Speech Pathology and Audiology Commons^™

Instrumental Assessment Of Aero-Resistive Expiratory Muscle Strength Rehabilitation Devices, Angela M. Dietsch, Rahul Krishnamurthy, Kelsey Young, Steven M. Barlow

Department of Special Education and Communication Disorders: Faculty Publications

Purpose

Expiratory muscle strength training (EMST) is increasingly being used to treat voice, cough, and swallowing deficits in a wide range of conditions. However, a multitude of aero-resistive EMST models are commercially available, and the absence of side-by-side comparative data interferes with clinicians’ ability to assess which model is best suited to a particular client’s needs. The primary aim of this research was to test and compare the pressure and flow parameters of six currently available EMST models to help inform clinical decision making.

Method

We identified and tested five devices of each of six different EMST models to generate …

Evaluation And Treatment Of Central Auditory Processing And Sound Tolerance Disorders, Aaliyah Gladney, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1

Introduction: Central auditory processing disorder (CAPD) affects how a listener understands speech even though their peripheral auditory system is intact. Case Presentation: An adult female was seen for a CAPD evaluation after experiencing recent listening difficulties following an automobile accident while 20 weeks pregnant. Results from a comprehensive audiological evaluation revealed audiometrically normal hearing in both ears. Results from the CAPD evaluation suggested a prosodic deficit. Discussion: Although results from testing were consistent with a prosodic deficit, the patient’s case history, original complaints, and recommendations were more consistent with an integration deficit. Conclusion: This case demonstrates that clinicians …

The Impact Of Treatment Dosage On Cognitive-Linguistic Outcomes Of Patients With Aphasia: An Investigation Of Three Service Delivery Models, Adele J. Derendinger

Graduate Student Theses, Dissertations, & Professional Papers

This study addresses the gap in literature by directly comparing the effectiveness of Intensive Comprehensive Aphasia Programs (ICAPs) and modified ICAPs (mICAPs) to usual care service delivery models for people with aphasia. Through a prospective study design, cognitive-linguistic function change scores across different service delivery models were examined. The findings reveal significant within-group improvements in cognitive-linguistic function for participants in ICAPs, with some improvement seen in mICAPs and usual care conditions. Intensive models demonstrated greater improvement compared to non-intensive usual care models, particularly evident in the Western Aphasia Battery – Revised and the Boston Naming Test – Second Edition. …

The Influence Of Intensive Treatment In A Cohort Model On Psychosocial Well-Being Of Patients With Aphasia: An Investigation Of Patients’ Quality Of Life Across Three Service Delivery Models, Helena Riley

Graduate Student Theses, Dissertations, & Professional Papers

Aphasia, a common communication disorder following a stroke, significantly impacts psychosocial wellbeing and quality of life. Despite advancements in rehabilitation frameworks, traditional impairment-based interventions prevail, leaving gaps in addressing holistic needs. This study aims to compare patient-reported outcome measures (PROMs) between intensive comprehensive aphasia programs (ICAP), modified ICAPs (mICAPs) and individual usual care (UC) service delivery models for aphasia intervention. Eighteen participants with aphasia were broadly recruited for this study. Each completed a series of PROMs pre-and post-treatment examining psychosocial wellbeing, communicative participation, and health related quality of life. Results indicate that intensive programs show potential for greater gains in …

Impact Of Covid-19 On Individuals With Aphasia: Effects On Quality Of Life And Communication, Kaci L. Gammon

Honors College Theses

Speech-language pathologists (SLPs) help people with aphasia (PWA) manage their communication symptoms and become more independent by supporting them linguistically and emotionally. During COVID-19, speech and language services were not as readily available to PWA due to quarantine restrictions resulting in isolation within this population. Individuals with aphasia had to redirect and find a new way to function daily. This study explored factors that affected quality of communication and quality of life for PWA during the pandemic, including technology, living situation, timing of stroke, and speech-language pathology services. Through an online survey, PWA from across the country expressed how their …

