Three SHS doctoral students have plans to make an impact on their fields



Lizzy Lydon (Photo provided)

By ANNA FLANAGAN

Under the mentorship of world-renowned scholars, doctoral students make significant contributions to the advancement of theory and practice in speech and hearing science through their dissertation research, as they prepare to assume leadership roles in clinical, industrial and academic settings.

Below, three of our outstanding SHS doctoral students discuss their research, and the impact they hope to have on the field.

Conflict monitoring

Mentored by Department of Speech and Hearing Science Professor Raksha Mudar in the Aging and Neurocognition Lab, Lizzy Lydon is focusing her doctoral research on communication abilities in older adults with mild cognitive impairment (MCI). Her specific focus is on the cognitive construct called conflict monitoring, which helps individuals detect and resolve competing information in the environment. Lydon uses electroencephalography to examine alterations in brain waves when people with MCI perform different conflict monitoring tasks.

Before beginning her Ph.D. studies, Lydon worked as a speech-language pathologist with patients with MCI, many of whom reported communication challenges. “I often found it difficult to determine what type of treatment was the best choice for these individuals,” she said. “After looking through research, I realized there was a lack of evidence-based treatments for communication challenges in populations that experience mild changes to their cognition and language.”

Previous research had focused on understanding memory changes in adults with MCI. An emerging body of literature suggests that other cognitive functions such as conflict monitoring are affected. In using EEG in her research, Lydon may be able to identify neurophysiological markers that can be used for early diagnosis of MCI Research has shown that people with MCI are at a significantly greater risk of developing dementia than typically aging peers, Lydon noted, so it’s important not only to identify MCI earlier but also to better characterize the changes they experience.

“This can help to inform the development of interventions that have the potential to slow the progression to dementia and allow people to maintain independence and quality of life as long as possible,” she said.

In the fall, Lydon will join the faculty of the Department of Speech Pathology and Audiology at Miami University in Ohio as an assistant professor. She plans to continue to investigate how MCI affects different aspects of communication, as well as how these changes impact the ability to engage socially with others. “I am looking forward to this next adventure,” Lydon said, “and I’m so thankful for all the training I received here at Illinois.”

Listening effort

Silvia Murgia also plans to pursue an academic position after completing her degree this summer. For her dissertation, she is evaluating the impact of background noise and dysphonia, a voice disorder, on the mental energy needed to listen, or listening effort, of children performing a speech comprehension task. She is taking a comprehensive approach to her study, using subjective and objective measures of listening effort, including EEG analysis, as well as assessments of cognitive function to explain individual differences.

Murgia is mentored by SHS Associate Professor Pasquale Bottalico in the Speech Accommodation to Acoustics Lab. Understanding listening effort in children is crucial, Murgia said, as they spend a significant amount of time in school learning through communication activities. It is essential to minimize the amount of mental energy children use to listen in order to optimize the resources available for cognitive tasks such as memorization, comprehension and evaluation. Studies show that children’s cognition is affected by the speaker’s voice quality, the presence of background noise and the complexity of the listening task. Research also suggests that individual differences in executive function may be associated with variations in listening comprehension under adverse conditions. Her research addresses both external factors affecting listening effort and internal cognitive mechanisms that help children to cope with external challenges.

“My dissertation aims to provide a more nuanced understanding of how these adverse conditions impact listening effort and comprehension,” she said. “This could have significant implications for educational practices, especially in designing interventions and strategies to support children with different listening and cognitive profiles.”

In her academic career, Murgia plans to expand her research to include children with hearing loss and special needs. Her goal is to improve the academic outcomes and overall well-being of all children by identifying effective ways to reduce listening effort and optimize learning environments.

“I hope that my research empowers children by advocating for their communication needs and ensuring that they have access to the resources and support they require to succeed academically and socially,” she said. “I want to contribute to creating inclusive environments where all children can thrive.”

Vocal intensity

December 2023 graduate Simin Soleimanifar’s dissertation research investigated how using two cochlear implants, known as bilateral cochlear implantations, affected the ability of users to control variations in vocal intensity, or the volume of their voice, as compared to users with a unilateral cochlear implantation.

Soleimanifar noted that the challenges faced by bilateral cochlear implant users in controlling vocal intensity have not been widely researched. Through her study, she hoped to identify the underlying factors contributing to the challenges, with a specific focus on how differences in the perception of loudness growth between the two ears affect vocal performance.

