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American Journal of Speech-language Pathology

Erin L Meier, Jeffrey P Johnson, Sarah Villard, Swathi Kiran
Purpose: This study was conducted to investigate the static and dynamic relationships between impairment-level cognitive-linguistic abilities and activity-level functional communication skills in persons with aphasia (PWA). Method: In Experiment 1, a battery of standardized assessments was administered to a group of PWA (N = 72) to examine associations between cognitive-linguistic ability and functional communication at a single time point. In Experiment 2, impairment-based treatment was administered to a subset of PWA from Experiment 1 (n = 39) in order to examine associations between change in cognitive-linguistic ability and change in function and associations at a single time point...
February 14, 2017: American Journal of Speech-language Pathology
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February 1, 2017: American Journal of Speech-language Pathology
J Scott Yaruss, Jieun Lee, Kaya B Kikani, Paula Leslie, Caryn Herring, Sujini Ramachandar, Seth Tichenor, Robert W Quesal, Malcolm R McNeil
Purpose: This study surveyed didactic and clinical education in fluency disorders at undergraduate and graduate institutions in the United States that provide education in speech-language pathology to determine whether a previously observed reduction in requirements has continued since prior surveys (Yaruss, 1999; Yaruss & Quesal, 2002). Method: The study involved a detailed questionnaire that was sent to 282 communication science and disorders departments. Questions examined didactic and clinical education, as well as faculty knowledge about fluency disorders...
February 1, 2017: American Journal of Speech-language Pathology
Kathy Malas, Natacha Trudeau, Marie-Claude Giroux, Lisanne Gauthier, Simone Poulin, David H McFarland
Purpose: This study updated and extended our previous investigation (Malas et al., 2015) of feeding-swallowing difficulties and concerns (FSCs) in children with language impairments (LI) by using more stringent inclusion criteria and targeting children earlier in the care delivery pathway. Method: Retrospective analyses were performed on the clinical files of 29 children (average age: 60 months, SD = 9.0) diagnosed as having LI using standardized testing, nonstandardized testing and final speech-language pathologist judgment...
February 1, 2017: American Journal of Speech-language Pathology
Jana M Childes, Andrew D Palmer, Melanie Fried-Oken, Donna J Graville
Purpose: The purpose of this article is to describe the characteristics and experiences of individuals who use technology to support telephone or face-to-face communication after total laryngectomy. Method: An online questionnaire was used to identify potential participants. Seventeen individuals met inclusion criteria and participated in an in-depth survey. They were compared with a reference group matched for age, gender, and time postsurgery who did not use these technologies...
February 1, 2017: American Journal of Speech-language Pathology
JoAnn P Silkes, Kaitlin Winterstein
Purpose: The co-occurrence of aphasia and hearing loss can lead to compounded receptive communication impairment that is significantly worse than in either disorder alone. Therefore, identifying potential hearing loss is a critical part of communication assessment for clients with neurogenic communication disorders, many of whom have aphasia. This clinical focus article explores speech language pathologists' (SLPs') hearing-screening practices with this population, identifies patterns of concern, and presents potential solutions and future research needs...
February 1, 2017: American Journal of Speech-language Pathology
Jarrad H Van Stan, Daryush D Mehta, Robert J Petit, Dagmar Sternad, Jason Muise, James A Burns, Robert E Hillman
Purpose: Ambulatory voice biofeedback (AVB) has the potential to significantly improve voice therapy effectiveness by targeting one of the most challenging aspects of rehabilitation: carryover of desired behaviors outside of the therapy session. Although initial evidence indicates that AVB can alter vocal behavior in daily life, retention of the new behavior after biofeedback has not been demonstrated. Motor learning studies repeatedly have shown retention-related benefits when reducing feedback frequency or providing summary statistics...
