The purpose of this study was to examine speech-language pathologists (SLPs) familiarity with cueing hierarchies for single word retrieval and their perceptions of effectiveness when working with people with aphasia (PWA). More specifically this study sought to understand how SLPs select and modify cueing hierarchies in order to elicit single words. A 51 question electronic survey was distributed to ASHA-certified SLPs via Facebook group pages. The major findings from the study included that SLPs primary resource for learning about cueing hierarchies or creating their own cueing hierarchy is clinical experience. The second major conclusion of this study is that even though SLPs perceive that phonemic, semantic and mixed cueing hierarchies are “very effective,” SLPs only use the cueing hierarchies to target nouns “sometimes,” “about half of the time,” and “about half of the time” respectively. Speech-language pathologists perceive that phonemic, semantic, and mixed cueing hierarchies are “very effective,” “moderately effective,” and “moderately effective” respectively when targeting verbs. The SLPs use the cueing hierarchies “sometimes,” “about half the time,” and “about half the time” respectively to target verbs. There is a disconnect between the perceived effectiveness and the use of the cueing hierarchies when working with PWA. This finding might also tie into the results that SLPs only “somewhat agree” that the use of cueing hierarchies with PWA to elicit single words is evidence-based practice.


Keelor, Jennifer


Communication Studies


Adult and Continuing Education


speech-language pathologists, aphasia treatment, phonemic cueing hierarchy, semantic cueing hierarchy, mixed cueing hierarchy

Publication Date


Degree Granted

Bachelor of Arts

Document Type

Senior Independent Study Thesis



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