Speech and Hearing Science Commons^™

Mindfulness Attributes As Predictors Of Treatment Outcomes In Children Who Stutter, Jenna Lee Graepel

USF Tampa Graduate Theses and Dissertations

A recent U.S.-based survey (Boyle et al,. 2011) estimated stuttering prevalence in American children ages 3-17 years at 1.6% or 1 in 63 children. In comparison to the reported 1 in 68 school age children living with Autism Spectrum Disorder (Centers for Disease Control and Prevention, 2010), stuttering affects nearly as many. These estimates suggest that Speech-Language Pathologist (SLPs) should increasingly develop their skill sets for identifying and providing interventions for children who stutter.

The evidence base for school-age fluency intervention, while promising, leaves much room for further development (Nippold, 2011). The majority of current interventions revolve around the traditional …

Outcomes Of A Combined Mindfulness, Stuttering Modification, And Fluency Shaping Intervention For Children Who Stutter, Jennifer Kordell

USF Tampa Graduate Theses and Dissertations

A week-long intervention for five school-age children who stutter was implemented using techniques of fluency shaping, stuttering management, and mindfulness training. The purpose of this study was to investigate if children who stutter stuttered less frequently, stuttered with less struggle, and demonstrated changes in mindfulness measures after the completion of this week-long intervention. Pre- to post-treatment measures were analyzed by individual and group-level results. A comparative analysis between reading and narrative tasks was also performed. Findings indicate that three out of five children reduced the total number of disfluencies during the reading task, and two children reduced this total during …

Using Visual Scene Displays As Communication Support Options For People With Chronic, Severe Aphasia: A Summary Of Aac Research And Future Research Directions, David R. Beukelman, Karen Hux, Aimee R. Dietz, Miechelle L. Mckelvey, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Research about the effectiveness of communicative supports and advances in photographic technology has prompted changes in the way speech-language pathologists design and implement interventions for people with aphasia. The purpose of this paper is to describe the use of photographic images as a basis for developing communication supports for people with chronic aphasia secondary to sudden-onset events due to cerebrovascular accidents (strokes). Topics include the evolution of AAC-based supports as they relate to people with aphasia, the development and key features of visual scene displays (VSDs), and future directions concerning the incorporation of photographs into communication supports for people with …

Examining Barriers With Implementing Augmentative And Alternative Communication In A Midwest School, Ashley Renee Fields

Walden Dissertations and Doctoral Studies

Many speech-language pathologists (SLPs) in a Midwest urban public school system have experienced barriers that prohibit the effective use of augmentative and alternative communication (AAC). The result has left some students with speech language impairments (SLI) without the communication skills for meaningful relationships and success in and out of school. The purpose of this exploratory case study was to determine the perceived barriers of 8 local school SLPs regarding the successful implementation of AAC and their suggestions for addressing the problem. Data were collected from semi-structured interviews with the SLPs. Data collection and analysis were grounded by Ely's conditions of …

Speech-Language Pathologists On Multicultural Counseling Competency, Denise Moore Revel

Walden Dissertations and Doctoral Studies

Despite reports of speech-language pathology graduate-level programs focusing on multicultural competence, the literature suggests speech-language pathologists are not adequately educated and trained to be culturally competent. The purpose of this study was to examine the experiences of public school-based speech-language pathologists' graduate-level academic instruction and the clinical practicum experiences in multicultural competence, specifically in the area of multicultural counseling. Guided by the theory of multicultural counseling and therapy, this study used a phenomenological approach, employing semistructured, in-person interviews with 7 participants. The inclusion criteria used for selecting study participants included: having a master's degree in speech-language pathology, graduation from an …

An Interpretative Phenomenological Analysis Of Caregivers' Support For Their Preschool Children's Language And Social Skills Development, Sheri Stein Blum

Walden Dissertations and Doctoral Studies

Some children have difficulty communicating due to a lack of age-appropriate language and social skills. Researchers have explored how music and language share features that shape language processing. The purpose of this interpretive phenomenological analysis was to explore the experiences of caregivers of preschool children who participated in a music-based program and to understand their perspectives related to children's language and social skill development. Learning style and sensory integration processing theories were used as framework to provide foundations of skills in this study. Research questions addressed caregivers' choices related to this program for their children, their experiences of their children's …

An Axisymmetric Finite Element Model To Study The Earplug Contribution To The Bone Conduction Occlusion Effect, Martin K. Brummund, Franck Sgard, Yvan Petit, Frédéric Laville, Hugues Nélisse

