A Few Minutes With … Dan Fogerty



Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

Transcript

VINCE LARA: Hi, and welcome to another edition of A Few Minutes With, the podcast that showcases Illinois College of Applied Health Sciences. I’m Vince Lara and today I’m speaking with SHS associate Professor Dan Fogerty about why he chose Illinois, teaching during a pandemic, and his research on the interaction between speech and noise. Dan, Thanks for being on the podcast. I appreciate it. You’re a Wisconsin guy, but what led you to teach at the University of Illinois?

DAN FOGERTY: I think it can be summarized in probably one word here, and that’s opportunity. Illinois has a long history of excellence in speech and hearing research and teaching and that tradition continues today. I see Illinois as a place where I can grow my research program.

I can attract high quality students and interact with them, as well as interact with experts who share related interests. Both within the departments and across campus. And so I think there’s a real collaborative atmosphere here at Illinois that I think is both important and rewarding.

VINCE LARA: Dan, did you always want to teach?

DAN FOGERTY: So I started out my career as a speech language pathologist. So the clinician who was focused in helping people attain functional skills for communication. And in many ways therapy is a form of teaching, although at the time I certainly didn’t think of myself directly as a teacher. The times that I felt most successful when I think back, are when I’ve helped someone overcome a challenge that they’ve had and in order to do something that they value. It has often been in the form of helping someone gain knowledge or skills to help them do something. And this happens both inside and outside the classroom where I have the opportunity to do just that.

So I think I am doing exactly what I’ve always wanted to do but I didn’t always know what to call it, what career to find it in, or even if I should call it teaching, but it certainly is.

VINCE LARA: What’s teaching been like in a pandemic? What sort of challenges have you experienced?

DAN FOGERTY: I’ve been teaching for a number of years and one of the things that I miss the most is the classroom environment. There’s an energy in the classroom where students are working together to solve problems. And while many of those activities or learning objectives can be translated to an online environment, for me, it’s been difficult to create and feel a sense of community. But on the other hand, the pandemic has really forced an opportunity to be creative about teaching. To re-evaluate things that I’ve done before, to seek out resources and how I can do things better. So through this process I’ve learned a lot. And I think that many of those tools and resources that have been discovered or created during this time was will still stay around and can still be used to enhance interactivity and engagement of courses, both online and in person in the future.

VINCE LARA: Commonly Dan, I find when I do these interviews, researchers had some sort of experience that they’ve had that inspires their research and I’m wondering what that was for you.

DAN FOGERTY: There have been the experiences that I’ve experienced both as a clinician and really just as an individual with members of my own family, where people have difficulty hearing. That poses significant challenges for them to participate in the life of others.

And this is a very common problem. So nearly one in three people between 65 and 75 have hearing loss. If you go over 75, half of individuals have hearing loss. And that hearing losses associated with cognitive decline later in life as well.

The good news is that hearing loss is also one of the largest modifiable factors for preventing dementia. Modifiable means that we can do something about it. We have the knowledge and the tools now to improve communication and cognitive function later in life. It involves protecting our hearing and it involves using appropriate hearing devices like hearing aids.

And in addition to just hearing loss, made listening environments are complex, they’re challenging. Think about going to a restaurant but there’s a lot of noise, or even trying to type at the TV on in the background. Listening in noisy environments presents even more challenges. Particularly, to those who have hearing loss, but really for anyone, even those who don’t.

Anyone can have difficulty with communication. And so what inspires me is that there is a real opportunity here. An opportunity to address a problem that so many people have difficulty with, to improve our ability to communicate with each other, to prevent cognitive decline. Communication is really central to our human experience and we can do something to increase access to that.

VINCE LARA: My background is communications, and so often in communications we talk about separating the noise from the message in order to facilitate communication. Is that similar to your research on interactions between speech and noise?

DAN FOGERTY: I think this is an interesting comparison. So we can think about noise really coming in two different types. We can think about noise as a purely acoustic signal. So you can think about road noise or the roar of a lawnmower or a hairdryer. And in the presence of that noise it can be hard to understand speech because these noises in the background mask the speech. They cover it up.

