Speech Pathology and Audiology Commons^™

Tinnitus And Decreased Subcortical And Cortical Inhibition, Kenneth Vincent Morse

Dissertations - ALL

Background: The perception of tinnitus may be triggered by a reduction in inhibitory function in the central auditory nervous system. Evidence, primarily from invasive studies of animal models of tinnitus, indicates that these changes occur at both the subcortical and cortical level. Auditory evoked potential (AEP) indices of subcortical inhibition [auditory brainstem response (ABR) 〖"V/I" 〗_"amp ratio" ] and cortical inhibition [cortical auditory evoked potential (CAEP) sensory gating ratios] may provide an objective index of whether reduced subcortical and/or cortical inhibition is associated with tinnitus perception in humans. The aims of this study were to assess whether ABR and/or CAEP …

Relation Between A Systematic Analysis Of Spelling And Orthographic And Phonological Awareness Skills In First Grade Children, Victoria Henbest

Victoria S. Henbest Publications

As an initial step in determining whether a spelling error analysis might be useful in measuring children's linguistic knowledge, the relation between the frequency of types of scores from a spelling error analysis and children's performance on measures of phonological and orthographic pattern awareness was examined.The spellings of first-grade children with typical spoken language skills were scored using the Spelling Sensitivity System (Masterson & Apel, 2010a); words were parsed into elements based on phonemes and then assigned a score based on the linguistic skills represented in the spelling. The children also completed more traditional measures of phonological and orthographic knowledge: …

An Analysis Of Mental State Verbs In Children With Hearing Loss, Morgan Vachio

Theses and Dissertations

Mental state verbs (MSV) require unique cognitive and linguistic knowledge compared to lower level function words (Shatz et al., 1983). These cognitive and linguistic demands are thought to be difficult for children with hearing loss (CHL) due to deficits in word learning (Werfel, 2017; Lund, 2016), limited depth of vocabulary knowledge (Walker et al., 2018) and deficits in complex syntax (Werfel et al., 2021). The present study recruited 73 preschool children (23 CHLCI, 22 CHL-HA and 28 CNH) to participate. Our analysis examined the frequency, lexical diversity and use of MSV within required complex syntax structures.

Verbal Fluency In Women With The Fmr1 Premutation And The Broad Autism Phenotype, Emily Szabo

Theses and Dissertations

Women who carry a premutation allele on the FMR1 gene can experience limitations due to their genetic status, including executive function deficits. These subtle deficits are often shared by women who possess the broad autism phenotype (BAP). Poor understanding and limited research on the extent of these executive functioning deficits has led to limited clinical management of these two groups. The current study aimed to clarity whether there is a difference in verbal fluency abilities in mothers that possess the FMR1 premutation, mothers of children with autism who are at risk for the BAP, and mothers of typically developing children, …

Lexical Properties Of Perceptual Errors Made By Younger And Older Adults Listening To Speech In Multitalker Babble, Hannah Blythe Vickery

Theses and Dissertations

Purpose: The purpose of this error analysis was to analyze the lexical properties of misperceptions made when listening to speech in multitalker babble.

Methods: Twenty young adults with normal hearing (YNH), 20 older adults with normal hearing (ONH), and 22 older adults with hearing impairment (OHI) completed a speech-in-babble task. Participants were asked to repeat the final word in 25 high and 25 low context sentences. On each trial, participants either responded with the correct target word, a misperception error, or skipped the trial response. Misperceptions were compiled and analyzed according to their lexical properties.

Results: Results of this study …

Clinical Education Outcomes And Research Directions In Speech-Language Pathology: A Scoping Review, George W. Wolford, Schea Fissel Brannick, Sarah Strother, Laura Wolford

Teaching and Learning in Communication Sciences & Disorders

Purpose: To describe what researchers are investigating and how they are measuring the constructs of their investigations within the speech-language pathology (SLP) clinical education literature.

Method: A scoping review methodology (Arksey & O’Malley, 2005) was employed to develop a picture of clinical education articles which reported a measured outcome. Articles that met criteria were categorized by the purpose of the investigation and the outcome measures reported.

Result: 124 articles met inclusion criteria. Analysis of study purposes revealed a wide breadth of foci that were grouped into four broad clusters: Outcome Measures, Student Perspectives, Educational Contexts, and Teaching Methods. Most of …

Interprofessional Education And Practice: Perspectives From Students In Speech-Language Pathology And Recreational Therapy, David Hajjar, Jan Elich-Monroe, Susan Durnford

Teaching and Learning in Communication Sciences & Disorders

Interprofessional education and practice (IPE/IPP) are important components for undergraduate and graduate students to experience during their programs of study in speech-language pathology and related health professions. The American Speech-Language Hearing Association (ASHA) is a member organization of the Interprofessional Education Collaborative (IPEC) which promotes four core competencies required for effective practice: values/ethics, roles/responsibilities, interprofessional communication, and teams and teamwork. The purpose of this study was to gather the lived experiences from eight pre-professional students, four from speech-language pathology (SLP) and four from recreational therapy(RT), during focus groups and discussion forums conducted before, during, and after a 14-week IPE/IPP clinical …

