Communication Sciences and Disorders Commons^™

The Effect Of Socioeconomic Status On Adult Access To Hearing Aids, Skyler Preston Mumford

Doctoral Scholarly Projects & Capstones

Approximately 430 million people worldwide suffer from hearing loss. With Americans over the age of 65 earning a mean annual salary of less than $60,000 and the cost of a pair of hearing aids exceeding $4000, attempting to pursue hearing aids can prove to be challenging, if not an impossible task. The purpose of this project was to assess how individuals with hearing loss, above the age of majority, are impacted by their socioeconomic status with regard to accessing properly fit amplification. Evidence has shown that access to hearing aids is strongly tied to one’s socioeconomic status. In addition, there …

Parkinson's Disease And Voice Perception: A Little Bit Louder Now!, Samantha Manes, Taylor Desimone

Graduate Student Research: Capstone Competition

This proposed study aims to address gaps in research literature on Parkinson’s disease by investigating the neural mechanisms involved in PD patients' perception of volume using electroencephalography (EEG). By examining brain activity during voice perception tasks, the research seeks to uncover specific areas within the brain that may contribute to the lack of awareness of speaking softly. Insights gained from this study could inform the development of targeted interventions to improve communication and overall quality of life for PD patients. Ultimately, the research aims to provide a louder voice to those affected by Parkinson's disease, enhancing their ability to engage …

Foster Children Facing Communication Disorders, Ashlyn Carter

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The foster care system is alarmingly overpopulated, which leads to many foster children experiencing neglect of care in many issues they face, whether medical, speech, or mental conditions; which is unacceptable. These children already face so many trials and difficulties throughout life and deserve to receive care and treatment in these situations the same as any other child. The purpose of this research is to work to make sure children who are dealing with speech and communication disorders are having those issues recognized, being taken to treatment, and being given the opportunity to fix these things, thus helping to avoid …

How Engaged Are Infants And Toddlers While Picture Book Reading?, Zoe Lawless

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Introduction: Literacy is a very important skill that begins to be acquired at birth. Most children start to develop pre-literacy skills by being read to by their parents or other adults around them. Being read aloud to can occur at many different ages and can start as early as infancy. As children grow, they interact and engage with books in different ways. This thesis aims to investigate the read-aloud behaviors of two different groups of young children, to reveal differences in engagement interactions among infants and young toddlers when being read picture books by their teacher.

Methods: The …

Pediatric Ototoxic Monitoring, Destiny Victoria Padilla

Doctoral Scholarly Projects & Capstones

The prevalence of children living with cancer is estimated to be 129,221 in the United States (National Cancer Institute, 2022). The chemotherapy treatment that these children receive can cause ototoxicity, especially when platinum-based chemotherapy agents are used. Ototoxic monitoring is beneficial for patients undergoing chemotherapy treatment as it allows for treatment modification, dosage modification, early intervention, or auditory rehabilitation to take place based on the patient’s hearing status. This is especially important due to the effect hearing loss may have on children’s development and quality of life. There are several objective and behavioral auditory tests that can be used to …

Using Aac To Build Young Beginning Communicators’ Inclusion In Song Routines, Sydney Miller

Graduate Theses and Dissertations

The present study examined the effectiveness of augmentative and alternative communication (AAC) on preschool-aged beginning communicators’ ability to participate linguistically during song social routines. The AAC used during the intervention phase were visual scene displays (VSDs). VSDs are color-realistic photos, often depicting real people, that are context-rich for the user. VSDs are less demanding and offer the user a way to communicate their thoughts, feelings, or emotions in a more contextualized way. The present study used a multiple-baseline across participants approach. The primary dependent measure was the linguistic participation of each participant using the VSD. The results indicated that each …

Spatial Hearing In Simulated Reverberant Classroom Environments, Gabriel Seth Evan Weeldreyer

Durham School of Architectural Engineering and Construction: Dissertations, Theses, and Student Research

Spatial hearing provides access to auditory spatial cues that promote speech perception in noisy listening situations. However, reverberation degrades auditory spatial cues and limits listeners’ ability to utilize these cues for segregating target speech from competing babble. Hence, spatial unmasking—an intelligibility benefit from a spatial separation between a target and masker—is reduced in reverberant environments as compared to free field. This work tests the hypothesis that interaural decorrelation, the result of increasing reverberation, will broaden the perceived auditory source width with a cascading effect of reduced auditory spatial acuity and subsequently poorer spatial unmasking. To understand the perceptual consequences of …

