Speech Pathology and Audiology Commons^™

Initial Qualitative Inquiry Into Social Proverb Use And Acceptability, Emma K. Hinds

Graduate Student Theses, Dissertations, & Professional Papers

Currently,  1 in 36 individuals are diagnosed with autism spectrum disorder (ASD), which is characterized by social communication differences and restricted and/or repetitive behaviors. Many children with ASD also present with sensory, behavioral, and emotional differences, underscoring the need for specialized, evidence-based interventions. Social proverb is a novel intervention approach developed by Dr. Schoffer Closson that provides in-the-moment guidance by explicitly stating expected social behaviors and the rationale behind them (e.g., “We cover our coughs, so we don’t spread germs”). To date, no research has examined the use of social proverbs as an intervention strategy. The purpose of this qualitative …

Beyond Mean Length Of Utterance: Novel Measures For Characterizing The Spoken Language Of Autistic Children, Janine Mathee-Scott, Courtney E. Venker

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

Mean length of utterance (MLU) is a common measure of expressive language complexity in young children, including autistic children. However, means, by nature, obscure some information about spread and variability in data. Thus, we aimed to examine a new approach to characterizing linguistic complexity in autistic children by investigating the validity of two novel measures—range of length of utterance (RLU), standard deviation of length of utterance (SDLU)—alongside established measures: MLU and total utterances (TU).

Method:

Participants were 40 autistic children (12 girls, 28 boys; M_age = 41.78 months). Children participated in 10-min, play-based language samples with their caregivers. …

Spanish-Speaking Parents' Health Literacy And Comprehension Of Idea Terminology, Daria Hernandez

Honors Undergraduate Theses

This study aims to examine how personal health literacy can affect Spanish-speaking parents’ comprehension of special education documentation, specifically within the scope of Communication Sciences and Disorders (CSD) and Individuals with Disabilities Education Act (IDEA) terminology; in order to gain insight into the readability of commonly used terms within special education documents. Across the United States, limited health literacy across organizations and individuals is an extremely pressing issue as it can limit the ability for individuals to make the proper decisions involving their healthcare and education. This issue is exacerbated when considering Hispanic populations, with their personal health literacy levels …

Gender, And Socioeconomic Status In School-Based Speech-Language Pathology Decision-Making For Adolescents With Traumatic Brain Injury: A Critically Appraised Topic, Geneva Renee Toledo

Selected Full-Text Master Theses 2021-

Purpose: Adolescents are at greater risk for traumatic brain injury (TBI), and TBI-related symptoms may contribute to disciplinary actions that increase their risk of entering the school-toconfinement pipeline. Given the disproportionate representation of racially marginalized male adolescents within this pipeline, this critically appraised topic (CAT) examined how race, gender, and socioeconomic status may influence school-based speech-language pathology (SLP) services and clinical decision-making following TBI. Method: A structured search of five electronic databases was conducted to identify studies examining speech-language pathologists’ (SLPs’) clinical decision-making and management of adolescents with TBI in relation to race, gender, and socioeconomic status. Relevant studies were …

Integrating Hippotherapy Into Interprofessional Aphasia Rehabilitation: A Feasibility Pilot Study, Bethany H. Wenger

Graduate Student Theses, Dissertations, & Professional Papers

Background and Significance: Stroke remains a leading cause of disability in the United States, affecting over 2.5 million individuals annually. Stroke-related motor and communication deficits often co-occur, increasing challenges for recovery, increasing social isolation, depression, and dependency. Hippotherapy has emerged as a novel treatment approach for neurorehabilitation; however, its application within interprofessional models for individuals with stroke-related motor and communication impairments remains underexplored. This study examines the feasibility, fidelity, and acceptability of an interprofessional intervention using hippotherapy for adults with chronic post-stroke aphasia, the purpose of which is to generate methodological guidance for future controlled trials.

