Speech and Hearing Science Commons^™

Acoustic Correlates Of Speech Naturalness In Post-Treatment Adults Who Stutter: Role Of Speaking Rate, Caylee Jessen

Honors Theses

Purpose: While many stuttering therapy programs can result in a decrease in stuttering behaviors among participants, some clients leave therapy with speech sounding unnatural due in part to the therapy techniques themselves. The aim of the current study is to examine associations between selected acoustic measures of speaking rate and listener ratings of speech naturalness in a group of adults who stutter following participation in an intensive fluency shaping treatment program.

Methods: Twenty-nine adults who stutter, drawn from an existing database of speech samples, served as participants. All participants had recently completed a four-week group-based intensive fluency shaping treatment program. …

Acoustic Correlates Of Speech Naturalness In Post-Treatment Adults Who Stutter: Role Of Fundamental Frequency, Jacqueline Schmitt

Honors Theses

No abstract provided.

Memory Support For Adults With Alzheimer’S Disease: Applications For Speech-Language Pathologists, Laura Dober

Honors Theses

Alzheimer’s disease (AD) is the most common form of dementia and is known to cause progressive and severely debilitating impairments in cognition, especially in memory. Deficits in memory and cognition are clearly reflected in the communication of people diagnosed with this progressive, degenerative, incurable disease, placing speech-language pathologists as important members of a care team for adults with AD. Speech-language pathologists provide treatment to support memory, and therefore communication, in people with AD through direct and indirect methods. Some examples of memory supportive strategies include spaced-retrieval learning, the use of external memory aids and assistive technology, Montessori methods, and manipulations …

The Elicitation Method For Past Tense Verb Production In Children With Specific Language Impairment And Typical Language, Morgan Geise, Heather Green, Olivia Hart, Abbi Leitnaker, Kerry Proctor-Williams

ETSU Faculty Works

Past tense verb production in children with specific language impairment and language-matched children with typical language was compared using language samples and a standardized probe (Rice/Wexler Test of Early Grammatical Impairment). Analyses revealed accuracy and error type differences between elicitation types and groups. Results have important clinical practice implications.

The Use Of And Readiness For Speech-Language Telepractice In Medical Settings Of Rural Areas Of Nevada, Corinne Balliette

Masters Theses & Specialist Projects

This study was developed to investigate the readiness or willingness of providers, speech language therapists (SLPs), and patients to participate in telepractice for speech-language therapy services in rural areas of Nevada. Nevada has not ranked high in healthcare for several years and was noted to have low SLP to patient ratios, especially in rural areas of Nevada. A thorough literature review identified international and national studies that have shown resistance to telepractice expressed by patients and providers, but it has also shown an increase in interest post telepractice therapy. Nevada does not have current research on readiness to participate in …

Deficits In Sound Pattern Sequencing In Children With Specific Language Impairment: A Networks Approach, Sara J. Benham

Open Access Theses

Children with specific language impairment (SLI) demonstrate primary deficits in morphosyntax, which has served as the central theme in theoretical and clinical approaches. However, a striking number of children with SLI also exhibit speech sound deficits, characterized both by increased error patterns and by high levels of variability. These speech sound deficits have been under-studied and are not explicitly tied to accounts of SLI. In the present study, theoretical approaches drawn from dynamical systems and sequence learning are used to address speech production learning in children with SLI. Standard approaches to sound accuracy and variability and articulatory variability are integrated …

Affix Meaning Knowledge In First Through Third Grade Students, Victoria Henbest

Victoria S. Henbest Publications

Purpose: We examined grade-level differences in 1st- through 3rd-grade students' performance on an experimenter-developed affix meaning task (AMT) and determined whether AMT performance explained unique variance in word-level reading and reading comprehension, beyond other known contributors to reading development.

Method: Forty students at each grade level completed an assessment battery that included measures of phonological awareness, receptive vocabulary, word-level reading, reading comprehension, and affix meaning knowledge.

Results: On the AMT, 1st-grade students were significantly less accurate than 2nd- and 3rd-grade students; there was no significant difference in performance between the 2nd- and 3rd-grade students. Regression analyses revealed that the AMT …

Better Hearing Devices And Many Forms Of Delivery, Earl E. Johnson

ETSU Faculty Works

No abstract provided.

