8. ANÁLISIS EXTERNO
8.2. INFORME ESCUELA DE ADMINITRACIÓN DE NEGOCIOS EAN
Child Information Form for VPI Group
(To be completed by parents of children in the VPI group) Please provide the following information regarding your child:
Male Female (please circle) Date of Birth:____________________________
Grade in School: ________
Please circle Yes or No to the following questions: 1. Has your child ever had any hearing problems? No Yes
If yes: a) Does the child have a history of permanent or reversible hearing loss? No Yes b) Has your child had surgery on their ear(s)? No Yes
2. To your knowledge, is your child’s hearing within normal limits at this time? No Yes 3. Is your child currently experiencing any cold or flu-like symptoms, or do they have nasal
congestion? No Yes
4. Has your child been identified with a learning disability? No Yes
If yes, in what subject area(s) is your child experiencing difficulties?
Math____ Reading____ Spelling____ Writing_____ What kind of educational assistance is your child provided with at school? Resource teacher_____ Teaching assistant_____ After school tutor_____ Other (please specify)___________
5. Is English the primary language spoken in your home? No Yes
6. Besides English, are there other languages spoken in your home? No Yes…..if yes, please specify_______________________
Does your child speak (Y/N) or understand (Y/N) this language?
Appendix J
Participant Code: ____________Child Information Form for Control Group
(To be completed by parents of children in the control group) Please provide the following information regarding your child.
Male Female (please circle) Date of Birth:____________________________ Grade in School: ____
Please circle Yes or No to the following questions:
1. Does your child have an identified voice or speech disorder? No Yes 2. Has your child ever had any hearing problems? No Yes
If yes: a) Does your child have a history of permanent or reversible hearing loss? No Yes
b) Has your child had surgery on their ear(s)? No Yes
c) Does he/she currently have tubes placed in their ear(s)? No Yes d) Has he/she had tubes placed in their ear(s) in the past? No Yes 3. To your knowledge, is your child’s hearing within normal limits at this time? No Yes 4. Is your child currently experiencing any cold or flu-like symptoms, or do they have nasal congestion? No Yes
5. Has your child been identified with a learning disability? No Yes
If yes, in what subject area(s) is your child experiencing difficulties? Math____ Reading____ Spelling____ Writing_____
What kind of educational assistance is your child provided with at school?
Resource teacher_____ Teaching assistant_____ After school tutor_____ Other (please specify)____________________________
6. Is English the primary language spoken in your home? No Yes
7. Besides English, are there other languages spoken in your home? No Yes…..if yes, please specify_______________________
Appendix K
American Cleft-Palate Association Clinical Data Base Committee Speech Pathology Data Entry Form (Revised)
Participant Code: Patient Age: Date: Clinician: 1. Hypernasality 1= normal 2= mild 3= mild-moderate 4= moderate 5= moderate-severe 6= severe 2. Hyponasality 1= normal 2= mild 3= mild-moderate 4= moderate 5= moderate-severe 6= severe 3. Audible Nasal Emission 1= normal 2= mild 3= mild-moderate 4= moderate 5= moderate-severe 6= severe 4. Velopharyngeal Function 1= adequate 2= marginal 3= inadequate 5. Articulation Proficiency 1= normal 2= mild 3= mild-moderate 4= moderate 5= moderate-severe 6= severe 6. Overall Intelligibility 1= normal 2= mild 3= mild-moderate 4= moderate 5= moderate-severe 6= severe 7. Compensatory Articulation 1= none observed 2= glottal stop 3= pharyngeal fricative 4= pharyngeal stop 5= mid-dorsal palatal stop 6= posterior nasal fricative
8. Voice Quality 1= normal 2= mild abnormality 3= mild-moderate abnormality 4= moderate abnormality 5= moderate-severe abnormality
6= severe voice abnormality
Appendix L
SPEECH PHRASES FOR VELOPHARYNGEAL ASSESSMENT
1) “Patty ate apple pie”
2) “Sissy sees the sky”
3) “Go get a cookie for Kate”
4) “She likes high boots”
5) “puppy, puppy”
6) “Jerry’s slippers were blue”
7) “Stop the bus”
8) “My mama makes lemon jam”
9) “Mommy, mommy, mommy”
Reproduced from: Conley, S.F., Gosain, A.K., Marks, S.M., & Larson, D.L. (1997). Identification and assessment of velopharyngeal inadequacy.