But in many cases, the noise that we hear can have its own meaning as well. So let’s say we’re in a lecture hall and we’re trying to listen to someone present but there are a couple of people in the back who are talking. In that context, we can think of that background speeches and noise that covers up what we’re trying to listen to, the presenter. But the people in the back of the room are also communicating real meaningful information.

And so we can also have competition from that meaningful information. So this is a sensory task, listening to speech that is partially masked by some other signal. But it’s also a cognitive task, one where we’re trying to find the message and separated out from competing sources of information. And I think it’s that latter task that we can really draw some parallels here.

So how do you hear the message you are trying to find when there are so many other sources of information that can be competing for your attention.

VINCE LARA: Part of your research looks at factors that predict how people perform in noisy conditions. And I’m wondering, what does that entail?

DAN FOGERTY: So it entails these sensory abilities. The ability to detect, to process sound, to detect moments in time when the intended speech pops out above the background noise. But it also entails certain cognitive and linguistic abilities. So this can be the ability to attend the message, to inhibit competing messages, to hold information in memory, and be able to use that information to facilitate future understanding and processing.

And these abilities can also interact with our previous experiences and skilled language as well.

VINCE LARA: Dan at an R1 university, research is always going on. You always have that next project you’re working on while you’re working on projects that are currently in front of you. So what’s next in your research pipeline?

DAN FOGERTY: So we already know a lot about the types of conditions that make it difficult for us to understand speech, and general principles that we can employ to improve understanding for groups of listeners. But people can have challenges understanding speech for different reasons and therefore, they can make different errors in understanding the message. And those errors have real consequences in terms of the actions someone might take.

So you can think about someone misunderstanding health information from their doctor. So I’m interested in identifying not just if someone is having difficulty, but why they’re having difficulty. How it might be different from someone else who might have the same level of performance, in terms of understanding it but they’re having different errors, different underlying sources that are resulting in that difficulty.

And this can lead to potentially different consequences for the individual. So I want to be able to characterize those individual differences and really look at what we can do to intervene on an individual level to maximize speech understanding.

VINCE LARA: My Thanks to Dan Fogarty. For more podcasts on Illinois College of Applied Health Sciences, search A Few Minutes With on iTunes, Spotify, iHeart Radio, radio.com and other places you get your podcast fix. Thanks for listening, and see you next time.

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A Few Minutes With … Pasquale Bottalico



Pasquale Bottalico’s research looks at noisy environments, such as restaurants. (Google Images)

In this edition of “Five Minutes With …,” AHS media relations specialist Vince Lara-Cinisomo interviews Dr. Pasquale Bottalico in the department of Speech and Hearing Science about his study of the effects of ambient noise in restaurants.

Bottalico, in his study, “Lombard effect, ambient noise and willingness to spend time and money in a restaurant,” published in The Journal of the Acoustical Society of America, found that subjects reported a disturbance of their speech when noise reached 52.2 A-weighted decibels (dBA) and that vocal effort began to increase at 57.3 dBA. The sound level of speech increased as ambient noise increased. As background noise increased, it triggered a decrease in the willingness to spend time and money in that establishment. You can read more about Dr. Bottalico’s research here.

Transcript

VINCE LARA-CINISOMO: Hello, this is Vince Lara, Media Relations Specialist at the College of Applied Health Sciences at the University of Illinois. Today I spend five minutes with Dr. Pasquale Bottalico, of the Department of Speech And Hearing Science, to talk about his recent study on ambient noise in restaurants and its effect on the bottom line.

PASQUALE BOTTALICO: So the goal of the restaurant, the idea of the restaurant, is what we can do to improve the situation in restaurant. So my study was actually started because there was a lack in the literature. And I’m always being interested, it’s not the first paper that I worked about Lombard effect. I’m very interested in Lombard effect.

And I started to be interested in Lombard effect, again, starting from classroom acoustics, because the Lombard effect is basically characterized by a rate of voice increase per dB increasing noise in the environment. And the value is 72 for teachers, which is the highest. Generally, in the literature, it’s reported between 0.3 and 0.6. But teacher, 0.72., so they’re increasing their voice even higher.

