>
Shelley B. Brundage, Ph.D., and Margery M. Whites, Ph.D.
Computer Literacy in Communication Disorders
Q7 Scientific and Quantitative Literacy Grant
Final Report

How did students assess the experience
	Students in CDIS 639: Dysphagia Diagnosis and Management were required 
to complete an assignment using electronic mail (see Appendix A).  Eleven of 
the 32 students in this class filled out computer use questionnaires at the 
end of the quarter.  Eight of these ten students learned to use email because 
of this class assignment.  Student response to this assignment was positive.  
Much peer teaching occurred as well; students who were more familiar with 
email and listservers helped those who were new to the Internet.  Many of 
these students continued to use email after the conclusion of the class.
	Students in CDIS 426/526: Neural Bases of Speech and Language filled out 
computer use questionnaires at the beginning of the class.  They were excited 
about a departmental computer lab, and were especially interested in software 
that would be useful for clients in our clinic.  Students realize that 
computer literacy is a part of the jobs they will have, and they are motivated 
to learn about computers during their college training.  Students are getting 
impatient, however.  Our lab is not yet open for use by all students in the 
department due to problems listed below.  

How did faculty assess the experience
	We give this experience a positive rating overall.  We are excited about 
this new addition to our department.  Our excitement makes students excited.  
Without this funding we would not have been able to purchase the amount and 
diversity of software that we did.  We plan to incorporate the various 
software programs into CDIS courses next Fall.

On-going discussions between institutions
	We mailed over 200 questionnaires to other CDIS departments across the 
country regarding the use of computers in their training programs (see 
Appendix B).  Over 50% of the respondents returned questionnaires to us.  Many 
cautioned against opening computer labs for business without first drafting 
rules and testing procedures to ensure that students know how to use 
computers.  These warnings caused us to reevaluate when the lab will be used; 
we currently have a computer science student working with us to draft rules 
and testing procedures.  These respondents also suggested that certain 
computers be dedicated to certain activities; for instance, one computer just 
for clinical report writing, two just for classroom and clinic use with 
clients.

How was learning affected in the short and long terms
	Most student learning has been short term.  We have one graduate student 
who is using the computers to analyze data for her master's thesis.  Three 
graduate assistants are using the lab to help faculty prepare for an upcoming 
state-wide convention for which two faculty members serve as co-chairs.  One 
of the software packages is being used as part of the treatment program of a 
client in our departmental speech and hearing clinic.  One student has used 
the aphasia software as a demonstration in CDIS 635: Aphasia.
	In the long term we hope to increase student awareness and use of 
computers.  Computers are an integral part of the job, and therefore their use 
should be taught in undergraduate and graduate school.

How were objectives of learning affected
	Students in our department are beginning to "get their feet wet" in the 
computer world.  Three classes (CDIS 461, 639, and 648) required students to 
use computers as a course assignment.  Students learned how to use email.  
Students signed on to a listserv (clinical grandrounds list) and wrote 
reaction papers about the discussions.  Students completed the computer 
assisted instructional tutorial on Developmental Sentence Scoring.  Students 
used cognitive retraining software to aid in the treatment of a client with 
traumatic brain injury.

Challenges and Benefits to collaborative efforts
	Collaborative projects provide faculty with a look at the "big picture" 
and can help prevent faculty in small departments from becoming isolated.  
These types of projects usually engage faculty interest and keep us moving 
forward.
	The biggest challenge to these types of projects occurred when faculty 
had neither the time nor the expertise to deal with problems that arose.  When 
this happened the project ground to a halt.

Future Work
	Now that most of the software has been installed, we can begin to focus 
on how to incorporate it into various CDIS classes.  We have purchased 
software that will be used and/or demonstrated in each of the following 
classes: Aphasia, Language Intervention, Cleft Palate, Diagnostics, and Voice 
Seminar.  
	In terms of "cross disciplinary" use, many of the software packages are 
appropriate for more than one CDIS course.  Some examples include using the 
ADAM software in both the Anatomy and Neural Bases classes, and using various 
diagnostic software in the diagnostics class as well as in the disorders 
classes that correspond to the software (for instance, the Boston Diagnostic 
Aphasia Examination software could be used in Aphasia class as well as 
Diagnostics class).  Absearch software will be used in research class and in 
any other class that requires a research paper.
	Continuing to educate our departmental peers regarding computers and 
computer use will allow each of us to get a better feel for what the others 
are doing.  Hopefully the presence of the computer lab will stimulate 
discussions among faculty regarding how the lab should be used.  The presence 
of software for use in research should stimulate discussions of potential 
research projects.  

