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Publication Dysphagia Management in Schools: A Survey of Speech-Language Pathologists(2019-05) Felicetti, CatherineIntroduction: To date, few research studies have evaluated pediatric feeding and swallowing practices in school systems across the United States. This study aims to i) understand the factors that impact a speech-language pathologists (SLPs) level of comfort in providing these services, ii) to identify barriers to service provision, iii) develop a concrete understanding of a SLPs role in providing feeding and swallowing services in a school setting, and iv) to identify the types of service suggested by school-based SLPs in response to a fictional case study. Methods: School-based SLPs and clinical fellows were invited to participate in a 10-15 minute web-based survey. The survey questions focused on basic demographic information, vocational history, barriers to treatment, and clinician comfort level. In addition, survey respondents were asked to develop a treatment plan in response to a fictional case study. In total, 200 anonymous survey responses were collected and analyzed. Results: Descriptive data, summarizing the demographic and vocational factors of the survey respondents, are provided. In addition, independent Pearson Chi-Square analyses were performed to determine the degree of association between the demographic/vocational factors and the SLPs self-reported comfort level. The results of these correlation analyses are reported and discussed. Barriers to dysphagia management and a summary of the services currently provided in the school setting are discussed from the perspective of professional practice issues. Analysis of the case study results indicated a wide range of treatment plans. The most common type of direct intervention suggested was an oral motor exercise regime, followed by diet modifications and the implementation of safe swallow strategies. Discussion: The survey results indicate a number of factors impact clinician comfort level including geographic region, previous medical experience and current service provision. A number of barriers to practice were identified which include academic and/or clinical preparedness and concerns related to the educational relevance of service. Approximately 26.5% of survey respondents indicated that there were providing feeding and swallowing related services in a school setting with 98.1 % of these clinicians providing collaborative consultation. The case study results highlighted the variability in treatment approaches.Publication Investigating Bilingual AAC Practices in Bilingual Communities(2022-05) Salisbury, Johanna R.This thesis investigates best practices for teaching and supporting bilingual augmentative and alternative communication (AAC) users as they develop their communication skills. Although there are guidelines that inform best practices for teaching and supporting bilingual AAC users, there is very little information on what these practices look like. This thesis investigates the techniques and strategies that bilingual speech-language pathologists (SLPs) who practice in Catalunya, a bilingual community in northeastern Spain, use to evaluate, teach, and support people who use pictogram-based AAC modalities to communicate. To do this, six SLPs who practice in Catalunya participated in interviews regarding their practices when teaching bilingual AAC users. These interviews were analyzed thematically, based on an iterative, inductive coding process. Analysis revealed that most bilingual AAC users have access to an AAC system in only one language of the community. This may reflect a monolingual mindset (Tonsing & Soto, 2020), and limits the opportunities for engagement with both the larger community, and the individuals’ home communities. This is particularly true for those who speak a language other than those of the community with their families. Despite this, AAC users seem to understand both languages, develop bilingual identities, and “feel bilingual.” Additionally, despite the lack of access to multilingual AAC systems, professionals employ practices that show respect for the home language, whether it is Castilian Spanish, Catalan, or another language. The results suggest that the monolingual mindset is a deeply-ingrained part of educational and therapeutic systems in both monolingual and bilingual communities, even when individual practitioners respect and value their clients’ home language(s) and bilingual identities.Publication The Effects of Spoken Self-Disclosure Scripts on Nonaphasic Listeners' Perceptions of People with Aphasia(2022-05) Ward, Colleen BPurpose: The purpose of this study was to investigate the effects of spoken self-disclosure scripts on nonaphasic listeners’ perceptions of people with aphasia (PWA). Self-disclosure is a tool that PWA can utilize in the event that they want a conversation partner to know of their communication disorder. However, limited research has been conducted on the effects of aphasia self-disclosure or whether it affects perceptions of PWA from neurotypical communication partners. If self-disclosure is determined to make a positive impact on a communicative interaction, it could be grounds for encouraging PWA who are interested to develop a self-disclosure script or use an aphasia identification card. Methods: 239 middle-aged adults participated in this study, which was a remote survey conducted on Qualtrics via Prolific. Aphasia self-disclosure scripts from two speakers (one female and one male), as well as neutral scripts from the same two speakers, were used as stimuli. After hearing either the self-disclosure or the neutral script, participants were asked to rate various speaker attributes (i.e., intelligence, confidence, friendliness, and kindness), as well as their own experience (i.e., engagement, patience, comfort, and ease of listening) while listening to the speaker. Results: Overall, the listeners who heard the aphasia self-disclosure scripts rated the speakers’ attributes more highly than the listeners who heard the script containing neutral information. In addition, those in the self-disclosure listening group rated their listening experience more highly than the group of participants who received the neutral information. The aphasia self-disclosure script appeared to have a larger effect on perceptions of the male speaker as compared to the female speaker. Conclusion: Nonaphasic listeners’ attitudes about PWA, as well as their listening experience, improve when spoken self-disclosure is involved in communication. Future research should examine the impact of self-disclosure on remote and in-person interactions between neurotypical individuals and PWA, as well as investigate the effectiveness of implementing virtual Communication Partner Training (CPT) programs.Publication The Efficacy of a Telepractice Service Delivery Model for Providing Speech and Language Services to Children with ASD(2022-05) Marotta, Myranda LThe impact of the COVID-19 pandemic required the use of remote technologies for society and the workforce to function under quarantine conditions. The literature on telepractice services for individuals with ASD has proliferated during the past decade, especially during the past two years. Still, many publications on the topic lack scientific merit. This study utilized a quasi-experimental, single-subject, multiple-group, time-series design to investigate whether telepractice SLP services are at least as effective as the traditional, face-to-face delivery model. Twenty-one students with autism spectrum disorder were included in this study. Additionally, 22 speech-language pathology graduate students and four SLP school professionals assisted in conducting this research. This investigation was organized into a two-phase research design (AB and BA) whereas phase A corresponded to intervention services being delivered using telepractice and phase B corresponded to the same intervention services being delivered on- site. Students were assigned to either Group 1 (AB) or Group 2 (BA). The participants in this study were treated individually and outcome data were aggregated into a final summary of treatment outcomes. Outcome data for each student included percent accuracy achieved on IEP goals as well as percent assistance required in working on respective IEP goals. For all 21 participants, change over time was examined through single-subject graphs which display composite percent accuracy and assistance throughout both intervention phases. Visual analysis of the data reveals that many participants showed no notable difference in percent accuracy achieved between telepractice and on-site services, but that most students appeared to require less assistance when participating in telepractice services. For a subset of 15 participants, summary statistics and paired samples t-tests were calculated to determine mean differences in student performance for percent accuracy and percent assistance for each mode of service delivery. Paired samples t-tests revealed that there was no difference in students’ response accuracy to treatment stimuli between the intervention conditions. However, paired samples t-tests supported the finding that telepractice services do not require the clinician to provide students with as much assistance as needed on-site. Additionally, results from satisfaction surveys completed by participants suggested that telepractice is a socially valid treatment delivery for students with ASD. Overall, results from this study suggest that telepractice services are an effective alternative to in-person SLP services. This finding has positive implications for clinical decision making and treatment planning for individuals with ASD.