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1
Hasting, Anne M. "Accuracy of Automated Analysis of Language Samples from Persons with Deafness or Hearing Impairment." BYU ScholarsArchive, 2008. https://scholarsarchive.byu.edu/etd/1334.
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Developmental Sentence Scoring (DSS) and the Language Assessment, Remediation, and Screening Procedure (LARSP) are among the more common analyses for syntax and morphology, and automated versions of these analyses have been shown to be effective. This study measured the accuracy of automated DSS and LARSP on the written English output of six prelingually deaf young adults, ranging in age from 18 to 32 years. The samples were analyzed using the DSS and LARSP programs on Computerized Profiling; manual analysis was then performed on the samples. Point-by-point accuracy for DSS and for each level of LARSP was reported. Characteristics of the participants' language at the clause, phrase, and word levels were described and discussed, including the implications for clinicians working with this population.
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Carlsson, Per-Inge. "Hearing impairment and deafness : genetic and environmental factors - interactions - consequences : a clinical audiological approach /." Örebro : Örebro University : University Library, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-94.
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Anderson, Melissa L. "Barriers and Facilitators to Deaf Trauma Survivors’ Help-Seeking Behavior: Lessons for Behavioral Clinical Trials Research: A Master’s Thesis." eScholarship@UMMS, 2016. https://escholarship.umassmed.edu/gsbs_diss/816.
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Deaf individuals experience significant obstacles to participating in behavioral health research when careful consideration is not given to accessibility in the design of study methodology. To inform such considerations, we conducted a secondary analysis of a mixed-methods study that explored 16 Deaf trauma survivors’ help-seeking experiences. Our objective was to identify key findings and qualitative themes from consumers' own words that can be applied to the design of behavioral clinical trials methodology. In many ways, the themes that emerged are what we would expect of any research participant, Deaf or hearing – a need for communication access, empathy, respect, strict confidentiality procedures, trust, and transparency of the research process. However, additional considerations must be made to better recruit, retain, and engage Deaf trauma survivors. We summarize our findings in a “Checklist for Designing Deaf Behavioral Clinical Trials” to operationalize the steps researchers should take to apply Deaf-friendly approaches in their empirical work.
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Anderson, Melissa L. "Barriers and Facilitators to Deaf Trauma Survivors’ Help-Seeking Behavior: Lessons for Behavioral Clinical Trials Research: A Master’s Thesis." eScholarship@UMMS, 2005. http://escholarship.umassmed.edu/gsbs_diss/816.
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Deaf individuals experience significant obstacles to participating in behavioral health research when careful consideration is not given to accessibility in the design of study methodology. To inform such considerations, we conducted a secondary analysis of a mixed-methods study that explored 16 Deaf trauma survivors’ help-seeking experiences. Our objective was to identify key findings and qualitative themes from consumers' own words that can be applied to the design of behavioral clinical trials methodology. In many ways, the themes that emerged are what we would expect of any research participant, Deaf or hearing – a need for communication access, empathy, respect, strict confidentiality procedures, trust, and transparency of the research process. However, additional considerations must be made to better recruit, retain, and engage Deaf trauma survivors. We summarize our findings in a “Checklist for Designing Deaf Behavioral Clinical Trials” to operationalize the steps researchers should take to apply Deaf-friendly approaches in their empirical work.
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Paxton, C. "Does the Circle of Friends intervention have a positive impact on the social inclusion and happiness of children with a hearing impairment?" Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/36966/.
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If children do not experience social inclusion, this can have a negative impact, both in the short- and long-term, such as aggression, poor academic attainment, reduced social skills and psychopathological symptoms. The causes of social exclusion are complex and incorporate many factors, including aggressiveness, shyness and social competence, and the influence of peers. Children with a hearing impairment (HI) have been shown to be at risk of difficulties with social skills. This study evaluates the effectiveness of Circle of Friends (CoF – Newton & Wilson, 2003), a peer support intervention, in improving the social inclusion of four children with a HI who were identified as having issues with social inclusion and friendships by Teachers of the Deaf. The multiple-baseline AB single-case experimental design utilised sociometric data, and was supported by pre-post measures of the children’s happiness and social, emotional and behavioural adjustment. Findings indicate that CoF had some impact on the peer acceptance for all pupils. There was moderate evidence for one pupil, a change in composite score for another, and positive trends for the other two pupils. There appeared to be a small impact on ratings of pro-social behaviours for two of the pupils. There was an improvement (reduction) on one of the pupil’s ‘neutral’ ratings, but no impact on pupils’ ‘unsure’ ratings. There was variable evidence to suggest an impact on peer rejection or adult ratings of behaviour difficulties. There was strong evidence to indicate an improvement for one pupil, moderate evidence for another and none for a third. The final pupil’s peer rejection had a negative trend. The CoF did not improve happiness scores or adult ratings of pupils’ emotional distress. Findings are discussed in relation to relevant literature. Methodological issues and ethical concerns are discussed, and implications for future practice and research are considered.
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Ranjbar, Parivash. "Sensing the environment : development of monitoring aids for persons with profound deafness or deafblindness." Doctoral thesis, Örebro universitet, Akademin för naturvetenskap och teknik, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-8136.
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Earlier studies of persons with deafness (D) and/or deafblindness (DB) have primarily focused on the mobility and communication problems. The purpose of the present study was to develop technology for monitoring aids to improve the ability of persons with D and/or DB to detect, identify, and perceive direction of events that produce sounds in their surroundings. The purpose was achieved stepwise in four studies. In Study I, the focus was on hearing aids for persons with residual low frequency hearing. In Study II-IV, the focus was on vibratory aids for persons with total D. In Study I, six signal processing algorithms (calculation methods) based on two principles, transposition and modulation, were developed and evaluated regarding auditory identification of environmental sounds. Twenty persons with normal hearing listened to 45 environmental sounds processed with the six different algorithms and identified them in three experiments. In Exp. 1, the sounds were unknown and the subjects had to identify them freely. In Exp. 2 and 3, the sounds were known and the subjects had to identify them by choosing one of 45 sounds. The transposing algorithms showed better results (median value in Exp. 3, 64%-69%) than the modulating algorithms (40%-52%) did, and they were good candidates for implementing in a hearing aid for persons with residual low frequency hearing. In Study II, eight algorithms were developed based on three principles, transposition, modulation, and filtration – in addition to No Processing as reference, and evaluated for vibratory identification of environmental sounds. The transposing algorithms and the modulating algorithms were also adapted to the vibratory thresholds of the skin. Nineteen persons with profound D tested the algorithms using a stationary, wideband vibrator and identified them by choosing one of 10 randomly selected from the list of 45 sounds. One transposing algorithm and two modulating algorithms showed better (p<0.05) scores than did the No Processing method. Two transposing and three modulating algorithms showed better (p<0.05) scores than did the filtering algorithm. Adaptation to the vibratory thresholds of the skin did not improve the vibratory identification results. In Study III, the two transposing algorithms and the three modulating algorithms with the best identification scores in Study II, plus their adapted alternative, were evaluated in a laboratory study. Five persons from Study II with profound D tested the algorithms using a portable narrowband vibrator and identified the sounds by choosing one of 45 sounds in three experiments (Exp. 1, 2, and 3). In Exp. 1, the sounds were pre-processed and directly fed to the vibrator. In Exp. 2 and 3, the sounds were presented in an acoustic test room, without or with background noise (SNR=+5 dB), and processed in real time. Five of the algorithms had acceptable results (27%-41%) in the three experiments and constitute candidates for a miniaturized vibratory aid (VA). The algorithms had the same rank order in both tests in the acoustic room (Exp. 2, and 3), and the noise did not worsen the identification results. In Study IV, the portable vibrotactile monitoring aid (with stationary processor) for detection, identification and directional perception of environmental sounds was evaluated in a field study. The same five persons with profound D as in Study III tested the aid using a randomly chosen algorithm, drawn from the five with the best results in Study III, in a home and in a traffic environment. The persons identified 12 events at home and five events in a traffic environment when they were inexperienced (the events were unknown) and later when they were experienced (the events were known). The VA consistently improved the ability with regard to detection, identification and directional perception of environmental sounds for all five persons. It is concluded that the selected algorithms improve the ability to detect, and identify sound emitting events. In future, the algorithms will be implemented in a low frequency hearing aid for persons with low frequency residual hearing or in a fully portable vibratory monitoring aid, for persons with profound D or DB to improve their ability to sense the environment.
