Speech and Hearing Science Commons^™

Assessment For Mild Cognitive Impairment: Striving For Best Practice, Julie Leigh Dalmasso

Dissertations

This dissertation is a series of three studies aimed at determining the best assessment practices for mild cognitive impairment (MCI) that can employed by speech-language pathologists (SLPs). The first study was non-experimental and descriptive examining whether three commonly used assessment instruments yielded similar categorical results. The data were analyzed to determine whether the Eight-Item Interview to Differentiate Aging and Dementia (AD8), the Mini-Mental State Examination (MMSE), and the Cognitive-Linguistic Quick Test (CLQT) identified the same participants from a neurotypical sample as having cognitive deficits. Very little agreement was found amongst the three tools.

Study two was modified to include two …

Language Profiles Of Children Who Have Experienced Complex Trauma And Fetal Alcohol Spectrum Disorders, Christel G. Ciolino

Masters Theses

Children who experience maltreatment and children with Fetal Alcohol Spectrum Disorders (FASD) have similar neurological differences and are at risk for language impairments. However, limited research has been conducted to analyze their specific skill sets. To address this limitation, retrospective data from the Children’s Trauma Assessment Center of Southwest Michigan were analyzed. The linguistic profiles of 79 children with histories of varying numbers of traumatic experiences and comorbid FASD statues are compared in the areas of semantics, syntax, pragmatics, and social communication. Individuals had high pass rates on the CELF-5 Screening Test and high overall scores on the Pragmatic Protocol-Revised …

Development Of An Audiologic Rehabilitation Program Model For Adult Patients Receiving Care At A Graduate Training Facility, Amanda Mcfadden, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Research has shown that untreated hearing loss can negatively impact a person’s quality of life. The average person with hearing loss waits seven years from the onset of symptoms to pursue hearing aids (Hall, 2014). To decrease the negative effects of hearing loss, hearing technology, by itself, is typically not enough support for even the best users (Kelly et al., 2013). To provide supplementary support for these patients, audiologic rehabilitation (AR) is required. Audiologic rehabilitation is the modern term used to classify treatments that were previously so- called “aural rehabilitation.” Per Boothroyd (2007), aural [audiologic] rehabilitation may be defined as, …

Alternating Treatments For Idiom Interpretation By Children With Specific Language Impairments, Monique S. Kaye

Seton Hall University Dissertations and Theses (ETDs)

Purpose: The aim of this study was to examine the effect of two idiom interventions by students with Specific Language Impairment (SLI). Idioms are linguistic expressions that have figurative meanings other than their literal interpretation. There is a strong correlation between idiom interpretation and academic success (Nippold & Martin, 1989). Students are exposed to idioms in media, in school, literature, and in daily interactions with peers and adults (Nippold, Moran, & Schwarz, 2001).Method: Three school-aged students (n=3) with SLI ages 11;9–13;8 (mean age = 12;8) were provided a language intervention for idioms embedded in stories with pictures (n=10) …

Early Uneven Ear Input Induces Long-Lasting Differences In Left-Right Motor Function, Michelle W. Antoine, Xiaoxia Zhu, Marianne Dieterich, Thomas Brandt, Sarath Vijayakumar, Nicholas Mckeehan, Joseph C. Arezzo, R. Suzanne Zukin, David A. Borkholder, Sherri M. Jones, Robert D. Frisina, Jean M. Hébert

Department of Special Education and Communication Disorders: Faculty Publications

How asymmetries in motor behavior become established normally or atypically in mammals remains unclear. An established model for motor asymmetry that is conserved across mammals can be obtained by experimentally inducing asymmetric striatal dopamine activity. However, the factors that can cause motor asymmetries in the absence of experimental manipulations to the brain remain unknown. Here, we show that mice with inner ear dysfunction display a robust left or right rotational preference, and this motor preference reflects an atypical asymmetry in cortico-striatal neurotransmission. By unilaterally targeting striatal activity with an antagonist of extracellular signal-regulated kinase (ERK), a downstream integrator of striatal …

The Relationship Between Perceptions Of Vocal Quality And Function With Self-Esteem In Older Adults, Victoria Berto

Theses and Dissertations

Alterations to the voice that occur in older adulthood include changes in vocal fold mass, inadequate approximation of the vocal folds, tremor, and air loss (Lundy, Silva, Casiano, Lu, & Xue, 1998). Many of the vocal changes that occur in older adults, those aged 65 and older (Colby & Ortman, 2015), may affect their social and emotional well-being. While some persons are not affected by life span vocal changes, others suffer from co-occuring depression, anxiety, and social withdrawal (Epstein, Hirani, Stygall, & Newman, 2009; Mirza, Ruiz, Baum, & Staab, 2003; Monini, Filippi, Baldini, & Barbara, 2015). There have been numerous …

Faculty Perspectives Of Student-Faculty Collaborative Course Design, Lauren H. Mead

