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Speech Language Pathology: Continuing Education Courses by SLP Nerdcast Course Title: Access Research Beyond the PaywallGet .05 ASHA CEUs and view the full course landing page: https://courses.slpnerdcast.com/courses/access-research-beyond-the-paywall-abje0132Earning Speech-Language Pathology CEUs Online is Simplified with SLP Nerdcast. On SLP Nerdcast you'll find SLP Continuing Education Courses, Masterclasses and Clinical Resources. To learn more about our services visit ▶ https://bit.ly/SLPNERDCAST To learn more about our membership and save 10% on your first year of membership visit ▶ https://bit.ly/SLPNerdcastMembership use code “YouTubeNerd” to save.Learning Objectives:Describe five free and legal strategies for accessing research articles Identify common myths about accessing research articlesExplain the different versions of research articles that authors may share References & Resources:Pfeiffer, D. L., Long, H. L., & Amin, M. E. (2022). Access Research Beyond the Paywall: Five Strategies to Read What You Need. Leader Live. https://leader.pubs.asha.org/do/10.1044/2022-0919-slp-aud-research/full/ Gaeta, L., & Harold, M. (2022, February). Clinical Access to Research in CSD: Myths and Money. Hosted by CSDisseminate. Available at: https://www.csdisseminate.com/events El Amin, M., Borders, J. C., Long, H., Keller, M. A., & Kearney, E. (2022). Open science practices in communication sciences and disorders: A survey. Journal of Speech, Language, and Hearing Research. https://doi.org/10.1044/2022_JSLHR-22-00062 Long, H. L., Drown, L., & El Amin, M. (2023). The effect of open access on scholarly and societal metrics of impact in the ASHA Journals. Journal of Speech, Language, and Hearing Research. https://doi.org/10.1044/2022_JSLHR-22-00315 Twitter thread: https://twitter.com/AcademicChatter/status/166642421185693286412 Foot LadderUnpaywallPaperPanda

Interviewer info Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with aphasia, dysarthria, and other neurogenic conditions. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Teresa Gray about creating equitable services for people with aphasia who are bilingual, non-English speaking, and historically marginalized groups.   Guest info Dr. Teresa Gray is an Associate Professor in the Department of Speech, Language, and Hearing Sciences at San Francisco State University, where she directors the Gray Matter Lab. Teresa's research aims to improve aphasia health care outcomes for historically marginalized populations. Her research interests include bilingual aphasia, the mechanisms of language control in aphasia, and the role of language rehabilitation and its short-term and long-term effects on functional communication. Her team is working to develop evidence-based treatment methods for non-English speaking persons with aphasia, as well as bilingual persons with aphasia. In addition, the Gray Matter Lab hosts identity-based conversation clubs. The goal of these groups is to increase quality of life for the participants, and the lab is starting to examine why these groups are so meaningful to the participants.   Listener Take-aways In today's episode you will: Understand why careful listening is important when working with bilingual and non-English-speaking people with aphasia and their families. Describe how speech-language pathologists can tailor their treatment to meet the needs of bilingual people with aphasia. Learn about identity-based aphasia groups. Edited transcript Lyssa Rome  Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication conditions in my LPAA-focused private practice. I'm also a member of the Aphasia Access Podcast Working Group.   Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Dr. Teresa Gray, who was selected as a 2023 Tavistock trust for aphasia Distinguished Scholar, USA and Canada. In this episode, we'll be discussing Dr. Gray's research on aphasia treatment for bilingual and non-English speakers with aphasia, as well as identity-based aphasia conversation groups.   Dr. Teresa Gray is an associate professor in the Department of Speech, Language, and Hearing Sciences at San Francisco State University, where she directs the Gray Matter Lab. Teresa's research aims to improve aphasia health care outcomes for historically marginalized populations. Her research interests include bilingual aphasia, the mechanisms of language control and aphasia, and the role of language rehabilitation and its short-term and long-term effects on functional communication. Her team is working to develop evidence-based treatment methods for non-English-speaking persons with aphasia, as well as bilingual persons with aphasia. In addition, the Gray Matter lab hosts identity-based conversation clubs. The goal of these groups is to increase quality of life for the participants. The lab is starting to examine why these groups are so meaningful to the participants. Theresa Gray, welcome to the Aphasia Access Conversations Podcast. I'm really glad to be talking with you.   Teresa Gray Thanks so much, Lyssa. It's great to be here today.   Lyssa Rome So I wanted to start by asking you what led you to study bilingualism and aphasia?   Teresa Gray Sure, that's a great question. So, you know, really it was about curiosity. And so when, when I finished my master's in speech language pathology, I was working in Los Angeles at Rancho Los Amigos National Rehabilitation Center. And I was working alongside a phenomenal group of speech language pathologists and a rehabilitation team, and it was just a wonderful experience. And a lot of our patients were bilingual. Some people were monolingual, non-English speakers. And it was just a situation where I was learning more and more about how to treat this population that may not speak English, even though a lot of our aphasia materials are based on English speakers. And in addition to that, I was curious to know more how does language present after stroke? If someone is a simultaneous bilingual versus a sequential bilingual, does that affect life after stroke? What about proficiency? What about language dominance? What about age of acquisition, all of these issues that go into language presentation—I was very curious about, and there wasn't a lot of research out there. And so, of course, as SLPs, we read the literature, and we really want to know, what is best practice.   So when I decided to go back for my PhD, I decided I wanted to go study with Swathi Kiran, who is a leader in the field working with bilingual adults with aphasia. And so I had that opportunity. And I moved from Los Angeles to Boston to go study with Swathi. That's when I really dove into learning more about cognitive control and what that looks like as far as like language control, and how that interacts with cognitive control and how that's represented in the brain, and what that means for our patients.   Lyssa Rome    And since then, I know you've moved into treatment. Can you say a little bit more about that?   Teresa Gray    Yeah, absolutely. So after it, yeah. So after Boston, I accepted a faculty position at San Francisco State University. And I continued with the cognitive control work. But that's when I realized, yeah, that's fascinating work. Because it's really better. It's getting to know it's learning more about the brain. And I think that's so important. It's so fascinating.   But I think what's also important with our patients is how does the rubber hit the road? How are these people, our patients and their families and caregivers, and the stakeholders, how are they affected by the aphasia? And what does that look like? And so that's when I started, I expanded my research agenda and the program, and I teamed up with Chaleece Sandberg. She was already working on ABSANT, which is abstract semantic associative network training. And that's a treatment that if you train concrete words, they get better. But if you train abstract words, they get better, they improve, but we also see generalization to the untrained concrete words.   So when she and I started talking about it, and you know, I bring the bilingual piece. And so we really wanted to develop a bilingual version of ABSANT. And the idea here is that when you treat the dominant language, it improves. But if you treat the non-dominant language, it improves, but you also see cross-language generalization to the untrained dominant language. And as we progressed through these this work, we really we started to realize that it's not just spreading activation that supports the cross-language generalization. There's this level of cognitive control.   So to achieve the cross language generalization, we're seeing that not only do you treat the non-dominant language, but patients also need to have intact cognitive control mechanisms at play. So the direction we're moving in is that if we have patients that come to the lab for bilingual ABSANT, we also make sure that we administer some of the nonverbal cognitive control tasks to get a sense of how they're processing that information, because that informs how we interpret the ABSANT performance.   Lyssa Rome It sounds like really interesting and important work. And we we've interviewed Chaleece Sandberg on this podcast. I'll put that link in the show notes. Can you can you say more about bilingual ABSANT and what you've learned?   Teresa Gray Yeah, sure. So what we've learned, like one aspect that we've come across is that just like, one size doesn't fit all is the same with therapy. And it wasn't before too long that we realized that this bilingual therapy isn't a great fit for all patients. And I'll tell you what I mean, like most bilingual therapies, we're treating patients within monolingual contexts. So you'll treat English and then you treat Spanish.   In my lab, one of our goals is we're really trying to be as inclusive as we can. And if a patient comes to us and speaks a language combination, let's say Russian and English, we think about do we have resources? I mean, do I have students available to administer the intervention? Can we norm the stimuli and I've been fortunate enough to have many bilingual students who speak a variety of language combinations. And being in California, most of my students speak English and Spanish, but I've also had Polish-English combinations Chinese-English, Russian-English and a few others.   What I'm getting to is that a few years back we had a Tagalog-English English speaking patient, and a very motivated student who wanted to administer bilingual ABSANT. And what we found was that during the English phase, it went as usual but during the Tagalog phase, both patient and clinician reported that it was just, you know, quite frankly, it was weird not to code switch, and it felt constrained and unnatural. And so really the logical next step was to think about, well, really to question, why are we delivering a bilingual therapy in a monolingual context, we shouldn't be doing something where it's more of a code switching based therapy that really fosters the communication that the patient needs.   So this was a few years ago, and at the time, we didn't have the bandwidth or resources to address this. And unfortunately, that's how research functions—it's really about capacity and resources. But now here we are, and last summer in 2023, we did start norming our Tagalog data set, and to really move forward with this, a truly code switching, or as some folks are calling it translanguaging, like this new, another phase. So we can actually look at what is most beneficial for these patients who are code switching in their natural environments. And so thus far, we have run one patient who has who has gone through this translanguaging experience. And we're quite fortunate to have two more patients on deck. And so we're pretty excited about this.   Lyssa Rome  Yeah, that's really exciting. And I think on this podcast, we talk a lot about life participation, the life participation approach is about making therapy as real to life as possible, and I think what you're describing is targeting therapy to the way that people actually use language. Whether you call it code switching, or translanguaging, the way we deliver therapy to people who are bilingual or multilingual should mirror in some way, their experience of speaking more than one language. Am I getting that right?   Teresa Gray  Yeah, absolutely. And I think it also touches on you know, I think it's important that we listen to our patients, other clinicians, family members, and if you're working with students, listen to your students. For quite some time, my students have been asking about non-English interventions for aphasia. And we all know that the majority of aphasia interventions are based on English speakers. But the thing is, if we're simply adapting English aphasia interventions for non-English languages, does that create treatment resources that are culturally and linguistically appropriate?   Now, regarding the cultural piece, oftentimes you can choose stimuli to be culturally appropriate. But what about the linguistic aspects when you take a treatment and simply adapt it to another language? And I think it's important that we stop and think about this issue. And I'm in a situation where my students are thinking about social justice issues within the field of speech pathology, and we're thinking about patient access to services, and what those services are, and are they equitable across diverse linguistic populations?   Lyssa Rome It seems like you're talking about really listening to and understanding and asking the right questions of all of the stakeholders—the students, the clinicians, and, of course, the people with aphasia. And, as we were preparing for this podcast, you talked with me a little bit, and I was really interested in what you had to say about, the importance of understanding client's language history and how they use language. And you had some ideas for how to elicit more information about that. Would you mind sharing that for a moment?   Teresa Gray Well, one thing I've learned to ask, and I learned this from Maria Muñoz, who's down in Los Angeles. One thing I think it's really important is how we ask questions to our patients and their families. And so rather than asking someone if they're bilingual, which can be a loaded question, and people interpret it in different ways, because some folks think, well, to be bilingual, you need to be highly proficient in both languages. But really, that's not the case, right? Like, we want to know if people have exposure or if they use a language other than English. And so rather than asking you, if someone's bilingual, you can say, “Do you speak another language other than English?” Or “Do you understand another language?” And then people really start to open up.   Another important way to ask questions is, you know, who are you directing your question to? Are you asking the person with aphasia about their needs and what they want to do, versus the families? Sometimes families will say, “Our 24/7, caregiver is speaking Tagalog.” Let's say you're Spanish, so they really need to speak Spanish, but maybe the patient wants to get back to their, you know, a club or something, you know, some social group that they're a part of, and they want to practice a different language.   So again, you know, the language history, the way we ask questions, I think it's quite important when we're gathering information so that we can develop, you know, these rehabilitation programs for patients.   One way that we're addressing equitable services in my lab is that we've thought with my students and I we've thought about going back to the original ABSANT. So original ABSANT was developed for English monolinguals. And we decided to push ahead with a Spanish monolingual version. And this is quite important in the United States. This population, Spanish speakers, are growing, especially in certain areas, of course, in California. We really wanted to see we're assuming that ABSANT can be adapted to various languages. And theoretically, it should make sense. But I think it's important that we have the data that shows it. And so we've in this past year, we've started collecting data to actually show that yes, it is effective, because I think as conscientious clinicians, and in our profession, we talk about best practice. It's important that we show it. And so, moving forward, this is what we're doing and we're quite thrilled that we have the resources and the opportunity to move forward with this type of a project.   Lyssa Rome It sounds like you're describing how equitable services starts with research that's more inclusive and is itself more equitable.   Teresa Gray Absolutely. And I think it also it reminds me of how do we capture improvement? How do you measure success? Because right now, when we're doing research, or right now, when we're doing research, and also clinicians out there in the field, we talk about data collection, right? How are you measuring improvement? And for us in the lab, we're looking at effect sizes, but sometimes these effects sizes aren't significant. However, the patient reports that they feel more comfortable, and they're more confident at family gatherings, or out in the community, and that maybe they won't ask for help at the grocery store, but if they need to, they're not scared. And I think that is so I mean, that's invaluable. But how do you measure that? And how do we incorporate that into our data collection? And how we report improvement to the funding sources? Right? Because all of us I, you know, you can't get very far when without talking about insurance dollars and how we measure improvement to get more services for our patients.   Lyssa Rome I think that that's, that's absolutely true. And I think we have to measure what's important to the person that we're that we're working with. I, I also wanted to talk with you about the identity-based conversation clubs that you have been working on at San Francisco State. Can you say a little bit more about those?   Dr. Teresa Gray Yeah, sure. So we do have a few different groups, conversation groups, through my lab. And one group, it started out as just a service to the community. And so we started an English-speaking group. And at first a few years back, we were in person, but we transitioned to Zoom once COVID hit, I was very impressed with my team, because here in California, when things shut down in mid-March, within three weeks, the group was online.   Around that time, maybe a few years ago, we started talking about a Spanish-speaking group, we do have many bilingual patients who are Spanish-English bilinguals, a few of these folks are more comfortable speaking in English. That's their emotional language, and it's their human right to use that language to communicate. So my lab put together a team to start hosting a Spanish-speaking group. And what we've seen is that there's just a different dynamic, when you're speaking in the language that you're most comfortable using. Jokes are different. Chit-chat is different. And we found that patients report a great appreciation for the Spanish-speaking group. In addition to the Spanish conversation group, we also have a Black conversation group that's facilitated by Black student clinicians. This group was started back in January of 2022.   Lyssa Rome And we spoke with some of the members of that group on this podcast and I'll again, I'll put the link to that in our show notes. And they were the people who participate in that group. Some of the members of that group had a lot of really positive things to say about how meaningful is had been to them to be amongst other Black people who share their experience. So maybe you can say a little bit more about that group?   Teresa Gray  Yes. So this group, it was started based on public interest. So one day in 2021, I received a phone call from a woman whose father had suffered a stroke. And she said to me, my dad is Black. He frequently attends aphasia groups. But the majority of people are white, where's the diversity? She was essentially asking, Where's the diversity? We know Black people are having strokes. But where are they? And what resources are there for people of color who have strokes? And of course these are important points that she's raising. And, in fact, leading up to this woman's call, my students and I were, we had been talking about starting this type of a group, but I wasn't sure if there was interest.   But that being said, we know when we look at health disparities, and we look at the data, we know that Black people have as much as a fourfold higher incidence of stroke than their white counterparts. But Black people are less likely to receive rehabilitation services. And that's just not right.   I have, you know, in this group, like you were saying, lists of people are so appreciative, and they're so interested, and they just really value this group. And I've had some of these patients who have said to me, Look, it was the summer of Black Lives Matter, people were getting murdered in the streets, people were rioting, and there was this national discourse going on about it. And they wanted to talk about it. But their aphasia conversation groups, were talking about the weather, or sports or the things that just seemed inconsequential at that time in their lives. And I think this just gets back to the importance when we think about identity groups—what they are for these people with aphasia, and how do we facilitate and coordinate them? And especially, you know, when the majority of SLPs are white and monolingual? How do we step into this arena? And how do we support and how do we, how do we move forward with these, you know, with these groups that are so valuable and meaningful for people with aphasia? Yeah.   Lyssa Rome I mean, I think it's incredibly important work. What have you learned about some of the best practices?   Teresa Gray  Sure, yeah. So I think it's all about, you know, being open and listening, but also learning how are you an ally? How do you ask questions? How do you make yourself vulnerable? Because if you're not sure about something, you want to ask. And, you know, sometimes with these groups, we've all left groups or situations where we reflect upon like, “Oh, I said, I said something—was that appropriate? I don't know.” But again, it's making ourselves vulnerable, and asking you to going back to the group next week and say, “Hey, I heard this, or I said, this, was that appropriate?” I think it's just being comfortable with this kind of discourse. To get there, it just takes practice, which just is, you know, going through the motions and doing the work and going through it and experiencing it.   Lyssa Rome It seems like that's something that you've really prioritized within your lab and with your students and in your work.   Teresa Gray  Yeah, and you know, and we make a point to talk about it, we talk about what it looks like, how it feels, and sometimes those are hard conversations to have. There's literature out there. There's different resources to lean on. But it's definitely I mean, we're all learning as we going as well as we're going and I think it's about having just being reflective, which which can be challenging. But I think that I think as we come through to the other side, we're growing and it's this bi-directional growth, whether it's me and my students, us and the patients, the caregivers, just having these honest conversations because I think our goals are the same, right? Our priorities are to improve quality of life. And and that's essentially what we're doing.   Lyssa Rome  Coming back to bilingualism, I'm wondering if you have any additional thoughts or advice about use of interpreters, or thoughts for bilingual clinicians? How can they best work with and support people with aphasia? Who are also bilingual? Or who are non-English speaking?   Teresa Gray  That's a great question Lyssa, because many of us, many of SLPs are not bilingual. And quite frankly, even if you are bilingual, you may not speak the language of that population where you are working.   So it's so important that we partner with our interpreters. And know knowing who they are at your site. And this is tricky, because when we talk about this, one recipe isn't for everyone, because all sites are different. The way interpreters are set up in one hospital differs from the next hospital. So you need to know your system and then figure it out. Because if you want to start a conversation group, and you don't speak that language, you're gonna have to team up with the interpreter. And, and I think my advice now is, you know, it's not just about asking the interpreter about that culture or language, it's about doing your homework.   So for instance, if you have Spanish-speaking groups, it's important to know what countries your patients come from. And this is valuable because holidays vary across countries, and even within countries holidays and traditions will vary. So you know, when these and these variations can feed into your group discussions. So for instance, around the holidays, people can share what they do with their families, what foods do they eat, how do they celebrate? Last year, we had a Spanish-speaking group, and it was around the Fourth of July. And so rather than talking about the US Independence Day, each participant shared what their country's independence day looked like, and growing up what their traditions were. And people really enjoyed that type of activities.   As clinicians, learning about cultures, is so important. I know SLPs, you know, your time is so valuable, right? Like, our caseloads are high, but we can learn bits of information, talk to interpreters, explore topics, and then have activities. And if we go into it with open, you know, just creating a safe space where we're all learning, I think it creates this environment where people feel welcome, and they're comfortable. It's a positive environment when you have an SLP, who may not speak the language, but you have an interpreter who does. And then the participants, of course, they speak that language as well.   Lyssa Rome  It reminds me of what you were saying earlier about the importance of careful listening to the people that we're working with, including interpreters, right, but also particularly the people with aphasia, who we're serving. Are there any other best practices that you want to share for SLPs who are working with historically marginalized populations of people with aphasia?   Teresa Gray  Well, I think at the end of the day, it's important that when we go into these environments, thinking about what materials are we using? How are people responding? And creating a space that if we have open eyes, we're open to suggestions. It creates an environment where people are comfortable to share, and, and then even when people give feedback, we can also improve our practice.   Lyssa Rome I think that that's at the heart of what we aim to do as, as people who believe in the life participation approach. So thank you for that. I'm wondering as you look ahead, what's on the horizon for you in terms of your research in terms of your work in your lab? Can you tell us a little bit about, about what you're working on now, or what you're looking forward to working on?   Teresa Gray  Well, one thing on the horizon that we're quite excited about is with our Black conversation club, it has had such a great reception, and the participants are so thrilled to be there, that we really want to dive deeper, and take a look at what makes this group so special. And so we're ramping up now, hopefully we'll be starting soon. I'm partnering with Jamie Azios, who's in Louisiana, and her expertise is in conversation analysis. And so we're teaming up to start looking at the Black conversation club, to look at the discourse and try to figure out well, what are the themes? What is the secret sauce? What is the special sauce that makes this group so powerful?   Because I think, you know, when when we have the when you know, when you have data that shows that, and we can write about it and share it with our colleagues, I'm hoping this will inspire and give more of a foundation platform for our colleagues to start groups like this. Because if you have a research paper out there, it's something to hold on to. And it's something to really say like, look, this is effective. And it's worth it's, you know, it's so meaningful and valuable that we should be starting groups like this and other places as well.   Lyssa Rome   Absolutely. I agree. And I really look forward to that research. I think it's so important. So thank you for doing that work. Dr. Teresa Gray Thank you so much for your work, and for coming on the podcast to talk to us about it. I really appreciate it. It's been great talking with you.   Teresa Gray  Great, thanks so much.   Lyssa Rome And thanks also to our listeners. For the references and resources mentioned in today's show, please see our show notes. They're available on our website, www.aphasiaaccess.org. There, you can also become a member of our organization, browse our growing library of materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org Thanks again for your ongoing support of Aphasia Access. For Aphasia Access Conversations, I'm Lyssa Rome.   Links Gray Matter Lab at San Francisco State University Jamie Azios — Aphasia Access Conversations Podcast episode (Second episode) NAA Black Americans with Aphasia Conversation Group — Aphasia Access Conversations Podcast episode Chaleece Sandberg — Aphasia Access Conversations Podcast episode Article: Beveridge, M. E., & Bak, T. H. (2011). The languages of aphasia research: Bias and diversity. Aphasiology, 25(12), 1451-1468. Article: Gray, T., Palevich, J., & Sandberg, C. (2023). Bilingual Abstract Semantic Associative Network Training (BAbSANT): A Russian–English case study. Bilingualism: Language and Cognition, 1-17. Open access: https://www.cambridge.org/core/journals/bilingualism-language-and-cognition/article/bilingual-abstract-semantic-associative-network-training-babsant-a-russianenglish-case-study/9B7FD1EDBDAB6FD042CD4714E1548005 Article: Sandberg, C. W., Zacharewicz, M., & Gray, T. (2021). Bilingual Abstract Semantic Associative Network Training (BAbSANT): A Polish-English case study. Journal of Communication Disorders, 93, 106143. Article: Gray, T., Doyle, K., & Rowell, A. (2022). Creating a Safe Space for Black Adults With Aphasia. Leader Live. Open Access: https://leader.pubs.asha.org/do/10.1044/2022-0614-black-aphasia-group/full/    