Études primaires

An axisymmetric linear elasto-acoustic finite element (FE) model of an occluded human external ear is proposed to simulate the bone conduction occlusion effect (OE). The model consists of a cylindrical ear canal cavity surrounded by layers of biological tissues (skin, cartilage and bone) in which an earplug is inserted. Geometrical and material properties are taken from the literature. OEs are predicted for foam and silicone earplug FE-models using COMSOL Multiphysics (COMSOL®, Sweden). The FE-model is shown to predict the experimental OE measured in two healthy human reference groups wearing foam or silicone earplugs, satisfactorily. Deviations between model and experiment are …

The Contribution Of Mild Traumatic Brain Injury/Concussion To The Development Of Post-Traumatic Stress Disorder Symptoms, Kylie Lauren Marshall

Open Access Theses & Dissertations

A controversial issue is whether TBI is a necessary precursor to the development of PTSD symptoms, or if the two variables are mutually exclusive. Recent rodent-models reveal that a stressful environment cannot cause PTSD symptoms directly without TBI, yet it is unknown if PTSD symptoms can develop following a TBI. This study provides a potential analogue to study this relationship by evaluating the effects of sports-related concussion. Purpose: This study investigated two questions, 1) Is there a significant difference in the frequency of PTSD symptoms reported by athletes at baseline (BL) testing and post-concussion (PC) testing over time? 2) Is …

Predicting Protracted Recovery From Sports-Related Concussion Using Computerized Neurocognitive Test Scores And Symptom Cluster Scores, Amanda Sepulveda

Open Access Theses & Dissertations

Background: A previous study showed that symptom evaluation, in conjunction with computerized neurocognitive testing, improved predictions of protracted recovery in a group of male high school football players. The determination of prognosis following sports-related concussion can be used to facilitate return-to-play and academic decision making in concussion management.

Purpose: The purpose of this study was to replicate and extend previous research in determining the accuracy, sensitivity, specificity, and predictive value of computerized neurocognitive test scores and symptom cluster scores in predicting protracted recovery following sports-related concussion.

Study Design: Systematic replication, Cohort study (prognosis)

Methods: 30 concussed collegiate athletes were followed …

A Comparison Of Maze Frequency And Type Across Language And Speaker: A Look At English And Spanish Narrative Retells, Melissa Silver

Open Access Theses & Dissertations

Background: Mazes, as they are referred to in the language literature, are disfluencies that do not add meaning to an utterance including filled pauses, whole word revisions, part word revisions, part word repetitions and whole word repetitions. Extensive research has been conducted on mazes in monolingual and bilingual children, yet the research has not been extended to adults' narrative retell production.

Aims: The current study analyzes monolingual English, monolingual Spanish, and bilingual English and Spanish narrative retells to compare the percent of maze use and type of maze use amongst groups.

Methods & Procedures: The narrative retells of thirty-nine bilingual …

The Effects Of Baby Sign Training On Child Development, Bethany Iris Urquidi

Open Access Theses & Dissertations

Introduction: Baby sign has gained the attention of many researchers and parents. Relatively little is known about the use of baby sign and the impact it has on the development of children. As the use of baby sign increases in popularity, research studies have had limited and inconsistent results regarding its influence. Purpose: The purpose of this study is to measure the effects of baby sign training on the overall development of normally hearing children while improving on the limitations of current studies (between group study). Methods: Participants in the study included 22 children, ages 6 months to 2 years; …

A Comparative Assessment Of Electrophysiological And Behavioral Performance In Individuals With Aphasia Responding To Spoken And Written Sentence Length Commands, Sha-Renae Alexander

Open Access Theses & Dissertations

The aim of this study is to investigate whether deficits in processing affect auditory and reading comprehension in the same manner. This study compared the behavioral and electrophysiologic performance of four individuals with aphasia and four participants with no brain damage responding to spoken and written sentence length commands using a modified version of the Revised Token Test (McNeil & Prescott, 1978). Electrophysiological responses were recorded from the scalp using event related potentials (ERP). The latency and amplitude of the N400 ERP component were measured and analyzed. Behavioral reaction times and correct responses were collected and examined. Performance differences between …

Processing Of Language Switches In Bilingual Individuals With Aphasia: An Event-Related Potential Comparison, Lizette Rodarte

