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Augmentative-Alternative Communication Access for Individuals with Communication Disorders in Medical Settings
Title
Augmentative-Alternative Communication Access for Individuals with Communication Disorders in Medical Settings.
Creator
Amundsen, Stephanie, Kent-Walsh, Jennifer, Hoffman Ruddy, Bari, Rivers, Kenyatta, University of Central Florida
Abstract / Description
This study surveyed speech-language pathologists (SLPs) working in medical settings in the state of Florida in order to: (a) assess the availability of AAC devices, related materials, and services in acute, sub-acute, long-term care, and outpatient medical facilities, (b) examine barriers and supports in providing AAC services to patients with complex communication needs (CCN) in the aforementioned settings, and (c) determine perceived levels of AAC knowledge of health care practitioners. One...
Show moreThis study surveyed speech-language pathologists (SLPs) working in medical settings in the state of Florida in order to: (a) assess the availability of AAC devices, related materials, and services in acute, sub-acute, long-term care, and outpatient medical facilities, (b) examine barriers and supports in providing AAC services to patients with complex communication needs (CCN) in the aforementioned settings, and (c) determine perceived levels of AAC knowledge of health care practitioners. One of the study's major findings was that 97.59% of SLPs served at least one patient they identified as having CCNs, and 94.1% of respondents indicated that their patients could benefit from increased access to AAC devices and service delivery. A notable finding relating to the need for increased AAC-related communication partner instruction (CPI) is as follows: 97% and 100% of respondents indicated that increased CPI for medical practitioners/staff and family members, respectively, were important elements in order to ensure functional communication for individuals with AAC needs in the medical setting. Major barriers to providing AAC services related to device access (i.e., lack of AAC supports / devices, lack of funding for equipment, length of time of device funding). Other barriers were related to the nature of medical settings (i.e., frequently changing caseloads, limited time with patients) and demands of the job (i.e., lack of time to prepare AAC materials / devices). Supports to providing AAC services included low-tech AAC options and mobile technologies. In terms of practitioner knowledge, 57.6% of respondents rated themselves not at all or somewhat knowledgeable regarding AAC. Physicians, nurses, and other rehabilitation professionals were rated as less than knowledgeable by 95%, 97%, and 84.3% of participants, respectively. Overall, the findings of this study suggests there is a high prevalence of patients in medical settings with AAC needs, and some face unmet communication needs resulting from barriers related to the setting itself, lack of access to AAC devices and materials, and limited time spent on AAC service delivery.
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Date Issued
2014
Identifier
CFE0005455, ucf:50370
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0005455
THE ROLE OF STRESS IN THE DIFFERENTIAL DIAGNOSIS OF APRAXIA OF SPEECH AND APHASIA
Title
THE ROLE OF STRESS IN THE DIFFERENTIAL DIAGNOSIS OF APRAXIA OF SPEECH AND APHASIA.
Creator
Ferranti, Jennifer G, Troche, Joshua, Bislick-Wilson, Lauren, University of Central Florida
Abstract / Description
The intent of this thesis is to explore and develop the quantification of AOS features, particularly the deficits of prosodic elements, lexical stress and duration. This study investigated whether PVI can be used as a sensitive tool for the differential diagnosis of AOS. Specifically, we sought to determine whether analysis of vowel length of stressed and unstressed syllables is helpful in differentiating between individuals with AOS and aphasia versus aphasia alone. Significant differences...
Show moreThe intent of this thesis is to explore and develop the quantification of AOS features, particularly the deficits of prosodic elements, lexical stress and duration. This study investigated whether PVI can be used as a sensitive tool for the differential diagnosis of AOS. Specifically, we sought to determine whether analysis of vowel length of stressed and unstressed syllables is helpful in differentiating between individuals with AOS and aphasia versus aphasia alone. Significant differences support the hypothesis that PVI, analyzed from vowel length, is uniquely affected in AOS. This yields reason for further research in prosodic deficits in differential diagnosis, as well as application of this theory for a speech-language pathologist.
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Date Issued
2018
Identifier
CFH2000388, ucf:45746
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000388
Effects of Collaboration Between Speech-Language Pathologists and Third-Grade Teachers on Student Vocabulary Outcomes
Title
Effects of Collaboration Between Speech-Language Pathologists and Third-Grade Teachers on Student Vocabulary Outcomes.
Creator
Mitchell, Mary, Ehren, Barbara, Towson, Jacqueline, Zygouris-Coe, Vassiliki, Hahs-Vaughn, Debbie, University of Central Florida
Abstract / Description
A persistent literacy crisis continues to be reflected in international (Organisation for Economic Co-operation and Development [OECD], 2013), national (National Center for Education Statistics [NCES], 2015), and local literacy outcome data. Educators, including speech-language pathologists (SLPs), are called upon to collaborate to support students who struggle with academic language/literacy. However, few studies have operationally defined collaboration and investigated the effects of...
