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With Liberty and Social Justice for All: Part 1
Format(s): SIG Perspectives
This SIG 1 activity addresses social justice issues facing children from cognitive and linguistically diverse backgrounds. The first article provides a foundational understanding of translanguaging in order to expand and broaden our definition of multilingualism and reframe how we think about Black Language in schools. The second article investigates the conversational language profile of children in low socioeconomic environments and analyzes how results may vary by dimensions of language (i.e., vocabulary, grammar) and socioeconomic environment (e.g., maternal education, income). The third article explores how school-based speech-language pathologists describe their therapeutic relationships with culturally and linguistically diverse students. The last article challenges clinicians and educators to push past the deficit perspective toward multimodal communication and apply educational justice and equity practices with modally marginalized individuals.
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Special Topics in Neurogenic Communication Disorders
Format(s): SIG Perspectives
In this SIG 2 article series, participants explore special topics in the assessment and treatment of individuals with neurogenic communication disorders. The first article discusses target selection for the assessment and treatment of discourse in people with aphasia, emphasizing the need for alignment with the person’s discourse goals. Then, the second article explores sources of bias in the assessment of Black athletes with sports-related concussion, as well as culturally responsive practices that can mitigate the negative impact of such bias. Finally, the third article is a case study of a person with foreign, or nonnative, accent syndrome. Assessment and behavioral intervention targets that led to his successful diagnosis and treatment are discussed.
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Individual Experiences of Adults Who Stutter
Format(s): SIG Perspectives
Adults who stutter (AWS) are a heterogeneous group in terms of lived experiences and expectations for treatment. In this SIG 4 activity, learners will read three peer-reviewed articles that focus on individual experiences of AWS that may lead to individual preferences in treatment approaches. The first article examines correlations between stuttering severity and measures of life satisfaction, self-acceptance, self-compassion, and avoidance among AWS, comparing those who sought support from family, friends, or the National Stuttering Association to those who did not. The second article focuses on treatment preferences and reports on a multinational survey study investigating what AWS consider important aspects of stuttering treatment. The results indicate that, while most AWS value help with speech strategies and anxiety, there is significant individual variation in treatment preferences based on factors like gender and geographical region. Finally, the last article centers on the perceived positive experiences and benefits of stuttering reported by 77 AWS. The analysis reveals four major themes: development of skills, qualities, and talents; personal development; coping strategies; and support from others, highlighting various ways that individuals have found positive meaning in their stuttering experiences.
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Impact of Metacognition on Comprehension
Format(s): SIG Perspectives
This SIG 1 forum addresses how the speech-language pathologist can target metacognition using theory of mind, critical thinking, and prosody to improve the comprehension of oral and written information in both social and academic environments for school age students and adolescents. The first article describes the results of an exploratory survey given to speech-language pathologists regarding how they incorporate theory of mind into therapy. The second article explores how to target the critical thinking skills of adolescents using logical fallacies. The third article reviews the current available literature on prosody and reading for autistic individuals and provides clinical recommendations for addressing prosody in expressive communication and reading comprehension.
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Collaborative Early Intervention Practices
Format(s): SIG Perspectives
This SIG 1 activity addresses how framing early intervention practices to include partnering with and training caregivers and pediatricians can improve access to the language and communication opportunities in early childhood. The first article applies the benefits of the Language Environmental Analysis (LENA) system with children with cerebral palsy to determine the feasibility of monitoring naturalistic language patterns during longitudinal mobility intervention. The second article highlights the importance of monitoring caregiver progress in early intervention therapy and proposes how to set goals, teach the caregiver language facilitation strategies using the See and Say Sequence, and measure progress using various types of caregiver data. The third article explores the emerging role of speech-language pathologists (SLPs) providing training to improve the use of developmental screening in pediatric primary care to increase early identification rates of infants and toddlers.
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Global Perspective: Cultural/Linguistic Adaptation & Access in SLP & Audiology
Format(s): SIG Perspectives
The articles in this course highlight the importance of adapting speech-language pathology practices to be culturally and linguistically relevant while also addressing the challenges of accessibility for marginalized and underserved populations across the globe.
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DEI in CSD Research & Guidance for Working With Interpreters/Translators in SLP
Format(s): SIG Perspectives
The theme for this SIG 14 activity was diversity, equity, and inclusion (DEI) in communication sciences and disorders (CSD) research and professionalism and guidance for working with interpreters and translators in speech-language pathology (SLP). Topics included (a) a review of ASHA publications in 2020 examining participant gender, race, and ethnicity; (b) considerations for DEI access as it relates to professionalism; and (c) guidance for working with interpreters and translators in SLP.
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Cultivating Counseling Skills in Speech-Language Pathology and Audiology
Format(s): SIG Perspectives
In this SIG 20 activity, authors provide ways for clinicians to improve their ability to actively cultivate and improve their counseling skills. Caron et al. discuss increasing resilience in medical clinicians. McGrath and Schultz explain how to improve the therapeutic alliance when working with rehabilitation clients. Pagano et al. describe how to improve counseling self-efficacy.
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Expanding Access to Audiology Services: Strategies From the Field
Format(s): SIG Perspectives
This SIG 8 activity includes hearing health care models to address disparities and public heath challenges known within the field of audiology—including challenges in accessing hearing health care. With an expected growth in the population of those affected by hearing loss, innovative and adaptive strategies to meet the growing need for hearing health care is essential. The two articles included provide different approaches to address hearing-related needs in their community. The work by Smiley and Murphy provides a history of the path towards mobile health care and how different mobile audiology service delivery models may be utilized to meet given identified health care and population needs. The authors describe how considerations towards multidisciplinary care and needs assessments may support effective service delivery. Additionally, Hay-McCutcheon et al. present an example of how community health workers may increase access to aural rehabilitation, including for those who receive over-the-counter hearing devices. The authors describe how they approached and developed a community health worker–led education training program in their rural community.
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Considerations for Speech Assessment in Greek, Mandarin, and Anguillian Eastern Caribbean English, and Speech/Language Assessment in Farsi
Format(s): SIG Perspectives
The theme for this SIG 14 activity is a review of cultural considerations specific to the assessment of speech disorders in individuals who speak Greek, Mandarin and Anguillian Eastern Caribbean English, and both speech and language assessment in Farsi. Topics include: (a) salient characteristics of each phonological system and (b) assessment considerations for speech-language pathologists when assessing the speech skills of individuals who may speak the aforementioned languages.
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Language Assessment in Urdu, Turkish, Pidgin (Hawai'i Creole), and Bahamian Creole
Format(s): SIG Perspectives
This SIG 14 activity is a review of considerations for assessment of language disorders in individuals who speak Urdu, Turkish, Pidgin (Hawai?i Creole), and Bahamian Creole. Topics include (a) salient characteristics of each language presented and (b) an assessment tutorial for speech-language pathologists when assessing individuals who may speak the aforementioned languages.
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Exploring Culturally Responsive Voice Care
Format(s): SIG Perspectives
A patient’s culture, beliefs, and values must be considered when assessing and treating voice disorders. This SIG 3 forum explores justice, equity, diversity and inclusion initiatives, discusses considerations for providing gender-affirming and neuro-affirming voice therapy, and proposes applications of the Self-Determination Theory as a framework to guide culturally responsive voice care.
