Alumni Spotlight—Megan McKenna



Q: Why did you pick AHS?

A: After graduating from high school, I started my undergraduate studies at a small liberal arts college and quickly found that it wasn’t the right fit for me. Knowing that I wanted to become a speech-language pathologist, I quickly discovered that the University of Illinois had a well-respected Speech & Hearing Science department. I was fortunate enough to be accepted and start at Illinois for the second semester of my freshman year. I was worried about the change from such a small college to a large university, but I found that AHS was the perfect balance. My classes within AHS were smaller than my general education courses, so I felt I had a better opportunity to really retain coursework and get to know my professors and classmates. I also ended up becoming very interested in research, and AHS allowed me to participate in research as an undergraduate and graduate student. That is definitely not an option at many other universities!

Q. Which professors had the most impact on you?

A: Dr. Pamela Hadley was incredibly impactful during my time in AHS and beyond. It was in her undergraduate class on child language that I became fascinated by the language development process in young children, and I was drawn to her passion on the topic. I ended up completing my James Scholar Honors project, writing a master’s thesis, and working as a research assistant all under her guidance! Since my graduation, we have co-authored a paper together in one of the American Speech-Language-Hearing Association’s journals. I also enjoyed courses with Dr. Cynthia Johnson and Dr. Raksha Anand Mudar.

Q: What course did you most enjoy?

A: I really enjoyed most of my courses within the SHS department but also the courses I took from other departments in AHS for my interdisciplinary minor. My favorite courses focused on child language, language disorders, and language and the brain. I also loved completing independent study coursework as part of my James Scholar project because I was able to build experiences specific to my interests.

Q: Did you enter AHS knowing your career path, or did AHS help you decide?

A: When I started college, I already knew I wanted to study to become a speech-language pathologist, but I had a particular interest in working with the adult population. I even completed an interdisciplinary minor in Aging Studies within AHS! However, after my interest in child language and development was peeked in course and experience working in the Applied Psycholinguistics Laboratory within SHS, I became convinced that working with the pediatric population was actually a better fit for me. My experiences within AHS helped me to identify my true passion and guide me to the career I have now.

Q: Did your AHS experience lead to your current job?

A: My experiences in AHS and the department of SHS really helped me to identify my passion for working with the pediatric population. I had the opportunity to begin clinical hours in speech therapy as a senior and continued into graduate school. I was able to be placed in a wide range of clinical assignments—far more than other SLPs I know that attended other schools. I felt really confident in my clinical skills when I started my first job as an SLP in the Illinois public schools. After 4 years working in schools, I transitioned to the outpatient clinic setting. I know that all of my clinical experiences within AHS gave me the background I needed to be successful across these different settings, and my coursework and research experiences made me comfortable applying evidence-based practice and pursuing new responsibilities, training, and certifications.

Q: What is your current job?

A: I am a pediatric speech-language pathologist and certified autism specialist at two suburban hospitals within Northwestern Medicine. I specialize in providing speech therapy to pediatric patients at-risk or diagnosed with autism spectrum disorder, but I see pediatric patients 14 months of age to 18 years of age with a wide range of diagnoses and needs. I also serve on an interdisciplinary early intervention medical diagnostic team and complete autism diagnostic assessments to support physicians’ clinical decisions. I am fortunate to be able to work closely with parents and my colleagues in other disciplines.

Q: When did you graduate and with what degree?

A: I graduated with a B.S. in Speech & Hearing Science in 2011 and with a clinical M.A. in Speech & Hearing Science in 2013.

Q: What was your favorite on-campus experience?

A: Where to begin?! I worked for campus housing at the front desk and as an RA, and I loved building relationships with my co-workers and the residents on the floors. So many fun times! I was also part of Alpha Phi Omega service fraternity and had the opportunity to volunteer on campus as well as the communities surrounding Urbana-Champaign. The University of Illinois is a busy and exciting campus—there are so many options as far as joining groups/clubs, attending events, and going out with friends! There is always something to do or somewhere to go.

Q: What would you say to recommend AHS to a prospective student?

A: AHS is a smaller college on campus, so you get to know your classmates and faculty more personally. AHS allows you to experience a more tight-knit, community feel within the large university setting that Illinois is. It’s the best of both worlds!

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Alumni Spotlight—Monique Mills



Q: Why did you pick AHS?

A: After taking a class in Special Education, titled Exceptional Children, I decided that I wanted to become a speech-language pathologist, to help persons who are nonverbal communicate. This led me to begin taking courses in Speech & Hearing Science.

Q: Which professors had the most impact on you?

A: All of my professors impacted me. Most especially Dr. Ruth Watkins, my doctoral advisor and Dr. Adele Proctor, who first introduced me to subject I’ve been studying since: narrative assessment in school-age African-American children. My dissertation committee deeply influenced my thinking around qualitative research methods (Anne Hass Dyson) and how African-American English was presented in children’s literature (Violet Harris, Betsy Hearne). Then, there were professors within my department who influenced me through their stellar teaching (Cynthia Thompson) and clinical research (Pam Hadley).

Q: What course did you most enjoy?

A: As an undergraduate, I most enjoyed courses in SHS that focused on child language development. I also quite enjoyed the Kinesiology course on ice skating that I took with a friend. As a doctoral student, I most enjoyed coursework in Curriculum & Instruction because I met an interdisciplinary group of friend I remain in touch with. I also very much enjoyed learning situation modeling from Elizabeth Stein-Morrow in Psychology.

Q: Did you enter AHS knowing your career path, or did AHS help you decide?

