Speech Delay in Early Childhood: A Case Study of a 3.5-Year-Old Child
DOI:
https://doi.org/10.24256/ideas.v12i2.5809Abstract
This study examines the speech development of SY, a 3.5-year-old child with speech delay, living in a bilingual environment with early exposure to screen time. Through a case study approach, data was collected via observations, interviews with SY's mother and therapist, and therapy records. Initially, SY displayed significant speech limitations, including omitting sounds, using incomplete words, and having a limited vocabulary. Factors such as frequent screen exposure and reduced direct interaction were identified as potential contributors to SY's speech delay. After six months of Speech-Language Therapy (SLT) led by an experienced therapist, SY has shown improvements in word completion, clearer articulation, vocabulary expansion, and social engagement. However, challenges remain in maintaining SY's focus during therapy sessions, a common issue for children his age. The study underscores the importance of early intervention, reduced screen time, and increased face-to-face communication in managing speech delays. Findings suggest that a structured therapy approach combined with supportive family interactions can effectively foster language development in young children, even in bilingual settings, reinforcing the role of active parental involvement in enhancing communication outcomes.
References
Abida, L. (2024). The effect of screen time on delays in language and speech development in children: A meta-analysis. Jurnal Ilmu Dan Teknologi Kesehatan, 11(2), 173-186. https://doi.org/10.32668/jitek.v11i2.1458
Afriany, F., Ifandolyi, F., Istianingsih, N., Maros, A., & Hidayat, N. A. (2022). Play therapy for children who have speech delay in Bungo District. Research Journal of Health, Food and Life Sciences, 1(2). https://doi.org/10.29303/rjhf.v1i2.
Al Hosani, S. S., Darwish, E. A., Ayanikalath, S. et al. (2023). Screen time and speech and language delay in children aged 12–48 months in UAE: A case–control study. Middle East Current Psychiatry, 30, 47. https://doi.org/10.1186/s43045-023-00318-0
Badawieh, M., & Al-Shamsi, A. (2023). The factors that impact speech delay in the first three years of a child’s life. Journal of Language and Linguistic Studies, 19(1). http://www.jlls.org/index.php/jlls/article/view/5203
Baz, H., Hammad, M. F., Zayed, A. M., & Amer, A. (2024). The impact of environmental factors on Egyptian children with delayed language development. The Egyptian Journal of Otolaryngology, 40(1), 1-15. https://doi.org/10.1186/s43163-024-00695-1
Berkowitz, C. (2014). Berkowitz's pediatrics: A primary care approach. American Academy of Pediatrics.
Bingham, A. J. (2023). From data management to actionable findings: A five-phase process of qualitative data analysis. International Journal of Qualitative Methods, 22. https://doi.org/10.1177/16094069231183620
Callan, E. (2008). Critical Review: Does bilingualism slow language development in children. Retrieved November, 20(2012), 2007-08. https://www.uwo.ca/fhs/lwm/teaching/EBP/2007_08/Callan,E.pdf
Creswell, J. W. (2012). Education research: Planning, conducting, and evaluating quantitative and qualitative research (4th ed.). Pearson Education, Inc.
Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). SAGE Publications, Inc.
Cronin, P., & Goodall, S. (2021). Measuring the impact of genetic and environmental risk and protective factors on speech, language, and communication development-evidence from Australia. International Journal of Environmental Research and Public Health, 18(8), 4112. https://doi.org/10.3390/ijerph18084112
Dewi, P. D. R., Subanada, I. B., Utama, I. M. G. D. L., Artana, I. W. D., Arimbawa, I. M., & Nesa, N. N. M. (2023). Screen time and speech delay in 1-2-year-old children. GSC Advanced Research and Reviews, 14(2), 001-006. https://doi.org/10.30574/gscarr.2023.14.2.0039
Farrag, S., Afolabi, M. O., & El Sayed, R. A. A. (2020). Effect of parents' involvement interventions in speech language delay among late-talking toddlers in Egypt: A quasi-experimental study. Research & Practice in Neonatology, 4(4), RPN. 005592. https://doi.org/10.31031/RPN.2020.04.00592
Feldman, H. M. (2019). How young children learn language and speech. Pediatrics in Review, 40(8), 398-411. https://doi.org/10.1542/pir.2017-0325
