the workplace in order to protect employees. Despite these regulations set by OSHA, millions of workers in the United States are still exposed to excessive occupational noise, with limited use of hearing protection. The high prevalence of occupational NIHL and low use of hearing protective devices (HPDs) brings into ...

Cochlear Implant Evaluations Of Spanish-Speaking Adults, Mariana Mejia Turnbull

Dissertations, Theses, and Capstone Projects

Background. As the Hispanic population in the U.S. continues to increase, audiologists need valid and reliable speech perception materials in Spanish to be able to offer evidence-based, high quality hearing health care to this population. The purpose of this study was to investigate current trends in CI evaluations of Spanish-speaking adults in clinics around the country, with a specific focus on sentence perception tests (Part 1). An additional goal was to analyze and compare the linguistical content of the Spanish sentence perception tests found to be the most commonly used among clinicians (Part 2).

Methods. A questionnaire was created ...

Intervention Approaches For Childhood Apraxia Of Speech: An Overview Of Prevailing Treatment Methods, Toni Lewis

University Honors Theses

This paper aims to describe the theory and methods of select intervention approaches for childhood apraxia of speech so readers may better understand current treatment techniques. Covered in this paper are Rapid Syllable Transitions (ReST), Dynamic Temporal and Tactile Cueing (DTTC), Prompts for Restructuring Oral Muscular Phonetic Targets (PROMPT), as well as supplemental techniques such as augmentative and alternative communication (AAC) and ultrasound biofeedback. Also covered briefly are instances of CAS treatment in languages other than English.

The Impact Of Distance Education On Therapy Services For Students With Asd: An Slp Perspective, Andrea Spragg

Dissertations, Theses, and Projects

The coronavirus disease of 2019 (COVID-19) pandemic caused an abrupt change in the day-to-day lives of individuals across the world as adults were forced to work from home and children were forced into virtual school environments. For all students, this disruption in schedule and daily routine been hard, but especially those with autism spectrum disorder (ASD) (Mumbardo-Adam et al., 2021). For many students with ASD, school is a place in which they receive many essential services and social interactions, such as speech therapy, that they may not receive other places. The purpose of this survey research was to understand the ...

The Effect Of Two Rate Change Approaches On Speech Movement Patterns, Noelle Marie Lewis

Theses and Dissertations

The current study examined the effect of different rate change approaches on speech movement patterns, including increasing and decreasing speaking rate volitionally, as well as with delayed auditory feedback (DAF). There were 10 participants, five male and five female, with a mean age of 25 years. All were typical speakers. Participants spoke the sentence “Don’t fight or pout over a toy car” under slow, fast and DAF speaking conditions. A total of 5 sensors were glued to each participant’s tongue, teeth, and lips. NDI Wave electromagnetic articulography recorded the articulatory movements from these sensors as the participants spoke ...

Usability And Feasibility Of A Spoken Language Outcome Monitoring Procedure In A Canadian Early Hearing Detection & Intervention Program: Results Of A 1-Year Pilot, Olivia Daub, Barbara Jane Cunningham, Marlene P. Bagatto, Janis Oram Cardy

Journal of Early Hearing Detection and Intervention

Abstract

Purpose: Best practice recommendations for Early Hearing Detection and Intervention (EHDI) programs include routine spoken language outcome monitoring. The present article reports on pilot data that evaluated the usability and feasibility of a spoken language outcome monitoring procedure developed for Ontario’s Infant Hearing Program (IHP). This procedure included both Program-level monitoring using omnibus language tests from birth to 6;0 and individual vulnerability monitoring of key domains of spoken language known to be at risk in children who are deaf/hard-of-hearing.

Methodology: Speech-language pathologists (SLPs) in the IHP piloted the new procedures for one year and provided feedback ...

Association Between Craniofacial Anomalies And Newborn Hearing Screening Fail Rate, Kaitlyn Sheapp, Ruth S. Marin, Larry Medwetsky

Journal of Early Hearing Detection and Intervention

Purpose: Increased knowledge of the prevalence of various craniofacial anomalies and their associated risks for hearing loss can help guide 1) development of evidence-based practice regarding detection and documentation of risk factors at birth and 2) health care professionals to make appropriate recommendations for follow-up testing and monitoring.

Method: Records were reviewed for 39,813 infants born at Adventist HealthCare Shady Grove Medical Center and White Oak Medical Center between January 1, 2014 and December 31, 2019 to determine the association between the presence of craniofacial anomalies and newborn hearing screening fail rates, as well as the prevalence of confirmed ...

Adaptation Of The Conditioned Assessment Of Speech Production In Spanish, Alliete R. Alfano, Daniel Gonzalez, David J. Ertmer

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this article is to describe the adaptation of the Spanish adaptation of the CASP.

Method: The authors adapted each segment into Spanish, then had 41 participants complete a survey to determine if each adapted segment was representative of the Spanish phonologic system. Thirty-six children (half with typical hearing, half with hearing loss) completed the CASP in English and Spanish. Paired samples t-tests were run to compare English and Spanish CASP scores between children with hearing loss and those with typical hearing.

Results: All segments were adapted as needed into Spanish. There was no statistical difference between ...

