Indiana Speech-Language-Hearing Association

Friday’s Program

April 12, 2024

8:00 am – 3:00 pm Exhibits Open | 7:00 am – 4:30 pm Registration

8:00 am - 9:30 am

Session 5.1Factors That May Influence the Quality of Music Recorded From Hearing Aids

Joshua Alexander, PhD, CCC-A, Purdue University

Hearing aid processing of music is much less thoroughly researched than hearing aid processing of speech. This study evaluates the efficacy of programs specifically designed for music listening in state-of-the-art hearing aids. Normal-hearing participants rated the sound quality of music samples recorded from seven hearing aid brands in programs designed for speech or music. Preliminary results confirm the significant degradation of music quality caused by hearing aids. However, the music programs for three of the seven manufacturers significantly improved music quality compared to their speech programs. Furthermore, recordings from two manufacturers were rated the highest in music quality regardless of the program. An analysis of signal processing and acoustic features relating to efficacy will be presented.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe how hearing aids may negatively impact music perception.
  • Describe key features of real or hypothetical music programs for hearing aids.
  • Describe the efficacy of current music programs in hearing aids.

Instructional Level: Intermediate  |  Track: Audiology

Session 5.2HAS BEEN MOVED TO 1:00 PM-2:30 PM

Session 5.3Savvy Selection of Assessments for Language and Literacy Including Dyslexia

Michele Anderson, PhD, Self Employed

As speech-language pathologists (SLPs) implement guidelines for identifying students with dyslexia required under changing state legislation, they need evidence-based models which do not ignore other forms of language/literacy disorders. The overlap between students with dyslexia and those with developmental language disorder (DLD) is significant. Understanding the psychometric properties and models of our assessments is critical to providing easy-to-understand results to our multidisciplinary teams leading to better identification of students. Clear understanding of test results also helps with clinical determinations of which team members are best-suited to address specific academic issues. This session will provide a description of a language-levels quadrant model that is supported by extensive evidence for screening and diagnosing multiple forms of oral and written language disorders including dyslexia review features of tests we should consider when choosing standardized assessments; discuss why test results might not always be the same between tests and help intervention teams know what to do next.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe the two language levels of assessment that are evidence-based and cross oral and written language modalities and how they relate to intervention.
  • List at least two advantages for constructing a learning profile from a co-normed test.
  • Describe evidence regarding overlap of DLD and dyslexia.

Instructional Level: Intermediate  |  Track: School Age

Product Disclosure: Test of Integrated Language and Literacy Skills

Session 5.4Dysphagia in Individuals With Amyotrophic Lateral Sclerosis

Debra Suiter, PhD, CCC-SLP, BCS-S, University of Kentucky

Amyotrophic lateral sclerosis (ALS) is a progressive, neurodegenerative disease that leads to progressive degeneration of upper and lower motor neurons. The majority of individuals with ALS will experience some degree of difficulty swallowing at some point in the disease process. Understanding this disease, its progression and its prognosis is critical for clinicians who work with these patients. In this session, we will discuss how ALS impacts swallow function, optimal protocols for swallow assessment and treatment considerations.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe swallow-related changes that occur in individuals with ALS.
  • List components that should be included in the assessment of individuals with ALS.
  • Describe at least two treatment considerations for individuals with ALS.

Instructional Level: Intermediate  |  Track: Adult

Session 7.4Responsive Feeding Fundamentals for Every Feeding Therapist NEW TIME!

Heidi Moreland, MS, CCC-SLP, BCS-S, CLC, Spectrum Pediatrics

Responsive feeding is an approach to feeding that is supported by the American Academy of Pediatrics, the World Health Organization and UNICEF. However, it often seems that responsive feeding doesn’t work for children with medical complications or feeding problems. In this session, the presenter will explain the foundations of responsive feeding and the importance of treating children responsively in all settings, including feeding tube weaning. She shares key concepts for effectively supporting families from a variety of backgrounds. Evidence from a variety of fields of study, including responsive parenting, humanistic psychology, attachment theory, positive psychology, motor learning therapy and self-determination theory, as well as an overview of each phase of treatment (preparation, intensive and follow up) is provided.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe the foundational principles of responsive feeding.
  • Explain the impact of early feeding problems and feeding tube dependency on feeding relationships.
  • Explain the treatment sequence that supports internal motivation and a healthy relationship with food for long-term success.