“Vocal performance plays a crucial role in effective communication, and difficulties in controlling vocal intensity can lead to social and emotional consequences for the individuals affected,” Soleimanifar said. “By shedding light on the specific auditory perceptions that influence these difficulties, this research has the potential to lead to better-tailored cochlear implant programming and rehabilitation strategies, ultimately improving the communication outcomes for bilateral cochlear implantation users as well as their overall quality of life.”

Mentored by SHS Associate Professor Justin Aronoff in the Binaural Hearing Lab, Soleimanifar currently is a clinical research associate at the University of Illinois Urbana-Champaign and is pursuing a career that bridges research and clinical practice. In addition to providing empirical evidence on the impact of bilateral cochlear implantation on vocal intensity control and identifying the role that mismatched loudness growth perception between ears plays in vocal performance, she hopes to inform clinical practice by highlighting the need for individualized implant programming and rehabilitation approaches that consider the auditory perceptions specific to bilateral cochlear implantations. Soleimanifar is particularly interested in applying her research findings within a multidisciplinary team to develop innovative implant technologies and rehabilitation strategies.

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Message from Professor Pamela Hadley, head



Pamela Hadley (Photo by Bradley Leeb)

Dear students, faculty, alumni, and friends of the Department of Speech and Hearing Science,

As we enjoy the spring colors across campus, I welcome you to the latest departmental newsletter. It fills me with great pride to share the progress we’ve made in recent months and provide a glimpse into the prospects on our horizon.

Our dedication to advancing the fields of audiology and speech-language pathology remains steadfast. In this edition, we showcase the stories of faculty, students and alumni making significant contributions across various facets of our field. These narratives underscore the strength of our community and the profound impact we have on enhancing quality of life.

I invite you all to explore the contents of this newsletter, celebrate our successes and envision the limitless possibilities ahead. Together, we will continue to empower individuals facing communication challenges, pioneer groundbreaking research and shape the trajectory of communication sciences and disorders.

Lastly, I extend my heartfelt gratitude to SHS faculty, staff and students for your unwavering dedication. Your tireless efforts are the cornerstone of our achievements, and your enthusiasm propels us forward.

Warm regards for a restful and reinvigorating summer.

Sincerely,

Pamela Hadley, Ph.D.
Professor and Head

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Improving clinical practice and quality of life



Marie Moore Channell and Laura Mattie (Photo provided)

Speech and Hearing Science Associate Professors Marie Moore Channell and Laura Mattie have long been interested in the development of communication and life skills in individuals with neurodevelopmental and intellectual disabilities.

Channell directs the Intellectual DisAbilities Communication Lab, where her research team works toward a comprehensive understanding of skills that support day-to-day communication for people with Down syndrome in order to identify and develop strategies for supporting their social and academic success. In Mattie’s Development in Neurogenetic Disabilities Lab, research addresses the early development of individuals with Down syndrome and fragile X syndrome. She, too, aims toward promoting the developmental success and well-being of people with these neurogenetic disabilities.

The scholars’ shared interests have led to fruitful collaborations in the past. They led a team of researchers who used a large, national database developed by the Down Syndrome Cognition Project to characterize variability in IQ, executive functioning, adaptive and challenging behavior, and autism symptomatology among individuals with Down syndrome.

In a paper titled “Capturing cognitive and behavioral variability among individuals with Down syndrome: a latent profile analysis,” published in the Journal of Neurodevelopmental Disorders (2021, 13:16), Channell, Mattie and their co-authors describe three latent classes, or subtypes, of people with Down syndrome that emerged from their analyses.

Those in the “normative” group showed a profile of cognition and behavior that is typically represented in the literature on Down syndrome. Those in the “cognitive” group had lower cognitive scores and adaptive behaviors such as self-care and daily living skills than their peers with Down syndrome, along with high rates of autism symptoms.

Those in the “behavioral” group showed cognitive scores and adaptive behaviors similar to their peers with Down syndrome but had high rates of autism symptoms and challenging behaviors such as hyperactivity and conduct problems. Thus, with a large enough sample size, different patterns of autism symptoms and other characteristics can be seen across individuals with Down syndrome. The ultimate goal in precisely characterizing individual variability within Down syndrome is to optimize daily living through targeted treatments and interventions.

