Speech Pathology and Audiology Commons^™

Examining Barriers With Implementing Augmentative And Alternative Communication In A Midwest School, Ashley Renee Fields

Walden Dissertations and Doctoral Studies

Many speech-language pathologists (SLPs) in a Midwest urban public school system have experienced barriers that prohibit the effective use of augmentative and alternative communication (AAC). The result has left some students with speech language impairments (SLI) without the communication skills for meaningful relationships and success in and out of school. The purpose of this exploratory case study was to determine the perceived barriers of 8 local school SLPs regarding the successful implementation of AAC and their suggestions for addressing the problem. Data were collected from semi-structured interviews with the SLPs. Data collection and analysis were grounded by Ely's conditions of …

A Clinical Case Study Exploring The Impact Of Bilingual Support In Speech-Language Intervention For A Child With Autism, Zaynab Taei

Theses and Dissertations--Communication Sciences and Disorders

Managing language choice in speech-language intervention is increasingly an issue for speech-pathologists treating bilingual children. Frequently L2 approaches only are implemented, resulting in negative effects on L1 acquisition, familial ties, and cultural transmission. This study examined the impact of a bilingual intervention on a school-aged child and her family. Providing intervention and therapy activities in the L1 resulted in increased parental engagement, increased L1 use by the child, and increased awareness of strategies for treating bilingual children among SLPs at the study site.

Enhancing Generalisation In Biofeedback Intervention Using The Challenge Point Framework: A Case Study, Elaine Hitchcock, Tara Mcallister Byun

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Biofeedback intervention can help children achieve correct production of a treatment-resistant error sound, but generalisation is often limited. This case study suggests that generalisation can be enhanced when biofeedback intervention is structured in accordance with a "challenge point" framework for speech-motor learning. The participant was an 11-year-old with residual /r/ misarticulation who had previously attained correct /r/ production through a structured course of ultrasound biofeedback treatment but did not generalise these gains beyond the word level. Treatment difficulty was adjusted in an adaptive manner following predetermined criteria for advancing, maintaining, or moving back a level in a multidimensional hierarchy of …

Graduate Bulletin, 2015-2016, Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.

Perception And Use Of Communication Care Plans By Certified Nursing Assistants In Nursing Homes: The Role Of Professional Support, Christen G. Page

Theses and Dissertations--Rehabilitation Sciences

The majority of individuals in nursing homes have cognitive-communication impairments which impact quality of care because direct care providers, certified nursing assistants, (CNAs) are unsure how to respond to resident’s communication behaviors. One intervention that facilitates staff-resident communication in nursing homes is communication plans; however, the research to date about communication plans has not specifically involved CNAs.

The purpose of this study, using a grounded theory qualitative approach, was to describe development, implementation and evaluation of communication care plans (CCPs) for residents with cognitive-communication impairments in nursing homes by CNAs who did and did not receive professional support. Communication care …

Problem Solving Of Typically Developing Children On An Adaptation Of The Twenty Questions Task, Janice Carter Smith

Theses and Dissertations--Rehabilitation Sciences

This cross sectional study examined problem solving by typically developing children on the Rapid Assessment of Problem Solving test (RAPS). The RAPS, a modification of Mosher and Hornsby’s 20Q task, requires the examinee to solve three problems. Each problem involves asking yes/no questions to identify a target picture from a 32-picture array with as few questions as possible. Participants were 73 young (ages 7-9), 79 early adolescent (ages 10-13) and 77 adolescent (ages 14-17) children residing in Kentucky. Children were seen in the summer months and administered the RAPS on a single occasion, with 22 of the children being testing …

Effects Of An Online Training In The Ziggurat Model On The Autism Knowledge Of School-Based Speech-Language Pathologists (Slps), Wendy L. Wilkerson

