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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.
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 SIG 1 activity focuses on best practices, perspectives, and challenges in the assessment and intervention of developmental language disorders (DLD) in culturally and linguistically diverse (CLD) populations. The first article provides clinicians and researchers with resources to interpret and use common standardized language assessments in English for CLD school-age youth. The second article introduces the online program, Video- and App-Based Language Instruction (VALI), to increase caregivers’ use of language-promoting strategies in everyday activities with Spanish infants and toddlers. The third article discusses how to most effectively treat bilingual children and plan treatment to promote progression in both languages.
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.
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.
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.
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).
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.
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.
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.
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
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.
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.
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.
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.
Telepractice and Kids: Lessons From Remote Service Delivery During the Pandemic
Format(s): Journal (Online)
The articles in this journal self-study explore the effects of remote audiology and speech-language service delivery for children during the COVID-19 pandemic. The articles identify and describe experiences with remote service delivery, discuss the impacts on children, and focus on what has been learned. The articles highlight future research and practical takeaways audiologists and speech-language pathologists can use to provide and expand quality services via telepractice moving forward.
Hearing Health and Care During the COVID-19 Pandemic
Format(s): Journal (Online)
The articles in this journal self-study explore research related to various aspects of hearing health and care during the COVID-19 pandemic. Specific topics include: supporting individuals with tinnitus, teaching students about noise-induced hearing loss, and understanding pandemic-related disruptions to hearing abilities and care. Audiologists will take away information they can apply as the pandemic and audiology practice continue to evolve.
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.
Assessment and Treatment Considerations
Format(s): SIG Perspectives
The first two articles in this SIG 19 activity provide information to better our assessment and treatment of individuals in the area of voice, while the latter two articles focus on treatment of individuals in the area of speech production. The authors for all four articles present a review of the literature as well as challenges and future directions. First, Van Hook and Duffy conducted a pilot study to trial the Gender Spectrum Voice Inventory. This article provides a review, discussion of validity, and speech-language pathologists’ perceptions of the inventory in an effort to address a gap in available clinical tools for transgender and nonbinary people. Next, Hammer reviews the relationship between air flow with sound pressure level during syllable production while holding fundamental frequency and subglottic air pressure constant. The results have clinical implications that stress the importance of an increase in air flow and focus on vocal fold contact. Then, Gritsyk et al. describe their study to determine which measures of somatosensory acuity best predicted change in production accuracy during vowel learning tasks while controlling auditory acuity. Results indicate only bite block adaptation with auditory masking was significantly associated with performance. Finally, Zajac et al. discuss their preliminary study that indicated cleft type contributes to production errors, specifically backing, in children with repaired cleft palate. Additionally, a history of otitis media affects the spectral contrast of alveolar consonants in children without clefts.
Counseling in Acquired Brain Injury
Format(s): SIG Perspectives
These SIG 2 Perspectives articles focus on counseling skills for working with persons with aphasia, “counseling+” activities for patients with mild cognitive impairment and dementia, and resilience in neurorehabilitation. Topics include counseling skills; counseling roles of SLPs; care partner training; and resilience in persons with acquired brain injury, aphasia, dementia, and Alzheimer’s disease.
Ethical Challenges in Various School-Based Scenarios
Format(s): SIG Perspectives
This SIG 1 activity focuses on ethical challenges that audiologists and SLPs may face in various school-based scenarios. A 5-step ethical decision-making approach is presented. An ethical decision-making model is used to help prepare clinicians for the ethical continuation of telepractice in schools. Some thoughts and tools for connecting ethical practices with the provision of culturally sensitive/responsive services are provided.
