Speech Pathology and Audiology Commons^™

Synthesising Cross-Speaker Data For Low-Resource Pathological Speech Recognition With Peft, Kesego Mokgosi, Milad Dadgar, Cathy Ennis, Robert Ross

Conference papers

Dysarthric speech recognition is essential for enhancing communication and accessibility for individuals with speech impairments, yet its development is hindered by a scarcity of robust, speaker-specific datasets. This study explores low-resource dysarthric speech recognition through cross-speaker transfer using synthetic data and parameter-efficient fine-tuning (PEFT). We integrate SpeechT5 text-to-speech (TTS) synthesis with x-vector speaker embeddings to generate speaker-specific dysarthric speech, enabling model adaptation while preserving pathological speech characteristics such as prosodic irregularities. Experiments on the TORGO dataset show that mixed cross-synthetic data with LoRA fine-tuning achieves a WER of 0.17, representing a 71.7% improvement over the standard model (0.60 WER) without …

Improving Newborn Hearing Screening For Community Births: Update From The Michigan Midwives Newborn Hearing Screening Program, Shannon B. Palmer, Nan Asher, Gina Cooper

Journal of Early Hearing Detection and Intervention

Objectives. To determine the effectiveness of a hearing screening training program for midwives who attend community births.

Methods. The data for this study was obtained from the mandatory reporting data to the Michigan Early Hearing Detection and Intervention Program (MI EHDI). Data included the total births and screening rates of babies born at home or in a birthing center in Michigan in the years 2020 and 2021. There were 90 birth attendants who oversaw 2711 community births across the two study years.

Results. The results of this study found that having a midwife who possessed a hearing screening machine increased …

Supporting Entry-Level Speech-Language Pathologists Who Serve Children Who Are Deaf Or Hard-Of-Hearing In Early Intervention, Kristina Blaiser, Hannah Daw, Blair Richlin, Jenn Gallup

Journal of Early Hearing Detection and Intervention

The aim of this study was to increase understanding of what is considered key information for entry-level speech-language pathologists (SLPs) serving children who are DHH. Specifically, this study explored skills and strategies that could be integrated into SLP graduate curriculum to increase entry-level provider confidence and knowledge. An online survey was distributed to providers of the DHH within the United States and included a) key skills and strategies recommended for entry-level providers serving children who are DHH b) barriers experienced by entry-level providers and c) demographics. The skills and strategies that emerged as most important according to participants (n …

Analyzing Errors Across Nonword Repetition Tasks For Clinical Utility Among Children Who Speak African American English, Tatum Carver-Dews

LSU Master's Theses

Purpose

Within the context of African American English (AAE), this study aimed to examine the clinical utility of three different types of NWR tasks to differentiate children with Developmental Language Disorder (DLD) from those who are typically developing (TD), by percentage of phonemes correct (PPC) and by type of error (e.g., consonants or vowels; omissions or substitutions). Additionally, this study allowed for examination of the relationship between the children’s NWR performance and their density of dialect-specific forms.

Methods

The data came from 50 kindergarteners (25 females, 25 males) who had participated in a multi-year study of childhood DLD within the …

A Comparison Of Vestibular Function In Young Adult Musicians And Non-Musician Peers, Alexandria W. Greene, Ashley G. Flagge, Nicholas S. Stanley

Ashley Flagge Publications

Purpose: The majority of college-level musicians exceed the daily recommended noise dose level during instrumental practices and performances, although less than one-third report wearing hearing protection while playing their instruments. Although the hazardous effects of music on the auditory system have been established, even in young adult musicians still early in their musical careers, the effects of music on the vestibular system are still unclear. The purpose of the present study was to examine vestibular/balance differences between young adult musicians and non-musicians to determine the effects of music exposure on the vestibular system.

Method: Young adult participants aged 18-27 years …

Inattentional Deafness And Musical Training: Effects Of Perceptual Load On Tonal And Verbal Auditory Suppression, Annelise Coffey

All-Inclusive List of Electronic Theses and Dissertations

Inattentional deafness (ID) is a cognitive phenomenon of which we have relatively little understanding. The current study attempted to address this by considering current cognitive theories of thought and examined how musical training affects incidence rates of inattentional deafness. This study utilized a cognitive task and auditory stimuli previously designed to elicit inattentional deafness and measured musical training by administering the Goldsmith’s Musical Sophistication Index. Participants were instructed to engage in a high-load cognitive task, providing a condition in which inattentional deafness is likely to occur. During the task, a brief pure tone was presented simultaneously with the visual task …

How Speech-Language Pathologists Can Collaborate With A Well-Meaning Judiciary To Improve Jury Instructions, Lillian N. Stiegler, Rebecca L. Parker

Journal of Interprofessional Practice and Collaboration

Abstract

Purpose: Many U.S. adults are called upon to fulfill civic responsibilities through jury duty. Jury participation is a responsibility, but it is also a privilege that ensures the balance of power between government and citizens. Problems arise when jury instructions are presented using complex language that challenges the comprehension of laypersons with and without language and literacy differences, negatively influencing the juror’s participation experience and trial outcomes. In spite of plain language mandates and clear findings regarding the average literacy abilities of U.S. adults, much of the legal community persists in the use of difficult jury instructions.