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Murnane, Owen D. "Sensory Impairments: Hearing." Digital Commons @ East Tennessee State University, 2004. https://dc.etsu.edu/etsu-works/1949.
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Shirley, B. G. "Improving television sound for people with hearing impairments." Thesis, University of Salford, 2013. http://usir.salford.ac.uk/31007/.
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This thesis investigates how developments in audio for digital television can be utilised to improve the experience of hearing impaired people when watching television. The work has had significant impact on international digital TV broadcast standards; it led to the formation of the UK Clean Audio Forum whose recommendations based on the research have been included in ETSI international standards for digital television, adopted into ITU standards for IPTV and also into EBU and NorDig digital television receiver specifications. In this thesis listening tests are implemented to assess the impact of various processes with a phantom centre channel and with a centre loudspeaker. The impact of non-speech channel attenuation and dynamic range control on speech clarity, sound quality and enjoyment of audio-visual media are investigated for both hearing impaired and non-hearing impaired people. For the first time the impact of acoustical crosstalk in two channel stereo reproduction on intelligibility of speech is quantified using both subjective intelligibility assessments and acoustic measurement techniques with intelligibility benefits of 5.9% found by utilising a centre loudspeaker instead of a phantom centre. A novel implementation of principal component analysis as a pre- broadcast production tool for labelling AV media compatible with a clean audio mix is identified, and two research implementations of accessible audio are documented including an object based implementation of clean audio for live broadcast that has been developed and publicly demonstrated.
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Siikaluoma, Lara. "Hearing impairments in adults with cleft palate:asystematicscoping review." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-78030.
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Introduction Otitis mediawith effusion is found in almost every patient with cleft palate. Arisk factor for permanent conductive hearing lossis recurring otitis media which is commonly found in cleft palate patients. Several studieshave been conductedto measure the extent of hearing loss in childrenwith cleft palate.Hearing problemsdue to otitis mediaoften persist into adulthood.Thus, it is of interest to see if there are any existing studies onhearing impairments inadultcleft palatepatients. Objective The purpose of this study is tosummarize theexisting literatureon hearing impairments in adult patients with cleft palate and to map the characteristics of the studies found. Method A scoping reviewprotocolproposedby Joanna Briggs Institutewas usedto synthesizeand summerizethe published literaturesearchedinthe PubMed database. Syndromal cleft palates were excluded from this study. Results Onereviewer went through 11full-text articlesthatwere considered relevant.It was possible toidentify five different key areas of research among the included studies. Conclusions It wasfound that there is literature available on this topic,but the heterogeneity of the studies made it impossible to compare the charted data betweenthe studies. We identifieda need for longitudinal studies on this topic and suggest more standardization withregard tothe definitions of cleft palate and hearing impairment.
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Ng, Ho-yee Janet, and 伍可怡. "Impact of vision and hearing impairments on social participation." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B45010377.
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Rehnman, Anna-Carin. "Lära och Leva : Kunskapsutveckling hos personer med en ärftlig dövhet/hörselnedsättning." Doctoral thesis, Stockholms universitet, Specialpedagogiska institutionen, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-87278.
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The aim of this study is to explore the development of how people in different generations of a family with a hereditary hearing loss developed knowledge and to examine the role of the educational system and how it influenced this development. The research questions are: What is the prevalence of the deafness spoken of in the family chronicle? What different kinds of knowledge did the family members with deafness/hearing loss develop and how did they make use of them? In what ways may they have experienced their deafness/hearing loss as a suffering? What knowledge did they develop because the hearing loss recurred in several successive generations? The studied material includes answers from a questionnaire, different historical documents and sixteen interviews. Descendants of the first man born in the family in 1816 described as deaf. Among the descendants a total of 84 persons with a hereditary hearing loss have been found, at most in seven successive generations. The sixteen persons interviewed have spoken about themselves, their parent, mother or father-parent, with hearing loss. This has made it possible to explore the development of knowledge in different areas. The findings from the interviews are interpreted in four chapters where the development knowledge in the different generations has been related to each other and to the hearing loss. The study shows that the generations developed various forms of competence and knowledge and that this occurred mainly in the homes. The members of the family with hearing loss were educated by themselves. The role of public school was small. The last generation, however, has been able to carry out higher studies. The communicative practice at home was spoken Swedish, eye contact, a loud and clear voice and speechreading. The speech of children was read before the children themselves had to read the speech of others.
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Köbler, Susanne. "Bilateral hearing aids for bilaterally hearing-impaired persons - always the best choice? /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-067-1/.
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Calvert, Gemma A. "Functional magnetic resonance imaging studies of lip-reading and audio-visual speech perception." Thesis, University of Oxford, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390509.
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Walton, Anne P. "Communication in young people with intellectual impairments : the influence of partnership." Thesis, Queen Margaret University, 2002. https://eresearch.qmu.ac.uk/handle/20.500.12289/7438.
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Adults with intellectual impairments experience frequent communication breakdown in their everyday interactions. This can result from impairment of the linguistic skills required for effective communication and/or difficulties dealing with non-verbal information. Problems also exist, however, in the way that some non-impaired speakers, such as care providers, approach these communicative episodes. This thesis investigates communication in young adults with intellectual impairments with three different communication partners. These were a care provider, a student and a peer with intellectual impairments. Student partners were previously unknown to the main participants and not experienced in communicating with people with intellectual impairments. Communication structure and process are investigated according to the number of words and turns used to complete a co-operative problem-solving task and the types of conversational acts used by speakers and listeners. Non-verbal communication is investigated through the use of one non-verbal signal, gaze, during the task dialogues. An interactionist approach is taken to communication, where outcome or success is viewed as a product of the collaborative efforts of speakers and listeners. Communication is seen as multi-modal and involving the exchange of information via the verbal and non-verbal channels. The results show that when both parties were intellectually impaired performance was poorest. More surprisingly, dyads including a student partner communicated more effectively and efficiently than where the partner was a carer. One reason for this may be that carers used more complex, open questions to introduce new information into the task, and these were distracting rather than useful. Overusing open questions may be problematic for this population and less effective at establishing shared understanding than where listeners check their own interpretation of previous messages, a strategy preferred by student partners. Non-verbal signals can help to ease constraints on communication by providing interlocutors with feedback information on the levels of mutual understanding.