Budget
	A copy of the budget for this project is provided in Appendix C.  We 
spent all but $62.00 of the award (and some of this may be spent as more 
questionnaires continue to come in via post paid mail).  

Chronology, problems, and solutions
	The chronology of events went something like this:

May-June 1995:		Ordered equipment and supplies; faculty enthusiasm 
high

July 1995:			Wrote curriculum assignments

August 1995:		Faculty frustration builds as equipment is not 
arriving

Sept-Oct 1995:		New billing system adopted by MNSCU.  Equipment 
ordered in June has yet to be put out on bid, further delaying arrival of 
computers.

Software arriving at rapid rate, but no computers to  install it on

Students in CDIS 426 fill out computer use questionnaires, and receive 
computer assignment

Students in CDIS 639 complete email and listserv assignment using computer 
labs on campus

Wiring for Internet hookup installed; must wait for computers to arrive for 
final hookup

Questionnaire sent to 200 CDIS departments around the country

Faculty and student frustration builds

Data entry for master's thesis begins using old departmental computer with 
very little disk space left

New computers finally arrive at end of October

Nov.-Dec 1995		Computer assignment for CDIS 426 cancelled; impossible 
to get 35 students into lab before end of quarter

Installed software, some did not work

Grad assistants begin using computers at direction of faculty members

Computers used in treatment of one client

February 1996		Hired computer science student with departmental 
workstudy money to assist in getting lab up and running

Faculty less frustrated, can see lab up and running in near future


	The delay in receiving the computers really hampered our ability to 
complete this project in a timely manner.  It would have been nice if the 
business office had informed us that the computers did not go out on bid in 
June.  We were also victims of incredibly unfortunate timing: right when our 
computer crisis happened the business office was dealing with a new accounting 
and billing system.  When the business office realized how long we had been 
waiting for these computers they were very helpful and moved our order 
quickly.
	We have also had problems when neither investigator had the expertise to 
solve some of the software and hardware problems inherent in setting up a 
computer lab.  Our solution to this problem was to hire a computer science 
student to install virus detectors and sound cards, troubleshoot software 
problems, and write rules for computer use.

Information to facilitate the director's report to the Steering Committee
	Realistic goals: The goals for our project were realistic.  The project 
required that we specify computer competencies in measurable ways, and we did 
so.  We were unable to evaluate all of the competencies specified due to time 
constraints and equipment ordering difficulties.
	State of the art methods: Many students used electronic mail for the 
first time as a result of this project.  They were exposed to the many wonders 
of the Internet, and some even developed a healthy appreciation for all the 
junk that is out there, as well as for the gems.
	Data collection: We used a questionnaire to assess the state of computer 
use in CDIS departments around the country.  The amazing 50% return rate 
suggests that this is an important and current issue that needs to be 
addressed.  Many respondents asked for copies of our findings.  We plan to 
submit these findings for presentation at a national conference later this 
year.
	Budget: We requested but did not receive release/reassigned time for 
this project.  The budget allowed us to purchase equipment, and this is great.  
We found that we did not have enough time to deal with the problems that 
occurred in setting up the computer lab.  We needed the release time. 
	Timetable:  The timetable was too short.  Developing, using, AND 
evaluating methods to improve student learning is difficult in just ten weeks, 
when it is placed on top of other teaching and service duties. 
	Use of institutional resources:  We were fortunate to have institutional 
resources at our disposal.  Our graduate assistants copied information and 
coordinated the mailing of the questionnaire.  The mailroom got the 
questionnaire out rapidly.  Campus-wide computer support was essentially 
nonexistent.  We waited months for electrical wiring to be installed, and 
students sent over by the computer center were not helpful in solving our 
problems.  Our secretarial staff helped with envelope stuffing and general 
clerical help.  Finally, our department chair authorized the use of 
departmental workstudy monies to hire a computer science student to assist us 
in lab set-up.



