Lata Krishnan - Academia.edu (original) (raw)

Papers by Lata Krishnan

The Hearing Journal, 2021

Perspectives of the ASHA Special Interest Groups, 2022

Purpose: The number of U.S. students who study abroad (SA) has increased significantly over the p... more Purpose: The number of U.S. students who study abroad (SA) has increased significantly over the past 3 decades, and participant intercultural competence (ICC) has been shown to increase after studying abroad. However, few studies have evaluated whether these intercultural gains are maintained over the long term. The purpose of this study was to assess the long-term impact of SA on intercultural development and identify factors that may have impacted continued intercultural growth over time. Method: Thirty-four students who had studied abroad in programs led by the first author participated in the study and completed the Intercultural Development Inventory (IDI) as well as a qualitative questionnaire. Results: Comparison of pre-SA and current IDI developmental orientation (DO) scores showed that, although there was considerable individual variability, the group maintained their intercultural gains over time. Additionally, clinical experience with a diverse patient population was foun...

International Journal of Pediatric Otorhinolaryngology, 2021

Access to hearing health care in developing countries and for individuals living in rural areas i... more Access to hearing health care in developing countries and for individuals living in rural areas is a challenge. This has prompted the development of portable audiometry using automated game-based procedures via smartphones and tablets.

Participation in a study abroad program to Zambia with intentional intercultural activities embed... more Participation in a study abroad program to Zambia with intentional intercultural activities embedded in the course curriculum has been shown to enhance cultural competence as measured by the Intercultural Development Inventory (IDI®) (Krishnan, Masters, Holgate, Wang & Calahan, 2017). The purpose of this study was to assess whether a new program to India, developed using a. similar model, was effective in increasing student intercultural competence and to compare student outcomes with the previous program to evaluate possible differences in outcomes related to the destination country. Participants included 21 students who participated in the SLHS in India study abroad program, and 20 students who have not travelled abroad. Quantitative data included a pre- and post-program administration of the IDI® for both groups. Qualitative data included pre-departure and final reflection papers completed by participants in the intervention group. Results indicated a significant increase in inte...

Teaching and Learning in Communication Sciences and Disorders, 2021

Participation in intensive, immersive, service-learning study abroad programs with intentional in... more Participation in intensive, immersive, service-learning study abroad programs with intentional intercultural activities embedded in the course curriculum has been shown to enhance cultural competence as measured via the Intercultural Development Inventory (IDI®) (Krishnan, Masters, Holgate, Wang & Calahan, 2017; Krishnan, Lin & Benson, 2020). The purpose of this study was to evaluate the relative impact of embedding intercultural learning activities on students’ intercultural competence when included in an on-campus course compared to a study abroad program. The intervention group consisted of 34 students enrolled in the on-campus course which incorporated intentional intercultural activities. Forty-one students who did not take the course comprised the control group. Comparison of the pre- and post-IDI® scores showed a significant increase in intercultural competence in the intervention group and no change in score in the control group participants. Qualitative data supported these...

Perspectives of the ASHA Special Interest Groups, 2020

Purpose The purpose of this clinical focus article is to describe the development and execution o... more Purpose The purpose of this clinical focus article is to describe the development and execution of the Speech, Language, and Hearing Sciences in India service learning (SL) study abroad program. It includes the perspectives of the faculty leader from the United States and of the faculty and staff from the community partner organizations in India. Method The development of the program utilized an SL model and occurred over the course of 1 year of planning and discussions with three primary community partner organizations in India, and the program has been offered in the summer of 2018 and 2019. Results Program planning and development, program activities, as well as benefits and challenges are described. Feedback from community partners and qualitative comments from participants are included. Conclusion A short-term SL study abroad program can be mutually beneficial with careful planning that includes input from community partners in the destination country.

American Journal of Audiology, 2019

Newborn hearing screening (NBHS) has become the norm in all states in the United States. However,... more Newborn hearing screening (NBHS) has become the norm in all states in the United States. However, parents receive limited information about it, usually at the hospital, and have low awareness about the process. Yet parents and professionals agree that communication about the NBHS process should begin before childbirth (Arnold et al., 2006). Having information about the screening process, simply by being present for the screening and knowing the results, has been shown to positively affect parental attitudes toward NBHS (Weichbold, Welzl-Mueller, & Mussbacher, 2001).PurposeThe aim of this study was to assess whether providing expectant mothers with information related to the NBHS process in the 3rd trimester will increase their satisfaction with the NBHS program.MethodPartnering with a local obstetrician, expectant mothers were provided with information regarding NBHS. A modified version of the Parent Satisfaction Questionnaire with Neonatal Hearing Screening Program (Mazlan, Hickson...

