Speech Activities by Age

10-Minute Speech Practice That Doesn't Require Sitting Still

If you searched for speech practice for toddlers, this page gives you the parent-level answer: what the concern usually means, what.

Grandmother sitting on kitchen floor with toddler playing with toy train

Last updated 2026-07-11

TL;DR

Grandparents spend real time with late talkers, and that time matters. The support that works: follow the child's lead, narrate everyday routines, pause long enough to give the child room to answer, and stay consistent with whatever the parents and speech therapist are already doing. You don't need a degree. You need about 15 minutes of intentional interaction a day.

Why does a grandparent's role matter for a late talker?

Children learn language through repetition across many people, many settings, and many small moments in a day. A speech therapist might see a child for 30 to 60 minutes once or twice a week. Parents carry the rest, but they're also juggling work, meals, and other kids if there are siblings. Grandparents are often the third adult who gets real, unhurried time with the child, and that time is genuinely useful for language learning.

Research on early language development keeps landing on the same finding: the amount and quality of language a child hears from responsive caregivers predicts how fast vocabulary grows. A widely cited 1995 study by Hart and Risley documented that children heard somewhere between 600 and 2,100 words per hour depending on their caregiving environment, and that gap compounded over years [1]. More recent work has sharpened that picture. It's the conversational turns, the back-and-forth exchanges, that predict language outcomes even more than raw word count. A 2018 MIT study found that the number of conversational turns a child experienced at ages 4 to 6 predicted brain activation and verbal ability years later, independent of socioeconomic status [2].

Grandparents who visit regularly, do school pickup, or provide childcare are sitting on an enormous opportunity. The only question is what to do with that time.

What does "late talker" actually mean, and when should family worry?

A late talker is a toddler who is developing typically in most ways but has a smaller spoken vocabulary than expected for their age. The American Speech-Language-Hearing Association (ASHA) describes a late talker as a child between 18 and 30 months who has fewer words than typical peers but no other known delays [3].

Some rough benchmarks from ASHA and the American Academy of Pediatrics (AAP):

AgeTypical milestone
12 months1 to 3 words, points to things
18 monthsAt least 10 to 20 words
24 monthsAt least 50 words, starting two-word phrases
36 months200+ words, three-word sentences

About 10 to 20 percent of toddlers are late talkers [4]. Roughly half of those catch up on their own by school age, a pattern sometimes called "late blooming." The other half benefit significantly from early intervention. Here's the hard part: there's no reliable way to tell in advance which group a child belongs to. That's why the AAP recommends developmental surveillance at every well-child visit and a formal developmental screening at 18 and 24 months [4].

This article never diagnoses. If a grandparent has concerns, the right move is to share those concerns with the child's parents and encourage a conversation with the pediatrician or a speech-language pathologist.

What should grandparents stop doing first?

Before adding new strategies, it helps to stop a few things that are common but backfire.

Stop finishing sentences for the child. It feels kind. It actually removes the child's reason to communicate. When grandparents (or anyone) meet every need before the child signals it, the child gets fewer chances to practice starting a conversation.

Stop asking a string of test questions. "What's that? What color is it? How many are there?" That rapid-fire quizzing is exhausting and teaches children that talking means being graded. One open-ended comment beats three questions.

Stop correcting speech directly. If a child says "wa-wa" for water, don't say "say water, not wa-wa." Just say "water, here's your water" in a natural tone. That's a recast. The child hears the correct form without feeling corrected, and research supports recasting as an effective way to expand language without creating shame or avoidance [5].

Stop filling every silence. Grandparents who love a child naturally want to keep the energy up. But a child working out what to say needs a pause, sometimes a long one, 5 to 10 seconds. That silence isn't awkward. It's the child's turn.

Key numbers for grandparents supporting a late talker Research figures that shape what you should do and when 15 % of toddlers who are late talkers 50 Min. words expected at 24 months 25 Estimated word exposures ne… to learn a new 8 Seconds to wait after pausing for a child Source: ASHA, AAP, Hart & Risley 1995, MIT McGovern Institute 2018

How can grandparents actually help build language day to day?

These strategies come straight from approaches used in speech-language therapy and parent training programs. None of them require special equipment.

Follow the child's lead. Whatever the child is looking at or touching, that's the topic. Don't redirect to a more "educational" toy. Language sticks when it maps onto something the child already cares about at that exact moment.

Narrate your actions and theirs. "Grandpa is washing the dishes. The water is hot. I'm scrubbing the pot." This is sometimes called sportscasting. It isn't about drilling vocabulary flashcard-style. It builds a steady, natural link between words and experience.