Overcoming diagnostic hurdles

Channell and Mattie currently are collaborating as principal and co-principal investigators on a study funded by the National Institutes of Health INCLUDE Project, which supports research related to the health and quality of life of individuals with Down syndrome. Working with researchers at Emory University, Johns Hopkins University and the Kennedy Krieger Institute, their study seeks to increase understanding of the co-occurrence of autism with Down syndrome to improve its diagnosis and treatment.

“There is a stereotype of people with Down syndrome as happy, social people who can’t have autism,” Channell said. “It’s more common than previously thought, but underdiagnosed.”

Interventions and therapies that people with autism receive could be a beneficial add-on to services offered to individuals with Down syndrome. Part of the problem in diagnosing autism in this population is that autism screening tools that were developed for the general population need to be adapted. To work toward the goal of developing better tools to screen for autism in people with Down syndrome, Channell, Mattie and their collaborators are conducting a nationwide survey of caregivers of youth with Down syndrome in which they are completing existing screening tools and other developmental questionnaires. The researchers will then examine and adapt the screening tools as needed so they can be used by practitioners to determine whom to refer for a full autism evaluation.

They are casting a wide net in hopes not only of representing all the varying abilities within Down syndrome, but also of including groups that are not well represented in the existing research.

“Underrepresentation is a big problem in research related to Down syndrome,” Mattie said. “We have a diverse board of stakeholders, are building relationships with the Black Down Syndrome Association, and targeting rural and Hispanic families as well.”

The questionnaires and other screening tools completed by caregivers are just one element of an autism diagnosis. There also is an in-person evaluation component, which is conducted by either developmental behavioral pediatricians or clinical psychologists who are specifically trained in autism diagnostics and assessment, as well as neuropsychological methods. The difficulty with this aspect of diagnosis is two-fold, Mattie said.

“First, the number of developmental behavioral pediatricians and clinical psychologists with this specialized training is limited, so there’s a bottleneck,” she said. “Also, while they may have expertise in autism, they don’t necessarily know about Down syndrome. So the ability to identify a true co-occurring condition is really lacking.”

Channell and Mattie may be conducting the first large-scale study using the broad screening measures doctors and clinicians give to families when autism is first suspected. Theirs may also be the first study that will explore the use of telehealth to conduct diagnostic evaluations of autism in children with Down syndrome.

“If we can figure out how to make that work, we can increase access to evaluations by specialists,” Channell said. They are working with a clinician at Kennedy Krieger, Natasha Ludwig, who will conduct the evaluations of autism in the telehealth sessions, and with Amy Cohen, director of the University of Illinois Autism Clinic, who will review and “score” the evaluations as well to ensure that evaluation tools will lead to consistent results when used by different clinicians.

With the dual focus on developing effective autism screening and diagnostic tools for individuals with Down syndrome and increasing access to specialists who are skilled in both autism and intellectual disability, Channell and Mattie intend to make a significant and lasting impact on improving the quality of life of a population that has historically been underdiagnosed and underserved. That’s good news for the individuals themselves and their caregivers, as well as the scores of clinicians who dedicate their professional lives to providing the best services possible to their clients.

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Paceley receives award for excellence in graduate contacts



Andrea Paceley is ‘indispensable,’ according to nominators. (Photo by Jerry Thompson)

The Graduate College in February announced that Andrea Paceley (Office Manager, Speech and Hearing Science) was named a winner of the 2024 Graduate College Excellence Award for Graduate Contacts. The award is given annually as part of the Graduate College’s Annual Workshop for Directors of Graduate Study and Graduate Contacts. It recognizes staff members whose service has exceeded expectations in enhancing graduate students’ experiences and has positively impacted their graduate program or department’s operations.

Paceley has served as the Office Manager in Speech and Hearing Science for more than eight years. Nominators named her an “indispensable” part of the department for her streamlining of processes, commitment to transparency and “contagious cheerfulness.” One nominator said that Andrea “has demonstrated sustained excellence in support of our graduate programs, students, and faculty.” A graduate student in Speech and Hearing Science added that “her skills, kindness, and ability to navigate challenges with grace set her apart as a truly exceptional graduate secretary.”

Graduate Contacts are essential to the success of our graduate students. They welcome students into our campus community, provide valuable support through both the good and challenging times, and celebrate students’ accomplishments. The care and compassion that Graduate Contacts demonstrate every day are an invaluable contribution to the university and its community of students, faculty, and staff. The Graduate College extends its thanks to all of our Graduate Contacts for their work in our campus community.

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