APPENDIX A

CDIS 639: Dysphagia Diagnosis and Management
Fall Quarter 1995
Dr. Brundage

Directions for E-Mail and Dysphagia Listserv Assignment

DUE: October 2, 1995


Purpose.  The purpose of this assignment is to guide you through 
what may be your first interaction with email, and to increase 
your comfort level and familiarity with the Internet.  
Specifically, when you have completed this assignment you will 
know how to send and receive messages via electronic mail (email), 
and how to subscribe to, read, and unsubscribe to an electronic 
mailing list that discusses topics related to communication 
disorders.  

Directions.  

1.	Read Kuster & Kuster (1995). Finding treasures on the 
interet: Gopher the gold. Asha, February 1995, pages 43-47 
(Available in front office).


2.	To obtain an email address.  Go to the Beehive in ECC 103 and 
request an email address.  They will have you fill out forms and 
return later to pick up your address.  They will assign you an 
email address.


3.	Obtain and read the handouts entitled "Using the VAX" and "E-
mail made easy" from the Beehive staff.  You may also want a copy 
of "Introduction to the VAX."  


4.	To subscribe to a listserv (mailing list).  Subscribe to one 
of the following mailing lists (listservs):

Discussion of neurogenic CDIS: cnet-dil@listserv.arizona.edu

Discussion of cerebrovascular disease: stroke-l@ukcc.uky.edu

Discussion of TBI & neurologic disabilities: tbi-sprt@sjuvm.bitnet

Discussion of "the clinical process": grndrnds@wvnvm.wvnet.edu

Directions on how to subscribe to these lists is available on the 
accompanying handout.



5.	Requirements for completion of this assignment.

Send me a short email message.  My address is 
SBRUNDAGE@TIGGER.STCLOUD.MSUS.EDU

Read and remember the short message that I return to you

Sign on to a listserv and read the discussions for 1-2 weeks.  

Write a short paper that summarizes the following:

* 	Your level of knowledge about the Internet before and after 
completing this assignment

* 	Your comfort level with the Internet before and after 
completing this assignment

* 	Your reactions to the Internet and the availability of all 
this information, and any potential problems that you foresee with 
Internet use

*	A brief summary of the discussions that you read on your 
mailing list and your reactions to what was said

* 	Usefulness of the assignment

* 	Suggestions for improvements or changes in this assignment 
for next time

* 	At the end of your paper state a) the contents of my email 
message to you, and b) which listserv you subscribed to, if you 
have not mentioned it in the paper already


6.	Troubleshooting.  Every SCSU student pays a computer use fee 
as part of their student fees.  This allows you access to FREE 
workshops on how to use email, the vax, the Internet, and many 
other topics.  Take advantage of these workshops.  You can sign up 
for them in the Beehive.  Some CDIS students already use email; 
they can serve as resources if you get stuck.  If all else fails, 
come and ask me!

APPENDIX A (Continued)

