Matching Items (43)
Filtering by

Clear all filters

156239-Thumbnail Image.png
Description
Latino parents of children with feeding disorders completed a survey about their experiences accessing support and the cultural competence of their providers. This work is a follow-up project to a presented American Speech and Hearing Association Conference poster (Stats-Caldwell, Lindsay, Van Vuren, 2017). That project revealed caregivers’ use of

Latino parents of children with feeding disorders completed a survey about their experiences accessing support and the cultural competence of their providers. This work is a follow-up project to a presented American Speech and Hearing Association Conference poster (Stats-Caldwell, Lindsay, Van Vuren, 2017). That project revealed caregivers’ use of social media and indicated an overall perceived lack of support from providers. In the present survey, Latino caregivers identified the resources they consult and rated the level of helpfulness in addition to the types of supports they sought and received from these resources. Results indicate a considerable reliance on pediatricians in both frequency of consultation and helpfulness ratings. No significant difference was seen between the frequency of consultation between pediatricians, speech-language pathologists and other service providers. No significant difference was found in the helpfulness ratings between speech-language pathologists and topic-specific social media pages, nor speech-language pathologists and grandmothers. Participants indicated reliance on social media for informational resources. The influence of social media is discussed. The cultural implications of treating this population are also reviewed.
ContributorsVan Vuren, Katherine Ann (Author) / Azuma, Tamiko (Thesis advisor) / Scherer, Nancy (Thesis advisor) / Helms-Tillery, Kate (Committee member) / Arizona State University (Publisher)
Created2018
156554-Thumbnail Image.png
Description
ABSTRACT

Malawi, as a low and middle income country (LMIC), with one of the lowest per capita gross domestic products, faces challenges in the provision of healthcare to its citizens. According to the Centers for Disease Control (CDC), leading causes of death include but are not limited to, lower respiratory

ABSTRACT

Malawi, as a low and middle income country (LMIC), with one of the lowest per capita gross domestic products, faces challenges in the provision of healthcare to its citizens. According to the Centers for Disease Control (CDC), leading causes of death include but are not limited to, lower respiratory disease, stroke, cancer, neonatal disorders, and nutritional deficiencies. Feeding and swallowing disorders can present as a symptom to any of these medical diagnoses. Currently, there are no known studies focusing on the service provision for feeding and swallowing disorders in Malawi.

This pilot study was designed to provide a baseline on how feeding and swallowing disorders are currently being provided for in an emerging country like Malawi. Malawian healthcare professionals who see patients with feeding and swallowing disorders completed a survey and interview pertaining to their personal demographics, caseload, opinions, experiences, and treatment recommendations regarding the management of swallowing disorders (dysphagia).

Results indicate a wide range of occupations (Otolaryngoloists, Rehabilitation Technicians, Audiology Technicians, and Nurses) are involved in feeding and swallowing care. Participants expressed a high obligation to provide services for feeding and swallowing disorders, as well as a high concern for their patients. Generally, participants expressed high confidence in their treatment abilities, which did not correspond to knowledge of treatment recommendations that meet U.S. standards of care. Specifically, there was no variation in treatment recommendations across severities and a general lack of resources and tools for assessing and treating dysphagia. Treatment recommendations tended to align with resources currently available in Malawi.

Implications for the utilization of NGOs (non-governmental organizations) and the education of healthcare providers on feeding and swallowing disorders in the social and cultural contexts of this country are discussed.
ContributorsLarson, Christie Taylor (Author) / Azuma, Tamiko (Thesis advisor) / Scherer, Nancy (Thesis advisor) / Helms-Tillery, Kate (Committee member) / Arizona State University (Publisher)
Created2018
133900-Thumbnail Image.png
Description
22q11.2 Deletion Syndrome (22q11.2DS) is one of the most frequent chromosomal microdeletion syndromes in humans. This case study focuses on the language and reading profile of a female adult with 22q11.2 Deletion Syndrome who was undiagnosed until the age of 27 years old. To comprehensively describe the participant's profile, a