Show moreA persistent literacy crisis continues to be reflected in international (Organisation for Economic Co-operation and Development [OECD], 2013), national (National Center for Education Statistics [NCES], 2015), and local literacy outcome data. Educators, including speech-language pathologists (SLPs), are called upon to collaborate to support students who struggle with academic language/literacy. However, few studies have operationally defined collaboration and investigated the effects of collaboration on student achievement. As a result, there is insufficient guidance for educators about ways to design, implement, and assess the effectiveness of collaboration models, defined in terms of their effects on student outcomes.There were two main objectives of this research. The first objective was to investigate whether literacy partnerships between SLPs and third-grade general education teachers, who used a systematic collaboration protocol, yielded better vocabulary outcomes for students than teachers instructing without collaborating with SLPs. The second objective of the study was to examine collaborators' progress toward adopting the collaboration protocol. The quasi-experimental design involved a collaboration treatment condition (n = 2 collaborative pairs; n = 34 students) and a comparison condition (n = 2 non-collaboration teachers; n = 34 students). In both conditions, similar versions of a specific vocabulary technique were implemented over seven weeks. Students' vocabulary knowledge was measured at pretest and posttest using three researcher-created vocabulary assessments adapted from previous measures in vocabulary research. A two-factor split-plot analysis of variance (ANOVA) revealed a statistically significant interaction effect on the Words-in-Context measure. The significant effect from pretest to posttest within the entire matched group changed as a result of condition; the group mean increase in the students' scores from pretest to posttest was higher in the collaboration condition than the comparison condition. Additional key findings were: (a) a statistically significant increase in group mean scores from pretest to posttest on all three measures within the entire matched group (n = 68) and (b) non-significant interactions between the collaboration and comparison groups on two of the vocabulary measures (Synonyms and Non-Examples). When Cohen's d effect sizes were calculated within each condition, there were large effects for all three tasks in the collaboration condition. In the comparison condition, there were large effects for the Synonyms task, and medium effects for the Words-in-Context and Non-Example tasks. The findings of this study also revealed that collaborators achieved high fidelity of the collaboration protocol within a seven-week collaboration segment. Collaborators demonstrated Routine use of a specific collaboration protocol according to the tools of the Concerns Based Adoption Model (Hall (&) Hord, 2015); however, they expressed concerns around managing the task demands of the collaboration protocol. Taken as a whole, these findings are promising. Collaboration between SLPs and third-grade general education teachers using a systematic collaboration protocol with a specific vocabulary technique resulted in student vocabulary gains; on one measure, the gains were significantly larger than those made by students in classrooms where teachers did not collaborate with SLPs. The findings have potential to inform a research and practice agenda for SLPs and other educators in schools. Clinical implications and specific research directions are discussed.
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Date Issued
2017
Identifier
CFE0006767, ucf:51870
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006767
The Ability to Critically Evaluate Research Literature in Speech-Language Pathology
Title
The Ability to Critically Evaluate Research Literature in Speech-Language Pathology.
Creator
Gregorio, David, Carnaby, Giselle, Hoffman Ruddy, Bari, Crary, Michael, University of Central Florida
Abstract / Description
Research in Speech-Language Pathology provides the basis for understanding how and to what degree therapeutic techniques and interventions affect the health and quality of life of individuals with communication disorders. Across numerous fields of healthcare, research serves just as important a function and is used to guide the practices of professionals across the public health sector. Several disciplines, including chiropracty, nursing, and physical therapy, rely on the implementation of...
Show moreResearch in Speech-Language Pathology provides the basis for understanding how and to what degree therapeutic techniques and interventions affect the health and quality of life of individuals with communication disorders. Across numerous fields of healthcare, research serves just as important a function and is used to guide the practices of professionals across the public health sector. Several disciplines, including chiropracty, nursing, and physical therapy, rely on the implementation of Evidence-Based Practice (EBP) to ensure that the process of rehabilitation and the techniques employed therein are carried out though the synthesis of best clinical judgment, empirical evidence, and patient values. The field of Speech-Language Pathology also uses EBP as the foundation of intervention and rehabilitation. Research has shown, however, that clinicians in a variety of settings encounter barriers to the implementation of EBP. Such reported barriers include lack of access to current research literature, lack of time with which to review the literature, and difficulty determining the quality of research available. General aims of the present study were: (1) to explore speech pathologists' self-reported patterns of access and use of techniques presented in the current research literature, (2) to investigate their self-rated knowledge of and ability to critically evaluate the research literature, and (3) to examine their knowledge and ability through use of a problem-based survey design. 325 certified Speech-Language Pathologists (SLPs) were administered a brief web-based survey to collect information that might provide insight related to these research questions. Results of the study indicated that, on average, participants access the research literature and utilize techniques found therein with moderate frequency. Findings also reveal that self-rated capacity and research knowledge were significantly greater for respondents who had acquired their PhD and for those who had previously conducted formal research. Significant results were also found when evaluating differences among respondent's place of work by median change in self-rated research capacity. Furthermore, positive correlations were found between research knowledge and self-rated capacity and research knowledge and research evaluation. These findings call attention to the process through which research methodology is taught in higher education. The findings may also suggest that a more effective and functional model of instruction in this area is critical to the clinical implementation of EBP.
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Date Issued
2017
Identifier
CFE0006597, ucf:51269
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006597