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Gilmer, Kristin Rashelle. "Comparison of Prescribed versus Actual Gain for Children with Profound Hearing Impairments." PDXScholar, 1995. https://pdxscholar.library.pdx.edu/open_access_etds/4975.
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The early selection and use of an appropriate amplification system may be the most important aspect in the aural! rehabilitation of children who are hearing impaired. The main goal guiding the selection of hearing aids for children is to maximize their residual hearing through amplification in order to facilitate speech and language development. Seewald, Ross, and Stelmachciwicz (1987) have developed a speech-spectrum based procedure for selecting hearing aid characteristics for children referred to as the Desired Sensation Level Procedure (DSL) approach. This is an objective method which has been developed specifically for use with young pre-verbal children. I The purpose of the present study was to determine how closely the previously fitted amplification systems of profoundly hearing-impaired children approximated the amplification targets that would be prescribed for their hearing losses by the DSL method. The data were used to examine the feasibility and appropriateness of the DSL method for prescribing amplification for children with profound hearing impairments. Twenty amplification systems worn by profoundly hearing-impaired children were electroacoustically evaluated to discover how closely they approximated the DSL fitting criteria. Hearing thresholds were obtained for each subject for the frequencies 250, 500, 1000, 2000, and 4000 Hz using puretone audiometry. The DSL computer program was used to generate prescribed 2 cc. coupler targets at each frequency. The subjects' amplification systems were electroacoustically analyzed to determine the measured 2 cc. coupler response. Means and standard deviations were reported for prescribed and measured gain values at each frequency. Two-tailed t-tests were computed to determine if a difference exists between prescribed and measured gain. The tests were considered significant at the .05 level. A significant difference between the means was found at 2000 and 4000 Hz. Correlation coefficients were calculated at each frequency to determine if a predictable relationship between prescribed and measured gain existed. Correlation coefficients showed weak relationships between the two groups of data. These results showed the difficulty of meeting prescribed amplification targets, particularly in the high frequencies for children with profound hearing impairments.
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Wong, Tsui-ling Elaine. "Effectiveness of a low cost hearing aid with elderly persons." Click to view the E-thesis via HKU Scholars Hub, 2003. http://lookup.lib.hku.hk/lookup/bib/B38890860.
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Thesis (B.Sc.)--University of Hong Kong, 2003."A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, April 30, 2003." Includes bibliographical references (p. 28-29) Also available in print.
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Lane, Kari Rae. "An intervention to assist older persons adjust to hearing aids." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/2555.
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Hearing loss affects millions of Americans each year, especially targeting older Americans. Elders aged 65-75 years are affected as much as 38% and those numbers rapidly rise to over 42% affected by the time a person is 75 years of age. The rise in the numbers of older persons in the United States makes hearing loss the third most common chronic illness in the US today. Of these persons approximately 30% chose to purchase hearing aids, but an astounding 47.2% of these individuals are able to adjust to the hearing aids in order to wear them daily. Ambient sounds and physical discomfort, from the presence of the device in the ear cause individuals either to never wear the devices or stop wearing them after a short time. This dissertation focused on an intervention to assist those older persons who have purchased hearing aids, but are not wearing them, in adjusting to those aids; in order to improve hearing aid satisfaction and hours of hearing aid use.
A one group pre/posttest design was implemented on a group of individuals who had previously failed to adjust to hearing aids between the ages of 65-75 years of age. The Glasgow Hearing Aid Benefit Profile (GHABP) and hours of hearing aid use time were the primary outcome variables. This intervention study occurred over a four week period of time, with weekly face-to-face meetings with participants.
Findings demonstrated that the intervention was feasible to administer in a group of community dwelling older persons (aged 65-75 years). All 15 participants completed the entire intervention, meeting each of 4 times with the researcher over a four week period. 40% of volunteers later declined to participate and 48% were turned away due to the small sample size of this study. An overall increase of hearing aid use time was between 1-9 hours per day. A Wilcoxin signed rank test was performed with a result of 60 (p=<0.0001). Participants who increased their hearing aid use time >4 hours equaled 53% while 46.7% increase their hearing aid use time <4 hours. Hearing aid satisfaction as measured by the GHABP improved between 1-5 with a median of 4. The Wilcoxin signed rank test result was 22.5 with a p value of 0.0039.
These results deem the intervention not only feasible, but statistically significant in improving both hearing aid use time and hearing aid satisfaction. Future studies should be aimed at advanced statistical analysis, randomized clinical trial with larger numbers to improve power, and expanding the age criteria for study inclusion. Implications for future research are great, improving communication in older persons, but also perhaps impacting third party reimbursement of hearing aids, as well as decreasing the biopsychosocial effects hearing loss has on the population as a whole.
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Heaslip, Sean Richard. "An investigation into the psychological help-seeking attitudes of persons with visual impairments." Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/57588.
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The present study explored the relationships between visual impairment status, attitude towards seeking psychological services, attitude towards visual impairment, and a variety of demographic and psychological variables. A survey design was employed with persons with visual impairments (defined as having a visual acuity of 20/200 or less) residing in either Canada or the United States of America. Participants in this study were 84 legally blind (a visual acuity ranging from 20/200 to 20/600) and 109 severely visually impaired (a visual acuity of 20/600 or less) adults between 21 and 64 years of age. Measures administered in the survey included (a) the Attitude Towards Seeking Professional Psychological Help Scale - Short Form, (b) the Disclosure Expectation Scale, (c) the Distress Disclosure Index, (d) the Self-Stigma of Seeking Help Scale, (e) the Stigma Scale for Receiving Psychological Help, (f) the Social Responsibility About Blindness Scale, as well as a demographic questionnaire. Descriptive statistics (means, standard deviations) and inferential statistics (two-way ANOVAs, t-tests) were calculated, as well as inter-correlations among the above variables. Results indicated that legally blind participants held more negative attitudes than did severely visually impaired participants towards disclosing distressing personal information, and toward visual impairment. A statistically significant gender effect was found on attitudes towards seeking psychological services, with female respondents reporting more positive attitudes. Results also indicated that positive attitudes towards visual impairment had significant positive correlations with attitudes towards seeking psychological services, the anticipated benefit of seeking services and comfort with disclosing distressing information, and significant negative correlations with the anticipated risk of seeking services, and both self-stigma and public stigma towards psychological services. The findings from this study will help to inform future research into counselling persons with visual impairments, and are the first steps toward establishing a knowledge base regarding this population’s attitudes towards psychological services. The current study offers valuable suggestions for exploring what would make best clinical practices with this population. The present study contributes to the lack of counselling psychology research on disability, and lends credibility to the field’s focus on diversity, having been conducted by a researcher with a visual impairment.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Steward, Shirley Kathleen 1949. "Accessibility for persons with mobility impairments in Sabino Canyon Recreation Area's Upper Canyon." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/278213.