Instructional Level: Intermediate  |  Track: Peds Medical

Product Disclosure: Responsive Feeding

8:30 am - 9:30 am

Session 5.5Elevating Impact Through Strategic Investment in our State and National Professional Organizations

Ann Bilodeau, CCC-SLP, Butler University

In an ever-evolving professional landscape, the decision to join a reputable professional organization is a strategic investment. This presentation delves into the multifaceted advantages that membership in our organizations offer to individuals aiming for professional excellence.  The presentation is structured to provide a comprehensive understanding of the tangible and intangible benefits that come with being part of our dynamic professional community. From networking opportunities to continuous learning initiatives to advocacy, attendees will gain insights into how membership can profoundly impact their professional journey. The presentation aims to empower attendees with the knowledge and motivation to view membership not just as a commitment but as a powerful tool for elevating their impact in the professional realm. Through strategic investment in our state and national organizations, attendees will be better prepared to navigate the evolving landscape, forge meaningful connections and contribute significantly to their professional growth and the advancement of their respective fields of study.

Learner Outcomes: At the end of this session, participants will be able to:

  • Explain why joining state and national professional organizations is a strategic investment in their profession.
  • List at least two member benefits of membership, both tangible and intangible, within our organizations

Instructional Level: Introductory  |  Track: Multi-Interest

10:00 am - 11:30 am

Demonstrations (Posters)Please Check Back to View Our Posters

10:30 am - 11:30 pm

Session 6.1Growing a Vestibular Practice Through Dizziness and Balance Screenings

Melissa Newell, AuD, CCC-A, Purdue University

Audiologists often perform hearing screenings as part of their practice, but many of us do not perform dizziness and balance screenings for our patients. Vestibular audiologists are likely to see patients once symptoms begin to impact their quality of life, but we rarely screen for these issues before a problem arises. We may ask detailed case history questions, but the interview should not be the end of the screening process. Many of us do not know which procedure is best to use. Vestibular disorders can lead to falls, increased anxiety, depression, isolation and death. Many of the same risks for social isolation and cognitive decline co-occur with auditory and vestibular dysfunction. Audiologists are trained to assess the auditory and vestibular systems, making them well-equipped to identify vestibular and non-vestibular red flags for dizziness and balance problems. Audiologists can detect these disorders early on by performing dizziness and balance screenings for all adult patients, allowing for prompt treatment and management to minimize falls and injuries. The dizziness and balance screening protocols implemented at the Purdue University Audiology Clinic will be reviewed, with lessons learned along the way. Simplified paperwork with recommendations for diagnostic and rehabilitative care will be provided as part of the session. Participants will learn to use this simple screening procedure in their daily audiological practice to help facilitate appropriate recommendations and provide educational resources needed for patient and family-focused care.

Learner Outcomes: At the end of this session, participants will be able to:

  • Explain the CDC’s algorithm for fall screening, assessment and intervention.
  • Identify and perform dizziness and balance screenings for adult patients.
  • Integrate fall risk education into clinical care for adult patients.

Instructional Level: Introductory  |  Track: Audiology

1:00 pm - 2:30 pm

Session 5.2Motor Learning and Skill Development With Responsive Feeding Therapy NEW TIME!

Heidi Moreland, MS, CCC-SLP, BCS-S, CLC, Spectrum Pediatrics

Agency and internal motivation are key factors in motor learning and skill development, yet they are often overlooked or under-emphasized in traditional feeding therapy. This is especially true for children with delays or atypical development. The presenter will explain why and how to prioritize agency and internal motivation for children of all ability levels and will identify other essential and often neglected influences on sensory and motor learning for eating. She will expand upon the reasons that kids often get stuck and what can be done to move ahead. Specific ideas for how therapists can support children and families in order to maximize skill development will be provided.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe the role of agency in motor learning and feeding skill development.
  • List two key motivators and the role they play in treatment planning.
  • Apply motor learning concepts for children with delayed or atypical development.

Instructional Level: Advanced  |  Track: Peds Medical

Product Disclosure: Responsive Feeding

Session 7.1Assessing Attention Through the Lens of Distraction

Erin Lynch, PhD, AuD, CCC-A, Indiana University
Travis Riffle, PhD, AuD, CCC-A, Indiana University

Listeners rely on mechanisms of attention to switch between conversation partners, select relevant information from competing inputs and maintain concentration on given tasks. Regardless of how engaged listeners report to be, or how hard they are trying, success within challenging environments remains variable. Factors such as age, cognitive capacity limitations and task demands have been identified as components that contribute to variability in performance. In controlled experimental settings, task paradigms can be manipulated to evaluate particular aspects of auditory attention during listening tasks. Recent research from our labs has set out to investigate how attentional capture by irrelevant information can provide insight into individual listening performance. Results from our experiments show that auditory distraction is not equal under various conditions and cognitive capacity measurements do not have a straightforward relationship with distractibility. Implications of experimental findings are discussed with regards to current models of auditory cognition.