A: I knew that I was interested in speech-language pathology. It’s interesting, Education led me to AHS.

Q: Did your AHS experience lead to your current job?

A: Yes, I majored in Speech & Hearing Science (SHS) in the undergrad program at UIUC, the master’s program at Ohio State University, and the doctoral program at UIUC.

Q: What is your current job?

A: Currently, I’m an associate professor of communication sciences and disorders.

Q: When did you graduate and with what degree?

A: I graduated with a bachelor of science in SHS and a PhD in SHS from UIUC. So I have two degrees from AHS. At the time, it was ALS.

Q: What was your favorite on-campus experience?

A: My favorite on-campus experience was partaking in all of the yummy food on Green Street and strolling across the quad, of course.

Q: What would you say to recommend AHS to a prospective student?

A: I would say AHS values excellence. As an undergraduate student I was on the Dean’s list a lot, and it felt good to be appreciated publicly in receptions at mom’s day weekend.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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SHS freshman Abbie Keasler talks about campus and COVID



Q: Were you on campus?

A: I was not on campus this semester. I studied remotely from home, but my home is not in the Champaign-Urbana area.

Q: What was the deciding factor to stay home, rather than come to campus?

A: There were several factors that influenced my decision to stay home. When weighing all of the variables in my situation, I felt it was best for me to stay home. One thing I contemplated was the money I could save on housing and food by staying home. Another factor was limiting my possible exposure to COVID-19 by staying home. To be honest, I thought universities were not going to keep students on campus for much of the semester. Regardless, I am glad many college students were able to stay on campus until late November!

Q: What challenges did you discover with remote classes?

A: Surprisingly, my remote classes treated me well. But of course, there were difficulties. On my end, there were times when my internet was slow and uncooperative. I didn’t necessarily have any technology issues; the issues I had were rooted in the fact that I was a remote student. It was definitely difficult to find motivation to do my coursework and occasionally challenging to connect with my classmates. I thankfully never had issues with navigating Compass2g or connecting with my instructors.

Q: What are the differences between your high school remote learning experience, and here at Illinois?

A: I did not have much experience with remote learning from my high school before the pandemic hit. My high school did the best they could given the abruptness of the situation, but with my experience at Illinois, it has been similar to the experience I had when I took online dual-credit courses at my local community college. Both institutions utilized an online learning medium that organized assignments, course information, modules, etc. At Illinois, it has been nice to be able to have some virtual face-to-face time with instructors, whether that has been during class or in office hours.

Q: What is the one thing you can’t wait to do when you arrive on campus?

A: I have been asked this question many times! I can’t wait to just simply be on campus! I am looking forward to being in an educational environment with other students, meeting new people in a new atmosphere, and being able to experience the culture and life of University of Illinois and Champaign-Urbana.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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SHS Freshman Abby Martinez talks about campus life in the COVID era



Q: Are you on campus?

A: I am on campus!

Q: What made you decide to be on campus?

A: Since it is my freshman year, I thought it’d would be nice to explore campus, get to know more people, and be involved!

Q: What challenges have you found in navigating campus?

A: I haven’t found any. It’s been easy! The buses are always there so I haven’t encountered any problems at all.

Q: What challenges are you discovering with remote classes?

A: With remote classes, expectations are looking a little bit different. Whether it is asynchronous or synchronous learning, having a mix of both is confusing for me. I realize that I am behind in some of my classes when it comes to readings, so I’ve been struggling with that. 

Q: Tell me what you think about the COVID testing process. Has it been easy to find a testing site?

A: I think the process is great! It’s super quick and you don’t have to wait long for your results, so that is definitely a bonus. It has been easy finding a testing site, there’s one not so far from where I am staying at!

Q: What are the differences between your high school remote learning experience, and here at Illinois?

A: When I was in high school, everything was asynchronous learning. Here at Illinois, I have a mix of both. Every one of my instructors have been pretty specific with what they are expecting from us, and the assignments are not confusing at all!

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

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Freshman Brooklyn Clough talks about campus life during COVID-19



Brooklyn Clough (provided)

Freshmen are entering college in a unique environment, and that includes students in the College of Applied Health Sciences at the University of Illinois. The AHS communications staff spoke with new AHS students about campus life, why they decided to come to campus—or stay home—and how COVID-19 is changing their expectations. Today, we speak with Brooklyn Clough, a student in the Department of Speech and Hearing Science.

Q: Are you on campus?

A: I am on campus this semester because even though all of my classes are digital, I believed being on campus would give me the motivation I needed for my classes that I wouldn’t be able to find at home. Also, I wanted the experience; it is only my freshman year so I truly don’t know what I am missing with COVID-19 regulations.

Q: What challenges have you found in navigating campus?

A: Since all of my classes are digital, I don’t travel much on campus, but I do struggle with the bus system. Long story short, I was trying to head to my dorm and ended up in downtown Urbana.

Q: What challenges are you discovering with remote classes?

A: Digital classes have been a complete internal battle because many of my classes are asynchronous as well; So I must organize my schedule on my own and try to remember all of my due dates for different courses. 

Q: Tell me what you think about the COVID testing process. Has it been easy to find a testing site? 

A: Testing has been painless since I live in Nugent, which is connected to the SDRP (Student Dining and Residential Programs) where a testing center is. I also surprisingly have started getting better at finishing the testing faster, since I have been doing it for a while.

Q: What are the differences between your high school remote learning experience, and here at Illinois?