I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and a member of the Aphasia Access Podcast Working Group. AA's strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Dr. Kelly Knollman-Porter, who is a 2023 recipient of a Tavistock Trust for Aphasia Distinguished Scholar Award, USA and Canada. She will discuss how her interest in auditory comprehension and severe aphasia led to her work on reading comprehension.   Guest bio Dr. Kelly Knollman-Porter is an associate professor in the Department of Speech Pathology and Audiology at Miami University. She directs the Neurogenic Language and Cognition lab, where her clinical research focuses on the development of supports and strategies for adults with aphasia to facilitate reading and auditory comprehension. Her research also explores the subtle reading processing differences exhibited by adults with aphasia through eye tracking technology. Dr. Knollman-Porter directs the Miami University Concussion Management Program, where her secondary research focuses on the development of assessment measures and treatments to manage the cognitive and communication challenges often associated with mild traumatic brain injury. She has over 30 years of experience working directly with adults with acquired brain injury. Listener take-aways In today's episode you will: Learn about how wanting to help clients with severe auditory comprehension challenges motivated our guest to pursue her doctoral degree after 15 years in clinical practice   Consider some of the challenges SLPs face in assessing reading in clinical practice using current standardized measures and learn about some advantages of incorporating a reading questionnaire and close observation for getting a better understanding of your client's individual reading style, preferences, and needs.   Explore the contribution of text to speech (TTS) to the dual modality model for supporting reading success at the book level and some of the critical factors to consider when implementing this strategy with clients.   Investigate how eye-tracking technology can help us gain insight to an individual's reading strengths and patterns. Show notes edited for conciseness and clarity Ellen Bernstein-Ellis  00:10 Kelly, let me just pause and say welcome! Thank you for being here. Kelly Knollman-Porter  01:02 Thank you for having me on the podcast. I'm so happy to be here. Ellen Bernstein-Ellis  01:05 I am so excited you're here today. And as we talked, we always have a pre-meeting where we get to plan what we want to talk about in these podcasts, and as you know, I'm so excited to talk about book clubs and reading strategies. Thank you so much for being our guest today. Kelly Knollman-Porter  02:23 Thanks again, Ellen. And I have to thank you for your foundational work in the area of reading.  You can look back at a lot of the articles that myself or my research team have published and we reference you quite a bit. So thanks for your work also. Ellen Bernstein-Ellis  02:39 Thank you for that kind, kind mention. I was very fortunate to partner with Dr. Roberta Elman to create the Book Connection at the Aphasia Center of California and be part of that body of work. We like to start with an icebreaker to give our listeners a chance to get to know you. I will open by asking you to share how the Tavistock Trust for Aphasia Distinguished Scholar Award has or you think will impact your work? Kelly Knollman-Porter  03:06 First of all, I'd like to just take a moment to thank the Duchess of Bedford and Nicole Campbell from the Tavistock Trust for giving me this honor. I was just so surprised and excited to hear when I was given this award. I had the lovely opportunity a couple of years ago at a Clinical Aphasiology Conference to meet both of these amazing women. I've been so impressed by the work of the Tavistock Trust. It's not just work in the UK, they have spread this out across the globe. They really have done so much to not only help people with aphasia, but also help educate the public about aphasia, help us as clinicians get connected, and as researchers get connected in order to stay abreast of more recent research that's coming out in terms of helping people with aphasia. I am just so thankful and appreciative of receiving this honor from this great organization. But how will it help me? I can honestly say that right now we're in the process of starting a new study  and through the support at the Tavistock Trust, we are going to be able to provide funding to help support these research studies and hopefully get some of these funds back into the hands of our participants. I'm excited to keep that research moving through their support. Ellen Bernstein-Ellis  04:42 That's great. That was a really nice and gracious recognition. Yes, we're so appreciative of the work the Tavistock Trust has done. How about if we open by sharing a little bit about your professional journey? I think you considered yourself a non-traditional doctoral student.   You said you returned to get your doctorate after about 15 years of practice. Tell us a little bit more about what you were doing when you decided to return to your doctorate. And what were your passions that inspired you to return to school? Not an easy decision, I would guess. Kelly Knollman-Porter  05:19 No, it wasn't. I can honestly say I wasn't looking for it. I was very happy in clinical practice. I worked in a hospital for 15 years before coming to academia. I loved working in the medical field. I loved collaborating with other rehabilitation professionals, dieticians and physicians. I was very happy working in these environments. But Miami University actually reached out to me. They were wanting to further develop their adult program and they said, “Hey, will you come to academia and share some of your clinical knowledge and also lead the Miami University Aphasia Support Group?” They knew I had always had a long interest in working collaboratively with people with aphasia and clinically. So they asked me to come. I have to admit, I turned them down a couple times. And then finally, I made the big plunge and said, “Why not try it?” I wasn't really seeking it out. Originally, however, I was reaching a point where I was becoming frustrated with some of the reimbursement issues we were facing clinically. When working with people with aphasia, I sometimes felt like insurance was dictating how much treatment I could provide and how long I could provide it, even though I felt like many people could continue to make progress. I just felt like my hands were tied, and I was restricted. That was frustrating to me. I have to admit, when I came to academia, I was thinking, what can I do in order to explore this further? How can I potentially contribute to the research base in order to provide evidence to show that people with aphasia can continue to make progress, not just months after diagnosis, but 5, 10, 15 years? Because as a clinician, we've all seen it, absolutely. We know that people with aphasia want to continue to actively participate in life activities. And they can, if given the opportunity and the support. So, when I made that transition to academia, I quickly made the decision to go back and get my PhD. Primarily focusing on clinical research, specifically with people with chronic aphasia, Ellen Bernstein-Ellis  07:52 I am sure that there are listeners out there who may be sitting on that fence as well thinking, Should I do it? Should I pursue this doctorate? I just want to acknowledge and honor the challenges of being a doctoral student, especially while also being the parent of young children, but I just think it should be recognized. I was wondering, what was the best advice you got from your mentors? Because I'm sure you reached points in that process where you wondered, was this the right thing? And I want to support listeners who are out there thinking, “Can I do this? Should I do this?”  Kelly Knollman-Porter  08:30 It definitely required a team. When I decided to go back get my PhD, I had a 10 year old and a five year old. That just requires a lot of work, going to things after school for them and keeping your family a priority, but yet still working full time getting your PhD while commuting. And coming back, a special shout out to my spouse, who helped me keep all the balls up in the air. My family came along. I had amazing support from my in-laws and my parents, in terms of helping pick up the kids when needed. But I'm not going to lie, it was a challenge. And there were times when I wanted to throw in the towel. I wanted to say, “You know what, this is just too much for me to do right now.” But I did have people that came alongside me, that kept encouraging me, saying “It's okay, stay the course, what you're doing is good, and don't lose faith.” I have to give credit to Aimee Dietz. Dietz was my dissertation chair and she was very encouraging, supportive, and understanding that I was a mother and I had a life outside of PhD and work. She respected that. It was funny. She ended up getting pregnant at the same time and had her child. So I think we kind of supported each other through that. But one thing she said to me that I always remembered because she knew I loved clinical practice. I was like “Amy, maybe I should just go back to clinical practice?” And she said, “Kelly, you realize that your research is going to touch more people then your clinical practice.” Not downplaying clinical practice at all. But she said, “Your research has the potential of spreading information not only across our small geographic Midwest area, but also across the country and across the world.”  Ellen Bernstein-Ellis  10:35 What a wonderful piece of advice. No surprise, what a lovely mentor to have. Kelly Knollman-Porter  10:39 Absolutely. I think I told you this before, there was one very difficult day that I was having. My family was sitting around the dinner table and the house was a mess. I had grading to do and I said to my husband, “I'm going to quit, I'm not going to get my PhD.” And my 10 year old daughter was sitting there and her name's Anna. And she said, “Mom, what would you say to me if I told you I was going to quit something?” Ellen Bernstein-Ellis  11:11 What a wise 10 year old. Kelly Knollman-Porter  11:13 And at that moment, I realized that people were watching and other women might be watching and saying, “Hey, stay the course, persevere.” I am proud enough to say that that same daughter just recently graduated from vet school with her DVM and I hope that my perseverance helped her persevere also. Ellen Bernstein-Ellis  11:36 I love that story. Thank you for sharing it with our listeners today. Your doctoral work originally focused on the treatment of auditory comprehension in severe aphasia. I know that was one of your clinical loves. I want to recommend to our listeners since we can't cover everything today, your 2018 article,  we'll put it in the references of the podcast show notes, about intensive aphasia auditory comprehension treatment. Why don't you share how you became involved in reading comprehension? Because you started out in this auditory comprehension world, right? Kelly Knollman-Porter  12:13 Absolutely. Well, again, I really feel like comprehension is instrumental. There's been some work done that says people with auditory comprehension deficits, the more severe the auditory comprehension deficits, the greater risk of decreased success in rehabilitation outcomes. So I always had a passion for exploring auditory comprehension and different potential treatments to facilitate comprehension with people with chronic aphasia. But Aimee Dietz gave me that opportunity to do that. But it was interesting. During my dissertation process, I actually found out that my son had a pretty significant dyslexia. We kind of suspected it with him growing up, but then when you hit kindergarten, you really start to see the reading challenges kind of surface. And I remember talking with Amiee about reading. During that time, we were able to get my son connected to a great reading program that explored different compensatory supports to help facilitate any reading process, one of which was text to speech technology. And at that time, Amiee was collaborating with Karen Hux from the University of Nebraska on a potential reading study. And she says, “You're so interested in reading right now and you're interested in aphasia? How about combining those two loves, and getting involved with a reading study?” And the rest is history, that kind of landslide into a lot of research collaborations over the past 12 years that I've been involved with. But my son Eric did inspire that because seeing his success with text to speech with dyslexia, it made me think, why not text to speech with people with aphasia? What about that dual modality presentation?  Ellen Bernstein-Ellis  14:15 That's great. I also think you're showing us yet again, how often our personal journeys inform our research and clinical paths. I think that's a beautiful example. Reading has been repeatedly shown to impact quality of life for individuals with aphasia. They tell us that so often, but it's often challenging for clinicians to allocate the limited clinical time to assessment and treatment. Reading treatment takes a while to do so. I feel like I'm asking you to address the million dollar question here. But what are your recommendations on how to manage this challenge? And what are some of the challenges in assessing reading? I've alluded to the time, but why don't you elaborate? You've done a deep dive here. Kelly Knollman-Porter  15:06 Absolutely. And it is challenging because first and foremost, I find that a lot of our standardized assessments will try to tap into assessing the reading challenges, but it really only scratches the surface. I haven't found a really great standardized assessment that I can use and rely on that really helps direct my treatment course, You have to use a variety and you have to do some that you just make up on your own based on how exactly that person is responding. But generally, if I'm going to assess, I first have to start by having a really in-depth conversation with the person with aphasia or their care partner. First of all, you have to find out if reading is of interest to them, of course,and the types of reading materials that they like to engage with. I think about people in our Miami University aphasia support group. I have one individual who would read a novel a week prior to her stroke. I had another person in our group who said to me, “Kelly, you know what? I never read books.” It was not something of interest to him. You have to treat those two people very differently. You have to find out what their interests are. That's always where I start--with just an interview and talking with them about aphasia. And then I talked to them about their interests in terms of “Are you comfortable with technology? Are you not comfortable with technology?” I actually give them reading tasks. When I assess reading, I of course, start at the word level, and then creep up to the sentence level and add more complexity and length. But when I give them a paragraph to read, I don't just look at, did they get the answers correct or incorrect? I'm not only looking at accuracy per response, but how long does it take them to process that multi sentence information? So for example, if I gave them a four sentence paragraph to read, I watch them very closely to see how they're attacking that reading task. And that doesn't take that long out of your assessment time. I watch where their eyes are moving. I watch to see if their eyes are regressing back within a sentence while they're reading. And if I notice that they're really struggling, I also say to them, “Tell me, what are you having difficulty reading right now? Can you point to the words that you're struggling with? Can you point to the words potentially that you're skipping? Tell me about this process, and try to tell me how it's different from the way you read before.” And sometimes we underestimate what people with aphasia can tell us about their reading experiences. I have found that a lot of the people that I have worked with can be very specific about what they're having difficulty with. Now, there's always that small population that might not have the awareness. But it's still the majority of them that can. I was just working with a gentleman last week, and I was like, “Show me what you're having difficulty with.” And he pointed to the words that he struggled with, and that helped me understand. Are you having more difficulty with content words? Are you having more difficulty with verbs? Are you having more difficulty with articles? What is it about this process that's  making it hard? Because many times people with aphasia can read that paragraph very slowly and very carefully and end up with a high percentage accuracy in terms of performance, but if it's taking them five minutes to read a four sentence paragraph, it is too fatiguing, it's too much. And they're going to end up avoiding getting back to reading things that they want to read for pleasure. Ellen Bernstein-Ellis  19:18 Right, because the burden is too high. Kelly Knollman-Porter  19:21 Because the burden is too high. I really feel like if we can look at these things clinically, we just need to take a little bit of time to talk to the people and actively watch how they're attacking that reading task. Ellen Bernstein-Ellis  19:37 If I circle back briefly to the impact reading has on quality of life, your 2015 article does a beautiful job of describing the contribution of access to reading to the quality of life. This was a qualitative study that interviewed six individuals with aphasia to hone in on their individual reading preferences and supports. But before you describe these results, I'd like you to share with the listeners your reading assessment survey. You just talked about listening carefully and asking questions. I think that's harder than you're making it sound. But you've given us this tool that is an amazing springboard. Many of us probably have just informal tools, lists of questions that we've developed on our own over time. But in that article, you actually attach this beautiful, clinical tool. How did you go about developing this initial reading survey that you do? Thank you for including that in the article. That was wonderful. Kelly Knollman-Porter  20:46 Oh, absolutely. A special shout out again to my research team, Karen Hux, Sarah Wallace, and Jessica Brown. We spent many hours of our meeting time creating this questionnaire. Ellen Bernstein-Ellis  21:02 But that's great, these great clinical minds all coming together, embracing this questionnaire, planning to put it together, that's beautiful.   Kelly Knollman-Porter  21:10 Absolutely. I have to encourage everybody to try to get to be a part of a research team. We're stronger together than we are in isolation. I have the utmost respect for each of these women. They have taught me so much. We each brought to the table unique strengths. All four of us are unique in our own special way. And like I said, I've learned so much from them. But we bring that when we're creating our research studies. We always start with a rough draft. And then we question each other. We say, well, I've seen this clinically, or I think about this from a research perspective. I definitely brought to the table my clinical experience in working with people with aphasia, but then Sarah did also, so too Jessica, and so too Karen. Just working through what we saw were challenges that people with aphasia might experience and what we've found clinically to develop that questionnaire. Ellen Bernstein-Ellis  22:11 So, you created this questionnaire with a variety of sections that helps someone systematically go through understanding that person's reading preferences and strengths and try to get a sense of what their profile is, right? That's your starting point. And then you take it from there. Kelly Knollman-Porter  22:28 Exactly. What do you like to read? Do you like to read text messages? Do you like to read novels? Where do you like to read? How do you like to read? Do you like to hold a book versus do you like using technology? What are all the different ways that you personally like to read? I can honestly say one thing that we learned from the qualitative study, I know I'm jumping to that, was everybody has their own unique reading experiences. There's not going to be a one size fits all approach to the assessment or the treatment of anyone with a reading challenge. You will not find a cookbook approach to this. You have to do it on an individual basis. And if you do, I think the outcomes are going to be stronger. Ellen Bernstein-Ellis  23:20 Let's circle back to that 2015 article, we'll jump back and forth. Could you describe some of the key takeaways from that study? Maybe you could explain why you think that dual modality model, which we started to allude to earlier with text to speech, is so important to supporting reading success? That's part of my takeaway from that 2015 article.     Kelly Knollman-Porter  23:45 I wish I could tell you that in 2014, when we were initially planning this qualitative research study that we were thinking about TTS. I was from a distance, but we weren't actively looking at text to speech (TTS) at that time. But one thing that my colleagues and I felt we had to do first, if we were going to explore reading research more, we had to go to the people with aphasia to learn what they wanted. So, before we took our own personal opinions about what we thought people with aphasia needed in terms of reading, we thought we should start with a qualitative study and find out what they wanted and what they needed. And you know what, that was such an important starting place for our research. Because again, we found each of the people that I interviewed had their own unique needs, but yet every single one of them passionately wanted to read. They wanted to get back to reading and they wanted to read books. They wanted to read books about romance and they wanted to read about horror stories. I'll never forget one of our participants. She told me that she liked to read Stephen King novels. She laughed and says, “Kelly, you couldn't handle that.” And it's true. I don't like those scary stories. But, they wanted to read. They want to learn more about aphasia, but they just want to read what everybody else is reading. Ellen Bernstein-Ellis  25:23 You want to read what your peers are reading.  I will always remember this story where one of our book club members at the Aphasia Center of California was so excited at a book club meeting because he had taken the book that we were reading, I think it was Shadow Divers at the time, to the golf course. No one usually approached him and chatted with him. But he actually had a couple guys come up when they saw the book and engage with him in discussion. So it became this beautiful bridge of connection. I can't communicate as well, but they had this awesome commonality to share. It was just what they were interested in. So that example of just wanting to do what your peers are doing because there's such joy in being part of that reading community. One of my favorite parts of that 2015 article is also the clinical reading framework that's on page 19. It helps a clinician start to think about how to implement reading supports and strategies. I think that is a beautiful contribution. Could you describe that model for our listeners?  