Speech-Language Pathologists' Use of Hearing Screening for Clients With Aphasia: Challenges, Potential Solutions, and Future Directions

Silkes, JoAnn P.; Winterstein, Kaitlin

doi:10.1044/2016_ajslp-14-0181

Cited by 9 publications

(2 citation statements)

References 44 publications

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“…However, after exiting the clinic, PWA may engage in communication on a busy street, in a crowded store, or at a family reunion, and in these environments, their ability to process the speech of a conversational partner may decline in ways that their standardized testing results might not predict. Fortunately, there is an increasing awareness of the importance of audiological assessment in PWA (Silkes & Winterstein, 2017;Zhang et al, 2018), although standard audiometric evaluations do not include speech masking conditions (Jakien, Kampel, Stansell, & Gallun, 2017). We hope that the results of this study will further encourage clinicians to consider the degree to which the presence-and type-of background noise might impact speech processing in PWA.…”

Section: Implications and Future Directionsmentioning

confidence: 93%

“…These findings regarding age and HL are pertinent when considering how PWA may perform on similar listening tasks. Not only is stroke more common in older individuals, but aphasia is more likely to occur in older than in younger stroke patients (Ellis & Urban, 2016;Engelter et al, 2006); furthermore, many PWA demonstrate some degree of HL (Formby, Phillips, & Thomas, 1987;Silkes & Winterstein, 2017;Zhang et al, 2018). In addition to the effects of age and HL, there is evidence that PWA may experience further breakdowns in processing target speech due to their acquired cognitive-linguistic impairments (Rankin, Newton, Parker, & Bruce, 2014;Winchester & Hartman, 1955).…”

Section: Introductionmentioning

confidence: 99%

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Effects of Acquired Aphasia on the Recognition of Speech Under Energetic and Informational Masking Conditions

Villard

Kidd

2019

Trends in Hearing

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Persons with aphasia (PWA) often report difficulty understanding spoken language in noisy environments that require listeners to identify and selectively attend to target speech while ignoring competing background sounds or "maskers." This study compared the performance of PWA and age-matched healthy controls (HC) on a masked speech identification task and examined the consequences of different types of masking on performance. Twelve PWA and 12 age-matched HC completed a speech identification task comprising three conditions designed to differentiate between the effects of energetic and informational masking on receptive speech processing. The target and masker speech materials were taken from a closed-set matrix-style corpus, and a forced-choice word identification task was used. Target and maskers were spatially separated from one another in order to simulate real-world listening environments and allow listeners to make use of binaural cues for source segregation. Individualized frequency-specific gain was applied to compensate for the effects of hearing loss. Although both groups showed similar susceptibility to the effects of energetic masking, PWA were more susceptible than age-matched HC to the effects of informational masking. Results indicate that this increased susceptibility cannot be attributed to age, hearing loss, or comprehension deficits and is therefore a consequence of acquired cognitivelinguistic impairments associated with aphasia. This finding suggests that aphasia may result in increased difficulty segregating target speech from masker speech, which in turn may have implications for the ability of PWA to comprehend target speech in multitalker environments, such as restaurants, family gatherings, and other everyday situations.

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Section: Implications and Future Directionsmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Effects of Acquired Aphasia on the Recognition of Speech Under Energetic and Informational Masking Conditions

Villard

Kidd

2019

Trends in Hearing

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Recommending Hearing Assessment for Individuals With Dementia: A Survey of Medical Professionals

et al. 2020

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Objectives Older adults are at risk for age-related hearing loss and for dementia. Hearing loss increases the risk of dementia and accelerates cognitive decline. There is no cure for dementia, but hearing loss is treatable. Medical professionals who work with individuals with dementia are surveyed to explore whether recommendations made to individuals diagnosed with dementia include hearing assessments. Method A convenience sample of 85 medical professionals in California, Illinois, and Indiana responded to paper surveys in October 2018–April 2019. Results Of the 85 participants, 69 had some level of involvement with dementia. Of these, 16 (23%) reported recommending hearing assessment, and only one (1.45%) reported considering hearing assessment in the top three priorities of recommendations. Conclusions Hearing assessment is not currently a priority for the surveyed medical professionals who work with dementia populations. Advocacy is needed to close the gap between research and practice.

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Population Health Content Within Speech-Language Pathology Programs: An Exploratory Study

Domholdt

Billings²

2021

Perspect ASHA SIGs

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Purpose The purpose of this survey was to determine current and desired coverage of population health concepts within speech-language pathology programs. Method Thirty-five of 253 (13.8%) Council on Academic Accreditation in Audiology and Speech-Language Pathology program directors responded to an online survey. Results Respondents agreed that 21 of 23 population health domains should be included in the curriculum, with six of the domains having at least moderate coverage within current programs. The largest gaps between current and desired coverage were in global health issues, health policy process, organization of clinical and public health systems, and health promotion interventions. Conclusion Speech-language pathology faculty can use the results to inform their decisions about incorporating population health concepts into their programs. Supplemental Material https://doi.org/10.23641/asha.14044058

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Speech-Language Pathologists' Use of Hearing Screening for Clients With Aphasia: Challenges, Potential Solutions, and Future Directions

Cited by 9 publications

References 44 publications

Effects of Acquired Aphasia on the Recognition of Speech Under Energetic and Informational Masking Conditions

Effects of Acquired Aphasia on the Recognition of Speech Under Energetic and Informational Masking Conditions

Recommending Hearing Assessment for Individuals With Dementia: A Survey of Medical Professionals

Population Health Content Within Speech-Language Pathology Programs: An Exploratory Study

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