A: My high school remote learning was a lot less motivated than here at Illinois. I did take a remote class in Fall 2019, which was me cramming at the last minute before due dates and after the school went completely digital in spring 2020. I put in little effort because our grades couldn’t be negatively affected if we showed active participation. Here at Illinois, these classes matter and are important; However, it is quite similar in that I have few check-ins and mostly work is on my own.

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Grant to help researcher study difference in hearing for preterm babies



Brian Monson in his office (Credit: Brian L. Stauffer)

A researcher in the Department of Speech and Hearing Science in the College of Applied Health Sciences has received funding to determine the difference in language exposures for preterm infants relative to what they would be hearing if they were still in the womb. 

SHS assistant professor Brian Monson earned a $300,000 grant from the National Institute of Deafness and Communication Disorders for his project entitled, “Auditory experience during the prenatal and perinatal period.”

Monson said the aims of the project include comparing typical fetal auditory exposures in the womb to preterm infant auditory exposures in the neonatal intensive care unit, and assessing the effect of these exposures on auditory neurodevelopment. The study, he said, is being conducted in collaboration with Carle Hospital, with the long-term goal of optimizing auditory exposures for preterm infants to foster healthy brain development in the neonatal intensive care unit.

“We also hope to see whether these differences in exposures have an effect on later brain and language development,” Monson said.

The grant from the NIDCD—which is part of the National Institutes of Health—helps extend upon research Monson undertook with funding from a Center for Health, Aging & Disability (CHAD) pilot grant.

Monson said the plan is to enroll 100 preterm infants and 100 pregnant women who carry to full term, with recruiting done locally of pregnant women from the Champaign-Urbana community and NICU patients from Carle Hospital. He said data collection had begun and that he had about 30 subjects in each group.

Once differences between exposures in the NICU vs. the womb are established, Monson said, the next step would be to develop an intervention that enhances NICU auditory exposures (e.g., by increasing language exposure) and assess the effects of this intervention with a clinical trial.  “We also plan to continue following up with the current study’s babies later in childhood,” he said.

“One out of every 10 babies born in Illinois is born premature, which is similar to the national rate,” Monson said. “Because of this, we feel this project is critically important as it will lead to improved health outcomes for our community’s tiniest human beings.”

Editor’s note:

To reach Brian Monson, email monson@illinois.edu.
 

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Alumni Spotlight: Lynn Bielski



Q: Why did you pick AHS?

A: I selected AHS because the Department of Speech and Hearing Science was part of it and had the major I selected. When I began my undergrad degree I wanted to become a speech-language pathologist. Later, I changed focus to audiology after taking a Hearing Science course with Dr. David Gooler.

Q: Which professors had the most impact on you?

A: I was very fortunate to work with many wonderful professors and clinical supervisors including Drs. Charissa Lansing, Ron Chambers, Cynthia Johnson, David Gooler, Lou Echols-Chambers and Carol Parker.

Q: What course did you most enjoy?/Did you enter AHS knowing your career path, or did AHS help you decide?

A: I began as an undergrad thinking I wanted to become an speech-language pathologist. Then I took a hearing science course with Dr. David Gooler, and I changed my mind. I learned more about audiology and realized the blend of anatomy/physiology, physics, neuroscience and clinical practice was perfect for me.

Q: Did your AHS experience lead to your current job?

A: Yes, the mentorship, training and experience I received from AHS and Speech and Hearing Science led me to my current position.

Q: What was your favorite on-campus experience?

A: This is so hard to answer! One of the most exciting experiences was watching the Illini beat No. 1 Wake Forest at Assembly Hall (Dec. 1, 2004). The energy was electric!

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.

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COVID-19 has brought telepractice into forefront of SLP, AUD treatment



Telepractice was an effective option during the lockdown phase of COVID. (Stock image)

The COVID-19 outbreak has radically altered life in the United States. It changed how we work, communicate, spend time with families, exercise and shop. It has also forced students to change how they learn and how they go about fulfilling the requirements of preparing for life after school.

Students in the Speech and Hearing Science Department of the College of Applied Health Sciences at Illinois have had to alter how they can complete internships, a necessary part of their coursework. Fortunately, the state of Illinois recently granted a temporary variance to allow speech-language pathology and audiology students to count telepractice hours even if the student and supervisor are not in the same room.

That decision has given students such as Nina Iraci, a first-year graduate student in the speech-language pathology program, a chance to work with clients, even if it’s via phone or video conference.

“We’ve had to be adaptable and creative in how we deliver our services,” Iraci said. “I found (telepractice) has been more of a tool than we thought. Telepractice is a great option. It’s very convenient. It’s surprised us.”

Caitlyn Boni is a second-year master’s student in SLP and her externship at an elementary school was altered by the virus outbreak, forcing her to quickly adapt to telepractice. That has allowed her to learn something about herself and her future work.

“I have learned that it is important to be a flexible clinician and be willing and prepared to improvise if needed,” she said. “Much of my service delivery was individual or one-on-one in the classroom. However, since switching to teletherapy, I have participated in more large group (classroom-level) meetings where I provide general language support to parents. The biggest change I would say is that there is much more parent involvement than would be typical in my school placement. Typically, parent collaboration is limited to IEP meetings. However, due to the extended school closures, many of the children’s’ devices have been sent home with them, and parents are becoming more oriented with their child’s device as well as how to support their child in using it to communicate.”

For Taylor Mekus, a first-year audiology grad student who has been working to create educational videos about audiology and hearing health during the shelter-in-place order, has also found telepractice to be surprisingly effective.

