Speech Pathology and Audiology Commons^™

Patients’ Perspective Of Patient-Centered Approach Vs. Biomedical Approach, Lakynn Hillhouse

Honors Theses

Evidence-based practice in audiology may consist of a patient-centered approach or a biomedical approach when offering individuals the results of hearing evaluations. Boisvert et al. (2017) and the Institute for Defense Analysis confirmed that audiologists preferred to select one approach. The question was if an audiology patient is presented with two options of explaining the hearing health issues, which model/approach will be his or her preference?

Participants may have had unconscious biases related to race or gender that could have unknowingly impacted their perception of the videos. The results of this research will facilitate clinical understanding of individual preferences regarding …

How Are The Features Of Infant Directed Speech Related To Cradling Bias?, Tiffany S. Jacob

Honors Capstones

The current study explored whether the cradling bias observed in mothers of very young infants is related to acoustic features of infant directed speech. Six mothers were asked to set their 4-month-old infants down and pick them up to determine which side mothers used to cradle their infants. Mothers were placed in two groups: left-sided cradling bias and right-sided cradling bias. The mothers were then recorded as they talked to their infants while they shared books and simple toys designed to elicit the vowels /i/, /a/, and /u/. Vowel fundamental frequency (/i, a, u/) and word length (i.e., “sheep, shop, …

A Case Of Akinetic Mutism In Patient With Unilateral Anterior Communicating Artery Stroke, David Ho, Or Shachar, James Espinosa, Alan Lucerna, James Lee

Rowan-Virtua Research Day

Akinetic mutism, a rare neurological condition involving sensory, motor, language, behavior, and emotional changes, mimicking locked-in syndrome, should be considered in acute stroke patients presenting with speech deficits. This condition, although debilitating initially, does have prospects for recovery. In this case report, we present the case of a patient presenting to the ER for altered mental status, found to be in DKA, NSTEMI, suspected narcotic overdose, and unilateral acute ischemic stroke of the left anterior communicating artery (ACA), who was found to have Akinetic Mutism. In stroke patients presenting with aphasia and dysarthria, it is worth considering akinetic mutism in …

Colleges’ And Universities’ Referral Of Student Veterans With Acquired Brain Injury For Speech-Language Services, Morgan M. Rittenberger

ETD Archive

The purpose of this study was to identify whether public and private colleges or universities across the United States have procedures to assist student veterans who are facing academic challenges secondary to traumatic brain injury (TBI) or acquired brain injury (ABI). This study aimed to identify whether personnel in college and university veterans services offices, offices of disability services, academic success offices, tutoring centers, or other offices that support student veterans academically are aware of the role of speech-language pathologists in providing treatment to manage the effects of TBI/ABI on academic performance, along with the locations for speech-language pathology services …

Do Patients With Gastroesophageal Reflux Disease (Gerd) Exhibit Vocal Fold Deficits Manifested In Physical Or Acoustical Abnormalities?, Emily L. Mingus

ETD Archive

GERD is an esophageal disease that has both esophageal and extra-esophageal symptoms. Due to the acidic nature of GERD, there appears to be a disruption in the function of the tissues surrounding the area of the vocal folds. This study investigated the influence of GERD as it relates to voice and swallowing. Data were previously collected on twelve individuals, six with a medical diagnosis of GERD and six with no medical diagnosis of GERD, and analyzed. This included descriptive analysis of data points from a Visi-Pitch, Videostroboscopy, and Fiberoptic Endoscopic Evaluation of the Swallow (FFES). The objective measurements from the …

Speech-Language Pathologists' Academic Preparation For Transition Services, Kathleen Bridgforth

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

When individuals with disabilities reach their senior year of high school, they undergo a transition period. Speech-language pathologists are often tasked with working on an interdisciplinary team to assist individuals undergoing transition. While research has been done on how professionals as a group can help with transition, there has been little to no research done on how SLPs can be better prepared to assist during this process. The purpose of this study is to evaluate the preparedness of SLPs in high schools to assist individuals undergoing the transition period. The requirements for the participants include being a practicing or past …

Assessment And Treatment Of Childhood Apraxia Of Speech: The Perspective Of Current Speech-Language Pathologists, Sabrina White

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

“Childhood apraxia of speech (CAS) is a neurological childhood (pediatric) speech sound disorder in which the precision and consistency of movements underlying speech are impaired in the absence of neuromuscular deficits (e.g. abnormal reflexes, abnormal tone)” (ASHA, 2007b, Definitions of CAS section, para. 1). The role of speech-language pathology in conjunction with childhood apraxia of speech is the treatment of whichever speech sound disorders exist. The variable nature of CAS creates challenges for SLPs. Presently, “there are no validated diagnostic features that differentiate CAS from other childhood speech sound disorders.” (ASHA, 2007b, Signs and Symptoms, para 1). Due to this …