Kelly Knollman-Porter  26:30 Sure, of course, you start with the questionnaire, you start with asking them what they want to read and what they like to read. And then you do an informal assessment. And then, as we walk through that framework, you establish personally relevant goals, based on their unique reading needs and experiences. But then as you're considering treatment, you have to think about lots of different avenues that you can potentially go down. And that's going to be based again on their needs. Specifically, are they interested in technology? If they're not interested in technology, then that's going to take you on one route, but if they are interested in technology should you consider text to speech? If they're not interested in technology, will picture support facilitate their understanding of the written text? So basically, looking at personalizing the treatment approach. And going through a process of trial and error, looking at the length of the reading that should be used, or the complexity of the reading materials, and again, gearing treatment towards their unique personal needs. That's kind of what it's all about. Ellen Bernstein-Ellis  27:50 You really provide a very clear framework, and I think that always helps us with our clinical thinking-- to know what questions to ask and how to break it down. A wonderful follow up to that 2015 article, is the 2022 article that compared comprehension, processing time and modality preferences for individuals with and without aphasia when reading books using text to speech. Could you start by explaining or describing what motivated your work to be at the book level?  So often, we start with words and then sentences, but here, you took this big, big leap and started at the book level. Kelly Knollman-Porter  28:31 I'm going to swing back to my 2015 article real quick, if that's okay. Because I have to admit, one of the participants in that study gave us direction to go the TTS route first. So, of those people that we interviewed in that initial qualitative study, only one of them was reading more after his stroke than before his stroke. And this gentleman, he was in his mid 40s at the time, and very into technology. I remember when we were doing the interview with him, he was adamant. He was like, “Kelly, text to speech works!” So of the six people that we interviewed, he was the one that inspired us to start looking at text to speech more-- that eventually led to all these other studies. Because he said, “I've read a novel.” He laughingly told me that he read Fifty Shades of Grey, and he also was able to get online and, through text to speech, order things through Amazon or different mechanisms like that. We started exploring text to speech technology and the degree to which it could help from a dual modality presentation. So that kind of got us on that track. My colleagues and I explored the use of text to speech at the sentence and paragraph level to see if it helped. We really had mixed results, I have to admit. We were finding that sometimes it helped some people, but it didn't help all people. And we were almost getting a little frustrated with what we were finding, and we were feeling that we were hearing from clients. I have to admit, I've run into clinicians all over the country and they're like, “Yeah, text to speech works.” But we weren't seeing those strong outcomes with our research. It was right around the pandemic time. I said to my colleagues, “We're gonna have to take a big leap here with our research, instead of just looking at the sentence and paragraph level, why don't we just jump to books?” We know that people with aphasia want to read books. We have a feeling that the text to speech might help them at the book level. We know that this research is going to get a little muddy, there's going to be a lot of variables that we can't control for, but let's try to do a study based on what people with aphasia want. So we took this big leap of faith and did this book study. And this one was where we decided to control many factors in terms of having them read a certain section and then using text to speech and then read another section and then use text to speech for another section. There was a lot involved in it. But that's ultimately why--because people with aphasia told us that they want to read books. Ellen Bernstein-Ellis  31:45 I know we're going back and forth. But these topics are all integrated. Let's take a moment and ask you to talk a little bit more about text to speech and what you've learned about using it for individuals with aphasia. You started to again allude to some of the things, particularly the variability across people. There are pros. And there's cons. Before we dive in, I want to refer our listeners to this nugget, this beautiful little gem, that I found just last week. It was in the March 2023 ASHA Leader, and it's with your co authors Sarah Wallace and Karen Hux. The article lays out some of the considerations to take when introducing a client to text to speech technology, like how to do it in a systematic way, how to explore and allow for the individualization that is necessary, that practice is necessary. It's a great clinical perspective article. We'll put the link in our show notes. But what do you want to say about the lessons learned with text to speech? Kelly Knollman-Porter  32:47 Absolutely. It takes practice when you're considering using text to speech with a person with aphasia. First of all, you have to see if they're interested in using technology. If they have access to technology, that's your first question. And then, can they access the device physically? So lots of things have to be taken into consideration. If they show interest in using the technology, you need to sit down with that person with that technology that they choose. If that's an Android device, if that's Mac device, if it's a laptop, if it's an iPad, if it's a smartphone, you have to bring their device to the table and see to what degree they can access the necessary text to speech applications that are needed in order to use it successfully for reading tasks. If they cannot access it, then you need to take a step back and create an instruction manual to help with pictures and aphasia friendly formatting, in order to give them a step by step method to access that technology. So often, we start to use technology intuitively. We think everybody else should be able to use it that easily. But we have to make sure that the person can turn the device on. A lot of older people also have decreased circulation in their fingertips and sometimes when touching the app, they can't get it to trigger, so they have to warm up their fingers before accessing it. Ellen Bernstein-Ellis  34:33 I'm so glad you mentioned that because I can actually personally relate to that one. Because these nuances are so important. , I don't know if they're nuances, these challenges that you may not realize until you actually sit down and work with the person. Kelly Knollman-Porter  34:48 Absolutely. So when I know someone is interested in this, I always start with pictures--a detailed instruction book that shows you step by step what you have to touch in order to access that TTS system. I put it in a binder with a plastic coat covering over the top, so that they can have that manual sitting right there by their device. And then we practice with it. We say, “Okay, now I'm going to show you how to access this text to speech technology. Now you show me if you can do it using your manual.” And we go back and forth. We're not even to the reading part yet. You have to first access the system. If they show that they can then access it, then we actually get into playing with the different TTS features. So anything, from the speed of the voice presentation on TTS is crucial. You have to find that ideal speed for that person that's not too fast, and not too slow. That's going to help their processing. So, playing around with the speed. Also playing around with a voice. Do they want a male voice? Do they want a female voice? Do they want one with an accent? You'd be surprised people are very particular about the voice that they want. And then, also exploring the use of highlighting. Do they want to have highlighting? At the single word level? Do they want each word highlighted as it's read? Or do you want the full sentence highlighted? Or do you want no highlighting, because some people don't like the highlighting. So there's a whole sequence of steps that you need to go through in order to determine if someone is going to be able to access the TTS system, and then, if they're going to be able to use it successfully. And that does take time. And it takes experimentation and setting up a system for a person, letting them try it on their own. And then having them come back and ask, “Okay, what did you like? And what did you not like? Can we change this at all?” So it can be adaptive, it might change over time. We don't want to just give one structured TTS system to all people. It won't work. Ellen Bernstein-Ellis  37:17 I think that dovetails beautifully with my next question, which is, if we circle back to that 2022 article, I was struck by some of the variability across participants and that you were able to embrace that as a researcher and look at what that means.  The variability across people reinforced your approach of taking a strength-based model approach when assessing reading performance for your clients. Are there other outcomes you want to highlight from that study? Kelly Knollman-Porter  37:49 Absolutely. One thing we found overall, is that for the group as a whole, TTS technology helped them process the written materials faster, without compromising comprehension. I'm gonna say that again, so they could access and process the written information faster, without compromising comprehension. For some of them, that was huge, right? Because they were able to read that book with less time, and hence less fatigue-- Ellen Bernstein-Ellis  38:27 ---that reduces that burden we were talking about earlier, right, that sense of fatigue and burden.  However, so keep going. I'm sorry. Kelly Knollman-Porter  38:34 So we found it helps process the information faster. But as a group overall, we found that it did not improve their comprehension. And that's been kind of the thorn in our heel, more like, why is this text to speech not facilitating comprehension? Because if you look at the theory on dual modality, if you're presenting something auditorily and through writing, that should facilitate comprehension, right? But we weren't seeing that with all participants. Now, some of that could be the varying degrees of complexity of their unique type of reading problem that they had.  Then we did have a couple people that actually did show improvements in comprehension.  We had one participant that had a 20% increase in comprehension with TTS compared to the read only condition. We had another person with like a 10% increase. So this works for some people, in terms of facilitating comprehension, but not all. So we felt like we're getting close, but we're still not quite there. And that's why we're needing to continue to do more research.   Ellen Bernstein-Ellis  39:50 I just want to take a pause.  This research was all done during COVID. I want to thank you for how clearly you describe the training and materials needed for this study in that article. I have watched some of my colleagues trying to do research during COVID. They did some incredible things. Looking at that article made me wonder how did you do that?  I want to shout out your tenacity in accomplishing this during COVID. I think you mentioned that it gave you multiple “front porch opportunities” to solve tech challenges, because you had to go to the house of your participants, literally sit on the porch and try to fix the iPad, or the Kindle, or the whatever, and hand it back to them. So thank you for just hanging in there during a time when it was really hard to do research. I'm looking at the time, and I want to make sure that we get to your eye fixation behaviors and processing time in individuals with and without aphasia article. I've just covered a lot at the moment. Was there something you wanted to reflect on in terms of your “porch moments”  before we jumped to the eye fixation study? Kelly Knollman-Porter  41:11 I think as a speech language pathologist, it's kind of in our blood that we have to be very adaptive and flexible. Sometimes you have to jump in the car and drive and sit on the porch, especially. This is another challenge with using technology, if an update happens, and it totally changes the formatting of an application you're using all the time. Now, if a person with aphasia cannot always adapt to that, I would get a call, “Hey, Kelly. Something's popping up here. And I can't get rid of it.” So I would just hop in the car, and I'd say, put everything on your front porch. I will be there. I'm just going to sit on your front porch, and I will deal with the update. Ellen Bernstein-Ellis  42:02 That could be cold in Ohio. I'm picturing you sitting there with gloves and in a coat trying to fix things. Kelly Knollman-Porter  42:11 Yeah, that was about it. But that's our skill as speech language pathologists. Ellen Bernstein-Ellis  42:17 You showed a lot of dedication. You keep giving a shout out to your team and your lab.     Kelly Knollman-Porter  42:24 I have a special shout out to Mackenzie Pruitt, who worked on that study. She was a masters level student, and she was right there in the trenches with me. I have a great team. Ellen Bernstein-Ellis  42:35 I want to go back to this eye fixation behaviors study. While we're not likely to be able to assess eye fixation in daily practice because the equipment and technology is beyond what we would have in our clinics or private practices, but your results really hold clinical significance for understanding reading, processing strengths and challenges. Do you want to describe some of the highlights from that study? Kelly Knollman-Porter  42:59 I think one of the biggest frustrations when you work with someone with reading challenges is you really are not 100% sure how they're processing the written text. We're assessing them, we're watching them, we're seeing their response to the questions. But what are you having difficulty with? You can ask questions, you can watch their eyes clinically. But one thing that eye tracking technology has that I'm grateful for is, it showed me how people with aphasia process written text. And we wanted to specifically not just look at the word level, there's some great research out on word level processing and sentence level processing. But we wanted to take a big leap and look at multi sentence processing. So what are those eyes doing? What did they fixate on? What are they regressing to, and again, I'm going to give another shout out to Drew Bevelhimer. He was also a master's level student that was working in my lab at the time, who, again came alongside me to help get this eye tracking technology going. This really did show me how unique the reading challenges that people with aphasia have when reading multi sentence information. We specifically looked at how often they had within word regressions, like within a longer word within sentence regression--so when their eyes look back to another word within the sentence, and then how often they look back to a previous sentence. And one thing that that really showed us is with the use of text to text to speech technology, their numbers of regressions significantly decreased. So they did not have to regress as much while reading, which again, resulted in a decrease in processing time. Another thing that this study showed, which I and my colleagues thought was really interesting, we actually brought in a group of neurotypicals to do this study also. When we used the default text to speech voice rate,  we actually found the opposite results with neurotypicals. When using text to speech, set at that default speed, like right around 150 to 180 words per minute, they actually had more regressions with text to speech than in the read only condition. Ellen Bernstein-Ellis  45:39 So, you have to match the speed with the person. Is that where this is headed? Kelly Knollman-Porter  45:43 That is exactly where that's headed. It really reinforced to us how you have to consider the speed of that text to speech voice. Because if you do not have the appropriate speed, it can actually have some detrimental effects in causing more regressions. That's one thing, looking to the future, that my colleagues and I are going start looking at-- exploring how to get that synching better in terms of the eye movements with the rate of speech. Ellen Bernstein-Ellis  46:17 So is that is next in your research, where you're headed, Kelly Knollman-Porter  46:21 That's where we're headed., Ellen Bernstein-Ellis  46:23 I'm going to look forward to that. I just want to say that your body of research on reading and reading comprehension, and supporting and using strategies and understanding the patterns and challenges that people with aphasia have and how they get them back in the game to support them. I just think it's such a valuable contribution. I really appreciate this beautiful body of research. And there was another March 2023, ASHA Leader article, besides the one on text to speech, that describes how reading impacts return to work. It's an article that tells a story about your efforts to support a teacher who was working to return to the classroom. I'll put that link in the show notes too, because it's a beautiful collaborative, “we're going to do this as a team” story. And it wasn't easy. But it was very much supporting the individual goals and journey of your client. Do you have any parting advice as we wrap up for clinicians who are going to assess and work with reading with their clients? That's what this whole show has been about. But what else do you want to add we end?     Kelly Knollman-Porter  47:36 Don't be afraid to explore reading. I know it seems intimidating and overwhelming, because it is challenging to figure out what's specifically the problem, but I can honestly say that if you invest some time in it, the outcomes are going to be worth it for your clients. I look to some books studies that I've done here within our Miami University aphasia support group and, and I have many members that prior to the book club study that I did, had not picked up a novel for 15 years since their stroke, and through adaptive materials, and again, shout out to Roberta Elman's work in the Book Connection materials that her and her group have created. We've used them a lot here at Miami University. But through those adaptive materials that she's created, she's opened up a world of opportunity for people with aphasia to be able to access books. Giving people that opportunity to get back to reading materials that they'd like to read is just really rewarding. Ellen Bernstein-Ellis  48:55 Thank you so, so much for this conversation and for all the work you're doing. And we'd like to close with one kind of broader, big picture question. Kelly, if you had to pick only one thing that we need to achieve urgently as a community of Life Participation providers, what would that one thing be? Kelly Knollman-Porter  49:23 When we talked about this question, I was slightly discouraged because my ultimate reason for going and doing research was to provide research that will lead to greater reimbursement of services for people with chronic aphasia.  I hate to say it, but here are 15 years later, that's still my big takeaway point. We need to find better ways of helping people with aphasia in the chronic phases get reimbursement for services that they so desperately need. We also need to talk to clinicians across the country. We have to be very careful in terms of how we give services to this population. They can still make progress. They can still make gains. We just need the support in order to make that happen. I'm just going to throw one other thing out there. This pertains to the ASHA Leader 2023 article for the teacher that was trying to get back to work. We need to find more opportunities for people with aphasia to still have part-time jobs without losing their benefits, because they're caught between a rock and a hard place. If I go back to work a little bit, I'm going to lose my benefits. I remember in that article, Christine Bowles, who we interviewed, shared working full time is too hard, but I still have more to give. I still have more to give. I'm not done yet. I'm only in my 40s. Why can't we give people with aphasia more opportunity to work without losing benefits?  Ellen Bernstein-Ellis  51:09 Thank you for that message. I think it's critical and one that a lot of people face and think about. So thank you for bringing that up. And for participating today. It's been a wonderful opportunity to talk about your work. Your passion and excitement comes across so much. And I'm going to thank our listeners for listening today. And I just want to remind that our references and resources mentioned in today's show, just see our show notes. They're available on the website, www dot aphasia access.org. And there you can also become a member of our organization and support the podcast and all the other great work that's being done by aphasia access, and you can also browse our growing library of materials and find out about the Aphasia Access Academy. And if you have an idea for a future podcast episode, email us at info at Aphasiaaccess.org. For Aphasia Access Conversations. I'm Ellen Bernstein-Ellis. And thanks again for your ongoing support aphasia access   References and Resources The reading intake questionnaire discussed in this interview, is accessible here: https://aphasiaacc.memberclicks.net/assets/docs/Reading%20History%20Questionnaire-Knollman-Porter-AphasiaAccessPodcast.pdf   To see examples of adapted book club materials mentioned in this episode, go to: The Book Connection on the Aphasia Center of California website: https://aphasiacenter.net/the-book-connection/   Hux, K., Wallace, S. E., Brown, J. A., & Knollman-Porter, K. (2021). Perceptions of people with aphasia about supporting reading with text-to-speech technology: A convergent mixed methods study. Journal of communication disorders, 91, 106098. Hux, K., Knollman-Porter, K., Brown, J., & Wallace, S. E. (2017). Comprehension of synthetic speech and digitized natural speech by adults with aphasia. Journal of Communication Disorders, 69, 15-26. Knollman-Porter, K. (2023). Navigating a Job's Language Demands After a Stroke. Leader Live. The ASHA LEADER, 28(2), 42-46. Knollman-Porter, K., Bevelhimer, A., Hux, K., Wallace, S. E., Hughes, M. R., & Brown, J. A. (2023). Eye Fixation Behaviors and Processing Time of People With Aphasia and Neurotypical Adults When Reading Narratives With and Without Text-to-Speech Support. Journal of Speech, Language, and Hearing Research, 66(1), 276-295. Knollman-Porter, K., Brown, J., Hux, K., Wallace, S., & Crittenden A. (2022).  Reading comprehension and processing time when people with aphasia use text-to-speech technology with personalized supports and features.  American Journal of Speech-Language Pathology, 31, 342-358. Knollman-Porter, K., Dietz, A., & Dahlem, K. (2018). Intensive auditory comprehension treatment for severe aphasia: A feasibility study. American Journal of Speech-Language Pathology, 27(3), 936-949. Knollman-Porter, K., Hux, K., Wallace, S. E., Pruitt, M., Hughes, M. R., & Brown, J. A. (2022). Comprehension, Processing Time, and Modality Preferences When People With Aphasia and Neurotypical Healthy Adults Read Books: A Pilot Study. American Journal of Speech-Language Pathology, 31(6), 2569-2590. Knollman-Porter, K., & Julian, S. K. (2019). Book club experiences, engagement, and reading support use by people with aphasia. American journal of speech-language pathology, 28(3), 1084-1098. Knollman-Porter, K., Wallace, S. E., Brown, J. A., Hux, K., Hoagland, B. L., & Ruff, D. R. (2019). Effects of written, auditory, and combined modalities on comprehension by people with aphasia. American Journal of Speech-Language Pathology, 28(3), 1206-1221. Knollman-Porter, K., Wallace, S. E., Hux, K., Brown, J., & Long, C. (2015). Reading experiences and use of supports by people with chronic aphasia. Aphasiology, 29(12), 1448-1472.   Wallace, S. E., Hux, K., Knollman-Porter, K., Patterson, B., & Brown, J. A. (2023). A Mixed-Methods Exploration of the Experience of People With Aphasia Using Text-to-Speech Technology to Support Virtual Book Club Participation. American Journal of Speech-Language Pathology, 1-24.   Wallace, S. E., Knollman-Porter, K., & Hux, K. (2023). How Text-to-Speech Aids Reading for People With Aphasia. Leader Live 28(2), 52-53. Wallace, S. E., Hux, K., Knollman-Porter, K., Brown, J. A., Parisi, E., & Cain, R. (2022). Reading behaviors and text-to-speech technology perceptions of people with aphasia. Assistive Technology, 34(5), 599-610.  