Use shorter sentences than you think you need. A child who uses two-word phrases learns most from hearing three or four-word sentences, not full adult ones. Match just slightly above where the child is. Speech therapists call this the "one up" rule.

Add to what the child says. If the child says "dog," you say "big dog" or "dog runs." You're expanding, not correcting.

Repeat, repeat, repeat. Adults need to hear a new word several times in context before it sticks. Children learning language for the first time need many more exposures, with some estimates suggesting 10 to 40 exposures to a new word before it's retained [6]. Reading the same board book 15 times is not boring for a toddler. It's exactly right.

Use gesture and expression. Point when you name things. Use your face. For some children, especially those with sensory or processing differences, the visual support of a gesture helps the word land.

Create opportunities rather than demands. Put a favorite snack in view but out of reach. Pause before opening a door they want opened. Set up moments where the child is motivated to communicate, then wait with an expectant look. Early intervention practitioners call this "communication temptation."

How should grandparents coordinate with the parents and the speech therapist?

This is probably the most important section here. Grandparents who do their own thing, even with the best intentions, can undercut a consistent approach or confuse the child.

Ask the parents one clear question: "What is the therapist working on right now, and what can I do at home to support that?" Most speech therapists are actively hoping caregivers will carry strategies into daily life. Home practice between sessions is where a lot of the real progress happens. A therapist working on requesting, for example, will have specific prompts and a specific level of support to give. Grandparents doing the same thing consistently across visits speeds up the work.

If the child uses an augmentative and alternative communication (AAC) device or a low-tech communication board, grandparents should learn to use it too. That means modeling: point to symbols while you speak, more than prompting the child to use it. Children learn AAC the same way they learn speech, by watching adults model it first. You can read more in our overview of aac devices.

When grandparents and parents disagree about what's right, those conversations belong with the parents, privately, not in front of the child. A child's communication environment needs to be consistent. Inconsistency, even well-meaning inconsistency, makes the child's job harder.

What everyday routines are best for building language with a grandchild?

Routines are gold for late talkers because they're predictable. Predictability frees a child to focus on the language instead of figuring out what happens next.

Mealtimes, bath time, getting dressed, and riding in the car are all high-value language moments precisely because they happen every day, in the same order. The sequence is known, so a grandparent can pause at a familiar step and wait for the child to fill in what comes next. "First we wash our... (pause, look at child expectantly)." Even a child who doesn't have the word yet can gesture, vocalize, or point, and that's a communicative act worth celebrating.

Reading books is powerful, but only if it's interactive. Pointing at pictures, making animal sounds, asking "where's the..." with a point, all of that beats reading every word on the page straight through. For toddlers, board books with simple, repetitive text and big pictures work well. The same books read over and over work even better.

Playing side by side, rather than across from each other in a face-to-face teaching stance, tends to produce more natural communication in young children. Floor time, building blocks, digging in sand, these are contexts where the child is relaxed and the adult is a play partner, not an instructor.

Outdoor time hands you constant vocabulary: tree, bird, wet, cold, loud, fall, dig. None of it feels like a lesson.

How should grandparents handle AAC or sign language if the child uses it?

Some late talkers and children with autism or other neurodevelopmental differences use AAC, whether that's a speech-generating device, a picture exchange system, or simple sign language. Grandparents sometimes feel intimidated by these tools or worry that using them will keep the child from developing speech.

The evidence doesn't support that worry. ASHA's position is clear: AAC does not inhibit speech development and often supports it [11]. For many children, a reliable way to communicate cuts frustration, which opens more room for spoken language to emerge.

For grandparents, the practical goal is this: learn the child's system well enough to model it, more than prompt it. If the child signs "more," sign it back. If the child has a device with a symbol for "go," use that symbol yourself when you say "let's go." You're showing the child that this system is real, that people respond to it, and that it connects to the world.

If the child uses signs, the common ones with late talkers, "more," "all done," "eat," "drink," "help," and "please," can be learned in an afternoon. Signing Exact English and American Sign Language are both used. Ask the parents which system the therapist is using and match it.

Children who may also have characteristics of childhood apraxia of speech often rely heavily on AAC during the stretch when speech is most effortful. Grandparents who embrace those tools instead of working around them make a real difference.

What about children with autism? Is the approach different?

Children with autism spectrum disorder often have communication profiles more complex than a simple vocabulary delay. Some are minimally verbal. Some use echolalia, repeating phrases from TV or books, as their main way of communicating. Some have strong receptive language (they understand a lot) but struggle to produce words. Some communicate mostly through behavior and need support to learn conventional forms.