VINCE LARA-CINISOMO: Every day?

PASQUALE BOTTALICO: Every day, for every dB of noise increasing in the classroom. So this means that restaurant noise– everyone went to a restaurant in his life, and it can happen that after dinner with some people, at a restaurant, you go out and your throat’s sore. And you don’t really understand why. And because the Lombard effect is an unconscious effect, so you are not conscious of the fact that you are actually screaming.

But your voice, your body, and your physiology knows that. And so you will have the effect that your throat is burning. And I found particular the fact that this effect was never studied in a restaurant. And there were not studies correlating it with the willingness to spend money. So I thought it was a good idea to do the study. And I already did similar study for understanding other aspects of the Lombard effect. I was quizzing in the past about at which level of noise it starts, these effects, in other papers.

So I use a similar protocol, but I changed the setting, and it changed the noise. So I tried to recreate a restaurant in one of our sound booths. I had my students, my undergraduate students, that were the partner in the dinner. And we used typical restaurant noise, and we changed the level in a random way, covering a very large interval of noise, so from a medium level to a very loud level. Again, using the range of noise level reported by the literature, in restaurant noise.

And what it came out, that a level between 50 and 55 dB is starting this willingness to leave that place, and also to spend less money to eat in that place, and is starting the disturbance in the communication. And because of that, there is the objective evaluation of the voice, that is starting to increase at about 60 dB of noise. And all of these effects were quite strong.

We are starting to work again on the project. After the forum actually, because I kind of figured out that in this case, we used college students for this study, and I’m considering it like a pilot. But I want to move forward with the elder population.

And so, we know also that we have child in our college that’s interested in new research on aging people. And we have a movement, that is the age friendly in Urbana-Champaign, to make the city more friendly for aging people. And I think that this project will fit perfectly.

So I have a doctoral student in audiology. She’s going to start to collect data next semester. And the goal will be to create a different group in the elder population, normal hearing, and people with a moderate hearing loss, and people with a severe hearing loss. And try to understand better how these vulnerable populations are affected by the problem.

VINCE LARA-CINISOMO: My thanks again to Dr. Bottalico. This has been Five Minutes With.

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Podcast: A Few Minutes With … Marie Moore Channell



AHS media relations specialist Vince Lara speaks with Dr. Marie Moore Channell of the Speech and Hearing Science department to discuss her research on how language and communication skills develop in children with Down Syndrome and her plan to increase awareness of autism spectrum disorder in individuals with Down Syndrome.

Transcript

VINCE LARA: Hi, and welcome to another edition of A Few Minutes With, the podcast that showcases Illinois’ College of Applied Health Sciences. I’m Vince Lara, and today I’ll speak to Dr. Marie Moore Channell of the Speech and Hearing Science Department, who talks about her research on how language and communication skills develop in children with Down syndrome and her plans to increase awareness of autism spectrum disorder in individuals with Down syndrome.

All right, Dr. Channell, thank you for joining me on this edition of A Few Minutes With. And I typically ask all the guests on the show what led you to Illinois. So what led you here?

DR. MARIE MOORE CHANNELL: OK. Thanks for having me.

VINCE LARA: Sure.

DR. MARIE MOORE CHANNELL: Well, the goal of my research is to have a positive impact on the lives of individuals with disabilities. So for me the University of Illinois was a natural fit. This university and our College of Applied Health Sciences in particular has really paved the way for innovative strategies for supporting individuals with disabilities. So that was one reason.

And then, also within our department of speech and hearing science, the department is consistently one of the top speech language pathology programs in the country. So it has a great reputation. But also, the interdisciplinary approach to understanding and working with people with communication disorders, I thought that was really important. Because I think that our fields, our sort of subfields of expertise, really need to think about how we can work together to collectively have a stronger impact on the lives of people with disabilities.

VINCE LARA: Speaking of your research, typically there’s something in a researcher’s past that leads them– some sort of inspiration that led you to study what you study. What was it for you?