Finders, J., Wilson, E., & Duncan, R. (2023). Early childhood education language environments: Considerations for research and practice. Frontiers in Psychology, 14, 1202819. https://doi.org/10.3389/fpsyg.2023.1202819
Habsad, D. I., Maharani, R. N., Darma, S., Darussalam, A. H. E., & Jafar, M. A. (2024). Characteristics of speech delay in children aged 2-5 years for the period January-December 2022 at RSUP Dr. Wahidin Sudirohusodo. Jurnal Biologi Tropis, 24(1), 593–599. https://doi.org/10.29303/jbt.v24i1.6642
Hadiwijaya, M., & Amalyasari, M. R. (2022). Treatments and therapies for speech delay children: A literary study. Verba: Journal of Applied Linguistics, 1(2), 11–22. https://doi.org/10.572349/verba.v1i2.25
Klatte, I. S., Bloemen, M., de Groot, A., Mantel, T. C., Ketelaar, M., & Gerrits, E. (2024). Collaborative working in speech and language therapy for children with DLD-What are parents' needs?. International Journal of Language & Communication Disorders, 59(1), 340–353. https://doi.org/10.1111/1460-6984.12951
Korpilahti, P., Kaljonen, A., & Jansson-Verkasalo, E. (2016). Identification of biological and environmental risk factors for language delay: The Let’s Talk STEPS study. Infant Behavior and Development, 42, 27–35. https://doi.org/10.1016/j.infbeh.2015.08.008
Liang, W. H. K., Gn, L. W. E., Tan, Y. C. D., & Tan, G. H. (2023). Speech and language delay in children: A practical framework for primary care physicians. Singapore Medical Journal, 64(12), 745–750. https://doi.org/10.4103/singaporemedj.SMJ-2022-051
McKay, S. L. (2006). Researching Second Language Classrooms. Lawrence Erlbaum Associates.
Nandy, A., Nixon, E., & Quigley, J. (2021). Communicative functions of parents' child-directed speech across dyadic and triadic contexts. Journal of Child Language, 48(6), 1281–1294. https://doi.org/10.1017/S030500092000080X
Pasaribu, C. M., Dianti, H. R., Putri, I. C., & Nargis, N. (2024). The language acquisition of daily words in early childhood (2 years old). Variable Research Journal, 1(2), 515-521. https://variablejournal.my.id/index.php/VRJ/article/view/38
Revita, I. (2022). Description of speech delay in early childhood. Journal of Cultura and Lingua, 3(1), 14-21. https://doi.org/10.37301/culingua.v3i1.108
Rivero, M., Vilaseca, R., Cantero, M. J., Valls-Vidal, C., & Leiva, D. (2023). Relations between positive parenting behavior during play and child language development at early ages. Children, 10(3), 505. https://doi.org/10.3390/children10030505
Roulstone, S., Law, J., Rush, R., Clegg, J., & Peters, T. J. (2011). Investigating the role of language in children's early educational outcomes (Research report DFE-RR134). London, United Kingdom: Department for Education.
Sami, R. (2024). Impact of bilingualism on language development in 46 Egyptian children. The Egyptian Journal of Otolaryngology, 40(1), 1-7. https://doi.org/10.1186/s43163-024-00572-x
Shetty, P. (2012). Speech and language delay in children: A review and the role of a pediatric dentist. Journal of Indian Society of Pedodontics and Preventive Dentistry, 30(2), 103-108. https://doi.org/10.4103/0970-4388.99979
Swanson, M. R. (2020). The role of caregiver speech in supporting language development in infants and toddlers with autism spectrum disorder. Development and Psychopathology, 32(4), 1230-1239. https://doi.org/10.1017/S0954579420000838
Ulfa, S., Hatta, K., & Nashriyah, N. (2022). Emotional conditions and social skills in children with speech delay. Gender Equality: International Journal of Child and Gender Studies, 8(2), 230-237. http://dx.doi.org/10.22373/equality.v8i2.14297
Visser-Bochane, M. I., Reijneveld, S. A., Krijnen, W. P., van der Schans, C. P., & Luinge, M. R. (2019). Identifying milestones in language development for young children ages 1-6 years. Academic Pediatrics. https://doi.org/10.1016/j.acap.2019.07.003
Weisleder, A., & Fernald, A. (2013). Talking to children matters: Early language experience strengthens processing and builds vocabulary. Psychological Science, 24(11), 2143–2152. https://doi.org/10.1177/0956797613488145
Wells, B., & Stackhouse, J. (2016). Children’s intonation: A framework for practice and research. John Wiley & Sons.
Wangke, L., Victory, W., Joey, G., Rampengan, N., & Lestari, H. (2021). External risk factors associated with language disorders in children. Paediatrica Indonesiana, 61(3),
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