22q11.2 Deletion Syndrome (22q11.2DS) is one of the most frequent chromosomal microdeletion syndromes in humans. This case study focuses on the language and reading profile of a female adult with 22q11.2 Deletion Syndrome who was undiagnosed until the age of 27 years old. To comprehensively describe the participant's profile, a series of assessment measures was administered in the speech, language, cognition, reading, and motor domains. Understanding how 22q11.2DS has impacted the life of a recently diagnosed adult will provide insight into how to best facilitate long-term language and educational support for this population and inform future research.
ContributorsPhilp, Jennifer Lynn (Author) / Scherer, Nancy (Thesis director) / Peter, Beate (Committee member) / Department of Speech and Hearing Science (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
133916-Thumbnail Image.png
Description
The purpose of the present study was to determine if vocabulary knowledge is related to degree of hearing loss. A 50-question multiple-choice vocabulary test comprised of old and new words was administered to 43 adults with hearing loss (19 to 92 years old) and 51 adults with normal hearing (20

The purpose of the present study was to determine if vocabulary knowledge is related to degree of hearing loss. A 50-question multiple-choice vocabulary test comprised of old and new words was administered to 43 adults with hearing loss (19 to 92 years old) and 51 adults with normal hearing (20 to 40 years old). Degree of hearing loss ranged from mild to moderately-severe as determined by bilateral pure-tone thresholds. Education levels ranged from some high school to graduate degrees. It was predicted that knowledge of new words would decrease with increasing hearing loss, whereas knowledge of old words would be unaffected. The Test of Contemporary Vocabulary (TCV) was developed for this study and contained words with old and new definitions. The vocabulary scores were subjected to repeated-measures ANOVA with definition type (old and new) as the within-subjects factor. Hearing level and education were between-subjects factors, while age was entered as a covariate. The results revealed no main effect of age or education level, while a significant main effect of hearing level was observed. Specifically, performance for new words decreased significantly as degree of hearing loss increased. A similar effect was not observed for old words. These results indicate that knowledge of new definitions is inversely related to degree of hearing loss.
ContributorsMarzan, Nicole Ann (Author) / Pittman, Andrea (Thesis director) / Azuma, Tamiko (Committee member) / Wexler, Kathryn (Committee member) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
135399-Thumbnail Image.png
Description
Language acquisition is a phenomenon we all experience, and though it is well studied many questions remain regarding the neural bases of language. Whether a hearing speaker or Deaf signer, spoken and signed language acquisition (with eventual proficiency) develop similarly and share common neural networks. While signed language and spoken

Language acquisition is a phenomenon we all experience, and though it is well studied many questions remain regarding the neural bases of language. Whether a hearing speaker or Deaf signer, spoken and signed language acquisition (with eventual proficiency) develop similarly and share common neural networks. While signed language and spoken language engage completely different sensory modalities (visual-manual versus the more common auditory-oromotor) both languages share grammatical structures and contain syntactic intricacies innate to all languages. Thus, studies of multi-modal bilingualism (e.g. a native English speaker learning American Sign Language) can lead to a better understanding of the neurobiology of second language acquisition, and of language more broadly. For example, can the well-developed visual-spatial processing networks in English speakers support grammatical processing in sign language, as it relies heavily on location and movement? The present study furthers the understanding of the neural correlates of second language acquisition by studying late L2 normal hearing learners of American Sign Language (ASL). Twenty English speaking ASU students enrolled in advanced American Sign Language coursework participated in our functional Magnetic Resonance Imaging (fMRI) study. The aim was to identify the brain networks engaged in syntactic processing of ASL sentences in late L2 ASL learners. While many studies have addressed the neurobiology of acquiring a second spoken language, no previous study to our knowledge has examined the brain networks supporting syntactic processing in bimodal bilinguals. We examined the brain networks engaged while perceiving ASL sentences compared to ASL word lists, as well as written English sentences and word lists. We hypothesized that our findings in late bimodal bilinguals would largely coincide with the unimodal bilingual literature, but with a few notable differences including additional attention networks being engaged by ASL processing. Our results suggest that there is a high degree of overlap in sentence processing networks for ASL and English. There also are important differences in regards to the recruitment of speech comprehension, visual-spatial and domain-general brain networks. Our findings suggest that well-known sentence comprehension and syntactic processing regions for spoken languages are flexible and modality-independent.
ContributorsMickelsen, Soren Brooks (Co-author) / Johnson, Lisa (Co-author) / Rogalsky, Corianne (Thesis director) / Azuma, Tamiko (Committee member) / Howard, Pamela (Committee member) / Department of Speech and Hearing Science (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
135362-Thumbnail Image.png
Description
An increasing number of military veterans are enrolling in college, primarily due to the Post-9/11 GI Bill, which provides educational benefits to veterans who served on active duty since September 11, 2001. With rigorous training, active combat situations, and exposure to unexpected situations, the veteran population is at a higher