Teaching and Learning in Communication Sciences & Disorders

This qualitative research study explored speech-language pathology (SLP) faculty perspectives of collaborative course design (CCD). For the purposes of this study, the term “faculty” includes all those who teach at the university level. Student-faculty CCD offers benefits to course instructors and students; however, research regarding this topic is lacking in the field of SLP. Interviews with faculty members in SLP programs explored faculty perspectives regarding the incorporation of student input into course design as well as anticipated benefits and challenges involved. The results of this study identified several factors related to faculty reluctance to use CCD, including reluctance to share …

Deaf In Her Own Way: The Role Of Identity In Social Justice Leadership, Judy Drescher

Student Coursework: Ed.D. program

The following fieldwork chronicles the personal and professional trajectory of Cindy Greenspun, a social justice leader at Yale University Library. At the age of eighteen months, Greenspun suffered an illness that resulted in the loss of her hearing and spent nearly the first half of her life fully immersed in the hearing world. Through significant self-reflection and perseverance, Greenspun evolved beyond the binary paradigm of oralism–the exclusive use of speech and lip reading–to ultimately embrace the essence of being both bilingual (speech and sign) and bicultural (hearing and non-hearing). These attributes not only enabled Greenspun to navigate between two distinctly …

Using Parent-Identified Strengths Of Autistic Children To Advance Strength-Based Intervention, Angelique Francesca Trigueros

Walden Dissertations and Doctoral Studies

Questions remain about the range of abilities autistic children possess and what constitutes effective treatment. Strength-based intervention contrasts with traditional autistic intervention approaches that focus on children's deficits. Studies on strength-based intervention approaches have not revealed how children's strengths are identified and have not used the insights of parents for this purpose. Neurodiversity serves as the conceptual framework because the tenets of neurodiversity align with those of strength-based approaches and hold that autism is a variation of the human condition rather than a disability. The purpose of this qualitative interpretive phenomenological study was to explore how the parent-identified strengths of …

A Rapid, Handheld Device To Assess Respiratory Resistance: Clinical And Normative Evidence, Aaron B. Holley, Wesley D. Boose, Michael Perkins, Karen L. Sheikh, Nancy P. Solomon, Angela M. Dietsch, Jafar Vossoughi, Arthur T. Johnson, Jacob F. Collen

Department of Special Education and Communication Disorders: Faculty Publications

Introduction: Following reports of respiratory symptoms among service members returning from deployment to South West Asia (SWA), an expert panel recommended pre-deployment spirometry be used to assess disease burden. Unfortunately, testing with spirometry is high cost and time-consuming. The airflow perturbation device (APD) is a handheld monitor that rapidly measures respiratory resistance (APD-R_r) and has promising but limited clinical data. Its speed and portability make it ideally suited for large volume pre-deployment screening. We conducted a pilot study to assess APD performance characteristics and develop normative values.

Materials and Methods: We prospectively enrolled subjects and derived …

My Client Knows That He’S About To Stutter: How Can We Address Stuttering Anticipation During Therapy With Young People Who Stutter?, Eric S. Jackson, Hope Gerlach, Naomi H. Rodgers, Patricia M. Zebrowski

Department of Special Education and Communication Disorders: Faculty Publications

Stuttering anticipation is endorsed by many people who stutter as a core aspect of the stuttering experience. Anticipation is primarily a covert phenomenon and people who stutter respond to anticipation in a variety of ways. At the same time as anticipation occurs and develops internally, for many individuals the “knowing” or “feeling” that they are about to stutter is a primary contributor to the chronicity of the disorder. In this article, we offer a roadmap for both understanding the phenomenon of anticipation and its relevance to stuttering development. We introduce the Stuttering Anticipation Scale (SAS)—a 25-item clinical tool that can …

The Efficacy Of Baby Sign Language In Reducing Problem Behaviors In Typically Developing Children, Nguyen-Chau Dinh

Open Access Theses & Dissertations

Baby sign is an emerging trend that is speculated to reduce the instances of tantrums, emotional outbursts, and frustration in typically hearing infants (Nelson, White, & Grewe, 2012). Despite its proclaimed benefits, little research has been conducted to evaluate the true efficacy of baby sign in reducing problem behaviors in typically hearing children. The purpose of this study was to evaluate whether or not baby sign could be used as an alternative and augmentative communication modality in increasing communicative intent and decreasing stress. A single subject, AB design was used to examine the changes in behavior in a typically developing …

Auditory Selective Attention Performance In Older And Younger Bilingual Adults, Ninive Corina Gomez

Open Access Theses & Dissertations

Recent research has suggested that bilinguals may have enhanced cognitive abilities resulting from the constant management and maintenance of their two language systems. This cognitive advantage has been evidenced in studies showing that bilinguals outperform monolinguals on tasks of visual selective attention. However, very little is known regarding how bilingualism influences selective attention in the perception of auditory information. Thus, the purpose of this study was to examine the effects of bilingualism on auditory selective attention. A total of 61 participants were recruited to participate and divided into four participant groups: 15 younger monolinguals (between the ages of 18-25), 15 …

