A Multidisciplinary Approach to Children with Speech Delay and Its Implications for Primary Care: A Narrative Review

Authors

  • Ni Made Ayu Mulia Kusuma Wardani RSU Negara, Jembrana, Indonesia
  • Putri Kartika Sari RSUD Moh. Soewandhie, Surabaya, Indonesia

Keywords:

speech delay, children, early intervention, primary care

Abstract

Speech delay is a common developmental issue in early childhood that can impact communication skills, social interactions, and learning readiness. This article aims to review the basic concepts of speech delay, the principles of early intervention, the collaborative role of various professions in improving children's communication and social participation, and its implication to primary care. This study focused on a narrative review of several database sources, such as Google Scholar, PubMed, and Scopus. The results of the narrative review indicate that speech delay cannot be treated by a single professional. A collaborative approach involving pediatricians, physiatrist, speech therapists, occupational therapists, psychologists, and other rehabilitation professionals provides a more comprehensive picture of a child's needs. Speech delay can be triggered by a combination of biological factors, lack of stimulation, and increased use of gadgets. The role of healthcare professionals in conducting routine screenings, providing education, and determining referral needs is crucial because most cases are first identified in primary healthcare settings. Language stimulation at home with parental involvement has also been shown to be a strong supporting factor. Interventions initiated at a younger age, particularly before the age of five, yield better developmental outcomes due to the child's still-developing brain's ability to adapt.

References

M. R. Mclaughlin, “Speech and Language Delay in Children,” Am. Fam. Physician, vol. 83(10), no. 10, pp. 1183–1188, 2011, [Online]. Available: https://www.aafp.org/pubs/afp/issues/2011/0515/p1183.html

S. R. Zubrick, C. L. Taylor, M. L. Rice, and D. W. Slegers, “Late language emergence at 24 months: An epidemiological study of prevalence, predictors, and covariates,” Journal of Speech, Language, and Hearing Research, vol. 50, no. 6, pp. 1562–1592, Dec. 2007, doi: 10.1044/1092-4388(2007/106).

C. A. Nelson, K. M. Thomas, and M. de Haan, Neural Bases of Cognitive Development. New Jersey: John Wiley & Sons, Inc., 2008.

J. P. Shonkoff and D. A. Phillips, From Neurons to Neighborhoods : the Science of Early Childhood Development. Joseph Henry Press [Imprint], National Academies Press, 2000.

National Institute of Health, “Speech and language developmental milestones.” Accessed: Mar. 06, 2026. [Online]. Available: https://www.nidcd.nih.gov/health/speech-and-language

I. F. Wallace et al., “Screening for speech and language delay in children 5 years old and younger: A systematic review,” Aug. 01, 2015, American Academy of Pediatrics. doi: 10.1542/peds.2014-3889.

J. Law, Z. Garrett, and C. Nye, “Speech and Language Therapy Interventions for Children with Primary Speech and Language Delay or Disorder,” Campbell Systematic Reviews, vol. 1, no. 1, pp. 1–85, Jan. 2005, doi: 10.4073/csr.2005.5.

C. F. Norbury et al., “The impact of nonverbal ability on prevalence and clinical presentation of language disorder: evidence from a population study,” J. Child Psychol. Psychiatry, vol. 57, no. 11, pp. 1247–1257, Nov. 2016, doi: 10.1111/jcpp.12573.

Council on Children with Disabilities, “Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening,” Pediatrics, vol. 118, no. 1, pp. 405–420, Jul. 2006, doi: 10.1542/peds.2006-1231.

M. Y. Roberts and A. P. Kaiser, “The effectiveness of parent-implemented language interventions: A meta-analysis,” Am. J. Speech. Lang. Pathol., vol. 20, no. 3, pp. 180–199, 2011, doi: 10.1044/1058-0360(2011/10-0055).

I. F. Wallace et al., “Screening for speech and language delay in children 5 years old and younger: A systematic review,” Aug. 01, 2015, American Academy of Pediatrics. doi: 10.1542/peds.2014-3889.

World Healt Organization, Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0). World Health Organization, 2010.

T. Sunderajan and S. Kanhere, “Speech and language delay in children: Prevalence and risk factors,” J. Family Med. Prim. Care, vol. 8, no. 5, p. 1642, 2019, doi: 10.4103/jfmpc.jfmpc_162_19.

M. E. Brushe, D. G. Haag, E. C. Melhuish, S. Reilly, and T. Gregory, “Screen Time and Parent-Child Talk When Children Are Aged 12 to 36 Months,” JAMA Pediatr., vol. 178, no. 4, pp. 369–375, Apr. 2024, doi: 10.1001/jamapediatrics.2023.6790.

W. H. K. Liang, L. W. E. Gn, Y. C. D. Tan, and G. Hao Tan, “Speech_and_language_delay_in_children_a_practical_,” Singapore Med. J., vol. 64(12), 2023.

S. Jullien, “Supporting recommendations for childhood preventive interventions for primary health care: elaboration of evidence synthesis and lessons learnt,” Sep. 01, 2021, BioMed Central Ltd. doi: 10.1186/s12887-021-02638-8.

C. Jiang et al., “Role of home nurturing environment on early childhood neurodevelopment: a community-based survey in Shanghai, China,” BMC Pediatr., vol. 24, no. 1, Dec. 2024, doi: 10.1186/s12887-024-05190-3.

A. Sansavini et al., “Developmental language disorder: Early predictors, age for the diagnosis, and diagnostic tools. A scoping review,” May 01, 2021, MDPI. doi: 10.3390/brainsci11050654.

S. Liu, M. Zhu, C. Yi, and D. Zeng, “Early rehabilitation interventions for global developmental delay in children: a narrative review,” 2025, Frontiers Media SA. doi: 10.3389/fped.2025.1576324.

J. E. Bernabe-Zuñiga, M. I. Rodriguez-Lucenilla, A. J. Alias-Castillo, L. Rueda-Ruzafa, P. Roman, and M. del Mar Sanchez-Joya, “Early interventions with parental participation and their implications on the neurodevelopment of premature children: a systematic review and meta-analysis,” Mar. 01, 2025, Springer Science and Business Media Deutschland GmbH. doi: 10.1007/s00787-024-02528-1.

R. Y. Palipung, Sintia Paramita, and Ni’matuzahroh, “Influence Factors, Impact and Interventions for Speech Delay and Language Delay in Early Childhood: Systematic Review,” International Journal of Scientific Research and Management (IJSRM), vol. 12, no. 07, pp. 64–78, Jul. 2024, doi: 10.18535/ijsrm/v12i07.gp03.

S. Lai et al., “Parent-implemented early intervention design for improving speech and language skills among Mandarin-speaking infants and toddlers with cleft lip and/or palate,” Front. Public Health, vol. 13, 2025, doi: 10.3389/fpubh.2025.1458452.

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Published

2026-05-20

How to Cite

Ni Made Ayu Mulia Kusuma Wardani, & Putri Kartika Sari. (2026). A Multidisciplinary Approach to Children with Speech Delay and Its Implications for Primary Care: A Narrative Review. Jurnal EduHealth, 17(02), 489–498. Retrieved from https://ejournal.seaninstitute.or.id/index.php/healt/article/view/8422