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Treatment Approaches for Individuals With Neurogenic Communication Disorders
Format(s): SIG Perspectives
In this SIG 2 activity, articles explore treatment approaches for neurogenic communication disorders. The first article includes a meta-analysis of the effects of cognitive rehabilitation on pragmatic language after traumatic brain injury. The second article describes steps for improving palliative, person-centered speech-language pathology services for individuals with primary progressive aphasia. The third article describes implementing shared decision making with individuals with amyotrophic lateral sclerosis related to dysarthria and dysphagia treatment.
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Contemporary Professional Issues in Gerontology and Stroke
Format(s): SIG Perspectives
This collection of SIG 15 Perspectives articles involves a myriad of contemporary issues related to the professions, including the impact of retirement on mental health; gender differences in self-reported oral health-related quality of life; and the relationship between social networks and poststroke communication outcomes.
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Relationally Focused Critical Incidents & Strengths- Based Community Engagement
Format(s): SIG Perspectives
This SIG 11 Perspectives course addresses the necessity of a community-informed, strengths-based approach to health care service provision for individuals with communication disorders, and the impact of relationally focused reflections on improving conflict-handling skills in graduate speech-language pathology students.
The Modern Telepractitioners’ Journey Through the Lifespan
Format(s): SIG Perspectives
The three articles included in this SIG 18 Perspectives course represent the diverse work settings and populations served through telepractice. The first article evaluates an in-person and telepractice-delivered parent-mediated intervention for autistic children. The second article investigates the administration of an assessment for auditory processing disorders via in-person and telepractice delivery. The third article describes a systematic problem-solving approach for conducting aphasia assessments via telepractice.
New Horizons in Hearing Health Care Assessment Procedures: Preliminary Results
Format(s): SIG Perspectives
This SIG 7 Perspectives course includes two articles. The first article examines a new pediatric speech in noise screener that can be used as an app, and the second article looks at quality-of-life outcomes after cochlear implantation.
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Current Issues: Considering Families and Multiculturalism in AAC Practice
Format(s): SIG Perspectives
This SIG 12 activity offers opportunities to extend augmentative and alternative communication (AAC) clinical practice through the inclusion of critical topic areas. The first article describes survey results and offers recommendations on parent perspectives regarding AAC assessments, barriers, and supports. Then, the second article focuses on the perceptions of Latina mothers of young children in early intervention settings, highlighting the need for culturally responsive communication and family centered support. As a part of a review of the existing literature, the third article uncovers needs for family centered, multilingual, and multicultural practice and calls for more quantitative research in multilingualism and AAC.
The Intersection of the Legal System and People with Aphasia and Other Cognitive-Communication Impairments
Format(s): SIG Perspectives
In this SIG 2 activity, participants explore the needs of people with aphasia and other cognitive-communication impairments as they interact with the legal system. The first article is a systematic review that reviews the historic accommodations that have been made to support people with aphasia during court proceedings. Using these, the article provides proactive recommendations for the support of people with aphasia who are involved with legal proceedings. The second article discusses the etiologies and prevalence of cognitive-communication disorders in people who are involved in the criminal justice system. Recommendations are provided for SLPs to participate as a part of the interdisciplinary team working with these youth and adults.
Case Studies in Stuttering: Preschool and Adult Focus
Format(s): SIG Perspectives
Case study is a valuable instructional tool for advancing knowledge and skills in clinical practice. In this SIG 4 Perspectives activity, learners will read three peer-reviewed case study presentations emphasizing unique aspects of stuttering treatment in preschool children and adults.
Roadway Traffic Noise: A Public Health Opportunity for Audiologists
Format(s): SIG Perspectives
This SIG 8 activity summarizes the existing knowledge regarding auditory and nonauditory health outcomes of roadway traffic noise. Sources of roadway noise, theorized impacts on the auditory system, systems of measurement, and proposed policy and public health solutions are reviewed. The authors describe how audiologists fit within broader public health efforts to address noise exposure in the population.
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Effects of Stimulus Intensity and Sweep Count on the Click- and Chirp-Evoked Auditory Brainstem Response
Format(s): SIG Perspectives
The auditory brainstem response (ABR) can be elicited by broadband stimuli such as the click and chirp. Differences in the click- and chirp-evoked ABR have been extensively described using subjective analyses. The aim of the current research included in this SIG 6 activity is to determine if subjectively observed differences between the click- and chirp-evoked ABR are also represented in objective signal-to-noise ratio measurements obtained from these responses at different stimulus intensities and sweep counts.
Examining How Psychosocial Factors Affecting Cleft and Craniofacial Populations Impact Speech Pathologist Care
Format(s): SIG Perspectives
This SIG 5 Perspectives course contains articles that discuss the psychosocial impacts of craniofacial care on patients and their caregivers. The articles include a literature review highlighting pediatric medical traumatic stress (PMTS) and findings of a survey examining how psychosocial barriers impact patient and family compliance with home exercise programs (HEPs).
Innovative Approaches to Supporting People With Aphasia
Format(s): SIG Perspectives
In this SIG 2 article series, participants explore innovative approaches for supporting the mental health and functional communication of people with chronic aphasia. The first article describes how speech-language pathologists can work collaboratively with other professionals to support the mental health of people with aphasia by outlining multiple evidence-based approaches and interventions. The second article describes a single- subject research study in which script training was employed with a person with chronic nonfluent aphasia to improve his functional communication over two to three therapy sessions with three different scripts. The third article explores the use of co-constructed storytelling to support life participation and identity reconstruction in people with chronic aphasia.
Online Program Management Companies: Friend or Foe of Communication Sciences and Disorders Higher Education?
Format(s): SIG Perspectives
In this article, authors explored how online program management companies (OPMs) are utilized by institutions in higher education to build programs or expand them into online learning environments. Authors provided an overview of the benefits, disadvantages, and prevalence of OPM usage.
Use of Simulation and ChatGPT in Communication Sciences and Disorders Programs
Format(s): SIG Perspectives
This SIG 10 activity explores the use of simulation and artificial intelligence (AI) in communication sciences and disorders (CSD) programs. Articles focus on the importance of debriefing during simulated clinical experiences; students’ self-efficacy ratings for aphasia assessment and treatment after participation in a simulated aphasia escape room; and the use of ChatGPT to teach plain language writing to graduate students in CSD.
From Theory to Practice: Implementing Research- & Evidence-Based Interventions in K–8 Schools
Format(s): SIG Perspectives
This SIG 16 activity includes recent research that focuses on providing SLPs with strategies to implement research-based and evidence-based interventions in schools. Articles examine training in research-based behavioral interventions and their implementation; the shift from a reactive, practitioner-based model of support in assistive technology to a proactive, team-based coaching model for students with complex communication needs; and the challenges and opportunities school-based SLPs face regarding the implementation of research-based interventions within multitiered systems of support (MTSS).
Obtaining Rare Competencies for Students in Communication Sciences and Disorders
Format(s): SIG Perspectives
This SIG 10 CE activity focuses on three articles related to rare competencies in communication sciences and disorders. The first article reveals a rationale for including traumatic brain injury content in audiology programs in order to provide quality care for patients with posttraumatic audiovestibular disturbances. The second article describes the perceived effectiveness of a dedicated counseling course for early career speechlanguage pathologists and graduate students. The final article explores how speech-language pathology graduate students and preservice teachers for deaf and hard of hearing students can learn to effectively collaborate to support the children they serve.
