Risk Factors for Speech Delay in Early Childhood and Intervention Strategies: A Literature Review
DOI:
https://doi.org/10.31000/ceria.v15i3.16767Keywords:
Early Childhood, Early Intervention, Language Stimulation, Risk Factors, Speech DelayAbstract
Speech delay is a developmental communication concern in early childhood that may affect children's social interactions, participation in learning activities, and subsequent language development. This study aims to analyze factors associated with speech delay and identify relevant intervention strategies for parents and early childhood educators. A literature review approach was employed to examine scholarly publications addressing children's speech and language development, associated risk factors, and early intervention strategies. The literature was analyzed descriptively and thematically to identify patterns across research findings and their implications for early childhood education. The review indicates that speech delay is associated with multiple biological and developmental factors, including hearing impairments and developmental language difficulties, as well as environmental factors such as limited verbal interaction and insufficient language stimulation. Excessive screen exposure also warrants consideration because of its potential association with reduced opportunities for reciprocal communication. Relevant intervention strategies include responsive language stimulation, shared book reading, communication-based play activities, developmental monitoring, and collaboration among parents, educators, and healthcare professionals. This review highlights the importance of a multidimensional approach to understanding speech delay and emphasizes the need for early identification and individualized developmental support to promote children's communication and language development.
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Armstrong, R., Scott, J. G., Whitehouse, A. J. O., Copland, D. A., McMahon, K. L., & Arnott, W. (2017). Late talkers and later language outcomes: Predicting the different language trajectories. International Journal of Speech-Language Pathology, 19(3), 237–250. https://doi.org/10.1080/17549507.2017.1296191
Baethge, C., Goldbeck-Wood, S., & Mertens, S. (2019). SANRA—A scale for the quality assessment of narrative review articles. Research Integrity and Peer Review, 4, Article 5. https://doi.org/10.1186/s41073-019-0064-8
Bishop, D. V. M., Snowling, M. J., Thompson, P. A., Greenhalgh, T., & CATALISE-2 Consortium. (2017). Phase 2 of CATALISE: A multinational and multidisciplinary Delphi consensus study of problems with language development: Terminology. Journal of Child Psychology and Psychiatry, 58(10), 1068–1080. https://doi.org/10.1111/jcpp.12721
Brushe, M. E., Haag, D. G., Melhuish, E. C., Reilly, S., & Gregory, T. (2024). Screen time and parent-child talk when children are aged 12 to 36 months. JAMA Pediatrics, 178(4), 369–375. https://doi.org/10.1001/jamapediatrics.2023.6790
Calder, S. D., Brennan-Jones, C. G., Robinson, M., Whitehouse, A. J. O., & Hill, E. (2022). The prevalence of and potential risk factors for developmental language disorder at 10 years in the Raine Study. Journal of Paediatrics and Child Health, 58(11), 2044–2050. https://doi.org/10.1111/jpc.16149
Cheung, R. W., Hartley, C., & Monaghan, P. (2022). Multiple mechanisms of word learning in late-talking children: A longitudinal study. Journal of Speech, Language, and Hearing Research, 65(8), 2978–2995. https://doi.org/10.1044/2022_JSLHR-21-00610
Dicataldo, R., Rowe, M. L., & Roch, M. (2022). “Let's read together”: A parent-focused intervention on dialogic book reading to improve early language and literacy skills in preschool children. Children, 9(8), Article 1149. https://doi.org/10.3390/children9081149
Ferjan Ramírez, N., Lytle, S. R., & Kuhl, P. K. (2020). Parent coaching increases conversational turns and advances infant language development. Proceedings of the National Academy of Sciences, 117(7), 3484–3491. https://doi.org/10.1073/pnas.1921653117
Hammer, C. S., Morgan, P., Farkas, G., Hillemeier, M., Bitetti, D., & Maczuga, S. (2017). Late talkers: A population-based study of risk factors and school readiness consequences. Journal of Speech, Language, and Hearing Research, 60(3), 607–626. https://doi.org/10.1044/2016_JSLHR-L-15-0417
Karani, N. F., Sher, J., & Mophosho, M. (2022). The influence of screen time on children's language development: A scoping review. South African Journal of Communication Disorders, 69(1), Article a825. https://doi.org/10.4102/sajcd.v69i1.825
