Speech Pathology and Audiology Commons^™

Preservice Augmentative And Alternative Communication Coursework Across 311 Speech-Language Pathology Graduate Programs, Brandon S. Eddy, Emily Sorensen, Mariel Pinto

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists often report a lack of preparedness to provide augmentative and alternative communication (AAC) services, suggesting the need for improved graduate level training. Recent studies of AAC coursework offerings found 86% to 88% of programs offered AAC coursework, but these studies relied on survey methods with limited numbers of responses. This study examined AAC course offerings at 311 graduate programs using website and course catalog reviews, supplemented by direct contact with departments when dedicated AAC courses could not be found using online resources. Of these, 282 (90.68%) offered a dedicated AAC course, and 16 (5.14%) offered AAC in combination …

Developing Problems With Strengths In Mind: Problem-Based Learning In Introductory Csd Courses, Laura E. Arrington, Stefanie Becerril, Leilani Iem, Charlotte Clark

Teaching and Learning in Communication Sciences & Disorders

Instructors in Communication Sciences and Disorders (CSD) have used problem-based learning (PBL) for a variety of purposes across academic levels. Problem-based learning offers a framework for considering and including student strengths. In this paper, the authors describe the development of a PBL with specific utility to an introductory CSD course, explain how student strengths were considered in the problem development, and provide evidence of student strengths in outcomes of the PBL. This investigation followed 70 undergraduate students registered in introductory CSD courses across two universities as they engaged in a semester long PBL. A thematic analysis of 217 student solutions …

A Subcortical Model For Auditory Forward Masking With Efferent Control Of Cochlear Gain., Braden N. Maxwell, Afagh Farhadi, Marc A Brennan, Adam Svec, Laurel H. Carney

All Faculty Scholarship

Previous physiological and psychophysical studies have explored whether feedback to the cochlea from the efferent system influences forward masking. The present work proposes that the limited growth-of-masking (GOM) observed in auditory nerve (AN) fibers may have been misunderstood; namely, that this limitation may be due to the influence of anesthesia on the efferent system. Building on the premise that the unanesthetized AN may exhibit GOM similar to more central nuclei, the present computational modeling study demonstrates that feedback from the medial olivocochlear (MOC) efferents may contribute to GOM observed physiologically in onset-type neurons in both the cochlear nucleus and inferior …

Access To Audiology Care In Rural And Urban Communities: A Methodology Paper, Molly Whitcomb, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

The ability of those affected by hearing loss to access audiology care is imperative as the effects of unmanaged hearing loss are deleterious, and the prevalence is high. Despite the abundance of individuals affected by hearing loss and the implications of the condition when untreated, barriers to access to care remain primarily unresolved, affecting groups disproportionately. These barriers include knowing when a hearing problem warrants intervention, transportation, geographical barriers, a lack of hearing health care providers, affordability, and insurance coverage. Rural and urban communities are each predisposed to a unique set of social determinants of health, which affect their ability …

Clear Masks Do Not Prevent Gains During Dynamic Temporal And Tactile Cueing Treatment: An Explanatory Sequential Mixed Methods Pilot Study, Jenya Iuzzini-Seigel, Elizabeth Murray, Shelley L. Velleman, Geraldine Bricker-Katz, Donna Thomas

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

This study aimed to determine the outcomes and impact of Dynamic Temporal and Tactile Cueing (DTTC) treatment when clear vinyl masks were worn. DTTC is one of the few evidence-based treatments for children with childhood apraxia of speech (CAS). Given that DTTC relies on visual, auditory, and tactile cues, it was unknown if treatment gains would be demonstrated when masks were worn and how masking would impact the therapy experience for clinicians and caregivers.

