Communication Sciences and Disorders Commons^™

Total Laryngectomy Surgery In The United States And Spain: A Tale Of Two Healthcare Systems, Anna Nyszczy

Williams Honors College, Honors Research Projects

For individuals entering the field of health professions, an understanding of variation among global health systems can foster more informed viewpoints when working with multicultural populations. To investigate this relationship between the Spanish and U.S. systems, I analyzed the macro-structure of the healthcare systems in the United States and Spain to better understand plans of treatment, economic burden to patients and quality of life of patients undergoing total laryngectomy surgery in each country. A critical review of scholarly journals and studies relating to the healthcare systems of each country and total laryngectomy surgeries showed a unique picture of each system. …

Voice Therapy Techniques In Combination With The Group Therapy Setting For Individuals With Parkinson’S Disease, Zoë E. Sommers

Williams Honors College, Honors Research Projects

This report aims to provide background information related to voicing in Parkinson’s Disease (PD), review the various therapeutic approaches used to benefit individuals diagnosed with PD, and examine how voice impairments affect the lives of individuals with PD. Specifically, therapy techniques focusing on voice and techniques applied in the group therapy setting will be reviewed. PD has a multitude of consequences on an individual’s life, and speech is an area that is greatly affected. This project will highlight some of the interventions that can positively impact the lives of those with Parkinson’s Disease and reflect on how the group therapy …

Parents’ Perspectives On Early Intervention For Children With Speech And Language Delays, Alissa Ann Williams

Honors Theses

Parents play an important role in the success of a child’s language development. Further, research on early intervention has documented that parents can successfully learn and implement at-home therapy that results in positive language development of children with developmental disabilities. While the effectiveness of early intervention has been well-documented, there is little research exploring parents’ perspectives on early intervention and their involvement in therapy at home. The purpose of this study is to fill that gap by examining: 1) how informed and involved parents report feeling regarding their child’s therapy, 2) how parents perceive their relationship with their child’s speech-language …

Pediatric Feeding Disorder: Consensus Definition And Conceptual Framework, Praveen S. Goday, Susanna Y. Huh, Alan Silverman, Colleen T. Lukens, Pamela Dodrill, Sherri S. Cohen, Amy Delaney, Mary B. Feuling, Richard J. Noel, Erika Gisel, Amy Kenzer, Daniel B. Kessler, Olaf Kraus De Camargo, Joe Browne, James A. Phalen

Speech Pathology and Audiology Faculty Research and Publications

Pediatric feeding disorders (PFDs) lack a universally accepted definition. Feeding disorders require comprehensive assessment and treatment of 4 closely related, complementary domains (medical, psychosocial, and feeding skill-based systems and associated nutritional complications). Previous diagnostic paradigms have, however, typically defined feeding disorders using the lens of a single professional discipline and fail to characterize associated functional limitations that are critical to plan appropriate interventions and improve quality of life. Using the framework of the World Health Organization International Classification of Functioning, Disability, and Health, a unifying diagnostic term is proposed: “Pediatric Feeding Disorder” (PFD), defined as impaired oral intake that is …

Examining Sensory Ability, Feature Matching And Assessment-Based Adaptation For A Brain–Computer Interface Using The Steady-State Visually Evoked Potential, Jonathan S. Brumberg, Anh Nguyen, Kevin M. Pitt, Sean D. Lorenz

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: We investigated how overt visual attention and oculomotor control influence successful use of a visual feedback brain-computer interface (BCI) for accessing augmentative and alternative communication (AAC) devices in a heterogeneous population of individuals with profound neuromotor impairments. BCIs are often tested within a single patient population limiting generalization of results. This study focuses on examining individual sensory abilities with an eye toward possible interface adaptations to improve device performance.

Methods: Five individuals with a range of neuromotor disorders participated in four-choice BCI control task involving the steady state visually evoked potential. The BCI graphical interface was designed to simulate …

Communication Sciences And Disorders Graduate Students' Strengths And Vulnerabilities Related To Resilience: A Survey Of Graduate Programs, Janet Tilstra, Megan Coffman, Teresa Gonia, Caroline Koziol, Ellen Liebe

Internet Journal of Allied Health Sciences and Practice

Burnout in health care professionals may pose a threat to the quality of care provided in any setting. The purpose of this project was to examine dimensions related to future resilience in CSD graduate students. METHODS: In this project, 146 master’s degree students from Communication Sciences and Disorders (CSD) programs in the Midwest completed an online survey regarding lifestyle stresses affecting resilience, and patterns in five areas correlated with resilience. RESULTS: Top lifestyle stresses affecting academics were general stress, maintaining mental health, and sleep difficulties. Notably, more than half of the participants reported feeling rested three or fewer days …

The Effect Of Familiarity On Joint Attention In Children With Asd, Rachel Jenkins