Adult Dysphagia Management: Diet, Sleep Apnea, Intensive Care Unit, and Dementia
Format(s): SIG Perspectives
This quartet of SIG 13 articles provides information regarding managing and treating dysphagia in the adult population. Caileen Harvey, Rachel Flemming, Julia Davis, and Victoria Reynolds investigate International Dysphagia Diet Standardisation Initiative implementation issues by surveying health care professionals in health care facilities in rural Upstate New York. Ankita M. Bhutada, William A. Broughton, Brenda L. Beverly, Dahye Choi, Sandip Barui, and Kendrea L. (Focht) Garand aim to identify the prevalence of dysphagia and reflux reported symptoms in patients with obstructive sleep apnea syndrome and determine associations between symptoms and demographic and clinical variables. Stevie Marvin summarizes published research on screening, evaluating, and treating post-extubation dysphagia in the intensive care unit. Rebekah Guastella, Stefania Oppedisano, Luis F. Riquelme, and Ashwini M. Namasivayam-MacDonald study bolus location at swallow onset, stage transition, pharyngeal transition duration, pharyngeal response duration, and pharyngeal phase duration between cued and uncued swallowing conditions in patients with dementia.
Clinical Practice Considerations: COVID-19, Word Retrieval, and Tinnitus
Format(s): SIG Perspectives
Three clinical practice considerations are reviewed within this course, including communication with patients/families in the face of the COVID-19 pandemic, identification of word finding errors in normally aging individuals, and how to address severe tinnitus.
Executive Functions and Language: Self-Talk, Syntax, Semantics, and Strategies for Planning and Self-Regulation
Format(s): SIG Perspectives
This SIG 1 Perspectives activity focuses on the relationship between language and executive function (EF) in children with specific language impairment (SLI) and/or developmental language disorder (DLD). A clinical model of language therapy for adolescents with DLD and concomitant EF deficits was proposed. Finally, a theoretical framework for understanding and promoting metacognition and EF as part of assessment and treatment plans for speech-language pathologists was discussed.
Techniques for Designing Courses, Examining Preferences, and Conducting Experiential Learning
Format(s): SIG Perspectives
Pedagogical practices in communication sciences and disorders have grown thanks in part to innovative techniques from other fields. The articles in this activity each present models that can be successfully incorporated into our discipline. Slavych describes models of backward course design—course development that starts by focusing on learning outcomes before considering content or teaching methods. Squires and Squires introduce best–worst scaling, a method for examining group preferences, and reported on how it can inform admissions practices. Speights Atkins et al. describe models of mentoring undergraduate research experiences and their applications in two communication sciences and disorders research labs. Finally, Perryman et al. examine the effects of a mixed-reality simulation in which actors playing parents interacted through computer avatars with undergraduate students carrying out clinical procedures.
Educational Needs Assessments Within Communication Sciences and Disorders
Format(s): SIG Perspectives
The articles included here examine the current state of education of three topics within our discipline. DeJarnette and Wegner report on the classroom and clinical training that graduate students in speech-language pathology receive in augmentative and alternative communication. Domholdt and Billings identify associations and disconnects within graduate programs’ interests and practices in teaching population health concepts—that is, clinical care regarding communities and large systems. Finally, Tucker et al. examine practicing audiologists’ and speech-language pathologists’ interests in obtaining a research-based PhD in communication sciences and disorders and barriers to starting and completing a doctoral program.
Examining Challenges for Faculty and Students in Communication Sciences and Disorders Programs
Format(s): SIG Perspectives
The theme for this SIG 14 activity is examining challenges for faculty and students in communication sciences and disorders (CSD). Topics include (a) challenges faced by academic mothers in CSD programs; (b) challenges faced by faculty of color in CSD departments; and (c) examining microaggression endorsement in CSD students.
Clinical Considerations for Working With Multicultural Populations in Schools and in the Community
Format(s): SIG Perspectives
The theme for this Perspectives activity is clinical considerations for working with multicultural populations in schools and the community. Topics include (a) assessment practices for multilingual children in schools, (b) school-based speech language pathologists working with interpreter-translators, and (c) factors associated with clear speech and accentedness in American English.