Theses and Dissertations--Rehabilitation Sciences

Autism Spectrum Disorder (ASD) is a low-incidence disorder with high impacts on individuals, families, and society. School-based speech-language pathologists (SLPs) have tremendous responsibilities toward individuals with ASD, but pre-service SLPs are not adequately trained to fulfill these expectations. In order to reduce the widespread financial and social impact of ASD, school-based SLPs need to complete effective training to prepare them for the selection of established social-communication practices. One framework for the selection of individualized intervention is the Ziggurat Model (Aspy & Grossman, 2008). The following study used mixed methods to investigate the research question: “Does the ASD knowledge base of …

Parent/Caregiver Knowledge And Satisfaction Of Information And Referrals Related To Speech-Language Pathology Services For Children With Down Syndrome, Erin K. Salmons

Theses and Dissertations--Communication Sciences and Disorders

Down syndrome, also known as Trisomy 21, is the most commonly occurring chromosomal abnormality present at birth. The Centers for Disease Control and Prevention estimates that there are approximately 6,000 diagnoses of Down syndrome per year in the United States, further indicating that 1/700 infants are born with Down syndrome. A diagnosis of Down syndrome can be made either prenatally or postnatally. Early intervention services will be warranted to address underlying deficits associated with the syndrome, (i.e., speech-language/feeding/swallowing). Communicative disorders are among the most prominent concomitant deficits associated with Down syndrome. Therefore, it is critical that parents/caregivers of children with …

Dialect And Word Learning: Are Phonological Properties Maintained When Dialectal Influence Changes Word Meaning?, Heather C. Iwinski

Theses and Dissertations--Communication Sciences and Disorders

Word learning requires the accurate encoding and decoding of a word’s phonological and semantic properties. Errors in establishing an accurate phonemic-semantic connection can hinder accurate word comprehension and use. Geographical location, culture, and ethnicity can affect the phonology used by a speaker referred to as dialect. African American Vernacular English (AAVE) is one of the most commonly used dialects in the United States. In addition to grammatical changes AAVE is characterized by phonemic changes. The current study sought to determine the effects of AAVE use on the receptive and expressive learning of nonsense words that differ in meaning as noted …

The Effects Of Sign On Speech Segmentation In Infants, Alma Rosa Acosta

Open Access Theses & Dissertations

Introduction: The ability to extract words from fluent speech (speech segmentation), perhaps one of the greatest obscure achievements for the purpose of learning language, is dependent upon imperceptible endeavors. Remarkably, infants are active participants from the moment they are born, using auditory and visual information to assist them segmenting speech. As motivated parents attempt to use baby sign to bridge communication gaps, visual information in the form of baby sign may benefit children in extracting words from speech. To examine the effects of baby sign on speech segmentation, a systematic replication of the Hollich et al. (2005) study, a within-subject …

A Combination Of Therapeutic Techniques: Severe Broca's Aphasia, Kimberly Ann Homan

All Graduate Theses, Dissertations, and Other Capstone Projects

The effects of Modified Melodic Intonation Therapy for a fifty-nine year old adult with severe Broca's aphasia were examined. Intervention included inner rehearsal and first sound practice to potentially increase initiation abilities. Pre and post self-assessments were used to evaluate self-awareness. Six target phrases (four three-syllable phrases and two two-syllable phrases) were treated over the course of fifteen weeks with two one-hour sessions per week. Results showed an increase in the participant's ability to produce the target phrase. Inner rehearsal proved to be an initiation strategy that met functional needs of the participant in a timelier manner; on the other …

Paraprofessionals' Experiences And Understandings Of The Maternal Infant Health Outreach Worker Program (Mihow) In West Virginia, Amy Knell Carlson

Theses, Dissertations and Capstones

MIHOW, the Maternal Infant Health Outreach Worker Program, is a parent-to-parent home visitation program that aims to enhance early childhood development and parent education in economically disadvantaged and geographically isolated families with children birth to three. This qualitative case study conducted in two rural Appalachian counties examined the perceptions and experiences of paraprofessionals who are trained and work as home visitors in the MIHOW Program. Findings were interpreted in relation to extant literature on the use of paraprofessionals in home visitation. Three themes emerged from the data. The first theme related to the use of a strength-based approach and how …