Perceptions Of Immediate Written Feedback Provided To Slp Graduate Clinicians During Tele-Therapy Sessions, Darya Hinman, Sarah Patten, Mahchid Namazi

Teaching and Learning in Communication Sciences & Disorders

Given the status of clinical practice and the heavy reliance on technology due to COVID-19, it is important to investigate clinical supervision practices. The purpose of this study was to determine whether immediate feedback using technology was beneficial for a university clinical setting specifically where current supervision of students is undertaken via a virtual platform. The chat function via the Zoom teletherapy platform was used to deliver immediate written feedback to SLP graduate clinicians. Utilizing technology allowed supervisors to provide immediate, in-session written feedback to SLP graduate clinicians. The objective was to investigate the perceptions of immediate feedback for the …

A Pilot Investigation Of Critical Thinking In Undergraduate Students Of Communication Sciences And Disorders, David M. Rehfeld, Tracey N. Sulak, Deborah Rainer, Janice Stewart, Nadine Welch

Teaching and Learning in Communication Sciences & Disorders

Speech-language pathologists use critical thinking on a daily basis to identify, evaluate, and implement evidence-based practices with their clients. Currently, however, there are minimal data describing the critical thinking of undergraduate students in the field of communication sciences and disorders. Without these data, it is unclear if and how students’ critical thinking differs at various points during their pre-service training. In the present study, we used the Cornell Critical Thinking Test – Level Z to describe the general critical thinking skills of 142 undergraduate students enrolled in two lower- (n = 95) and upper- (n = 47) level courses at …

Fostering Clinical And Academic Faculty Collaborations To Improve Graduate Education, Nicole M. Etter, Aarthi Madhavan, Elise M. Lindquist, Amanda J. Byrd, Anne Marie Kubat

Teaching and Learning in Communication Sciences & Disorders

Accredited graduate programs in Communication Sciences and Disorders (CSD) work to integrate academic coursework, a breadth of clinical experiences, and an overarching capstone project (e.g. summative assessment). The best graduate programs focus on integrating these three elements through high quality collaborations between academic and clinical faculty. These collaborations are fostered when clinical and academic faculty attempt to provide students with experiences that intersect academic, research, and clinical areas of speech language pathology. The purpose of this paper describes the collaborative efforts undertaken by the CSD department at the Pennsylvania State University. We present a model for collaborations in graduate education …

Intercultural Competence Gains From Study Abroad In India, Lata A. Krishnan, Horane Diatta-Holgate, Charles A. Calahan

Teaching and Learning in Communication Sciences & Disorders

Participation in a study abroad program to Zambia with intentional intercultural activities embedded in the course curriculum has been shown to enhance cultural competence as measured by the Intercultural Development Inventory (IDI®) (Krishnan, Masters, Holgate, Wang & Calahan, 2017). The purpose of this study was to assess whether a new program to India, developed using a. similar model, was effective in increasing student intercultural competence and to compare student outcomes with the previous program to evaluate possible differences in outcomes related to the destination country. Participants included 21 students who participated in the SLHS in India study abroad program, and …

The Power Of A Sound Mind: Exploring Meditation And Sound Therapies For Treating The Emotional Impact Of Tinnitus, Sabeena A. Ramnanan

Dissertations, Theses, and Capstone Projects

Tinnitus is described as a sound perceived by an individual that has no external source. Some individuals with tinnitus can habituate to this phantom sound, while others become emotionally disturbed by it. There are several theories which attempt to rationalize the cause of tinnitus, and various treatments which aim to eliminate, mask, or facilitate habituation to one’s tinnitus. Current common treatments include sound therapies and cognitive-behavioral therapy (CBT), either in isolation or in combination with one another. However, not all these treatments aim to address the emotional impact of tinnitus. Novel treatments are emerging, with some attempting to reduce the …

Optimizing Communication In Palliative And Hospice Care: A Toolkit For Audiologists, Sherry E. Queen

Dissertations, Theses, and Capstone Projects

The prevalence of hearing loss increases with age, with age-related hearing loss (ARHL) being one of the most prevalent forms of sensory decline in older adults. Hearing loss is often overlooked in medical settings including palliative and hospice care. Screening for hearing loss in these settings is rare as is formal staff training on assessing and managing hearing loss in palliative and hospice care. An evidence-based toolkit for integrating audiologists into end-of-life care protocols is presented. This toolkit was developed to optimize communication in palliative and hospice care for patients, caregivers, audiologists, physicians, and other palliative care staff. Effective communication …

Systematic Review: The Effect Of Hearing Aids On Balance And Falls, Natalia Beatriz Pagan-Guadalupe

Dissertations, Theses, and Capstone Projects

Background: The population of individuals 65 years old is increasing and falls are one of the most prevalent causes of disabilities among this population. Recent studies have found association between neural hearing losses and increased risk of falls, suggesting that hearing is an important input that assist visual, proprioceptive and vestibular inputs in maintaining balance. Hearing aids are known to be beneficial to improve access to sound; however, it is very limited the research regarding the effects of amplification on balance and risk of falls.