Open Access Theses & Dissertations

Switching between languages, or code-switching, is a common phenomenon in bilingual individuals. In proficient bilinguals, these switches are done with ease and are used for many purposes. Contrary to popular belief, these switches are rule-governed and follow grammatical structure. Bilingual individuals diagnosed with aphasia present with difficulty processing languages and these language switches. With the increase in bilingual individuals, it is likely that the speech-language pathology community will see an increase of bilingual individuals with aphasia on their caseload. For this reason, the purpose of this study is to increase our understanding of the neural processes involved in processing of …

The Impact Of Accented English On Speech Comprehension, Benigno Valles

Open Access Theses & Dissertations

ABSTRACT

In the context of shifting demographics in the United States and with an increasing multicultural workforce, the verbal exchange of information is vital especially between health care providers and patients. Although English is the official language in the United States, many individuals from different national origins speak English with some degree of accent. Before we can address health care provider/patient communication, it is necessary to investigate the potential impact of accented English on speech comprehension and its implications on basic communicative interactions. The verbal exchange of information between health care providers and patients is important in diagnostics, treatment, patient …

Mapping The Spatial And Temporal Dynamics Of Sensorimotor Integration During The Perception And Performance Of Wallowing, Megan E. Cuellar

Theses and Dissertations (ETD)

Similar to other complex sequences of muscle activity, swallowing relies heavily upon ‘sensorimotor integration.’ It is well known that the premotor cortex and primary sensorimotor cortices provide critical sensorimotor contributions that help control the strength and timing of swallowing muscle effectors. However, the temporal dynamics of sensorimotor integration remains unclear, even when performed normally without neurological compromise. Recent advances in EEG analysis blind source separation techniques via independent component analysis offer a novel and exciting opportunity to measure cortical sensorimotor activity in realtime during swallowing, concurrently with muscle activity during swallow initiation. In the current study, mu components were identified, …

The Effect Of Hearing Impairment On Word Processing Of Infant- And Adult-Directed Speech, Velma Sue Robertson

Theses and Dissertations (ETD)

Objective. Little is known about how children with hearing loss (CHL) process words. The Emergent Coalition Model (ECM) of early word learning proposes that multiple cues (e.g., perceptual, social, linguistic) are used to facilitate word learning. Because hearing loss influences speech perception, different word learning patterns may emerge in CHL relative to children with normal hearing (CNH). One perceptual cue used by young children to access word learning is infant-directed-speech (IDS). Specifically, twenty-one month-olds can learn words in IDS but not in adult directed speech (ADS); however, by 27 months children can learn words in ADS. Currently, it is unknown …

Student Training In A University Setting Voice Clinic- How Do We Do It?, Chaya D. Nanjundeswaran (Guntupalli), Celia Bassich, Robin Samlan

ETSU Faculty Works

This presentation will discuss the challenges that clinical supervisors face when trying to balance efficient graduate student training and patient welfare in university voice clinics. We will propose a model in which we seek to balance the needs of the patient, student clinician, and clinical instructor.

Development Of Metalinguistic Awareness: Evidence From Children’S Overt Productions, Laura Kirkby, Mallory Dingess, Jamesa Ewing, Whitney Salvers, Kerry Proctor-Williams

ETSU Faculty Works

This study examined whether metalinguistic frequency increases or utterance type changes with age in children with typical language. Overt metalinguistic productions of 32 children, 3;0-5;7, were collected during recast intervention. Overall, the data showed changes in frequency and proportion of types with age.

Neurodevelopmental Outcomes For Infants With Neonatal Abstinence Syndrome: Implications For Speech-Language Pathologists And Audiologists, Kerry Proctor-Williams

ETSU Faculty Works

The causes and neurodevelopmental outcomes of children exposed to drugs and/or alcohol prenatally are presented. The incidence of this population is rising rapidly and appearing in increasing numbers on the caseloads of speech-language pathologists. Topics include prevalence, common drugs, Neonatal Abstinence Syndrome, longer-term neurodevelopmental outcomes, and treatment challenges.

Students’ Attitudes And Perceptions Toward Interprofessional Education, Rabia Foreman, Lacey Harris, Kathryn Mcguire, Kerry Proctor-Williams, Katie Baker

ETSU Faculty Works

Three scales were administered to measure attitudes of graduate students in health professions prior to their participation in an interprofessional education (IPE) pilot program. Overall, results indicated that students’ attitudes toward IPE were generally positive, but there is room for improvement. Additionally, medical students’ attitudes differed from the other disciplines.