Literacy Development in Speech Sound Disorders
Format(s): SIG Perspectives
This SIG 1 activity focuses on how speech sound disorders (SSDs) can have an impact on children’s literacy skills and development. The first article describes the phonological awareness (PA) skills of children with SSDs and compares the relationships between types of speech errors to strengths and weaknesses in their phonological awareness abilities. The second article is a tutorial that aims to provide evidence that supports the use of print and print referencing in speech therapy sessions with children who have SSDs. The third article examines the available evidence for intervention frameworks that support literacy skill development, specifically within the context of SSD intervention. The fourth article reviews why SSDs put children at risk for word reading difficulties and how speech-language pathologists can integrate foundational skills to reduce this risk.
A Forum on Pediatric Hearing Health Care Disparities
Format(s): SIG Perspectives
This SIG 9 Perspectives course includes three articles from a forum on pediatric hearing health care disparities. The articles discuss barriers to follow-up in Early Hearing Detection and Intervention (EHDI) programs; systematic evaluation of family barriers to care; and the principles and implementation of trauma-informed care in pediatric hearing health care.
Hearing Loss in Children: ADHD, Physical Activity, and Medical Education
Format(s): SIG Perspectives
The three articles in this SIG 9 Perspectives course focus on parent-reported ADHD behaviors, fatigue, and language in children who are deaf and hard of hearing; physical activity in children with hearing loss; and massive open online courses for critical medical education related to children with hearing loss.
What’s New in Ototoxicity Management?
Format(s): SIG Perspectives
Ototoxic medications and chemical agents in the workplace can put individuals' hearing and vestibular health at risk for permanent injury. Proactive ototoxicity management (OtoM) strategies aim to minimize exposure, avoid onset of symptoms, provide ongoing monitoring, and manage auditory and vestibular changes as the clinical needs of the patient evolve. During a 2021 American Speech-Language-Hearing Association Special Interest Groups Open House, members of the International Ototoxicity Management Group discussed how best to integrate OtoM into routine clinical practice, what tools to use, and what special considerations need to be understood to best support patients and their families. Here, we have summarized their viewpoints to encourage widespread adoption of improved OtoM services for at-risk individuals. The field of audiology needs to move to a place where we better understand the full extent of ototoxicity and can agree on expanding minimum guidelines that can be implemented more universally to mitigate, detect, and manage the damage from ototoxic exposures. Only recently has our field seen a therapeutic drug that can protect against ototoxicity; however, the population served is restricted only to children receiving treatment for nonmetastatic carcinoma. This is hopefully just the beginning of future therapeutic interventions to come, but, in the meantime, ototoxicity resulting from other medications in different patient populations and chemical agents persists.
Dysphagia: Gelatin-Based Desserts, Thickening, and Amyotrophic Lateral Sclerosis
Format(s): SIG Perspectives
These SIG 13 articles underscore the importance of being up to date of dysphagia intervention as the diagnosis has many complexities in assessment and treatment. Larsen et al. surmise that current characteristics and physiological rationale may overestimate the skills required for gelatin-based desserts and inappropriately classify them as nontransitional foods. Therefore, as with all products, individual gelatin-based desserts should be tested at the time of presentation to the patient. Mancopes et al. discuss the importance of strategies for facilitating safe and functional bottle feeding in children with dysphagia include selecting nipples that reduce flow rate, pacing, altered positioning, and thickening liquid consistencies. Their study aims to determine the impact of slightly thick liquids on swallowing through retrospective review of a convenience sample of clinical videofluoroscopies (VFSS) from 60 bottle-fed children (21 male, mean age 9.9 months) referred due to suspected aspiration. Garand et al. perform a retrospective analysis of persons with amyotrophic lateral sclerosis using modified barium swallow studies and recommend use of functional scales to help evaluate and treat this special population.
Neurodiversity-Affirming Practices
Format(s): SIG Perspectives
This course focuses on neurodiversity-affirming practices. Five articles discuss the need for neurodiversity-affirming care; research design and reporting in autism intervention research; knowledge, experience, and training of school-based professionals and their familiarity with early communication access for autistic children; themes in spoken narratives produced by autistic adults whose genders are marginalized; and gestalt language processing.
Evidence-Based Practices in Literacy for Word Reading, Morphology, & Vocabulary
Format(s): SIG Perspectives
This SIG 1 activity focuses on evidence-based practices in literacy related to word reading, morphology, and vocabulary. The first article highlights the relationship between literacy and vocabulary learning and provides a tutorial on treatment options for vocabulary-based interventions for children with identified vocabulary deficits. The second article describes the developmental sequence of alphabet knowledge and demonstrates how to address this knowledge within three different service delivery modules. The third article explains the importance of targeting morphology in schoolbased speech and language therapy to support the literacy development of students with developmental language disorders. The final article describes the skills required for successful word reading and outlines how a speech-language pathologist can carry out an evidence-based approach for both assessment and intervention.
A Learning Exercise in Pediatric Hearing: Dichotic Listening, Literacy Screener for Deaf and Hard of Hearing Children, and Fathers' Linguistic Input
Format(s): SIG Perspectives
These SIG 9 articles point to the importance of continued research in listening, literacy, and paternal linguistic input for children who are deaf and hard of hearing (DHH).
Hispanic/Latina Student Perspectives on Mindfulness
Format(s): SIG Perspectives
In this SIG 20 activity, Medina and Mead share a study of Hispanic/Latina SLP graduate students’ perceptions of mindfulness. Participants in this study discuss the benefits of mindfulness and their willingness to practice; however, stigmatizing beliefs and lack of education about mindfulness within their cultural communities need to be addressed. Readers of this article will gain a better understanding of how to promote mindfulness in future speech-language pathologists.
Pediatric Voice Case Studies
Format(s): SIG Perspectives
In this SIG 3 activity, experts in pediatric voice disorders present a series of interactive cases to help speech-language pathologists develop their knowledge and skills completing voice evaluation and treatment planning for children with bilateral benign vocal fold lesions, unilateral vocal fold paralysis, and sulcus vocalis.
Amplification Effects on the Acoustic Change Complex in Older Adults With Sensorineural Hearing Loss
Format(s): SIG Perspectives
As a step toward developing an electrophysiologic method for validating the speech feature discrimination benefits of amplification, the article in this SIG 6 activity evaluates the effect of stimulus level and amplification on the acoustic change complex in adults with sensorineural hearing loss.
Factors in Adult Dysphagia: Thickened Liquids, Facial Burns, Head & Neck Cancer
Format(s): SIG Perspectives
This trio of SIG 13 articles provides information regarding managing and treating dysphagia with adult patients. First, Abrams and co-authors underscore the importance of hydration and discovered that individuals consuming thickened liquids are often at risk for dehydration. Factors to increase fluid intake through different strategies are discussed. Next, Arguello and Kerr discuss the mechanism of a facial burn injury and how it may cause functional impairments that can be directly impacted through early intervention utilizing speech-language pathology services. Finally, Warner and colleagues completed a pilot study investigating the prevalence of pretreatment dysphagia in oncologic patients and individual factors influencing post treatment dysphagia.
Implementation of Augmentative and Alternative Communication: Current Issues
Format(s): SIG Perspectives
These SIG 12 Perspectives articles offer opportunities to extend augmentative and alternative communication (AAC) clinical practice through the inclusion of critical topic areas. They describe survey results and recommendations on disaster preparedness for SLPs to support people who use AAC; propose strategies for clinicians to create a “friendship mindset” in AAC assessment and implementation; offer strategies for designing and implementing Visual Scene Displays (VSDs) as a component within AAC systems for clients across the lifespan; and describe how perspectives of adult part-time AAC communicators support assessment and intervention with beginning communicators who have intermittent, unreliable, and inconsistent speech.
