Adrienne Hancock

Adrienne Hancock
George Washington University | GW · Department of Speech and Hearing Sciences

PhD, CCC-SLP

About

44
Publications
47,970
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811
Citations
Additional affiliations
August 2005 - present
George Washington University

Publications

Publications (44)
Article
Purpose Gender dysphoria is commonly conceptualized as a mental disorder in gender-diverse people who do not identify with the gender assigned to them at birth. Direct support for well-being tends to be delegated to the field of mental health (MH), whereas speech-language pathology (SLP) practice is charged with modifying gender-diverse people's vo...
Article
Purpose Motivated by practice and feedback principles of motor learning, a hybrid clinic-home protocol for voice feminization was developed to minimize the role of SLPs to 1 of supervision and professional guidance and to maximize learning during independent practice apart from intervention sessions. The purpose was to explore the effectiveness and...
Article
Purpose The purposes of this study are to gather and analyze perspectives of people from racial and gender minority groups in order to identify barriers to voice and communication services for these populations. Method In focus groups facilitated by community members, 11 people in racial and gender minority groups discussed their gender-related go...
Conference Paper
Full-text available
Traditionally, it is seen as the role of mental health professionals to directly support wellbeing in gender diverse people while voice and communication specialists focus on the development gender congruent vocal and communication skills in the assumption that these transformations will lead to a decrease of gender dysphoria and an increase in wel...
Article
Purpose: The purpose of this conceptual study was to develop a transdisciplinary theoretical approach to clinical practice in the area of voice that is informed by contemporary clinical and social sciences theories of voice production. Method: We used theoretical sampling to survey the clinical voice literature for different conceptualisations of f...
Article
Purpose: The purpose of this conceptual study was to develop a transdisciplinary theoretical approach to clinical practice in the area of voice that is informed by contemporary clinical and social sciences theories of voice production. Method: We used theoretical sampling to survey the clinical voice literature for different conceptualisations of f...
Article
Objectives: The purpose of this study was to explore the factors and practices that have acted as facilitators or barriers to voice function in gender diverse people assigned female at birth (GD peopleAFAB) from a participant-centered perspective and to inform the role of speech-language pathologists in supporting GD peopleAFAB with developing and...
Article
Purpose: The purpose of this study was to prospectively examine changes in gender-related voice domain of pitch measured by fundamental frequency, function-related domains of vocal quality, range, and habitual pitch level and the self-perceptions of transmasculine people during their first year of testosterone treatment. Method: Seven trans men...
Article
Full-text available
Inclusion of sex-atypical voices in speech perception protocols can reveal variations in listener perception and is particularly applicable in developing guidelines for transgender speech treatment. Ninety-three listeners, divided into four groups based on sex and sexual orientation, provided auditory-perceptual measures of sex and gender display f...
Article
Purpose: Virtual reality environments (VREs) allow for immersion in speaking environments that mimic real-life interactions while maintaining researcher control. VREs have been used successfully to engender arousal in other disorders. The purpose of this study was to investigate the utility of virtual reality environments to examine physiological...
Article
Full-text available
There is sparse prospective data on the effects of testosterone therapy on the voices of transgender men (also referred to as trans men or female-to-male transsexuals). Our aim was to investigate the timing and degree of voice deepening over 12 months among an ethnically diverse sample of transgender men. This was a prospective 12-month study at an...
Article
Full-text available
Purpose: The factors and correlates of voice-related quality of life (vQOL) in American transgender women (ie, male-to-female) were examined using two questionnaires and were reviewed in the context of the International Classification of Functioning, Disability, and Health (ICF) model. This information will assist clinicians to be culturally and c...
Article
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Recent research presents a picture of diminishing gender differences in language. Two experiments examined whether language use can predict perceptions of gender and femininity; one included male and female speakers telling a personal narrative, the other also included male-to-female transgender speakers and analyzed an oral picture description. In...
Article
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Recent research indicates that our professions could improve in Lesbian, Gay, Bisexual, and Transgender (LGBT) cultural competency. As indicated by Turner, Wilson, and Shirah's (2006) model of cultural competency, one can begin by increasing knowledge of transgender (TG) culture and improving sensitivity and attitudes foundational to serving these...
Article
Full-text available
The cultures and service needs of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) minority groups are relevant to speech-language pathologists (SLPs). In particular, transgender individuals seeking communication services from SLPs in order to improve quality of life require culturally and clinically competent clinicians. Knowledge and attitu...
Article
Virtual Reality Environments (VREs) are computer-generated, three-dimensional worlds that allow users to experience situations similar to those encountered in the real world. The purpose of this study was to investigate VREs for potential use in assessing and treating persons who stutter (PWS) by determining the extent to which PWS's affective, beh...
Article
Full-text available
Forty participants (20 male) had 3-minute conversations with trained male and female communication partners in a repeated-measures, within-subject design. Eighty 3-minute conversations were transcribed and coded for dependent clauses, fillers, tag questions, intensive adverbs, negations, hedges, personal pronouns, self-references, justifiers, and i...
Article
Full-text available
Background Known influences of sex hormones on the voice would suggest pregnancy hormones could have an effect, yet studies using acoustic measures have not indicated changes. Additionally, no examination of the voice before the third trimester has been reported. Effect of pregnancy on the voice is relatively unexplored yet could be quite relevant...