“I did not realize how expansive telepractice can be, but being faced with this scenario the field of Audiology seems to be coming up with new and exciting ways to deliver services via telepractice,” she said. “We always have to be adaptive to change and find new ways to help our patients.”

Monique Dang is a second-year audiology grad student, and she has been working closely with Clark-Lindsay Village, focusing on hearing loss in adults, whether it’s noise-induced or age-related hearing loss. Last semester—also known as BC (Before COVID-19)—she worked to get the Audiology Clinic service into Clark-Lindsey to perform monthly cleanings and checks of the residents’ hearing aids. That’s been put on hold, forcing the clinic to “to move to alternative avenues of care,” she said.

“We have worked to connect with our hearing aid patients and express our availability virtually in this difficult time,” Dang said. The clinic—which is offering its services free—is troubleshooting hearing aids, walking through care and maintenance and offering other adjustments, Dang said. “I’m learning this transition to telepractice is a learning curve,” she said.

CHANGE AND CHALLENGES

As Dang mentioned, the transition to telepractice doesn’t come without its challenges. For one, the students miss working directly with their clients. “It goes without saying that I just miss human interaction in general,” Iraci said, “but another thing that’s a challenge is if we need to do any sort of manual manipulation, any sort of oral mechanism examination, that’s pretty difficult.”

Hannah Smith, a second-year audiology grad student, said the main obstacle was lack of prep time.

“As students, teaching assistants, research assistants, and clinicians, we had approximately one week to prepare for an online transition for the remainder of the semester,” she said. “This proved to be very difficult and time consuming for the first few weeks and required a lot of creative problem-solving skills to navigate these unknown waters.”

Dang agreed.

“(Telepractice) requires trial and error, and a lot of planning and collaborative efforts. Simply put, it’s not at all the same as providing traditional face-to-face services,” she said. Technology is part of the problem, she said, as well as trying to set up group appointments at a time when that is being discouraged.

“Our elderly patients seem reluctant to use technology,” Taylor added, “so we are facing the challenge of helping patients to step out of their comfort zone and utilize technology.”

Still, Taylor said, patience was vital.

“We need to consider that working with technology in order to utilize telepractice may be more of a learning curve for them. We have to remember since our patients have hearing loss, communicating via video call may be more difficult and we will have to adapt to each individual circumstance.”

The obstacles are not only associated with the elderly. For Boni, working with children has had its share of issues.

“It can be difficult to provide therapy in a way that will keep the child engaged and willing to participate in the session,” she said. “It is very helpful to have a parent nearby to provide behavior management since it is nearly impossible for me to do via teletherapy. For example, after five minutes of therapy a child said to me, ‘OK, I’m done with speech. BYE!’ and ran away from the screen. Luckily, her mom intervened and brought her back to the session.”

TELEPRACTICE HERE TO STAY?

Despite the trials of telepractice, the budding practitioners see the advantages in a post-COVID-19 world.

“Telepractice is a great thing, especially during this time and when it comes to trying to provide appropriate access to care to those in rural communities,” Dang said.

Boni said patience and understanding is needed, but she definitely sees the benefits.

“Telepractice can provide unique opportunities that may not be possible with typical face-to-face sessions,” she said. “Some things are difficult, but with a little creativity it is possible to find a work-around to most challenges and I do believe my clients are benefiting from teletherapy.”

Smith agreed.

“Telepractice initially may seem rather intimidating, however, from my personal experience, patients have really enjoyed the convenience and quick turnaround of services,” she said. “We are moving into an ever-changing technology-centered society so patients who are interested in that are embracing telepractice services from the comfort of their own home. Telepractice will continue to develop and improve so it is very exciting to see how this will impact the way in which we serve our patients.”

An added benefit is that the Audiology and Speech-Language Pathology Clinic is not charging clients for its telepractice service through Aug. 6.

Iraci believes telepractice has a place, even after the COVID-19 threat is extinguished.

“Telepractice is a great option, especially for adults, because they’re typically very busy and only have time for a moment of teletherapy, in their car, or on a break at any time. It’s very convenient.

“It would be a great service for our clinic to provide, regardless of the stay-home order.”

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.

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Podcast: A Few Minutes With … Clarion Mendes and Amanda Lawrence on non-essential care during COVID-19



The Audiology and Speech-Language Pathology Clinic (Photo provided)

Vince Lara of the communications office of the College of Applied Health Sciences at the University of Illinois speaks with Clarion Mendes, clinical assistant professor and director of Clinical Education in the Department of Speech and Hearing Science, and Amanda Lawrence, clinical assistant professor in SHS, about the impact of COVID-19 on so-called non-essential health issues such as speech-language pathology and audiology and how those patients are treated.

Transcript

VINCE LARA: Hi. And welcome to another edition of A Few Minutes With, the podcast that showcases Illinois College of Applied Health Sciences. I’m Vince Lara. And today I’m speaking with Clarion Mendes and Amanda Lawrence from the speech and hearing science department to talk about how the SHS clinics are impacted by the coronavirus crisis. I know Speech and Hearing Science operates the Speech-Language Pathology Clinic and the audiology clinics. And are those still open?

CLARION MENDES: So that’s a great question. The physical location of the clinic is currently closed for the safety of our clients, our patients, our families, and our students and staff. So we’re following CDC recommendations as far as that’s concerned. However, like most of the rest of the world, we are diving deep into the world of telepractice, tele-interaction. So from the speech-language pathology standpoint, we have started to introduce telepractice for our patients and clients, and their families.