Improving Newborn Hearing Screening Through Collaboration And Communication, Mary Duncan, Marissa Schuh, Shannon Haynes, Anita Taylor, Gwen Moreland, Raleigh Jones, Matthew Bush, Jennifer Shinn

Journal of Early Hearing Detection and Intervention

Purpose: Hearing loss is the number one birth defect among children. There are significant consequences of delayed diagnosis and failure to obtain timely intervention, particularly for a child’s speech and language development. Design and implementation of successful newborn hearing screening (NHS) programs can be challenging. The purpose of this paper is to demonstrate improved efficiency and effectiveness of a large NHS program through the implementation of a team approach engaging both ambulatory and hospital services.

Methodology: A Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis was used to develop an improved NHS program focused on improving patient care. The SWOT ...

“It Gives Me Confidence”: Caregiver Coaching From The Perspective Of Families Of Children Who Are Deaf Or Hard Of Hearing, Dorie Noll, Sheila Moodie, Ian D. Graham, Beth Potter, Elizabeth M. Fitzpatrick

Journal of Early Hearing Detection and Intervention

Caregiver coaching is utilized in early intervention services with families of children who are deaf or hard of hearing to increase caregivers’ skills and confidence in supporting their child’s language development, but few studies have examined coaching from the perspective of the caregivers. The purpose of this study was to increase understanding of caregivers’ experiences of coaching in the context of listening and spoken language intervention services. Using semi-structured, qualitative interviews, this study examined 13 caregivers’ perspectives at three intervention sites in the US and Canada. Results indicate that caregivers perceive that practitioner characteristics, expectations, and the evolution of ...

Hearing Screening In North Carolina's Nicu And Well-Baby Nurseries: Impact Of Jcih 2019 And Covid-19, Jackson Roush, Shannon Culbertson, Chloe Gratzek, Jane Khin, Alexandra Mccormick, Stephanie Ortega, Madison Rock, Kathryn Sobon, Jenna Van Bosch, Hannah Siburt, Marcia Fort

Journal of Early Hearing Detection and Intervention

Purpose: Over an 18-month period in 2020–2021, the North Carolina Early Hearing Detection and Intervention (EHDI) program in collaboration with the North Carolina Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program conducted a statewide examination of newborn hearing screening practices in North Carolina’s 24 Neonatal Intensive Care Units (NICU) and 86 well-baby nurseries to determine how current protocols and procedures conform to those recommended by the Joint Committee on Infant Hearing (JCIH) in its Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. The COVID-19 pandemic emerged during the study period and ...

How Are The Features Of Infant Directed Speech Related To Cradling Bias?, Tiffany S. Jacob

Honors Capstones

The current study explored whether the cradling bias observed in mothers of very young infants is related to acoustic features of infant directed speech. Six mothers were asked to set their 4-month-old infants down and pick them up to determine which side mothers used to cradle their infants. Mothers were placed in two groups: left-sided cradling bias and right-sided cradling bias. The mothers were then recorded as they talked to their infants while they shared books and simple toys designed to elicit the vowels /i/, /a/, and /u/. Vowel fundamental frequency (/i, a, u/) and word length (i.e., “sheep ...

The Parent Perspective On Augmentative And Alternative Communication: A Qualitative Study, Alicia Larouech

Honors Capstones

Parents are known to be effective communication partners in their child’s augmentative and alternative communication (AAC) intervention. The aim of this interview study was to better understand the parent perspective in the AAC acquisition, implementation, and handing processes across a range of primary disability labels and ages. Participants engaged in phone interviews to discuss their family’s experiences with AAC obtainment and intervention. Qualitative review of their responses developed the following five themes: assessment procedures, external variables that influence device use, barriers of AAC navigation, supports parents have indicated have helped them, and major takeaways as identified by parents ...

Augmentative And Alternative Communication Course Design And Features: An Analysis Of Course Syllabi And Calendars, Celine Goodbody, Hosanna Broderick, Brandon Eddy

Student Research Symposium

Augmentative and alternative communication (AAC) is an area of clinical practice that supplements or compensates for impairments in speech-language production and/or comprehension (ASHA, n.d.). A survey study by Johnson and Prebor (2019) found 86% of graduate speech-language pathology (SLP) programs offered an AAC course, though half (49%) suggested their students were underprepared to provide AAC services. High-quality graduate training, including AAC coursework, has been suggested as a solution to prepare clinicians to provide AAC services. Recently, Sauerwein and Burris (2021) surveyed AAC course instructors at accredited SLP graduate programs to analyze AAC course design features. Sixty-four (24.2 ...

Factors Impacting Heritage Language Maintenance In Children, Helena Sai

Student Research Symposium

This review article aims to examine families’ beliefs and strategies regarding heritage language maintenance in the US. Language status, caregiver beliefs, and community factors are explored in relation to language maintenance across generations. The broader context in which parents make decisions about family language policies were investigated through the following research questions:

1. What is the nature of the relationship between a heritage language’s language status in society and language maintenance across generations?

2. How do parents’ beliefs about the impact of heritage language on academic, social, and career success influence their decision to pass this language to their children?

3. To ...

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Perspectives Of Special Educators And Paraprofessionals On Person-Centered Planning Tools For People Who Use Aac, Samantha K. Stidham, Brandon Eddy, Andryce Andres

Student Research Symposium

Person-centered planning (PCP) is an intervention approach for people experiencing disability. This often results in a document outlining the individual’s preferences in their care, life goals, and transitions. Some people with disabilities communicate using augmentative and alternative communication (AAC), which supplements or compensates for impairments in speech and language production often involving the use of external communication tools. Current PCP tools may not fulfill the needs of people who use AAC (PWUAAC) due to limited focus on supporting communication. No PCP tools yet exist specifically designed for PWUAAC. The purpose of this study was to inform the design of ...