Neural Activity Reveals Effects Of Aging On Inhibitory Processes During Word Retrieval, Ranjini Mohan

Open Access Dissertations

Word retrieval difficulties are one of the most frustrating problems in older adults. Poorer access to phonological (speech sound) representation of the target word has been postulated as the underlying deficit, supported by findings of improvement in word retrieval after phonological priming. But the great variability in naming performance among older adults may reflect cognitive scaffolding or compensatory neurophysiological processes related to maintenance or decline of naming abilities. In order better understand aging effects in the underlying neurophysiological changes associated with phonological retrieval, the present study examined electrophysiological correlates of phonological priming and word retrieval in adults across the lifespan. …

Collaboration Occurring Between Professionals In Today's Schools, Kara Lynn Doglio

Theses and Dissertations

The collaborative service delivery model is beneficial in its approach as it allows educators and SLPs to work together to address communication impairments in naturalistic settings in order to maximize the functional potential of all students. The current utilization of collaboration as a viable service delivery option is unknown. The purpose of this study was to identify whether collaboration was occurring and with whom it was occurring. This study also sought to identify similarities and differences across four participant groups regarding perceived beliefs and reported practices in professional collaboration. While administrators took a separate survey than educators (general and special …

Wic Participation As A Risk Factor For Loss To Follow-Up In The Wisconsin Ehdi System, Elizabeth L. Seeliger, Rebecca A. Martin, Andrea N. Gromoske, Anne B. Harris

Journal of Early Hearing Detection and Intervention

In 2011, Wisconsin’s Early Hearing Detection and Intervention (EHDI) program, Wisconsin Sound Beginnings (WSB), developed multiple strategies to reduce loss to follow-up (LTFU) for babies who did not pass their newborn hearing screening: Medical Outreach, Family Outreach, Regional Outreach and WIC Alert. WSB evaluated the outcomes of babies identified as at-risk for LTFU to determine whether WIC participation was an indicator of their risk for LTFU. Additionally, WSB evaluated whether babies who were identified as at-risk for LTFU and receiving WIC services in two WIC projects serving areas and populations with known health disparities, were at even greater risk for …

Professional Competence To Promote Resilience For Children Living In Poverty, Jenna M. Voss, Susan Lenihan

Journal of Early Hearing Detection and Intervention

Poverty has a tremendous impact on the educational results of all children, including those who are deaf or hard of hearing. With targeted, evidence-based interventions during the first three years of life, Early Hearing Detection and Intervention (EHDI) professionals can protect children from the numerous risk factors which impede development. While EHDI professionals often serve children and families living in poverty, it remains the case that the professional preparation programs offer limited instruction and experience in how to best serve children and families living in poverty. The purpose of this study was to explore professional preparedness to serve children who …

Participation In Camp Dream. Speak. Live: Affective And Cognitive Outcomes For Children Who Stutter, Courtney T. Byrd, Elizabeth Hampton, Megann Mcgill, Zoi Gkalitsiou

Speech and Hearing Sciences Faculty Publications and Presentations

Objective: The purpose of this study was to explore the influence of participation in Camp Dream. Speak. Live., an intensive therapy program, on the communication attitudes, peer relationships and quality of life of children who stutter. Method: Participants were 23 children who stutter (n=5 females; n=18 males; age range 4–14 years) who attended a weeklong intensive therapy program that was exclusively developed to address the affective and cognitive components of stuttering. Outcome measures included the KiddyCAT Communication Attitude Test for Preschool and Kindergarten Children who Stutter, the Overall Assessment of the Speaker’s Experience of Stuttering (OASES), and the Patient Reported …

The Effect Of Aphasia On Quality Of Life, Coping Style, And Resilience, Nelson J. Hernandez

Honors Undergraduate Theses

Approximately one million people in the United States suffer from aphasia. There are multiple types of aphasia, however they are usually placed into two categories: non-fluent or fluent. The psychosocial factors that are impacted due to the type of aphasia has not been systematically investigated. The purpose of this study is to examine how non-fluent and fluent Individuals With Aphasia (IWA) compare or contrast across three psychosocial factors, Quality of Life (QoL), coping style, and resilience. The World Health Quality of Life- BREF (WHOQOL-BREF), Assimilative-Accommodative Coping Scale (AACS), and the Connor-Davidson Resilience Scale-10 item version (CD-RISC-10), were administered once to …

Dysphagia Management And Research In An Acute-Care Military Treatment Facility: The Role Of Applied Informatics, Nancy Pearl Solomon, Angela M. Dietsch, Katie E. Dietrich-Burns, Edda L. Styrmisdottir, Christopher S. Armao

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This report describes the development and preliminary analysis of a database for traumatically injured military service members with dysphagia.

