The aim of this presentation is to report on the application and outcomes of an ETSU Cultural Competency grant awarded in 2021.The purpose of the grant was to allow students enrolled in CDIS 5240 (M.Sc. SLP Program) the opportunity to demonstrate understanding of multicultural multilingual issues and their application in the assessment and treatment of children with cleft lip and palate to better prepare them for the workforce, contribute to meeting the requirements of American Speech-Language Hearing Association (ASHA), and most importantly ensure that Hispanic children and other culturally and linguistically diverse (CALD) children with CLP receive improved services to enable them to reach their maximum potential.

In the absence of a gold standard, this study illustrates the process involved in the cross-cultural translation and adaptation of the FOCUS© and its shortened version, FOCUS-34© (the Parent Form and Instruction Sheet, as well as the Clinician Form and Instruction Sheet), while also determining the social validity and clinical applicability of the translated measure. The target language used as example was Afrikaans, one of the 11 official languages of South Africa.

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Thesis (M Speech Path)--University of Stellenbosch, 2011. / ENGLISH ABSTRACT: Various approaches to the communication-development of the young child with a hearing impairment exist, of which the auditory-verbal approach is one. This approach is based on the principle that the child with a hearingimpairment develops speech- and language skills by using his/her residual hearing that is appropriately strengthened with the use of a hearing aid and/or cochlear implant. One of the most important requirements for the successful application of this approach is the appropriate transfer of the techniques and strategies that is used in institution-based intervention to the child’s home environment. Parents, teachers, speech-language therapists and audiologists are responsible for facilitating the transfer of intervention methods and acquired skills to the home environment and it is important that all team members are aware of his/her own, as well as each other’s roles, in the application of this approach. The principal aim of the proposed research project was to describe and explain the perceptions of parents/caregivers, teachers, speech-language therapists and audiologists, that are involved in the intervention of the hearing impaired child, regarding the auditory-verbal approach to education. Semi-structured interviews were conducted with nine parents of hearing impaired children younger than the age of four, and with four teachers that are involved in the education of the said children. Lastly, semi-structured interviews were held with four speech-language therapists and two audiologists that are involved in the provision of the intervention to hearing impaired children younger than four years. All the participants were affiliated with a specific centre for children with hearing impairment in the Western Cape province of South Africa. All the participants noted that parents must take part in the decision-making process with regards to the selection of the most suitable communication approach for their child with a hearing loss. Participants also agreed that most parents choose the auditory-verbal approach to communication development of their child because speech as a communication medium, is familiar to them and it is also associated with normality. Parents also indicated that the auditory-verbal approach is the most suitable approach for all children with a hearing loss. Teachers, speech-language therapists and audiologists did not completely agree with the parents as they mentioned some aspects, e.g. the presence of additional disabilities must be taken into account before a decision can be made regarding whether the child with hearing loss could follow the auditory-verbal approach to communication development. All participants displayed a positive attitude towards the auditory-verbal approach and it appears that parents, teachers, speech-language therapists and audiologists have good insight into the principles and outcomes of this approach. / AFRIKAANSE OPSOMMING: Daar bestaan verskeie benaderings tot kommunikasie-ontwikkeling by die jong kind met gehoorverlies waarvan die ouditief-verbale benadering een opsie is. Hierdie benadering is gebaseer op die beginsel dat die kind met gehoorverlies spraak- en taalvaardighede ontwikkel deur gebruik te maak van hulle residuele gehoor wat deur middel van die gebruik van ‘n gehoorapparaat en/of kogleêre inplanting toepaslik versterk word. Een van die belangrikste vereistes vir die suksesvolle toepassing van die benadering is toepaslike oordrag van die tegnieke en strategieë wat in terapie gebruik word, na die kind se tuisomgewing. Ouers, onderwysers, spraak-taalterapeute en oudioloë speel ‘n baie belangrike rol om hierdie oordrag na alledaagse kontekste te fassiliteer en dit is belangrik dat elke spanlid bewus is van sy/haar rol asook die ander lede se rolle in die toepassing van die benadering. Die hoofdoelwit van die voorgestelde navorsingsprojek was om ouers/versorgers, onderwyseresse, spraaktaalterapeute en oudioloë, betrokke by die intervensie en opvoeding van die kind met gehoorverlies, se persepsies rakende die ouditief-verbale benadering tot opvoeding te beskryf en te verduidelik. Tydens die studie is daar semi-gestruktureerde onderhoude gevoer met onderskeidelik nege ouers van kinders, jonger as vier-jaar oud, met gehoorgestremdheid en met vier onderwyseresse wat betrokke is by die die opvoeding van genoemde ouers se kinders met gehoorverlies. Laastens is daar ook semi-gestruktureerde onderhoude gevoer met vier spraak-taalterapeute en twee oudioloë wat betrokke is by die verskaffing van intervensie aan kinders met gehoorverlies, jonger as vier-jaar oud. Al die deelnemers was verbonde aan ’n spesifieke sentrum vir kinders met gehoorverlies in die Wes-Kaap provinsie van Suid Afrika. Al die deelnemers het aangedui dat ouers betrek word by die besluitnemingsproses rakende die keuse van die mees geskikte kommunikasie-benadering vir die kind met gehoorverlies. Deelnemers het almal saamgestem dat ouers meestal die ouditief-verbale benadering tot kommunikasie-ontwikkeling vir hulle kind kies omdat spraak as kommunikasiemedium bekend is aan die ouers en verband hou met normaliteit. Ouers het aangedui dat die ouditief-verbale benadering die mees toepaslike benadering is vir enige kind met gehoorverlies. Onderwyseresse, spraak-taalterapeute en oudioloë het nie volkome saam met die ouers gestem nie en hulle het genoem dat daar sekere aspekte, byvoorbeeld die teenwoordigheid van bykomende gestremdhede, is wat oorweeg moet word voor daar besluit word of die kind die ouditief-verbale benadering tot kommunikasieontwikkeling moet volg. Deelnemers het oor die algemeen ‘n positiewe houding getoon teenoor die ouditief-verbale benadering en dit wil voorkom asof ouers, onderwyseresse, spraak-taalterapeute en oudioloë goeie begrip toon van die beginsels en uitkomstes van die benadering.