Methods: A non-randomized, single-group …

Advancing Interprofessional Communication: Preliminary Outcomes Of A Novel Collaboration Framework In A Student Head Injury Clinic, Natalia Noce, Kelly Ann Pena, Susan Paparella, Andrew Lynch, Erin Keller, Aaron Dallman, Pamela Rothpletz-Puglia

Journal of Occupational Therapy Education

When healthcare providers practice interprofessional practice, care improves, and medical errors are reduced. Interprofessional Education Collaborative (IPEC) principles and the Team Strategies and Tools to Enhance Patient Performance and Safety (TeamSTEPPS®) frameworks are utilized in healthcare education to develop interprofessional collaborative practice skills, but there is little understanding of how these skills change over time. We sought to evaluate the development of interprofessional collaborative practice skills by examining graduate occupational therapy, physical therapy, and speech-language pathology students' first-hand reports of their experiences over time in an interprofessional head injury clinic. We employed an applied interpretive qualitative research approach longitudinally collecting …

The Qualitative Investigation Of The Role Of Nicu-Based Slps, Netanya Tsang

Selected Full-Text Master Theses Collection 2018-

In 2004 that the American Speech Language Hearing Association (ASHA) released a position statement pertaining the roles of SLPs in swallowing and feeding disorders, specifically in the Neonatal Intensive Care Unit (NICU). In the NICU, one of the last criteria for discharge of the neonate is to demonstrate consistent and stable feeding. For NICU-based speech-language pathologists (SLP)s, a primary responsibility is treating the neonate’s ability to feed and swallow. Within this specialized setting over time, the role of the SLP has changed, but there is significant variation across locations and setting; with little formally documented regarding updated responsibilities. Therefore, this …

Perspectives Of Poetry: Peering Into Poetry And Aphasia, Kristian M. Perez

Graduate Studies Theses and Dissertations 2026

People with aphasia often experience significant barriers to communication, emotional expression, and participation in meaningful life activities following stroke or neurological injury. Although poetry and creative expression have been explored in broader therapeutic contexts, limited research has examined how people with aphasia perceive poetry. The purpose of this qualitative study was to explore the perspectives of people with aphasia regarding definitions of poetry, level of interest in poetry and the factors influencing said interest. Semi-structured interviews were conducted with adults with aphasia recruited through convenience sampling. Participants responded to questions before and after exposure to the poem Trust by Mark …

Communication Sciences And Disorders Faculty Perspectives On Collaborating With Students As Instructional Partners, Bryanna Cosman

Master's Theses and Doctoral Dissertations

Student-faculty partnerships, such as instructional partnerships, have been shown to benefit both students and faculty members who engage in them. This form of collaboration does not commonly occur at public, comprehensive universities, especially in the field of communication sciences and disorders (CSD). The purpose of this study was to understand the perspectives of CSD faculty on collaborating with students as instructional partners (IP), as there is limited research on it. IPs are students who have successfully taken a class in the recent past, attend the course in a subsequent semester, and meet after each class with the professor to discuss …

The Influence Of Early Detection And Intervention Providers' Actions And Communication On Parental Emotions And Early Intervention Engagement After A Child Is Diagnosed With Hearing Loss: A Scoping Review, Charlene M. Watson, D. Ellen Rick, Jillian Ingratta, Patti-Jo Sullivan, Xurong Zhao, Sheila Moodie

Journal of Early Hearing Detection and Intervention

Despite well-intentioned early hearing detection and intervention (EHDI) programs, parents receiving a newborn hearing loss diagnosis often experience distress, uncertainty, and fear, which can impact their readiness to engage in early intervention. The communication and support provided by clinicians in early hearing detection and intervention play a critical role in helping families navigate emotions, overcome barriers, and actively participate in EHDI programs. The purpose of this scoping review is to advance our knowledge of the following: For parents who have a newborn newly diagnosed with hearing loss, how do the actions/behaviors and communication (or lack thereof) of EHDI providers influence …

Fine And Gross Motor Skills Assessment, From A Caregiver's Perspective, In Children With Hearing Loss Using A Modified Ages And Stages Questionnaire (Asq-3), Steven M. Doettl, Patrick N. Plyler, Erin Plyler, Kelly R. Yeager, Leeann Hutker, Ginger Tallmadge, Aspen Gutknecht, Amy Becker

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this study was to determine if there is a significant difference on ASQ-3 (Ages and Stages Questionnaire version 3) Gross (ASQ G) and Fine (ASQ F) Motor scores between children with sensorineural hearing loss (SNHL) and children with normal hearing.

