Wibawati, Restu Wahyu
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Intervensi Pragmatik pada Anak dengan Gangguan Komunikasi: Sebuah Tinjauan Sistematik Hanandita, Virginia; Wibawati, Restu Wahyu
Jurnal Terapi Wicara dan Bahasa Vol. 3 No. 2 (2025): Juni 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v3i2.175

Abstract

Background: Pragmatic ability is a crucial component of social communication, encompassing the understanding of context, nonverbal cues, and conversational rules. Individuals with disorders such as Developmental Language Disorder (DLD) and Autism Spectrum Disorder (ASD) often experience difficulties in this area. Conventional speech therapy typically emphasizes structural aspects of language and has not fully addressed pragmatic needs. Pragmatic interventions, such as the Pragmatic Intervention Programme (PICP), have proven effective, particularly when involving active participation from both children and their parents. Objectives: This review aims to evaluate the role of pragmatic ability in speech therapy based on literature from the past five years, to support more contextual and comprehensive practices. Methods: Five peer-reviewed articles published between 2020 and 2024 were systematically analyzed using the PRISMA approach. Results: The findings indicate that collaborative and context-based pragmatic interventions have a positive impact on children's social communication skills. Conclusion: These results highlight the need for a more inclusive and interdisciplinary approach to speech therapy, emphasizing parental involvement and the use of technology as a complement to traditional interventions. Keywords: Pragmatics, Speech Therapy, Systematic Review, Communication Disorder
Exploring The Challenges in Intervention Programs for Speech Sound Disorders: A Systematic Review Wibawati, Restu Wahyu; Muryanti, Muryanti; Susanti, Nadya
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.251

Abstract

Background: Speech Sound Disorders (SSD) are among the most common communication problems treated by speech-language therapists. Despite its high prevalence, intervention remains challenging due to diverse error patterns, limited resources, and varying clinical decision-making. Objectives: This study aims to identify challenges in SSD intervention programs through a systematic review, providing insight to strengthen clinical practice and guide future research. Methods: A systematic review was conducted following PRISMA guidelines. Articles published between 2015–2025 were retrieved from Google Scholar, PubMed, ScienceDirect, and manual searches using predetermined keywords. Inclusion criteria consisted of full-text English studies reporting challenges in SSD intervention, while effectiveness trials and conceptual-only literature were excluded. Results: Nine studies met the criteria. Four major challenges were identified: (1) limited intervention intensity; (2) clinical decision-making influenced more by therapist experience and context than by structured evidence; (3) low implementation of evidence-based approaches; and (4) inconsistent assessment tools and limited home practice support. These barriers impact diagnosis accuracy, target selection, and treatment outcomes. Conclusion: SSD intervention faces clinical, practical, and institutional barriers. Strengthening evidence-based practice, improving assessment consistency, and optimizing support systems—including parent involvement—may enhance service quality and outcomes. Keywords: Speech sound disorders, Articulation intervention, Phonological intervention, Clinical practice, Systematic review