Central auditory processing performance of male and female stutterers and nonstutterers was compared on a battery of central auditory tests. Thirty stutterers (15 male and 15 female) with a mean age of 23.10 years (17.2-31 years) comprised the experimental group, and 30 nonstutterers (15 male and 15 female) with a mean age of 22.2 years(17-32 years) comprised the control group. The test battery included dichotic (DCV test, ssw test, eST) and monotic (SSI-ICM test, ARLT) tests. Stutterers performed significantly poorer than nonstutterers on various parameters of individual tests. The stutterers' performance on the test battery was varied : 8(26.6%) stutterers passed all tests in the battery; 7(23.3%) failed dichotic tests only; 15(50%) failed dichotic and monotic tests of which 2(6.6%) failed monotic tests. Pass/fail rates indicated that although 15 (50%) nonstutterers failed the battery 22(73.2%) stutterers failed. This result confirmed that stutterers performed significantly differently from nonstutterers on the test battery( X?= 19.87 , df=l; p<0.05). Male/famale comparisons for nonstutterers indicated no significant differences (p>0.05) on individual tests except on the ARLT where males obtained longer latencies than females. Pass /fail rates on the test battery confirmed no statistically significant (X~= 0.133 , df=l; p> 0.05) performance differences between male and female nonstutterers. For stutterers, although male performance was poorer than female performance on various parameters of individual tests ,the performance differences were not significant (p>0.05). However, pass/fail performance on the test battery indicated that significantly more males (13) than females (9) failed the test battery ( X2 = 8.66 df=l, p<0.05). The results are discussed in terms of the literature and theoretical and clinical implications are presented and discussed. / Thesis (M.Sc.)-University of Durban-Westville, 1992.

This study explored the feasibility of using test translation to adapt a standard English vocabulary test for Zulu speakers. It was motivated by the difficulties associated with assessing speakers of the African languages, in the absence of Zulu speech-language therapists and Zulu assessment tools. The adaptation process in the present study began with a direct translation of the PPVT-R into Zulu by twenty Zulu university students. Based on the degree of consensus on translations and judgements of cultural appropriacy (using the committee approach), items were selected for the purposes of pilot testing of the translations on 107 Zulu pupils from six to eleven years, in the study area. The results of the first pilot study revealed that it was not feasible to standardise the first translated version of the test, as only seventeen percent of the items were found suitable for inclusion in a normative study. Further test development using translations from twenty educators, their judgements of cultural appropriacy of stimuli as well as application of the back translation test to determine semantic equivalence of translations resulted in the development of a revised translated version of the PPVT-R, consisting of mUltiple translations for some items. This was administered to 544, six to eleven year old Zulu children. The results of the second pilot study revealed that only 31.2% of the translations administered were appropriate for the purposes of developing norms, across all the age groups tested, with 80% of these translations applicable for six and seven year old Zulu children only. Therefore, the translated version of the PPVT-R, despite modifications, showed significantly reduced applicability for Zulu speakers. Using the information derived from the present study a test comprising thirty six Zulu words has been compiled for the purposes of screening the receptive vocabulary skills of six and seven year old Zulu children in the study area. The findings of the study confirmed the difficulties in using test translation as a procedural option in adapting a test for Zulu children; implications, further modifications and investigations are suggested in this regard. / Thesis (M.Sc.)-University of Durban-Westville, 1994.

A total laryngectomy (TL) affects the quality of life (QoL) of individuals who have undergone this surgical procedure, as changes are seen in respiration, swallowing and communication. The aim of this study was to gather perspectives of the hallmarks of successful alaryngeal voice rehabilitation by tracheo-esophageal puncture (TEP) with voice prosthesis of laryngectomy patients from key role players based at a public hospital in Gauteng Province, South Africa. A qualitative method of inquiry was used, namely a single-program, collective case study. A focus group, comprising of four individuals who had undergone a total laryngectomy, was held to identify the participants‟ views about successful voice rehabilitation. From this focus group, one successful communicator was identified to be interviewed individually. Five semi-structured, face-to-face individual interviews using open-ended questions were conducted with five key role players in alaryngeal voice rehabilitation. The interviewees comprised of the successfully rehabilitated person with total laryngectomy (PWTL), his caregiver, an ear, nose and throat surgeon, speech-language pathologist and specialist nurse, to gather their perspectives on the factors that contributed to successful alaryngeal voice rehabilitation using TES. The Thematic Framework Approach was used to qualitatively analyze the data. Factors identified as contributing to success included patient selection for tracheo-esophageal puncture, information provision, support in the form of support groups, spiritual as well as family support, stomal care, the skill of the team and key management issues. Issues related to finance adversely affect the provision of voice prostheses and/or the provision of correctly sized prostheses and accessories. Systems have been implemented at the hospital to provide the option of TEP with voice prosthesis without much consideration to the other two alaryngeal options; namely esophageal speech and electrolarynx speech. Implications for clinical practice have been identified especially the need to provide more social support services to persons with TL. / Thesis (M.Sc.)-University of KwaZulu-Natal, Westville, 2012.

