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American Journal of Speech-language Pathology

Kristen R Victorino, Michelle S Hinkle
Purpose: This study aimed to develop and administer an adapted survey tool to measure counseling skills in graduate students and early-career speech-language pathologists, focusing on the concept of counselor self-efficacy. Method: An online survey, adapted from the Counselor Activity Self-Efficacy Scales (Lent, Hill, & Hoffman, 2003), was administered. Two hundred ninety-four surveys were completed. An exploratory factor analysis was conducted, along with measures of reliability and validity, in order to determine the psychometric properties of the tool...
December 10, 2018: American Journal of Speech-language Pathology
Kathy S Thiemann-Bourque, Nancy Brady, Lesa Hoffman
Purpose: The purpose of this study was to measure changes in communication of preschoolers with autism using the Communication Complexity Scale (CCS; Brady et al., 2012) and to examine the utility of the CCS in measuring pretreatment and posttreatment changes within peer and adult assessment contexts. Method: The CCS was used to code preassessment and postassessment for 23 children with autism randomly assigned to a treatment that incorporated a peer-mediated approach and a speech-generating device and 22 assigned to a business-as-usual condition with untrained peers...
December 6, 2018: American Journal of Speech-language Pathology
Shelly Jo Kraft, Emily Lowther, Janet Beilby
Background: In 2014, Kraft et al. assessed the temperament, home environment, and significant life events of 69 North American children who stutter to examine the combined and compounded effects of these individualized factors on mediating overt stuttering severity. The temperament domain of effortful control was singularly found to be significantly predictive of stuttering severity. Purpose: Because of the clinical significance of the initial study's findings, a replication study with a different, larger cohort of children who stutter was warranted to validate the reported outcomes...
December 5, 2018: American Journal of Speech-language Pathology
Molly A Knigge, Stevie Marvin, Susan L Thibeault
Purpose: Pharyngeal high-resolution manometry is an emerging practice for diagnosis of swallowing disorders in the upper aerodigestive tract. Advancement of a catheter through the upper esophageal sphincter may introduce safety considerations. There are no published studies of catheter placement complications, side effects, or tolerability. This study examines patient-reported side effects and tolerability of pharyngeal high-resolution manometry. Method: Data were collected prospectively from 133 adult patients who underwent pharyngeal high-resolution manometry for the 1st time...
December 4, 2018: American Journal of Speech-language Pathology
Adriane L Baylis, Lawrence D Shriberg
Purpose: Speech sound disorders and velopharyngeal dysfunction are frequent features of 22q11.2 deletion syndrome (22q). We report the first estimate of the prevalence of motor speech disorders (MSDs) in youth with 22q. Method: Seventeen children and adolescents with 22q completed an assessment protocol that included a conversational speech sample. Data reduction included phonetic transcription, perceptual speech ratings, prosody-voice coding, and acoustic analyses...
December 4, 2018: American Journal of Speech-language Pathology
Rene L Utianski, Steven Sandoval, Visar Berisha, Kaitlin L Lansford, Julie M Liss
Purpose: Telemedicine, used to offset disparities in access to speech-language therapy, relies on technology that utilizes compression algorithms to transmit signals efficiently. These algorithms have been thoroughly evaluated on healthy speech; however, the effects of compression algorithms on the intelligibility of disordered speech have not been adequately explored. Method: This case study assessed acoustic and perceptual effects of resampling and speech compression (i...
December 3, 2018: American Journal of Speech-language Pathology
Rene L Utianski, Joseph R Duffy, Heather M Clark, Edythe A Strand, Sarah M Boland, Mary M Machulda, Jennifer L Whitwell, Keith A Josephs
Purpose: This case series details the clinical progression of patients with primary progressive apraxia of speech (PPAOS) to illustrate, using several methods and supplemental material examples, the changes that occur in speech and language functioning in this patient population. Method: Four patients who presented with PPAOS were followed between 5 and 6 years. Two patients had predominant articulatory abnormalities (termed phonetic PPAOS), 1 had predominant prosodic abnormalities (prosodic PPAOS), and 1 had relatively equal articulatory and prosodic abnormalities (mixed PPAOS)...
November 21, 2018: American Journal of Speech-language Pathology
Anthony Pak-Hin Kong, Cherie Wan-Yin Wong
Purpose: This study investigated which of the three analytic approaches of oral discourse, including linguistically based measures, proposition-based measures, and story grammar, best correlated with aphasia severity and with naïve listeners' ratings on aphasic productions. The predictive power of these analytic approaches to aphasia severity and fluency status of people with aphasia (PWA) was examined. Finally, which approach best discriminated fluent versus nonfluent PWA was determined...
November 21, 2018: American Journal of Speech-language Pathology
Lizbeth H Finestack, Kayla E Satterlund
Purpose: The aim of this study was to better understand current grammatical intervention approaches. Despite grammatical language being a common weakness among children with language impairment, relatively little is known about current grammatical intervention practices of speech-language pathologists (SLPs). Such information is needed to guide the development and evaluation of grammatical interventions and to identify areas in which the current practice is not empirically supported. Method: Participants included 338 SLPs working primarily with children...
November 21, 2018: American Journal of Speech-language Pathology
Carly Dinnes, Karen Hux, Morgan Holmen, Alaina Martens, Megan Smith
Purpose: Language and cognitive disruptions following traumatic brain injury (TBI) can negatively affect written expression and may result in increased difficulty achieving academic, vocational, social, and personal goals; however, scarce literature exists about TBI's effect on writing abilities. The purpose of this qualitative study was to describe the experiences and perceptions of people with TBI regarding their engagement in writing activities. Method: A transcendental phenomenological design structured the research...