Methods: Data was gathered from the ASQ-3 as reported by parents/caregivers of 61 children (28 normal hearing children and 33 children with SNHL) ages 6-36 months. Results were averaged across the participants for both groups. Independent sample t-Tests were used to assess for any statistically significant difference in the ASQ scores between groups. Chi-square analysis …

From Policy To Practice In Deaf Education: American Sign Language And Spoken English Outcomes Of Deaf And Hard Of Hearing Children In Kansas, Jena Mcdaniel, Shreyas Teegala, Rebecca Maloney, Angie Walker, Mary S. Dietrich, Matthew L. Hall, Leah C. Geer, Julie Bustos

Journal of Early Hearing Detection and Intervention

Purpose: In the context of the recent expectation for state Early Hearing Detection and Intervention programs to track language milestones of deaf and hard of hearing (DHH) children, we examine how to leverage statewide assessment programs for improving language outcomes of DHH children. We present the degree to which DHH children in Kansas are meeting their language milestones for American Sign Language (ASL) and English and the influence of two measurement features.

Method: Performance on the ASL/English Language Milestones for 198 children who were DHH (aged 1 to 8) was analyzed for attainment of age-expected language skills and …

Relationships Between Cultural Factors And Motor Abilities In Autistic And Non-Autistic Children, Lindsey Anderson, Allison Gladfelter, Milijana Buac, Waifong Catherine Cheung, Ziteng Wang, Sinan Onal

CISLL Publications

Autism and motor abilities have been found to be closely related. Culture affects motor development as well as various diagnostic criteria for an autism diagnosis, yet cultural factors are rarely considered in research and in clinical diagnostics. This study explored the relationship between cultural factors, characteristics of autism, and balance abilities in autistic (n = 16) and non-autistic (n = 28) children by utilizing a demographic survey, the Social Responsiveness Scale, 2nd edition (SRS-2), and the Movement Assessment Battery for Children-2 (MABC-2) Balance subtest. A multiple linear regression model was used to analyze whether the relationship between autism characteristics and …

Central Auditory Processing Is Altered After Traumatic Brain Injury In Tanzanian Adults, Jonathan D. Lichtenstein, Christopher E. Niemczak, Abigail Fellows, Lindsay J. Wood, Shufaa Masoud, Alexis Rooney, Monika Adhikari, Albert Magohe, Jay C. Buckey

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Traumatic brain injury (TBI) damages pathways throughout the brain and is a significant global health concern, particularly in low- and middle-income countries, where the incidence is high and long-term deficits are prevalent. This study explores the utility of central auditory processing (CAP) testing as a marker of previous TBI. Seventy individuals with a history of moderate to severe TBI (msTBI) were matched by age and sex to 46 healthy controls in Dar es Salaam, Tanzania. Participants underwent comprehensive behavioral CAP testing, including tests of speech-in-noise ability, temporal resolution, and dichotic listening. Multivariate logistic regression showed the Triple Digit Test (TDT) …

Prosodic Comparisons Between Speech And Music For Different Emotions, Reagan Brothers

Honors Projects

This study compares the prosodic acoustic characteristics between different emotional expressions in speech and clarinet playing and evaluates the similarities in prosody between these two domains. The prosodic features analyzed include pitch, loudness, and duration, which are the psychoacoustic terms referring to fundamental frequency [f_o], intensity, and rate of time. The American folksong “I’ve Been Working on the Railroad” was both spoken and performed with three emotions: neutral, sad, and happy. The first comparison was how each prosodic characteristic compared across the three different emotions within each domain, and then prosody was compared across the two domains …