An Examination Of The Spelling Patterns Of Deaf And Hard Of Hearing Elementary School Students, Emma Villanueva

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Learning how to spell and applying knowledge from the five domains of language to spelling (phonology, morphology, syntax, semantics, pragmatics) is an essential component of academic success. In order to excel in school, all students need to learn how to spell. Students who are D/deaf and hard of hearing (d/hh) often struggle with spelling due to most methods of spelling education involving connecting spoken/heard sounds to letters, syllables, and words. There is limited research available regarding the methods deaf and hard-of-hearing students use to spell as well as error patterns typically made by this population.

The purpose of this research …

The Presence Of The Halo Effect In Individuals Diagnosed With Autism Spectrum Disorder And Neurotypical Individuals, Margo Mainord

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Individuals with Autism Spectrum Disorder (ASD) have difficulty perceiving subtle social cues such as tone of voice, facial expressions, body language, and physical boundaries. These difficulties are well-established in the literature and lead to the social communication challenges characteristic of the disorder. Although the detection of subtle social cues is critical to all human interaction, there are other processes at play as humans relate and interact on a day-to-day basis. One such principle that has been firmly established but seldom considered is a cognitive bias known as the Halo Effect (HE), which is the tendency to assign numerous traits to …

Usability And Feasibility Of A Spoken Language Outcome Monitoring Procedure In A Canadian Early Hearing Detection & Intervention Program: Results Of A 1-Year Pilot, Olivia Daub University Of Western Ontario, Bj Cunningham, Marlene P. Bagatto, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

Purpose: Best practice recommendations for Early Hearing Detection and Intervention (EHDI) programs include routine spoken language outcome monitoring. The present article reports on pilot data that evaluated the usability and feasibility of a spoken language outcome monitoring procedure developed for Ontario’s Infant Hearing Program (IHP). This procedure included both Program-level monitoring using omnibus language tests from birth to 6 years of age and individual vulnerability monitoring of key domains of spoken language known to be at risk in children who are deaf or hard of hearing.

Methodology: Speech-language pathologists (SLPs) in the IHP piloted the new procedures for one year …

Examination Of Spelling Skills Of Elementary Students Who Are Deaf And Hard Of Hearing, Lacey Simpson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Spelling is a crucial skill that children must learn to read, write, and communicate effectively, but this comes with challenges for students with hearing loss. Linguistic processes, such as phonological awareness, morphological awareness, orthographic awareness, semantic awareness, and mental graphemic representations are building blocks to understanding how to spell words accurately but are more difficult to grasp and apply with hearing loss. The purpose of this study was to evaluate the spelling skills of deaf and hard of hearing (d/hh) students to identify which linguistic processes need to be corrected and strengthened. By identifying which linguistic processes need remediation, educators …

Speech-Language Pathologists’ Perceptions Regarding Augmentative And Alternative Communication Implementation And Assessment In The Adult Population, Emilee Mcgahee

Honors Theses

The goal of this research project is to bring awareness to a part of the population that is severely lacking in both representation and research in regard to the use of augmentative and alternative communication (AAC), bringing attention to the scarcity of studies centered around AAC use in adults. This study hopes to increase the number of SLPs who are comfortable in assessing and implemeneting AAC systems with adults. The survey included questions pertaining to how long SLPs had been practicing, what populations they are most familiar with, their comfort levels regarding both AAC implementation and assessment, and memorable experiences …

Examination Of The Colorful Semantic Approach Via Telepractice For Children Who Are Deaf Or Hard Of Hearing, Samadhi Pusuba Devayalage

Graduate Theses and Dissertations

Introduction: Hearing loss, deafness or hard of hearing are considered to be the inabilityof perceiving sounds beyond 20 dB. Due to a direct impact of a hearing loss, a developing brain undergoes difficulties in acquiring age-appropriate syntax and speech sounds. As a result, children with hearing loss present language, speech, and literacy disabilities. The current study discusses the efficacy of the colorful semantics approach in order to see its impact on sentence structure development. Methodology: A single subject withdrawal experimental study conducted following ABAB model. Two participants (6 years and 10 years) were recruited to the study following an inclusion …

The Lived Experiences Of Transmasculine Speakers: A Phenomenological Investigation Of Vocal Quality And Function In Relation To Gender, Micah Wylie