The Effect Of Asynchronous Pre-Service Training On Aac Strategy Use, Cheri Dodge Chin

Murray State Theses and Dissertations

This dissertation investigates the impact of a one-time online, asynchronous training program on graduate students' use of communication partner strategies for Augmentative and Alternative Communication (AAC) users. The study examines the training effect on the overall correct usage of naturalistic communication partner strategies, the implementation immediacy, the influence of feedback, and the training's benefits and drawbacks. Using an A-B single case research design with qualitative feedback, the study included pre-service university students studying speech pathology or education. Participants engaged in storybook reading activities with communication devices at a university clinic to establish baseline measures. Following this, they completed a one-hour …

The Effectiveness Of Aac Training For Nursing Students To Increase The Knowledge And Success For Communicating With Patients With Complex Communication Needs, Hanna Hill Webb

Murray State Theses and Dissertations

Effective communication is an essential practice for nurses and is fundamental for the care of patients. Nurses have significant difficulties communicating with patients with complex communication needs (CCN), which can lead to communication breakdowns and sentinel events. While AAC is a viable option for communicating with patients with CCN, nurses do not receive any training on how to effectively communicate or use AAC with patients with CCN. Nursing students are in the ideal position for learning how to use AAC and communicate with AAC, as they are in the process of learning and entering the field for medical placements. This …

Influence Of Personality On Ethical Decision-Making In Communication Sciences And Disorders, Jennifer K. Binkley, Terry W. Baggs

Internet Journal of Allied Health Sciences and Practice

Purpose: A relationship between personality and ethical decision-making has been demonstrated in professions both within and outside of healthcare. However, this relationship has not been examined in the rehabilitation therapies, including speech-language pathology (SLP). Given the ethical dilemmas faced by therapists, it is important to assess this relationship and to modify ethical training when warranted. Methods: A total of 175 undergraduate communication sciences and disorders students participated in completing the Kiersey Temperament Sorter II and the Defining Issues Test-2. Scores were statistically compared to determine the relationship between the two assessments. Results: Based on a model of moral reasoning development, …

Hearing Loss As A Risk Factor For Cognitive Decline In The Elderly: A Rapid Review, Natalie Large, Nannette Nicholson

Internet Journal of Allied Health Sciences and Practice

Purpose: The aim of this rapid review was to identify and evaluate evidence exploring hearing loss as a risk factor for cognitive decline in the elderly population. Methods: A literature search was performed in three databases: CINAHL, Cochrane Central, and PubMed. The PRISMA template was used to record the search and selection process. Search criteria included older adults aged 65 and up with diagnosed or self-reported hearing loss and no previous diagnosis of dementia or Alzheimer’s disease. Participants were excluded if they had been diagnosed with dementia or tested for it before the study began. Hearing loss was categorized using …

Rab1a Haploinsufficiency Phenocopies The 2p14-P15 Microdeletion And Is Associated With Impaired Neuronal Differentiation, Jonathan J Rios, Yang Li, Nandina Paria, Ryan J Bohlender, Chad Huff, Jill A Rosenfeld, Pengfei Liu, Weimin Bi, Kentaro Haga, Mitsunori Fukuda, Shayal Vashisth, Kiran Kaur, Maria H Chahrour, Michael B Bober, Angela L Duker, Farah A Ladha, Neil A Hanchard, Kristhen Atala, Anas M Khanshour, Linsley Smith, Carol A Wise, Mauricio R Delgado

Faculty, Staff and Student Publications

Hereditary spastic parapareses (HSPs) are clinically heterogeneous motor neuron diseases with variable age of onset and severity. Although variants in dozens of genes are implicated in HSPs, much of the genetic basis for pediatric-onset HSP remains unexplained. Here, we re-analyzed clinical exome-sequencing data from siblings with HSP of unknown genetic etiology and identified an inherited nonsense mutation (c.523C>T [p.Arg175Ter]) in the highly conserved RAB1A. The mutation is predicted to produce a truncated protein with an intact RAB GTPase domain but without two C-terminal cysteine residues required for proper subcellular protein localization. Additional RAB1A mutations, including two frameshift mutations and …

