Assessment and Intervention of Speech Sound Disorders in a Five-Year-Old Child: A Case Study in a Dominican School Context
DOI:
https://doi.org/10.56200/mentor.v5i15.13402Keywords:
case study, language, preschool education, speech disorder, speech therapyAbstract
The aim of this study was to describe the assessment and intervention process and analyze the changes observed in the speech sound production of a five-year-old child in a Dominican school context. A descriptive clinical case study was conducted using a qualitative approach and pre- and post-intervention assessment. The assessment included family anamnesis, clinical observation, the Revised Phonetic-Phonological Assessment Protocol (PEFF-R), and the Phoneme Articulation Test (PAF). Initial findings identified phonetic and phonological difficulties mainly involving the /l/ and /d/ phonemes, characterized by substitutions and omissions, with no apparent orofacial alterations observed during the clinical assessment. An individualized intervention was subsequently implemented over seven weeks, with two 60-minute sessions per week. At the end of the process, the available records described more accurate productions of the /l/ phoneme, while some difficulties with /d/ persisted. Due to the absence of complete quantitative records and the single-case design, the observed changes were interpreted descriptively and cannot be attributed exclusively to the intervention. This study documents the assessment and intervention process in a Dominican school context and provides preliminary background for future research on the assessment and intervention of speech sound difficulties in young children within diverse educational and clinical practice settings.
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