For audiology, it’s a little bit more complicated because of the types of equipment that are often used for audiological assessment and intervention. So what we’re doing currently for audiology patients is working with them to make sure that their hearing aids are up and running appropriately and making sure that their equipment is running smoothly. So repairs are still up and running for audiology.

VINCE LARA: How do you get hearing aids repaired without having that kind of face-to-face interaction?

AMANDA LAWRENCE: So there’s a couple things. So if a hearing aid’s malfunctioning, everything from– sometimes we can talk them through it. Because there’s a handful of things you just do to start, like, say, diagnosing what the issue is. And sometimes that fixes the issue. So that can be everything from just talking them through appropriate cleaning, just making sure there’s not wax that’s the problem or a microphone that’s blocked to that extent.

So once we’ve worked through that, if need be– current pandemic– one of the things that we can do is, if a patient were to– most of what I need to know in trying to assess or diagnosis is what their problems or the difficulties are, what’s happening with the actual instrument.

They could bring it in without– either drop it– I mean, set it on a bench or a t– outside the clinic. I would be there at the same time, pick it up, go in the clinic, diagnose it. I mean, figure out what’s happening– does it need to be sent in? Is it something I can replace or fix in the clinic?

Once I verify that it’s functioning properly, I can clean it back off and disinfect it, and set it back somewhere for the patient to come back and pick up. I mean, it would be sitting there in the meantime, so not just sitting out for somebody to just come by and pick it up. So that can be done.

And most the time, the same thing can even happen even if they need– if it’s a sound– like if I need programming adjustments, those kind of things. Usually, most, vast majority, 90% or better, I can do without the patient sitting there at all.

The only issue I would have is sometimes the problem is actually wax in the patient’s ear. And I cannot do anything about that without seeing or touching the patient, though medical offices are open. So primary care or somebody could do that. But most things I can assess or take care of just by their feedback. It works.

VINCE LARA: You raise a good point, though. What are some of the complications for getting care for what people might deem as non-essential care during this time? And I think you know you bring up one of them. If a patient has an ear wax issue that’s going to affect their hearing aid, I don’t know, is that considered essential care? Is that something they could go to get care for?

AMANDA LAWRENCE: I don’t know how they’re doing it. Do we know how the system is set up here? So this I can tell you, just because I’ve had a friend who’s had to go in Florida, who’s in the same kind of stay-at-home.

So what they were doing was, well patients, not, say, for a primary care, they were doing those all in the morning. And if anyone– ill or sick, then they were separating them out and seeing them in the afternoon so that they disinfect in between. So I can tell you there. I haven’t tried to go to the doctor here, so I don’t know what that means here.

I don’t know if Christi and Carl are not seeing any well patients at all, if a patient or somebody called and said, I cannot hear at all, and this is the reason, like if somebody said they could not hear, if it would actually be considered a medical emergency. And if it ended up just being earwax, that would be a great day for their PCP. I mean, because that’s something they can actually fix.

VINCE LARA: And Clarion, for someone with a speech-language issue, how would that be handled? And is that considered essential care or not?

CLARION MENDES: That’s a great question. So it’s going to depend quite a bit on the particular type of diagnosis that we’re dealing with. So for instance, one of the specialties of speech-language pathologists is dysphagia, or difficulty eating and swallowing. And dysphagia is often frequently coupled with respiratory issues.

So for speech-language pathologists that are working in a acute care setting or an ICU, they’re going to be pretty busy right now. And those services are kept up and considered essential. And of course, it’s going to vary on a case-by-case basis from medical facility to medical facility. Something that we’ve been seeing a lot right now is, for individuals that have acquired neurogenic language or cognitive issues, having SLPs who can communicate with individuals to explain what COVID is and what their limitations are currently. That’s something that has also been popping up in their speech-language pathology community quite a bit.

VINCE LARA: Clarion, I’m directing this toward you only because I know you’ve worked with geriatric populations a lot. And in fact, I think you’ve said in the past it’s your favorite population to work with. Since they’re most at risk at this time, what extra steps, if any, would you have to take to ensure their health?

CLARION MENDES: So that is incredibly difficult right now, both from the that they’re staying healthy, because they are at the highest level of risk of contracting the virus, but the other challenge is– I don’t mean to stereotype, but they’re not digital natives. And so currently, the way that the world is going with managing all aspects of health care in this current state is to do everything as digitally as possible. And so because they’re not digital natives, this has been very, very problematic.

I can speak for– I think I speak about my grandmother a lot when I’m interviewed by you, Vince. She’s currently 89 at home. And she’s talking with my parents on the phone, but she’s excluded from the family Zoom meetings and all that kind of thing. So I wish I had a great answer for you, but currently I don’t.

VINCE LARA: And Amanda would you– how about from an audiology side of things?

AMANDA LAWRENCE: It’s the same. That’s [INAUDIBLE]. It’s how tech savvy they are or have interest in being. So some, it’s just frightening all the way around. And there is no interest, little interest, more just out of the anxiety of it or misunderstanding of it. And then some are interested, if you can help them work through it and how well you can do that via telepractice, or just some really does depend on auditory skills. I mean, there is something about telepractice that does depend on the institution.

And the other issue with hearing aids and the older population is, when we have declining visual acuity, hearing aids are very small. Everything about them is very small. So sometimes that alone is one of the things that they need more support with or something they miss clinic when the clinic is an open, because I’m asking them to look for something or wax in an area that’s about the size of the head of a pin. And if your visual acuity is not there– it’s not because they’re not trying. It’s because they can’t see it, so the same issues.