Method:

A sequential mixed methods design was used to study the efficacy of DTTC treatment in children with CAS when clear masks were worn. The …

Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann

Open Educational Resources

This course will provide an introduction to the development and disorders of speech, language, and communication in children and adults. Disorders such as autism, aphasia, stuttering, and learning disabilities will be discussed. Differences noted in culturally and linguistically diverse communities will also be addressed. The course activities will give students an experiential appreciation of the experience of communication challenges and supporting people with those challenges. Information about the professions of Speech-Language Pathology (SLP), Audiology, and Speech and Hearing Science will be reviewed as potential career paths.

Neural Control Of Swallowing In Infants: White Matter Tracts Associated With Swallow Function, Heather Christine Mcghee

MUSC Theses and Dissertations

This dissertation investigates innovative approaches to improve feeding and swallowing outcomes in infants, particularly those born prematurely or with brain injury. It focuses on understanding the neural networks involved in sucking and swallowing by utilizing diffusion kurtosis imaging (DKI), a more sensitive neuroimaging technique than traditional MRI, and the BaByVFSSImP, a standardized tool for assessing swallow function. Additionally, the research explores the use of transcutaneous auricular vagus nerve stimulation (taVNS) as a neuromodulation technique to enhance oral feeding skills. The study found no adverse effects from taVNS on airway protection or swallowing physiology. Furthermore, there were some possible associations between …

Bridging The Gap Between Clinical Practice And Evidence For Hyolaryngeal Excursion Assessment During A Clinical Swallow Evaluation, Kelsey Murray

Dissertations, 2020-current

This study investigated current practices of subjective hyolaryngeal excursion (sHLE) assessment during a clinical swallow evaluation (CSE) among speech-language pathologists (SLPs) using a survey-based approach. A sample of 77 SLPs in the United States completed an online survey rating their perceived importance and practice of sHLE assessment during a CSE. Additionally, the survey inquired about inferred interpretations from assessing sHLE. Results indicated a strong positive correlation between the rated importance of sHLE assessment and the reported frequency with which it is completed, r_s(46) = .720, p < .001. However, the findings also suggested that some SLPs are not assessing sHLE during a CSE. This offers valuable insight into the prevailing practices of HLE assessment among SLPs, considering the limited evidence for HLE assessment and interpretation. Interpretation and generalizations of the findings is limited due to the small sample size. Findings, however, do support the need for future research investigating the validity of sHLE assessment performed during a CSE, with the aim of providing evidence to guide clinical best practices.

Keywords: hyolaryngeal excursion, speech-language pathologist, clinical swallow evaluation, dysphagia, palpation

Abstract …

Are Hearing Aids Designed For All Parts Of The World? An Ecological Momentary Assessment Study, Preeti Pandey

Dissertations, 2020-current

The affordability of hearing aids (HA) is a significant barrier to ownership in low-and middle-income countries (WHO, 2021). Crowded living conditions in developing countries intensify the complexity of listening environments compared to developed nations. No existing literature compares the listening environment and HA outcomes using real-world measures across these regions. This study aims to 1) compare HA outcomes and listening environments between India and the USA, and 2) evaluate the benefit of premium HAs over basic HAs in both locations. In an observational, multi-location, single-blinded study, nineteen hearing aid users (mean age 69.6 years) participated. Ecological momentary assessments (EMA) were …

A Systematic Review Of The Prevalence Of Late Identified Hearing Loss In Childhood, Karen Muñoz, Dylan Chan, Donald Goldberg, Diana Ortiz, Valerie James Abbott, Karl White

Communicative Disorders and Deaf Education Faculty Publications

Objectives

The objective of this systematic review was to assess the evidence about the prevalence of permanent hearing loss for children not identified from newborn hearing screening (NHS).

Design

Articles were grouped into three categories based on the methodological approach: (1) all participants received diagnostic testing, (2) otoacoustic emission (OAE) or pure tone screening was completed and those not passing were referred for a diagnostic test, and (3) data were retrieved from archival records. Study characteristics, prevalence, and contextual factors were synthesised and narratively described.

