Biomedical subjects

Adele Proctor

Publications and source records attributed to Adele Proctor.

5 recordsLinked to original sources

PubMed2004

Prevalence of voice disorders in African American and European American preschoolers.

Several studies have reported prevalence rates for voice disorders in school-aged children. Less is known, however, about such prevalence in preschoolers, and whether racial, ethnic, or cultural diversity may influence it. The presence of voice disorders in a total of 2445 African-American and European-American preschool children, 1246 males and 1199 females, from 2 to 6 years of age is reported here. Presence of a voice disorder characterized by hoarseness was identified by a three-prong approach including teacher identification, investigator screening, and parent identification. Speech-language pathologists listened individually to each child's speech as they engaged each child in play-conversation activities. A voice disorder was identified on the basis of the judgment of two speech-language pathologists. Voice disorders characterized by hoarseness were identified in 95 children or 3.9% of the total sample by the investigators. Statistical analysis revealed no significant differences for age, gender, or race.

Black or African American↗

PubMed2003

Analysis of normal discourse patterns.

Twenty-five normal young adult college students provided speaking and writing samples using two elicitation procedures: picture description and personal narrative. Patterns of productivity, efficiency, and coherence were investigated while considering the demands imposed by mode of expression, task elicitation, cognitive distance, and verbal working memory. Samples were divided into top (S1) and bottom (S2) halves. Within group (S1/S2) and between group (pictured activity description/personal narrative) comparisons were made for oral vs. written samples, and performance measures were correlated with verbal working memory scores. Results indicated that the productivity measure was influenced by the type of elicitation task and was not related to verbal working memory scores. Efficiency was influenced by mode of expression and demonstrated a low correlation with verbal working memory scores. Coherence ratings were not influenced by type of elicitation task, mode of expression, or length of sample, and were not related to verbal working memory scores. Results are discussed in terms of the clinical utility of these discourse measures.

Adolescent↗

PubMed2002

Digit speech recognition thresholds (SRT) for non-native speakers of English.

Although Central Institute for the Deaf (CID) W-1 stimuli are routinely used for speech recognition threshold (SRT) testing, they are not always familiar to new learners of English and often lead to erroneous assessments. To improve test accuracy, alternative stimuli were constructed by pairing familiar English digits. These digit pairs were used to measure SRT for 12 non-native speakers of English and 12 native speakers of English. Results indicate that digit pairs effectively measure SRT for both participant groups; and more importantly, for non-native speakers of English, digit pairs are more accurate than CID W-1 words in measuring the hearing threshold for speech. Digit-pairs have cross-linguistic appeal and should greatly facilitate accurate SRT testing for listeners with minimal exposure to English.

Adult↗

PubMed2002

Mild traumatic brain injury (MTBI): assessment and treatment procedures used by speech-language pathologists (SLPs).

The purposes of this study were to identify how individuals with MTBI are assessed, to determine the referral process to and from speech-language pathologists (SLPs), to describe the frequency, structure, and nature of treatment, to identify how individuals with MTBI and their families are educated about the injury and counselled, and to assess current follow-up procedures. One-hundred and forty-three hospital and rehabilitation centre based SLPs from North Carolina and Illinois responded to a survey developed to address these areas of interest. Findings indicated current diagnostic tools used by SLPs lack the sensitivity to detect the subtle cognitive communication deficits associated with MTBI, referral and follow-up procedures are not sufficiently implemented in facilities to meet the growing needs of individuals with MTBI, and SLPs would benefit from increased training regarding the management of individuals with MTBI including educating and counselling patients and their families.

Brain Injuries↗

PubMed2002

Written discourse of adolescents with closed head injury.

Written discourse of adolescents with closed head injury (CHI) was compared to that of normal controls. It was expected that the writing of adolescents with CHI would be disordered on one or more of the eight measurements used (productivity, efficiency, lexical, incomplete, or elliptic cohesion, global or local coherence, and maze use). Eight adolescents with closed head injury and matched controls provided written descriptions of a pictured activity. Analysis using t-tests indicated that adolescents with CHI used fewer words to express each idea in writing (p = 0.05), and that the relationship between successive ideas was rated as less than that of controls (p = 0.002). Implications are that written as well as oral discourse should be assessed after CHI. Writing is a more controlled process than speaking; and, therefore, may be used clinically to structure the development of ideas after CHI.

Adolescent↗