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This thesis discusses accessibility issues for persons with mobility restrictions visiting Sabino Canyon Recreation Area's Upper Canyon near Tucson, Arizona. A shuttle bus from the Visitor Center area provides the only motorized access into the Canyon interior. Designated shuttle stop areas are inaccessible, preventing some individuals with mobility problems from extending their time in the natural setting. The purpose of this study was to investigate physical inaccessibility at the shuttle stops and provide design recommendations to improve access appropriate to the natural setting, using proposed guidelines which are being considered by the USDA Forest Service, Sabino's managing agency, for its outdoor recreation areas. The methods used were an evaluation of each shuttle stop area and application of the proposed guidelines to assign accessibility accommodation levels to each shuttle stop. Recommended modifications within each level are given. Conceptual plans for two shuttle stop areas and detailed drawings for facility accessibility are provided. A review of literature on human preferences and psychological benefits associated with natural environments, the impacts of physical disabilities, and accessibility legislation and standards is included.
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Friedman, Jill Nezu Nezu Arthur M. "Predictors of depressive symptoms in persons with deafness and hearing loss /." Philadelphia, Pa. : Drexel University, 2008. http://hdl.handle.net/1860/2970.
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Richardson, Erin. "Reliability and Validity of the Universal Nonverbal Intelligence Test for Children with Hearing Impairments." TopSCHOLAR®, 1995. http://digitalcommons.wku.edu/theses/921.
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This researcher investigated the reliability and validity of the Universal Nonverbal Intelligence Test (UNIT) for a hearing-impaired population. The subjects consisted of 15 hearing-impaired children between the ages of five and eight who are are enrolled in special education programs for the hearing-impaired. Three week test-retest reliability coefficients were moderate to high for all subtests (.65 to .89) and high for all scales and the total score (.88 to .96). Intracorrelations support the structure of the UNIT in that subtests demonstrated high correlations with the scale they were purported to represent. Concurrent validity was assessed with the Naglieri Draw-A-Person (DAP) during the first testing session. The UNIT and the DAP demonstrated correlations within the moderate to high range (.60 to .77) between the scales and total score of the UNIT and the three drawings and the total of the DAP. Results are discussed relevant to other measures utilized with hearing-impaired populations. The most important implication is that the UNIT appears to be a promising instrument for assessing intellectual abilities in children with hearing-impairments.
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Bjarnason, Sif. "Jobbet är kommunikation : om användning av arbetshjälpmedel för personer med hörselnedsättning." Licentiate thesis, Örebro universitet, Hälsoakademin, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-20593.
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To facilitate participation in hearing situations at work sites persons with hearing loss may use assistive listening devices (ALDs). Compared to personal hearing aids ALDs have received little research attention. The aim of this study was dual; firstly to describe ALD-users in Sweden and the usefulness of various equipment in relation to specified hearing situations at work. Secondly, to describe favorable and non favorable conditions for using ADL at everyday situations at work. Seventy ADL-users answered a questionnaire and eleven of these persons were subsequently interviewed. The concept of stigma has been identified in research on hearing loss as a strong factor of denial and resistance for the use of both hearing aids and ALDs, depending on the negative connotations related to visible means for hearing. In this study overcoming stigmatization was further analyzed using social recognition as a theoretical approach. In a concluding discussion, where both categorizations and themes from the interviews were used, it issuggested that the use of visible ALDs is a way of overcoming stigmatization and that their visibility function as a mechanism in developing mutual social recognition in the work group.Though the results show a fairly high degree of usefulness from ALDs, work place adaptations should to a greater extent pay attention to environmental factors (e.g. noise and bad acoustics) influencing the use of this technology. More information on such factors is needed from studies of realistic situations at concrete work sites. Conclusions from this study are mainly valid for this sample; knowledge of the population is small due to lack of registers kept by the providers of this technology. To facilitate further studies on employed persons with hearing loss available statistics could be significantly improved by keeping records on both medical data and all kinds of rehabilitative adaptations measures.
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Meyer, Tania. "A social work perspective on the socio-emotional experience of older persons with visual impairments." Thesis, Link to the online version, 2006. http://hdl.handle.net/10019/1112.
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Charema, John. "Explaining the ways in which parents of children with hearing impairments access counseling services in Zimbabwe." Thesis, University of Pretoria, 2004. http://hdl.handle.net/2263/27848.
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The purpose of this study was to explain the ways in which parents of children with hearing impairments access counseling services. In order to focus attention on these issues, a research question and objectives were formulated: In what ways did parents of children with hearing impairments in Zimbabwe access counseling services during the period 1999 to 2000? Five distinct but related major issues, in relation to parents of children with hearing impairments accessing counseling services in Zimbabwe during the period 1999 to 2000 emerged. This came from observation of practice, personal experiences, and discussions with parents. The objectives of the study were thus formulated as follows: · to find out who counseled parents of children with hearing impairments. · to investigate whether parents who received or did not receive counseling were aware of organizations that offered guidance and counseling. · to find out parents’ perceptions on whether or not counseling helped them to accept and cope with their children. · to establish the qualifications of the counselors who counseled parents of children with hearing impairments. · to explore recommendations by parents on ways in which counseling can be made more accessible in Zimbabwe. A pilot study was conducted in which two questionnaires that covered the research question and the five objectives were constructed and refined. Subsequently a survey was carried out on a sample of 300 parents of children with hearing impairments and 28 counseling service organizations. The questionnaires sought to find out: who counseled parents of children with hearing impairments, their views about the counseling they received, whether they were able to accept and cope with their children after counseling and their views on how counseling could be made more accessible. The questionnaire to service organizations sought to establish the qualifications of their counselors, the needs of parents of children with hearing impairments and their views on what they thought could be done to help parents access counseling services. Female and male parents were compared in terms of their sources of counseling, acceptance and coping with children of different genders and different age groups. Quantitative data on organizations and parents’ responses were analyzed using descriptive statistics. Qualitative analysis was used to analyze data from open-ended questions collected from parents of children with hearing impairments. Results from the study indicate that the majority of the parents received counseling from special schools, followed by individuals, then hospitals, churches, registered counseling organizations and friends. Slightly more than half of the parents were aware of registered organizations that offer counseling services. Most parents believed that counseling helped them and were able to cope with their children after counseling. The majority of the counselors who counseled parents of children with hearing impairments were not qualified. Most parents indicated that they faced difficulties in communication, financial constraints, societal attitude, lack of transport and lack of skills to teach children basic living skills. Parents suggested the use of parent support groups, workshops and advertisements as means of making counseling services more accessible.Thesis (PhD (Learning Support, Guidance and Counceling))--University of Pretoria, 2004.
Educational Psychology
unrestricted
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Huerta, Quito Amarilis Paula, and Borjas Emily Daniela Medina. "Análisis de recepción de los subtítulos para personas con discapacidad auditiva de la obra teatral Hedda." Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2019. http://hdl.handle.net/10757/651970.