But we have a lot of– I mean, the older population around here a in Champaign-Urbana is definitely a little bit of a sliver or a slice of just a very unique group in that many tend to be retired professors. And so they sometimes have an interest, or at least more inclination, into things that are different, and a lot of times, I would say above average willingness to try. Something that’s a little bit different, particularly in my hearing aid population, which can certainly be helpful. But that doesn’t change their visual acuity or the dexterity issues that can come with managing hearing aids.

VINCE LARA: We’ve touched on telehealth a little bit. But I’m wondering, in general, how has the buy-in been from patients with calling them about issues?

CLARION MENDES: So I’ll get started with that. This is Clarion. I have jumped in, maybe cart before the horse, with telepractice with many of my voice clients. And I was tentative. I was nervous.

But surprisingly, the buy-in has been pretty good. And I think the reason is, one, I have found overall everybody is in this mood of, we’re all in this together. We’re collaborating together. We’re all figuring out those unknown territories together. And so people have been extraordinarily gracious and understanding that this is something we’re all working through.

And I’ll say, as far as my client population, a lot of folks are stuck at home. And so people are just happy to have a piece of normalcy, even if it’s delivered in an alternate model. And so, so far it’s been it’s been very positive.

And we’re starting to work with this with children as well. And there’s some great evidence that suggests that telepractice works very nicely with kids. And to be honest, I think parents are grateful to have somebody else be educating their children and supporting their communication needs right now during this complicated time.

VINCE LARA: That’s well put. How about you, Amanda? Are you finding the same thing?

AMANDA LAWRENCE: Yeah. So in audiology and telepractice, you are more limited to being able to give some type of verbal instruction with a device. Otherwise, a lot of what we do is diagnostics, which, it does not lend. Because we have so much equipment. It does not lend to telepractice as well. But making the contact, or to know that somebody can be there via– even if that is just phone, but if it needs to be talked through, that kind of thing, that there is an availability there. But in general, large swaths of what we do, if it’s diagnostic in nature, the equipment just isn’t available to be supported through telehealth practices, telepractice.

VINCE LARA: And I think that works well with what my final question is, is that, what are students doing to replace internships, replacing what have to be in-person internships? Clarion, do you want to start with that?

CLARION MENDES: That’s a very interesting question. So I have been e-mailing and calling my certifying body, the American Speech-Language Hearing Association, the Council on Academic Accreditation, the Illinois Department of Federal and Professional Regulation, the Illinois Board of Higher Education, and many other entities. Because currently, students are not allowed to participate in telepractice and count it for their certification in the state of Illinois for speech-language pathology and audiology.

As of this recording, every other state permits it for speech-language pathologists. But Illinois is an isolate. So we have been working pretty around the clock to try to get our Practice Act updated so that students can participate in this important aspect of care that I imagine is going to be just becoming more and more common in our current state of affairs.

So that’s something we’ve been working towards. And we check the updates daily, sometimes hourly, for changes in telehealth rules, regulations, and certification. So this has been keeping me up day and night. I have not gotten much sleep recently, to tell you the truth.

CLARION MENDES: I am overjoyed to share this update with you since you interviewed Dr. Lawrence and me on Friday, April 3, 2020. The Illinois Practice Act for Audiology & Speech-Language Pathology has been revised. Effective today, April 6, 2020, the Illinois Department of Financial and Professional Regulation, is allowing, through 7/31/2020, students of speech-language pathology and audiology, to provide their services via telepractice, provided that, per best practice, there is a licensed and certified clinician overseeing all services in real time. This variance is congruent with current best practice for speech-language pathology and audiology, and allows our students to successfully continue a high quality, clinical education while meeting the communication needs of our community during a pivotal time in health care. We are excited to step up and offer this medium of service delivery to our current and future clients. This opportunity, for our energized and dedicated students to offer services with the supervision of experts, allows us to maintain and enhance our standing as a highly-ranked program in audiology and speech-language pathology.

VINCE LARA: Well, I appreciate you both being on today to talk about these really important issues. And I hope that we can see a return to campus and to normalcy very soon. My thanks to Clarion and Amanda.

For more podcasts on Illinois College of Applied Health Sciences, search A Few Minutes With on iTunes, Spotify, iHeartRadio, radio.com, and other places you get your podcast fix. Thanks for listening, and see you next time.

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A Few Minutes With … Toni Liechty



Toni Liechty (Photo by Brian Stauffer)

Vince Lara speaks with Toni Liechty, an associate professor in the department of Recreation Sport and Tourism to talk about her research on why people get involved in fitness programs, what keeps them involved, and how life stage and body image impact that involvement.

Transcript

VINCE LARA: Hi, and welcome to another edition of A Few Minutes With, the podcast that showcases Illinois’s College of Applied Health Sciences. I’m Vince Lara and today I’m speaking with Toni Liechty, an associate professor in the Department of Recreation Sport and Tourism, to talk about her research on why people get involved in fitness programs, what keeps them involved, and how life stage and body image impact that involvement.

All right. Sitting with Toni Liechty. Toni, thank you for being on the podcast. I really appreciate it. You know, commonly, when I meet with faculty, I ask them about their inspirations for their research. Because usually, there’s something that inspired you to look at what you study. And so for you, how did you get interested in your line of study?

TONI LIECHTY: So, I think maybe I might be a little different than some folks. I never had any interest in doing research or becoming a professor at all. In my field, in recreation sport and tourism, a lot of people go into the profession. And it’s not as common to go into research. And I thought that’s what I was going to do.