Learner Outcomes: At the end of this session, participants will be able to:

  • Compare at least two theoretical frameworks proposed to describe auditory attention.
  • Identify extrinsic and intrinsic variables that contribute to distractibility.
  • Describe potential strategies utilized by listeners in challenging environments.

Instructional Level: Intermediate  |  Track: Audiology

Session 7.2Best Practices in Providing Dysphagia Services: Inclusion Body Myositis

Kendrea Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, University of Pittsburgh

Sporadic inclusion body myositis (IBM) is the most common idiopathic inflammatory myopathy, although it is considered a rare disease. Its unique neurodegenerative clinical session helps to separate IBM from the other myopathies. Dysphagia has been estimated to occur in up to 80% of patients, with medical treatment options (e.g., intravenous immunoglobulin, cricopharyngeal myotomy) as the most commonly reported intervention cited in the literature. This session, in particular, provides a comprehensive overview of the impact of IBM on swallowing, current best practices for assessment of swallowing and current evidence available to guide management of dysphagia. Patient videos are used to highlight concepts discussed.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe the pathogenesis of IBM.
  • Explain how IBM can impact swallowing performance.
  • Explain current best evidence for providing dysphagia services in IBM.

Instructional Level: Intermediate  |  Track: Adult

Session 7.3Creating a Communication Ecosystem in Schools

Rachel Butler, MS, CCC-SLP, Evansville Vanderburgh School Corporation
Leslie Powell, MEd, CCC-SLP, ASDCS, Evansville Vanderburgh School Corporation

How do you take augmentative and alternative communication (AAC) from just speech sessions to classroom use? How do you get buy-in? How do you go from requesting to using it for academics? Where do you even start?! The Evansville Vanderburgh School Corporation speech-language pathologist leadership team has tackled these questions through the past few years. Our team advocates finding a voice for our limited verbal and non-verbal communicators to be accepted within the classroom setting as a multimodal communicator. Each communicator needs a communication ecosystem that works as a cooperative and collaborative partnership to support students’ communication success. Communication encompasses requesting, protesting, commenting, participating in academics and socializing with peers. The whole team, speech-language pathologists (SLPs), occupational therapists, physical therapists, teachers, peers and parents need to accept and work together to create a clear path through this jungle. In our session, we will detail strategies for teams to provide within the classroom for the student to have a variety of communication opportunities, not just within direct speech-language sessions.

Learner Outcomes: At the end of this session, participants will be able to:

  • Define a communication ecosystem.
  • Formulate and implement classroom models.
  • List three strategies to address AAC generalization and device abandonment.

Instructional Level: Intermediate  |  Track: School Age

Session 7.4HAS BEEN MOVED TO 8:00 AM-9:30 AM

Session 7.5Teaching Grammar Targets Through Thematic Units

William Bolden, III, MA, CCC-SLP, Kent State University

Improving the grammar of children with language disorders can present many challenges. Clinicians know that repetition is important, but often drill activities lack context and do not actively engage students. In this lecture, the evidence bases for intervention techniques supporting the development of spoken grammar within contextualized mini units will be reviewed along with practical tips for developing your own grammar units for a variety of spoken grammar targets.

Learner Outcomes: At the end of this session, participants will be able to:

  • List common grammatical needs of children with language impairment.
  • Identify and describe instructional supports for supporting students learning and generalization of spoken grammar targets.
  • List steps and strategies for developing contextualized units focusing on spoken grammar.

Instructional Level: Intermediate  |  Track: School Age

3:00 pm - 4:00 pm

Session 8.1The InViSTA Program: AAC and Smart Home Technology

Christina Corso, PhD, CCC-SLP, Saint Mary’s College – Notre Dame

Spark your innovation and learn about using smart speakers with voice control (SSVCs) with Individuals who have complex communication needs and severe physical disabilities. The InViSTA (Independence Via Smart Technology Activation) Program portion of a mixed–method dissertation study on the impact of smart home technology on the independence of individuals who use AAC will be reported. A recap of installation sessions will be provided in addition to introducing the InViSTA Program. Basic, moderate and advanced voice commands used with SSVCs, time data (teaching sessions), Alexa voice history logs (benefits/challenges as a data collection tool), reliability and semi-structured interviews will be discussed. Audio/video recording examples will be used to enhance understanding of using SSVCs and smart home technology.

