Abstract

This study aimed to evaluate and compare family satisfaction with three types of speech therapy interventions for children with Developmental Language Disorder (DLD): direct intervention, family counseling (indirect intervention), and a combined approach. It also explored the role of family involvement in perceived effectiveness and satisfaction. A cross-sectional quantitative design was used. Fifty-one families were randomly assigned to one of three groups according to the intervention received. Data were collected through a self-developed 29-item online questionnaire assessing satisfaction with the therapist, level of family involvement, information received, and perceived treatment effectiveness. Non-parametric tests were applied to compare outcomes between groups. Significant differences in satisfaction levels were found across intervention types. Families receiving family counseling reported the highest overall satisfaction, especially regarding communication with the therapist and recognition of their role. The professional-centered group reported lower satisfaction in terms of involvement and information received, but perceived greater improvement in speech outcomes. The combined intervention group showed balanced scores in both satisfaction and effectiveness. Family involvement plays a key role in perceived satisfaction. Interventions that include counseling elements tend to improve family experience, while direct interventions may be more efficient in achieving speech improvements. Designing speech-language therapy programs that integrate both professional-led sessions and structured family guidance may enhance outcomes and engagement. Including families as active agents can contribute to more sustainable and satisfying intervention models. © 2025 Informa UK Limited, trading as Taylor & Francis Group.