DR. MARIE MOORE CHANNELL: Oh, yes. For me, it was my brother. So my brother has a rare genetic disorder that causes intellectual disability. It’s not Down syndrome, but kind of like that, in that it causes intellectual disability and causes challenges with communicating. And so I think growing up with him and his peers really made me aware of the needs of individuals with different kinds of disabilities and their families. And so I knew I wanted to make a positive impact on their lives. And that’s really what led me to this field.

VINCE LARA: Now, when you started out, did you think about research first or teaching? Did you say to yourself, I want to be a teacher? Like, was there something about that profession?

DR. MARIE MOORE CHANNELL: I really didn’t think specifically about teaching or even research. I was really focused on the population that I wanted to work with.

VINCE LARA: OK.

DR. MARIE MOORE CHANNELL: And I was able to, as an undergraduate student, get involved in a research lab. And that’s where I realized that I liked research, and that I was good at it, and wanted to do it. And so, I realized that research was a way for me to help this population of children with disabilities. And I also got some teaching experience in graduate school and realized how much I really also like to shape the lives of students and future professionals and that teaching is a great avenue for that

VINCE LARA: Where’d you do your undergrad work and your grad work?

DR. MARIE MOORE CHANNELL: Oh, both actually at the University of Alabama.

VINCE LARA: Oh, OK. Great. Well, you mentioned that your research does focus primarily on development of language and other skills for people with Down syndrome, and you talked about your brother. One of your goals is to raise awareness of the autism spectrum disorder for people with Down syndrome. How do you propose to do that?

DR. MARIE MOORE CHANNELL: That’s a great question. So I think we can learn a lot from the greater autism community. So I think, as a whole, the autism community over the past several years has done a great job of advocating for the needs of individuals with autism and also for really raising public awareness of what autism looks like, some early signs and symptoms, so that people who may require more support can get services earlier and sort of the importance of early intervention. I think we can take that sort of as a model for what we need in Down syndrome.

What I think is a challenge in Down syndrome is that it carries this stereotype of people with Down syndrome are so social, and friendly, and always happy, and while certainly there are a lot of positive attributes to people with Down syndrome, I think that, just like all of us, people with Down syndrome have a range of emotions and a range of ability levels. And so they can also have autism. And so I think that’s going to be the challenge in sort of raising awareness and thinking about even understanding that someone with Down syndrome can have autism also.

And actually, the current research evidence suggests that autism is about at least five times more likely in someone with Down syndrome than in the general population.

VINCE LARA: That’s interesting. And you’ve said now, for individuals with Down syndrome, failing to provide early intervention for the autism spectrum disorder can have long-term consequences. I’m wondering what those would be.

DR. MARIE MOORE CHANNELL: Well, of course I’m going to say a lot more research is needed, but I would say that the current evidence points toward more cognitive difficulties, less developed language skills, and fewer adaptive skills, which is sort of skills that are needed to function independently in everyday life, in children who have Down syndrome and autism than in those who have Down syndrome only. And we know broadly, from developmental research, that the sooner you intervene and find learning strategies that work for a child, the more opportunities that child has to develop skills that will support their learning and their long-term sort of day-to-day function and independent living.

So if they have Down syndrome and they also have autism, they may need different strategies early on that kind of set them up for success long term.

VINCE LARA: You know, I’m curious about your intellectual disabilities communication lab. Tell me what projects you have going on there.

DR. MARIE MOORE CHANNELL: Sure. So my primary project right now examines how children with Down syndrome apply their cognitive, language, and social emotional knowledge to social interaction, specifically looking at how they understand and communicate their understanding of other people’s mental states. That’s how they understand, and interpret, and talk about people’s emotions, their thoughts, their intentions, et cetera. And that’s really something that we call mental state language.

And through a grant funded by the NIH while here at Illinois, I was actually able to collect samples of school-aged children with Down syndrome telling stories. And from those stories, we recorded the stories, and we can go back and sort of cull them for four content later, and we were able to see the different kinds of mental state language that they’re using in their stories. And that’s really important, because there’s so much variability from one child to the next, just like any child.

VINCE LARA: Sure.