Quantifying The Occupational Voice Use Of Teachers, Sarah E Eastman, Hamzeh Ghasemzadeh, Jarrad Van Stan, Robert E Hillman, Daryush D Mehta

Faculty, Staff and Student Publications

PURPOSE: The teaching profession is a high-voice use occupation at elevated risk for developing voice disorders. Continued research on teachers' vocal demands is necessary to advocate for and establish vocal health programs. This study quantified ambulatory vocal dose measures for teachers during both on- and off-work periods, comparing their occupational voice use to that in other studies that have reported percent phonation ranging from 17% to 30%.

METHOD: Participants included 26 full-time, female school teachers between 23 and 55 years of age across multiple grades and subjects, including individuals with and without a voice disorder. Ambulatory voice data were collected …

Feasibility Of An Abstract Verb Naming Treatment For Aphasia, Dallin J. Bailey, Lisa Bunker, Julie L. Wambaugh

Faculty Publications

Purpose

Verb production impairments in aphasia have important implications for sentence production and communication in general. Verbs with low concreteness may be especially important for certain functional uses, and yet limited data regarding their response to treatment are available. This study was designed to examine a novel behavioral treatment approach to improve low concreteness verb naming in persons with aphasia.

Method

Three persons with nonfluent aphasia participated in a single-subject experimental design research study examining the feasibility of the novel treatment. The treatment was based on approaches that target the verb as the central node of meaning during sentence construction. …

A Retrospective Analysis Of Hearing Screening Outcomes In Infants Whose Mothers Were Covid-19 Positive During Pregnancy, Sangamanatha Ankmnal Ankmnal Veeranna, Charles G. Marx, Hwanseok Choi, Clinton White, Kimberly Ward

Journal of Early Hearing Detection and Intervention

Background: This study examined hearing screening referral rates over a three-year period, including testing performed pre-pandemic (2019) and during the first two years (2020 and 2021) of the onset of the spread of COVID-19.

Methods: This study conducted a retrospective analysis of 8,130 hearing screening referral records from 2019 – 2021, obtained from a large regional level II trauma center. These records were generated from the universal hearing screening process which utilized automated auditory brainstem response devices.

Results: There was no significant change in the number of infants screened for hearing loss and hearing screening outcomes between the pre-pandemic and …

Factors Contributing To Late Identification Of Deaf/Hard Of Hearing Children In Louisiana, Danielle D. Mercer, Tri Tran, Dawne Mccabe, Terri Ibieta, Dana Hubbard

Journal of Early Hearing Detection and Intervention

To ensure children who are Deaf/Hard of Hearing (D/HH) receive supports they need to reach their full potential, it is imperative that they be identified as early as possible. Early Hearing Detection and Intervention benchmarks stipulate children who are D/HH be enrolled in early intervention no later than 6 months of age. A major barrier to early enrollment is late identification. We reviewed records of children identified as D/HH in Louisiana after 6 months of age for 2015-2020 birth cohorts to determine factors contributing to the late identification. Cases were examined in-depth after it was determined that a diagnosis was …

Seven Years Of Csd Book Club: Nurturing Skills And Enhancing Worldviews, Lillian N. Stiegler, Rebecca Davis, Donna Thomas, Rebecca L. Parker, Martha Sherrill

Journal of Interprofessional Practice and Collaboration

Abstract

Purpose: CSD faculty at a mid-sized public university invited students and alumni to join a monthly book club focused on topics relevant to professional practice. The goals were (1) to create a pleasurable activity that would serve as a social and intellectual forum for open dialogue; (2) to attempt to address gaps in the less tangible “soft” skills that may not be directly or thoroughly taught in courses; and (3) to help participants see beyond personal interest silos and explore new topics.

