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Public awareness of delayed language development in Upper Egypt



The aim of this study was to investigate public awareness and the attitude of delayed language development (DLD) in children in Sohag, Upper Egypt.

Patients and Methods

The Phoniatric Unit at Sohag University Hospital receives a considerable number of belated cases of children with DLD. No Egyptian surveys were found collecting information about public awareness and knowledge of DLD and speech–language pathology services. A cross-sectional survey was done of both male and female participants who were asked to fill in a questionnaire. The questionnaire contains participant’s demographic information, eight closed-ended questions, and one open-ended question, addressing their knowledge and attitudes toward DLD.


The questionnaire was introduced to 1500 questionnaires (1380 have returned; 92% response). Good awareness of DLD in children was recognized in 74.49% of the study group. The age of 2 years was thought to be the most suitable age to seek medical advice for children with DLD in 48.84% of the study group. Some occupations such as teachers did not value early intervention of language delay. Language therapy was thought to be the best way to treat DLD in 68.7% of the study group.


There is limited awareness of the value of early language learning and the best treatment of DLD. Awareness should be raised and changing the attitude of individuals in some occupations, especially teachers, toward DLD should be addressed.


  1. 1

    Sage R. Class talk: successful learning through effective communication. Stafford: Network Educational Press; 2000.

    Google Scholar 

  2. 2

    Law J, Boyle J, Harris F, Harkness A, Nye C. Prevalence and natural history of primary speech and language delay: findings from a systematic review of the literature. Int J Lang Commun Disord 2000; 35:165–188.

    CAS  Article  Google Scholar 

  3. 3

    Luinge MR, Post WJ, Wit HP, Goorhuis-Brouwer SM. The ordering of milestones in language development for children from 1 to 6 years of age. J Speech Lang Hear Res 2006; 49:923–940.

    Article  Google Scholar 

  4. 4

    Ward S. An investigation into the effectiveness of an early intervention method for delayed language development in young children. Int J Lang Commun Disord 1999; 34:243–264.

    CAS  Article  Google Scholar 

  5. 5

    Clark A, Ohare A, Watson J. Severe receptive language disorder in childhood: familial aspects and long-term outcomes: results from a Scottish study. Arch Dis Child 2007; 92:614–619.

    Article  Google Scholar 

  6. 6

    Sachse S, von Suchodoletz W. Early identification of language delay by direct language assessment or parent report? J Dev Behav Pediatr 2008; 29:34–41.

    PubMed  Google Scholar 

  7. 7

    Rescorla L, Alley A. Validation of the Language Development Survey (LDS): a parent report tool for identifying language delay in toddlers. J Speech Lang Hear Res 2001; 44:434–445.

    CAS  Article  Google Scholar 

  8. 8

    Rescorla L, Achenbach TM. Use of the Language Development Survey (LDS) in a national probability sample of children 18 to 35 months old. J Speech Lang Hear Res 2002; 45:733–743.

    Article  Google Scholar 

  9. 9

    Rossetti LM. Communication intervention: birth to three 3rd ed. Canada: Singular: Thomson Learning; 2001.

    Google Scholar 

  10. 10

    Killamey GT, Lass NJ. A survey of rural public awareness of speech-language pathology and audiology. ASHA 1981; 23:415–420.

    Google Scholar 

  11. 11

    Lesser R, Hassip S. Knowledge and opinions of speech therapy in teachers, doctors and nurses. Child Care Health Dev 1986; 12:235–249.

    CAS  Article  Google Scholar 

  12. 12

    Breadner BW, Warr-Leeper GA, Husband SJ. A study of public awareness of speech-language pathology: then and now. Human Commun Canada 1989; 11:5–15.

    Google Scholar 

  13. 13

    American Speech-Hearing Association. At a Glance: Public lacks critical awareness of early detection. The ASHA Leader, July 2013; 18:21. doi: 10.1044/leader.AAG.18072013.21.

    Google Scholar 

  14. 14

    Mahmoud H, Aljazi A, Alkhamra R. A study of public awareness of speech-language pathology in Amman. Coll Stud J 2014; 48:283–298.

    Google Scholar 

  15. 15

    Justice LM. Communication sciences and disorders: an introduction. New Jersey: Pearson Education; 2006.

    Google Scholar 

  16. 16

    Kotby MN. Phoniatrics: a specialty in clinical medical practice. Ain Shams Med J 1973; 24:347–354.

    Google Scholar 

  17. 17

    Kotby MN, El-Sady S, Hegazi M. Thirty five years of care of child language in Egypt. Top Lang Disord 2010; 30:84–91.

    Article  Google Scholar 

  18. 18

    Richardson D. The rough guide to Egypt (ISBN 1-84353-050-3). London: Rough guides; 2003.

    Google Scholar 

  19. 19

    Boynton PM, Greenhalgh T. Selecting, designing, and developing your questionnaire. BMJ 2004; 328:1312–1315.

    Article  Google Scholar 

  20. 20

    Richardson J. Design and conduct a survey. Compl Ther Med 2005; 13:47–53.

    Article  Google Scholar 

  21. 21

    Sakai T. Questionnaire design, marketing research and statistical analysis (in Chinese). Taipei: DrSmart Press 2004.

    Google Scholar 

  22. 22

    Clauson GM, Kopatic NJ. Teacher attitudes and knowledge of remedial speech programs. Lang Speech Hear Serv Sch 1975; 6:206–211.

    Article  Google Scholar 

  23. 23

    Blackman JA. Early intervention: a global perspective. Inf Young Children 2002; 15:11–19.

    Article  Google Scholar 

  24. 24

    Greenwood N, Wright JA, Bithell C. Perceptions of speech and language therapy amongst UK and college students: implications for recruitment. Int J Lang Commun Disord 2006; 41:83–94.

    Article  Google Scholar 

  25. 25

    Barr S. Factors influencing environmental attitude and behaviour: a UK case study of household waste management. Environ Behav 2007; 39:435–473.

    Article  Google Scholar 

  26. 26

    Glover A, McCormack J, Smith-Tamaray M. Collaboration between teachers and speech and language therapists: services for primary school children with speech, language and communication needs. Child Lang Teach Ther 2015; 31:363–382.

    Article  Google Scholar 

  27. 27

    Schaughnessy A, Sanger D. Kindergarten teachers’ perceptions of language and literacy development, speech-language pathologists, and language intervention. Commun Disord Q 2005; 26:67–110.

    Article  Google Scholar 

  28. 28

    Hughes L. Speech and language therapy and its presentation in the media: the views of journalists and students [MSc dissertation]. Retrieved from ProQuest Dissertations and Theses, Accession UMI Number: U594165; 2007.

  29. 29

    Elman R, Ogar J, Elman S. Aphasia: awareness, advocacy, and activism. Aphasiology 2000; 14:455–459.

    Article  Google Scholar 

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Correspondence to Eman Mostafa MD, PhD.

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Mostafa, E., Ahmed, M.ER. Public awareness of delayed language development in Upper Egypt. Egypt J Otolaryngol 34, 94–102 (2018).

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  • attitude
  • awareness
  • delayed language development
  • upper Egypt