Impact of Student Clinicians on SLPs’ Productivity in Medical Settings and Graduate Students' Perceptions of Simulated Experiences During the Pandemic
Format(s): SIG Perspectives
This SIG 11 Perspectives activity addresses the productivity impact of SLPs supervising student clinicians in medical settings and explores graduate students' perceptions of their experiences participating in simulated learning experiences during the pandemic.
Intervention & Assessment of Developmental Language Disorders in CLD Populations
Format(s): SIG Perspectives
This course focuses on best practices, perspectives, and challenges in the assessment and intervention of developmental language disorders in culturally and linguistically diverse (CLD) populations. The articles discuss resources to interpret and use common standardized language assessments in English for CLD school-age youth; increasing Spanish-speaking caregivers’ use of language-promoting strategies in everyday activities with infants and toddlers; and treatment of bilingual children to promote progression in both languages.
Digital Resources in Auditory Rehabilitation: Unlocking the Potential
Format(s): SIG Perspectives
In the rising digital era, and especially since the pandemic, implementation of telehealth and provision of auditory rehabilitation (AR) using digital platforms have notably increased. This has changed the outlook of service provision by audiologists and speech-language pathologists alike. Digital platforms have the potential to positively impact AR practices by improving accessibility of rehabilitation services as well as by facilitating a more effective way to share resources with both professionals and end users. This SIG 7 activity includes two articles about the accessibility and effectiveness of digital platforms to provide AR services for both adults and children with hearing difficulties. The first article discusses the differences in the distribution strategy, users’ experience, and satisfaction for two digital platforms (a static website and an active blog) offering AR materials for professionals. Their study concludes that social media–focused active distribution is effective because it results in more total traffic, a greater number of users, more frequent access, and an overall high level of satisfaction with the quality of information and resources. The second article discusses the details of a Zoom-based telepractice initial evaluation protocol used by speech-language pathologists serving children who are hard of hearing and their families. This clinical protocol was designed to synchronously share resources and questionnaires with family members of children who are hard of hearing. Authors suggest that providing AR services through telepractice facilitates high-quality diagnostics and counseling to the same extent as that of in-person diagnostic sessions.
Cluttering: Preadolescence to Community Leaders
Format(s): SIG Perspectives
In this SIG 4 activity, learners will read three peer-reviewed articles centered on cluttering in preadolescent through adult speakers. The first article is a case study of a preadolescent with cluttering. In this paper, the authors highlight brain development during adolescence, adolescent cognitive and emotional development, and the effects of a therapy approach based on objective speech measures. The second article is a research study concerned with disfluency clusters produced by adults with cluttering in natural conversations. The authors describe how disfluency clusters are affected by the nature of the relationship between speakers. The last article presents qualitative data from a focus group of adults with cluttering who have emerged as community leaders. Their reflections include recommendations for listeners and support groups, self management, and their thoughts on labels and acronyms.
Prevalence and Identification of Communication Disorders in Japan, Guatemala, & Global Contexts
Format(s): SIG Perspectives
This course focuses on the prevalence and identification of communication disorders in Japan, Guatemala, and global contexts. The first study, conducted in Japan, examines the prediction of special educational needs in children who stutter using a screening test for three neurodevelopmental disorders. The second study explores clinical practices for speech sound disorders in Guatemala, particularly the use of nonspeech oral motor exercises. The third study provides insights into the frequency of aphasia worldwide.
An International Perspective on Clinical Research in SLP Cleft Care
Format(s): SIG Perspectives
This SIG 5 activity includes three articles from a forum aimed at sharing research conducted in clinical settings around the world. Two research articles analyzed surgical and parent-led therapy approaches for improved speech and resonance outcomes. A third tutorial described characteristics needed in an evaluation to analyze clinically obtained data for research purposes. The first research article is based in Brazil. It demonstrates positive long-term outcomes in children with hypernasality/velopharyngeal dysfunction using the Sommerlad procedure of palatal re-repair to treat residual velopharyngeal insufficiency. The reported scores were in the categories of: “hypernasality, global impression of velopharyngeal function, and/or active speech symptoms.” Overall, this study shows significant improvement in a large percentage of children, with less effect on older individuals ages 17–22 years. The second research article includes parents from a previously published twocenter study in Ireland and the United Kingdom. The aim was to analyze parents’ experiences with parent-led articulation therapy (PLAT) following in-depth training. After a detailed outline is provided regarding inclusion and teaching of the participants, four main themes are identified. These include growth of parents, undertaking PLAT, changes in children, and the future. Ultimately, the majority of parents are in favor of a parent-led therapy approach with the caveat that in-depth training and direct supervision from a speech-language pathologist is needed. The third article, a tutorial, addresses the research–clinical practice gap. A description is provided of a perceptual speech assessment protocol for cleft palate speech, to enable clinical data to be used for research purposes. The article provides detail related to determining the most appropriate standardized assessment tools as well as the best ways to collect and analyze this data. Further details related to implementation within the clinical setting are outlined. The data is easily accessible through networking between cleft teams and Sweden’s national cleft lip and palate registry, making retrospective research attainable in a clinical setting.
A Review of Recommendations for Families Raising Multilingual Children With Autism and Examining Types of Support Received by Multicultural Individuals Who Stutter
Format(s): SIG Perspectives
This SIG 14 activity reviews recommendations for families raising multilingual children with autism and examines types of support received by multicultural individuals who stutter. Topics include (a) a review of recommendations for families raising multilingual children with autism and (b) concepts of family support in stuttering.
Health Care Utilization Disparities Among Deaf and Hard of Hearing Patients and the Potential Role of Audiologists in Screening for Cognitive Impairment
Format(s): SIG Perspectives
This course contains two articles: one that discusses health care disparities and the need for better communication access for people with hearing loss, and one that addresses the potential role of audiologists in screening for cognitive impairment.
Building Cultural Responsivity in Speech and Language Services for Professionals
Format(s): SIG Perspectives
The theme for this SIG 14 activity is building cultural responsivity in speech and language services for professionals using simulations and factors related to college major selection in communication sciences and disorders. Topics include (a) using simulations for professional development and (b) factors related to college major selection in communication sciences and disorders.
Frontiers in Motor Speech Disorders: What’s New in Assessment and Treatment
Format(s): SIG Perspectives
In this SIG 2 activity, participants explore innovative articles regarding a range of topics in the assessment and treatment of motor speech disorders. The first article describes a case of anarthria in which the speech-language pathologist thoroughly described the patient’s motor speech presentation, thereby contributing to his overall neurologic diagnosis. The second article examines the effects of transcranial direct current stimulation (tDCS), a promising method of eliciting behavior change through brain stimulation, on the speech of individuals with Parkinson’s disease. The third article explores the speech and language profiles of children with apraxia of speech as their primary diagnosis, as compared to children with other concomitant diagnoses.
Clinical Applications of Meta-Therapy in Speech-Language Pathology
Format(s): SIG Perspectives
Meta-therapy is an integral pillar of clinical practice; however, the lack of formal training in this area often makes the concept and application of meta-therapy elusive to clinicians. The goal of this SIG 3 activity is to disseminate how meta-therapy can be effectively utilized in the clinical domains of voice disorders, fluency, dysphagia, and cognitive communication and aphasia.