International Journal of Pediatric Otorhinolaryngology, 2016

OBJECTIVE A representative sample of literature regarding unilateral hearing loss (UHL) was revie... more OBJECTIVE A representative sample of literature regarding unilateral hearing loss (UHL) was reviewed to provide evidence of the effects of UHL and the intervention options available for children with UHL. Considerations during the assessment and management of children with UHL are illustrated using case illustrations. METHOD Research articles published from 2013 to 2015 were searched in the PubMed database using the keywords "unilateral hearing loss". Articles from 1950 to 2013 were included from a previous literature review on minimal hearing loss [1]. A retrospective review of charts of 14 children with UHL was also conducted. RESULTS The evidence indicates that children with UHL are more likely to have structural anomalies of the inner ear; may face challenges in six different domains, and have six intervention options available. Evidence also indicates that although some children appear to exhibit no delays or difficulties, others have significant challenges, some of which continue into adulthood. CONCLUSIONS Children with UHL have to be treated on a case-by-case basis. Parent education regarding UHL, its effects, and all available management options is critical so they can make informed decisions. Close monitoring and good communication between professionals in different domains is crucial in order to minimize the potential negative effects of UHL.

Teaching and Learning in Communication Sciences & Disorders, 2017

International Journal of Pediatric Otorhinolaryngology, 2017

Newborn hearing screening (NHS) procedures and implementation vary from state to state in the US.... more Newborn hearing screening (NHS) procedures and implementation vary from state to state in the US. The purpose of this study was to evaluate the content and nature of information provided to parents about their infant's NHS across states to answer two questions: 1) what information is included in each state's parent information brochure? and 2) do the brochures include educational information requested by parents that may help reduce parental anxiety, improve satisfaction, and decrease the potential for misunderstandings? Method: Each state's parent brochures and educational resources provided to parents were accessed via the National Center for Hearing Assessment and Management (NCHAM) website, categorized, and reviewed for content. Results: Results indicate that the information provided to parents varies considerably across states and many brochures do not contain important information that is desired by parents. Conclusions: NHS procedures may be improved by providing standardized information regarding the process to parents in all states.

Perspectives of the ASHA Special Interest Groups, 2017

Service learning (SL) is a form of experiential learning in which students are involved in commun... more Service learning (SL) is a form of experiential learning in which students are involved in community service activities that are related to academic course objectives. A key aspect that separates SL from other forms of experiential learning is the mutually beneficial nature of the service activities. Much of the SL and international SL (ISL) literature has focused on positive learning outcomes for students, with much less focus on the benefits of SL to the community. Speech, Language, and Hearing Services (SLHS) in Zambia is an intensive SL short-term study abroad program. This paper describes the benefits to the community via the SLHS in Zambia program.

The Hearing Journal, 2015

The Hearing Journal, 2016

Perspectives on Global Issues in Communication Sciences and Related Disorders, 2013

Universal newborn hearing screening (NBHS) has become the norm in the United States; however, thi... more Universal newborn hearing screening (NBHS) has become the norm in the United States; however, this is not the case worldwide. Although the World Health Organization recommended in 2000 that “a poli...

American journal of audiology, Jan 8, 2016

The purpose of this study was to evaluate students' academic and civic learning, with particu... more The purpose of this study was to evaluate students' academic and civic learning, with particular interest in cultural competence, gained through participation in the Speech, Language, and Hearing Sciences in Zambia study-abroad program. Twelve female students participated in the program. Quantitative data collected included pre- and postprogram administration of the Public Affairs Scale (Levesque-Bristol & Cornelius-White, 2012) to measure changes in participants' civic learning. Qualitative data included journals, end-of-program reflection papers, videos, and researcher field notes. Feedback was also obtained from community-partner organizations via a questionnaire and rating scale. Comparison of the pre- and postprogram Public Affairs Scale data showed a significant increase in cultural competence and a marginal increase in community engagement at the conclusion of the program. Qualitative data showed that participants' cultural awareness was increased, they benefited ...

American Journal of Audiology, 2015

Purpose The purpose of this study was to incorporate a service learning project in an undergradua... more Purpose The purpose of this study was to incorporate a service learning project in an undergraduate audiology course and evaluate how it affected student learning in the class. Method The study involved partnering with a group of students enrolled in a band learning community. Students in the audiology course learned about hearing assessment procedures in class and practiced the procedures on each other in labs. Toward the end of the semester, they assessed the hearing of the band students and provided counseling regarding the importance of hearing protection. Qualitative data were obtained in the form of preflections and final reflection papers completed by the students in the audiology course at the start and conclusion of the semester. Quantitative data included completion of the Community Service Attitudes Scale (CSAS; Shiarella, McCarthy, & Tucker, 2000) prior to and at the conclusion of the course. Results Results revealed overwhelmingly positive comments from the students in ...

The Hearing Journal, 2012

American journal of audiology, 2014

The purpose of this study was to evaluate the effects of policy changes on loss to follow-up rate... more The purpose of this study was to evaluate the effects of policy changes on loss to follow-up rates and the ability to achieve the goals of the American Academy of Pediatrics Joint Committee on Infant Hearing Screening (2007) for diagnosis of hearing loss by 3 months, amplification within 1 month of diagnosis, and start of intervention by 6 months. From the files of 111 infants, data were extracted on the following: date of birth, birth hospital, hometown, parents' ages, ethnicity, nursery status, medical history, age at initial evaluation and diagnosis, results of evaluation(s), and age at hearing aid fitting and start of early intervention. Data were compared with previously published data from the clinic (Krishnan, 2009). Policy changes led to a decrease in loss to follow-up and a younger age at diagnosis of hearing loss. Infants identified with hearing loss were fit with amplification at younger ages but not within 1 month of diagnosis of hearing loss. Policy changes had posi...