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Si bien ha estado tradicionalmente asociado al acceso a espacios físicos, el concepto de accesibilidad comprende también la integración social y cultural de las personas con discapacidad. Una manera de lograrlo es mediante la accesibilidad a productos audiovisuales. En países como Estados Unidos, España o Finlandia, se han registrado propuestas y estudios de subtítulos para personas con discapacidad auditiva tanto en la televisión, el cine y los videojuegos, pero muy pocas en el teatro. En el Perú, tanto las propuestas como los estudios de traducción para la accesibilidad en cualquier ámbito son escasos. Recientemente, en el año 2019, el Teatro Británico ha empezado a ofrecer funciones de teatro inclusivas para personas con discapacidad auditiva. La difusión de productos culturales accesibles en el Perú es un servicio nuevo y no existen estudios al respecto. Por ello, el presente estudio busca analizar la recepción de los subtítulos para personas sordas de la obra teatral Hedda, producida por el Teatro Británico. Nuestra investigación tiene un enfoque cualitativo, pues busca describir la recepción de esta obra accesible por un grupo de diez participantes con discapacidad auditiva. A través de una encuesta, se conocerá su perfil sociocultural y sus reacciones y comprensión frente a la obra subtitulada. De esta manera, se busca establecer un diálogo entre las perspectivas de la teoría sobre el estudio de la recepción del subtitulado para sordos de obras teatrales y los resultados de su aplicación en la práctica desde la perspectiva de la comunidad sorda.Although it has traditionally been associated with access to physical spaces, the concept of accessibility also includes the social and cultural integration of people with disability. One way to achieve this is through accessibility to audiovisual products. Proposals and studies regarding subtitles for the hearing impaired have been registered in countries such as the United States, Spain or Finland, both on television, movies and on video games, but very few in theater. In Peru, both the proposals and the studies of translation for accessibility in any field are limited. In 2019, El Teatro Británico has started offering inclusive theater performances for people with hearing impairment. The dissemination of accessible cultural products in Peru is a new service and there are no studies on it. Therefore, the present study seeks to analyze the reception of the subtitles for the hearing impaired of the play “Hedda”, produced by El Teatro Británico. Our research has a qualitative approach, as it seeks to describe the reception of this accessible play by a group of ten participants with hearing impairment. Their sociocultural profile, reactions and understanding of the subtitled play will be known through a survey. In this way, it seeks to establish a dialogue between the perspectives of theater subtitling for the deaf theory and the results of its application from the perspective of the deaf community.
Trabajo de investigación
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Öster, Anne-Marie. "Computer-based speech therapy using visual feedback with focus on children with profound hearing impairments." Doctoral thesis, KTH, Speech, Music and Hearing, TMH, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-4031.
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This thesis presents work in the area of computer-based speech therapy using different types of visual feedback to replace the auditory feedback channel. The study includes diagnostic assessment methods prior to therapy, type of therapy design, and type of visual feedback for different users during different stages of therapy for increasing the efficiency. The thesis focuses on individual computer-based speech therapy (CBST) for profoundly hearing-impaired children as well as for computer-assisted pronunciation training (CAPT) for teaching and training the prosody of a second language. Children who are born with a profound hearing loss have no acoustic speech target to imi¬tate and compare their own production with. Therefore, they develop no spontaneous speech but have to learn speech through vision, tactile sensation and, if possible, residual hear¬ing. They have to rely on the limited visibility of phonetic features in learning oral speech and on orosensory-motor control in maintaining speech movements. These children constitute a heterogeneous group needing an individualized speech therapy. This is because their possibilities to communicate with speech depend not only on the amount of hearing, as measured by pure-tone audiometry, but also on the quality of the hearing sensa¬tion and the use the children through training are able to make of their functional hearing for speech. Adult second language learners, on the other hand, have difficulties in perceiving the phonetics and prosody of a second language through audition, not because of a hearing loss but because they are not able to hear new sound contrasts because of interference with their native language. The thesis presents an overview of reports made concerning speech communication and profound hearing impairment such as studies about residual hearing for speech processing, effects of speech input limitations on speech production, interaction between individual deviations and speech intelligibility, and speech assessment methods of phonetic realizations of phonological systems. Finally, through several clinical evaluation studies of three Swedish computer-based therapy systems, concerning functionality, efficiency, types of visual feedback, therapy design, and practical usability for different users, important recommendations are specified for future developments.
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Öster, Anne-Marie. "Computer-based speech therapy using visual feedback with focus on children with profound hearing impairments /." Stockholm, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-4031.
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Kozel, Peter J. "HEARING IMPAIRMENTS IN MICE DEFICIENT IN PLASMA MEMBRANE Ca 2+ - ATPASE ISOFORM 2." University of Cincinnati / OhioLINK, 2001. http://rave.ohiolink.edu/etdc/view?acc_num=ucin991749321.
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Lau, W. C., and Kerry Proctor-Williams. "Temperament Profiles of Children with Communication Impairments." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/1835.
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Aquino-Russell, Catherine Elma. "Understanding the lived experiences of persons who have a different sense of hearing /." Full text available, 2003. http://adt.curtin.edu.au/theses/available/adt-WCU20040219.113721.
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Aquino-Russell, Catherine Elma. "Understanding the Lived Experience of Persons Who have a Different Sense of Hearing." Thesis, Curtin University, 2003. http://hdl.handle.net/20.500.11937/2524.
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Hearing loss is a silent, often overlooked condition which deprives people of the most basic of human needs--the ability to communicate effectively. The notion that there is a dearth of understanding by health care professionals when caring for persons with hearing loss has been acknowledged. This research study aimed to describe the meaning of what it is like to live with a different sense of hearing for seven Canadian participants. The process of inquiry was guided by Parses human becoming theory for nursing (1981, 1987, 1992, 1998). The Giorgi (1970, 1971, 1975, 1985, 1989, 1992) modification of the phenomenological method was used for analysis-synthesis. Five women and two men employed and ranging between 25 and 70 years shared their lived experiences with the researcher via email correspondence. Confidentiality and anonymity were assured. Participants were asked to write about what it is like for them to live with a different sense of hearing. The central finding of this study was: Living with a different sense of hearing is experiencing the joy-sorrow of hearing-not hearing unfolding through discovering gained-lost communication surfacing all-at-once with diminished-enhanced feelings of self while choosing the rhythm of revealing-concealing amid potential regard-disregard of others. The findings of this research build on Parses (1981, 1998) theory of human becoming and may enhance nurses understanding of what it is like to live with hearing loss, which may in turn alter the way nurses structure practice with persons who live with a different sense of hearing, making a difference in their quality of life.
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Aquino-Russell, Catherine Elma. "Understanding the Lived Experience of Persons Who have a Different Sense of Hearing." Curtin University of Technology, School of Nursing and Midwifery, 2003. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=14330.
Full textAbstract:
Hearing loss is a silent, often overlooked condition which deprives people of the most basic of human needs--the ability to communicate effectively. The notion that there is a dearth of understanding by health care professionals when caring for persons with hearing loss has been acknowledged. This research study aimed to describe the meaning of what it is like to live with a different sense of hearing for seven Canadian participants. The process of inquiry was guided by Parses human becoming theory for nursing (1981, 1987, 1992, 1998). The Giorgi (1970, 1971, 1975, 1985, 1989, 1992) modification of the phenomenological method was used for analysis-synthesis. Five women and two men employed and ranging between 25 and 70 years shared their lived experiences with the researcher via email correspondence. Confidentiality and anonymity were assured. Participants were asked to write about what it is like for them to live with a different sense of hearing. The central finding of this study was: Living with a different sense of hearing is experiencing the joy-sorrow of hearing-not hearing unfolding through discovering gained-lost communication surfacing all-at-once with diminished-enhanced feelings of self while choosing the rhythm of revealing-concealing amid potential regard-disregard of others. The findings of this research build on Parses (1981, 1998) theory of human becoming and may enhance nurses understanding of what it is like to live with hearing loss, which may in turn alter the way nurses structure practice with persons who live with a different sense of hearing, making a difference in their quality of life.