Method: The work reviews and summarizes book club research from health care, education and CSD. It describes …

The Effectiveness Of An Educational Video Intervention For People With Amyotrophic Lateral Sclerosis Prior To Power Wheelchair Evaluations, Mark Blanchard, Kelly Connelley, Emily Copeland, Quinn Malbrough, Sara Pendleton, Ingrid Franc

Journal of Interprofessional Practice and Collaboration

PURPOSE: Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that ultimately requires a power wheelchair (PWC) as the main source of mobility. The purpose of this project was to determine the effectiveness of an educational video to prepare a client for a PWC assessment by addressing four themes: PWC features, home environment, transportation, and client self-efficacy.

METHODS: An educational video was created and used in an ALS Multidisciplinary Clinic to better prepare clients for the PWC evaluation process. The effectiveness of this video was measured using a seven-question Likert scale survey focusing on the themes of the video. Individuals living …

Core Vocabulary Intervention For Language-Delayed Kindergarten Students Using Augmentative And Alternative Communication, Angela M. Riccelli, Ravi Nigam

Journal of Applied Disciplines

The purpose of this study was to measure the impact of core vocabulary selection and the subsequent usage of a prescribed core vocabulary intervention over a period of one trimester (13-week period) and to report its impact on the overall communicative effectiveness of kindergarten students with language delay using augmentative and alternative communication (AAC). Study participants were provided with a pretest, speech and language therapy sessions in which intervention took place, and a posttest, which was administered by a speech–language pathologist. Intervention implementation commenced at the beginning of the school year and extended through the end of the trimester.13-week period. …

Explainable Machine Learning Reveals The Relationship Between Hearing Thresholds And Speech-In-Noise Recognition In Listeners With Normal Audiograms, Jithin Raj Balan, Hansapani Rodrigo, Udit Saxena, Srikanta K. Mishra

School of Mathematical & Statistical Sciences Faculty Publications

Some individuals complain of listening-in-noise difficulty despite having a normal audiogram. In this study, machine learning is applied to examine the extent to which hearing thresholds can predict speech-in-noise recognition among normal-hearing individuals. The specific goals were to (1) compare the performance of one standard (GAM, generalized additive model) and four machine learning models (ANN, artificial neural network; DNN, deep neural network; RF, random forest; XGBoost; eXtreme gradient boosting), and (2) examine the relative contribution of individual audiometric frequencies and demographic variables in predicting speech-in-noise recognition. Archival data included thresholds (0.25–16 kHz) and speech recognition thresholds (SRTs) from listeners with …

Using A Refutation Text To Increase Dyslexia Knowledge In Csd Undergraduates, Dorothy Shiver, Hannah Krimm

Teaching and Learning in Communication Sciences & Disorders

The purpose of this study was to examine the effect of a refutation text on conceptual knowledge of dyslexia among pre-professional undergraduate students in communication sciences and disorders (CSD). Undergraduate students (n = 60) majoring in CSD were randomly assigned to two groups. They completed a pre-test to evaluate their conceptual knowledge of dyslexia, then read a text about dyslexia. There were two texts: a refutation text and a control text. After reading the text, students completed a post-test to evaluate their conceptual knowledge of dyslexia. Four weeks after completing the post-test, students completed a maintenance test. The refutation text …

The Development Of Speech-Language Pathologists’ Counseling Self-Efficacy, Audrey Scott, Laura Plexico, Mary J. Sandage, Allison M. Plumb

Teaching and Learning in Communication Sciences & Disorders

The purpose of this investigation was to understand, from the perspective of speech-language pathologists (SLPs), what factors contribute to the essential structure of the experience of SLPs with low perceived counseling self-efficacy (CSE), the factors that contribute to the essential structure of the experience of SLPs with high perceived CSE, and how SLPs can transition from lower to higher perceived CSE. Ten female speech-language pathologists participated in interviews to discuss their counseling experiences and the development of their personal SLP CSE. The interviews were divided into 982 meaning units. The meaning units were categorized to determine the recurring themes contributing …