Whether you're a sports enthusiast, a leader looking for new perspectives, or simply seeking inspiration to become an invaluable leader, this episode is for you. Join Mark Cole as he talks with Don Yaeger on the final stop of our U.S. City Tour. Mark and Don discuss the journey of growth, determination, and the pursuit of excellence.  Key takeaways: -       The role learning plays in being a great team player -       How to be invaluable without being the MVP -       The correlation between success and humility Our BONUS resource for this episode is the “Become an Invaluable Leader Worksheet,” which includes fill-in-the-blank notes from Mark and Don's conversation. You can download the worksheet by visiting MaxwellPodcast.com/Teammate and clicking “Download the Bonus Resource.” References: Watch this episode on YouTube! Teammate by Don Yeager and David Ross (use code PODCAST at checkout for 15% off this week only) Relevant Episode: Journey to Greatness with Don Yaeger Relevant Episode: You Are Worth It with Kyle Carpenter and Don Yaeger Relevant Episode: Why John Wooden's Team Won with Don Yeager Book Don Yaeger to speak for your organization! Listen to the Corporate Competitor Podcast Sign up for the Maxwell Leadership Growth Plan Shop the Maxwell Leadership Online Store

In the third of four stops on our Maxwell Leadership City Tour, Mark Cole and international speaker and communication expert, Roddy Galbraith, talk about how to communicate like a great leader. Everyone has something to say, but not everyone knows how to communicate it. Key takeaways: -       The better we get at communicating, the better we get at life -       Everyone has something to say -       Much of communication is about listening Our BONUS resource for this episode is the “Communicate Like a Leader Worksheet,” which includes fill-in-the-blank notes from Mark and Roddy's conversation. You can download the worksheet by visiting MaxwellPodcast.com/Communicate and clicking “Download the Bonus Resource.” References: Watch this episode on YouTube! The 16 Undeniable Laws of Communication by John C. Maxwell (use code PODCAST at checkout for 15% off) MaxwellLeadership.com/JoinTheTeam Sign up for the Maxwell Leadership Growth Plan Shop the Maxwell Leadership Online Store

It's July, and summer is in full swing. Are you using it wisely? In this teaching, originally given to staff at Crossroads Church in Cincinnati, Brian unpacks the importance of avoiding burnout to become a 4 season leader. Beginning with a look at the later half of King David's life (from the Bible), and then finishing with a Q&A, we see the power unmitigated burnout has to tank our aggressive lives. If you do anything this summer, take time to recharge. 

Robert Ortt, NYS Senate Minority Leader LIVE on LI in the AM w/ Jay Oliver! by JVC Broadcasting

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This presentation, originally recorded in front of a live audience at SXSW 2023, showcases key stories and perspectives on what a day in the life of a leader at Bristol-Myers Squibb looks like. From their experiences and challenges to how their focus on patients drives them to continue to strive in their role during these truly complicated times. Panelists: Dr. Rosanna Ricafort, Vice President, Cell Therapy Clinical Development, Bristol-Myers Squibb Bryant Powell, Associate Director & Chief of Staff, Bristol-Myers Squibb (Co-moderator) Aaron Strout, Chief Marketing Officer, Real Chemistry (Co-moderator)

Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and a member of the Aphasia Access Podcast Working Group. AA strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Davetrina Seles Gadson. We'll discuss her work involving how brain lesion characteristics may intersect with aphasia recovery, race, and psychosocial factors, as well as issues involving health-related quality of life assessments. Dr. Davetrina Seles Gadson is the first Black-American to graduate with a Ph.D. in Communication Sciences and Disorders from the University of Georgia. She is a neuroscientist and certified speech-language pathologist with expertise in adult neurological rehabilitation and patient-centered outcomes. She currently is Research Faculty, in the Department of Rehabilitation Medicine, at Georgetown University. Dr. Gadson's research focuses on the influence of health disparities in minority stroke survivors with aphasia and the effect of such disparities on brain functioning, aphasia severity, and health-related quality of life. Most rewardingly Dr. Gadson is the co-host of “Brain Friends”, a podcast for neuro nerds and stroke survivors to talk about aphasia advocacy, language recovery, and community. Listener Take-aways In today's episode you will: Learn how health disparities may influence aphasia outcomes and why more research is needed   Discover why "Brain Friends" is another podcast you'll want to add to your playlist.   Gain practical tips on how to build confidence in intercultural interactions with your clients   Hear how health-related quality of life (HRQL) measures can help  inform your clinical practice   We'd like to recognize Kasey Trebilcock & Amanda Zalucki, students in the Strong Story Lab at CMU, for their assistance with this transcript. Show notes edited for conciseness Ellen Bernstein-Ellis (EBE) EBE: I am so excited to have a fellow podcaster here today. Thank you for being here. And I just listened to the January Brain Friend's episode. It was great. So I hope our listeners will check it out too. I want to also give a shout out to your consumer stakeholder and co-podcaster, Angie Cauthorn, because she was a featured guest on episode 70, in June of 2021, as we recognized Aphasia Awareness Month, and you just spoke with her about aphasia types and aphasia conferences, and you gave a big shout out to CAC and you gave clinical aphasiology conference and you also gave a big shout out to the Aphasia Access Leadership Summit. So really important conferences, I think that stimulate a lot of discussion and values around patient centered care. And your Brain Friends podcast just has a great backstory. So why don't we just share about how that all started? Where's the backstory to that, Davetrina? DAVETRINA SELES GADSON: Thank you so much for having me. This is such an exciting opportunity. So, Brain Friends started with myself and Angie. We were on the National Aphasia Association's Black Aphasia group call and I just loved her energy. She reached out to me after we finished that group call, and we just started talking. Our conversations were so informative, and it just lit this passion and excitement in me. I said, “Hey, can I record some of these, and maybe we do like a podcast?”, and she was totally down for it. It's just been such an innovative and fun way to disseminate science and engage many stakeholders. EBE: I want to thank Darlene Williamson, who's president of the National Aphasia Association for sending me a little more information. You told me about this group, and so I wanted to find out more. She provided this description by Michael Obel-Omia and his wife Carolyn, and I hope I said his name correctly, who provide leadership to this group. And they said that in this group, the Black American Aphasia Conversation group, “provides a place for Black people with aphasia to share their stories, provide support, meditation, and brainstorm ways to advocate and consider policies. We will discuss the unique challenges and gifts we share due to our experiences with disability and race.” I found out that you can reach out to the National Aphasia Association (NAA) for more information and to get on the email list for a meeting notifications. And in fact, I put the registration link in our show notes today. So, sounds like that group has been a meaningful discussion forum for you, too. SELES GADSON: It's been so fun. I share how for me, I've been in the field practicing for a little over 16 years now, and this was my first time being in a room with so many people that look like me. And for many of the survivors on the call, I was one of their first Black SLPs that they had ever met. Just even having that connection, and being able to speak to some of the challenges, and some of the things culturally that we both share has been my outlet, biweekly. EBE: I'm going to make sure we have that link in our show notes. Also, the link to your podcast because I encourage people to listen to Brain Friends, I've really enjoyed it.  When you and I were planning for this episode today, you talked about how being part of the National Aphasia Association's Black American Aphasia Group really helped to energize you and the research you were doing, and what a nice integration of life that was. I will want to tell our listeners about one more wonderful thing, and that's the interview you were part of on the ASHA Voices podcast as well as the related article in the ASHA leader, where I learned more about your journey to doing this research. So, as you provided clinical services for a Black client as an outpatient clinician, and this is pre- doctoral research, you recognized that there was a significant gap in the literature around working with African Americans with aphasia. You saw the need to understand the impact of aphasia on identity and motivation in order to best help this particular client. And those are both really important concepts within the Life-Participation Approach to Aphasia (LPAA) framework as well. So, then you shared that you got some important advice from an important mentor. Do you want to share what happened next? SELES GADSON: Definitely. So, one thing that's also unique about that time is that at that point in my career, I had worked in many of the clinical settings. I had done acute care, inpatient rehabilitation, skilled nursing facility, and even worked as a travel SLP traveling throughout the United States. And so, once I had got to that outpatient setting, it was different from any of the other settings because these individuals were home. And often times, they wanted to get back to work. I remember feeling a little discouraged because I wasn't finding research on a lot of functional treatment approaches or functional therapy. In addition, I wasn't finding research on black stroke survivors with aphasia. And so, I mentioned to one of my mentors at the time, Dr. Paul Rao. I said, “what's going on in the field? And I'm not seeing this, and I have this client, and I don't really know what to do.” And he said to me, “Stop complaining kiddo, and go back and get your PhD.” Admittedly, when he said it, it was kind of like, “okay fine, I'll go do it.” I don't think I realized all what it would take. That's what really made me pursue the degree was this notion that I could help facilitate some of that change and bring some of the research that I needed to see. EBE: That is so important. And that story really made me reflect on another story that has really impacted me from a dear colleague, because you experienced in your doctoral work some concerns about doing research on Black Americans because your interest was seen, as it said in I think the ASHA Voices interview or in the Leader, as “personally motivated.” Your story mirrors one that a colleague and dear friend, Nidhi Mahindra, told me as well. During her doctoral research, she was told that while pursuing multicultural interests were worthy, that she may face barriers to getting funding to pursue that line of work. That might be problematic, right? She had to struggle with that. Despite that daunting message, she persisted, and then was funded by ASHA on a grant studying barriers influencing minority clients' access to speech pathology and audiology. Nidhi reminded me how our life experiences can often inform our work in important and valuable ways. Davetrina, you've channeled your experiences into these explicit observations and data that you shared with your doctoral committee. That was a really important part of moving forward.  Do you want to share some of the points  gathered for that doctoral committee to help support why this research is so important? SELES GADSON: First, I want to thank Nidhi. Hopefully I'm pronouncing her name right, for her perseverance, because it was some of her work that helped me in my dissertation. Being able to cite her just really shows the importance that everybody plays in breaking barriers and pursuing the things that really speak to them. And one of the things that I'll clarify, it was two parts in pleading this case. The first part was that I changed the committee. I think that that was a supportive thing. And then, the second part was that when I prepared all of the research on why I needed to do this work. Some of the research looked at what we knew already with stroke recovery in minoritized groups, which was that Black African Americans were twice as likely to have a recurrent stroke than any other ethnic group and what we were seeing in the aphasia literature for Black Americans, which was the narrative of Black Americans having longer hospital stays, more hospital costs, but poor functional outcomes. And so, it was these two key pieces that I had really gathered. When I went back to the new committee to share and plead my case on why I really wanted to do this research, they had that initial onset of knowing that this research definitely needs to be done. I think that that's what helped it go through. EBE: Wow. I think those are really important reasons. That whole concept of allowing our life experiences to inform our work and to value that. As we start to talk about your research, and I'm really excited to get to share this amazing work you're doing, I thought it might be helpful to define some of the terms that are integral to this research Some of the definitions are a little tough to wrap your arms around because they're not consistent in the literature or are still waiting to develop. Let's start by discussing what you want the listeners to know about the definition for health-related quality of life, or, as we'll call it, HRQL. SELES GADSON: HRQL is operationally defined that it's multi-dimensional. The way I define it a lot in my work is the perception of the individual's ability to lead a fulfilling life in the presence of a chronic disease or disability such as aphasia, but really their perception in five domains. The five domains that I look at in my work are physical, mental, emotional, social communication, and then role, the individual's ability to get back into the activities that they used to be able to do. EBE: Okay, that's really helpful. I think we should also discuss or define patient-reported outcomes or PROs. Sometimes they are also referred to as PROM's, patient-reported outcome measurements. How do they relate to HRQLs? SELES GADSON: Patient-reported outcomes is a health outcome directly reported by the patient without interpretation. Patient-reported outcomes often look at the status of the health condition. The biggest thing about patient-reported outcomes is that it's without the interpretation of the practitioner. So, whatever the patient says is what we're going to take as gold. EBE: Why is it particularly important then to look at HRQOL for Black stroke survivors? SELES GADSON: That's such a great question. And so I want to break it down in two parts. I think the first part is that given the lack of normative data for Black stroke survivors, when we're only looking at clinician-reported outcomes, that's where we get to this bias and the normative bias. I know that there's research out where there are some outcomes to where we're already seeing this five-point difference. And for some research, that five-point difference is considered clinically meaningful. I think that if we're not using these patient-reported reported outcomes, then we put ourselves in a position to contribute to the disparities that we're seeing in standardized assessments. So that's the first answer. The second reason is that we know that nonclinical factors such as physician-race concordance drive up to 80% of what we're seeing in poor functional outcomes in minoritized groups. If we're not asking the person, then we're not able to really understand the things that they want to do, and we're already coming in with this majority type attitude which could influence one's participation in therapy. The last thing that I think is most important, whether you're Black, white, purple, whatever, is that we have these insurance demands that sometimes may not allow us to get to all the things that we may see from an impairment base. By using the patient-reported outcomes, we are helping structure therapy in ways that matter most to the patient. EBE: Well, that reminds me of this amazing quote that I was hoping I could work in today. I circled it in big yellow pen when I first read through your research. You said that it's really important because, due to the lower HRQL that we find in individuals with aphasia, it's “imperative that the development of a treatment plan incorporates what the patient prioritizes. And it's imperative that clinicians have a way to measure these subjective attributes to make a meaningful impact on care.” That's what we want to do. SELES GADSON: So important, because I think what we have to realize is that part of our role as the practitioners providing this skilled intervention, is really helping the individual get back to what they want to do. And I think that if we're not asking them what they want to do, then we're not really able to structure therapy in matters that mean the most to them, but also help them to start to recognize that as part of this identity with aphasia, that there's this new normal for them. Sometimes, individuals are going to rate themselves based off of what they used to be able to do. But if they know that one of their goals was to be able to talk on the phone, or to play bridge with their friends, and we worked on that in therapy, they're now able to look and see, before I scored my telephone confidence at a 50. Now I feel like I'm at a 90, and so sometimes that own self-recognition can support motivation, and can even support therapy, once insurance dollars run out. EBE: I really appreciated doing this deeper dive into PROs as I read through some of your research. And one of the resources I came across was a really interesting table that talked about six categories of PROs. And I'll put a link in the show notes to a 2015 book by Cella, Hahn, Jensen and colleagues called “Patient-Reported Outcomes and Performance Measurement.” (They list six different kinds of PROs in a helpful table.) But the main category that your work is utilizing is actually these HRQL measures. You've been stating why it's so important. HRQL PROs help to frame diagnostics and treatment because you're trying to prioritize what the patient wants and needs-- what they're expressing. SELES GADSON: Right, exactly. I think that one of the things that it's really important for practitioners to understand, is that these things are mandated by what we see in our scope of practice. When I say mandated, I mean we are called to reduce the cost of care by designing and implementing treatment that focuses on helping the individual. If we're not asking the individual what they want to get back to, then I think that we're putting ourself at a position that makes it more challenging to serve in that way. EBE: One of the things we like to do on this podcast is to provide resources that will help clinicians think differently or do something differently tomorrow as they meet face-to-face with their clients. And one of the things I thought we'd put in our show notes is a link to the PROMIS website, because that was something you've used in your research. Do you want to explain a little bit about that website? SELES GADSON: One of the things that I like about the PROMIS website is that it has a list of health outcomes available to use for a range of individuals-- for pediatrics, for adults. I like that it's free, most of them, and I think that it's a good place to start. Some of the outcomes on that website are also even appropriate for in acute care, meaning that they may not take a long time to administer. And so, I think that that's a good place to start. EBE: Well, thank you. And I want to move right into this wonderful paper where you are co-author with Wesley, van der Stelt, Lacey, DeMarco, Snider, & Turkeltaub, that looked at how brain lesion location interacts with HRQL. Can you share a couple key takeaways from that paper?  I hope you'll highlight the one related to depression and HRQL. We're having a lot of research right now around the emotional impact of aphasia and how that will impact recovery outcomes as well. So, tell us a little bit more about that work. SELES GADSON: We looked at the domains of health-related quality of life associated with specific deficits and lesion locations in chronic aphasia. We examined the relationship between HRQL using the Stroke and Aphasia Quality of Life Scale by Hilari and her colleagues, as well as a depression scale, and different impairment-based measures---our battery that we used here. What we found was that language production and depression predicted communication HRQL, meaning that those individuals that reported lower communication HRQL also had a significant depression associated with it. We did lesion symptom mapping in this study. Basically, what we were looking at is to see if HRQL mapped on to discrete areas of the brain. We found that individuals that reported lower psychosocial HRQL had inferior frontal and anterior insula lesions; where individuals who reported lower physical HRQL had lesions in the basal ganglia. This confirmed for us that even though HRQL is this subjective perception, we were seeing it map on to these very specific areas in the brain that also predicted some of the impairment measures that we know of. EBE: That can get us to start thinking about if we have patients with these types of lesions, maybe to be more on the alert for depression. I think that's one point you made. But you also mentioned another important takeaway in the study about the impact of depression on HRQL related to the training of SLPs. This all ties together. What are your thoughts there? SELES GADSON: I think that when we are recognizing that individuals with aphasia are experiencing a new normal, and I think that the research has been very clear on understanding that depression does relate to and contribute to one's communication. I think that there is an opportunity for speech-language pathologists to have more counseling classes. And again, make sure that we're tapping into what the patient wants to do in order to hopefully help mitigate some of those feelings of depression. EBE: I really endorse building those counseling skills in our graduate programs for our students, so they go out feeling more confident and more skilled and knowing that that is going to be an ongoing journey as a speech-language pathologist to build that skill set. SELES GADSON: And shameless plug, I think our episode six of Brain Friends is a mental health episode. I have one of my good girlfriend colleagues there who is a counseling psychologist. She shares with us helping skills for the practitioner, and we share on that episode10 skills that you can do as a clinician to support the person with aphasia. EBE: Thank you for sharing that. That's really important. And again, the link to Brain Friends will be in our show notes. Let's take a moment and talk about how you connect this finding about depression to the role of social communication, because you said it was those scores that were down in your measure. SELES GADSON: With that particular study or overall? EBE: However you'd like to discuss it. I'm opening that door to you. SELES GADSON: One of the things that we were seeing is that individuals were reporting the depression within this Communication HRQL domain. So even though we didn't dive into it too deep in this study, it was more of the correlation and recognizing that individuals that were reporting this higher level of depression, also have this higher level, or this lower report of communication HRQL, making those links specifically. I do have something that I'm working on right now, that will completely answer that question a little bit more solidly. I don't want to speak too much on this, so stay tuned. EBE: Absolutely staying tuned, there's no question. You also had another article that I found intriguing-- An article with your coauthors, Wallace, Young, Vail, and Finn, a 2021 article that examined the relationship between HRQL, perceived social support, and social network size in Black Americans with aphasia. And that paper highlights that there's been little research exploring HRQL in Black Americans. Of the five factors that comprise HRQL, why did you decide to focus on social functioning? And specifically social support and social network in this study? SELES GADSON: Well, that really came from the literature. One of the things that the literature said is that we knew that social HRQL contributed in some way, but we weren't sure what way. And we weren't sure what pieces of social functioning contributed. My apologies to the researcher who said it, but it set me up perfect for my dissertation work to say, “this is why I'm looking at social functioning in these two specific pieces,” because we didn't know. Was it social participation? Was it social network? Was it social support? That was one of the reasons why I wanted to pull out those two specific pieces. The other thing that was really important about this work was that it was the first study that really looked at what HRQL looked like in Black stroke survivors. We didn't know any of that. And so for me, it was really important to compare Black stroke survivors to normal aging Black individuals because I feel that for us to really get baseline understanding of what some of these factors are and how individuals respond in recovery, we have to compare them to their norm, or to other members in their community that look like them before comparing between Black and white or any other ethnic groups. This study is where we found that in terms of HRQL, the main difference between stroke survivors with and without aphasia and in our normal aging individuals, was that communication was the impairment. And then, with the social network and social support, we weren't seeing a difference between this homogenous group of Black people in those areas. EBE: That takes me to my next question, your research noted that the Black survivors with and without aphasia, have smaller social networks compared to white stroke survivors. That's the data that we have based on that social network data. Even though you weren't trying to compare in this study, per se, you still made sense of that finding-- trying to make sure that we don't make assumptions, and instead look at different factors that could be at play. How did you make sense of that finding, the smaller network? SELES GADSON: It was two things that allowed us to make sense of that finding. One was recognizing that in both groups, the stroke survivors with aphasia and our normal aging individuals, that because they were age matched, it could have been a factor of age--meaning that the individuals receiving the support quality and then their network, everyone was kind of in the same age group, and so, it was more of a factor of time of life versus actual culture. But then a lot of that came through in some of the anecdotal reports, and things that we even circled on the scale that we used--we use the Lubben Social Network Scale. With some of those questions, one might be how many people do you feel comfortable sharing personal details with? And often times, we got this report of “just my husband”, or “only God”. And so, we were seeing that some of this really related to the traditional and cultural values in Black Americans, where you're not going to share a lot of stuff with a lot of people. You have your set group, your small network. And that's okay. That doesn't mean that you're isolated.  EBE: I think another point you make, and maybe even thinking back to the ASHA Voices Podcast, why it's particularly important to target social communication. That is yet another life participation core concept. Do you want to speak to that for a moment? SELES GADSON: I think the thing that we have to realize with social communication is that individuals, especially within the black community, they are social, they want to talk, they want to get back to doing and interacting with their community. And so, one of the things that that looks like is maybe being able to participate again in Bible study or being able to stand up and read a scripture. And the only way that you know that, is by asking them that on a patient-reported outcome. I think that that's where that social communication piece is coming in. One of the things that I'm seeing with the Black aphasia group is that moment, that hour, where everyone is together, it's amazing. It's them using social communication. You spoke about how I said that that energized my research, and that was why--because I was on this call, and they were speaking about these things, that sometimes I feel like I have to explain to the powers that be why social communication or the LPAA approach is important. But here I was talking with all of these survivors, and they were telling me, I want to be able to communicate, I want to be able to do these things. It just really confirmed for me that this type of research, we were on the right path. EBE: Right. And this is my chance for a “shameless plug” because of my life work, and that is just the power of groups. The power of groups is amazing. SELES GADSON: You know, your life work and... EBE: Well, we don't want to go there, this episode is about you. SELES GADSON: Okay. I'm telling you; I'll get into just how influential your work has been, even when I was working as a practitioner and doing group therapy, it was your work and your research that I was going to. EBE: Well, I had the honor of getting to work with Dr. Roberta Elman, and starting the Aphasia Center of California and doing that initial research, that has been such a gift to me, so, but thank you, back to your work now. That's a great transition, because I'm going to bring us to your 2022 study, looking at how aphasia severity is modulated by race and lesion size in chronic survivors. That was an amazing study. I'm going to read another quote here from that study. And that is, “understanding the origin of disparities in aphasia outcomes is critical to any efforts to promote health equity among stroke survivors with aphasia.” You said this work led you to an “Aha!” moment. And I'd love for you to share more about that moment, and about this study. SELES GADSON: Yes, this was one of my babies, I would say it was definitely a labor of love. And it's been well received. One of the things that led us to this study was that we were already aware of what the research was saying, in regards to the narrative of Black stroke survivors having these lower scores, they were having poor functional outcomes, longer hospital stays. I really wanted to understand what components neurologically, were playing into that. The research has shown that Black Americans often may have a larger stroke due to a myriad of factors-- delayed hospital arrival, not being able to receive TPA. But I wanted to know what factors neurologically were contributing to what we were seeing, not only in this baseline difference that we were seeing, but what was the bigger picture essentially. What we found was that when we looked at race and lesion size, when we did an interaction of race and lesion size, that Black and white survivors with small lesions performed similarly. But larger strokes resulted in more severe aphasia for Black people, than white people. And that was something that we didn't quite understand, because if you think about it, the larger the lesion, the poorer your aphasia should be. But in this case, the larger the lesion, the white stroke survivors were performing better and so we offered two reasons for that. One was the potential assessment bias-- that maybe with the larger stroke, there was this code-switching element that the Black stroke survivors just weren't able to do. And we were seeing that in the larger strokes, and it wasn't being picked up in the smaller strokes. Then the other was the disparity that I had mentioned earlier, which is that access to rehabilitation. It might have been more evident-- we were seeing some of those disparities in the larger strokes. We know that individuals that come from higher earning SES groups have greater access to rehabilitation services like speech and language. That was our other reason, that we were wondering if that's why we were seeing that outcome. EBE: This reminds me some of the research that Dr. Charles Ellis has been doing. I attended his keynote speech at the IARC conference in 2022 that talked about understanding what is happening upstream, because it's going to impact what's happening downstream. In terms of health disparities, it's going to have an impact. I think your research supports that. We need to learn more about it and do the research you're doing. As you reflect on your findings across these amazing studies, this research that you've been doing, can you offer to our listeners some tips on how to have more confidence with intercultural contact? SELES GADSON: That's a great question. I think the first thing that that you have to do is put yourself in places where you are connecting with people that don't look like you. EBE: I agree. And that can be hard and challenging to do. SELES GADSON: It can be, but one of the things that I say is that it goes back to some of the things that Dr. Ellis has talked about, which is being intentional. That might mean going to a different side of the neighborhood to support a Black owned business, and being within that space, to feel how it feels to be around different cultures. The other thing that I think is really important, and it comes out of literature that looks at reducing racial bias in health care, which is to avoid stereotype suppression. So oftentimes, people may be thinking something and they don't want to share it, or they try to suppress it. And the reason why that's negative is because stereotype is a cognitive organization strategy that we use. And where it becomes negative is that if you're having these stereotype ideas, or you're just not sure, if you're not able to express them within a space that you feel comfortable with, then you suppress them. And then it kind of comes out in therapy. And so, I think that those are two huge things. And then the last thing that I would say is that it's really important to build partnerships. And so, building partnerships, either with local churches, within the university area, or just seeing how you can serve in order to help create some of that confidence. But you have to put yourself out there and not wait until therapy day. EBE: Wow, thank you for those tips. And one of them reminded me of something, a tip that a local educator suggested that, even if you don't feel like you're in an environment where your everyday social context might put you with people who look different from you, that you can still listen to other voices by listening to podcasts, sign up for podcasts, sign up for Twitter feeds of people with different voices, so you can start being present to that conversation. So that was something that I have found useful and really good advice as well. SELES GADSON: So true. The other thing that I did, even someone who identifies as a Black American when I was doing my dissertation work, and previously before some other things in my career, I noticed that perspective taking was a huge piece--putting myself or imagining myself in the individual's shoes. And so, for me, that meant that I went to Black museums and exposed myself to different cultural experiences. I wasn't going into some of these spaces, whether it was collecting data or even working with individuals from other earning communities, with some type of privilege. So even in that sense, I wanted to make sure that I checked my privilege as well by doing that perspective taking. EBE: Thank you,. And this discussion could keep going, but I know our time is getting tight here. This whole effort that you put in your research of looking at HRQL measures reminds me of some of the work that I've really admired by Hilari and you had a wonderful story you could share about her, your interaction and your use of her work. Would you like to share that quickly? SELES GADSON: Oh, she's so awesome. I was sharing how when I first was diving into this literature, her work was one of the pieces that I found, the Stroke and Aphasia Quality of Life Scale. I reached out to her and she shared this scale. And a couple of years later, I attended the International Aphasia Rehabilitation Conference in London. And she sat down with me. I asked her if she had any time, if we could just talk, and she was so welcoming. We sat down, and she might not even remember this, but even in that moment of us being able to talk about these things that we were both so passionate about, she just really spoke to me and encouraged me. And it's so funny, because now as I publish and do different things, my mom always says, “you gonna be just like Dr. Hilari.” EBE: Let's just do a shout out for mentorship, for people who take the time, and feel committed and passionate. Again, we're using that word again today, passionate, to support the new voices that are coming into the field. So that's the gift of mentorship. And in this whole discussion, you and I also talked about how important it is to be inclusive, and we talked about how HRQL measures sometimes are harder to use with people with severe aphasia and how they can get excluded from research. It's hard enough to get people with aphasia into the research, right? There's work by Shiggins and her colleagues looking at how often people with aphasia are excluded. But you made a good point about ways that we can include people with more severe aphasia. Do you want to mention that? SELES GADSON: I think one of the things that we have at our fingertips, and we know just from our training, is to use different visual cues to support those individuals that might have more severe aphasia. One of the things that we highlighted in the 2020 paper looking at the psychometric properties of quality of these patient reported outcomes, was that there are certain assessments that are perfect for individuals with severe aphasia, assessments like the Assessment for Living with Aphasia (ALA), because it has the pictures available and it has simple language. Just recognizing that even by using some of these compensation tools, whether it's pictures or modifying the language, we can still get the individual's perspective of what they want in therapy just by using some of these modifications. EBE: This reminds me, I can put one more link and resource into the show notes, because the Center for Research Excellence in Aphasia offers this wonderful speaker series. And there was just an excellent recent session by Dr. Shiggins on including people with aphasia in research. So, I'll put that link in. I want everybody to listen to that presentation. And finally, as our closing question for today, Davetrina, if you had to pick only one thing we need to achieve urgently as a community of providers, of professionals, what would that one thing be? SELES GADSON: I think we have to start using patient-reported outcomes. I think that if you were doing a clinician-reported outcome to assess the impairment, paired with that has to be some level of patient-reported outcome that will give you insight into what the patient wants to do. It's no longer optional. I think that we have to make it a paired thing with our clinician-reported outcome, is getting the perspective of the patient. EBE: I so agree with you, thank you. Thank you for this wonderful interview today. I really, really appreciate it. SELES GADSON: Thank you. EBE: And I want to thank our listeners for listening today. For references and resources mentioned in today's show, please see our show notes. They're available on our website, www.aphasiaaccess.org. And there, you can also become a member of this organization. Browse our growing library of materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@aphasiaaccess.org. For Aphasia Access Conversations, I'm Ellen Bernstein Ellis and thank you again for your ongoing support of aphasia access. References and Resources Brain Friends Podcast: https://www.aphasia.org/stories/brain-friends-a-podcast-for-people-with-aphasia/ https://www.facebook.com/groups/1563389920801117 https://open.spotify.com/show/5xgkrhUhEIzJgxpRXzNpBH   Centers for Disease Control and Prevention (CDC) HRQL website: https://www.cdc.gov/hrqol/concept.htm     National Aphasia Association  Black American Conversation group registration: The Black American Aphasia Conversation Group meets through Zoom every other Monday at 4:00pm EST (1:00pm PST) . If you are interested in joining this group, please complete the form https://docs.google.com/forms/d/e/1FAIpQLSfJN9VWjrujhebT8Z48bqDZePOHYotipFC34S8T0X8_o8rG-g/viewform Patient Reported Outcome Measurement System (PROMIS) https://www.promishealth.org/57461-2/   Cella, D., Hahn, E. A., Jensen, S. E., Butt, Z., Nowinski, C. J., Rothrock, N., & Lohr, K. N. (2015). Patient-reported outcomes in performance measurement. . Research Triangle Park (NC): RTI Press; 2015 Sep. Publication No.: RTI-BK-0014-1509ISBN-13: 978-1-934831-14-4  https://www.ncbi.nlm.nih.gov/books/NBK424378/   Gadson, D. S., Wallace, G., Young, H. N., Vail, C., & Finn, P. (2022). The relationship between health-related quality of life, perceived social support, and social network size in African Americans with aphasia: a cross-sectional study. Topics in Stroke Rehabilitation, 29(3), 230-239.   Gadson, D. S. (2020). Health-related quality of life, social support, and social networks in African-American stroke survivors with and without aphasia. Journal of Stroke and Cerebrovascular Diseases, 29(5), 104728.   Gadson, D. S. (2020). Health-related quality of life, social support, and social networks in African-American stroke survivors with and without aphasia. Journal of Stroke and Cerebrovascular Diseases, 29(5), 104728.   Gadson, D. S., Wesley, D. B., van der Stelt, C. M., Lacey, E., DeMarco, A. T., Snider, S. F., & Turkeltaub, P. E. (2022). Aphasia severity is modulated by race and lesion size in chronic survivors: A retrospective study. Journal of Communication Disorders, 100, 106270   Gray, J. D. (2022). Transcript: ASHA Voices: Confronting Health Care Disparities. Leader Live. https://leader.pubs.asha.org/do/10.1044/2021-0902-transcript-disparities-panel-2022   Law, B. M. (2021). SLP Pioneers Research on Aphasia Rehab for African Americans. Leader Live https://leader.pubs.asha.org/do/10.1044/leader.FTR4.26092021.58   Lubben, J., Gironda, M., & Lee, A. (2002). Refinements to the Lubben social network scale: The LSNS-R. The Behavioral Measurement Letter, 7(2), 2-11.   Shiggins, C., Ryan, B., O'Halloran, R., Power, E., Bernhardt, J., Lindley, R. I., ... & Rose, M. L. (2022). Towards the consistent inclusion of people with aphasia in stroke research irrespective of discipline. Archives of Physical Medicine and Rehabilitation, 103(11), 2256-2263.   Shiggins, C.  (2023) The road less travelled: Charting a path towards the consistent inclusion of people with aphasia in stroke research.  Aphasia CRE Seminar Series  #36 (Video) https://www.youtube.com/watch?v=sqVfn4XMHho

On today's episode of the Illumination by Modern Campus podcast, guest host Sharon Schwarzmiller was joined by Allan Chen to discuss the key role IT leaders play, and the importance of understanding processes across campus to grow as an institutional leader. This episode was recorded live at Modern Campus's Educause 2022 booth in Denver.

Hosted by: Gemma Thomason With special guests: Tomas Zhang Mathiesen - CEO - ejendom.com Björn Ingmansson - Senior Product Marketing Manager - Juni Philip Phan - Head of Devices & SIM - Telia

We're back with another longer duo episode! Getting close to episode 100, and best believe we are planning something amazing for y'all! In this episode we talk about being a college athlete in our day vs in today's landscape, assessing the things you say "yes" to, being the leader you are proud of, and we also answer a question from our guy in Memphis, AD, about dealing with a setback injury. Give it a listen and let us know what y'all think! We love you guys! Catch ya next time!