Interventions to Improve Conversation and Discourse Production for People With Aphasia
Format(s): Journal (Online)
This journal self-study includes select papers on conversation and discourse production that were presented at the 49th Clinical Aphasiology Conference (2019) in Whitefish, Montana. The articles reflect the current state of research on treatments to improve conversation and discourse production for people with aphasia.
Targeting Literacy-Related Skills of Children With Autism
Format(s): Journal (Online)
The articles in this journal self-study discuss the literacy difficulties many children with autism spectrum disorder (ASD) experience, with direct clinical implications for literacy assessment and intervention. The articles, which apply to children across the age spectrum, are from a 2021 forum published in Language, Speech, and Hearing Services in Schools, titled “Literacy in Autism—Across the Spectrum.”
COVID-19: A Global Perspective
Format(s): SIG Perspectives
These SIG 17 Perspectives articles focus on the impact of the COVID-19 global pandemic on service provision and student training in four global contexts: Cyprus, South Africa, the United Kingdom, and the United States. Topics include the rise of telesupervision, telepractice in speech-language pathology (SLP), and distance learning in Cyprus during COVID-19; the effectiveness of SLP and related service treatment of patients with COVID-19 in an inpatient rehabilitation setting in the United States; the impact and transformation of an SLP university program in South Africa due to COVD-19; and the perspectives of parents/caregivers on SLP service provision during the pandemic for children born with cleft palates in the United Kingdom.
Contemporary Issues: Augmentative & Alternative Communication Service Provision
Format(s): SIG Perspectives
These SIG 12 Perspectives articles provide information on current issues associated with display design and image complexity for individuals with cortical visual impairment and an in-depth overview of telepractice for people who rely on augmentative and alternative communication. Readers will be more adept at assessing and assisting children with cortical visual impairment and will have a better understanding of telepractice methods that can be used to improve virtual service delivery.
Promoting Mental Health for School-Based Speech-Language Pathologists & Students
Format(s): SIG Perspectives
This SIG 16 Perspectives course highlights some of the realities faced by school-based SLPs and their students. Articles discuss the challenges that are all too often experienced by SLPs and our students, as well as recommendations for how to increase satisfaction with school-based positions, reduce burnout, and increase the mental health, representation, and motivation of our students.
Expanding Educational Opportunities in CSD Programs
Format(s): SIG Perspectives
In this activity, four recent SIG 10 articles are presented. First, Domsch, Stiritz, and Huff utilized a mixed-methods design to examine the cultural awareness of students in communication sciences and disorders (CSD) during and after a study-abroad experience. Next, Franca, Boyer, and Pegoraro-Krook explored activities designed to promote cultural and clinical competence in a collaboration between CSD programs in the United States and Brazil. Then, Veyvoda and Van Cleave reviewed the literature on service-learning and community-engaged learning, described how these approaches could be used in distance-learning modalities, and explored how doing so could be accomplished during and after the COVID-19 pandemic. Finally, Towson et al. studied the effectiveness of coaching paired with the use of a mixed-reality simulator as CSD students practiced interprofessional communication skills in role-play scenarios.
Clinical Considerations for Children and Adults From CLD Backgrounds
Format(s): SIG Perspectives
The theme for this Perspectives course is clinical considerations in assessment of children and adults from culturally and linguistically diverse (CLD) backgrounds and providing culturally supporting treatment settings. Topics include (a) acoustic parameters of retroflex sounds, (b) the two-question method for assessing gender identity, (c) assessment recommendations for new language learners, and (d) creating culturally supportive settings to foster literacy development.
Advances in Hearing Diagnostics, Treatment, & Prevention
Format(s): SIG Perspectives
These three articles describe current issues and advances related to hearing diagnostics, treatment, and prevention. The first article is a detailed description of the impact that COVID-19 face masks and social distancing regulations have had on speech recognition and how face masks affect the acoustic signal and increase cognitive effort in listeners with hearing loss. Suggestions for mitigating these deleterious impacts on communication are provided. The second article is a research study examining the correlation between self-perceived hearing difficulty, determined using a questionnaire (Adult Auditory Performance Scale), and speech-in-noise performance (Listening in Spatialized Noise–Sentences Test) in listeners with normal pure-tone thresholds. Results highlight the relationship between self-perceived hearing abilities and binaural speech-in-noise performance supporting the inclusion of speech-in-noise testing even in those with normal pure-tone thresholds. The third article is a review of current genetic, stem cell, and pharmacotherapy research for treatment and prevention of hearing loss. Animal models are discussed, as well as steps to translate this research into clinical practice.