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Williams, A. Lynn, S. M. Camarata, Nancy J. Scherer, and P. Hoffman. "The Relationship between Speech and Language Impairments in Children." Digital Commons @ East Tennessee State University, 1997. https://dc.etsu.edu/etsu-works/2110.
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LANGHANS, JOSEPH JOHN III. "PANTOMIME RECOGNITION AND PANTOMIME EXPRESSION IN PERSONS WITH ALZHEIMER'S DISEASE." Diss., The University of Arizona, 1985. http://hdl.handle.net/10150/188005.
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There are few, yet contradictory, reports in the literature regarding whether persons with Alzheimer's disease demonstrate a disturbance of nonverbal communication or pantomime. While some researchers ascribe all disturbances of gestural behavior to apraxic phenomena, others have viewed a disturbance of pantomime as the consequence of language disorder or general intellectual deterioration. This investigation was conducted (1) to determine whether persons with Alzheimer's disease demonstrate a disturbance of pantomime recognition, pantomime expression, or both, compared to healthy, aged controls; (2) to determine the relation of performance on measures of pantomime recognition and pantomime expression to performance on measures of cognition/intelligence, language, and praxis in Alzheimer subjects; (3) to determine whether Alzheimer subjects improve pantomimic expressive performance on imitation of the examiner; and (4) to determine whether a statistically significant difference in pantomimic expressive performance between Alzheimer and control subjects is also a clinically obvious difference. Forty-five subjects (30 subjects with Alzheimer's disease and 15 healthy, aged controls) were administered measures of pantomime recognition, pantomime expression, cognition/intelligence, language, and praxis. In addition, 13 graduate students in speech-language pathology viewed and judged as being "normal" or "abnormal" 15 expressive pantomimes performed by 10 Alzheimer and 5 control subjects. Results indicated that there was a significant difference between groups in performance on both pantomime measures; the Alzheimer subjects performed less well than controls. The performance of Alzheimer subjects on both pantomime measures was also more closely related to performance on measures of language and cognition/intelligence than to praxis. Alzheimer subjects improved pantomimic expressive performance on imitation of the examiner, to the extent that between groups performance no longer differed significantly. Finally, graduate student judges rated the pantomimic expressive performance of Alzheimer subjects as being "abnormal" significantly more often than the pantomimic expressive performance of controls. Because the pantomime variables were related to both the language and cognition/intelligence variables, and the language and cognition/intelligence variables were related to one another, it was concluded that these variables were functionally interdependent, and therefore, these results for this sample conformed with central mechanism explanations for a disturbance of pantomime.
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Johnson, Earl E., and Dan Bell. "The Diagnosis and Rehabilitation of Listeners with Hearing Impairment." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/1714.
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Kan, Kam-sheung. "The development and evaluation of a music intervention program for children with hearing impairments in integrated preschools." Click to view the E-thesis via HKUTO, 2005. http://sunzi.lib.hku.hk/hkuto/record/B35540394.
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Kucera, Susan Kay. "Effects of task difficulty on naming performance of aphasic subjects." PDXScholar, 1992. https://pdxscholar.library.pdx.edu/open_access_etds/4369.
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This investigation examined the effects of task difficulty on aphasic individuals' naming performance. Subjects were presented lists of easy-to-name and difficult-to-name items. In the high success condition, difficult lists were interspersed among a larger number of easy lists. In the low success condition, easy lists were interspersed among a larger number of difficult lists. Percentages of correct responses for administration of each list were calculated for each subject. Group means for each list were derived by averaging the individual scores. Group means in the high success and the low success conditions were compared with baseline measures to determine experimental effects. No statistical analyses were performed. Results did not find that task difficulty effects aphasic individuals' naming performance.
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Wong, C. W. "Working memory and coding strategies for Chinese characters in normal and hearing impaired adolescents." Click to view the E-thesis via HKUTO, 1997. http://sunzi.lib.hku.hk/hkuto/record/B36209569.
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Thesis (B.Sc)--University of Hong Kong, 1997."A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, April 30, 1997." Also available in print.
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Dempsey, Donna Jean Ala'i-Rosales Shahla S. "An experimental analysis of opportunity and communication response form in a child with autism and hearing impairments." [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-5188.
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Kan, Kam-sheung, and 簡錦嫦. "The development and evaluation of a music intervention program for children with hearing impairments in integrated preschools." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B35540394.
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Dempsey, Donna Jean. "An experimental analysis of opportunity and communication response form in a child with autism and hearing impairments." Thesis, University of North Texas, 2007. https://digital.library.unt.edu/ark:/67531/metadc5188/.
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An alternating treatment design was used to systematically evaluate the communication response forms, picture exchange communication system (PECS) or sign language, selection for a child with pervasive developmental disorder-not otherwise specified, profound hearing loss, and cochlear implants. The child had a limited pool of high preference items and very few functional skills. Key factors for this child included a structured environment that created a verbal community and contingent access to high preference items. No preference in communication response form was observed. The child successfully used four response forms to communicate: gestures, PECS, sign language, and vocalization. The results are discussed in terms of decision making factors in the selection of response forms.
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Tam, So-may May. "Acoustic analysis of word-initial stop consonants in profoundly hearing impaired speakers." Click to view the E-thesis via HKUTO, 1996. http://sunzi.lib.hku.hk/hkuto/record/B36209338.
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Thesis (B.Sc)--University of Hong Kong, 1996."A dissertation submitted in partial fulfilment of the requirements for the Bachelor of Science (Speech and Hearing Sciences), The University of Hong Kong, April 29, 1996." Also available in print.
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Ranise, Cécile. "Musées, accessibilité et handicap : l’accessibilité des musées nationaux de Budapest (Hongrie) et l’accueil des visiteurs en situation de handicap (tous handicaps) : Etudes de cas de trois musées emblématiques : états des lieux, analyses de l’existant, conception et réalisation de projets de mise en accessibilité." Thesis, Aix-Marseille, 2012. http://www.theses.fr/2012AIXM3086.