It's Tuesday

All believers are called to be leaders. Don't make the mistake of thinking that you have to be in the "five-fold ministry" to be a great leader. Whether it be at your job, at your school, or at your church, there are people who are taking their cues from you. But it's not enough just to lead, you should strive to lead well and to be excellent. Today we're going through five decisions that will make you a great leader in any area of life. Sow a seed and help us change this generation before it's too late: http://bit.ly/2B81pjY Give by PayPal: https://www.paypal.me/miracleword Give by CashApp or Venmo: $MWgive Subscribe to The Last Gen Podcast for students: https://miracleword.com/lastgen Get exclusive emails and our free magazine here: http://bit.ly/2WlgS6N Get text messages from me: http://bit.ly/2XoOapG I want to highly recommend our online training courses found at https://www.miraclewordu.com/ Each course is designed to equip you with biblical knowledge that will give you the fuel to overcome in every area of life. Our brand new course "Divine Prosperity" is now available in Miracle Word University! For more great content, follow me on Instagram: @tedshuttlesworth and Facebook: @MiracleWordMinistries

Have you ever played the game, Operation? The patient's nose would light up and buzz if your tweezers touched the side. Neurophysiology is a lot like that game.In this episode of the Global Medical Device Podcast, Etienne Nichols talks to Shawn Regan, CEO and Co-founder of Rhythmlink International, at the South Carolina Biosciences (SCBIO) Conference.From startup to industry leader, Rhythmlink is a company that designs, manufactures, and distributes medical devices that physically connect patients to machines to elicit or record neurophysiologic information. Rhythmlink's products are used during risky surgeries to help prevent or reduce paralysis, identify tumors, map the nervous system, and monitor brain waves. Its devices were the first of their kind to be cleared by the FDA to work specifically in MRIs.Some of the highlights of this episode include:Shawn describes neurophysiology as electrodes put on or under a patient's skin to monitor their nervous system in real-time to identify dangerous situations.As a startup, Rhythmlink recognized the need to change from reusable to disposable products. Although the company did not know when that was going to happen in the medical industry, they knew it would and why.Early on, Rhythmlink experienced several challenges as a medical device company. It didn't have any money, patentable technology, or intellectual property (IP). Co-founders had an idea, figured out how to create it, and bootstrapped it. Collaborating with the FDA 20 years ago was easy and straightforward. Rhythmlink wanted to know how to submit a 510(k) to get FDA clearance.Rhythmlink's electrodes can be put on and left on during an imaging study to allow the brain to be monitored more often, which results in much better clinical information quicker and consistently to find and treat dangerous situations.Rhythmlink decided to automate some of its products because shipping rates changed, led to higher quality products, and customers liked the products better.Rhythmlink makes its products in China and sells its products in the United States, European Union (EU), and nine other countries.Cost-Benefit Analysis: Rhythmlink's regulatory strategy is to identify all the different regulatory requirements for all the different countries the company wants to be in and make sure there is enough of a market to be worthwhile.Memorable quotes from Shawn Regan:“If you remember the game operation when you touch the side and the nose buzzes and goes off, it really is a lot like that.” “With our electrodes, the ability to put the electrodes on once and keep them on and leave them on during an imaging study allows the brain to be monitored more often.” “You get much better clinical information quicker and consistently all the time. So, you're able to find those dangerous situations and then treat them.” “For our products, not every country has made the switch from reusables to disposables. All of the products that we make are disposable products, none of them are reusable at this point.” Links:RhythmLinkShawn Regan EmailSouth Carolina Biosciences Organization (SCBio)South Carolina Research Authority (SCRA)FDA - Medical Device OverviewCenters for Medicare & Medicaid Services (CMS)Plan, Do, Check, Act (PDCA) CycleEuropean Union Medical Device Regulation (EU MDR)EU Medical Devices Directive (MDD)The Greenlight Guru True Quality Virtual SummitGreenlight Guru YouTube ChannelMedTech True Quality Stories PodcastGreenlight Guru AcademyGreenlight GuruGlobal Medical Device Podcast Email

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance

In this episode Ray speaks with Christina Whiteley about how she gained success in network marketing. HigdonGroup.com/90Days Thanks for listening! Have some feedback to share? Leave us a review on iTunes! www.rayhigdon.com

In this episode, Ray speaks with Kayla Ruetten about how to gained success in network marketing. rankmakerslive.com Thanks for listening! Have some feedback to share? Leave us a review on iTunes! www.rayhigdon.com

In this episode, Ray speaks with Martene Wallace about how to gained success in network marketing. rankmakerslive.com Thanks for listening! Have some feedback to share? Leave us a review on iTunes! www.rayhigdon.com

Discussion on the role sanctification plays in a leader's life and the importance of having a growth mindset w/Drew Meadows, an Atlanta GA area, insurance executive and Christian Leadership Concepts alum.  Questions and lessons explored in this episode: How self-aware do you think you are? How well do you learn from your experiences? How can you improve in this area? Do you know someone who puts others first? What are the positive qualities that you admire in the person? How can you model the individual's behavior in the future? Do you have a coach or mentor who can help guide you through tough circumstances? If not, who may be able to help you? Which of the six principles of active participation in your sanctification stuck out to you? Why? How will these discipleship and leadership principles help you transform your workplace through your pursuit of Christ? Discipled Leader is a show that provides struggling, stuck, or merely surviving Christian Business leaders with a framework to grow their influence through becoming a redemptive (i.e., change for the better), Christlike presence in the workplace, and living a more fulfilling personal and professional life. www.prestonpoore.com

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance  in your career, and don't want to take years to do it  then this is for you. This week on Self Publish N 30 Days Podcast join us for a Special Edition replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer interviews best-selling author and "King of Client Attraction" Marquel Russell.Arguably one of the best when it comes to revenue growth for coaches andconsultants, Marquel Russell is a multimillion-dollar revenue generator, best-selling author, Rapid Business Growth Strategist and coach who has earned thetitle, “King of Client Attraction.”His genius lies in his innate talent of drenching clients in a downpour of qualifiedleads that convert into more clients and increased profits. His sharp-shootingapproach to lead generation has helped coaches and consultants pull in more than$250 million in client success stories, billions of ad impressions, millions of high-quality leads and 10's of thousands of clients.From high school dropout and former drug dealer to multimillion-dollar RapidBusiness Growth Strategist and coach, Marquel is a walking billboard for the lyrics“started from the bottom now I'm here.”Visit www.PaidAdPlaybook.com to see for yourself why so many have crowned him theKing of Client Attraction. Tune in for a new episode every Tuesday night at 7:00 pm (CST). www.selfpublishn30days.comYou can also watch this episode on our YouTube channel!https://youtu.be/8eWzFvgnQKkDon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.If you have been thinking about how to publish a book but you're not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon  but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step. Contact Us Today!This Is The Year For Your New Book

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance  in your career, and don't want to take years to do it  then this is for you. This week on Self Publish N 30 Days Podcast join us for a Special Edition replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer interviews founder & owner of The Real Estate Round Up, Kris Haskins.Kris Haskins has a mission: To raise your financial literacy through real estate investing and Entrepreneurship.Kris is from Lynchburg Virginia. He graduated from Hampton University  in 1999 with a degree in Audio Engineering.After retiring from the music business in 2004, Kris started investing in real estate. He invested the WRONG way; guaranteeing debt, Turning in tax returns, begging banks for loans and  worrying about credit scores until 2008.Through his struggles, Kris learned lessons and started investing the right way in 2008.  Using his skills and experience he began teaching others how to invest the right way in 2010.Now Kris is a real estate power house,  building new construction, doing flips and lease options - all subject to real estate and Section 8 government housing.Kris also shares his knowledge via his YouTube channel which has over 80k subscribers and over 6M views.  Kris proudly adds to his resume' the titles of Husband, Father of 3 and Dog Sitter. Tune in for a new episode every Tuesday night at 7:30 pm (CST). www.selfpublishn30days.comYou can also watch this episode on our YouTube channel!https://youtu.be/EhBTTKyF46MDon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.If you have been thinking about how to publish a book but you're not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon  but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step. Contact Us Today!This Is The Year For Your New Book!

Sales training is undergoing a dramatic transformation. This change will be driven by the convergence of social, mobile and cloud technologies that enable consumers to connect with businesses in new ways. There are many factors affecting sales today - from economic uncertainty to an increasingly empowered consumer base - but there's no denying that one thing remains constant: people buy from people they know, like and trust. With @Jason Cooper @Jassi Singh @Wilson Rumble Bryan Flanagan With the very best Sales Trainers with www.talsmart.com inc myself Jason Cooper #globalsalesleader talsmart.com Top 60 Sales Leadership Podcasts You Must Follow in 2021https://blog.feedspot.com/sales_leade...

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance  in your career, and don't want to take years to do it  then this is for you. This week on Self Publish N 30 Days Podcast join us for a SPECIAL EDITION replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer interviews the founders of Family 1st Counseling Center & Family 1st Independent Living, James & Ashley Reece.James and Ashley Reece are the Founders of Family 1st Counseling Center and Family 1st Independent Living.  They are parents to 5 beautiful children. They strive to help individuals master the game of life. Tune in for a new episode every Tuesday night at 7:30 pm (CST). www.selfpublishn30days.comYou can also watch this episode on our YouTube channel!https://youtu.be/b-3scbeaAlYDon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.If you have been thinking about how to publish a book but you’re not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon  but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step. Contact Us Today!This Is The Year For Your New Book!

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance  in your career, and don't want to take years to do it  then this is for you. This week on Self Publish N 30 Days Podcast join us for a SPECIAL EDITION replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer interviews Director of Sales for Advance Your Reach Daniel Moskowitz & Champion Competitor ,Coach & 2nd-Degree Black Belt in Brazilian Jiu-Jitsu Elliott Bayev, co-authors of "Sales Jiu Jitsu."Elliott is a lifelong martial artist, having practiced various arts for more than thirty years, Brazilian Jiu-Jitsu for the last twenty-four. He has been competing since 1998 and has coached Canadian champions, junior-belt world champions, and world-class Black Belts, medaling at the biggest competitions in Brazil and across the world, and acted as assistant coach for the Jiu-Jitsu International Federation’s (JJIF) team Canada in 2018. He has been recognized as a world-class instructor who founded one of Toronto’s longest-running and most successful martial arts academies, OpenMat Mixed Martial Arts, producing champions of his own and, more important to Elliott, changing many lives of “average folk” who train for fun, fitness, and self-defense. Elliott recently released BJJ courses which are available on his new learning platform, BJJ101.tv.Outside of martial arts and business, Elliott is a philosopher, writer and systems-thinker focused on uplifting people everywhere. He is the founder of GlobalUnity.org, a movement working to bring the world together. Daniel has been in sales for twenty-five years, ever since he was duped by a salesperson and became determined not only to never let it happen again, but to understand what strategies and techniques they used to get him to a desired result so effectively. Thus began his journey of studying the best practices and high- percentage strategies that lead to sales success. In his long, successful career, he has worked in multiple B2B businesses and professional services industries, personally generating well over $30 million in B2B sales and heading up teams generating tens of millions of dollars per year. He has been responsible for selling key services to Fortune 500 companies, mid-size companies, and local regional businesses. In 2016, he started his own sales consultancy, working with multiple clients and consistently doubling their sales results. As his business began to take off, he went on a personal weight-loss journey, losing 102 pounds in seven months, and he is now a sought-after speaker inspiring audiences, motivating them around sales and his weight-loss journey. Tune in for a new episode every Tuesday night at 7:30 pm (CST). www.selfpublishn30days.comYou can also watch this episode on our YouTube channel!https://youtu.be/f_Mh5h9cMLwDon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.If you have been thinking about how to publish a book but you’re not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon  but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step.  Contact Us Today! This Is The Year For Your New Book!

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance  in your career, and don't want to take years to do it  then this is for you. This week on Self Publish N 30 Days Podcast join us for a Special Edition replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer interviews personal branding coach for executives Sarah Makris.Sarah Makris is a Career Success Coach. She helps Senior Executives, C-suites and Entrepreneurs to build memorable personal brands so they can attract their dream role where they are recognised for their knowledge and expertise. She has more than 20 years Corporate Affairs working for some of Australia’s most well-known brands and high profile CEO’s and Directors and knows what it takes to stand out in your industry as and credible leader and breakthrough to the next level.  Today Sarah uses her knowledge and her own experience creating a business and a personal brand, to successfully coach her local and international clients.Follow Sarah on her social media platforms:website - www.sarahmakris.com.auemail sarah@sarahmakris.com Linkedin Sarah Makris Instagram - Sarah Makris AustraliaClubhouse @sarah makris # Discover 5 simple strategies to boost your career and pay packet  Free downloadTune in for a new episode every Tuesday night at 7:30 pm (CST). www.selfpublishn30days.comYou can also watch this episode on our YouTube channel!https://youtu.be/qDep8aMiMLUDon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.If you have been thinking about how to publish a book but you’re not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon  but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step.  Contact Us Today! This Is The Year For Your New Book

Our first live webinar! This episode on the topic of how not to be a bad leader.We've all either been victim or witness to bad leadership. Either way, it has negative impacts on individuals or the team as a whole and ultimately limits happiness, contribution and well-being. Neil and I discuss examples of those we have seen and highlight the behaviours and traits you should really avoid as a leader.We hope you enjoy the recording of this inaugural live webinar. Special thanks to those who joined us live and for the questions they kindly submitted at the time.  

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance in your career, and don't want to take years to do it then this is for you. This week on Self Publish N 30 Days Podcast join us for a Special Edition replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer and VP Taj Dashaun discuss how to dominate in your industry! Tune in for a new episode every Tuesday night at 7:30 pm (CST). www.selfpublishn30days.comDon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.Watch this episode on our YouTube channelhttps://youtu.be/F7zJaQ2mAY8If you have been thinking about how to publish a book but you’re not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step. Contact Us Today! This Is The Year For Your New Book

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance in your career, and don't want to take years to do it then this is for you. This week on Self Publish N 30 Days Podcast join us for a Special Edition replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer and VP Taj Dashaun discuss how to dominate in your industry! Tune in for a new episode every Tuesday night at 7:30 pm (CST). www.selfpublishn30days.comDon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.Watch this episode on our YouTube channelhttps://youtu.be/o_ecp5oPSEsIf you have been thinking about how to publish a book but you’re not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step. Contact Us Today! This Is The Year For Your New Book

It's Tuesday and that means it's time for a new episode of the Self Publish N 30 Days Podcast! If you desire to share your story with the world, want to advance in your career, and don't want to take years to do it then this is for you. This week on Self Publish N 30 Days Podcast join us for a Special Edition replay of Market Leader Live and listen as Chief Book Officer Darren M. Palmer interviews author and entrepreneur Ashley Cochran.Ashley Cochran grew up in a small town, Vandergrift, PA right outside of Pittsburgh and lived there until moving to Decatur, GA in 2006. She is a graduate of Duquesne University with a Bachelor’s Degree in Marketing & Sports Marketing as well as a Master’s Degree from Capella University in Counseling. Despite not actively using her Master’s Degree she still pursues her passion and enjoys working with young girls through mentoring and volunteering. In 2018; Ashley wrote and self-published her first book; Mask Off: Don’t Let Your Past Determine Your Future. Mask Off shares the author's troubles as a teenager growing up questioning the dynamics of her family and at times, her existence. In 2019 Ashley was approached by Jay Stroud with an amazing opportunity to start doing radio that has now opened the door to their company; TRUTH NO CHASER. TRUTH: NO CHASER, LLC is an Atlanta-based multimedia company providing a live podcast; their goal is to offer an equal opportunity for their guests and listeners to control the narrative and tell their story in a “No Judgment Zone! “They bring compelling discussion on ‘Life After Redemption’ with a dose of ‘NO CHASER’ perspective on current events. In short, they offer Real Talk for Real People; even when it burns!Currently Ashley is involved as a lead mentor at Towers High School with a non-profit organization; Girls of Excellence. Girls of Excellence, partners with schools, community centers and faith-based organizations to provide influential youth mentoring services to young girls in a safe and trusting environment. Ashley is committed to helping young girls realize their value and just how special they truly are. Reach out to Ashley on her social media platforms:IG: @acspeaks42 & truth_no_chaserFB: @acspeaks42 & @truthnochaserWebsites: www.maskoffbook.orgwww.thetruthnochaser.comTune in for a new episode every Tuesday night at 7:30 pm (CST). www.selfpublishn30days.comYou can also watch this episode on our YouTube channel!https://youtu.be/twzM0ZyknVADon't miss another episode… Subscribe to our podcasts on iTunes, Spotify or Stitcher.If you have been thinking about how to publish a book but you’re not sure how, Self Publish -N- 30 Days is the company for you! As the #1 Self Publishing Company in the world we are able to publish your book faster and with less stress than other services. We offer the same services as KDP Amazon but with a personalized approach. We know that to publish on Amazon, there are several steps that seem intimidating if you don't know what to do. At Self Publish -N- 30 Days our skilled team will walk you through the whole process of how to write a book step by step. Contact Us Today!This Is The Year For Your New Book

When purpose driven entrepreneurs grow tired of spinning their wheels seemingly getting further away from things that actually matter to them, they call Dan for help. Dan is a lifelong entrepreneur, relentlessly curious and hopelessly sarcastic. He’s had the privilege of completing a prestigious fellowship and worked for some of the largest and most successful companies in the world.10 years ago he gave all of that up – mostly because he was tired of having meetings about meetings to eventually talk about what to actually do. Instead he spends his time developing tools and helping private clients and partners answer the one question all successful business owners are asking themselves “Am I going to be okay?” through his financial certainty methodologies. Financial Certainty is an unconventional way of looking at business growth. Instead of focusing on acquiring more, the focus is getting closer to the things that actually matter to the business owner/entrepreneur. The first step to eliminating entrepreneurial anxiety is decreasing the uncertainty around reaching your goals and Dan has developed a set of proprietary algorithms to systematically decrease uncertainty and increase the power entrepreneurs have over their desired outcomes. Don't miss this episode...This Is The Year For Your New BookWatch this interview on our YouTube channel:https://youtu.be/egnOZT--GKY

This episode is a special one as we introduce to you our program, Giving Tuesday 2020 Listen as Sammy, Andrew, Carina and Benjy talk about High Noon leadership style by embodying its virtues: Honesty, Grace, Integrity, Accountability, and Courage.  With High Noon’s continued growth, a new paradigm of leadership is emerging organically. We continue to transform leaders by being our best, authentic selves, living by the organization’s set principles and empowering others as well to live a life without shadows.  At High Noon, we believe that life and leadership mean creating a better world through redefining oneself and enlightening others to be self-sufficient and grounded to have genuine and lasting peace and joy.  What is Giving Tuesday 2020 (3:35) High Noon Leadership is:  Letting loose and discovering a version of yourself that is unafraid to make mistakes and get criticism (8:00) Having humility and being kind to others and myself (10:36)  Removing this pedestal idea of perfection and one has figured it all out (14:23) Allowing people to be human and work on themselves (15:32) How do you handle honesty:  As part of your job (20:28)  In reaching the level of accountability: Living up your words (23:47)  As a balance of talking and not talking (26:19) Letting your results speak for you (28:01) Peace starts within yourself (29:12) The essence of leadership through transparency (32:53)  

Scott Zimmerman started out in the financial service industry at Mutual of New York in 1989 and has specialized in Life Insurance, Long Term Care Insurance and Safe Money investments ever since. His specialty is working with individuals and business owners to finding the right amount of insurance to have and at the same time find the right products to meet your needs. It can be confusing to know what types of insurance people should own. Scott helps match the needs and wants of his clients to find the best fit possible. He is also known for presenting complex issues in a simplistic way so everyone understands what is being presented. Scott holds licenses for Life, Accident and Health Insurance and is approved to do business in AZ, CA, CO, FL, IL, SC, NV, NY, TX, HI and OK.Scott and his fiancé Debbie are planning their wedding for June 25, 2021. Together they have six kids; Samantha, Taylor, Sydney, Gabby, Izzy and Niko. Scott’s passion is traveling . His adventures include hiking Mount Kilimanjaro, hiking the Inca Trail in Peru, Safari in Africa, Camel Safari in Morocco, skiing cross country through Norway, a 10 day horseback ride in Argentina and rafting the Futaleufu River in Chile, just to name a few. He likes to work out, play tennis, hang out with family and friends, read, and sometimes watch meaningless TV.Don't miss this episode..."This Is The Year For Your New Book"

On the show with me today is Gene Hammett, an executive coach for founders and CEOs of companies on the Inc 5000 list.  In today's interview, Gene and I decided to take a different approach, and rather than me interviewing Gene, we decided to use this episode as a live coaching session for yours truly. Want to know how to become a better leader? Tune in and listen to what Gene had to say! Thank you so much for listening! Please subscribe rate and review on your favorite podcast listening app. To get to the show notes for today's episode, go to https://brightideas.co/340...and if you have any questions for me, you can leave me a voicemail at brightideas.co/asktrent

Steven Lefkoff is the founder of Small Claims Academy, a business established in 2020 to empower litigants to perform as well as they can in their small claims case by providing individuals and businesses with products designed to help them navigate their state’s small claims court. Small Claims Academy's first product, Gavel (www.gavel.legal), is an online course to teach litigants the tips, tricks, and procedures of small claims courts.Find Steven at www.smallclaimsacademy.com or www.gavel.legalDon't miss this episode..."This Is The Year For Your New Book"Watch this episode on our YouTube Channelhttps://youtu.be/sP8-h47GtJc

Bill Bloom is a husband and father. He is also a writer in progress. He has published two books and is currently working on the third book to be released in 2020 which will teach people how to unlearn their bad money habits and create new ones! HIs favorite topic of conversation is retirement income. Bill is a Retirement Income Certified Professional, RICP®. The reason that he is in business is for his clients. Retire As You Desire™ is his motto. His clients receive personalized retirement income plans. He teaches individuals, couples and business owners how to create lifetime income streams from their investments. He shows people techniques that may help them “Retire As You Desire™” and live the lifestyle that they have always dreamed of in retirement. Bill loves reading books, playing and watching soccer, sailing, sailboat racing, traveling with his family, and most importantly, spending time with his wife and son.Don't miss this episode...Watch on our YouTube Channel:https://youtu.be/j9Gok3Gnm1k"This Is The Year For Your New Book"