For grandparents supporting a child with autism, the same core principles hold: follow the child's lead, reduce demands, model language at the right level, and set up motivated chances to communicate. The specific goals and methods should come from the child's speech therapist and the parents.

One thing that helps grandparents in particular: learn what the child's communication signals look like. A child with autism might show interest very differently from a neurotypical child. A glance toward something, a specific movement, a particular sound, these can all be communicative even when they don't look like traditional communication. When grandparents learn to read and respond to those signals, the child learns that communication works. That's the foundation.

For children who use echolalia, know that it's often functional, not random. A phrase pulled from a show might be the child's way of requesting, commenting, or expressing a feeling. An overview of echolalia meaning can help grandparents understand what's happening and respond in ways that build on it rather than shut it down.

Children with autism gain a lot from family involvement in autism spectrum speech therapy. Grandparents who are informed and consistent are a genuine asset.

When should grandparents encourage parents to seek evaluation?

This is a delicate question. Grandparents often notice things that parents, close to the child every day, might normalize. And grandparents sometimes worry in ways that aren't calibrated to what's actually typical. Both can be true at once.

Some signs a grandparent should gently raise with parents and take to the pediatrician:

The AAP recommends that pediatricians use a validated screening tool at the 18 and 24 month well-child visits [4]. If a child hasn't had that screening, or the family has concerns between visits, a referral to a speech-language pathologist is the right next step. Early intervention services in the U.S. are available for children birth to age 3 under the Individuals with Disabilities Education Act and are often provided at no cost to the family [7].

Grandparents can be advocates without being alarmists. Frame it around observation, not diagnosis: "I noticed X when I was with them last week. Have you mentioned that to the pediatrician?"

What if grandparents speak a different language at home?

Many grandparents are the primary source of a heritage language for a grandchild. That's worth protecting, not suppressing, even for a late talker.

The evidence on bilingualism and late talking is clear on one point: being bilingual does not cause language delays. Bilingual children may split their words across two languages, and when you count total vocabulary across both, they typically land within the normal range [8]. A bilingual late talker is a late talker in both languages, not a child who would be fine if they only heard one.

So grandparents should speak in their most natural, fluent language. A grandparent who forces English when their native language is Spanish or Cantonese or Polish will produce thinner, less natural input. The quality and naturalness of the language matters. Speak the language you know best.

Tell the speech therapist which languages the child hears and how much. That information changes how the therapist reads vocabulary counts and sets goals. It's clinically relevant, not a complication to hide.

How can Little Words fit into a grandparent's support?

Tools that work during independent play or screen time can stretch the support grandparents already give. Little Words is an AI speech companion app built for neurodivergent kids. It creates structured, responsive language interactions calibrated to the child's level. Grandparents who want to know whether it fits their grandchild's situation can take a short quiz at the start page.

Here's the honest caveat: no app replaces the back-and-forth of a real relationship. The conversational turns a grandparent creates during bath time or a walk around the block have neurological effects that passive screen time doesn't. The MIT research mentioned earlier found that it was interactive turns, not overall language exposure, that predicted brain outcomes [2]. Apps are a supplement, not the thing itself.

For families who can't easily reach in-person therapy, online speech therapy has grown a lot and the evidence for its effectiveness is good. That's another option worth knowing about.

What should grandparents actually say when they don't know what to say?

Sometimes grandparents freeze. They want to help but they're scared of doing the wrong thing. Here's a fallback that always works.

If you don't know what to do, just narrate. Describe what's happening in simple, clear sentences. "You're pushing the truck. It's going fast. Oh, it fell down. The truck fell." You cannot mess that up. You're adding words to the child's world with no pressure, no testing, no correcting.

Then wait. Stop talking. Look at the child with an open, expectant face. Give it a full 5 to 10 seconds. See what they do. Whatever it is, respond. A sound, a gesture, a look toward something, those are all communicative acts. Responding to them teaches the child that communication works.

That loop, model, wait, respond, is essentially the core of every parent-mediated language intervention published in peer-reviewed research. It doesn't need a manual. It needs patience and presence, both of which grandparents are often better positioned to offer than anyone else in a child's life.

Frequently asked questions

Can grandparents actually make a difference for a child in speech therapy?

Yes, meaningfully. Speech therapists typically see a child for 30 to 60 minutes once or twice a week. Getting those skills to show up in real life depends on consistent practice across all caregivers. Grandparents who understand the current therapy goals and apply the same strategies during everyday routines extend the therapy session by hours every week.