A Collection of Perspectives in Speech-Language Pathology
Format(s): SIG Perspectives
This SIG 19 activity bundles four articles providing perspectives on a broad variety of topics in speech-language pathology. First, Bunta and Gósy discuss how speech-language pathologists and audiologists could utilize acoustic analyses in their clinical practice. They provide specific examples ranging from aphasia to speech sound disorders and various linguistic contexts to demonstrate the utility of these tools. The authors suggest acoustic analyses can be a valued supplement in clinical evaluations. Next, Diekhoff and Lulich examine speech-language pathology students’ conceptualization and description of American rhotic Sounds. They discuss the differences in descriptions of rhotic sounds by students who had experience with those sounds compared to those who did not have experience with those sounds. The role of direct instruction regarding rhotic shapes is highlighted. Then, Gurevich and Kim discuss quantifying allophonic coverage in commonly used reading passages. In summary, they suggest a need for new speech materials that could provide allophonic coverage. Finally, Jung, Jing, and Grigos investigate the accuracy and consistency of students’ perceptions/ratings of speech errors in children. They report that student clinicians’ ratings matched with expert speech-language pathologists’ ratings with training. The importance and need for listening training in speech-language pathology programs are also discussed.
Clinical Considerations in Older Adults
Format(s): SIG Perspectives
This collection of articles provides valuable information on clinical practice in the elderly, including the relationship between physical frailty and cognitive functioning in older adults, communication challenges in older adults in group care settings and the potential factors that contribute to meaningful interactions and engaged communication in these settings, and the importance of providing graduate students opportunities for skill development for end-of-life situations.
Telepractice Perspectives From Today and Tomorrow: Students, Clinicians, and Beyond the COVID-19 Pandemic
Format(s): SIG Perspectives
The three articles in this SIG 18 activity were selected to provide information on the present and future of telepractice service delivery from the perspectives of current speech-language pathologists and graduate student clinicians. The first article by Page, Hughes, and Woody investigates the initial perceptions of graduate student clinicians following the implementation of telepractice. Findings reveal themes including comparisons between in-person services and telepractice regarding learning technology, managing environmental distractions at home, and caregiver involvement. The second article by Douglass, Lowman, and Causey-Upton provides a metaanalysis study on clinicians’ perceptions of telehealth across disciplines within rehabilitation and other allied health fields. Several themes are identified, including acceptance, lack of telehealth training, and the flexibility of telehealth. The third article by Edwards-Gaither, Harris, and Perry presents a viewpoint for the future of telepractice in speech-language pathology. Challenges and opportunities for the longevity of telepractice service delivery are discussed, including consensus on telepractice terminology, designating a service delivery model, and exploring telepractice occupational culture.
Dysphagia: A Different Take
Format(s): SIG Perspectives
These SIG 13 articles provide helpful information in dysphagia practice. Tasia Gibbons, Sophia Werden Abrams, Nazia Mohsin, Rebekah Guastella, Stefania Oppedisano, and Ashwini Namasivayam-MacDonald endeavor to validate a new device to measure lingual strengthening and swallow function. Kelsey Thompson, Cara McComish, and Suzanne Thoyre’s work aims to introduce dynamic systems theory to pediatric feeding clinicians. Margaret Wright and Justin Sleffel demonstrate the importance of a multidisciplinary team approach and the vital role of speech-language pathologists in the evaluation and treatment of dysphagia of unknown etiology. Hollie-Ann Lee Shortland, Gwendalyn Webb, Anne E. Vertigan, and Sally Hewat aim to explore the use of myofunctional devices and how speech-language pathologists gain better understanding of this modality.
Student Perceptions and Experiences in Communication Sciences and Disorders
Format(s): SIG Perspectives
This SIG 10 activity focuses on student perceptions and experiences. In the first article, the experiences of SLP graduate students who previously worked as Speech-Language Pathology Assistants are compared with students who did not come into their programs with such experience. Implications for prospective students and program development are discussed. Next, authors investigate experiences of students and graduates of clinical doctorate programs, including the application process, their career goals and outcomes, and their general reflections on their decision to pursue the doctor of speech-language pathology degree. Third, authors present an examination of SLPs’ perceptions of graduate students in CSD who speak with vocal fry (a low-pitched, grating voice quality). Finally, in a mixed-method study, graduate and undergraduate students participate in a learning-by-teaching experience in two CSD courses. Three years of data is presented.
Pediatric Hearing Loss Providers’ Points of View: Counseling, Comfort Levels, and Certification
Format(s): SIG Perspectives
These three articles center on aspects of audiology and speech-language pathology providers in pediatric hearing loss. First, “eHealth Coaching: Counseling Characteristics of Coaches Used With Parents” centers on identifying clinician communication behaviors and missed opportunities during an eHealth intervention. Themes were identified within each category. Trends included greater use of close-ended questions over open-ended questions, frequent responses to parent emotions, and engagement in a shared process through providing information and exploring progress on parent goals. Missed opportunities occurred within each category. Coaches' communication behaviors demonstrated support for parent learning that was positively received. Joint planning to address parent challenges was a missed opportunity to support parent behavior changes regarding hearing-aid routines. The aim of “Listening and Spoken Language Specialist Auditory–Verbal Certification: Self-Perceived Benefits and Barriers to Inform Change” was to explore the professional's viewpoint on the path to the Listening and Spoken Language Specialist (LSLS) certification. There were 295 participants from different parts of the world: certified LSLSs, mentees pursuing certification, and professionals interested in certification. The study addressed motivation, self-perceived gains, challenges, and barriers in an international cohort. The purpose of the study was to guide future changes within the certification system. Several indicators pointed to the need for more awareness of significant gains LSLS certification can bring to professionals. There is also a need to address, minimize, and overcome perceived barriers in the process. Similarly, research is warranted to explore obtaining LSLS certification outside English-speaking countries and with a larger, more population-based sample. In the closing article, “Comfort Levels of Providers Serving Children Who are Deaf/Hard of Hearing: Discrepancies and Opportunities,” Blaiser and Mahshie discuss that while best practice outlines specific skills and expertise from highly qualified providers, in reality, many lack confidence related to hearing technology and resources related to serving children who are deaf/hard of hearing (DHH). The study surveyed 459 professionals in ASHA serving children who are DHH. The intent was to compare differences in confidence, training, and using resources between providers who have a self-selected interest in working with children who are DHH (membership in SIG 9) and those who serve children who are DHH and are not part of the hearing-related SIG. The results indicate that there is limited provider confidence in working with this population. These conclusions provide graduate training programs opportunities to explore provision of more intensive, comprehensive experience to better serve children who are DHH.
Mindfulness, Quality of Life, and the Impact of COVID in CSD Programs
Format(s): SIG Perspectives
This SIG 10 activity includes four articles exploring mindfulness, quality of life, and the impact of COVID in CSD programs. In the first article, outcomes are studied when graduate SLP students engage in a remote synchronous mindfulness program (RSMP). In the second article, a tutorial for contemplative pedagogy in CSD classrooms is introduced. Next, the quality of life and sleep among Brazilian SLP students during the COVID-19 pandemic is explored. The last article describes an exploratory study characterizing CSD doctoral students’ experiences during the COVID-19 pandemic.
