Augustina Ratniawati
Pendidikan Anak Usia DIni, Universitas Panca Sakti, Bekasi, Indonesia

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A Clinical–Educational Qualitative Case Study of Speech Delay in a Four-Year-Old Boy.: clinical–educational qualitative case study approach Augustina Ratniawati
Qualitative Research in Early Childhood Education Vol. 1 No. 2 (2026): Qualitative Research in Early Childhood Education Number 1 Volume 2 2026
Publisher : CV. Chandralia Bintang Pustaka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66291/qr-ece.v1i2.7

Abstract

Speech delay in early childhood is a common developmental concern that may significantly affect a child’s communication, social interaction, and later academic performance. This study aimed to explore the nature of speech delay in a four-year-old boy through a clinical–educational qualitative case study approach. The research sought to examine the child’s expressive language abilities, speech sound production, contextual communication patterns, and response to early intervention within both therapeutic and educational settings. Data were collected through multiple qualitative methods, including clinical and classroom observations, semi-structured interviews with parents and a preschool teacher, and review of relevant assessment and intervention documents. The data were analyzed using thematic analysis to identify recurring patterns and key themes related to the child’s speech and language development. The findings revealed significant expressive language delay, reduced speech intelligibility, and notable differences in language use across contexts. The child demonstrated improved verbal output in structured therapy sessions compared to natural classroom interactions. Early intervention and active parental involvement were found to contribute positively to the child’s progress, although ongoing support remained necessary to address persistent speech and language difficulties. The study highlights the importance of early identification, family-centered intervention, and collaboration between clinical and educational professionals. It also demonstrates the value of qualitative case studies in providing an in-depth understanding of individual speech delay and informing effective, context-sensitive intervention practices. Keywords: speech delay, early childhood, qualitative case study, speech–language intervention, clinical–educational approach