Khó khăn và nhu cầu hỗ trợ của cha mẹ trẻ 4–10 tuổi có rối loạn âm lời nói: Nghiên cứu định tính sử dụng phỏng vấn bán cấu trúc

Các tác giả

  • Đinh Thanh Tuyến Trường Đại học Sư phạm Hà Nội
  • Trần Thị Hằng Học viên cao học, Trường Khoa học Phát triển trẻ thơ - Trường Đại học Sư phạm Hà Nội

Tóm tắt

Speech sound disorders (SSD) may affect children’s communication, emotional well-being, social participation, and learning. However, parents’ experiences and support needs regarding children with speech sound difficulties remain underexplored in Vietnam. This study aimed to explore how parents perceived the impacts of their children’s speech sound difficulties, the challenges they encountered in supporting their children, and their needs for support. A qualitative design using semi-structured interviews was employed with 10 parents of children aged 4-10 years with speech sound difficulties. Data were analyzed using reflexive thematic analysis. The findings showed that parents identified difficulties in their children’s speech production and intelligibility and observed impacts on communication, emotions, and learning. Parents encountered challenges related to limited knowledge and skills, time constraints, inconsistent child engagement, and insufficient support resources. They expressed needs for professional assessment and support, guidance for home practice, appropriate learning materials, and stronger collaboration among families, schools, and professionals. These findings provide evidence from parents’ perspectives and may inform the development of family-centered support appropriate to the Vietnamese context.

Tài liệu tham khảo

Baker, E., & McLeod, S. (2011). Evidence-based practice for children with speech sound disorders: Part 1: Narrative review. Language, Speech, and Hearing Services in Schools, 42(2), 102-139. https://doi.org/10.1044/0161-1461(2010/09-0075)

Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589-597. https://doi.org/10.1080/2159676X.2019.1628806

Braun, V., & Clarke, V. (2021). To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qualitative Research in Sport, Exercise and Health, 13(2), 201-216. https://doi.org/10.1080/2159676X.2019.1704846

Crowe, K., & McLeod, S. (2020). Children’s English consonant acquisition in the United States: A review. American Journal of Speech-Language Pathology, 29(4), 2155-2169. https://doi.org/10.1044/2020_AJSLP-19-00168

de Simoni, S. N., Leidow, I. C., Britz, D. L., Moraes, D. A. O., & Keske-Soares, M. (2019). Impact of the speech sound disorders: Family and child perception. Revista CEFAC, 21(3), e10718. https://doi.org/10.1590/1982-0216/201921310718

DeJonckheere, M., & Vaughn, L. M. (2019). Semistructured interviewing in primary care research: A balance of relationship and rigour. Family Medicine and Community Health, 7(2), e000057. https://doi.org/10.1136/fmch-2018-000057

Eadie, P., Morgan, A., Ukoumunne, O. C., Ttofari Eecen, K., Wake, M., & Reilly, S. (2015). Speech sound disorder at 4 years: Prevalence, comorbidities, and predictors in a community cohort of children. Developmental Medicine & Child Neurology, 57(6), 578-584. https://doi.org/10.1111/dmcn.12635

Harding, S., Kelić, M., Ulfsdottir, T., Baena, S., Feilberg, J., De López, K. M. J., Klatte, I. S., Lyons, R., Mantel, T. C., Novogrodsky, R., Rodriguez-Ortiz, I. R., & Zajdó, K. (2024). Rearing a child with a language disorder: parents experiences with speech and language therapy services in 10 countries. Journal of Public Health, 34(1), 91-99. https://doi.org/10.1007/s10389-024-02264-5

Hustad, K. C. (2012). Speech intelligibility in children with speech disorders. Perspectives on Language Learning and Education, 19(1), 7-11. https://doi.org/10.1044/lle19.1.7

Kallio, H., Pietilä, A.-M., Johnson, M., & Kangasniemi, M. (2016). Systematic methodological review: Developing a framework for a qualitative semi-structured interview guide. Journal of Advanced Nursing, 72(12), 2954-2965. https://doi.org/10.1111/jan.13031

Law, J., Levickis, P., Rodríguez-Ortiz, I. R., Matić, A., Lyons, R., Messarra, C., Kouba Hreich, E., & Stankova, M. (2019). Working with the parents and families of children with developmental language disorders: An international perspective. Journal of Communication Disorders, 82, 105922. https://doi.org/10.1016/j.jcomdis.2019.105922

Lewis, B. A., Avrich, A. A., Freebairn, L. A., Hansen, A. J., Sucheston, L. E., Kuo, I., Taylor, H. G., Iyengar, S. K., & Stein, C. M. (2011). Literacy outcomes of children with early childhood speech sound disorders: Impact of endophenotypes. Journal of Speech, Language, and Hearing Research, 54(6), 1628-1643. https://doi.org/10.1044/1092-4388(2011/10-0124)

Lousada, M., Jesus, L. M. T., Hall, A., & Joffe, V. (2014). Intelligibility as a clinical outcome measure following intervention with children with phonologically based speech-sound disorders. International Journal of Language & Communication Disorders, 49(5), 584-601. https://doi.org/10.1111/1460-6984.12095

Masso, S., McLeod, S., Baker, E., & Wang, C. (2016). Polysyllable productions in preschool children with speech sound disorders: Error categories and the Framework of Polysyllable Maturity. International Journal of Speech-Language Pathology, 18(3), 272-287. https://doi.org/10.3109/17549507.2016.1168483

McCormack, J., McLeod, S., Harrison, L. J., & Holliday, E. L. (2022). Drawing talking: Listening to children with speech sound disorders. Language, Speech, and Hearing Services in Schools, 53(3), 713-731. https://doi.org/10.1044/2021_LSHSS-21-00140