Emerging Tools and Methodologies in Teleaudiology
Format(s): Journal (Online)
Even before the COVID-19 pandemic required clinicians to rapidly adapt their practice for remote service provision, researchers were already exploring effective telehealth approaches for audiology. The articles in this journal self-study (selected from a special issue of the American Journal of Audiology, “4th International Meeting on Internet and Audiology”) examine teleaudiology tools and methodologies for hearing screenings, home-based auditory assessment for people who use cochlear implants, assessing hearing aid outcomes using ecological momentary assessment (EMA), and a tool for evaluating hearing aid performance.
Quality of Life in Communication Among the Elderly
Format(s): SIG Perspectives
This course is composed of three articles that center around quality of life: at end of life, following a stroke, and among individuals with voice disorders.
Education, Considerations, and Techniques in Gender Affirming Voice Care
Format(s): SIG Perspectives
In this series of articles, the need for clear guidelines in graduate education on the topic of transgender voice and communication is explored through an e-survey. Considerations for culturally competent voice care is presented in the context of two case studies. Case studies are also used to highlight the importance of an interdisciplinary gender affirming approach for successful voice care with adolescence. In the final article, a voice technique is adapted for voice masculinization.
Communication Choice and Agency: Thinking Beyond  Spoken Language for Individuals on the Autism  Spectrum
Format(s): SIG Perspectives
This Perspectives activity focuses on communication choice and agency for individuals on the autism spectrum. These individuals are the key informants in decisions around the conceptualization, implementation, and evaluation of educational programming for autistic learners. Speaking autistic adults encourage families, professionals, and society to promote and accept all communication as equal.
Childhood Maltreatment Consequences on Social Pragmatic and Literacy Skills
Format(s): SIG Perspectives
This activity focuses on the childhood maltreatment consequences on social pragmatic communication. Based on a complex family and social conception of neglect, a logical model illustrating public health services for children experiencing neglect is proposed. The role of speech-language pathology in prevention, policy, and practice is outlined. The importance of assessing the narrative language of children exposed to complex trauma is also emphasized.
Clinical, Research, Linguistic, and Technical Considerations in Telepractice
Format(s): SIG Perspectives
This activity presents a variety of topics related to telepractice service provision. The first article offers a case study on the effects of a hybrid telepractice/onsite treatment program for a child who stutters. The following article discusses common technical issues encountered during telepractice and a process for managing them with English- and Spanish-speaking clients. The final article details the findings of a study on integrating technology through telepractice to support clients with dementia.
Speech Science Views and News
Format(s): SIG Perspectives
This activity presents a diverse perspective, including four different speech science articles focused on a variety of topics. Kimball and Sayce discuss the pros and cons of research using behavior and functional assessment and treatment in the areas of speech science and voice, specifically their limitation in outlining etiology or explaining treatment resistance. They also provide an overview of genetic research approaches as a possible path forward to develop additional evidence-based treatment approaches. Neel reviews the production and perception of extralinguistic information regarding sex/gender, sexual orientation, age, non-native accent, regional and social dialect, and race and ethnicity. The article explores the literature in the above areas reviewing acoustical features and common misperceptions, concluding with instructional activities to enhance student awareness of indexical characteristics. McAllister et al. studied the effects of biofeedback for residual rhotic errors in a preliminary case series. Participants were five native English speakers who had not yet generalized rhotic production. Treatment consisted of either electropalatographic or visual-acoustic biofeedback using the Challenge Point Program software. Although participant responses to treatment were variable, the median effect size tended to exceed the minimum value considered clinically significant. Gritsyk et al. examined three measures to determine which best predicted change in production accuracy during a vowel learning task. Using 20 female college students, researchers administered three tasks: an oral stereognosis task, a bite block task using auditory making, and a new phonetic awareness task. The bite block task with auditory masking, measuring proprioceptive awareness, was the only task significantly related to performance in speech learning.