An increasing number of military veterans are enrolling in college, primarily due to the Post-9/11 GI Bill, which provides educational benefits to veterans who served on active duty since September 11, 2001. With rigorous training, active combat situations, and exposure to unexpected situations, the veteran population is at a higher risk for traumatic brain injury (TBI), Post Traumatic Stress Disorder (PTSD), and depression. All of these conditions are associated with cognitive consequences, including attention deficits, working memory problems, and episodic memory impairments. Some conditions, particularly mild TBI, are not diagnosed or treated until long after the injury when the person realizes they have cognitive difficulties. Even mild cognitive problems can hinder learning in an academic setting, but there is little data on the frequency and severity of cognitive deficits in veteran college students. The current study examines self-reported cognitive symptoms in veteran students compared to civilian students and how those symptoms relate to service-related conditions. A better understanding of the pattern of self-reported symptoms will help researchers and clinicians determine the veterans who are at higher risk for cognitive and academic difficulties.
ContributorsAllen, Kelly Anne (Author) / Azuma, Tamiko (Thesis director) / Gallagher, Karen (Committee member) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
135446-Thumbnail Image.png
Description
The purpose of this study was to examine swallowing patterns using ultrasound technology subsequent to the implementation of two therapeutic interventions. Baseline swallow patterns were compared to swallows after implementation of therapeutic interventions common in both feeding therapy (FT) and orofacial myofunctional therapy (OMT). The interventions consist of stimulation of

The purpose of this study was to examine swallowing patterns using ultrasound technology subsequent to the implementation of two therapeutic interventions. Baseline swallow patterns were compared to swallows after implementation of therapeutic interventions common in both feeding therapy (FT) and orofacial myofunctional therapy (OMT). The interventions consist of stimulation of the tongue by z-vibe and tongue pops. Changes in swallowing patterns are described, and similarities of interventions across the two professions are discussed. Ultrasound research in the realm of swallowing is sparse despite having potential clinical application in both professions. In using ultrasound, this study outlines a protocol for utilization of a hand-held probe and reinforces a particular protocol described in the literature. Real-time ultrasound recordings of swallows for 19 adult female subjects were made. Participants with orofacial myofunctional disorder are compared to a group with typical swallowing and differences in swallowing patterns are described. Three stages of the oral phase of the swallow were assigned based on ultrasonic observation of the tongue shape. Analysis involves total duration of the swallow, duration of the three stages in relation to the total duration of the swallow, and the number of swallows required for the bolus to be cleared from the oral cavity. No significant effects of either intervention were found. Swallowing patterns showed a general trend to become faster in total duration subsequent to each intervention. An unexpected finding showed significant changes in the relationship between the bolus preparation stage and the bolus transportation stage when comparing the group classified as having a single swallow and the group classified as having multiple swallows.
ContributorsMckay, Michelle Diane (Author) / Weinhold, Juliet (Thesis director) / Scherer, Nancy (Committee member) / Department of Speech and Hearing Science (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
136828-Thumbnail Image.png
Description
This study evaluated whether the Story Champs intervention is effective in bilingual kindergarten children who speak Spanish as their native language. Previous research by Spencer and Slocum (2010) found that monolingual, English-speaking participants made significant gains in narrative retelling after intervention. This study implemented the intervention in two languages and