Honors Theses

Joint attention is the ability to share focus on an object with a conversational partner and the awareness that this attention is shared (Moore, Dunham, & Dunham, 2014). Joint attention is an important building block for learning, language, and social development (Mundy & Newell, 2007; Thurm, Lord, Lee, & Newschaffer, 2007). However, previous research has documented that children with autism spectrum disorder (ASD) often have significant deficits and delays in the acquisition of joint attention when compared to typically developing peers of similar chronological ages (Mundy, Sigman, & Kasari, 1994; Osterling & Dawson, 1994; Chiang, Soong, Lin, & Rogers, 2008). …

Visual And Verbal Semantic Productions In Children With Asd, Dld, And Typical Language, Allison Gladfelter, Barron Kacy, Erik Johnson

Faculty Articles, Papers, and Other Scholarship

Purpose

Associations between visual and verbal input allow children to form, augment, and refine their semantic representations within their mental lexicons. However, children with autism spectrum disorder (ASD) and with developmental language disorder (DLD; also known as specific language impairment) process visual and verbal information differently than their typically developing peers, which may impact how they incorporate visual and verbal features into their semantic representations. The purpose of this exploratory study was to investigate how children with ASD and DLD use visually and verbally presented input to produce semantic representations of newly learned words.

Method

Semantic features produced by 36 …

Reflections On Changing Pedagogy Of Augmentative And Alternative Communication, Kelly Kleinhans, Lauren E. Bland, Richard Dressler

Journal of Excellence in College Teaching and Learning

Augmentative and alternate communication (AAC) is a service delivery area in the field of speech-language pathology. Individuals with significant and complex communication impairments benefit when a speech-language pathologist develops a communication system that either replaces or augments traditional speech. AAC includes the use of assistive technology designed to represent language and produce voice output. The profession's credentialing body, the American Speech-Language Hearing Association, requires university training programs to document student's knowledge and skills in AAC for working with clients across the lifespan. The authors reflect on how pedagogy associated with AAC has been transformed over time by external influences like …

A Preliminary Investigation Of Velopharyngeal Timing In Normally Developing Preschool Children And Those With Speech Sound Disorders, Taylor Danielle Snodgrass

Graduate Theses, Dissertations, and Problem Reports (ETD)

As children acquire speech and language, they also begin to develop speech motor control. A widely accepted theoretical model for explaining speech acquisition and motor modifications necessary for appropriate speech is the Directions Into Velocities of Articulators (DIVA)model.This model posits that individuals plan and produce speech (feedforward system). If errors in speech are identified, they are modified since the DIVA Model includes a feedback system that is sensitive to such perturbations made during speech production (feedback system). This feedback system functions to make positive changes to one’s motor programming for speech. Literature suggests that children gain stability …

Using Real-Time Visual Biofeedback For Second Language Instruction, Shawn L. Nissen, Rebecca Nissen

Faculty Publications

This demonstration will illustrate how using real-time visual biofeedback, through a relatively new type of electropalatographic (EPG) sensor, might facilitate improved pronunciation for learners of a second language (L2). The manner in which the EPG sensor is created and its use to track lingua-palatal articulation patterns will be described to individuals. This presentation will also include an explanation of how a student can visualize the contact patterns of their speech using the associated instructional software. A brief tutorial on the features of the instructional software will also be explained during the “show and tell” presentation.

Macrolinguistic Analysis Of Discourse Production In People With Aphasia, Individuals With Mild Cognitive Impairment, And Survivors Of Traumatic Brain Injury, Stephanie Eaton

Electronic Theses and Dissertations

This study examined the macrolinguistic features of three genres (single picture description, sequential picture description, and story retell) of discourse samples collected from participants with acquired communication disorders (including two speakers with aphasia, two with mild cognitive impairment, and two with traumatic brain injury) and unimpaired controls (n=6). Comparisons were made to investigate group and genre differences. Standardized assessment scores of cognitive and linguistic evaluations were collected and correlated to features of macrolinguistic discourse analysis. Participants with acquired communication disorders performed best on the story retell discourse task compared to single picture description and sequential picture description. Significant measures for …

Partnering With Paraprofessionals: Expanding Preschool Children's Responses Through Dialogic Reading, Juliana Hirn

Electronic Theses and Dissertations

Shared interactive reading is an evidence-based practice where professionals can collaborate to promote literacy and language skills in young children. Providing children with developmental disabilities (DD) the opportunity to gain language and preliteracy skills in early intervention is critical for their development as they are at a higher risk for falling behind in academics compared to their age-matched peers. This study evaluated the effectiveness of dialogic reading (DR) for children with DD. DR has been shown to be an effective strategy to teach typically developing preschool-aged children vocabulary, language, and literacy skills, however research in children with DD is limited. …

Speech-Language Pathology And Psychology Students' Perceptions Of An Interprofessional Autism Intervention: An Exploratory Case Study, Haley Marie Nelson