Evaluating Dysphagia Across the Life Span
Format(s): SIG Perspectives
The assemblage of articles presents clinicians with information on a variety of topics in dysphagia that can be utilized in practice. Laura L. Madhoun, Laura C. Merrell, Amanda Smith, Emily Snow, and Kristen M. Cherosky stress the importance of individualized and comprehensive feeding management for craniofacial anomalies through interdisciplinary collaboration. Lena G. Caesar and Meretu Kitila study clinicians’ perceptions and confidence with dysphagia service delivery. Aliaa Sabry, Amanda S. Mahoney, Shitong Mao, Yassin Khalifa, Ervin Sejdic, and James L. Coyle point out an objective way to assess laryngeal vestibule closure and opening at beside. Marie Jardine, Anna Miles, Jacqui Allen, and Rebecca Leonard give an interesting take of assessment of the aging swallow. Kelsey L. Thompson and Wanqing Zhang provide description and examples of mixed method research to comprehensively and holistically report of pediatric feeding disorders.
Enhancing Cultural Competence: Working in Native American and Tribal Communities
Format(s): Journal (Online)
This journal self-study focuses on rationale and techniques for enhancing clinicians’ cultural competence when working in Native American and tribal communities. The articles, originally published in a 2016 issue of Perspectives of the ASHA Special Interest Groups (SIG 14, Cultural and Linguistic Diversity), address the lasting impact of historical trauma on health and education; the importance of differentiated instruction; the perspective of a student with hearing loss who experiences traditional cultural education; and speech-language intervention programs and services in Native communities.
Refining Assessment and Treatment of Childhood Apraxia of Speech
Format(s): Journal (Online)
This journal self-study updates clinicians on advances in the field that can refine current diagnostic and therapeutic strategies for childhood apraxia of speech (CAS). Two articles address assessment: One examines how type of stimuli can affect differential diagnosis of CAS, and the other identifies possible red flags in young children by examining characteristics of speech production in infants and toddlers who were later diagnosed with CAS. Two additional articles address advances in intervention for CAS: One looks at the efficacy of adding prosody as a treatment component, and the other explores a model-based treatment protocol.
Current Issues in Dysphagia Management
Format(s): Journal (Online)
This journal self-study emphasizes clinical decision-making in swallowing and dysphagia management. The articles focus on using data to make clinical decisions, finding noninvasive ways to screen healthy adults, and patient-reported side effects and tolerability of a specific assessment technique.
Research Highlights in Audiology: 2018
Format(s): Journal (Online)
This self-study features highly read and cited audiology research articles published in 2018 in ASHA’s scholarly journals. Topics reflect the diversity of the field and include: (1) what users need to know to effectively manage hearing aids, (2) how language skills develop in children with cochlear implants, and (3) information available on social media about tinnitus.
Innovations in AAC Assessment, System Design, and Communication Partner Training
Format(s): Journal (Online)
SLPs who work with children who use augmentative and alternative communication (AAC) need a broad base of knowledge in evidence-based assessment, system designs, and implementation practices, particularly as technological innovations in AAC proliferate. This journal self-study explores of all of the above. The first article provides a useful framework for assessment that distinguishes essential components according to the child’s motor and cognitive abilities. Two articles examine design features: The first examines consistency of symbol location to increase efficiency, and the second looks at characteristics of naturalistic displays and their effects on gaze behavior according to clinical profiles. The final article in this self-study reviews practices for training communication partners of children who use AAC.