CDIS 639: Dysphagia Diagnosis and Management
Fall Quarter 1995
Dr. Brundage

Information about Email and Mailing Lists

	In recent years a phenomenal amount of information has become 
available via computers and the electronic "information 
superhighway."  This electronic network (called the "Internet") 
allows one to send messages to fellow professionals, to 
participate in roundtable discussions about topics of professional 
interest, and to access certain professional materials and  
journals.  The Internet can also be a source of frustration to the 
unfamiliar user, and can eat up amazing amounts of time if you are 
not guided through your first interaction with it.  To help reduce 
this frustration I have tried to describe email and mailing lists 
below; when writing this handout I assumed that the reader had 
very limited knowledge of the Internet.
	Mailbox analogy.  Consider, if you will, your mailbox at 
home.  Your mailbox has an address which is known to many people.  
Everyday the mailman delivers various types of mail to you and 
puts it in your box.  A typical delivery might include a letter 
from Mom, a VISA bill, and three magazines (Sports Illustrated, 
Gourmet, and People).  All of these people can send you mail 
because they have requested that you give them your mailing 
address.  If they did not have your address, the letters, bills, 
and magazines would not get to you.  Keep this in mind as we 
discuss email and mailing lists below.
	Email addresses.  The "e" in email stands for "electronic" 
and email is just another way of receiving mail.  The only 
difference is that a computer serves at the mailman.  In order to 
send and receive email you must have an address.  These addresses 
come in a certain format, analogous to your mailbox address's 
street number, street name, and zip code.  Email addresses must 
contain your name, and the location of your electronic "mailbox."  
Most universities have a large, campus-wide computer system that 
handles electronic mail; the portion of this computer that handles 
email must also appear in your address.  Finally, computers like 
to know the nature of the location of your electronic mailbox 
(such as if you work at an educational institution or a commercial 
business), and this is also included in your address.  For 
example, my email address is: SBRUNDAGE@TIGGER.STCLOUD.MSUS.EDU.  
The "SBRUNDAGE" is my name (duh).  The "STCLOUD.MSUS" part tells 
you that my address is located at St Cloud State in the Minnesota 
state university system.  The "TIGGER" part tells you that the 
portion of the SCSU campus-wide computer that handles email is 
called "Tigger" (other parts of the computer include "Eyeore").  
Finally, the "EDU" part tells you that my address is affiliated 
with an educational institution.
	Let's go back to the mailbox analogy for a minute.  Once you 
have an address you can tell it to your friends and they can send 
you letters.  It's the same with email.  Once you have your email 
address you can receive messages from others with email addresses.  
You can also send messages to others.  The Beehive handout 
explains the commands necessary to send email messages to others.  

	Mailing lists/listservs.  Recall that your home mailbox also 
contained a few magazines.  Electronic listservs are analogous to 
these magazines, so let's consider what you did when you 
subscribed to Sports Illustrated.  To subscribe to SI you wrote to 
the magazine's subscription department, gave them your address, 
and requested that you begin receiving the magazine.  Shortly 
thereafter issues of SI showed up in your mailbox.  You were 
content to read each issue privately until they announced that 
they were going to publish 6 "swimsuit" issues per year.  This 
seemed like an excessive number to you, so you decided to write a 
letter to the editor.  When you mailed your letter you notice that 
the address to the editor was different from the address that you 
used to subscribe to the magazine.  This is not too surprising, 
given that the editor probably does not know much about how to 
subscribe to the magazine; she is more interested in the content 
of the magazine.  A few issues later your letter shows up in the 
"letters to the editor" column and therefore is read by everyone 
who gets the magazine.  Your letter sparks a debate amongst the 
readership, and eventually the magazine is convinced that one 
swimsuit issue per year is enough.  Let's apply this analogy to 
mailing lists or "listservs" as they are called in the computer 
world.
	Every listserv has two addresses: one to deal with 
subscriptions (the called the "listserv address"), and another 
address for use when people want to send commentary to the entire 
group of readers (the "list address").  Understanding the 
distinction between these two types of addresses is fundamental.  
Listserv addresses are similar to magazine subscription addresses; 
when you want subscribe to the mailing list, or drop your 
subscription, you write to the subscription department.  List 
addresses are similar to those used to write to the magazine 
editor.  If you send a message to the list address it will go out 
to all of the persons on the list. 
	Subscribing to a mailing list. If you want to subscribe to a 
mailing list, you write the listserv address and request that your 
name be added to the list.  So, when signing onto the stroke-l 
mailing list use the "listserv@ukcc.uky.edu" address.  Messages 
sent to this address go directly to the computer that manages the 
list, and not to all the members on the list.  If all goes well, 
the listserv computer will send you a welcome message, and you 
will begin to receive messages.   When you write to the listserv 
address you must tell it that you want to subscribe.  For example, 
if I wanted to join the stroke-l list below, I would write to 
listserv@ukcc.uky.edu and my message would say "subscribe Shelley 
Brundage."  Do not attempt to subscribe to the mailing list by 
sending a subscription message to the "stroke-l@ukcc.uky.edu" 
address (this is the list address for the stroke-l mailing list), 
as this will go out to all subscribers, and will not result in the 
addition of your name to the mailing list.  Using the list address 
for this purpose is like writing a letter to the editor to 
subscribe to Sports Illustrated.  Once you have subscribed to an 
electronic mailing list your name will remain on the list until 
you tell the listserv to remove it (see next paragraph).  You do 
not have to subscribe each time you turn on your computer.
	Signing off of a mailing list.  As with magazines, computer 
mailing lists can get boring, and you may want to discontinue your 
subscription.  Unlike magazine subscriptions that will stop when 
you cease to pay for them, email mailing lists are free.  
Therefore, in order to get off the mailing list you must tell the 
computer that you wish to do so.  To "unsubscribe" to a mailing 
list you must write the listserv address again and request that 
your name be taken off the list.  The text of your message might 
say, "Unsubscribe Shelley Brundage."  
	Sending messages to the entire list.  This activity is not 
required for your class email assignment, but I put it here in 
case you wish to send comments out to the entire list (e.g., write 
a letter to all subscribers).  Let's say you want to start a 
discussion on discharge planning on the grndrnds mailing list.  To 
do this, you would write to "grndrnds@wvnvm.wvnet.edu" and state 
your interest in this discussion topic.  A few notes here.  
Remember that what you write and how you write it, will be read by 
many people: professionals, other students, patients, and 
caregivers.  Therefore, your messages to the list should exhibit 
the utmost professionalism and courtesy.  Other readers will judge 
you by the way in which you write your messages.  I suggest 
writing out what you want to say before sending it to the list.  
This saves you from editing "on line."
	Mailing List Topics.  There are many mailing lists pertinent 
to CDIS (see Kuster article).  Interestingly, there is not an 
electronic mailing list for dysphagia!  The mailing lists below 
are ones that I think are the most pertinent for this class.