I used to work at a summer camp that was a sport and fitness camp. Which means that a lot of parents sent their kids there because they wanted them to lose weight. And while I was there, I in some ways saw that it was an amazing place for kids to come. I heard some kids say things like, I feel really comfortable at camp because I don’t feel like I’m going to get bullied because of my weight and things like that.

At the same time, I saw some things that were really problematic. You know, kids would share stories of how they would lose five pounds over the weekend and these sort of unhealthy weight loss issues. Another thing that I heard that kind of broke my heart was, I still remember a camper telling me that she said, I love swimming. It’s one of my favorite things to do. But I only swim at camp because at home, I don’t want to be the fat kid in the pool. And it kind of broke my heart that she would have something that she loved to do that would be good for her, but her body image made it so that she felt that she couldn’t do that.

And then I started to hear it more often, people saying, well, I like to play tennis. But I won’t play tennis because people will be looking at me if I were a little short skirt. Or even in other sports like soccer or basketball, I don’t want to run up and down the field and have people looking at my body.

And I thought initially, this was a thing that made sense at this weight loss camp. But when I came home and I decided to do a master’s degree, I started to notice it very commonly. Other people who I wouldn’t think of as having a weight issue still felt uncomfortable about their body.

And I think part of the reason that I really wanted to do a master’s degree was because, as a professional, I looked for information about how to improve our camp, how to make it better, how to address these body image issues in the setting. And I couldn’t find the information that I wanted. I didn’t feel like there was enough in terms of understanding of management of camps and sport facilities and so on. I didn’t feel like there was enough information about addressing body image issues specifically.

So that’s why I decided I was going to go back to school and study this. And I thought I was going to go back to school and study it so that I could come back to the camp and do a better job. But I kind of got hooked on the whole research thing and it went from there.

VINCE LARA: So you never really wanted to teach or anything. But the research part of it kind of sucked you in, I guess.

TONI LIECHTY: Especially in terms of how I viewed that it could make a difference in the professional world and how it could help to sort of make people’s lives better in a very noticeable way or direct way.

VINCE LARA: You know, some of your research looks at why people get into fitness programs and what keeps them there. And I’m interested, what led to that line of research?

TONI LIECHTY: Well, so when I started looking at body image, there’s a lot of research that says that people start out– that having a poor body image might encourage someone to start a fitness program. But it generally doesn’t lead to long term participation. Because if your motivation is just to look good and you start doing something physically active, it’s very unlikely you’re going to see results immediately. And if your only motivation was to see a physical result in terms of your appearance, then that result doesn’t happen so you stop doing the activity.

So I wanted to start to understand what else encourages people to be active, how can we get away from just the appearance factor, help to address different types of motivations that will keep people participating longer.

There’s also a lot of research saying that body image doesn’t lead to the most healthy behaviors. So if I’m trying to lose weight because of the way I look, I’m more likely to do sort of unhealthy dieting, excessive exercise, things that are going to just be focused on the way that I look.

Whereas if I’m motivated by my general health, I want to feel good, I want to interact with my friends, I want to get outdoors, things like that, I’m more likely to engage in healthy behaviors. So the idea is trying to shift people’s motivation and their reasons for physical activity away from the appearance focus and toward other types of things.

VINCE LARA: I’m curious if you ever are asked to consult with, let’s say, Planet Fitness or any of these other sorts of chains that pop up.

TONI LIECHTY: There’s a tension there.

VINCE LARA: OK.

TONI LIECHTY: Because I think there’s sort of an old fashioned thinking that if we can make people feel bad about the way they look, it will motivate them to be active.

VINCE LARA: Interesting.

TONI LIECHTY: And that’s the old school marketing approach, right? If you tell people, oh, you gained weight over the holidays. Don’t you want to lose that weight so that you can look good in a bikini in the summer, that it will encourage people to join your gym. But what we know from the research is that if people join the gym or whatever because of body shaming, then they do not continue to participate. So the difficulty in getting people to accept what the research says as opposed to what may seem a little bit more logical to them.

VINCE LARA: You know, one of your studies looks at barriers to physical activity. And what are some of those barriers and how do you go about trying to combat them?

TONI LIECHTY: I mean, the first barrier I was interested in was just the body image in general, being sort of self-conscious about the way you look. I think for a lot of people– So one of the things that people will report most commonly is that their barrier is time. They’ll say, well, I don’t have time to do it. Yet we know from research that people have time to do a whole lot of other things, right? They have time. Everybody has 24 hours in a day.

So it’s not necessarily how much time you have, but how you choose to allocate your time and what things you prioritize. A lot of people don’t prioritize physical activity because it’s not as easy or enjoyable as pulling out your phone and surfing on social media or doing something that’s more fun.

So one of the barriers, and is going to sound silly, but is just the fact that exercise is not fun for a lot of people. And I am not– I think a lot of people get into studying physical activity because they’re fitness gurus. But I am not a fitness guru. I don’t like going to the gym. I don’t like running. I don’t like working out in the traditional sense.

VINCE LARA: Sure.

TONI LIECHTY: But I like playing tennis. I like hiking. I like doing a lot of things that are active if they have something else that makes them enjoyable. And so for me, well, we also know in terms of research that there is a certain percentage of the population that would probably be active no matter what. They enjoy being active. But that’s a relatively small proportion. And most people, the majority of us don’t particularly like being physically active.