February 1, 2017: American Journal of Speech-language Pathology
Megan J McAuliffe, Annalise R Fletcher, Sarah E Kerr, Greg A O'Beirne, Tim Anderson
Purpose: The aim of this study was to examine the effect of loud and slow speech cues on younger and older listeners' comprehension of dysarthric speech, specifically, (a) whether one strategy, as opposed to the other, promoted greater intelligibility gains for different speaker groups; (b) whether older and younger listeners' understandings were differentially affected by these strategies; and (c) which acoustic changes best predicted intelligibility gain in individual speakers. Method: Twenty younger and 40 older listeners completed a perceptual task...
February 1, 2017: American Journal of Speech-language Pathology
Kerry Danahy Ebert
Purpose: Clinician-client relationships may influence treatment success in speech-language pathology, but there are no established tools for measuring these relationships. This study describes the development and application of a set of scales for assessing clinician-client relationships in children's speech-language treatment. Method: Twenty-two triads of participants completed a longitudinal study. Each triad had 1 school-age child enrolled in speech-language treatment, 1 caregiver, and 1 speech-language pathologist (SLP)...
February 1, 2017: American Journal of Speech-language Pathology
Courtney T Byrd, Megann McGill, Zoi Gkalitsiou, Colleen Cappellini
Purpose: The purpose of this study was to examine the influence of self-disclosure on observers' perceptions of persons who stutter. Method: Participants (N = 173) were randomly assigned to view 2 of 4 possible videos (i.e., male self-disclosure, male no self-disclosure, female self-disclosure, and female no self-disclosure). After viewing both videos, participants completed a survey assessing their perceptions of the speakers. Results: Controlling for observer and speaker gender, listeners were more likely to select speakers who self-disclosed their stuttering as more friendly, outgoing, and confident compared with speakers who did not self-disclose...
February 1, 2017: American Journal of Speech-language Pathology
Erinn H Finke, Jennifer M Davis, Morgan Benedict, Lauren Goga, Jennifer Kelly, Lauren Palumbo, Tanika Peart, Samantha Waters
Purpose: In this study, we investigated the efficacy of a least-to-most (LTM) prompting procedure (Ault & Griffen, 2013; MacDuff, Krantz, & McClannahan, 2001; Neitzel & Wolery, 2009) for increasing use of multisymbol messages in school-age children with autism spectrum disorder (ASD) who use augmentative and alternative communication (AAC) during a storybook reading activity. Method: In the study, we used a single-subject, multiple-probe research design across participants (Kazdin, 1982) with 6 children (ages 8-12) with ASD and who used AAC systems for communication...
February 1, 2017: American Journal of Speech-language Pathology
Deborah A Hwa-Froelich, Hisako Matsuo, Kristal Jacobs
Purpose: The purpose of this study was to explore relationships among adoption, individual, and family variables on false belief performance of children adopted internationally (CAI). Method: Using a quasiexperimental design, thirty-five 4-year-old children adopted from Asian and Eastern European countries before age 2 years were compared with a U.S. group of 33 nonadopted 4-year-old children on a standardized English-language measure, 3 false belief tasks, and a go/no-go inhibition measure...
February 1, 2017: American Journal of Speech-language Pathology
Julia Hollister, Amanda Owen Van Horne, Patricia Zebrowski
Purpose: The dual diathesis stressor model indicates that a mismatch between a child's endogenous linguistic abilities and exogenous linguistic contexts is one factor that contributes to stuttering behavior. In the present study, we used a developmental framework to investigate if reducing the gap between endogenous and exogenous linguistics factors would result in less disfluency for typical children, children who recover from stuttering (CWS-R), and children who persist. Method: Children between 28 and 43 months of age participated in this study: 8 typical children, 5 CWS-R, and 8 children who persist...
February 1, 2017: American Journal of Speech-language Pathology
Laura M Justice, Jessica Logan, Hui Jiang, Mary Beth Schmitt
Background: This study was designed to provide recommended amounts of treatment to achieve the optimal amount of language gain for children with language impairment. Method: The authors retrospectively analyzed treatment outcomes for 233 children for delivered dose, intensity, and cumulative intensity of therapy. The steps of the analytical process they applied to arrive at algorithms for recommended amounts of treatment were (1) multilevel modeling to predict children's language gains from the 3 intensity parameters and (2) extraction of regression weights to create a recommended amount of treatment...