Impact of Impaired Anatomy and Physiology on Treatment of Dysphagia in Adults
Format(s): eWorkshop
This course examines the impacts of impaired anatomy and physiology on swallowing safety and efficiency in adults. The course is designed to aid clinicians in managing the evaluation and treatment of adults with oropharyngeal dysphagia. The speaker discusses the functions of specific structures, spaces, and muscles related to swallowing as well as the relationship between esophageal and oropharyngeal signs and symptoms.
Patient-Centered Care for Older Adults
Format(s): Journal (Online)
The articles in this journal self-study provide clinically applicable evidence and critiques of current practices for working with older adults, with the goal of encouraging clinicians to go beyond treating impairments in isolation and instead to use patient-centered practices to increase life participation and quality of life. Two of the articles closely examine situations in long-term care facilities: (1) differing perceptions of food texture modification by professionals and staff and (2) improving communication opportunities for residents with aphasia in traditional long-term care facilities. The second two articles analyze interventions for individuals with cognitive impairment, addressing (1) improving behavioral symptoms by treating hearing loss and (2) providing direct communication intervention for individuals with moderate to severe dementia.
Patient Care and Management for Children Who Are Deaf or Hard of Hearing
Format(s): Journal (Online)
This journal self-study focuses on several aspects of patient care and management for practitioners who serve children who are deaf or hard of hearing. The articles, originally published in a 2014 issue of Perspectives on Hearing and Hearing Disorders in Childhood, discuss the unique needs of children with mild, minimal, and/or unilateral hearing loss; the effects of fatigue on children with hearing loss; and the importance of monitoring speech-language performance and progress as well as hearing aid use in this population.
Research Highlights in Audiology: 2017
Format(s): Journal (Online)
This self-study features highly read and cited audiology research articles published in 2017 in ASHA’s scholarly journals. Topics reflect the diversity of the field and include: (1) a discussion of the economic impact of hearing loss in the U.S., (2) ways to improve museum accessibility for people with hearing loss, (3) how improvements in early detection of hearing loss has impacted children’s literacy outcomes, and (4) the impact of an audiologist’s language on hearing aid uptake.
Best Seller
Beyond Memory: Special Issues in Dementia
Format(s): Journal (Online)
Clinicians who work with individuals with dementia are well aware of the need to address memory and other cognitive issues. However, there are other potential problems that may co-occur with dementia or happen as a result of the disease progression. This journal self-study explores some of these issues, including ways to improve the use of compensatory swallowing strategies, the impact of hearing amplification on cognitive performance, how motor speech may be affected by dementia and other progressive disorders, and how auditory processing may be affected by cognitive impairment. Clinicians can use this information to improve how they manage patients with dementia.
Best Seller
Beyond Workbooks: Functional Cognitive Rehabilitation for Traumatic Brain Injuries
Format(s): Streaming Video
This course presents a practical framework for cognitive rehabilitation for patients suffering from a traumatic brain injury (TBI). Clinicians can use the framework to identify functional treatments that are evidence-based, matched to individualized patient needs, and feasible given the time and resource constraints of the current health care environment. The course explores specific cognitive rehabilitation interventions that patients with a brain injury may find particularly valuable and motivating. The presenters use case studies to discuss how to write functional goals and identify optimum outcome measures.
Evidence-Based Assessment and Intervention for Cleft Lip and Palate
Format(s): Journal (Online)
The articles included in this journal self-study include evidence-based assessment and intervention practices for children with cleft lip and/or palate, a specialized population with which many SLPs have limited experience. The first article describes a clinical measure for quantifying nasal air emission using a nasal accelerometer. The second article illustrates the developmental timeline of typical velopharyngeal function in speech production and then compares it to what is seen in toddlers with repaired cleft. The third article offers treatment efficacy data for a naturalistic intervention with phonological emphasis for toddlers with cleft lip and/or palate. The final article examines a number of factors that can influence language development in internationally adopted children with cleft lip and/or palate.