Objectives: This systematic review intends to gather and analyze all the research available regarding the …

Infant Behavioral Speech Discrimination Procedures: A Systematic Review, Allison L. Mazzella

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this capstone project was to conduct a systematic review of literature relating to two behavioral infant speech discrimination procedures to evaluate their potential clinical utility. The two procedures examined were the Observer-based Psychoacoustic Procedure (OPP) and the Visual Reinforcement of Infant Speech Discrimination (VRISD) method. The methodology utilized and the results obtained are examined for normal hearing infants and infants with hearing loss. The procedures are compared and contrasted in terms of potential clinical feasibility and modifications for potential clinical use are considered.

Methods: A comprehensive search was performed using Pubmed and EBSCO Academic Search Complete …

Experience And Satisfaction With Hearing Aid Services Delivered Via Teleaudiology In Adult Populations: A Systematic Review, Shelby Platia

Dissertations, Theses, and Capstone Projects

Objective: The goal of this systematic review is to examine the current literature to look at patient experience and satisfaction with teleaudiology services. Specifically, teleaudiology services that occur at the fitting and/or post-fitting stage of the adult hearing aid patient journey.

Methods: A comprehensive search utilizing PubMed, MEDLINE and EBSCOhost databases were conducted to identify pertinent, peer-reviewed, articles related to the clinical usage or clinical applications of teleaudiology for hearing aid fittings and/or follow-up for adult individuals. Inclusion criteria were studies that are empirical, included quantitative results, articles published in English, peer-reviewed articles; and persons who are 18 …

Examining The Effect Of Longstanding Deafness On Health Literacy: A Systematic Review, Sara S. Payami

Dissertations, Theses, and Capstone Projects

Objective: This systematic review aims to evaluate whether deafness has a significant effect on one’s health literacy skills, and, if there is a difference between health literacy of a normal hearing individual compared to that of a Deaf individual. Disparities in health literacy unique to the Deaf experience are identified.

Methods: A comprehensive search the utilizing various peer-reviewed databases was conducted via the City University of New York’s (CUNY) Graduate Center Library to identify relevant studies published after 2009. Inclusion criteria incorporated quantified studies which commented on the health literacy of d/Deaf communities in the U.S. published from 2009 to …

Daily Benefits Of Leader Dogs In Addition To Medical Treatment For Individuals With Usher Syndrome: A Case Study, Samantha H. Zwolan

Dissertations, Theses, and Capstone Projects

Background: Adults with Usher syndrome seeking audiologic rehabilitation and treatment often experience everyday difficulties that are not fully resolved using typical medical treatments. This case study examines the difficulties faced by individuals diagnosed with Usher syndrome in their everyday life, including quality of life, safety, and social issues. Additionally, the non-medical benefits that leader dogs can provide such individuals is also presented.

Method: A thorough literature review was performed to provide background information regarding Usher syndrome and the impact it has on the hearing and vision of affected individuals. A related literature review was performed to examine the role …

Alcohol And Its Long-Term Effects On Hearing Loss: A Systematic Review, Talia Sowalsky

Dissertations, Theses, and Capstone Projects

Objective: To review the literature on potential permanent effects of long-term alcohol consumption on hearing status in adults 40 years of age and older.

Study Design: Systematic review of prospective and retrospective studies; meta-analysis of case-controlled studies.

Methods: One researcher independently reviewed MEDLINE (January 1, 2000-May 1, 2019), CINAHL (January 1, 2000-May 1, 2019), PubMed (January 1, 2000-May 1, 2019), and Web of Science (January 1, 2000-May 1, 2019). A manual reference search was additionally conducted. Randomized controlled trials, prospective cohort studies, consecutive/non-consecutive case series, and retrospective reviews in which a clear definition of hearing loss was stated were included …

Vestibular Case Studies: A Case Of Cva And Vestibular Paroxysmia, Jennifer Banovic B.S., Nicholas Stanley Ph.D. Au.D.

AuD Capstone Projects - Communication Sciences and Disorders

Case 1:

Introduction: One of the leading causes of centrally based vestibular impairment is a cerebrovascular accident (CVA). Patients typically present with limb or facial weakness, dizziness and imbalance, impaired vision, and speech or language dysfunction, however, these symptoms can vary depending on the site of lesion. Case presentation: An 85-year-old female presented with dizziness, bilateral tinnitus, aural fullness, and aphasia, occurring after she suffered a CVA. Three months after the CVA, she was seen by a balance clinic for a videonystagmography (VNG) and audiologic evaluation. Discussion: CVAs can alter the blood supply to the inner ear and its nerve …