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this qualitative case study was to understand how the interprofessional collaboration (IPC) experience of Youth Engagement Through Intervention (YETI) changes perceptions and knowledge regarding scope of practice of pre-service professionals in the Communicative Sciences and Disorders (CSD), School Psychology, and Clinical Psychology programs. Semi-structured interviews were conducted with pre-service professionals participating in YETI as student clinicians at three different time periods. The results contribute to the existing literature base affirming that interprofessional experiences during pre-professional programs are beneficial. For the Departments of Communicative Sciences and Disorders and Department of Psychology at University of Montana, findings have the …

Effects Of A Sensory Diet On Attention And Participation In Children With Autism, Leighanne Smith-Mrkaja

Theses and Dissertations

This applied dissertation was designed to provide initial knowledge regarding sensory diets and sensory-based interventions. The need for classroom-based sensory interventions are not always considered, especially with the high number of students diagnosed with ASD at the researcher’s school. Often sensory intervention may not be considered educationally relevant, especially in the prekindergarten level. With the proper training and materials, as well as the guidance of the school-based occupational therapist, teachers, other therapists, classroom assistants, parents, and school-based staff might be able to utilize sensory-based activities like sensory diets to increase participation, positive behaviors, and attention. The following applied research study …

An Investigation Of Therapeutic Rapport Through Prosody In Brief Psychodynamic Psychotherapy, Carolina De Pasquale, Charlie Cullen, Brian Vaughan

Conference Papers

Therapeutic alliance, a concept closely related to rapport, is one of the most important variables in psychotherapy. High degrees of synchrony/coordination in the therapeutic session are considered to contribute to rapport, and have received attention in the psychotherapy literature. Coordinative behaviours are observable in speech, and they manifest in phenomena such as prosodic accommodation, a dynamic phenomenon closely related to conversational success. A preliminary investigation of interpersonal prosodic dynamics in psychotherapy was performed on a database obtained in collaboration with the University of Padua, consisting of 16 recordings making up the entire course of a brief psychodynamic psychotherapy intervention for …

Visual Feedback In Voice Therapy For Individuals With Parkinson's Disease, Rachel Brooke Convey

University of the Pacific Theses and Dissertations

Parkinson ’s disease (PD) is a progressive neurological disorder that affects one’s movement. As the disease develops, individuals begin to present with symptoms that include but are not limited to bradykinesia, rigidity, tremors, and hypokinetic dysarthria. These symptoms affect a person’s entire body, including his/her voice. The Lee Silverman Voice Treatment (LSVT) program for treating individuals with PD is supported by over twenty-five years of research. It is considered a safe, non-invasive method to improve vocal loudness and speech clarity in individuals with PD. However, simply because LSVT is effective in its current state, it does not mean that the …

Perseveration Or Perseverance: Investigating Interpretations Of Echolalia, Self-Stimulatory Behaviors, And Intervention Approaches For Children Who Have Autism, Ashlynn Rae Kufleitner

Senior Independent Study Theses

The broad purpose of this study was to examine professionals’ perceptions of self-stimulatory behaviors in school-age children who have autism and the relation of these behaviors to communication. More specifically, I investigated whether and how speech-language pathologists and applied behavior analysis therapists address these behaviors during therapy by analyzing what factors may influence the selection of intervention methods and how these methods may be used to shape restrictive behaviors into functional communication. Through pursuing this topic, I hoped to increase research concerning the ways that echolalia and self-stimulatory behaviors are perceived by clinicians who work with clients on the autism …

Language Of Disability, Language Of Disorder: An Investigation Of Lived Experiences And Perspectives Of Individuals On The Autism Spectrum With Respect To Communicative Interventions, Rebekah Burkhart

Senior Independent Study Theses

The primary purpose of this study was to investigate the lived experiences and first-person perspectives of individuals with Autism Spectrum Disorder (ASD) with respect to interventions for communicative differences and/or deficits characteristic of autism. This study extends limited research into autistic experiences of interventions in the domain of communication. Furthermore, by extending prior research into neurodiverse values among speech-language pathologists (SLPs), this research contributes to the body of professional literature through exploration of autistic voices as in-group sources of expertise on ASD. The researcher recruited participants online, utilizing mixed methods in the form of quantitative surveys and qualitative interviews to …

Listeners’ Ability To Identify The Gender Of Preadolescent Children In Different Linguistic Contexts, Christopher Dromey, Shawn Nissen, Sharalee Blunck, Anita Dromey

Faculty Publications

This study evaluated listeners’ ability to identify the gender of preadolescent children from speech samples of varying length and linguistic context. The listeners were presented with a total of 190 speech samples in four different categories of linguistic context: segments, words, sentences, and discourse. The listeners were instructed to evaluate each speech sample and decide whether the speaker was a male or female and rate their level of confidence in their decision. Results showed listeners identified the gender of the speakers with a high degree of accuracy, ranging from 86% to 95%. Significant differences in listener judgments were found across …