Method: Academic …

The Impact Of Hearing Aid User Speech On Environment Classification And Own Voice Listener Preferences, Robert Andrew Budinsky Iii

USF Tampa Graduate Theses and Dissertations

Hearing aids (HA) have improved over the past few decades with advanced signal processing, such as environment classification and background noise reduction, but are still limited by challenges related to when the user is speaking. These challenges include the potential interference a HA user’s voice has on device environment classification and the potential influence a HA has on own voice (OV) sound quality. However, the effects of OV on HA environment classification and signal processing are not well established, nor are the desired HA program settings regarding OV listening preferences. In this study, a combination of electroacoustic and behavioral methods …

Mentorship Of New(Er) School-Based Speech-Language Pathologists Beyond The Clinical Fellowship: A Pilot Study, Robyn Becker

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Purpose:

The purpose of this pilot study was to explore the perspectives of school-based speech-language pathologists (SLPs) with varying levels of experience to identify the components of a postclinical fellow (CF) school-based speech-language pathology mentorship program, barriers to implementation, and potential solutions.

Method:

After seeking feedback from school-based SLPs, a survey was created and distributed via e-mail and national social media sites. Topics included gathering perspectives about experiences with school-based speech-language pathology mentorship, components of a possible post-CF mentorship program, barriers to implementation, and potential solutions.

Results:

Sixty-five school-based SLPs with varying years of experience responded to the survey. Results …

Thoughts From The Frontlines: Canadian Perspectives In Adopting And Implementing Recommended Clinical Labels In Preschool Speech-Language Pathology, Alison Lynn Csercsics, Lauren Denusik, Barbara Jane Cunningham

PRECISe Preschool Speech and Language Publications

Purpose:

Method:

A Global Comparison Of Communication Intervention Strategies For Justice-Involved Youth, Sophia Janeiro Martinez

OUR Journal: ODU Undergraduate Research Journal

Purpose: This paper explores the intricate relationship between communication disorders and delinquent youth behavior. It will explore the detrimental impact of zero-tolerance policies and their contribution to the school-to-prison pipeline. It will introduce issues, such as complex Miranda warning diction, and the benefits of including speech-language pathologists (SLPs) to aid in youth comprehension. Additionally, it will propose the integration of SLPs within the juvenile justice system to assist in communication between justice-involved youth (JIY) and justice professionals during conversations, questioning, and trials or hearings. Furthermore, this paper examines the roles of SLPs within juvenile justice systems abroad, including Canada, …

Directionality In Bicros Hearing Aids: An Investigation Of Objective And Subjective Outcomes, Hasan K. Saleh, Paula Folkeard, Volker Kuehnel, Solveig C. Voss, Jinyu Qian, Susan Scollie

Communication Sciences and Disorders Publications

Objectives: To assess the effect of forward and omnidirectional microphone configurations in BiCROS versus monaural hearing aids on objective and subjective outcomes in different noise conditions.

Design: After fitting and a 4-week acclimatisation period, speech recognition and sound quality were measured using forward directional, omnidirectional, and unaided settings. Two noise configurations were used, surrounding noise and noise presented from the aided (better) ear. Subjective outcomes were assessed using the SSQ-b and BBSS questionnaires and participant interviews.

Study sample: Eighteen adult participants (mean: 74.6 y; range: 61–94 y; ten males, eight females) with mild to moderately severe SNHL in their better …

Sources Of Information That Introduced Undergraduate Students To Their Allied Health Major, Erin Vanderbunt

Internet Journal of Allied Health Sciences and Practice

Purpose: Selecting a college major can be overwhelming for undergraduate students. The factors influencing major selection not only impact student success and degree completion time but also affect university recruitment and retention strategies. Therefore, the purpose of this study was to identify the most influential sources of information that first introduced undergraduate students to their current major of nutrition, public health, or speech pathology and sought to determine if any differences existed between the academic majors or by the demographic variables of gender or racial/ethnic backgrounds. Methods: A total of 121 undergraduate students from a regional, midwest institution participated in …

Dr. Audrey Holland's Crazy Patchwork Quilt: A Thematic Analysis, Jessica D. Richardson, Sarah Grace Hudspeth Dalton, Honey Isabel Hubbard, Maya Henry