Methods: A multidimensional database was developed to capture clinical variables related to swallowing. Data were derived from clinical records and instrumental swallow studies, and ranged from demographics, injury characteristics, swallowing biomechanics, medications, and standardized tools (e.g.. Glasgow Coma Scale, Penetration-Aspiration Scale). Bayesian Belief Network modeling was used to analyze the data at intermediate points, guide data collection, and predict outcomes. Predictive models were validated with independent data via receiver operating characteristic curves.

Results: The first iteration of …

From Grapheme To Phonological Output: Performance Of Adults Who Stutter On A Word Jumble Task, Megann Mcgill, Harvey Sussman, Courtney T. Byrd

Speech and Hearing Sciences Faculty Publications and Presentations

Purpose

The purpose of the present study was to extend previous research by analyzing the ability of adults who stutter to use phonological working memory in conjunction with lexical access to perform a word jumble task.

Method

Forty English words consisting of 3-, 4-, 5-, and 6-letters (n = 10 per letter length category) were randomly jumbled using a web-based application. During the experimental task, 26 participants were asked to silently manipulate the scrambled letters to form a real word. Each vocal response was coded for accuracy and speech reaction time (SRT).

Results

Adults who stutter attempted to solve …

The Relationship Between Conversational Pause Duration And Vocabulary Acquisition In Infants With Cochlear Implants, Kelsey De La Croix

Undergraduate Honors Thesis Collection

Previous research has shown that maternal speech to normal hearing (NH) infants and speech to cochlear implant (CI) infants is characterized by similarly high pitch, increased intonation range and reduced rate of speech (Bergeson, Miller, & McCune, 2006). These findings suggest that mothers demonstrate sensitivity to the infants’ hearing experience and tailor their speech to their infants’ auditory skill levels. Pause duration in infant-directed (ID) speech has also been shown to be influenced by age and hearing experience, but its relationship to language development is unknown. It has also been found that children with hearing loss tend to be exposed …

Effects Of Familiarity And Presentation Mode On Auditory-Visual Speech Recognition In Adults With Aphasia, Rachel Hahn

Undergraduate Honors Thesis Collection

Aphasia is a language disorder that has been acquired by about 2 million Americans, most commonly from stroke or traumatic brain injury. Research demonstrates that adults with aphasia can continue improving their speech and language for years after their stroke with therapy, which is contrary to traditional thought. Therefore, people with aphasia and their loved ones are searching for ways to continue speech and language improvements even after insurance runs out, and many are turning to technological therapy programs. However, there is little research on the skills people with aphasia need to benefit from these technological therapy programs. The current …

Differential Effects Of Cdh23753a On Auditory And Vestibular Functional Aging In C57bl/6j Mice, Bruce E. Mock, Sarath Vijayakumar, Jessica Pierce, Timothy A. Jones, Sherri M. Jones

Department of Special Education and Communication Disorders: Faculty Publications

The C57BL/6J (B6) mouse strain carries a cadherin 23 mutation (Cdh23^753A, also known as Ahl), which affects inner ear structures and results in age-related hearing loss. The B6.CAST strain harbors the wild type Cdh23 gene, and hence, the influence of Ahl is absent. The purpose of the present study was to characterize the effect of age and gender on gravity receptor function in B6 and B6.CAST strains and to compare functional aging between auditory and vestibular modalities. Auditory sensitivity declined at significantly faster rates than gravity receptor sensitivity for both strains. Indeed, vestibular functional aging was …

The Use Of Gesture In Self-Initiated Self-Repair Sequences By Persons With Non-Fluent Aphasia, Eleanor M. Feltner

Theses and Dissertations--Linguistics

This study examines the relationship between types of gestures and instances of self-initiated self-repair (SISR) used by persons with non-fluent aphasia (NFA), which is a type of aphasia characterized by stilted speech or signing (Papathanasiou et al., 2013), in interactions with clinicians. Conversation repairs in this study are assessed using the framework of Conversation Analysis (CA), which is an approach for describing, analyzing, and understanding social interaction (Sidnell, 2010). Previous linguistic studies have demonstrated a distinct preference for the use of gesture during a repair by persons with aphasia (Goodwin, 1995; Klippi, 2015; Wilkinson, 2013). This study draws more conclusive …