Article
Full-text available
Intonation is commonly addressed in voice and communication feminization therapy, yet empirical evidence of gender differences for intonation is scarce and rarely do studies examine how it relates to gender perception of transgender speakers. This study examined intonation of 12 males, 12 females, six female-to-male, and 14 male-to-female transgend...
Article
Full-text available
Background: People transitioning from male to female (MTF) gender seek speech-language pathology services when they feel their voice is betraying their genuine self or perhaps is the last obstacle to representing their authentic gender. Speaking fundamental frequency (pitch) and resonance are most often targets in treatment because the combination...
Article
Measures of language production (e.g., informativeness, cohesion) could further our understanding of the cognitive-linguistic abilities of patients with Parkinson's disease (PD) and guide treatment focused on improving the overall communication ability. The current study measured correct information units (CIUs), total words, cohesion markers, cont...
Article
Full-text available
Voice therapy, especially during male-to-female transition, typically targets acoustic measures of voice. Self-perception of femininity may be a valuable measure to incorporate into clinical protocols and empirical investigations of treatment efficacy. Speech samples of 20 male-to-female transgender and 10 cisgender speakers were rated by speakers...
Article
Full-text available
Background: Social validity is an important yet under-examined aspect of treatment efficacy that determines how the effects of treatment are perceived by people other than the clinician/researcher. This is particularly true of treatments to improve the speech of adults with acquired neurogenic disorders.Aims: The purposes of this investigation were...
Article
Acoustic and aerodynamic data are needed to describe how the vocal mechanism of a transgender person operates to achieve desired gender perception. Early evidence?based practice for transgender voice therapy was limited to changing vocal pitch?at first aiming for the normative values of the desired gender and more recently aiming for more feasible...
Article
Full-text available
Outcomes of script training for individuals with apraxia of speech (AOS) and mild anomic aphasia were investigated. Script training is a functional treatment that has been successful for individuals with aphasia but has not been applied to individuals with AOS. Principles of motor learning were incorporated into training to promote long-term retent...
Article
Full-text available
The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Under certain conditions specified in the law, libraries and archives are authorized to furnish a photocopy or other reproduction. One of these specific "fair use" conditions is that the photocopy o...
Article
Full-text available
Despite the plethora of research documenting that the voice and quality of life (QoL) are related, the exact nature of this relationship is vague. Studies have not addressed people who consider their voice to influence their life and identity, but would not be considered to have a voice "disorder" (e.g., transgender individuals). Individuals seekin...
Article
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Purpose: This study investigated the construct , criterion, and social validity of the Proficiency in Oral English Communication Screening (POEC-S; Sikorski, 2005b), which is an assessment that is used with ac-cented English speakers. Validity of this assessment has not previously been established despite its frequent use in clinical practice. Meth...
Article
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Professional competencies independent of discipline-specific knowledge and skills are addressed by most allied health professions. This paper presents the process of developing and testing a Graduate Student Development Profile (GSDP) in rubric format. In addition to documenting behaviors, a rubric system provides formative feedback helpful to stud...
Article
Full-text available
Background: This study examined the effectiveness of a modified version of the Motor Learning Guided (MLG) approach, a treatment protocol to establish functional speech that incorporates principles of motor learning: blocked and random practice schedules, delayed and summary knowledge of response (KR) feedback, and specificity of training. Methods:...
Article
Full-text available
In light of infamous levels of fear associated with public speaking, businesses are training staff in communication effectiveness and universities are requiring courses in public speaking. A variety of approaches to individual training are available, but few studies have assessed effectiveness of group instruction, as in academic curricula. The spe...
Article
Full-text available
ABSTRACT: Purpose: Computerized measures of working memory offer advantages of precision, efficiency, and examiner control and are therefore reported more frequently. However, the influence of computer stimulus parameters is still unclear, primarily because they are not uniformly used or reported in published research. Method: Twenty-four individ...
Article
Full-text available
The purpose of the two studies described in this paper was to assess whether adults with dementia could assume an advice-giving role (Study 1) and a teacher role (Study 2) despite their cognitive impairments. So far, no research on adults with dementia has compared language production in a social conversation condition with that in an advice-giving...
Conference Paper
Full-text available
Models for understanding effects of distraction on linguistic processing are few. We measured semantically related and unrelated visual and auditory ambient distraction on picture identification in non-neurologically damaged younger and older adults. Comparisons were made across conditions of quiet, white noise, visual, and auditory distraction for...

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Projects

Projects (2)
Project
We are working on a self-evaluation questionnaire and an approach to assessment for voice and communication professionals working with gender diverse people assigned female at birth (GD people AFAB). In the future there is the potential to expand the questionnaire and assessment approach for use with all people who are seeking support for their voice and communication function, the communication of their sense of sociocultural belonging and their communication-related wellbeing.
Project
Beginning with focus groups and then a widely-distributed survey, we would like to explore how voice/communication services are viewed by trans minorities (race, class). After identifying and defining barriers properly, interventions will be designed to improve access to services for these individuals.