Student Learning in the Field of Communication Sciences and Disorders
Format(s): SIG Perspectives
In this SIG 10 activity, Farrugia explores the preparatory experiences of SLPs working in early intervention (EI) in Michigan, as a first step toward understanding how to best prepare students for practice and on-the-job learning in EI. McDaniel, Hessling Prahl, and Schuele provide a tutorial for a PhD Student–Mediated Mentorship Model (PSMMM) used within their lab. The PS-MMM teaches PhD students to be research mentors, encourages graduate clinicians to transition to research and doctoral training, and aims to increase the research experiences available to undergraduate and graduate students. Ronney and Kirby offer a critical review regarding service-learning with audiology students and their clients/patients. They describe best practice and common challenges to inform future research. Finally, Brackenbury and Kopf describe how game-based learning can facilitate student and client instruction through increased motivation and engagement, including suggestions for implementation in classroom and clinical settings.
Insights From School-Based Professionals on the Role and Services of SLPs
Format(s): SIG Perspectives
This SIG 16 Perspectives course includes recent research that focuses on the relationships between SLPs and other school professionals. Articles explore the collaborative relationship between SLPs and classroom teachers; teachers' perspectives and the SLP’s role in supporting students with autism in the classroom; and school principals' perspectives, including their perceptions of integrated classroom-based services (ICBS).
Language Sample Analysis
Format(s): SIG Perspectives
This course is based on a recently published SIG 1 Perspectives forum, Language Sample Analysis Tutorials. The articles in the forum focus on three types of language sample analysis and best practices for conducting them utilizing the Computerized Language Analysis (CLAN), Systematic Analysis of Language Transcriptions (SALT), and Sampling Utterances and Grammatical Analysis Revised (SUGAR).
Use of Single-Subject Design in Clinical Education and Supervision
Format(s): SIG Perspectives
This SIG 11 Perspectives activity addresses the use of single-subject design in clinical education and supervision. In this article, the authors highlight the suitability of single-subject experimental design (SSED) to clinical practice research, particularly within supervisory settings. This practical tutorial provides examples of SSED and suggests possible research topics relevant to clinical education and supervision.
Stuttering Evaluation & Treatment: Best Practices, Practical Ideas, & Telehealth
Format(s): SIG Perspectives
In this SIG 4 activity, authors describe ways to (a) increase speech-language pathologists’ comfort with treating stuttering by providing a structured grouping of activities centered around using education, ease, and empowerment (Gore & Margulis); (b) continue using empirical evidence and clinical experience to make informed decisions about assessment procedures for young children who stutter (Singer & Kelly); and (c) provide holistic speech-language therapy services for stuttering using telehealth (McGill & Schroth). Each of these articles provides practicing clinicians ways to gain confidence in their abilities to provide evaluations and treatment across delivery paradigms.
Living With Stuttering: Parent Perceptions and Talking for Me
Format(s): SIG Perspectives
In this SIG 4 activity, authors detail the myriad of ways that stuttering can influence aspects of life, from parents’ differing perceptions of their child who stutters (Mostafa, St. Louis, El-Adaway, Emam, & Elbarody), to completion of turns by people who do not stutter when the person who stutters experiences stuttering (Kondrashov & Tetnowski). These articles help readers understand the pervasive nature that stuttering exerts on the lives of people who stutter across the lifespan.
Multicultural Considerations in Language Assessment and Autism Screenings
Format(s): SIG Perspectives
The theme for this SIG 14 course is multicultural considerations in language assessment and autism screenings. Specific topics include: assessing article production accuracy in an Arabic-English speaking child as well as examination of the utility of the Vietnamese language version of the Modified Checklist of Autism in Toddlers-Revision with Follow-Up (M-CHAT-R/F) for screening Vietnamese children for autism risk.
Preparing Foundations for Success, Support, and Change
Format(s): SIG Perspectives
In this SIG 4 activity, authors explore ways to provide experiential learning to graduate students enrolled in stuttering courses (Palasik, Hughes, & Ellis) and discuss the clinical experiences of school-based speech-language pathologists related to stuttering (Panico, Daniels, Yarzebinski, & Hughes), strategies for teachers to support children who stutter (Cozart & Wilson), and ways to interrupt the narrative of ableism that surrounds the treatment of stuttering (Gerlach-Houck & Constantino). Each of these articles provides a unique perspective on ways that professionals can seek to create a more supportive environment for our clients who stutter by changing the foundations of the way we teach preservice clinicians, support our school-based colleagues, and address the narrative of ableism that pervades our culture.
Bilingual Parents’ Experiences Receiving Advice Regarding Language Use and Perspectives Related to Multicultural Training With SLPs
Format(s): SIG Perspectives
The theme for this SIG 14 activity is bilingual parents’ experiences receiving advice regarding language use and perspectives related to multicultural training with SLPs. Topics include: examining the advice parents of bilingual children received from health care professionals and teachers regarding the language(s) their children should learn and use, as well as assessing whether SLPs feel adequately prepared to interact with, assess, instruct, or treat multicultural clients.
Special Topics in Service Delivery and Advocacy for People With Aphasia
Format(s): SIG Perspectives
This SIG 2 activity, participants explore aspects of service delivery and advocacy for people with aphasia that are innovative and/or unique. The first article describes the creation of community aphasia groups and includes guidance for creating aphasia-friendly materials for a variety of purposes. The second article describes the challenges of people with aphasia in navigating the justice system and discusses strategies to support their success within that unique environment. The third article describes the nature of verbal short-term memory impairment in people with aphasia, methods of assessment, and potential directions for treatment.
Language and Literacy in Individuals with Intellectual Disability
Format(s): SIG Perspectives
This SIG 1 Perspectives activity focuses on assessing and treating students with intellectual disability (ID) in the areas of language and literacy. The first article discusses the primary components of a parent-implemented language intervention for children with fragile X syndrome. The second article discusses emergent and conventional literacy skills and the strengths and challenges in reading and spelling for adolescents with ID. The third article describes the key components and modifications that can be utilized in narrative interventions when working with individuals that are diagnosed with intellectual and developmental disabilities. The final article provides the parents’ perspectives of the home and school literacy experiences of children with ID in preschool.
Audiologic Variability Among Patients Undergoing Cisplatin Treatment
Format(s): SIG Perspectives
The article in this SIG 6 activity focuses on the audiologic variations seen among patients undergoing the same type of ototoxic drug treatment (cisplatin). Results show a large amount of audiologic outcome variability among the two patients examined, despite similar demographic factors, drug treatments, and types of cancer. Factors relating to ototoxic susceptibility are discussed, and the importance of otoxicity monitoring programs for early detection of audiologic change is highlighted.
Addressing Current Demands in Geriatric Care: COVID-19 and the Workforce
Format(s): SIG Perspectives
This course contains four articles that address current demands in geriatric care, including impacts of the COVID-19 pandemic and the shifting demographics reflecting an aging population.
Broad Perspectives in Speech-Language Pathology
Format(s): SIG Perspectives, SIG Perspectives
This SIG 19 activity bundles four articles providing perspectives on a broad variety of topics in speech-language pathology. First, Holt provides an overview of current and historical discussions of gender and race, challenging the reader to accept that one’s perspective is indebted to a specific belief system. Readers are to evaluate how gender and race are used to categorize people and examine whether a member of a marginalized or minoritized group affects that person’s access to or use of intervention services. Next, Cox and Koenig define speech privacy and provide a brief history and applications in the health care setting. A general perspective is outlined, including threats to speech privacy, and speakers who use an electrolarynx are used as an example to highlight specific issues clinicians may encounter. Ramanarayanan et al. discuss the use of speech as a biomarker in therapy and research. In summary, robustness of analytics—specificity, diversity, and physiological interpretability—must be further developed. Finally, Weerathunge, Tomassi, and Stepp review a number of populations with voice disorders that have been studied using altered auditory feedback. Many have hyperactive auditory feedback responses and the differing underling reasons are reviewed. Therapy considerations are also described.