DR. MARIE MOORE CHANNELL: But in kids with Down syndrome, you also see a lot of variability. So we are interested in finding out what may help explain why some kids with Down syndrome were using a lot of mental state language in telling these really engaging stories and others were not. And so far we’ve seen that it’s not about their IQ, and it’s not about how old they are. It is, of course, about, partially, at least, their general language abilities– so their other vocabulary and grammar skills– but also about their emotion knowledge.

So the kids who are more able to recognize other people’s emotions are also then able to talk about emotions and use mental state language in their conversations, and empathize with others, and use that kind of language in their narratives and their storytelling. So we have a lot to do. But the early results, I think, really do suggest that we should focus on emotion knowledge and not just sort of traditional language when working with this population to improve their communication.

VINCE LARA: Can you explain a little bit about what mental state language is?

DR. MARIE MOORE CHANNELL: Sure. So it’s really when we are able to talk about or discuss our emotions. And so when we’re able to basically put our emotions into words, instead of just maybe sort of acting out and not really completely articulating that, so able to articulate our own emotions, but also actually being able to recognize other people’s emotions, and sort of what they’re thinking, and we call it perspective taking sometimes– so being able to kind of put themselves in someone else’s mental shoes is also really important.

And we do that when we communicate– we empathize. I can tell you’re feeling really angry, can we talk about this, for instance. And that’s really what mental state language is.

VINCE LARA: Interesting. Now, as we are in R1 facility, so research is always top-of-mind. I’m sure you have projects going on. Are there any that you particularly want to talk about that are in the pipeline for you and maybe close to finished manuscript?

DR. MARIE MOORE CHANNELL: Sure. I have to choose which of those to discuss, right?

VINCE LARA: That’s usually what happens. Yeah.

DR. MARIE MOORE CHANNELL: I guess I’ll start going back to the mental state language study.

VINCE LARA: Sure.

DR. MARIE MOORE CHANNELL: So really those are preliminary findings that I talked about that are accepted for publication in the American Journal of Speech-Language Pathology. But I have some other papers in the pipeline. We actually– these were school-aged children with Down syndrome– in addition to getting samples of their storytelling, we also had them sit down with their mothers and go through a story book together and recorded how their interact and converse with them during that sort of shared storybook time. And so we have a lot to do with analyzing– we still need to analyze sort of what kinds of things a mother say and do that may help sort of facilitate mental state understanding and mental state language in their children. So that’s one.

And then I would say the other two kind of big projects that are stemming from this, one is– you already mentioned it earlier– this idea of raising awareness of autism and down syndrome. So with my research I’m always collecting measures of sort of autism symptoms in the individuals with Down syndrome that I’m studying, so that I can report on what they look like. And ideally, over time, we can figure out sort of what autism exactly looks like and what may be some signs of autism in individuals with Down syndrome. Because, like I mentioned earlier, it is challenging to identify when someone already has some communication difficulties.

VINCE LARA: Sure.

DR. MARIE MOORE CHANNELL: So that’s another line of research. And then, long term, really, all of this– if the goal of this research really is to not only improve communication but really improve sort of day-to-day functioning and independent living long term for this population, I’m really interested in looking sort of beyond the school age years that transition from high school to independent living in the community. That’s something that is really grossly understudied in Down syndrome.

And we do a lot in the schools to provide services for these individuals while they’re there and to kind of try to set them up for the next steps, but then we don’t really know what happens after that. And so I would also like to use my research to track that. And through that, actually, I’ve established a collaboration with Dr. Meghan Burke in the department a special education here on campus and Dr. Susan Loveall-Hague at the University of Nebraska-Lincoln, where we’ve put together a survey so that we can more broadly sort of describe what’s happening.

And we put together a survey for caregivers of young adults with Down syndrome who are in that transition phase, just to get sort of a first pass of what’s going on with these families. We know that caregivers do a lot to support their young adults during this time, and just to kind of represent their voice, and figure out where we need to go next with our research.

VINCE LARA: My thanks to Dr. Channell. For more podcasts on Illinois’ College of Applied Health Sciences, search A Few Minutes With on iTunes, Spotify, iHeart Radio, Radio.com. and other places you get your podcast fix. Thanks for listening, and see you next time.

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