Appendix M
Participant Code: _________________VPI Group Brief Participant Health History (Completed by Researcher’s Chart Review)
1. What is the underlying structural cause of the child’s velopharyngeal insufficiency? (circle all that apply)
a) Isolated cleft in soft palate only b) Isolated cleft in hard and soft palate c) Unilateral cleft lip and palate d) Bilateral cleft lip and palate e) Submucous cleft palate f) Adenoidectomy
g) Other (please specify)___________________ h) Unknown
2. Has the child been diagnosed with a syndrome [e.g., Velocardiofacial syndrome/22q11.2 deletion syndrome, Stickler syndrome, Treacher Collins syndrome, etc.]? No Yes…..if yes, please specify_________________
3. Has the child been diagnosed with any other voice or speech disorder in addition to hypernasality?
No Yes………if yes, please specify: _____________________
4. Has the child received any of the following treatments for velopharyngeal insufficiency? a) speech therapy: No Yes
If yes, for what areas: articulation____, resonance____, language____, voice____ b) surgery: No Yes
If yes: a) type of surgery________________________ b) time since last surgery (in months) ________ c) other (please specify) _____________________
5. Does the child have a history of middle ear infections? No Yes
If yes: a) Does he/she currently have tubes placed in their ear(s)? No Yes b) Has he/she had tubes placed in their ear(s) in the past? No Yes
Appendix N
Frequency Distribution of Perceptual Assessment (ACPA) Scores of Speech Characteristics of Children in the VPI Group (n=20)
Rating Scalea (1-6)
Speech Characteristics 1 2 3 4 5 6 Median Score
Hypernasality (n) 0 5 4 7 1 3 4.00
Hyponasality (n) 16 3 1 0 0 0 1.00
Audible Nasal Emission (n) 0 3 4 8 2 3 4.00 Overall Intelligibility (n) 0 8 7 2 3 0 3.00 Articulation Proficiency (n) 0 2 7 7 2 2 3.00
Voice Quality (n) 17 2 1 0 0 0 1.00
Note. Abbreviations: ACPA = American Cleft-Palate Association Clinical Data Base Committee Speech Pathology Data Entry Form (Revised); VPI = velopharyngeal
insufficiency; a Rating scale of severity of speech characteristic is a 6 point ordinal scale: 1 = normal; 2 = mild; 3 = mild-moderate; 4 = moderate; 5 = moderate-severe; 6 = severe.
Curriculum Vitae
Name: Agnieszka Dzioba
Post-secondary The University of Western Ontario
Education and London, Ontario, Canada
Degrees: 2002-2006 BHSc.(Hons)
The University of Western Ontario London, Ontario, Canada
2006-2008 M.Sc.
The University of Western Ontario London, Ontario, Canada
2008-2014 Ph.D. (Candidate)
Honours and Dean’s Entrance Scholarship
Awards: 2008-2009
Ontario Graduate Scholarship in Science and Technology 2010-2011
Ontario Graduate Scholarship 2011-2012, 2012-2013
Related Work Teaching Assistant
Experience The University of Western Ontario
2006-2008, 2010 Research Assistant
The University of Western Ontario 2007
Editorial Consultant
Quality of Life Research Journal 2010
Editorial Consultant
Cleft Palate Craniofacial Journal 2010-2014
Publications:
Brandt, M.G., Rotenberg, B.W., Moore, C.C., Bornbaum, C.C., Dzioba, A., Glicksman, J.T., & Doyle, P.C. (2014). Impact of nasal surgery on speech resonance. Annals of Otology, Rhinology, and Laryngology, 123(8), 564-570.
Dzioba, A., Skarakis-Doyle, E., Doyle, P. C., Campbell, W., & Dykstra, A. D. (2013). A comprehensive description of functioning and disability in children with
velopharyngeal insufficiency. Journal of Communication Disorders, 46(4), 388- 400.
Dzioba, A., Husein, M., Dworschak-Stokan, A., & Doyle, P.C. Evaluation of
Communication Apprehension in Adolescents with Velopharyngeal Insufficiency. Cleft Palate-Craniofacial Journal, 49(3), 17-24.
Yeung, J.C., Fung, K., Bornbaum, C.C., Day, A.M.B., Dzioba, A., Parsa, V., Levee, T., Doyle, P.C. (2011). Clinical Approach to Monitoring Variability Associated with Adductor Spasmotic Dysphonia (ADSD). Journal of Otolaryngology Head and Neck Surgery, 40(4), 343-349.
Bechard, D., Day, A.M.B., Dufour, S., Dzioba, A., McCabe, C., & Rasmussen, S. (2010). How Medical Students Conceptualize Disability: Implication for
Interprofessional Practice and Education, Journal of Research in Interprofessional Practice and Education, 1(2), 159-178.