Funding Mechanisms For School Aged Children Who Qualify For Augmentative And Alternative Communication Devices, Hailey Johnson

Senior Honors Projects

Augmentative and alternative communication (AAC) devices are used by individuals of all developmental ages who have difficulties with speech. Those who qualify to use an AAC device are able to practice independence, communicate their needs, and are able to engage in more opportunities where conversation with spoken communication is necessary. This comprehensive review of AAC within the school-aged population provides a detailed look at their overall use within the public school setting, and the funding mechanisms available to users and their families for these expensive devices. Interviews with a Speech and Language Pathologist, and a parent of a child with …

How Speech-Language Pathologists Account For Self-Determination Across The Progression Of Dementia, Emilee Mcgahee

Master's Theses

Dementia diagnoses are continuing to increase, with the number of diagnoses expected to reach 231 million globally by 2050 (World Alzheimer’s Report, 2019). With this comes a greater need for Speech-Language Pathologists (SLPs) who are able to best treat those who are diagnosed. Providing person-centered and strengths-based treatment approaches for people with dementia (PWD) has been proven to increase positive engagement responses while decreasing negative engagement responses (Skrainer et al., 2007). The primary objective of this research study was to assess treatment approaches used by SLPs in dementia care setting, along with how SLPs provide person-centered dementia treatment throughout the …

Gestalt Language Processing In Accredited Communication Sciences And Disorders Programs, William Harris

Master's Theses

The language development and usage of autistic individuals has become a controversial topic in many of the disciplines and professions providing support to these individuals. As a result, two theories of language processing have been proposed. Analytical language processing suggests that children process and develop language from its most simple form, a phoneme, to its most complex form, a word or phrase. However, the theory of gestalt language processing proposes that some children may instead extract larger, more complex language such as whole words and phrases first and break it down to the simpler language. Gestalt language processing is often …

Supplemental High-Tech Augmentative And Alternative Communication Experiences: A Study On Graduate Student Self-Efficacy, Confidence, And Knowledge With Pre-Service Training, Emily Sikes

Master's Theses

Providing assessment and intervention with high-tech augmentative and alternative communication is within the scope of practice of American Speech-Language Pathologists (SLPS). Therefore, SLPs should be able to properly identify and implement assessment, intervention, and caregiver coaching strategies in this area of practice. Due to the lack of confidence ratings of current SLPs in providing assessment and intervention in AAC that is found in current research, this study was designed to find plausible solutions for which confidence ratings can be increased beginning at the graduate level of a Speech-Pathology Master’s program. The researchers sought to answer the following questions: “Do students …

Efficacy Of Communication Interventions For Amyotrophic Lateral Sclerosis, Gracie Rhea Rightnowar

Honors College Theses

The purpose of this literature review is to analyze the efficacy of various communication interventions for individuals with amyotrophic lateral sclerosis (ALS). The implications of disease presentation and progression are discussed. This research seeks to determine the role of a speech language pathologist in the treatment of an individual with this progressive neurological disease. Various interventions are considered. Methods of service consist primarily of compensatory strategies intended to prolong communication abilities beyond that which requires speech motor capabilities. This research seeks to better understand the associated factors with each treatment plan on the individual’s functionality and quality of life.

Healthcare Provider’S Perceptions On Feeding Difficulties And Educational Practices In Infants With Neonatal Opioid Withdrawal Syndrome (Nows), Katelyn White

Electronic Theses and Dissertations

This study examined healthcare professionals’ perceptions on feeding difficulties experienced by infants with NOWS, the involvement of SLP in care, knowledge and experience levels of professionals, and trends in education and follow up care. A 34-question survey was developed to obtain data from participants involved in the care of exposed infants using the secure webbased RedCap™ platform. Nonparametric inferential statistics and descriptive analysis were used to interpret data. Feeding difficulties in infants exposed were reported by all respondents with SLP involvement reported by 42.2%. Results found that 51.9% of respondents were confident in their ability to educate families about feeding …

The Role Of The Speech-Language Pathologist With Survivors Of Traumatic Brain Injury From Intimate Partner Violence And Providers’ Knowledge Of This Role, Nicolle Mcadams

Electronic Theses and Dissertations

Intimate partner violence occurs globally at alarming rates. Many experience adverse health impacts such as traumatic brain injury. Healthcare providers do not know the role of the speech-language pathologist, or the rehabilitation needs of survivors.

