What is it about?

peech sound disorders are common in young children and can make it difficult for them to speak clearly and be understood by others. These difficulties can affect children’s confidence, social relationships, and early learning experiences. Although speech therapy can help, therapy sessions are often limited to once a week, which may not provide enough practice for children to improve their speech skills. This study focuses on the role of parent involvement in intervention for children with speech sound disorders. We adapted the Parents and Children Together (PACT) intervention program into Turkish and examined its effectiveness with Turkish-speaking children aged 5 to 6 years who had moderate to severe speech sound disorders. In the intervention program, children attended speech therapy sessions once a week. After these sessions, parents actively supported their children’s speech practice during everyday activities at home, helping them use therapy goals in daily communication. The results showed that children who participated in the program made improvements in speech sound accuracy, phonological skills, and phonological awareness. These improvements continued after the intervention ended. The findings suggest that combining weekly therapy with active parent involvement can strengthen therapy outcomes and support children’s communication in everyday life.

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Why is it important?

Speech sound disorders are common in young children, but in many clinical settings, therapy is limited to short sessions once a week. At the same time, children with speech sound disorders often have a wide range of needs, including difficulties with speech production, sound awareness, and listening skills, which cannot always be addressed through a single therapy approach. This study is important because it highlights the value of an integrated, eclectic intervention approach combined with active parent involvement. The Parents and Children Together (PACT) program brings together speech production practice, phonological awareness activities, listening skills, and meaningful speech use within everyday communication. By adapting this approach into Turkish, the study shows how multiple intervention components can be combined in a structured and practical way. The findings provide evidence that weekly therapy can be made more effective when parents continue supporting their children’s speech practice at home after therapy sessions. When weekly intervention is supported by both an integrated intervention framework and active parent involvement, children can make meaningful improvements in speech sound accuracy and everyday communication skills.

Perspectives

As a researcher and clinician working with children with speech sound disorders, I often observe the challenges created by limited therapy time and high clinical caseloads. In many real-life settings, weekly therapy sessions alone are not enough to meet the complex and diverse needs of children with speech sound disorders. This motivated us to focus on an approach that could extend learning beyond the therapy room. Through this study, I was particularly interested in exploring how an integrated, eclectic intervention model combined with structured parent involvement could support children more effectively in everyday contexts. Adapting the PACT program into Turkish allowed us to examine not only speech sound outcomes, but also how parents can become active partners in therapy. From my perspective, one of the most valuable aspects of this work is its practicality. The findings show that evidence-based, integrated interventions can be successfully implemented within typical clinical constraints, such as once-weekly therapy. I hope this study encourages clinicians to view parents as active collaborators and supports the wider use of family-involvement, integrated approaches in speech sound disorder intervention.

BEYZA NUR DÜKAR
American Speech Language Hearing Association

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This page is a summary of: Adaptation of Parents and Children Together Intervention Program Into Turkish and Investigation of Its Effectiveness, Journal of Speech Language and Hearing Research, November 2025, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2025_jslhr-24-00902.
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