So I’m trying to help figure out how we can make physical activity more fun, more enjoyable, and more of a priority for people. If they have a barrier of just the inertia of getting started, if they view physical activity as a chore, if they think of it as something negative, if they don’t have anyone to participate with, that’s going to be more boring than if they want to do something that’s social.

And then there are a lot of barriers that people face just in their community. They face just the cost. We even hear people say that they don’t go to an activity that’s relatively low cost even if it’s only a couple of dollars. If their income is very low, that couple of dollars on a regular basis is not something they can afford.

Being in their local neighborhood, a lot of people are not willing or able to travel a long distance to work out at a gym or to hike in a park or something like that. So it needs to be relatively accessible to help people overcome that inertia of getting out and doing something active.

VINCE LARA: So what do you try to do to combat those things? Is there a movement that you– do reach out to, let’s say, a local park or community or something like that?

TONI LIECHTY: One of the things that we’ve been doing– So, I’m particularly interested in different life stages. And one group of people that are particularly inactive are older adults. And so, we’ve been working a little bit with Aurora Park District to find out what they do to help get people more active and what they do that is successful and is less successful.

And some of the things that they’ve been doing, one thing that they do is they have a punch card system so that people can buy a punch card. And every time they go to a class, they just take one punch. And that makes it so that they’re not paying for a whole class if they know that they’re not going be able to come every time. It makes it more cost effective. It also makes it feel less overwhelming to pay, say, a large amount of money for a session if they can’t afford it all at once.

And they make the classes fun. They make sure that there’s variety from class to class. They have fun music. They do fun moves during the act during the process. They encourage social interaction so that you come out come out and you hang out with your friends and you all laugh together and have a good time together. And it may sound silly, but fun is a pretty enticing element of any kind of leisure activity. So specifically for physical activity, which is not viewed as being very fun, if you can make it fun, that’s going to get people coming back.

VINCE LARA: You talked about looking at specific segments of people. So one specific segment you look at is women who play tackle football, really interesting. How did you get involved with that?

TONI LIECHTY: So I actually knew someone. She was a mature student who had come back to school. And she took a class from me and I was talking a little bit about body image. And she came up to me after class and said, this really resonated with me because I’ve always had a poor body image because I’ve always been really big. And I wanted to do things like figure skating. This was when I lived in Canada and figure skating’s very popular.

She said, but I never felt that I could do figure skating because I don’t have a body for it. And as an adult, I started playing tackle football and I realized that suddenly, instead of being a negative thing, my size was a positive thing. People appreciated, they wanted me on their team because I was big. So I thought, that’s such a unique setting. That’s such a unique sport that celebrates a bigger body, which is very uncommon for women.

You know, I used to do gymnastics or I played basketball or softball or tennis, different sports that have a sort of body that’s an ideal. And when I started talking to these women on the team, they said, what’s awesome about football for women specifically is that we can be any size that we are, whatever our body is now, and there will be a position that suits us. So instead of me trying to make my body be the way that the sport requires, I have the body that I have and I just find a position on the team that suits the way that my body is. And that makes a big difference in terms of the way I view my body and appreciate what my body can do instead of how my body looks.

VINCE LARA: Interesting. That’s a league in Canada for women who play tackle football?

TONI LIECHTY: Yeah. And there are leagues in the US, too. They’re just not as well-known.

VINCE LARA: Really interesting. You know, Illinois is an R1 university. So research projects are your bailiwick, right. And typically, there’s always a lot in your pipeline. So what have you got going on that you’re really excited about that you’re ready to talk about? It’s at that stage that you’re ready to talk about?

TONI LIECHTY: I think the thing that I’m kind of focusing on right now is a study I’m doing on roller derby. A colleague of mine out of Eastern Illinois University had kind of an in with some local roller derby leagues. And we did, actually, a photo voice approach where we asked the participants to take photographs of what roller derby means to them.

And they took photos of themselves doing derby. They took photos of their outfits. They took photos of their team, their family, and so on. And we interviewed them asking, why did you take these photos? Tell us about your experiences with roller derby.

And in some ways, there were some similarities to the football study in that they said, it’s a really cool sort of empowering sport that celebrates your body instead of telling you to fight your body and make it a certain way. That sense of celebrating your body as it is also encourages you to keep participating because there’s not a constant frustration that my body’s not correct, quote unquote, for this sport.

They also talked a lot about the social aspect and how they felt a lot of social support with the team, which kept them coming back. And a lot of people talked about how participating in that sport in that moment served a really valuable need for them. Like maybe they were going through a divorce or dealing with a health issue or something like that. They found this team and this sport and they were able to enjoy doing something physically active. They felt strong and empowered. They had this social network. So it really filled a lot of needs in their life.

And again, I think that’s one thing that we sometimes miss out on about physical activity. A lot of times, if you’re thinking, OK, I have 30 minutes in the day or a couple of hours in the day. If I can just only get physical activity out of it, that might not be a good enough use of my time. But if I can get physical activity. I can also get fun. I can also develop friendships. I can also develop connections in the community and all these different things, then that’s much a better use of my time, more efficient use of my time.

I don’t know that they all said it in those exact words. But a lot of them just talk about getting multiple benefits from participating in a given sport. And that’s another way that I think we can help promote ongoing activity and physical activity, or ongoing participation in physical activity.

VINCE LARA: My thanks to Dr. Liechty. For more podcasts on Illinois College of Applied Health Sciences, search A Few Minutes With on iTunes, Spotify, iHeartRadio, Radio.com, and other places you get your podcast fix. Thanks for listening and see you next time.

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