Aims: This scoping review aims to identify speech-language pathology services for survivors of intimate partner violence with a resulting traumatic brain injury, and knowledge of healthcare providers on the rehabilitation needs of this population. A search was completed in May to October 2023, resulting in a total of 13 articles reviewed.

Main contributions: Speech-language pathologists lack knowledge to provide services to intimate partner violence survivors …

Acoustic-Perceptual Relations Between Fundamental Frequency And Expressiveness In Speakers With Hypokinetic Dysarthria, Alena Portnova

All Graduate Theses and Dissertations, Fall 2023 to Present

Hypokinetic dysarthria is a motor speech disorder that occurs in patients with Parkinson’s disease (PD) and affects not only their speech intelligibility but also how their attitudes and emotions are perceived by listeners. People with PD have been judged as less happy, involved, friendly, and interested based only on their speech samples. A lack of speech expressiveness is one of the characteristics that is likely to be related to these negative listener judgments. Specifically, it has been suggested that a lack of fundamental frequency (F0) variation reduces speakers’ ability to express various emotions. To investigate whether speech expressiveness is related …

Speech-Language Pathologists' Experiences Diagnosing Swallowing Disorders, Katelyn Baxter

Honors Theses

This study explores the factors that inform a Speech-Language Pathologist’s (SLP’s) process for diagnosing dysphagia (disordered swallowing) and seeks to determine what barriers they perceive to performing their standard of care. To achieve a qualitative data set, 10 SLPs were interviewed using a semi-structured format and their responses were analyzed using Reflexive Thematic Analysis to produce four themes. Theme one gave insight into the SLPs prerogative to provide patient-centered care. Theme two expounded upon this, emphasizing how the SLPs treat dysphagia as part of a collection of disorders, and not in isolation. Theme three explained a lack of understanding as …

Exploring Available Information On The Gut-Brain Axis And Alzheimer’S Disease For Clinicians Making Dietary Recommendations: A Scoping Review, Megan Gibson

Electronic Theses and Dissertations

Abstract: Alzheimer’s Disease (AD) is a complex neurodegenerative disease that requires interprofessional collaboration. Pharmacological options are currently ineffective, increasing the need for preventative strategies to combat the rise of AD. Considerations of gut-targeted interventions have increased as a key component in the prevention of AD, based on the understanding that the state of the gut microbiome can impact cognitive function through the pathway known as the gut-brain axis.

Methods: This scoping review explored information on the gut-brain axis in persons with AD. A comprehensive search was conducted in November 2023. Forty reviews and 13 human studies were analyzed.

Results: There …

Perceptions Of Applied Behavior Analysis Therapy On Children With Autism Spectrum Disorder Via Social Media, Kaitlyn Drilling

Honors Thesis

The use of Applied Behavioral Analysis Therapy (ABA) on children with Autism Spectrum Disorder (ASD) is a controversial topic. Stakeholders have strong opinions, and the use of social media allows them to reach a bigger audience to share their perceptions. Stakeholders such as parents of children with ASD, adults with ASD who have been treated using ABA therapy, and ABA clinicians themselves may post on long-form social media such as Reddit or Facebook to ASD specific forums. These forums provide stakeholders with information, community, and support that they might not have otherwise. The perceptions of ABA on children with ASD …

The Stigma Of Deaf: Managing A Stigmatized Identity And Well-Being, Renca Dunn

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

The Deaf identity encompasses cultural, linguistic, and social dimensions that significantly influence the lives of Deaf individuals. The World Health Organization predicts that by 2050, nearly 2.5 billion people worldwide will be living with some degree of hearing loss (2021). While there may be a growing number of people who have some type of hearing loss, there is a distinct group who identify their hearing loss as part of a culture and community. The Deaf community has a rich history, culture, language, and linguistic heritage. The development of the Deaf identity is influenced by factors such as family, education, and …

Incorporating Aac Training In Nursing Education Programs To Enhance Understanding Of Caring For Patients With Complex Communication Needs, Tessa Bradley

Honors College Theses

As healthcare professionals, nurses must be able to effectively communicate with their patients to ensure their health, safety, and comfort. However, this can be particularly challenging when it comes to patients with complex communication needs (CCN), where communication breakdowns can lead to sentinel events. Alternative and augmentative communication (AAC) can help those with CCN improve communication across various settings, including in healthcare. Unfortunately, there is a severe lack of training for nurses when it comes to communicating with patients with CCN and the use of AAC. Webb et al. (2024) investigated the effectiveness of a combined synchronous and asynchronous training …