Discussion of neurogenic CDIS: cnet-dil@listserv.arizona.edu

Discussion of cerebrovascular disease: stroke-l@ukcc.uky.edu

Discussion of TBI & neurologic disabilities: tbi-sprt@sjuvm.bitnet

Discussion of "the clinical process": grndrnds@wvnvm.wvnet.edu
APPENDIX B

Computer Use Questionnaire Sent to National CDIS programs



22 September 1995




Dear Colleague,

	We need your help!  We are planning to set up a computer lab 
for Communication Disorders students.  Currently at St. Cloud 
State University, there are seven labs for campus-wide use and a 
few that specific departments/colleges have set up for their 
students.  At this time, there is no lab specifically for students 
in the CDIS major.  Please fill out the enclosed questionnaire so 
that we can get an idea as to what other departments are doing and 
to help us in our planning.
					
Sincerely,


Margery M. Whites, Ph. D.
Department of Communication Disorders
St. Cloud State University







COMPUTER LABORATORY QUESTIONNAIRE


I. Departmental demographics:

1.  Number of faculty in department _______

2.  Type of program:  (Please circle)	a.  SLP only
					b.  Audiology only
					c.  SLP and Audiology

3.  Number of students in program:  	a.  undergraduate_____
					b.  graduate_____


II.  Students and computers:

1.  Do you have computers available for student use within the 
department?  
	a.  yes
	b.  no

2.  If NO, what access do students have to computers?
	a.  computer lab for all students on campus
	b.  they own their own
	c.  
Other?____________________________________________________
___

3.  If YES, location of computers:  
	a.  In a lab within the department
	b.  In a lab in the same building as the department
	c.  In a lab in the same building, shared with other 
departments
	d.  In a multi-use or other room within the department
	e.  Faculty offices
	f.  
Other:_____________________________________________________
__

4.  Number of computers available for students in your 
department:___________
	
5.  Are students in your program required to use computers for class 
projects, clinic reports, etc.:
	a.  yes
	b.  no

6.  Type of computers available:  (circle all that apply)

	Brand Name:	Type: (e.g. 486SX)

	a.  IBM		__________	f.   Epson	__________
	b.  Compaq	__________	g.  Macintosh	__________
	c.  DEC		__________	h.  Apple	__________
	d.  Zenith	__________	i.  Other (List):
	___________________	
	e.  Gateway	__________		
	___________________
	