Kruythoff-Broekman, A., Wiefferink, C., Rieffe, C., & Uilenburg, N. (2019). Parent-implemented early language intervention programme for late talkers: Parental communicative behaviour change and child language outcomes at 3 and 4 years of age. International Journal of Language & Communication Disorders, 54(3), 451–464. https://doi.org/10.1111/1460-6984.12451
Madigan, S., McArthur, B. A., Anhorn, C., Eirich, R., & Christakis, D. A. (2020). Associations between screen use and child language skills: A systematic review and meta-analysis. JAMA Pediatrics, 174(7), 665–675. https://doi.org/10.1001/jamapediatrics.2020.0327
Massaroni, V., Delle Donne, V., Marra, C., Arcangeli, V., & Chieffo, D. P. R. (2024). The relationship between language and technology: How screen time affects language development in early life—A systematic review. Brain Sciences, 14(1), Article 27. https://doi.org/10.3390/brainsci14010027
Meldrum, S. J., Fisk, J., Stopher, J., & Hunt, E. F. (2025). Parent implementation of a treatment for late talkers based on cross-situational statistical learning principles: Treatment fidelity and acceptability. International Journal of Speech-Language Pathology, 27(2), 285–295. https://doi.org/10.1080/17549507.2024.2311931
Noble, C., Sala, G., Peter, M., Lingwood, J., Rowland, C., Gobet, F., & Pine, J. (2019). The impact of shared book reading on children's language skills: A meta-analysis. Educational Research Review, 28, Article 100290. https://doi.org/10.1016/j.edurev.2019.100290
Norbury, C. F., Gooch, D., Wray, C., Baird, G., Charman, T., Simonoff, E., Vamvakas, G., & Pickles, A. (2016). The impact of nonverbal ability on prevalence and clinical presentation of language disorder: Evidence from a population study. Journal of Child Psychology and Psychiatry, 57(11), 1247–1257. https://doi.org/10.1111/jcpp.12573
Nwachukwu, E. C., Nigam, A., Lakshmisai, S. S., Sakarkar, P., Bheemaneni, R. S., & Malasevskaia, I. A. (2025). Impact of screen time on language development and vocabulary acquisition in early childhood: A systematic review. Cureus, 17(11), Article e97429. https://doi.org/10.7759/cureus.97429
Roberts, M. Y. (2019). Parent-implemented communication treatment for infants and toddlers with hearing loss: A randomized pilot trial. Journal of Speech, Language, and Hearing Research, 62(1), 143–152. https://doi.org/10.1044/2018_JSLHR-L-18-0079
Roberts, M. Y., & Kaiser, A. P. (2011). The effectiveness of parent-implemented language interventions: A meta-analysis. American Journal of Speech-Language Pathology, 20(3), 180–199. https://doi.org/10.1044/1058-0360(2011/10-0055
Romeo, R. R., Leonard, J. A., Robinson, S. T., West, M. R., Mackey, A. P., Rowe, M. L., & Gabrieli, J. D. E. (2018). Beyond the 30-million-word gap: Children's conversational exposure is associated with language-related brain function. Psychological Science, 29(5), 700–710. https://doi.org/10.1177/0956797617742725
Sansavini, A., Favilla, M. E., Guasti, M. T., Marini, A., Millepiedi, S., Di Martino, M. V., Vecchi, S., Battajon, N., Bertolo, L., Capirci, O., Carretti, B., Colatei, M. P., Frioni, C., Marotta, L., Massa, S., Michelazzo, L., Pecini, C., Piazzalunga, S., Pieretti, M., . . . Lorusso, M. L. (2021). Developmental language disorder: Early predictors, age for the diagnosis, and diagnostic tools. A scoping review. Brain Sciences, 11(5), Article 654. https://doi.org/10.3390/brainsci11050654
Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039
Suttora, C., Zuccarini, M., Aceti, A., Corvaglia, L., Guarini, A., & Sansavini, A. (2021). The effects of a parent-implemented language intervention on late-talkers' expressive skills: The mediational role of parental speech contingency and dialogic reading abilities. Frontiers in Psychology, 12, Article 723366. https://doi.org/10.3389/fpsyg.2021.723366
Wan, X., Kang, X., Chen, S., Du, J., Yan, F., & Bai, Y. (2025). Analysis of the impact of parents' electronic screen time habits, young children's screen exposure and parent-child interaction on language development delay in young children. Frontiers in Pediatrics, 13, Article 1667048. https://doi.org/10.3389/fped.2025.1667048
Zuccarini, M., Suttora, C., Bello, A., Aceti, A., Corvaglia, L., Caselli, M. C., Guarini, A., & Sansavini, A. (2020). A parent-implemented language intervention for late talkers: An exploratory study on low-risk preterm and full-term children. International Journal of Environmental Research and Public Health, 17(23), Article 9123. https://doi.org/10.3390/ijerph17239123
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