Preseason Assessment As A Predictor Of Post-Concussion Performance Of Athletes On The Immediate Post-Concussion Assessment And Cognitive Test, Kelly Marie Lambeth

Open Access Theses & Dissertations

Ideally, athletes are assessed pre-season to establish their cognitive-communicative status for comparison purposes if the athlete suffers a concussion during their season. Post-concussion (PC) assessment comparison with the baseline (BL) assessment will provide clinical information for treatment of the athlete's concussion. The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) test was used for assessment of pre-and post-concussion. Because the literature indicates that some athlete's attempt to actively perform poorly on the preseason assessment to misrepresent their performance post-concussion it would be interesting to determine if there is a score on the ImPACT pre-season test that would predict their post-concussion test …

Changes In Fundamental Frequency Of Voice In A Group Of Transwomen Following Voice Modification Therapy, Emily Marquez

Open Access Theses & Dissertations

The term transgender refers to an individual that identifies with a gender that is different to the one given at birth. Individuals that are transgender experience conflict between the gender the individual identifies with and the sex they are born with. Individuals that are transgender may elect to go through a transition process so that their outward appearance is congruent with their gender identity. Part of the transition process may include voice modification therapy. Transgender individuals may seek voice modification therapy so that the outward appearance matches the voice. However, there is limited information regarding the efficacy of traditional voice …

Using Baby Sign As A Facilitating Technique To Segment Speech With 4-18-Month-Old Monolingual And Bilingual Hearing Infants-An Extension Study, Johanna Puga-Martinez

Open Access Theses & Dissertations

The intricacies involved in learning language are astounding, nonetheless, infants are more than capable of accomplishing this feat within their first few years of life. This unbelievable achievement is carried out through numerous milestones and exposure to multiple modalities of stimuli all around them. Through the use of these modalities, be it auditory or visual, infants begin their journey to learn language with the task of extracting words from fluent speech, speech segmentation. Researchers have found that infants as young as 6-months can segment words from the speech stream by using their own name or highly familiar words like momma …

An Evaluation Of Interprofessional Knowledge And Attitudes In Graduate Students From Six Programs In Health Sciences After An Interprofessional Education Workshop Experience, Joanna Velasco

Open Access Theses & Dissertations

Interprofessional Education (IPE) occurs when two or more disciplines learn about, from, and with each other to provide interprofessional patient-centered care which ultimately improves patient health care outcomes (WHO, 2010). Through collaboration, students not only bring their own expertise, but are given an opportunity to learn what the other disciplines can offer for the same patient. Although IPE's importance is highly recognized, many universities do not engage in IPE practice because of scheduling difficulties, lack of faculty involvement, implementation challenges for various levels of competency, and uncertainty of how to measure the effectiveness of IPE activities (Johnson et al., 2015). …

Speech Recognition In Noise Performance In Younger And Older Spanish-English Bilinguals' L1 And L2, Elisa Guadalupe Barraza

Open Access Theses & Dissertations

Background: Previous research has shown that Spanish/English speaking bilinguals have difficulty understanding English speech in background noise compared to their monolingual counterparts. However, the effects of age on bilinguals' speech understanding performance remains unclear.

Purpose: The purpose of this study was to determine whether older Spanish/English bilingual speakers are at an increased disadvantage understanding speech in the presence of background noise compared to older English monolinguals.

Methods: 15 younger Spanish-English (S/E) bilinguals, 15 older S/E bilinguals, 15 younger English monolinguals and 15 older English monolinguals participated in the study. Speech recognition performance was measured using the Spanish and English versions …

The Validation Of A Screening Instrument For Preschool-Aged Children In El Paso, Cassandra Curtis

Open Access Theses & Dissertations

Background: Culturally and linguistically diverse children often produce linguistic features that may mask or mimic characteristics of language impairment (LI) (Gutierrez-Clellen & Simon-Cereijido, 2009). Language screening instruments are time efficient tools used by Speech Language Pathologists (SLPs) to distinguish children who may need additional language assessment (Guiberson & Rodriguez, 2010). A previous survey conducted in the El Paso, TX region determined that only 30% of SLPs felt that screenings instruments, for English-Spanish bilingual children, produced accurate results (Cutis, Summers, Smith, & Stubbemann, 2016). Additionally, the study found that SLPs often used non standardized screening tools due to the lack of …

Exploring Student-Led Interprofessional Education Through A Community Service Project, Lindsay Ann Doerschuk

EWU Masters Thesis Collection

Purpose: The purpose of this research was to explore the effectiveness of a student-led interprofessional education (IPE) workshop in improving student attitudes and perceptions toward IPE. Students from four health science programs including Dental Hygiene, Communication Sciences and Disorders/Speech and Hearing, Health Services Administration and Occupational Therapy participated in a community service event. Students provided screenings to veteran patients including a health history intake, hearing test, and sleep screening while other students observed.

Methods: Students were asked to attend an orientation, the Vets Day IPE workshop, and a debrief session. This mixed methods approach study utilized the Readiness for Interprofessional …