7.  Printers available to students in your department:  

	Brand name:	     Number :		
	a.  Okidata	    ________	e.  Other (List):	__________   
________				
	b.  Epson	    ________			__________   ________
	c.  Hewlett-Packard  ________	
	d.  Apple	    ________ 

8.  Type of printers:
	a.  typing wheel 			c.  ink-jet
	b.  dot-matrix 			d.  laser 
	
9.  One printer is hooked up
	a.  to each computer
	b.  to every two computers
	c.  to several computers in a network
	d.  Other:_______________________________

10.  There are computer hook-ups to
	a.  campus mainframe
	b.  campus mini-computer
	c.  department mini-computer
	d.  no hook ups
	e.  Other:_______________________________

11.  For printing, students 
	a.  supply their own paper 
	b.  use departmental paper for free
	c.  use departmental paper for a fee
		per semester/quarter--fee: ____
		per sheet--fee:____ 

12.  How are computers used in your department? (circle all that 
apply)
	a.  by professors for research and classes
	b.  classroom demonstrations
	c.  tutorials for students to support classroom instruction   
(e.g., phonetics, Developmental Sentence 
	     Scoring, etc.)
	d.  to make students aware of computerized diagnostics as 
part of university coursework
	e.  to make students aware of computerized therapy materials 
as part of university coursework
	f.   used by students in clinical diagnostics 
	g.  used by students in therapy
	h.  used by students for research
	i.   clinical, e.g. students keep track of clinical clock hours, 
student typing of clinical reports


13.  What general-usage commercially-produced software is used in 
your computer lab?

	Word-processing:			Data-Base:	
	  a.  Microsoft Word for DOS		a.  Filemaker Pro	
	  b.  Microsoft Word for Windows	b.  Paradox                   
	  c.  WordPerfect for DOS       		c.  
Other________________     
	  d.  WordPerfect for Windows   
	  e.  WordPerfect for Mac			Statistics:       
	  f.   MacWrite                 		 a.  Epistat
	  g.  WriteNow                 		 b.  EcStatic
	  h.  Microsoft Word for Mac   		 c.  SigmaStat 
	  i.   Other_________________   	 d.  SPSS-PC 
						 e.  Minitab
						 f.  Other_________________
	Spreadsheet:				
	  a.  QuattroPro				Other Programs:
	  b.  Excel				 a.  Claris Works	
	  c.  Lotus				 b.  Aldus Pagemaker
	  d.  Other__________________		 c.  
Other___________________

14.  What commercially-produced software specific to Speech-
Language Pathology and Audiology are used by communication 
disorders' students?  

Diagnostics
	a.  Computerized Profiling
	b.  SALT
	c.  Voice Evaluation
	d.  Other_________________
Diagnostics - Computerized Test Scoring
	a.  Boston Diagnostic Aphasia Examination
	b.  Western Aphasia Battery
	c.  Test of Auditory Comprehension of Language-Revised
	e.  Woodcock-Johnson
	f.  Other_________________
Research
	a.  Absearch
	b.  Other__________________
Tutorials/Demos
	a.  ADAM
	b.  Developmental Sentence Scoring
	c.  Understanding Decibels - Parrot Software for Audiology
	d.  Other__________________
Clinical Therapy
	a.  Child Language
	b.  Cognitive Rehabiliatation
	c.  Aphasia
	d.  Voice/Nasality
	e.  Hearing
	f.  Fluency
	g.  Learning Disabilities
	h.  Other__________________

15.  What self-generated software do you use in your lab?
	a.  Hypercard
	b.  Other.  List:________________________________________


16.  What kind of computer support services do you have?
	a.  repair from campus support staff
	b.  departmental technician
	c.  departmental programmer
	d.  
Other:__________________________________________________

17.  What are the most successful aspects of computers used by 
students in your department?








18.  What are some pitfalls in setting up and maintaining computers 
for student use?








19.  Other comments you would like to make:








20.  Please include your name and address if you would like the 
results of this survey.









Thank you very much for your time in filling out this questionnaire.




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