McLeod, S., Harrison, L. J., & Wang, C. (2019). A longitudinal population study of literacy and numeracy outcomes for children identified with speech, language, and communication needs in early childhood. Early Childhood Research Quarterly, 47, 507-517. https://doi.org/10.1016/j.ecresq.2018.07.004

Nabila, C. N. M., Putri, F. P., & Iswinarti. (2024). Speech sound disorders in early childhood and their impact on pre-literacy and literacy skills: A systematic review. Journal of Scientific Research, Education, and Technology (JSRET), 3(4), 1743-1755. https://doi.org/10.58526/jsret.v3i4.590

Nguyễn Thị Hằng, Phạm Thị Bền, McLeod, S., Phạm Thị Vấn (2026). Khảo sát tính dễ hiểu lời nói của trẻ có rối loạn âm lời nói ở miền Bắc Việt Nam. Tạp chí Y học Việt Nam, 558(1), 84-88. https://doi.org/10.51298/vmj.v558i1.16928

Raaz, C. V., Cox, D. G., Farrell, T. L., & Reisfeld, N. D. (2026). Evaluation of online parent training and structured home practice for children with speech sound disorder. Communication Disorders Quarterly, 47(2), 89-98. https://doi.org/10.1177/15257401251337740

Rodgers, L., Harding, S., Rees, R., & Clarke, M. T. (2022). Interventions for pre-school children with co-occurring phonological speech sound disorder and expressive language difficulties: A scoping review. International Journal of Language & Communication Disorders, 57(4), 700-716. https://doi.org/10.1111/1460-6984.12719

Roulstone, S. E., Marshall, J. E., Powell, G. G., Goldbart, J., Wren, Y. E., Coad, J., Daykin, N., Powell, J. E., Lascelles, L., Hollingworth, W., Emond, A., Peters, T. J., Pollock, J. I., Fernandes, C., Moultrie, J., Harding, S. A., Morgan, L., Hambly, H. F., Parker, N. K., & Coad, R. A. (2015). Evidence-based intervention for preschool children with primary speech and language impairments: Child Talk - An exploratory mixed-methods study. Programme Grants for Applied Research, 3(5), 1-408. https://doi.org/10.3310/pgfar03050

Sugden, E., Baker, E., Munro, N., & Williams, A. L. (2016). Involvement of parents in intervention for childhood speech sound disorders: A review of the evidence. International Journal of Language & Communication Disorders, 51(6), 597-625. https://doi.org/10.1111/1460-6984.12247

Sugden, E., Munro, N., Trivette, C. M., Baker, E., & Williams, A. L. (2019). Parents’ experiences of completing home practice for speech sound disorders. Journal of Early Intervention, 41(2), 159-181. https://doi.org/10.1177/1053815119828409

Sugden, E., Baker, E., Williams, A. L., Munro, N., & Trivette, C. M. (2020). Evaluation of parent- and speech-language pathologist-delivered multiple oppositions intervention for children with phonological impairment: A multiple-baseline design study. American Journal of Speech-Language Pathology, 29(1), 111-126. https://doi.org/10.1044/2019_AJSLP-18-0248

Tambyraja, S. R., Farquharson, K., & Justice, L. (2020). Reading risk in children with speech sound disorder: Prevalence, persistence, and predictors. Journal of Speech, Language, and Hearing Research, 63(11), 3714-3726. https://doi.org/10.1044/2020_JSLHR-20-00108

Tosh, R., Arnott, W., & Scarinci, N. (2017). Parent-implemented home therapy programmes for speech and language: A systematic review. International Journal of Language & Communication Disorders, 52(3), 253-269. https://doi.org/10.1111/1460-6984.12280

Trà, T. T., Phạm, T. B., & Nguyễn, A. N. (2025). Đặc điểm lỗi phát âm và kết quả can thiệp rối loạn âm lời nói tại Bệnh viện Nhi Đồng 1. Tạp chí Y học Việt Nam, 546(1). https://doi.org/10.51298/vmj.v546i1.12515

Watts Pappas, N., McLeod, S., McAllister, L., & McKinnon, D. H. (2008). Parental involvement in speech intervention: A national survey. Clinical Linguistics & Phonetics, 22(4-5), 335-344. https://doi.org/10.1080/02699200801919737

Watts Pappas, N., McAllister, L., & McLeod, S. (2016). Parental beliefs and experiences regarding involvement in intervention for their child with speech sound disorder. Child Language Teaching and Therapy, 32(2), 223-239. https://doi.org/10.1177/0265659015615925

Williams, A. L., McLeod, S., & McCauley, R. J. (Eds.). (2021). Interventions for speech sound disorders in children (2nd ed.). Paul H. Brookes Publishing.

Wren, Y., Pagnamenta, E., Orchard, F., Peters, T. J., Emond, A., Northstone, K., Miller, L. L., & Roulstone, S. (2023). Social, emotional and behavioural difficulties associated with persistent speech disorder in children: A prospective population study. JCPP Advances, 3(1), e12126. https://doi.org/10.1002/jcv2.12126

Đã Xuất bản

15.08.2026

Cách trích dẫn

Đinh, T. T., & Trần, H. (2026). Khó khăn và nhu cầu hỗ trợ của cha mẹ trẻ 4–10 tuổi có rối loạn âm lời nói: Nghiên cứu định tính sử dụng phỏng vấn bán cấu trúc: . Tạp Chí Giáo dục, 26(đặc biệt 11), 199–206. Truy vấn từ https://tcgd.tapchigiaoduc.edu.vn/index.php/tapchi/article/view/6951

Số

Chuyên mục

Các bài báo