February 1, 2017: American Journal of Speech-language Pathology
Elizabeth E Galletta, Peggy Conner, Amy Vogel-Eyny, Paola Marangolo
Purpose: The purpose of this article is to review the behavioral treatments used in aphasia rehabilitation research that have been combined with transcranial direct current stimulation (tDCS). Although tDCS in aphasia treatment has shown promise, the results have not been conclusive, and their interpretation is further compounded by the heterogeneity of study characteristics. Because implementing a behavioral task during brain stimulation has been shown to be pivotal to the adjuvant effects of tDCS, we analyze the behavioral treatments that have been paired with tDCS...
December 1, 2016: American Journal of Speech-language Pathology
Amy Henderson, Heather Harris Wright
Purpose: The purpose of this study was to investigate the ability of persons with aphasia (PWA) to resolve different types of ambiguous words (homophones, metaphors, and metonyms) in discourse contexts. Method: Six PWA and 10 controls listened to short discourses that biased either the dominant (more frequent) or subordinate (less frequent) version of an ambiguous word as well as nonsense (filler) discourses. Participants then indicated whether or not the final sentence, which contained the ambiguity, made sense in the discourse...
December 1, 2016: American Journal of Speech-language Pathology
Bora Eom, Jee Eun Sung
Purpose: This study investigated whether sentence repetition-based working-memory (SR-WM) treatment increased sentence-repetition abilities and the treatment effects generalized to sentence-comprehension abilities, WM-span tasks, and general language-assessment tasks. Method: Six individuals with aphasia participated in the study. The treatment consisted of 12 sessions of approximately 1 hr per day, 3 times per week. The SR-WM treatment protocol followed components including maintenance and computation of linguistic units by facilitating a chunking strategy...
December 1, 2016: American Journal of Speech-language Pathology
Jee Eun Sung, Gayle DeDe, Soo Eun Lee
Purpose: The purpose of the study was to examine cross-linguistic differences in a picture-description task between Korean- and English-speaking individuals with Broca's and anomic aphasia to determine whether a variation exists in the use of verbs and nouns across the language and aphasia groups. Method: Forty-eight individuals (male = 29; female = 19) participated in the study (n = 28 for aphasic group and n = 20 healthy controls). Data for English speakers were obtained from the Aphasia Bank Project...
December 1, 2016: American Journal of Speech-language Pathology
Jacquie Kurland, Edward J Stanek, Polly Stokes, Minming Li, Mary Andrianopoulos
Purpose: Intensive language action therapy (ILAT) can be effective in overcoming learned nonuse in chronic aphasia. It is suggested that all three guiding principles (constraint, communication embedding, massed practice) are essential to ILAT's success. We examined whether one of these, guidance by constraint, is critical. Method: Twenty-four participants with aphasia (PWAs) were assigned to ILAT or a modified version of promoting aphasic communicative effectiveness (PACE) in a randomized block, single-blind, parallel-group treatment study...
December 1, 2016: American Journal of Speech-language Pathology
Jessica D Richardson, Sarah Grace Hudspeth Dalton, Jennifer Shafer, Janet Patterson
Purpose: In aphasia treatment literature, scarce attention is paid to factors that may reduce a study's validity, including adherence to assessment and treatment procedures (i.e., fidelity). Although guidelines have been established for evaluating and reporting treatment fidelity, none exist for assessment fidelity. Method: We reviewed treatment fidelity guidelines and related literature to identify assessment fidelity components. We then examined 88 aphasia treatment studies published between 2010 and 2015 and report the frequency with which researchers provide information regarding the following assessment fidelity components: assessment instruments, assessor qualifications, assessor or rater training, assessment delivery, assessor or rater reliability, and assessor blinding...
December 1, 2016: American Journal of Speech-language Pathology
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