Improving Reading and Writing Outcomes in Young Children
Format(s): Journal (Online)
Literacy skills begin to develop in early childhood, and addressing deficits in reading and writing skills early may prevent later problems in school. This journal self-study explores special situations that may affect literacy skills, including the presence of speech sound disorders, hearing impairment, and cultural and/or socioeconomic differences. It also includes articles that discuss intervention techniques to improve phonological awareness, an important emergent literacy skill. Clinicians can use this information to improve reading and writing assessment and treatment techniques for preschool and early elementary school children.
Social and Vocational Impacts of Voice Disorders
Format(s): Journal (Online)
This journal self-study explores a variety of issues related to adult vocal health and how voice disorders affect social and work-related interactions. Articles examine prevalence rates of voice disorders among college students; self-reports of vocal use; issues that school workers confront that may affect vocal health; the impact of common workplace issues, such as heating and air conditioning levels, on vocal functioning; and how voice disorders may affect listener processing and comprehension.
Assessment and Intervention for Speakers of Nonmainstream English Dialects
Format(s): Journal (Online)
Distinguishing between language disorder and language difference can be a challenge when a child speaks a nonmainstream English dialect. This journal self-study presents research findings that clinicians can implement with this population in their practice. The assessment and intervention strategies and tools discussed in these articles will allow SLPs to deliver more effective services and promote academic success for children who speak nonmainstream English dialects.
Services for Individuals With Severe Disabilities: A Collaborative Approach
Format(s): Journal (Online)
Individuals with severe disabilities require services from many different providers to address their wide and varied needs. This journal self-study discusses the principles of interprofessional collaborative practice and why this approach may be the most appropriate way to provide services to those with severe disabilities. The articles discuss how interprofessional collaborative practice can improve outcomes for children with severe disabilities and describe specific examples of this type of practice, including suggestions about how SLPs can work with parents and other professionals to improve services for this challenging population. The articles utilize case studies to help illustrate key concepts.
Preschool Language Disorders: Identification and Outcomes Reporting
Format(s): Journal (Online)
A child’s early language development can be used to predict later language and literacy skills, as well as school readiness and academic success. It has long been a challenge to distinguish children who are “late talkers” and will eventually develop age-appropriate language skills from those who might have a language delay that requires intervention. This journal self-study primarily examines issues related to assessing language disorders in preschoolers, in an attempt to identify those children who may be at risk for language and learning difficulties and would benefit from support. Specifically, articles examine risk factors for being a late talker, alternative methods of screening for language impairment, and the usefulness of parent and teacher reports when screening bilingual children. One final article discusses collecting and reporting outcomes for preschool children with speech and language disorders. Clinicians can use this information to improve their approach to language screening and outcomes reporting for preschoolers on their caseload.
Nutrition and Counseling Considerations for Older Adults With Dysphagia
Format(s): eWorkshop
This course includes four recorded sessions from the 2017 online conference “Dysphagia in Older Adults.” These sessions include points to keep in mind when counseling older adults with dysphagia and their families or caregivers about nutrition, diet, and other topics. The conference included a total of 13 sessions, with the broad goal of giving clinicians new, evidence-based strategies for improving overall quality of life for older adults.
Dysphagia Intervention: Planning and Implementation
Format(s): eWorkshop
This course provides an overview of the essential elements of planning and implementing successful dysphagia intervention. The speaker reviews how to select and utilize appropriate treatment strategies and techniques by summarizing specific compensatory, bolus modification, postural, and rehabilitation strategies for oral and pharyngeal dysphagia and discussing the evidence underlying these strategies. The course also reviews what variations in dysphagia management might be needed depending on particular disease stages and processes.
Best Seller
Reading and Interpreting Videofluoroscopic Studies: A Tutorial
Format(s): Streaming Video
An information-rich videofluoroscopic assessment can help clinicians determine which components of the complex oropharyngeal swallow need to be targeted for intervention. Visualizing all of the elements that contribute to a well-integrated or disordered swallow mechanism requires an ordered and disciplined review. This video course demonstrates methods to enhance clinicians' ability to perform a videofluoroscopic assessment and discern the discrete elements of the oropharyngeal swallow. Participants can practice determining the integrity or disorder of the swallow mechanism by viewing and interpreting case study video.