Thesis (MPhill)--University of Stellenbosch, 2011. / ENGLISH ABSTRACT: Compulsory Community Service for the speech-language and hearing therapy profession was implemented in 2003. This is the first study to assess the perceptions, attitudes and experiences of speech-language and hearing professionals of Stellenbosch University doing Compulsory Community Service. Information on the experiences of Compulsory Community Service professionals inform on the responsibilities of the university where undergraduate studies are completed, the Department of Health (the employer) and professionals doing Community Service. A mixed method study design, using a scale questionnaire, supplemented by open-ended questions was completed by all but one of the group doing Compulsory Community Service in 2009. Results suggested that speechlanguage and hearing therapists perceived themselves to have the required knowledge, but not necessarily adequate skills to perform Compulsory Community Service. Suggestions to include additional curriculum content were made. All professionals agreed that a positive contribution was made during Compulsory Community Service, but concerns about the shortage of speech-language and hearing therapy services, absence of mentors and supervision, inadequate budgets, amenities and resources were identified. Readjustment must involve adaptation from all stakeholders to ensure that Compulsory Community Service honours its original objectives.

Studies of speech perception indicate that it is more difficult for people with and without hearing loss to detect speech in noise. Functional communication in noise, however, has been less often studied; there is currently no well-designed measure of communication effectiveness. The Diapix Task (Baker & Hazan, 2011) has potential; it elicits dialogue by having two people converse to find differences between two pictures. The purpose of the present study was to develop a reliable measure of communication effectiveness and use this measure to determine how noise influences communication. Experiment 1 investigated use of the Diapix Task as a measure of communication effectiveness in noise. Seven young adults with normal hearing, paired with an assistant, completed the Task with three different picture pairs in a sound field of cafeteria noise. Communication effectiveness was measured by counting communication breakdowns. Results indicated that the Task did elicit breakdowns and, out of nine picture pairs, one elicited a different amount of breakdowns than the others; this pair was excluded. Experiment 2 used the Diapix Task to measure communication effectiveness in quiet and different types of noise. Relation between self-reported use of communication strategies and communication effectiveness was also explored. Fourteen young adults with normal hearing completed the Diapix Task with an assistant in three conditions: quiet, cafeteria noise, and competing dialogue. Results indicated that significantly more breakdowns occurred in noise than quiet, but that there was no significant difference between types of noise. Additionally, self-reported use of communication strategies did not correlate with communication effectiveness. Results support use of the Diapix Task as a functional measure of communication effectiveness in young adults with normal hearing; future research should investigate use of the Diapix Task to measure communication effectiveness in clinical populations.

The brain's neural responses to words of different frequencies provide information on lexical organization and the cognitive processes involved in word identification and retrieval of meaning. Monolingual research has shown that exposure to high frequency words yields less cognitive difficulty than low frequency words as demonstrated by smaller N400 waves within even-related potential (ERP) methodology. The purpose of the present study was to compare frequency effects in adult native (L1) and non-native (L2) speakers of English during a sentence reading task embedded with high and low frequency word-pairs. Both L1 and L2 groups produced N400 waves of larger amplitudes for high frequency words compared to low frequency words that peaked around the 400 ms time mark. Group comparison found no significant difference in N400 wave amplitude and peak latency between both groups. The results are discussed with respect to theories of L2 word learning and lexical organization.

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Book Summary: Tinnitus: Clinical and Research Perspectives summarizes contemporary findings from basic and clinical research regarding tinnitus mechanisms, effects, and interventions. The text features a collection of international authors, active researchers, and clinicians who provide an expansive scope of material that ensures relevance for patients and professionals. Reviews and reports of contemporary research findings underscore the text s value for classroom use in audiology and otolaryngology programs. Patients and students of audiology will benefit from the text s coverage of tinnitus mechanisms, emerging practice considerations, and expectations for outcomes--for example, recent successes of cognitive behavioral therapy, neuromodulation, and hearing aid use. These and other topics, such as the effects of noise and drugs on tinnitus, are reported in a way that enhances clinicians ability to weave such strategies into their own work. The influence of tinnitus on all aspects of life is explored, from art to medicine and communication to isolation, thereby providing clinicians and patients a deeper understanding of and greater facility managing a tinnitus experience. Finally, this text includes case studies that provide a practical view of tinnitus effects and management approaches. The editors hope that the consideration of mechanisms, interventions, and outcomes resonates with patients, clinicians, and students of audiology. / https://dc.etsu.edu/etsu_books/1179/thumbnail.jpg