Lindsey Wander, Valedictorian of her high school, originally enrolled at Cal State Fresno to study Biomedical Engineering. In just four years, he graduated with a Bachelor’s in Biology, a Bachelor’s in Chemistry, and a Minor in Mathematics. Several domestic and international internships later, she discovered her passion for teaching and re-enrolled in college to earn her teaching credentials. For several years, Lindsey taught math, biology, and STEM in the low-income neighborhoods of California, making it her mission to create a learning environment that was so engaging that it motivated her students to come to school. They explored, questioned, investigated, learned, laughed, and loved - all within her classroom walls. However, time and financial restraints, added to endless bureaucratic red tape, prevented Lindsey from being able to dedicate the 1-on-1 time to her students who needed it. Thus, many of her “kids” fell through the cracks - and there was nothing she could do about it. So, when Lindsey moved to Chicago at the ripe age of 29, she decided to start her own tutoring business, which later became WorldWise Tutoring. Her mission was to help students of all abilities to not only improve their grades and scores, but to also learn the skills to become confident and independent lifelong learners, and grow into competent and conscious leaders. She sought to empower our youth with the tools to succeed in school, work, and life – so that they were in the powerful position to direct their own lives. Lindsey’s methodologies were so effective that her business quickly grew beyond what she could handle alone. So she started to “teach the teachers,” guiding tutors dedicated to her cause with her best practices. Now, years later, she has seen her kids return home from college as accomplished, self sufficient adults who are still eager to learn more. Lindsey found a career that she loves and that makes the world a better place. Her goal is to inspire her students to do the same.Connect with Lindsey on Social Media:Facebook - business: https://www.facebook.com/WorldWiseTutoring/Facebook - group: https://www.facebook.com/groups/WorldWiseTutoring.LifelongLearners/Instagram: https://www.instagram.com/WorldWiseTutoring/?hl=enLinkedIn - business: https://www.linkedin.com/in/worldwisetutoring/Twitter: https://twitter.com/worldwisetutor?lang=enYouTube - https://www.youtube.com/channel/UCzmHvAEv6InRTM-h5e8L5bwPinterest: https://www.pinterest.com/WorldWiseTutoring/Blog - https://www.worldwisetutoring.com/blog/Don't miss this episode..."This Is The Year For Your New Book"

Having spoken in over 30 countries on six continents, Rock and Roadie turned entrepreneur Richard Mulholland knows first-hand the impact that memorable presentations can make. That's why he works with executives and speakers around the world, helping them deliver unforgettable presentations that activate audiences and generate income.He's the founder of presentation powerhouse Missing Link, as well as the co-founder of 21Tanks, HumanWrit.es and The Sales Department. He has written three books, Legacide, Boredom Slayer, and Story Seller, and was voted top 40 under 40, and top 300 South Africans to take to lunch.Mostly though he's a husband, father, son, brother, and uncle.Find Rich here:https://www.facebook.com/RichardMulhollandhttps://twitter.com/RichMulhollandhttps://www.youtube.com/c/RichMulholland/featuredhttps://GetRich.AF https://get.msnglnk.com/Don't miss this episode..."This Is The Year For Your New Book"Watch the Interview here:https://youtu.be/97_meMlye5s

Known as the Academic Entrepreneur, Dr. Cheryl is a unique and dynamic speaker who intensely connects with her audience, having one foot in academia and one foot in the business and entrepreneurial space. Her goal is to offer the audience pearls of wisdom today they can use tomorrow in their personal and professional lives. It is not enough to know; the expectation is for participants to take action and do. Join Dr. Cheryl on her journey to connect these dots to provide inspiration, knowledge, and counsel to move forward effectively.Known globally for her writings on leadership and failure, as well as critical and refractive thinking she has been published more than 44 times with 25 writing awards. As an accomplished university professor, speaker, & consultant, she is an international best-selling author, and top quoted publishing professional on ABC, CBS, NBC, and Fox. She will take the stage as a TEDx Speaker in *Farningdale2020, October 10, 2020. Connect with Dr. Cheryl on Social Media:www.DrCherylLentz.com https://twitter.com/DrCherylLentzhttps://www.amazon.com/Cheryl-Lentz/e/B002D63EPChttps://www.facebook.com/Dr.Cheryl.Lentzemail: drcheryllentz@gmail.comhttps://www.linkedin.com/in/drcheryllentz/https://www.youtube.com/drcheryllentzhttps://www.instagram.com/drcheryllentz/Don't miss this episode..."This Is The Year For Your New Book"Watch the interview here:https://youtu.be/2hbVuZ4jjgI

Karen De Amat's professional career began on the cusp of the Social Media emergence. As a working professional in marketing, she built a social media presence and developed her personal brand. Karen's solo-preneur to entrepreneur journey as the CEO of Social Behavior started in 2014 with a grassroots-like approach of serving a handful of customers in a home-based office. Satisfied customers and high demand yielded the opportunity for growth in a developing marketing category. In the last six years, the agency has grown immensely and continues to exceed customers expectations with a turn-key social media solution. Karen's career as a marketing professional arrives from her experience with Luxury, Hospitality, and Wine & Spirits. Beyond that Karen has over 7 years of Corporate Oil & Gas experience. She also received a Bachelor's Degree in Finance from the University of Houston-Downtown. Despite the level of success that Karen has reached, along the way there were many twists and turns and "failures" that led up to this high point in her career. In her minimal spare time, Karen donates to and supports various local charities and is involved with local community initiatives to help the Houston community continuously prosper. For leisure, Karen enjoys exploring new cultures via travel, trekking the outdoors, and cooking in “Karen's Kitchen”.Get in touch with Karen on Social Media:www.socialbehaviorhouston.com www.linkedin.com/in/karendeamatwww.instagram.com/socialbehavior www.facebook.com/socialbehaviorDon't miss this episode..."This Is The Year For Your New Book"

Today's topic was: "4th Quarter Mentality"   We went a few different directions, but ultimately we came back to topic of dominating the 4th quarter of 2020.   Thinking about writing a book? Schedule a free strategy call and share your book idea with our team at https://www.selfpublishn30days.com/   Thanks for tuning in!   Connect with me directly at https://www.tajdashaun.com/   LinkedIn: https://www.linkedin.com/in/tajdashaun/   Instagram: @tajdashaun   Facebook: https://www.facebook.com/coachtajdashaun YouTube: https://www.youtube.com/channel/UCdQgi_hDXaP5-6OtX_Nyf4A --- Support this podcast: https://anchor.fm/thriveaftersports/support

Part of my new role as Vice President of Self-Publish-N-30-Days is to host a show called Market Leader Live. Can you tell I was a little nervous at the beginning? Don't worry, I'll get better. Today's topic was: "Fear of Failure vs. Fear of Success" Thinking about writing a book? Schedule a free strategy call and share your book idea with our team at https://www.selfpublishn30days.com/ Thanks for tuning in! Connect with me directly at https://www.tajdashaun.com/ LinkedIn: https://www.linkedin.com/in/tajdashaun/ Instagram: @tajdashaun Facebook: https://www.facebook.com/coachtajdashaun YouTube: https://www.youtube.com/channel/UCdQgi_hDXaP5-6OtX_Nyf4A --- Support this podcast: https://anchor.fm/thriveaftersports/support

Aneesh Chaudhry is a Philanthropist and Brain Health Coach based out of Newport Beach, CA. He is the Founder and CEO of SoulPhysio Lifestyle LLC and The SoulPhysio Foundation. He owns 2 Wellness Clinics focused on Brain Health and Eastern Medicine. It is his mission to bridge the gap between Eastern and Western Medicine in order to help Combat Mental and Neurological Illness in Children.Get in touch with Aneesh on Social Media:Facebook: https://www.facebook.com/aneesh.chaudhry.56/Linkedin: linkedin.com/in/aneesh-chaudhry-ccws-986186145 Instagram: @soulphysiolifestyle Website: www.soulphysiolifestyle.com Don't miss this episode..."This Is The Year For Your New Book"

Tyler Andrade is nothing if not a Market Leader and a Change Maker.Born in Oakland, California he began life battling the abuse of his alcoholic father, ditching school from a very young age and an early introduction into gang life – watching his first gang attack at only 6 years old. Multiple moves prior to the 7th grade were marked by a trail of violence stemming from insecurities and a desperate desire for approval and acceptance.  By his Sophomore year of high school, Tyler had been in 3 group homes and was battling a narcotic addiction. He did, however, find his saving grace in the football weight room which began to fuel his desire for a new life. This desire was solidified during his Senior year when he was attacked by members of a rival gang; stabbed multiple times in the head, neck and stomach and left to bleed out in a dark, cold East San Diego alley. The following year, at only 18 years old, Tyler found out he was going to be a father.  He relocated to Sacramento to be closer to his son. He was forced to grow up and accept a responsibility he was not prepared to take on.  This began another downward spiral, ultimately resulting in a suicide attempt in 2016 when he placed a gun to his head and squeezed the trigger… and the gun jammed. After this dramatic wake up call, Tyler began the miraculous turn around of his life.  He began to chase his passion of Fitness born in the high school weight room.  In 2017 he became the trainer for a former Miss USA and went on to open his first gym in April of 2018.  By October of that same year, his business had grown so much he had to expand, signing the lease on a facility three times the size of his original gym.  He continued to chase his passion, opening his second gym location only three months later in January of 2019. Later that year he secured an investor and business partner, allowing him to install the only Whole-Body Cryotherapy Chamber in a public gym (the only other being in the private facility used by the NBA's Sacramento Kings).With all these wins in his corner, Tyler continues to chase his goals. Due to the innovative indoor/outdoor nature of his gyms, they have experienced 3 back to back record months despite COVID.  He is also going through a civilian program put on by Real Seals which replicates Navy Hell Week as well as battling his fears of deep water for his upcoming Deep Water Tier 1 Instructor test – thus allowing him to experience as much as possible the dream of becoming a Navy Seal that his past had denied him.All his life, Tyler has battled insurmountable odds and overcome the trials that strove to break him. He has overcome a lifetime of trauma and now strives to help struggling people to realize that they are just a few smart choices away from creating their Dream Life. Don't miss this episode..."This Is The Year For Your New Book!"

Justin Breen is CEO of the PR firm BrEpic Communications and author of the No. 1 International Best-Selling Book, Epic Business. Justin is hard-wired to seek out and create viral, thought-provoking stories that the media craves. And he finds the best stories when he networks with visionary entrepreneurs and executives who understand the value of investing in themselves and their businesses. Justin believes strongly in the power of introductions and creates important relationships through those introductions. He is an extremely active member of Entrepreneurs' Organization, Strategic Coach, Secret Knock and ProVisors, and he has an incredible global network of visionaries and exceptional businesses. BrEpic is a PR firm that writes compelling, newsworthy stories for its clients and pitches those stories to media across the world. BrEpic clients have included Allstate, University of Illinois, Salvation Army, Safe + Fair Foods, Influitive, Everspring Education, McCormick Foundation, Morgan Stanley, White Lodging, Burwood Group, Cultivate Advisors, financial planners, physicians, several schools, universities, nonprofits and many more.Don't miss this episode..."This Is The Year For Your New Book"

Cherilynn Castleman is the Managing Partner and Executive Coach for CGI, a consulting and training firm specializing in sales training, leadership development and executive coaching. As a sales coach and internationally renowned sales expert, Cherilynn teaches clients how to develop highly effective growth strategies and innovative go-to-market models to increase sales productivity and drive revenue. For over 20 years, Cherilynn has been helping forward-thinking sales professionals and small business leaders solve their toughest sales, leadership, and culture challenges. Her trainings and insights equip members of the Sistas In Sales organization with the skills and knowledge they need to master executive sales, unlock potential, and maximize performance. Don't miss this episode..."This Is The Year For Your New Book"

William Winfield is a 29-year-old certified professional speaker, Education consultant, Minister, and Author.William is also a Father of two wonderful sons, and beautiful daughter, a husband to the most Beautiful Queen in the world Jennifer!William has over 5 years of experience in public speaking, mentoring and coaching, William is one of the most sought-after motivational speakers for inspiring and activating students and educators in America.His own life experiences such as being in Foster care, homelessness, losing a football scholarship, raised by a single mother, and being molested have prepared him well and have made him an expert in his field.His transparency, honesty and heart-felt desire to inspire people to achieve greatness is what sets William apart.Don't miss this episode..."This Is The Year For Your New Book"

Tiffany L. Williams is the CEO and creative director for Twice Media Productions, LLC, a full-service, commercial video technology company based in Houston, Texas. She started the business three short months after finishing graduate school in 2012. She is also co-founder and managing director for Diversity Fund Houston, a micro venture capital fund created to invest in minority tech founders.Tiffany brings a wealth of knowledge and familiarity within the technology and digital marketing fields. She began working as a multimedia instructor for the Freedom Forum Diversity Institute in Nashville, Tenn., in 2009 and later became an adjunct professor at Prairie View A&M University, where she taught mobile media and video production.In 2019, Tiffany was named Supplier of the Year by the Houston Minority Supplier Development Council (HMSDC). The previous year, she received The Art of STEM Award from STEM Bridges Houston and The Darryl King Paving The Way Award from World Youth Foundation. In 2016, she was named the Emerging Leader of The Year by eWomenNetwork and won 3rd Place in the HCC Newspring Business Plan Competition. In 2015, she won Supplier of The Year from the Women Business Enterprise Alliance, an Emerging Ten (E-10) Award from HMSDC and Houston Business Journal.Tiffany is an alumnus of Leadership Houston Class XXXIV and now serves on the Board of Directors. She participated in Dartmouth College's Tuck School of Business Executive Education and Google's Digital Excellence programs. She also received her Bachelor of Arts degree in English from Tennessee State University and her Master of Arts degree in Journalism and Documentary Filmmaking from Michigan State University.Don't miss this episode..."This Is The Year For Your New Book" 

As a business visionary, Ruben Alvarez has dedicated himself to sales and marketing at a manufacturing company for the last eight years. He recently launched his own venture, The Marketing Hunters.From this new business, his Podcast #INFORTHEKILL was formed, which focuses on modern-day men and women who hunt their goals down and are constantly chasing their dreams. Prior to having a business career, he pursued the Culinary Field and is a recognized Certified Chef in the United States. Ruben Alvarez resides in Surprise, AZ.Don't miss this episode... "This Is The Year For Your New Book"

As a visionary, entrepreneur, and business owner, Darren M. Palmer founded one of the industry-leading self-publishing companies in the world, Self-Publish -N- 30 Days. The company’s concept was crafted to debunk the myth that it takes years to write a book.He is a 10X author; including his first release, Extraordinary Over Ordinary that helps motivate and inspire people to stop living an average life. He has also authored Money-Making Book Secrets to give tips and tools for first-time authors.Don’t Miss This Episode…“This Is The Year For Your New Book”

As a visionary, entrepreneur, and business owner, Darren M.Palmer founded one of the industry-leading self-publishingcompanies in the world, Self-Publish -N- 30 Days. Thecompany’s concept was crafted to debunk the myth that it takesyears to write a book.He is a 10X author; including his first release, ExtraordinaryOver Ordinary that helps motivate and inspire people to stopliving an average life. He has also authored Money-MakingBook Secrets to give tips and tools for first-time authors.Don’t Miss This Episode…“This Is The Year For Your New Book”

As a visionary, entrepreneur, and business owner, Darren M.Palmer founded one of the industry-leading self-publishingcompanies in the world, Self-Publish -N- 30 Days. Thecompany’s concept was crafted to debunk the myth that it takesyears to write a book.He is a 10X author; including his first release, ExtraordinaryOver Ordinary that helps motivate and inspire people to stopliving an average life. He has also authored Money-MakingBook Secrets to give tips and tools for first-time authors.Don’t Miss This Episode…“This Is The Year For Your New Book”

As a visionary, entrepreneur, and business owner, Darren M.Palmer founded one of the industry-leading self-publishingcompanies in the world, Self-Publish -N- 30 Days. Thecompany’s concept was crafted to debunk the myth that it takesyears to write a book.He is a 10X author; including his first release, ExtraordinaryOver Ordinary that helps motivate and inspire people to stopliving an average life. He has also authored Money-MakingBook Secrets to give tips and tools for first-time authors.Don’t Miss This Episode…“This Is The Year For Your New Book”

For today's podcast, you will be tuning in to a segment as I am “Live From Stage” during my big event last summer. In this segment I cover the “Decision Making Matrix” that I use to help members of my community… This exercise is here to help you decide whether you need to be more of a driver in your clinic, or if it's better to step back and give up some control. I hope you enjoy! If you like this podcast and want to make your clinic a cash generating machine, you should join my brand new live 2-day seminar dedicated to helping you get cash, keep cash, and navigate the financial crisis that looms for clinics in 2020, Just head to PaulsBigEvent.com to sign up today. Also, as a special gift to this amazing podcast audience, we are offering an exclusive code for $75 off your ticket today. Just type in “Harry” at check out to get claim this discount. Again, If you want to register, head to PaulsBigEvent.Com. We only have 35 guest seats open so you don't want to miss this… ---- Subscribe to my YouTube Channel for Daily Videos: HERE Check out Paul's No.1 Best Selling Physical Therapy Business Books: www.paulgoughbooks.com

As a visionary, entrepreneur, and business owner, Darren M. Palmer founded one of the industry-leading self-publishing companies in the world, Self Publish -N- 30 Days. The company’s concept was crafted to debunk the myth that it takes years to write a book.He is a 7X author; including his first release, Extraordinary Over Ordinary that helps motivate and inspire people to stop living an average life. He has also authored Money-Making Book Secrets to give tips and tools for first-time authors.Mr. Palmer hosts multiple podcasts: Self Publish -N- 30 Days Podcast, The Power of Story Podcast & award-winning, Author Spotlight where he goes behind the scenes with authors and individuals with amazing stories to encourage everyone to share their story.He created This Is The Year For Your New Book Conference to assist authors and aspiring authors with writing, marketing, and publishing. Additionally, he has a Bestselling Business Authors Mastermind where he partners with authors and instructs them to utilize the B2 Method (Book to Business) to leverage their books in their field of expertise.Don’t Miss This Episode…“This Is The Year For Your New Book”

As a visionary, entrepreneur, and business owner, Darren M. Palmer founded one of the industry-leading self-publishing companies in the world, Self Publish -N- 30 Days. The company’s concept was crafted to debunk the myth that it takes years to write a book.He is a 10X author; including his first release, Extraordinary Over Ordinary that helps motivate and inspire people to stop living an average life. He has also authored Money-Making Book Secrets to give tips and tools for first-time authors.Mr. Palmer hosts multiple podcasts: Self Publish -N- 30 Days Podcast, The Power of Story Podcast & award-winning, Author Spotlight where he goes behind the scenes with authors and individuals with amazing stories to encourage everyone to share their story.He created This Is The Year For Your New Book Conference to assist authors and aspiring authors with writing, marketing, and publishing. Additionally, he has a Bestselling Business Authors Mastermind where he partners with authors and instructs them to utilize the B2 Method (Book to Business) to leverage their books in their field of expertise.Don’t Miss This Episode…“This Is The Year For Your New Book”