Validating And Optimizing A Crowdsourced Method For Gradient Measures Of Child Speech, Tara Mcallister Byun, Elaine Hitchcock, Daphna Harel

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

There is broad consensus that speech sound development is a gradual process, with acoustic measures frequently revealing covert contrast between sounds perceived as identical. Well-constructed perceptual tasks using Visual Analog Scaling (VAS) can draw out these gradient differences. However, this method has not seen widespread uptake in speech acquisition research, possibly due to the time-intensive character of VAS data collection. This project tested the validity of streamlined VAS data collection via crowdsourcing. It also addressed a methodological question that would be challenging to answer through conventional data collection: when collecting ratings of speech samples elicited from multiple individuals, should those …

Interactions Between A Speech Pathologist And People With Aphasia In The First 6 Weeks Post Stroke: A Qualitative Study Of Assessment Experiences, Penelope Judith Wood

Theses : Honours

This study examines clinician and client interactions in the context of an acute care unit in a small urban Western Australian Hospital. The study involved audiovisual recordings and observations of assessment sessions, and in-depth interviews with the assessing Speech Pathologist and her clients. Analysis used Discourse Analysis of assessment sessions and Thematic Analysis of interviews. There is growing evidence as to how less formal non-traditional assessment might be more supportive of people with aphasia—for instance, by using concepts and techniques drawn from Dynamic Assessment and principles of Adult Learning. Surveys of Australian and New Zealand Speech Pathologists reflect a move …

Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in …

An Interpretative Phenomenological Analysis Of Caregivers' Support For Their Preschool Children's Language And Social Skills Development, Sheri Stein Blum

Walden Dissertations and Doctoral Studies

Some children have difficulty communicating due to a lack of age-appropriate language and social skills. Researchers have explored how music and language share features that shape language processing. The purpose of this interpretive phenomenological analysis was to explore the experiences of caregivers of preschool children who participated in a music-based program and to understand their perspectives related to children's language and social skill development. Learning style and sensory integration processing theories were used as framework to provide foundations of skills in this study. Research questions addressed caregivers' choices related to this program for their children, their experiences of their children's …

Literature Review And Case Study Of The Functionality Of Video Self Modeling, Carly Conklin

Williams Honors College, Honors Research Projects

This report includes a literature review and case study examination to determine the functionality and effectiveness of video self-modeling as a speech-language therapy technique for a child with autism spectrum disorder (ASD). Research has shown that video modeling is effective to teach language skills to individuals with ASD. This case study focused on teaching a child with ASD receptive language skills to identify emotions based on body language and tone of voice. A single subject pretest posttest design was used to measure the results for the case study participant.

Treatment Outcomes For The Mass Treatment Approach For Adults Who Stutter: A Case Study Assessment, Danielle Reymann

Williams Honors College, Honors Research Projects

No abstract provided.

Multi-Modal Communication In School-Age Children With Autism Spectrum Disorders, Lauren Dougherty

Williams Honors College, Honors Research Projects

Children with Autism Spectrum Disorder (ASD) have a difficult time communicating on a daily basis. To help enhance and sometimes substitute speech altogether, they require Augmentative and Alternative Communication (AAC) devices. A review of literature found that school-age children with ASD utilize multiple modes of communication. The observation conducted looked at six school-age children, grades 6-8, with ASD and their use of multimodal communication. Each child was observed throughout their school day in settings such as the classroom, lunch/recess, and the speech therapy room. Data was collected for the number of times a child was given the opportunity to use …

A Survey Of Speech-Language Pathologists On Facilitating Support Groups For Those With Communication Disorders, Danielle A. Hower, K. Todd Houston Ph.D

Williams Honors College, Honors Research Projects

Support groups are used in a variety of settings and can be helpful for group members to develop coping strategies. This research aims to evaluate Ohio Speech-Language Pathologists’ perceived knowledge of planning and implementing support groups. Another goal for this research is to gain information on how many Speech-Language Pathologists are using this knowledge to conduct a support group, what type of populations are benefiting, and in what setting type utilizes support groups.