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L'accessibilité des musées hongrois aux personnes en situation de handicap, entendue au sens large, c'est-à-dire l'accessibilité du cadre bâti, l'accès à l'information, à la communication, l'accès à l'offre culturelle et aux pratiques artistiques, constitue aujourd'hui non seulement une obligation légale mais surtout une opportunité d'élargissement des publics. Grâce à une politique volontariste d'accueil des publics en situation de handicap dans les musées et à une adaptation spécifique du cadre bâti, des supports d'informations et de communication, des prestations et animations culturelles ou encore des outils et supports pédagogiques grâce aux innovations technologiques en perpétuelle innovation, il est possible de prendre en compte tous les types de visiteurs en situation de handicap dans les musées et de leur faire bénéficier de services et d'offres adaptés à leurs attentes et à leurs besoins. Pour autant, dans la pratique, la réalité sur le terrain hongrois n'est pas toujours si évidente, les rapports entre les personnes en situation de handicap et les musées hongrois étant un fait relativement récent. Pour aborder ce sujet, trois musées nationaux de Budapest ont été choisis par rapport à leurs critères particuliers en tant qu'études de cas afin d'analyser la situation de l'accessibilité et de mettre en place dans ces musées des projets de mise en accessibilité pour l'accueil des publics en situation de handicap. Les conclusions issues de la mise en place de ces divers projets développés dans ces trois musées permettent de dresser des recommandations, des préconisations et des pistes d'actions destinées plus particulièrement aux professionnels des muséesThe accessibility of the Hungarian museums for people with disabilities - i.e. in a broader sense accessibility of the building, access to information and communication and access to cultural and artistic practices - represents today not only a legal obligation but actually a substantial contribution to the enlargement of the public. Thanks to the voluntarist politics in the museums regarding services of handicapped people, thanks to the special adjustment of the buildings, to the information and communication appliences, to the cultural services and even to the pedagogical means and methods in a constant technological development and innovation, it is possible to take into consideration all types of visitors with disabilities and to provide them with services adjusted to their expectations and needs. Nevertheless in practice this is not always so obvious in Hungary, the dialogue between handicapped people and the Hungarian museums started just recently. In order to investigate this subject matter, three national museums have been selected in Budapest to be examined in a case study. The aim was to see and analyse their conditions of accessibility and implement the projects related to accesibility and to the actions how to welcome a public with disabilities. The conclusions drawn from the different projects developped in these three museums make it possible to set up recommendations and suggestions and to propose action plans particularly to the professionals working in the museums
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Caporusso, Nicholas. "Issues, challenges and practices in advancing pervasive human-computer interaction for people with combined hearing and vision impairments." Thesis, IMT Alti Studi Lucca, 2012. http://e-theses.imtlucca.it/87/1/Caporusso_phdthesis.pdf.
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This dissertation is entirely dedicated to people having some degree of combined impairments of both the visual and the auditory channels and, specifically, to deafblind people. As such individuals are deaf and blind at the same time, they are not able to rely on their sight or on their sense of hearing to communicate with others and to interact with the external world. As a result, they are forced to utilize an alternative channel for achieving communication, interaction and access to information. Among the residual channels, the sense of touch is the best sensory substitute: although it is less performing than vision and hearing, it enables exchanging messages with the environment. Nevertheless, in order to be accessed for exchanging messages (communication) or for acquiring information, people and objects have to be at contact distance. This major drawback can be mitigated by introducing assistive technology (AT) in the form of novel human-computer interfaces that enable individuals to go beyond close proximity and to interact with a world that is, day after day, one step forward.
In the first part of this dissertation, we provide an overview of touch-based communication systems, and we identify their major features, and we introduce a meta-language that enables the description of both the static and the dynamic features of touch-based communication systems, in order to enable systems to easily move from one language to another. The second part of this dissertation is dedicated to innovative devices especially designed for the deafblind; we discuss the challenges in implementing the dynamics touch-based communication systems into interactive devices, and we detail some experiments. Moreover, we discuss the design of a bimodal tactile device meant to enhance content reading with Braille displays; we present a tactile mouse for providing blind and deafblind users with vibrotactile-assisted two-dimension spatial navigation, and for enabling them to interact with WIMP interfaces. Subsequently, we introduce dbGLOVE, a proprietry wearable technology dedicated to the deafblind. Finally, we focus on the evaluation of dbGLOVE, and we introduce some improvements to the performance of the device.
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Henn, M. J., Gubela Mji, and Surona Visagie. "Evaluation of the rehabilitation program for persons with complete paraplegia at Netcare rehabilitation hospital." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/5772.
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Thesis (MSc (Interdisciplinary Health Sciences. Speech-Language and Hearing Therapy))--University of Stellenbosch, 2009.ENGLISH ABSTRACT: Spinal cord injury is a devastating sudden cause of disability which renders a person paralyzed and dependent on care immediately after the incident. A person who has suffered a spinal cord injury requires an intensive rehabilitation program to achieve physical independence as well as reintegration into the community. The aim of this study was to evaluate the rehabilitation program for patients with complete paraplegia at the Netcare Rehabilitation Hospital, a 120 bed private rehabilitation facility in Johannesburg, where rehabilitation for patients with physical disabilities is offered by an interdisciplinary team. The rehabilitation program was evaluated in terms of effectiveness including the degree of physical independence the patients achieved and how well the program prepared patients for successful integration into the community. The Functional Independence Measure (FIM), a standardized outcome measure that measures certain physical and cognitive functions and the Needs Assessment Checklist (NAC), an instrument designed to assess if the rehabilitation program is geared towards the patients’ individual needs were used as outcome measure. FIM scores were determined on admission and discharge and NAC scores were determined at discharge. A convenient, consecutive sample of sixteen patients with complete paraplegia (ASIA A), with a neurological level between T1 and T12, formed the study population. Consistently high FIM and NAC scores in the area of physical functioning suggested that the rehabilitation program at Netcare Rehabilitation Hospital was effective in terms of providing patients with physical independence. However, NAC results showed that the patients were not completely ready to reintegrate back to their communities. Areas that were identified as particularly problematic were knowledge on follow up health care services in the community, readiness for work and accessibility of the home and work environments. Therefore it is recommended that the rehabilitation team re-evaluate the program and incorporate strategies with the aim to improve it’s effectiveness in terms of preparing patients for community reintegration. It is also recommended that further research is conducted to assess the current success rate with regards to community reintegration and determine challenges to re-integration in order to assist with program panning.
AFRIKAANSE OPSOMMING: ‘n Spinaalkoordbesering is ‘n skielike oorsaak van gestremdheid wat die persoon verlam en afhanklik van sorg laat direk na die voorval. ‘n Persoon wat ‘n spinalkoordbesering opdoen benodig ‘n intensiewe rehabilitasie program om weer fisies onafhanklik te wees en ook om hom/haar voor te berei om weer by die gemeenskap in te skakel. Die doel van hierdie studie was om die rehabilitasie program by die Netcare Rehabilitasie Hospitaal, ‘n 120 bed private rehabilitasie fasiliteit in Johannesburg, waar rehabilitasie vir fisies gestremde persone deur ‘n interdissiplinere span aangebied word, te evalueer. Die program is geevalueer in terme van twee uitkomste naamlik, die graad van fisiese onafhanklikheid wat die pasiënte behaal en tot watter mate die program pasiente voorberei vir herintegrasie in die gemeenskap Die “Functional Independence Measure” (FIM), ‘n gestandaardiseerde uitkoms skaal wat sekere fisiese en kognitiewe funksies meet en die “Needs Assessment Checklist” (NAC), `n instrument wat ontwikkel is om te evalueer of rehabilitasie programme pasiente se spesifieke behoeftes aanspreek. Is gebruik om the rehabilitasie program te evalueer. Die FIM is met toelating en ontslag voltooi en die NAC is met ontslag voltooi. ‘n Steekproef van sestien pasiente met volledige spinaalkoordletsels (ASIA A) tussen T1 en T12 het die studie populasie gevorm. Deurgans hoë FIM en NAC tellings vir fisiese funksionering het daarop gedui dat die rehabilitasie program by die Netcare Rehabilitation Hospital effektief is in terme van fisiese onafhanklikheid van pasiente. Aan die ander kant het die NAC tellings daarop gedui dat die program minder suksesvol is wat betref die voorbereiding van pasiente vir gemeeskapsintegrasie. Spesifieke probleem areas sluit in kennis van waar om opvolg gesondheidssorg in die gemeenskap te bekom, gereedheid vir werk en toeganklikheid van die huis en werksomgewing. Daar word aanbeveel dat die rehabilitasie span by Netcare Rehabilitasie Hospitaal die program herevalueer om die effektiwiteit van die program in terme van die voorbereiding vir gemeenskaps herintegrasie te verbeter. Dit word ook aanbeveel dat ‘n opvolg studie gedoen word om die huidige sukses ten opsigte van gemeenskaps herintegrasie te evalueer en sruikelblokke te identifiseer ten einde die span the help met program beplanning.