Many children in the foundation phase in rural schools in KwaZulu-Natal, South Africa struggle to acquire early literacy skills. A review of the literature demonstrates the link between early communication development and academic achievement, including literacy skills (Rossetti, 2001). This study explored the beliefs and practices of caregivers regarding early communication development as a means to providing culturally appropriate early communication intervention. The study drew on phenomenological and interpretive viewpoints to inform the qualitative design. Fifteen caregivers with healthy infants in the age range of 0-12 months were recruited from a post-natal clinic in Inanda, a rural community in KwaZulu-Natal. The study took place in three phases. Phase 1) Nine of the participants were divided between two focus groups. Focus groups used photo elicitation as a method of stimulating discussion on subjects relevant to the topic. Phase 2) Data from the focus groups was used to inform the development of an individual guided interview schedule. One participant took part in a pilot study of an individual interview. Phase 3) The remaining five caregivers participated in individual guided interviews. Data obtained through both focus groups and individual interviews was analyzed for themes using Creswell’s Data Analysis Spiral (1998). Five themes were identified as falling within the two study objectives: Parenting beliefs and parenting practices. The themes under parenting beliefs included: the role of the parent; needs and abilities of the infant and communication. Themes included under parenting practices were: daily activities and language stimulation. The results show that caregivers’ beliefs are guided by the desire for their infants to be accepted by community members, thus prioritizing issues of respect and observable health as their parenting goals. Caregivers’ daily activities facilitate the development of the maternal bond which serves as the foundation for the development of communication and provides language stimulation. These practices are however noted to be intuitive and lack a formal knowledge base. Practice and research implications for these findings are discussed. / Thesis (M.Sc.)-University of KwaZulu-Natal, Westville, 2011.

Two tests were developed and administered to 122 South African students of Indian descent and 70 South African students of European descent. One test elicited use of certain syntactic constructions through requesting subjects to make specified grammatical changes to verbally presented sentences. The other test elicited attitudes regarding acceptability and beliefs about own and others' use of nonstandard syntactic forms. In both cases, test items were based on non-standard syntactic forms reported to occur in the speech of Indian South Africans. Results were analysed statistically and on the basis of significant group differences, fourteen syntactic features of South African Indian English were identified. These results, as well as those concerning language attitudes and beliefs, are discussed in terms of the literature and implications for clinical application and further research. Sex differences in use and attitudes were also investigated but were found to be of little significance. / Thesis (M.Speech Pathology)-University of Durban-Westville, 1987.

Employment is viewed as one of the pinnacle factors in enhancing quality of life. Despite being a right in South Africa, the employment opportunities available to individuals with Down syndrome are limited. This study aimed to explore the employment experiences of individuals with Down syndrome, their employers and their families in KwaZulu-Natal. This research provided valuable information for Speech-Language Therapists on enhancing communication in the workplace as effective communication in the workplace is crucial for employment. A qualitative approach and phenomenological design were used within the context of International Classification Framework, biopsychosocial model and critical paradigm. Individual semi-structured interviews were conducted and thematic analysis was used to analyse the data. Results revealed that individuals with Down syndrome valued their employment for the emotional and financial support it provided and the skill development opportunities available. Gaps were evident in legislation specific to the employment of individuals with Down syndrome as well as the implementation of these limited policies. Communication is necessary in the workplace; however, it is one of the areas that is severely impacted in individuals with Down syndrome. Employers and family members’ experiences indicated variability in speech intelligibility, language and literacy skills among the participants with Down syndrome linked to cognitive ability, intervention, education received, mood swings and memory loss. Intriguing trends relating to the positive use of technological devices for social and recreational purposes were evident. Employment success can be linked to successful job selection, visual and emotional support. Speech-Language Therapists, employers, family members and the Down syndrome association were found to have crucial roles in providing this support. The role of the Speech-Language Therapist continues to evolve and is required across the lifespan for different purposes. / M.Sc. University of KwaZulu-Natal, Durban 2013

A descriptive survey with 19 Speech-Language Therapists from public health and four from private health was used to obtain an overview of Speech-Language Therapy services for children with cleft lip and/or palate from birth to three years in the KwaZulu-Natal Health Sector. Results are presented for public health, as none of the four private based respondents worked with cleft lip and/or palate from birth to three years. The number of Speech-Language Therapists (9) working with cleft lip and/or palate (0-3 years) in KwaZulu-Natal appears not to have changed significantly over the past two to three years, similar to the incidence of cleft lip and/or palate births. Reasons for Speech-Language Therapists not working with this population included poor referrals and caseloads comprising of clients older than three years. A team approach to cleft care appears challenging but showing development. There are currently four institutions where professionals function as multidisciplinary teams, consisting mainly of Speech-Language Therapists, doctors and nurses. Speech-Language Therapists’ assessments include case history taking, oral peripheral examination, observational feeding assessment and speech-language assessment. Most therapists are consulted within a few days of the birth, which is consistent with international guidelines. Audiological assessment and assessment of resonance were mentioned by a minority of participants. Feeding devices for cleft lip and/or palate are not always available immediately, and hence appears contradictory to the National Rehabilitation Policy. Recommendations include undertaking similar research in other provinces, so as to build a nationwide overview of services for South African children with cleft lip and/or palate. / Thesis (M.Sc.)-University of KwaZulu-Natal, Westville, 2011.