Graduate Theses and Dissertations

The objective of this study was to learn how transmasculine individuals perceive the quality and function of their voices, and how those perceptions influence how they experience gender identity and communicate with others. This qualitative study adopted a hermeneutical phenomenological approach that involved using content analysis and thematic analysis to describe and interpret phenomena. This approach assumes that the researcher is not biased, but is a part of the world being studied and, therefore, understands the phenomenon by interpretive means. Saturation was achieved when all relevant information was introduced, and patterns of information had been identified. Sixteen interviews were conducted. …

Critical Thinking Or Critical Creativity: Applying De Bono's Six Thinking Hats To Speech-Language Pathology Education And Practice., Samantha Hahn

Electronic Theses and Dissertations

Decision-making is a fundamental skill that health care professionals use daily which involves the interaction of many cognitive systems. Critical and lateral thinking are two approaches to decision-making often cited in literature. Critical thinking emphasizes reasoning and systematic analyzation, while lateral thinking encompasses imagination and creativity. Speech-language pathology (SLP) is a prime example of a profession that amalgamates creative processes with organized methodologies. Edward de Bono described six styles of lateral thinking – each style is equated to a colored “hat”. This study sought to determine if an association exists between a given SLP student’s level of clinical experience and …

The Effect Of Telepractice On Vocal Interaction Between Provider, Deaf And Hard-Of-Hearing Pediatric Patients, And Caregivers., Abigail Betts

Electronic Theses and Dissertations

The purpose of this thesis is to examine how telepractice affects a vocal interaction between a speech-language pathologist (SLP), deaf and hard-of-hearing children who received cochlear implants (n = 7), and caregivers as they engage in speech-language interventions conducted in-person and via telepractice (tele). Frequency of vocalizations, vocal turns, pause duration, fundamental frequency (F0) mean and range, utterance duration, syllable rate per utterance duration, and mean length of utterance (MLU) were examined. The SLP vocalized more during in-person than tele-sessions, opposite result for the mother. There were more SLP-child turns during in-person sessions than tele-sessions; opposite result for mother-child turns. …

A Neurophysiological Investigation Of Listening Effort In Normal Hearing Adults Using Fnirs And Pupillometry, Jessica Defenderfer

Theses and Dissertations (ETD)

Real-world conversations are often accompanied by some sort of interference that challenges the clarity of the speaker’s message, causing listeners to exert more effort to understand speech. Previous research has demonstrated that when listening to speech becomes difficult, various regions of the brain are recruited beyond those which engage during optimal listening conditions. However, the neural correlates that underly listening effort are not fully understood. Importantly, the pupillary response can be used to index listening effort, such that pupil size increases with increasing cognitive demand. I proposed that pupillometry can be used to characterize the cortical response, such that changes …

The Nature Of Word Errors And Response Time In Individuals With Aphasia, Alexandra M. Georges

ETD Archive

Anomia is a relevant language deficit secondary to aphasia that is treated in the speech-language pathologist profession. Most aphasia diagnoses utilize aspects of confrontational naming tasks during speech therapy or testing. This study investigated the nature of word errors and the response time (RT) in persons with aphasia (PWA). Six individuals, three with nonfluent and three with fluent aphasia were asked to name objects in four common categories (occupational tools, everyday objects, food, and clothing) presented under two conditions (1) picture objects on a computer screen and (2) real physical objects. To measure RT and word error, participants were instructed …

Animal Activities! : A Children's Book For Vocabulary Intervention, Chloey Dibartolo

Honors Projects

This Honors Project was created as a culmination of research conducted in the fields of Speech-Language Pathology and English. It is a written and illustrated children’s book intended to be used during shared book reading between an adult and a child of preschool age who presents with a language delay or language disorder. Cloze structures are used throughout the book to elicit strategically selected vocabulary words from the child and aid in their vocabulary development. Elements and techniques used in children’s literature were also implemented throughout this book. This book is overall designed a therapy tool that can be used …

The Relationship Between Misophonia Sensitivity And Musicality, Mae Ling Catayong, Sarah Uganiza, William Smithers, Aileen Corral, Sivan Barashy, Solena Mednicoff, Destiny Gonzales

Undergraduate Research Symposium Posters

Misophonia is a condition characterized by negative emotional reactions to certain everyday sounds. Musicality involves Active Musical Engagement (AE), Self-reported Perceptual Abilities (PA), Musical Training (MT), Self-reported Singing Abilities (SA), Sophisticated Emotional Engagement with Music (EM), and General musical sophistication (GM). Numerous active musicians have self-reported having misophonia, while anecdotal reports have shown that music can help treat misophonia symptoms.