SIG Perspectives
Member: $45.00
Nonmember: $59.00
SIG 19 Affiliate: $5.00
SIG Perspectives
Member: $69.00
Nonmember: $77.00
SIG 19 Affiliate: $5.00


Broad Perspectives in Speech-Language Pathology
Format(s): SIG Perspectives, SIG Perspectives
This SIG 19 activity bundles four articles providing perspectives on a broad variety of topics in speech-language pathology. First, Holt provides an overview of current and historical discussions of gender and race, challenging the reader to accept that one’s perspective is indebted to a specific belief system. Readers are to evaluate how gender and race are used to categorize people and examine whether a member of a marginalized or minoritized group affects that person’s access to or use of intervention services. Next, Cox and Koenig define speech privacy and provide a brief history and applications in the health care setting. A general perspective is outlined, including threats to speech privacy, and speakers who use an electrolarynx are used as an example to highlight specific issues clinicians may encounter. Ramanarayanan et al. discuss the use of speech as a biomarker in therapy and research. In summary, robustness of analytics—specificity, diversity, and physiological interpretability—must be further developed. Finally, Weerathunge, Tomassi, and Stepp review a number of populations with voice disorders that have been studied using altered auditory feedback. Many have hyperactive auditory feedback responses and the differing underling reasons are reviewed. Therapy considerations are also described.
SIG Perspectives
Member: $45.00
Nonmember: $59.00
SIG 19 Affiliate: $5.00
SIG Perspectives
Member: $69.00
Nonmember: $77.00
SIG 19 Affiliate: $5.00


Pathways to Specializing in Voice and Upper Airway Disorders: Multiple Perspectives
Format(s): SIG Perspectives
It is well known within our field that identifying voice and upper airway specialized training opportunities and subsequent positions is challenging, competitive, and sometimes elusive. In this SIG 3 activity, various pathways to specializing in voice and upper airway disorders are explored from the viewpoint of different authors at various stages of their careers. The hope is to make the process of specialization more transparent and share components that have contributed to success, while also highlighting the diversity of training and experience that is so important in our field.
Special Populations in Dysphagia Management: COVID-19, Feeding Disorders, Drug Use, and Burn Care
Format(s): SIG Perspectives
These four SIG 13 articles provide information for dysphagia practice. They address a unique array of special populations and challenges in patient care involving swallowing and feeding difficulties.
Self-Reported Confidence and Knowledge in Working With CLD Populations and Considerations for Assessment in Individuals Who Speak Languages Other Than English
Format(s): SIG Perspectives
The theme for this SIG 14 activity is self-reported confidence and knowledge between multilingual and monolingual speech-language pathologists in working with culturally and linguistically diverse (CLD) individuals and assessment considerations when working with individuals who speak a language other than English. Topics include (a) examining differences between self-reported confidence and knowledge in multilingual and monolingual speech language pathologists; (b) nonword repetition in assessment; and (c) sound sequencing characteristics in words of children who speak German.
Approaches to Auditory Rehabilitation for Adult Cochlear Implant Recipients
Format(s): SIG Perspectives
These SIG 7 Perspectives articles focus on auditory rehabilitation (AR) for adults with cochlear implants. While the benefits of AR in the population are recognized in the literature, service-delivery models are variable, and there is no gold standard approach to developing and implementing a comprehensive AR program. Glade and colleagues provide an overview of clinical models currently being used for the provision of AR for adults with cochlear implants from nine clinics across the country. The article highlights the importance of interprofessional practice in AR and outlines the roles of professionals included on care teams. There is a discussion about barriers to successful implementation of AR programs, including distance to services, and recommendations for potential solutions, such as teletherapy. In the second article, Mosley describes the process of creating and implementing a comprehensive teleaudiology AR program for older adults who use cochlear implants at the University of South Alabama Speech & Hearing Center.
Creative Solutions to Global Issues in Audiology and Speech-Language Pathology
Format(s): SIG Perspectives
In an ever-changing global landscape, it is pertinent that audiologists and speech-language pathologists “account for the complexity and diversity of healthcare contexts” (as stated in the second article by Pillay and Pillay). Pressing concerns related to advancing technology (artificial intelligence and machine learning), culturally responsive practice, and rapid climate change are all trending societal conversations. This SIG 17 self-study explores creative solutions to pressing global issues that impact the field of audiology and speech-language pathology. Topics presented include key ethical concerns regarding hearing aids with machine learning, a novel culturally responsive framework for contextualized clinical reasoning, and the impact of climate change on communication and swallowing disorders.
Supervision: Addressing Emotional Resilience, Reflection, & Cultural Competence
Format(s): SIG Perspectives
This SIG 11 Perspectives activity addresses aspects of clinical supervision and administration beyond the “Big Nine” clinical competencies. In the first article, the author discusses the significance of emotional resilience and provides practical strategies to encourage resiliency in supervisees. The second article explains the significance of cultural competence and the value of open conversations within supervisory relationships. Finally, the third article highlights key skills used in intentional and reflective supervision.
Telepractice & Audiology Services: International, Parental, & Practitioner Views
Format(s): SIG Perspectives
The first article in this SIG 18 activity investigates the applications speech-language pathologists (SLPs) and audiologists used most frequently during the beginning of the COVID-19 pandemic. It also discusses the main obstacles to providing speech, language, and hearing services through telepractice. Through the international distribution of an electronic survey, a total of 1,466 surveys from SLPs and audiologists from 40 countries were used for the analysis. The second article discusses the Auditory Verbal UK's training program for prospective listening and spoken language specialist certified auditory verbal therapists delivered globally via telepractice. The article explores, from a global perspective, audiology and early intervention services and perspectives regarding telepractice. The third article explores parents' and therapists' views of the benefits and challenges of telepractice for early intervention for children who are deaf or hard of hearing during the COVID-19 pandemic. Through survey and analysis, the article probes the views of parents, Listening and Spoken Language Specialist Certified Auditory Verbal Therapists in using telepractice to deliver auditory verbal sessions.
A Trio of Articles: Students' Perspectives After Cued Speech Course, Barriers to Equity in Pediatric Hearing Health Care, and Assessing American Sign Language Across Clinical Settings
Format(s): SIG Perspectives
This trio of SIG 9 articles provides the reader with three diversely focused topics related to pediatric hearing and hearing disorders. These range from a review of barriers to equity in pediatric hearing health care, to students’ perspectives on preservice education about cued speech, and then how practitioners measure receptive and expressive American Sign Language (ASL). The review, “Barriers to Equity in Pediatric Hearing Health Care: A Review of the Evidence,” explores data to suggest that hearing health care disparities constitute a major factor in loss to follow-up or documentation for children going through the Early Hearing Detection and Intervention process. Underlying disparities are multifactorial and result in delayed care and suboptimal developmental outcomes for children who are deaf or hard of hearing. “ASL Assessment in Practice: Assessing American Sign Language Across Clinical Settings” discusses exploratory research to investigate what assessment tools professionals use in measuring receptive and expressive ASL. Conclusions indicate that there is variable access and knowledge for appropriate assessment measures in ASL. “The Effect of a Graduate Course in Cued Speech on Students' Perspectives: A Pilot Study” is a pilot study investigating the beliefs and attitudes in Deaf Education related to a course on cued speech. The investigation revealed that a single course in the approach could influence student perspectives on cued speech and other Deaf Education instructional approaches.