As a visionary, entrepreneur, and business owner, Darren M. Palmer founded one of the industry-leading self-publishing companies in the world, Self Publish -N- 30 Days. The company’s concept was crafted to debunk the myth that it takes years to write a book.He is a 7X author; including his first release, Extraordinary Over Ordinary that helps motivate and inspire people to stop living an average life. He has also authored Money-Making Book Secrets to give tips and tools for first-time authors.Mr. Palmer hosts multiple podcasts: Self Publish -N- 30 Days Podcast, The Power of Story Podcast & award-winning, Author Spotlight where he goes behind the scenes with authors and individuals with amazing stories to encourage everyone to share their story.He created This Is The Year For Your New Book Conference to assist authors and aspiring authors with writing, marketing, and publishing. Additionally, he has a Bestselling Business Authors Mastermind where he partners with authors and instructs them to utilize the B2 Method (Book to Business) to leverage their books in their field of expertise.Don’t Miss This Episode…“This Is The Year For Your New Book”

As a visionary, entrepreneur, and business owner, Darren M. Palmer founded one of the industry-leading self-publishing companies in the world, Self Publish -N- 30 Days. The company’s concept was crafted to debunk the myth that it takes years to write a book.He is a 7X author; including his first release, Extraordinary Over Ordinary that helps motivate and inspire people to stop living an average life. He has also authored Money-Making Book Secrets to give tips and tools for first-time authors.Mr. Palmer hosts multiple podcasts: Self Publish -N- 30 Days Podcast, The Power of Story Podcast & award-winning, Author Spotlight where he goes behind the scenes with authors and individuals with amazing stories to encourage everyone to share their story.He created This Is The Year For Your New Book Conference to assist authors and aspiring authors with writing, marketing, and publishing. Additionally, he has a Bestselling Business Authors Mastermind where he partners with authors and instructs them to utilize the B2 Method (Book to Business) to leverage their books in their field of expertise.Don’t Miss This Episode…“This Is The Year For Your New Book”

As a visionary, entrepreneur, and business owner, Darren M. Palmer founded one of the industry-leading self-publishing companies in the world, Self Publish -N- 30 Days. The company’s concept was crafted to debunk the myth that it takes years to write a book.He is a 7X author; including his first release, Extraordinary Over Ordinary that helps motivate and inspire people to stop living an average life. He has also authored Money-Making Book Secrets to give tips and tools for first-time authors.Mr. Palmer hosts multiple podcasts: Self Publish -N- 30 Days Podcast, The Power of Story Podcast & award-winning, Author Spotlight where he goes behind the scenes with authors and individuals with amazing stories to encourage everyone to share their story.He created This Is The Year For Your New Book Conference to assist authors and aspiring authors with writing, marketing, and publishing. Additionally, he has a Bestselling Business Authors Mastermind where he partners with authors and instructs them to utilize the B2 Method (Book to Business) to leverage their books in their field of expertise.Don’t Miss This Episode…“This Is The Year For Your New Book”

Darren M. Palmer shares the success of the Visionistas Conference 2020.

From humble beginnings, Emilian V. White is a native of Cleveland, Ohio. He graduated from Kent State University in 1975. He was raised by a single mother in one of Cleveland’s roughest housing projects. Emilian is a true success and he credits God, his family and his education from Kent State.Emilian is a self-described ‘problem solver.’ He launched KMAZ in May 2015 to benefit Bread of Life, Inc., a non-profit organization aimed at helping the homeless and disenfranchised. Emilian has a wealth of experience that uniquely prepared him to lead AMAZING 102.5 FM. Prior to launching AMAZING 102.5, he served as the General Sales Manager for KCOH AM Houston for 10 years.He also worked as an Account Executive for various other Houston Stations. KMJQ, MAJIC 102 FM for 22 years, as well as LARaza 98.5 FM, KQUE 1230 AM, KHYS 98.5 FM and KZJJ Channel 61.Emilian started his radio career at WKSU on the campus of Kent State. It was there that he got the bug for radio. Emilian says one of his professors, Norman Wain, suggested he get into radio sales. He told Emilian, “DJs are a dime a dozen, but a good salesperson can make a consistent living in radio.” After graduation, Emilian landed a job at WUSS in Atlantic City, NJ.In 1976, he moved on to WKDD in Akron, Ohio and then WGCL in Cleveland. Emilian went to work for Epic Records as Regional Promotions Manager in 1980. Don't miss this episode..."This Is The Year For Your New Book"www.SelfPublishN30Days.com

"We often compare how WE FEEL on the INSIDE with how OTHERS LOOK on the OUTSIDE." - Rich Litvin Are you holding yourself back because: you feel doubt while others look confident? you feel unsure while others look like they have clarity? you feel afraid of failing while others look always succeed? I know these specific comparisons because they are persistent inner thoughts of mine. But I know I'm not alone with these thoughts . And you're not alone either. That's why we've revamped Outlier to Trailblazer coaching conversations to explore the "inner journey" of becoming a more impactful and influencial entrepreneur, thought-leader, coach, change-maker, author, business leader, and trailblazer. Today, Trailblazer Erin Baker shares her inner journey to blazing her own unique trail while navigating failure, career changes, committment, and the journey to becoming a leader and coach to social impact entrepreneurs.

Ag Leader introduces live stream mapping, Drone Registration Regulations change coming, HTS Ag Blue Delta Dealer Differentiation

Everybody is talking about CBD oil  right now but how does this supposed cure-all impact vocals? And speaking of drugs (natural or otherwise), how does that impact our ability to write or perform music? In this episode, I take a very business oriented approach to the science and trend of drugs.  Resources: Science Vs. podcast on CBD Oil Mic: Science Reveals What Drugs Really Do to Artists' Brains Study: Stage Fright in Musicians: A Model Illustrating the Effect of Beta Blockers Medical News Today: 10 tips for singers to keep voices at prime Leader Live: 6 Vocal Myths

Four Engineering Managers from Facebook, Kabam, Clever, and Medium shared their tips on becoming a great Engineering Leader during the Plato event hosted on May 15, 2017 in San Francisco. Moderator: Christian McCarrick, CTO/VP of engineering at Telmate Jean Hsu, Engineering Management Consultant, former Engineering Manager at Medium Nikhil Pandit, Engineering Manager at Clever Inc. Richard Sun, Senior Director of Engineering at Kabam Yi Huang, Senior Engineering Manager at Facebook This event was sponsored by Plato.  Plato matches tech managers to highly experienced engineering leaders to help resolve their challenging management situations. Find out more and sign-up to me mentored at platohq.com. Show Notes: Plato YouTube Video of the event Medium Article based on the panel discussion

BEING at HOME for the Holidays Series With your hosts Henry Schoenfield and Brenda Baird Join us for a 6 part series focus on helping you discover new ways to concentrate your energy on that which you can control so you can experience peace and joy this holiday season. In Episode #, "Come Together", we looked at how these various roles can come about and we uncovered a few tips for observing they ways our family dynamics play out. Here’s the link if you missed it: http://www.blogtalkradio.com/lifecoachradionetwork/2017/11/17/come-together In Episode #2 of our series, Henry and I will discuss the way we choose to interact, and the roles we sometimes play. Our behaviors and reactions can happen unconsciously and often we find ourselves playing a role within our family dynamic that causes us stress and anxiety during the holiday season. Let’s do it differently this holiday season! Tune into “What’s OUR role?” Being a Leader: Live with Brenda Baird Thursday November 30, 2017 at 8pm ET / 7PM CT Link to show: http://www.blogtalkradio.com/lifecoachradionetwork/2017/12/01/whats-our-part  

In the first of a 6 part series called BEING at HOME for the Holidays, you’ll discover new ways to concentrate your energy on that which you can control. Rev. Henry Schoenfield and I are offering a dynamic series of conversations focused on - how to take better care of our-self during the holidays season, how to avoid the traps of old family patterns, how to recognize our role in those patterns and to explore the inner work to find our personal place of choice. Starting this Thursday November 16th  and continuing through December 28th we will shine light on the things that trigger us, understand the feelings behind the stories we tell ourselves, and learn to see clearly that there is another way. It doesn’t mean abandoning your family traditions; it means showing up and being with family in a different way. It’s our gift to you. Please join us for this very special series on Being a Leader: Live with Brenda Baird. Being at Home on the Holidays airs on Thursday evenings at 8pm ET / 7 pm CT on the Life Coach Radio Network. The link to the show is here. http://www.blogtalkradio.com/lifecoachradionetwork/2017/11/17/come-together

Ever wonder why - some people thrive in the face of challenge and adversity, while others panic, experience high stress, and even withdraw into themselves? That’s our topic on Being a Leader: Live with Brenda Baird October 5, 2017 8pm ET / 7pm CT. Rev. Henry Schoenfield, CPC and I will share the art of resilience and how you can build your own resilience one step at a time. Link to show: http://www.blogtalkradio.com/lifecoachradionetwork/2017/10/06/the-bounce-back-factor

Perception is everything, especially when our perceptions drive our attitudes and our attitudes impact others. Tune in Thursday September 14, 2017 at 8pm ET / 7pm CT for Being a Leader: Live with Brenda Baird. During this episode we’ll discuss the difference between leaders who show up at work and those who show up to work. The attitude you display, the words you speak, the body language you exude and the look on your face that you don’t think anybody else sees (but of course they do), all contribute to the value — or lack thereof — that you, as a leader, create for others. How a do you want to show up!   Link to show: http://www.blogtalkradio.com/lifecoachradionetwork/2017/09/15/6-ways-a-great-leader-shows-up

Are customers or employees the number one priority of management’s decision-making hierarchy?  This may be the toughest question to answer in the minds of most leaders today.  As business struggles to push continued efforts to find new ways of cutting cost and gaining new efficiencies all the while remaining competitive. Tune in August 8, 2017 at 1 PM ET / 12 PM CT for Being a Leader: Live with Brenda Baird. We’ll tackle this question and share my thoughts about how leadership can address the issues facing them in today’s new era globalized business.  Link to show: http://www.blogtalkradio.com/lifecoachradionetwork/2017/08/08/are-customers-or-employees-the-number-one-priority-of-management Let me know what you think - call during the show to ask questions or share your thoughts at 646-716-9397 press 1.

If you are not currently happy with the circumstances of your life or find yourself constantly obsessed about other people’s feelings and problems, old guilt, shame, fear and pain; destructive relationships; impatience; perfectionism; fearless; and pessimism then tune in June 6, 2017 at 7pm CT / 8 pm ET to Being a Leader: Live with Brenda Baird. In this 5 part summer series I call A Moment to Reflect, we will tackle the importance, often-difficult task of releasing our old self-defecting attitudes and behaviors so we can move forward toward greater peace and serenity. This series is for anyone who wants to move beyond suffering and confusion to a space of freedom and confidence to live the life they choose. Have a question for me? Call me during the show live at 646 716 9397 press 1 to get in the que or email brenda@brendabairdcoaching.com Link to show:http://www.blogtalkradio.com/lifecoachradionetwork/2017/06/14/how-to-move-forward-toward-greater-inner-peace-and-serenity    

The journey from good to great or ordinary to extraordinary is paved with well-planned initiatives and effort. It is very important for managers to understand the reputation they have in their organizations, be it positive or disappointing. The quality of relationships is a accurate indicator of future opportunity. On this episode of Being a Leader: Live with Brenda Baird I will examine the three approaches to discover your reputation and provide a step by step guide to improving and repairing the areas that may need strengthening.  Plus in my new segment I called Happiness Works!, you will learn how to stop defining your life with “good” or “bad” labels. Being a Leader Live: with Brenda airs Tuesday May 9 at 7 pm CT / 8 pm ET on the Life Coach Radio Network. Tune in here: http://www.blogtalkradio.com/lifecoachradionetwork/2017/05/10/managing-and-improving-your-reputation

Management is a craft. It’s developed over time and with great attention to self awareness. On this episode of Being a Leader: Live with Brenda Baird we will discuss the unique and complex nature of managing in today’s progressive workplace. We’ll explore the key enablers and barriers to productivity. As a professional coach, I will offer some thought provoking questions to get you thinking about your management style, what’s working well and what needs bolstered up.  Plus in a new segment I call Happiness Works!, we will take a look at how to make the paradigm shift needed to answer the question, Am I Happy?  Being a Leader Live: with Brenda airs Tuesday April 11 at 7 pm CT / 8 pm ET on the Life Coach Radio Network. Tune in here:http://www.blogtalkradio.com/lifecoachradionetwork/2017/04/12/management-in-modern-times

Please join me March 28 at 8pm ET / 7pm CT for an expanded episode of Being a Leader: Live with Brenda Baird. On this episode we will talk with a panel of certified coaching experts who attended the inaugural World Happiness Summit (WoHaSu). Some 50 Tribe Facilitators representing the iPEC Group came together in Miami for a 3-day journey to explore ways of reaching higher levels of consciousness through meditation, introspection, yoga, and proactive listening. Our journey also included mind-awakening endeavors into areas of food, fitness, life coaching, positive psychology, and much more. During the show we will discuss our experiences at the event and insights we learned about Happiness.  Plus, we will share a few practices to build a happier life. WoHaSu is over but it is just the beginning of something bigger than anyone can imagine! Panel of Coaches: Amina Hedayat Khalil, Deb Degner, Heather Parks, Laural Miller, Saber Fatnassi, Nancy Nicholson Kobel Link to Show: http://www.blogtalkradio.com/lifecoachradionetwork/2017/03/29/learn-what-we-discovered--energymatters-choosehappiness  

Is a lack of career development causing your company to fail at keeping talented employees or achieving business results? Is it your company's practice to place employees in management roles and then train them? On this episode of Being a Leader: Live with Brenda Baird I want to invite you to a conversation about what it means to be a first-time manager. Research tells us that first-time managers actually lead the largest amount of people in an organization and typically get the least amount of development. That's why I am so passionate about this subject. I want to really help people who have never lead but who have the responsibility to do work and lead other people. Tune in March 14, 2017 at 8 pm ET/ 7 pm CT for Who Is Responsible for First-time Manager Development? Link to show: http://www.blogtalkradio.com/lifecoachradionetwork/2017/03/15/who-is-responsible-for-first-time-manager-development

Do you know someone who works really hard but never thinks they get anything “just right”? Someone who feels like they fall short of being the best spouse, parent, professional, and friend they long to be? Someone who is constantly looking for external validation to know his or her self-worth? Sound like anyone you know? Perhaps even the person in the mirror? Been-there-felt-that! Here’s what I know now – you don’t have to stay stuck in the discouragement, resentment and struggle for a perfect life. On this episode of Being a Leader: Live with Brenda Baird I’ll explore the limiting beliefs that mislead us into a life of perfectionism, people-pleasing, and procrastination. Tune in December 13, 2016 at 8 pm / 7 pm CT  

Do you find yourself in situations where you have responsibility but no direct authority?      Tune in October 14, 2016 at 11am / 12pm CT for Being a Leader: Live with Brenda Baird.  We will examine the skill of influencing others to meet your goals. In this episode you will learn about my 5 steps to leading when you are not the boss. The information I’m sharing will set you up for success and prepare you to face your future projects with confidence and optimism. Tune in to find out more about a free gift for listeners. I'd love to talk to you live on the show, so give me a call at 646-716-9397 press 1 to get in the que.

Do you find yourself in situations where you have responsibility but no direct authority to get things done? Tune in September 27, 2016 at 1pm / 12pm CT for Being a Leader: Live with Brenda Baird.  We will examine the ability to influence others. You will learn about my 5 steps to leading when you're not the boss. The information I will share can provide you with the knowledge you may need in order to prepare and face your future with confidence and optimism.   We're celberating show 10! There is a free gift for listeners. I'd love to talk to you live on the show, so give me a call at 646 -716 -9397 press 1 to get in the que.

Building trust and strong relationships is central to great leadership. Please join me for Being a Leader: Live with Brenda Baird when we will discuss the importance of building strong relationships. Joining me on the show is Dr. Jeff Williamson, Executive Director of Corporate Engagement at Olivet Nazarene University. Jeff will share his insight on the impact strong relationships within our network can have when focused on providing transformational experiences to organizations, customers, and individuals. Dr. Williamson has developed courses for the Masters in Organizational Leadership program at Olivet and is very involved with a non-profit called EDGE Mentoring.  If you're interested in your building leadership skills you won't want to miss this show.

Building trust and strong relationships is central to great leadership. Please join me for Being a Leader: Live with Brenda Baird when we will discuss the importance of building strong relationships. Joining me on the show is Dr. Jeff Williamson, Executive Director of Corporate Engagement at Olivet Nazarene University. Jeff will share his insight on the impact strong relationships within our network can have when focused on providing transformational experiences to organizations, customers, and individuals. Dr. Williamson has developed courses for the Masters in Organizational Leadership program at Olivet and is very involved with a non-profit called EDGE Mentoring.  If you're interested in your building leadership skills you won't want to miss this show.  

For the first time ever there are four even five generations at work and home. If you're intereseted in learning how to understand, communicate and work effectively with all generations in the workplace or even at home tune in to Multiple Generations at Workon Being a Leader:LIVE with Brenda Baird. Traditionalists (born before 1945) Baby Boomers (born 1946–1964) Gen Xers (born 1965–1980) Millennials (born 1981–2001) 911 Generations (2002-?) Having multiple generations in the workplace can reveal surprising generational differences. Issues like: misunderstanding, irritation, and stereotyping that can really hurt work relationships, business results and often teams get stuck. Does this sound familiar: Why do these younger employees want so much feedback and attention? How many years do I have to “pay my dues” before they take me seriously? Why do the younger generations work with earphones when they miss half of what goes on? If so, you are seeing generational differences.  Get the answer answers to all these common questions about multiple generations in the workplace You won't want to miss my special guest Haydn Shaw. Hayden has researched generational differences for over twenty years. He is the author of Sticking Points: How to Get 4 Generations Working Together in the 12 Places They Come Apart. Hayden created FranklinCovey’s bestselling workshops Leading Across Generations and Working Across Generations. He also writes on generations and leadership for the Huffington Post.    

This episode of Being a leader: Live with Brenda Baird will take on the big questions about what is life coaching and how helpful is it for coaching clients?  The show will explain what coaching is and how the process works for Brenda’s clients. Brenda will talk about how finding the right coach makes such a big difference and why you should look for a coach who will challenge you to reach greater heights. The show will feature special guests Jenna a college student from So. Florida and Rana Olk, Certified Life Coach from Miami. The guests will share their personal experiences with coaching. Host,Brenda Baird is a Certified Professional Coach who specializes in helping people move forward and set personal and professional goals that will give them the life they really want. Most of Brenda’s clients are healthy, successful people who might be a bit stuck or simply want to make a big change in their lives and want the support of their own personal coach to help make it happen. Rana Olk is a Certified Life Coach committed to empowering women suffering with binge eating and bulimia get on the path to recovery. Having achieved freedom after more than 25 years in the cycle of food and weight obsession and bulimia, Rana believes wholeheartedly that we can all recover with the right support, and the tools that coaching has to offer.   Jenna from South Florida is young successful college student who found transitioning many major life events all at one time to be overwhelming. The effects of stress and anxiety began to negatively affect Jenna’s ability to enjoy her life and new experiences. Jenna will speak to how the coaching process has helped her find the answer within and free her to enjoy life and continue to success.

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