November 21, 2018: American Journal of Speech-language Pathology
Hayo Terband, Manon Spruit, Ben Maassen
Background: Fetal alcohol spectrum disorders (FASD) are a highly prevalent spectrum of patterns of congenital defects resulting from prenatal exposure to alcohol. Approximately 90% of the cases involve speech impairment. Yet, to date, no detailed symptom profiles nor dedicated treatment plans are available for this population. Purpose: This study set out to chart the speech and speech motor characteristics in boys with FASD to profile the concomitant speech impairment and identify possible underlying mechanisms...
November 21, 2018: American Journal of Speech-language Pathology
Yula C Serpanos, Brittany Renne, Janet R Schoepflin, Diane Davis
Purpose: The purpose of this study is to determine the accuracy of smartphone sound level meter applications (SLMAs) with calibration features across stimulus levels and for ambient room noise measures in the clinical setting. Method: The accuracy of 3 iOS-based smartphone SLMAs (SLMA1: Analyzer [Version 2.7.2, DSP Mobile], SLMA2: Sound Level Meter Pro [Version 2.2, Mint Muse LLC], and SLMA3: SPL Meter [Version 9.3, Andrew Smith, Studio Six Digital]), using a single smartphone device (iPhone 6S Model A1688, iOS 9...
November 21, 2018: American Journal of Speech-language Pathology
Nicole Rogus-Pulia, Ianessa Humbert, Christine Kolehmainen, Molly Carnes
Purpose: The field of communication sciences and disorders (CSD) faces a critical shortage of the faculty essential to train the future workforce of speech-language pathologists and audiologists. Despite a predominance of women in the field, men receive doctoral degrees, tenure status, academic leadership positions, and American Speech-Language-Hearing Association awards at disproportionately higher rates than women. The purpose of this review is to explore how implicit gender bias may contribute to female faculty advancement, including current and projected faculty workforce shortages, and to propose tangible solutions...
November 21, 2018: American Journal of Speech-language Pathology
Manal Sabri, Leah Fabiano-Smith
Purpose: This longitudinal study examined the phonological development of a bilingual Arabic-English-speaking child with bilateral cochlear implants (CIs). The focus of the study was to observe the interaction between her two languages and to observe the effect of CIs on the acquisition of two speech sound systems. Method: This study followed a 3;6-year-old (2;5 hearing age) bilingual Arabic-English-speaking child with bilateral CIs to age 4;4 (3;2 hearing age)...
November 21, 2018: American Journal of Speech-language Pathology
Mary E Weidner, Kenneth O St Louis, Haley L Glover
Purpose: Negative or uninformed stuttering attitudes proliferate among the general public, and bourgeoning research has shown that such attitudes might emerge as early as the preschool years. Much remains unknown about young children's stuttering attitudes, and conclusive recommendations to improve attitudes toward stuttering have yet to be advanced. This study sought to determine the effect of a new educational program on improving stuttering attitudes among preschool children using objective measures...
November 21, 2018: American Journal of Speech-language Pathology
Benjamin Ehrlich, Liyu Lin, Jack Jiang
Purpose: The purpose of this study is to develop a program to concatenate acoustic vowel segments that were selected with the moving window technique, a previously developed technique used to segment and select the least perturbed segment from a sustained vowel segment. The concatenated acoustic segments were compared with the nonconcatenated, short, individual acoustic segments for their ability to differentiate normal and pathological voices. The concatenation process sometimes created a clicking noise or beat, which was also analyzed to determine any confounding effects...
November 21, 2018: American Journal of Speech-language Pathology
Jeff Searl, Stephanie Knollhoff
Purpose: Sense of effort and fatigue associated with talking was compared in individuals with and without a total laryngectomy. Method: An online survey of individuals using tracheoesophageal speech (TES; n = 222), electrolaryngeal speech (ELS; n = 132), esophageal speech (n = 41), and laryngeal speech (LS; n = 112) asked about 3 domains of effort when talking: frequency of occurrence, withdrawal from talking, and location in the body. Three aspects of fatigue were explored: frequency of occurrence, fatigue type, and duration of talking before fatigue...
November 21, 2018: American Journal of Speech-language Pathology
Jane Mertz Garcia, Edgar Chambers, Emily Groves Russell, Abilene Katt
Purpose: Modifying food texture is an important part of dysphagia management, yet less is known about the day-to-day practices that might impact the nutritional well-being of patients. This study surveyed staff involved in the service delivery of texture-modified foods with the objectives to gain information about roles and responsibilities, instruction and knowledge about modifying foods, and beliefs about the use of texture-modified foods in nutrition care. Method: We created a 21-item survey about texture-modified foods...
November 21, 2018: American Journal of Speech-language Pathology
Priya Kucheria, McKay Moore Sohlberg, HyeonJin Yoon, Stephen Fickas, Jason Prideaux
Purpose: There is a lack of quick, reliable, and valid standardized reading comprehension assessments appropriate for postsecondary readers. We attempted to address this gap by designing Read, Understand, Learn, & Excel (RULE), a reading comprehension measure that employs sentence verification and recall tasks to assess reading comprehension. This article describes the exploratory study undertaken to construct RULE and then examines the preliminary concurrent validity and alternate form reliability of this measure...
November 21, 2018: American Journal of Speech-language Pathology
Jamie H Azios, Jack S Damico, Nancye Roussel
Purpose: The purpose of this study was to examine the ability of persons with aphasia to access interaction and be included in social encounters in long-term care facilities (LTCFs). Method: Four persons with aphasia were the focus of this investigation. A qualitative research approach using ethnographic methods was used to conduct participant observation, semistructured interviews, and artifact analysis. Expanded field notes from observations, transcribed interviews, and artifacts were then coded to identify patterns in the data...
November 21, 2018: American Journal of Speech-language Pathology
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