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Credit(s): PDHs: 1.5, ASHA CEUs*: 0.15
Summary: These SIG 7 Perspectives articles focus on auditory rehabilitation (AR) for adults with cochlear implants. While the benefits of AR in the population are recognized in the literature, service-delivery models are variable, and there is no gold standard approach to developing and implementing a comprehensive AR program. Glade and colleagues provide an overview of clinical models currently being used for the provision of AR for adults with cochlear implants from nine clinics across the country. The article highlights the importance of interprofessional practice in AR and outlines the roles of professionals included on care teams. There is a discussion about barriers to successful implementation of AR programs, including distance to services, and recommendations for potential solutions, such as teletherapy. In the second article, Mosley describes the process of creating and implementing a comprehensive teleaudiology AR program for older adults who use cochlear implants at the University of South Alabama Speech & Hearing Center.
Credit(s): PDHs: 2.5, ASHA CEUs*: 0.25
Summary: In “Coupling Hearing Health With Community-Based Group Therapy for Cognitive Health in Low-Income African American Elders,” Postman et al. describe a community-based group intervention to address disparities experienced by African American elders in the early stages of cognitive–communicative decline. The intervention included partnerships with community health centers, culturally informed activities, and ongoing input from staff and participants. The authors describe the advantages of this community-engaged approach, as well as the benefits of joining hearing and cognition for minimizing access barriers. In “Public Health Frameworks in Audiology Education: Rationale and Model for Implementation,” Warren and Levy review how public health education can advance the field of audiology, particularly through coursework and dual degree programs. The authors also describe two frameworks for public health training in an audiology academic setting and identify the competencies that overlap in audiology and public health, helping to illustrate the relevance of public health education in addressing objectives in hearing health care.
Credit(s): PDHs: 4.0, ASHA CEUs*: 0.4
Summary: 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.
Presenter(s): Elizabeth Adams Costa, PhD, CCC-A, FAAA; Logan Skinner Cole; Amy Nichols, AuD, PhD, CCC-A
Credit(s): PDHs: 0.5, ASHA CEUs*: 0.05
Summary: This presentation describes the case of a 48-year-old female presenting with vertigo and disequilibrium consistent with mal de debarquement (MdDS) following a weeklong vacation cruise. MRI images, audiometric, and vestibular results are presented, as well as an in-depth review of MdDS and Chiari malformation and their impact on vestibular function and quality of life.
Credit(s): PDHs: 2.0, ASHA CEUs*: 0.2
Summary: This activity includes two articles related to language and literacy intervention for children with hearing loss and deafness. In the first article, Stephanie Mary Raymond and Tring D. Spencer investigate the effect of narrative language intervention on the narrative retelling skills and vocabulary use of children with hearing loss. In the second article, Krystal L. Werfel and Sarah Lawrence describe specific considerations for print-referencing interventions for children with hearing loss along with a case study. The respective authors conclude that print referencing, with specific considerations for children with hearing loss, may be an effective emergent literacy intervention to increase conceptual print knowledge for children preschool-age with hearing loss; and narrative intervention is promising for facilitating language skills improvement for children with hearing loss. Both studies require replication for their findings.
Credit(s): PDHs: 3.5, ASHA CEUs*: 0.35
Summary: 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.
Presenter(s): Sarah Warren, MA
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Audiologists in clinics and private practices who bill Medicare have needed an order from a physician to provide hearing assessment services since the inception of the program. However, for 2023, Medicare removed the physician's order requirement in a way that has the potential to improve access to care for Medicare beneficiaries but also includes some limitations. This on demand webinar walks through the logistics of successfully taking advantage of the Medicare changes and provides practical tips for avoiding mistakes that could be costly for you and your patients.
Presenter(s): Natalie Hayes, AuD, CCC-A ; Megan M Cherry, AuD, CCC-A
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: There are many possible causes for childhood dizziness, which differs from adult dizziness. This session discusses the key components of a pediatric vestibular clinic and its staff, common etiologies of dizziness, risk factors of vestibular loss, and signs of vestibular dysfunction in children. Speakers discuss easy ways to adapt your current testing protocol and which tests might be appropriate for each age group.
Presenter(s): Joseph Sakumura, AuD; Richard E Gans, PhD, CCC-A
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This recorded session from the ASHA Audiology 2022 Online Conference provides a comprehensive overview of today's modern and highly sensitive neurodiagnostic vestibular tests, including rotary chair, cervical and ocular vestibular evoked myogenic potentials (VEMP), and video Head Impulse Testing (vHIT), as well as postural stability assessments. The presenters discuss how integrating these tests creates a diagnosis-based strategy that provides the team of diagnostic and rehabilitation professionals with direction and guidance as to the best vestibular rehabilitation therapy (VRT) strategies for the individual patient. The session includes video examples of the range of VRT strategies, including adaptation and habituation.
Presenter(s): Caitlin E Sapp, AuD, PhD, CCC-A
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This recorded session from the ASHA Audiology 2022 Online Conference examines the state of the literature supporting clinical decision-making about pediatric hearing aid candidacy. The speaker reviews the main types of bias that can potentially influence our thinking about who is and is not a candidate for a hearing aid. The session presents practical strategies for increasing the use of objective criteria in the clinic when assessing hearing aid candidacy and for knowing when a hearing aid may not be the right choice, with emphasis on the use of audibility as a counseling tool and in support of candidacy conversations with families of children with hearing loss.
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