Study Sample

30 peer-reviewed articles.

Results

Prevalence of permanent hearing loss per 1,000 children ranged …

Standardizing Attention Process Training-Iii For A Multisite Clinical Trial Of Neuromodulation, Jessica D. Richardson, Honey Isabel Hubbard, Sarah Grace Dalton, Sloan Davidson, Tiana Maple, Tyler B. Smith, Mo Chen, Rebecca Hiltner, Thomas Jones, Andrew R. Mayer, Orrin Myers, Cassandra Nelson, Sarah Pirio-Richardson, Cidney Robertson-Benta, Scott R. Sponheim, Joel Upston, Lindsay Worth, Nicholas Davenport, Davin K. Quinn

Speech Pathology and Audiology Faculty Research and Publications

Introduction

The Control Network Neuromodulation to Enhance Cognitive Training in Complex Traumatic Brain Injury (CONNECT-TBI) study is an ongoing randomized, double-blinded, sham-controlled multisite clinical trial to determine the enhancing effects of noninvasive neuromodulation when paired with cognitive training in military participants (Veterans and active duty) with mild TBI. Attention Process Training-III (APT-III) was selected for its strong evidence base, manualized procedures, and computerized program. However, many aspects of APT-III that make it ideal for personalization make it less ideal for reliable implementation across participants, clinicians/technicians, and sites. The purpose of this feature article is to highlight APT-III procedures that require …

Cortical And Subjective Measures Of Individual Noise Tolerance Predict Hearing Outcomes With Varying Noise Reduction Strength, Subong Kim, Susan Arzac, Natalie Dokic, Jenn Donnelly, Nicole Genser, Kristen Nortwich, Alexis Rooney

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Noise reduction (NR) algorithms are employed in nearly all commercially available hearing aids to attenuate background noise. However, NR processing also involves undesirable speech distortions, leading to variability in hearing outcomes among individuals with different noise tolerance. Leveraging 30 participants with normal hearing engaged in speech-in-noise tasks, the present study examined whether the cortical measure of neural signal-to-noise ratio (SNR)—the amplitude ratio of auditory evoked responses to target speech onset and noise onset—could predict individual variability in NR outcomes with varying strength, thus serving as a reliable indicator of individual noise tolerance. In addition, we also measured subjective ratings of …

Emphasizing Interprofessional Education Through A Virtual Case Study In A Medical Nutrition Therapy Course, Natalie B. Allen, Traci A. Garrison, Wendy R. Jackson, Bonnie K. Slavych

Journal of Dietetic Education

This observational research presents multi-year findings of a project using an online case study implemented in an undergraduate Medical Nutrition Therapy class that fostered interprofessional collaboration among students from various healthcare disciplines. The case study focused on a fictional patient with an ischemic stroke and all work was virtual. Students from various allied healthcare fields were represented: dietetics and nutrition, occupational therapy, speech-language pathology, and social work. Both undergraduate and graduate students participated in developing a virtual care plan for the patient, with an emphasis on helping students explain their role to the team, while simultaneously learning how to collaborate …

Evaluating Artificial Intelligence On The Efficacy Of Preference Assessments For Preservice Speech-Language Pathologists, Brenna Griffin, Elizabeth R. Lorah, Christine Holyfield, Nicolette Caldwell, John Nosek

Curriculum and Instruction Faculty Publications and Presentations

Individuals with intellectual and developmental disabilities (IDD) face many barriers to meaningful inclusion, including limited language and communication skills. Professionals, such as speech-language pathologists (SLPs), can provide personalized instruction to promote skill development and inclusion. Providing opportunities for individuals to express preferences and choice, such as the multiple stimulus without replacement preference assessment (MSWO; DeLeon & Iwata 1996), within these programs, further increases skill acquisition and social interaction. However, limitations in professionals’ knowledge and skills in performing assessments can be another barrier to meaningful inclusion for individuals with IDD and traditional training methods can be challenging and time consuming. …