Learner Outcomes: At the end of this session, participants will be able to:

  • Define three forms of smart home technology and voice command categories of The InViSTA Program.
  • Describe at least three benefits of using Alexa voice history logs as a data collection tool.
  • Identify at least four domains of smart speakers with voice command domains.

Instructional Level: Intermediate  |  Track: Multi-Interest

Product Disclosure

Amazon Echo Dots, LUMIMAN Smart Light bulbs, TECKIN Smart Sockets, Amazon Prime, Amazon Unlimited Music, and Audible. These products were chosen as a result of a previous study conducted by the researcher and will not include information on other similar products.

3:00 pm - 4:30 pm

Session 8.2A Review of Pediatric Tracheostomy Anatomy, Physiology and Therapy Strategies for the Community Setting

Lauren Holden, MA, CCC-SLP, Riley Hospital for Children
Kaitlyn Schmitt, MS, CCC-SLP, Riley Hospital for Children

Medically fragile children with tracheostomies with and without ventilator dependence are often managed by multidisciplinary teams at children’s hospitals that serve all of Indiana. Passy Muir Valve use with this population can be integral to the child’s health and overall development. Through multidisciplinary clinics in the hospital setting, speech-language pathologist (SLPs) are primarily providing specialized care that is mainly diagnostic. The ongoing speech therapy is often provided by local SLPs in the child’s community. Through this session, we will review anatomy and physiology of the pediatric upper aerodigestive tract including the impact of a tracheostomy on communication, swallow, etc., the indication for speaking valve use, the benefits of the speaking valve, contraindications of speaking valve and therapeutic strategies in the community setting. After this session, participants can confidently carry out treatment plans with children with tracheostomies and the use of speaking valves in their specific treatment settings.

Learner Outcomes: At the end of this session, participants will be able to:

  • Define anatomy of upper aerodigestive tract and parts of tracheostomy tube.
  • Identify three contraindications of speaking valve use.
  • Formulate at least three specific treatment strategies as they pertain to his/her/their treatment setting.

Instructional Level: Intermediate  |  Track: Peds Medical

Product Disclosure: Passy Muir Valve

Session 8.3Best Practices in Providing Dysphagia Services: Obstructive Sleep Apnea

Kendrea Garand, PhD, CScD, CCC-SLP, BCS-S, CBIS, University of Pittsburgh

Obstructive sleep apnea (OSA) in adults is a sleep-related condition resulting in intermittent temporary cessation of airflow during sleep because of partial or complete collapse of the pharynx. OSA is estimated to affect up to one billion individuals worldwide. Evidence suggests that dysphagia prevalence in OSA ranges from 16% to 78%, and patients with OSA are approximately three times more likely to develop pneumonia. Unfortunately, evidence remains scarce on effectiveness of interventions to improve swallow-related outcomes. This session reviews the current evidence to provide up-to-date information for clinicians about OSA, its impact on swallowing and how to provide optimal dysphagia services for adult patients with OSA.

Learner Outcomes: At the end of this session, participants will be able to:

  • Describe the pathogenesis of OSA.
  • Describe how OSA can impact swallowing performance.
  • Identify and explain current best evidence for providing dysphagia services in OSA.

Instructional Level: Intermediate  |  Track: Adult

Session 8.4Case Studies in Expanded Cochlear Implant Indications for Adult and Pediatric Patients

Audra Shestak, AuD, Cochlear Americas
Rachel Dalzell, AuD, Cochlear Americas

Clinical indications for cochlear implants continue to expand. Join us as we discuss each expanded indication through adult and pediatric clinical case studies.

Learner Outcomes: At the end of this session, participants will be able to:

  • List cochlear implant indications.
  • Identify patient factors that contribute to outcomes.
  • Describe patient outcomes.

Instructional Level: Advanced  |  Track: Audiology

Product Disclosure: Cochlear Implants

Session 8.5Telepractice Assessment: Practical Strategies for School-Age Clients

William Bolden, III, MA, CCC-SLP, Kent State University

Many therapists may feel uneasy when beginning to assess clients remotely. This session will provide practical information on how to ethically and reliably assess school age clients, accommodate/modify assessments as needed and report the results.

Learner Outcomes: At the end of this session, participants will be able to:

  • Identify different methods to administer assessments remotely.
  • Modify assessments as needed for telepractice.
  • Identify key components of reporting assessment results collected through telepractice.

Instructional Level: Introductory  |  Track: School Age