About
29
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Introduction
I am a postdoctoral scholar at the University of Washington. Throughout my doctoral studies at Harvard University in the Program of Speech and Hearing Bioscience and Technology (SHBT), I pursued concurrent clinical training in speech-language pathology at the MGH-Institute of Health Professions. I am interested in understanding the individual and how multidimensional factors impact language learning, loss, and recovery.
Current institution
Additional affiliations
February 2021 - August 2023
Evergreen Speech and Hearing Clinic
Position
- Fellow
Description
- www.everhear.com
Education
August 2016 - March 2021
August 2012 - May 2016
Publications
Publications (29)
Background
Although primary progressive aphasia (PPA) is considered a rarer form of dementia, individuals living with PPA are increasingly identified by healthcare professionals. Research investigating speech‐language assessment and intervention in PPA has been conducted primarily in monolingual speakers and little is known about clinical decision‐...
Background
Neuropsychiatric symptoms are uncommon at Alzheimer’s Disease (AD) dementia diagnosis but are exhibited by nearly everyone during the course of dementia. Depressive symptoms are common in AD dementia. We sought to determine correlations between memory, executive functioning, language, neuropsychiatric symptoms, and depressive symptoms at...
Background
The relationship between Alzheimer’s disease (AD) pathology and the associated clinical syndrome a patient presents with remains indeterminate. Cognitively‐defined subgroups of AD have revealed distinctions based on relative cognitive impairments, including AD‐Language, where challenges in language are substantial, and AD‐No Domain, wher...
INTRODUCTION
Interventions to treat speech‐language difficulties in primary progressive aphasia (PPA) often use word accuracy as a highly comparable outcome. However, there are more constructs of importance to people with PPA that have received less attention.
METHODS
Following Core Outcome Set Standards for Development Recommendations (COSSTAD),...
Effective screening for communicative ability in dementia is vital to drive theoretical understanding and optimize care responsiveness globally. Communication is central to the human experience; however, routine clinical screening for progressive communication change remains limited due to a variety of resource constraints. Other challenges include...
This study protocol describes the development of the first instrument of functional communication for people living with primary progressive aphasia (PPA), with future applications to other progressive conditions, with expert validation, item-level reliability analyses, input from partners in research, and outcomes. Progressive conditions like PPA...
Speech-language therapists/pathologists (SLT/Ps) are key professionals in the management and treatment of primary progressive aphasia (PPA), however, there are gaps in education and training within the discipline, with implications for skills, confidence, and clinical decision-making. This survey aimed to explore the areas of need amongst SLT/Ps wo...
Purpose
To establish the extent to which person-centered processes are integrated in assessment procedures, the Relationship, Assessment, Inclusion, Support, Evolve (R.A.I.S.E.) Assessment framework was used to evaluate measures that are typically used when assessing people living with primary progressive aphasia (PPA).
Method
Forty-five assessmen...
It is unclear whether individuals with agrammatic aphasia have
particularly disrupted prosody, or in fact have relatively
preserved prosody they can use in a compensatory way. A
targeted literature review was undertaken to examine the
evidence regarding the capacity of speakers with agrammatic
aphasia to produce prosody. The aim was to answer the
q...
This study protocol describes the development of the first instrument of functional communication for people living with primary progressive aphasia (PPA), with future applications to other progressive conditions, with expert validation, item-level reliability analyses, and stakeholder input and outcomes. Progressive conditions like PPA require mon...
Speech-language therapists/pathologists (SLT/Ps) are key professionals in the management and treatment of primary progressive aphasia (PPA), however, there are gaps in education and training within the discipline, with implications for skills, confidence, and clinical decision-making. This survey aimed to explore the areas of need amongst SLT/Ps wo...
Purpose
Behavioral intervention targeting speech, language, and communication concerns is an established therapeutic approach for patients with communication concerns across a range of acquired neurogenic disorders. The multidimensional factors that contribute to a person's self-identified communication challenges and strengths in their daily commu...