Interprofessional Management of Dementia: Maximizing Functional Outcomes
Format(s): eWorkshop
This course includes three recorded sessions from the 2016 online conference "Maximizing Functional Outcomes for Patients With Dementia." These sessions focus on working with all the stakeholders involved in treating patients with dementia – the individual, family members and other caregivers, and all the health care professionals involved in the person’s care. Sessions discuss caregiver counseling and support, helping patients with hearing loss, and a specific model for interdisciplinary care. The conference included a total of 13 sessions, with the broad goal of describing a range of evidence-based clinical care techniques to get to the heart of patient-centered dementia care.
Dementia Management by SLPs: Maximizing Functional Outcomes
Format(s): eWorkshop
This course includes five recorded sessions from the 2016 online conference “Maximizing Functional Outcomes for Patients With Dementia.” These sessions focus on key components of functional assessment and treatment of dementia within the constraints of current service delivery models. The conference included a total of 13 sessions, with the broad goal of describing a range of evidence-based clinical care techniques to get to the heart of patient-centered dementia care.
Foundations of Dementia: Maximizing Functional Outcomes
Format(s): eWorkshop
This course includes four recorded sessions from the 2016 online conference "Maximizing Functional Outcomes for Patients With Dementia." These sessions focus on identification and management of individuals with primary progressive aphasia, Alzheimer’s disease, other major types of dementia, and mild cognitive impairment. The conference included a total of 13 sessions, with the broad goal of describing a range of evidence-based clinical care techniques to get to the heart of patient-centered dementia care.
Best Seller
Management of Communication and Swallowing Impairments Related to Artificial Airways
Format(s): Streaming Video
Endotracheal tubes, tracheostomy tubes, and ventilator dependency can have adverse effects on communication and swallowing. SLPs who take the lead role in remediating these impairments need to have the knowledge and skills to provide appropriate, safe, and evidence-based interventions. This streaming video course is designed for the SLP who has an interest in post-extubation dysphagia and in communication and swallowing challenges associated with tracheostomy tubes and ventilator dependency. The course reviews the literature and presents a “how-to” guide for managing these medically complex patients. Medical SLPs will walk away with strategies to best manage their patients who are experiencing complications due to artificial airways.
Elements of a Comprehensive Clinical Dysphagia Evaluation
Format(s): Streaming Video
This course describes the elements of a complete clinical dysphagia evaluation – from consultation to instrumental exam – so clinicians can determine the appropriate evaluation tools for the individual patient. The course covers the key points to address in a consultation, how to discern the salient parts of a medical record, how to conduct an informative interview with the patient or caregiver, how to determine what tests and tools to employ in the clinical examination – and how to conduct it – and when to employ instrumentation.
Best Seller
The Best Fit: Selecting a Targeted Aphasia Intervention
Format(s): Streaming Video
With all the developments and changes in aphasia therapy, clinicians can have difficulty keeping abreast of the latest and greatest tools and techniques to ensure they are selecting the best evidence-based treatment option to fit a particular client’s needs and language abilities. This video course uses the ASHA Practice Portal and other resources to explore case studies and apply aphasia interventions to achieve functional goals for adults of all ages. The course identifies candidacy requirements for numerous aphasia interventions, reviews the procedures for using them, and discusses how to fit them into required goal statements and outcome measures.
Best Seller
Evaluating and Enhancing Children’s Phonological Skills: A Systematic Approach
Format(s): Streaming Video
This video program examines how SLPs can better manage children with highly unintelligible speech who are making very slow progress. The presentation provides a framework – the evidence-based cycles phonological pattern remediation approach – for evaluating and enhancing optimal phonological patterns.

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