This study aims to describe the role of the family communication environment in dealing with children with speech delay in Sumberejo Village, Madiun. Using a qualitative case study method, data were obtained through in-depth interviews and observations of seven parents. The results of the study show that active, passive, or inconsistent family communication patterns have a direct effect on children's speech development. Education increased parents' understanding from 28.6% to 85.7%, which was followed by changes in communication behavior and progress in children's speech abilities. This study emphasizes the importance of family communication as an effective intervention in a rural context.
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