Purpose
People living with primary progressive aphasia (PwPPA) face a progressive decline in speech, language, and communication capabilities. PwPPA live with relatively well-preserved cognition, which further contributes to their insight and grief resulting from the losses of language and independence, as well as the misconceptions surrounding the...
In recent years, the role of the speech-language therapist/pathologist (SLT/P) has become increasingly established in the assessment, care, and management of primary progressive aphasia (PPA). Throughout the progression of the condition, the role of SLT/P encompasses 5 notable domains: behavioral assessment, impairment-based intervention, compensat...
Language, or the diverse set of dynamic processes through which symbolic, perceptual codes are linked to meaning representations in memory, has long been assumed to be lateralized to the left hemisphere (LH). However, after over 150 years of investigation, we still lack a unifying account of when, and for whom, a particular linguistic process relie...
Purpose
Speech-language pathologists (SLPs) assess people with primary progressive aphasia (PPA) through measurements of speech, language, communication, and well-being, with the aims of identifying challenges and strengths, monitoring change, and informing treatment directions and supports. The purpose of this clinical focus article is to highligh...
Background: Behavioral intervention targeting speech, language, and communication concerns is an established therapeutic approach for patients with either acute or progressive communication concerns across a range of acquired neurogenic disorders. The multidimensional factors that contribute to a person’s self-identified communication challenges an...
To understand the architecture of human language, it is critical to examine diverse languages; however, most cognitive neuroscience research has focused on only a handful of primarily Indo-European languages. Here we report an investigation of the fronto-temporo-parietal language network across 45 languages and establish the robustness to cross-lin...
Language and social cognition, especially the ability to reason about mental states, known as Theory of Mind (ToM), are deeply related in development and everyday use. However, whether these cognitive faculties rely on distinct, overlapping, or the same mechanisms remains debated. Some evidence suggests that, by adulthood, language and ToM draw on...
Purpose:
Primary progressive aphasia (PPA) is a language-led dementia associated with Alzheimer's pathology and fronto-temporal lobar degeneration. Multiple tailored speech and language interventions have been developed for people with PPA. Speech and language therapists/speech-language pathologists (SLT/Ps) report lacking confidence in identifyin...
To understand the architecture of human language, it is critical to examine diverse languages; yet most cognitive neuroscience research has focused on a handful of primarily Indo-European languages. Here, we report a large-scale investigation of the fronto-temporal language network across 45 languages and establish the cross-linguistic generality o...
Purpose
Naturalistic speech samples should be routinely collected in the assessment of individuals with communication difficulties. However, even when these samples are collected, they are often underutilized. We propose that the analysis of naturalistic speech samples can greatly enhance our understanding and evaluation of the functional impact of...
Language and social cognition, especially the ability to reason about mental states, known as Theory of Mind (ToM), are deeply related in development and everyday use. However, whether these cognitive faculties rely on distinct, overlapping, or the same mechanisms remains debated. Some evidence suggests that, by adulthood, language and ToM draw on...
“Functional communication” refers to an individual’s ability to communicate effectively in his or her everyday environment, and thus is a paramount skill to monitor and target therapeutically in people with aphasia. However, traditional controlled-paradigm assessments commonly used in both research and clinical settings often fail to adequately cap...
In the setting of shortened hospitalization periods, periods of confinement and social isolation, limited resources, and accessibility, technology can be leveraged to enhance opportunities for rehabilitative care (1). In the current manuscript, we focus on the use of tablet-based rehabilitation for individuals with aphasia, a language disorder that...
Preprint of manuscript, Oct 16 2016 (NOTE: predates replication currently being conducted) To communicate successfully, we often go beyond literal meaning: we make sarcastic remarks, ask others for favors, and engage in face-saving acts. Do these abilities rely on the same mechanisms as literal sentence interpretation? Or does pragmatic reasoning d...
A set of brain regions in the frontal, temporal, and parietal lobes supports high-level linguistic processing. These regions can be reliably identified in individual subjects using fMRI, by contrasting neural responses to meaningful and structured language stimuli vs. stimuli matched for low-level properties but lacking meaning and/or structure. We...