This study evaluated whether the Story Champs intervention is effective in bilingual kindergarten children who speak Spanish as their native language. Previous research by Spencer and Slocum (2010) found that monolingual, English-speaking participants made significant gains in narrative retelling after intervention. This study implemented the intervention in two languages and examined its effects after ten sessions. Results indicate that some children benefited from the intervention and there was variability across languages as well.
ContributorsFernandez, Olga E (Author) / Restrepo, Laida (Thesis director) / Mesa, Carol (Committee member) / Barrett, The Honors College (Contributor) / Department of Speech and Hearing Science (Contributor) / School of International Letters and Cultures (Contributor)
Created2014-05
136325-Thumbnail Image.png
Description
Early childhood language environment has an important effect on developmental language outcomes. Intervention and parent training for children who have speech and language delays often focuses on the implementation of strategies designed to enhance the language environment. With quantitative information on different aspects of the language environment, intervention and parent

Early childhood language environment has an important effect on developmental language outcomes. Intervention and parent training for children who have speech and language delays often focuses on the implementation of strategies designed to enhance the language environment. With quantitative information on different aspects of the language environment, intervention and parent training can be better tailored to the needs of each child and can be made easier for parents to implement. This study uses the Language Environmental Analysis (LENA) system to explore differences in language environment across participants, settings (toddler group and home), and activities (general, outside, and organized playtime, story time, meal time, naptime, transition, public outside visits, travel time, TV time, personal care, and other). Participants were five children, ages 20-35 months who had speech and language delays. The children wore the LENA for one day and the adult words to the child, child vocalizations and turn-taking were analyzed during each activity and setting. We found that general and outside playtime activities, meal time, and personal care times were activities that consistently resulted in high levels of child vocalization across participants. Structured play and story time did not result in high levels of child vocalization. We also found that, for some children, there were differences in the quantity of adult language addressed to the child in language group and home settings. These findings have implications for training parents to provide language rich environments for their child.
ContributorsGlavee, Kelsey Marie (Author) / Scherer, Nancy (Thesis director) / Greer, Dawn (Committee member) / Bacon, Cathy (Committee member) / Barrett, The Honors College (Contributor) / Department of Speech and Hearing Science (Contributor) / Department of Psychology (Contributor)
Created2015-05
136164-Thumbnail Image.png
Description
The increase of Traumatic Brain Injury (TBI) cases in recent war history has increased the urgency of research regarding how veterans are affected by TBIs. The purpose of this study was to evaluate the effects of TBI on speech recognition in noise. The AzBio Sentence Test was completed for signal-to-noise

The increase of Traumatic Brain Injury (TBI) cases in recent war history has increased the urgency of research regarding how veterans are affected by TBIs. The purpose of this study was to evaluate the effects of TBI on speech recognition in noise. The AzBio Sentence Test was completed for signal-to-noise ratios (S/N) from -10 dB to +15 dB for a control group of ten participants and one US military veteran with history of service-connected TBI. All participants had normal hearing sensitivity defined as thresholds of 20 dB or better at frequencies from 250-8000 Hz in addition to having tympanograms within normal limits. Comparison of the data collected on the control group versus the veteran suggested that the veteran performed worse than the majority of the control group on the AzBio Sentence Test. Further research with more participants would be beneficial to our understanding of how veterans with TBI perform on speech recognition tests in the presence of background noise.
ContributorsCorvasce, Erica Marie (Author) / Peterson, Kathleen (Thesis director) / Williams, Erica (Committee member) / Azuma, Tamiko (Committee member) / Barrett, The Honors College (Contributor) / Department of Speech and Hearing Science (Contributor)
Created2015-05