Effect Of Digital Noise Reduction Processing On Subcortical Speech Encoding And Relationship To Behavioral Outcomes, Subong Kim, Mary Schroeder, Hari M. Bharadwaj

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Perceptual benefits from digital noise reduction (NR) vary among individuals with different noise tolerance and sensitivity to distortions introduced in NR-processed speech; however, the physiological bases of the variance are understudied. Here, we developed objective measures of speech encoding in the ascending pathway as candidate measures of individual noise tolerance and sensitivity to NR-processed speech using the brainstem responses to speech syllable /da/. The speech-evoked brainstem response was found to be sensitive to the addition of noise and NR processing. The NR effects on the consonant and vowel portion of the responses were robustly quantified using response-to-response correlation metrics and …

Protocol For Visual-Acoustic Intervention With Service Delivery In-Person And Via Telepractice (Visit) Non-Inferiority Trial For Residual Speech Sound Disorder, Tara Mcallister, Jonathan L. Preston, Elaine R. Hitchcock, Nina R. Benway, Jennifer Hill

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Background: Residual speech sound disorder (RSSD) is a high-prevalence condition that negatively impacts social and academic participation. Telepractice service delivery has the potential to expand access to technology-enhanced intervention methods that can help remediate RSSD, but it is not known whether remote service delivery is associated with a reduction in the efficacy of these methods. This project will systematically measure the outcomes of visual-acoustic biofeedback intervention when delivered in-person or online. Methods/design: This project, Visual-acoustic Intervention with Service delivery In-person and via Telepractice (VISIT), aims to treat 76 children in a parallel randomized controlled clinical trial in which children with …

Dual-Task Interaction Between Vestibular Function And Cognitive Processing Using The P300 Event-Related Potential, Laurel Elise Money-Nolan

Graduate Theses and Dissertations (2019 - present)

Previous research has established links between vestibular function and cognitive processing, aging and cognitive function, and aging and vestibular function. Theories of cognitive resource allocation discuss how cognitive resources, such as attention, are devoted towards and divided between tasks when multitasking. This dual-task study, utilizing a balance task and a listening/cognitive task, across the young- and middle-aged adult age range, aimed to evaluate potential relationships between vestibular function, cognition, and age, and to examine how cognitive resources might be allocated under dual-task conditions.

The dual-task protocol in this study utilized an oddball paradigm with tonal stimuli to measure the P300 …

Exploring Future Educators’ Roles In Classroom Aac Use: Insight Into Knowledge, Skills, And Attitudes, Katrina M. King

Honors College Theses

The United States public school system requires the provision of a free and appropriate public education (FAPE) in the least restrictive environment (LRE) for qualifying students with disabilities (U.S. Department of Education, n.d.). Speech, language, and hearing related disabilities are among the qualifying categories (U.S. Department of Education, n.d.). Students with these disabilities may have complex communication needs (CCN), or significant limitations in their speech, language, and communication abilities (Communication Rights Australia, 2018). Augmentative and alternative communication (AAC), a type of assistive technology, offers support for these students, however, several barriers inhibit full communicative participation (American Speech-Language-Hearing Association [ASHA], n.d.-a). …

The Radical Middle: Caregiver Beliefs About Language Access For Deaf And Hard Of Hearing Children, Monica Zmudzinski, Krystal L. Werfel

Journal of Early Hearing Detection and Intervention

The purpose of this study was to explore the communication choices of caregivers of deaf or hard of hearing (DHH) children. Specifically, we explored what communication options caregivers were presented with, identify what factors impacted a caregiver’s decision to pursue spoken language, and identify what barriers exist to learning sign language. We conducted semi-structured interviews with 20 caregivers of DHH children who had decision making power at the time of their child’s diagnosis. Transcripts were coded using an inductive approach with triangulation between authors. Many families reported that minimal to no information was provided about communication options at the time …