Speech Pathology and Audiology Faculty Research and Publications

Dr. Audrey Holland was a friend to people with aphasia and related disorders, care partners, community advocates, students, clinicians, educators, researchers, and more. Her profound impact extended across these diverse communities within aphasiology and speech-language pathology. Through her words and deeds, Audrey established a rich legacy that continues to guide and inspire countless individuals. A careful examination of her contributions reveals a roadmap for those seeking to embark on a similar journey of compassion and influence. To pay tribute to our mentor and friend, we conducted a thematic analysis of her solo works to identify enduring themes, laugh-out-loud anecdotes, and …

Biliteracy Development Of Spanish-English Bilingual Children: A Closer Look Into The Role Of Morphological Awareness, Grace Morgan, Jamie Smith

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

Documented Newborn Hearing Screenings In Florida Administrative Hospital Data: State Policy Compliance By Hospital Types, Teresa Anthony, Blake Barrett, Adam Brown, Jessica Ryan

Journal of Early Hearing Detection and Intervention

Purpose: Florida policy mandates newborn hearing screenings (NBHS) in hospitals. U.S. inpatient administrative hospital data reflects low rates of documented screenings. This analysis investigates inconsistencies between Florida policy and administrative records.

Method: Analysis of Florida statutory language was completed. Florida hospital administrative data was retrospectively analyzed using various statistical methods to explore differences in proportions of documented NBHS among distinct hospital types based on profit and teaching statuses.

Results: Florida mandate requires NBHS completion in the hospital prior to discharge from the birth facility or within 21 days after birth and allows for billing a third-party payer. …

Cost-Effectiveness Analysis: Automated Auditory Brainstem Response (Aabr) Diagnostic Test Compared To Transient Evoked Otoacoustic Emission Screening (Teoae) For Universal Newborn Hearing Screenings (Unhs) In High-Risk Neonates, Teresa Anthony, Troy Quast, Sarah Warren

Journal of Early Hearing Detection and Intervention

Purpose: Comorbidities and ototoxic medications increase risk of hearing loss (HL) in infants admitted to neonatal intensive care units (NICU; 6 per 1000 births) compared to well-babies (1.7 per 1000 births). For newborn hearing screening (NBHS), transient evoked otoacoustic emissions (TEOAE) testing is more efficient and less costly. Automated auditory brainstem response (aABR) testing yields higher sensitivity and specificity. This study will identify if aABR is cost-effective compared with TEOAE for NBHS in high-risk neonates.

Methodology: Cost-effectiveness analysis was conducted from a healthcare system perspective. Prevalence and outcomes data for aABR, TEOAE, and auditory brainstem response (ABR) were obtained …

Diagnostic Overshadowing: A Delayed Diagnosis Of Autism Spectrum Disorder In A Deaf Child, Quynh-Chi Dang, Michael Hoffman, Rachel St. John

Journal of Early Hearing Detection and Intervention

Diagnostic overshadowing occurs when a patient with a pre-existing diagnosis presents with symptoms that are attributed to the diagnosis, but actually reflect a separate issue. This diagnostic overshadowing can lead to delays in diagnosis, as well as disparities in health care and outcomes. The following case will provide an example in which diagnostic overshadowing contributed to the delay of an autism diagnosis in a child who is deaf. With at least 40 to 50% of children who are deaf or hard of hearing having at least one co-existing medical/developmental condition, and the current prevalence of autism at 1 in 36 …

Understanding Barriers To Timely Enrollment Of Early Intervention Services For Children Who Are Deaf And Hard Of Hearing, Krystal L. Werfel, Eddie Okosi, Brittany Grey, Cora Swindale, Emily Lund

Journal of Early Hearing Detection and Intervention

Although the Joint Committee on Infant Hearing guidelines recommend that children who are deaf and hard of hearing should begin early intervention by six months of age, prior work has revealed a substantial percentage of children who receive a diagnosis of hearing loss by three months of age but do not enroll in early intervention by six months of age (Grey et al., 2022). To further understand barriers to enrollment in early intervention for these families, we completed qualitative semi-structured interviews with 10 caregivers of children who were diagnosed with hearing loss by three months of age but did not …

A Review Of Social Media Platforms Of State Early Hearing Detection And Intervention Programs In The United States, Rohit Ravi, Karl R. White

Journal of Early Hearing Detection and Intervention

Purpose: Social media tool is increasingly used to support good health practices. Almost every Early Hearing Detection and Intervention program has a website, and it would be useful to know how they are using social media. The aim of this article was to analyse how social media is being used by Early Hearing Detection & Intervention programs in the United States, as well as how frequently.

Method: The present study analysed existing social media handles of the Early Hearing Detection and Intervention programs. The search for social media accounts & data extraction was carried out between 1st January 2022 to …