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Hemmerich, Abby Leigh. "The distribution and severity of tremor in speech structures of persons with vocal tremor." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/2891.
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Background: Vocal tremor affects over half a million Americans. Tremor can affect structures within the respiratory, laryngeal, velopharyngeal, or oral regions (Critchley, 1949). No study has related the of tremor severity in structures in all four of these regions to the severity of vocal tremor. Purpose: The purpose of this study was (a) to describe the distribution and severity of tremor throughout the vocal tract and (b) to relate that to the severity of the voice tremor. We hypothesized that tremor would be widespread throughout the vocal tract, but most prevalent in the larynx, specifically in the true vocal folds. Additionally, we expected vocal tremor severity to be directly related to the distribution and severity of tremor in structures of the vocal tract. Method: Twenty adults with vocal tremor and two age-matched controls participated in the study. Two judges, experienced in assessment of laryngeal movement disorders, rated the tremor severity in each of 15 structures during sustained /i/, /s/, /h/, and rest breathing, and the severity of the voice tremor during sustained /i/, /s/, and /h/. Results: A novel finding of this study was the identification of distribution and severity of tremor in vocal tract structures associated with mild, moderate, and severe vocal tremor. Participants with mild voice tremor tended to show tremor limited to structures of the larynx, and in some cases, the velopharynx, and on average, had three structures affected (most commonly true vocal folds, supraglottic structures, and hypopharynx). Participants with moderate voice tremor tended to show tremor in the larynx and velopharynx, and on average, had five structures affected (most commonly true vocal folds, supraglottic structures, hypopharynx, vertical laryngeal movement, and some other velar, oral, or respiratory structure). Those with severe voice tremor showed tremor in the larynx, velopharynx, and beyond and on average, had eight structures affected (most commonly true vocal folds, supraglottic structures, hypopharynx, vertical laryngeal movement, anterior and lateral chest movement, velum, and jaw). A second novel finding, obtained through regression analyses, was that tremor severity of the supraglottic structures and vertical laryngeal movement contributed the most to the voice tremor severity during sustained phonation (r=0.77, F=16.17, p<0.0001). A strong positive correlation (r=0.72) was found between the Tremor Index, a composite value of the distribution and severity of structural tremor, and the severity of the voice tremor during sustained phonation. The correlation between the severity of tremor in the true vocal folds and the voice tremor was moderate (r=0.46). Mean voice tremor severity was greater in participants over age 75 (mean=2.25) than those between 66 and 75 years (mean=1.5) and under age 65 (mean=1.8). Mean Tremor Index, was greater in participants over age 65 (mean TI=68) than those under age 65 (mean=41). In this group of 20 participants, laryngeal/hypopharyngeal structures were most frequently (95%) and severely (rated 1.7 out of 3) affected, followed by velopharyngeal (40% occurrence, 1.3 severity), respiratory (40% occurrence, 1.1 severity), and oral (40% occurrence, 1.0 severity) regions during sustained phonation. Tremor was also identified more often and with greater severity in the larynx for sustained /s/ (70% occurrence, 1.7 severity), /h/ (40% occurrence, 1.7 severity), and rest breathing (45% occurrence, 1.6 severity) than other regions. During the voiceless and rest breathing tasks, the greatest tremor severity was noted in the true vocal folds. Conclusion: Evaluation of the distribution and severity of tremor may be useful in guiding behavioral and medical treatment of voice tremor and for providing prognostic information regarding response to laryngeal botulinum toxin injection.
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Oren, Michael Anthony. "Design and evaluation of auditory spatial cues for decision making within a game environment for persons with visual impairments." [Ames, Iowa : Iowa State University], 2008.
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Nelson, Denise Marie. "Effects of encouraging, discouraging, and neutral instructions on naming by aphasic subjects." PDXScholar, 1991. https://pdxscholar.library.pdx.edu/open_access_etds/4194.
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The purpose of this investigation was to examine the influence of three instructional conditions (encouraging, discouraging, and neutral) on eighteen aphasic adults' performance on a naming task. Each subject listened to each audiotaped instructional condition followed by a 20 picture naming task presented with a slide projector for a total of three tasks and 60 pictures. Subjects' mean scores were combined and averaged to derive a grand mean score for each instructional condition. A repeated measures analysis of variance was applied to determine if the differences were significant at the .01 level. No significant differences were found.
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Nouck, Alphonse Landry. "The right of access to information for visually disabled and hearing impaired persons in South Africa." Thesis, University of the Western Cape, 2016. http://hdl.handle.net/11394/5521.
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Knoth, Sharon K. "Essential accommodations for students with sensory impairments : perceptions from the field." Virtual Press, 2006. http://liblink.bsu.edu/uhtbin/catkey/1354646.
Full textAbstract:
This thesis explored standardized assessment practices and analyzed accommodations commonly provided to address the unique needs of students with a sensory impairment. Current assessment practices in Indiana result in well below average scores on the Indiana Statewide Testing for Educational Progress - Plus (ISTEP+) and the Graduation Qualifying Examination (GQE) for students who have a sensory impairment. Using a mixed-method of qualitative and quantitative processes, the researcher postulated that if assessment processes were equitable for this population of students, their scores should approximate the normal distribution seen in the overall state totals for the total school population; albeit with a slightly lower trajectory. Reasoning being that the overall population of students with a sensory impairment spans from students with high ability to students with multiple disabilities. Through a literature review and meta-analysis on the topic of assessment, surveys and discussions with varied local experts, and interviews with state and national experts in the sensory areas represented, this study sought to establish a framework for accommodating this population of students on standardized assessments. Using descriptive analysis procedures, the various data sets brought forth 25 qualities or practices that the diverse experts agreed should be in place when assessing this population of students. The data reflected a high level of consensus among parents, teachers, state, and national experts regardless of region of state represented. The data also reflected consensus across sensory subgroups (blind, deaf, deafblind, hard of hearing/cochlear implant, and low vision). The research concluded with a modified confirmatory factor analysis of the 25 qualities with the state-dictated permissible accommodations published in the test guidance manual. This analysis revealed less than half of the perceived best practices were in place for the current state-mandated assessment system. Suggestions for improving accommodation options on future assessment procedures and the prospective for further research were offered.Department of Special Education