The Harding University Speech Clinic As A Community Outreach Program In White County, Melaney Binkley

McNair Scholars Research

A university speech clinic provides, at no cost to clients, more selective, limited speech and language services by a student clinician in the Communication Sciences and Disorders program under the supervision of a certified speech-language pathologist (SLP). A private speech clinic requires certified speech-language pathologists and assistants. The purpose of this study was to analyze the Harding University Speech Clinic’s client population, particularly in terms of socioeconomic status, since the city in which the university is located has a higher average poverty rate than the state. Additionally, the study sought to measure the level of client satisfaction with the services …

Nonverbal Iq Test Performance In Preschool-Age Children With Varying Language, Sandra Danelle Irvin

Theses and Dissertations

Purpose – This study aims to investigate the impact of two types of factors on IQ test performance in children with variation in language ability. The two types of factors studied here are: a) test characteristics (i.e., complexity of test directions) and test-taker characteristics (i.e., language ability). Method – Four participants, ages 4-7, completed norm referenced assessments for language and intelligence. Results – Descriptive results suggest no discernable trends between performance on language assessments and nonverbal IQ measures. The results demonstrated a discernable negative trend between performance on nonverbal IQ measures and linguistic complexity of instructions. Implications – While the …

Auditory Sensory Gating: Effects Of Noise, Fan-Yin Cheng, Julia Campbell, Chang Liu

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Cortical auditory evoked potentials (CAEPs) indicate that noise degrades auditory neural encoding, causing decreased peak amplitude and increased peak latency. Different types of noise affect CAEP responses, with greater informational masking causing additional degradation. In noisy conditions, attention can improve target signals’ neural encoding, reflected by an increased CAEP amplitude, which may be facilitated through various inhibitory mechanisms at both pre-attentive and attentive levels. While previous research has mainly focused on inhibition effects during attentive auditory processing in noise, the impact of noise on the neural response during the pre-attentive phase remains unclear. Therefore, this preliminary study aimed to assess …

Speech & Language Services: Examining The Experiences Of Deaf / Hard Of Hearing People, Milayna N. Barker

University Honors Theses

The purpose of this study is to examine the experiences of Deaf and Hard of Hearing (HoH) adults and parents of Deaf/HoH children related to speech and language services, and their recommendations for service providers. Historically, professionals have focused on the development of speech and aural/oral skills of Deaf and HoH people. As such, when working with families of newly-identified children with hearing loss, hearing professionals may be ill-equipped to provide culturally-responsive, fully inclusive information and education regarding communication options and opportunities.

Method: This study used a qualitative research design to examine participant experiences related to speech and language services …

How To Get Started With Sotl: Reflections From A Novice Sotl Researcher, Janine L. Schmedding-Bartley

Teaching and Learning in Communication Sciences & Disorders

The purpose of this paper is to provide a reflection on successfully engaging in the scholarship of teaching and learning (SoTL) after overcoming common barriers to engagement in SoTL. The author identifies barriers commonly experienced by scholars interested in engaging in SoTL. The author identified a variety of frameworks in the literature that were reported to be helpful in assisting novice SoTL scholars in overcoming barriers related to research question formation. An example is shared to demonstrate how the complementary frameworks can be used to develop answerable research questions.

Finding My Path: Transitioning From Clinician To Professor, Jordan Tinsley

Teaching and Learning in Communication Sciences & Disorders

This manuscript is a reflection on the author’s transition from practicing as a clinical speech-language pathologist (SLP) to entering the academic arena as a clinical assistant professor. The author considers various steps that may be supportive of the transition from clinical practice to academia for SLPs without a research degree (i.e., Ph.D.). Lessons learned throughout the job transition process are shared to illuminate the path for SLPs who are curious entering a university setting. Additionally, the author’s experience in the TLCSD SoTL Fellows Program is discussed.