Cleft Lip and Palate Care and the Opioid Crisis
Format(s): SIG Perspectives
This SIG 5 activity analyzes the relationship between the opioid crisis and cleft lip and palate care across the life span. Two main themes of prevention and treatment after exposure are explained. The articles outline alternatives to opioid use after cleft-related surgeries, impacts on infants and children who were exposed in utero, and velopharyngeal insufficiency treatment after substance abuse.
Current Issues in Augmentative and Alternative Communication
Format(s): SIG Perspectives
These SIG 12 Perspectives articles provide information on current issues associated with visual processing of augmentative and alternative communication (AAC) displays for people with traumatic brain injury, assessment of the expressive language abilities of Spanish-speaking children who rely on AAC, and culturally sensitive approaches to aided language modeling. Readers will be more adept at designing effective AAC displays for adults with traumatic brain injury and at providing AAC services to children from multilingual and multicultural backgrounds.
Holistic Admissions in CSD Programs
Format(s): SIG Perspectives
In this SIG 10 activity, authors explore holistic admissions in CSD programs. Carmichael, Mandulak, and Watkins provide a tutorial for incorporating interviews during the admissions process. Scheer-Cohen, Heisler, and Moineau outline an approach to holistic admissions that includes a video response to a question, an informal group interview, a live lecture with an assessment, a simulation, content quiz, a writing prompt, and an individual live interview. Reisfeld and Kaplan provide a systemic review of admission measures that may be used to predict graduate students’ clinical skills. Finally, Newkirk-Turner and Hudson explore the dangers of unconscious bias in letters of recommendation for graduate admissions.
Paradigm Shifts in Culturally Relevant Family-Centered Intervention/Instruction
Format(s): SIG Perspectives
The theme for this SIG 14 activity is clinical considerations through paradigm shifts in providing culturally relevant family-centered intervention and instruction. Topics include (a) providing culturally relevant family centered care; (b) second language literacy instruction for multilingual adolescents; and (c) impacts of study abroad experiences on students’ intercultural competence.
Community-Based Group Therapy for African American Elders and Public Health Frameworks in Education
Format(s): SIG Perspectives
In “Coupling Hearing Health With Community-Based Group Therapy for Cognitive Health in Low-Income African American Elders,” Postman et al. describe a community-based group intervention to address disparities experienced by African American elders in the early stages of cognitive–communicative decline. The intervention included partnerships with community health centers, culturally informed activities, and ongoing input from staff and participants. The authors describe the advantages of this community-engaged approach, as well as the benefits of joining hearing and cognition for minimizing access barriers. In “Public Health Frameworks in Audiology Education: Rationale and Model for Implementation,” Warren and Levy review how public health education can advance the field of audiology, particularly through coursework and dual degree programs. The authors also describe two frameworks for public health training in an audiology academic setting and identify the competencies that overlap in audiology and public health, helping to illustrate the relevance of public health education in addressing objectives in hearing health care.
Clinical Impact of Research
Format(s): SIG Perspectives
These SIG Special Topics articles provide guidance to current and future researchers in communication sciences and disorders about how to maximize the clinical impact of their research. Utianski et al. describe clinical practice research and the current barriers to it, while highlighting initiatives researchers can take advantage of. Douglas et al. define knowledge brokering and outline the roles of organizations and individuals who take on that job. Then, Davidson and colleagues offer researchers concrete steps for using social media to enhance impact. Finally, Nicholson and Smith review both traditional science impact metrics and alternative metrics and offer concrete recommendations for documenting clinical impact for use in one’s CV or career advancement materials.
Predictors of Caseload Size and Articulation Intervention
Format(s): SIG Perspectives
This SIG 16 Perspectives activity includes research that focuses on caseload issues and articulation intervention. Articles discuss the relationship between school factors and speech-language therapy enrollment in public schools; the efficacy of using the SATPAC (Systematic Articulation Training Program Accessing Computers) approach with children receiving intervention through response to intervention; and the effectiveness of biofeedback technologies as a form of intervention for speech sound production.
Dysphagia in Practice: Thickening Practices, Family-Centered Care, & Early Intervention
Format(s): SIG Perspectives
This collection of SIG 13 articles addresses popular topics in dysphagia care throughout the life span regarding thickening practices, family-centered care, and early intervention. Jane Mertz Garcia, Edgar Chambers IV, and Anna Boyer utilized a survey to re-examine practice patterns for thickened liquids and provided a comparison of past practices with current to provide insight into contemporary themes that have previously not been considered. Doreen Benson and George Barnes explore the utility of a mathematical prediction model (Bayes theorem) in dysphagia management. Samantha E. Shune, Deanna Linville, and Ashwini Namasivayam-MacDonald address maximizing treatment effectiveness by using an approach with family resiliency and adaptation. Drawing from the principles of family systems theory and the biopsychosocial-spiritual framework, they use a case study as a tutorial to explore the application of family-centered care models to dysphagia management. Stephanie C. Cohen and Karen Dilfer focus on the definition of pediatric feeding disorder (PFD) and the multifaceted needs of families and children in early intervention, support for use of responsive feeding in treatment of PFD, alignment of responsive feeding strategies with early intervention principles, and barriers limiting access to consistent, high-quality early intervention services for children with PFD.
Foundations of Stroboscopic Interpretation and Clinical Cases
Format(s): SIG Perspectives
In this series of SIG 3 articles, a foundation for laryngeal endoscopic imaging and interpreting videostroboscopic parameters is provided. These concepts are then put into practice in the context of three case studies focused on muscle tension dysphonia, bilateral vocal fold lesions, and vocal fold immobility. In the cases, auditory perceptual analysis, acoustic and aerodynamic measures, and candidacy for voice therapy are assessed in addition to videostroboscopic parameters. Video and audio examples are included to provide an interactive experience for the reader.
Autism and Telepractice
Format(s): SIG Perspectives
This SIG 1 Perspectives activity focuses on how to work with students with autism spectrum disorders (ASD) and their caregivers via telepractice. The first article provides five practical tips for supporting families of children with ASD while implementing effective interventions via various telepractice modalities. The second article reviews the feasibility of implementing telehealth programs related to behavioral interventions for families and their children with ASD. The third article explores the usability of a web-based application of the JASPER social communication intervention. The fourth article discusses the results of a survey completed by speech-language pathologists who utilized telepractice to teach children with autism to access and use augmentative and alternative communication devices. The final article shares current available research related to the barriers of and solutions to conducting telehealth assessment and interventions for families and their students with ASD.
Considerations for Dysphagia Intervention in the Hospital: Adult and Pediatric
Format(s): SIG Perspectives
This SIG 13 collection of astute articles provides information regarding managing and treating dysphagia in the hospital for both adult and pediatric patients. Nalia GurgelJuarez and colleagues explore the frequency of oral care based on staff adherence to oral care policies. Rebecca Smith et al. investigate the quality-of-life impacts of dysphagia and its interventions on mealtimes using the Swallowing Quality of Life Questionnaire and the Eating Assessment Tool. Jessica L. Rice and Maureen A. LeftonGreif review high-flow nasal cannula mechanisms of action, its use in specific populations and settings, and what is known about initiation of feeding during this therapy. Finally, Donna Edwards and colleagues explore the impact of COVID-19 on modifications in clinical practice related to pediatric feeding disorders and dysphagia via telehealth.