Should grandparents correct a late talker's pronunciation?

No, not directly. Direct correction tends to make children self-conscious and less willing to try words. Use a recast instead: if the child says "boo" for blue, you simply say "yes, blue!" in a warm tone. The child hears the correct form, the interaction stays positive, and ASHA supports this approach as effective for building speech without negative side effects.

How long should grandparents wait after asking a question or pausing?

At least 5 to 10 seconds, which feels much longer than it sounds. Late talkers, and especially children with processing differences, need more time to put together a response. Filling the silence too soon steals the child's chance to communicate. Set a mental timer if it helps. The pause is part of the intervention, not awkward dead air.

Is it OK to read the same books over and over with a late talker?

It's more than OK, it's ideal. Repeated readings give a child multiple exposures to the same vocabulary in a predictable context. Estimates suggest children may need 10 to 40 exposures to a new word before it's retained in long-term memory. Grandparents who read the same board book 20 times are doing exactly what language research recommends.

Should grandparents worry if a late talker understands everything but doesn't speak?

Good receptive language (understanding) with limited expressive language (speaking) is a reassuring profile in many cases, but it still warrants monitoring and often an evaluation. Some children with this profile are late bloomers. Others have expressive-only delays that respond well to therapy. A speech-language pathologist can tell these apart and recommend next steps. Don't wait indefinitely just because comprehension seems good.

What if the grandparent speaks a different language than the child's parents?

Grandparents should speak in their most fluent, natural language. Being bilingual does not cause speech delays. A grandparent who forces a second language produces thinner, less natural input, which is less useful. Tell the child's speech therapist which languages the child hears from whom, since that affects how vocabulary is counted and how goals are set.

How can grandparents learn to use a child's AAC device?

Ask the parents to show you the basics and ask the speech therapist if you can watch a session or get a quick orientation. The core skill is modeling: use the device yourself when you speak, more than prompting the child to use it. Most families with AAC users are relieved when grandparents want to learn. The more people in a child's life who model AAC, the faster the child learns it.

What are the earliest signs that a baby might be a late talker?

Red flags before 12 months include not babbling, not pointing or gesturing, and not responding consistently to their name. Between 12 and 18 months, fewer than 10 words, or losing words previously used, are concerns worth raising with a pediatrician. The AAP recommends formal developmental screening at 18 and 24 months well-child visits, so those appointments are important to keep.

Is there a risk of grandparents overstimulating a late talker?

Yes, particularly for children with sensory sensitivities or autism. Loud, fast, or overly enthusiastic interaction can overwhelm some children and make them withdraw rather than engage. Watch the child's signals: turning away, covering ears, or shutting down are cues to lower the volume and energy. Follow the child's pace, not the energy level you'd use with a neurotypical child.

What if parents and grandparents disagree about whether the child has a problem?

Frame the conversation around observations, not conclusions. "I noticed she didn't use any words during the whole afternoon" is easier to hear than "I think she has a problem." Encourage the parents to mention observations to the pediatrician at the next well-child visit. If there's real concern and the parents aren't acting on it, some states let grandparents directly request an early intervention evaluation for a child in their care.

Do screen time rules for late talkers apply to time at grandparents' house?

Consistency across settings matters. The AAP recommends avoiding screen time other than video chatting for children under 18 months, and limiting it to one hour of high-quality programming daily for ages 2 to 5. If parents have set screen time rules as part of a communication plan, grandparents following those same rules keeps the environment consistent and prevents the grandparents' house from becoming the exception that undermines the plan at home.

How should grandparents respond to a child who uses echolalia?

Respond as if the echolalia is meaningful, because it often is. A repeated phrase from a TV show might be the child's way of requesting, commenting, or connecting. Acknowledge it, add a word or two, and see what happens. Ignoring or correcting echolalia tends to reduce communication attempts overall. A speech therapist working with the child can help identify which phrases are functional and how to build on them.

Are there any books or resources grandparents can use to learn more?

ASHA's website (asha.org) has free parent-facing resources on late talking and speech milestones. The Hanen Centre publishes research-based parent programs including It Takes Two to Talk, designed for parents of late talkers and covering the same strategies used in therapy. The AAP's HealthyChildren.org has plain-language guides to developmental milestones by age.

Sources

  1. Hart & Risley, Meaningful Differences in the Everyday Experience of Young American Children (1995), referenced in American Psychological Association: Children heard between 600 and 2,100 words per hour depending on their caregiving environment, a gap that compounded over years.
  2. Romeo et al., Journal of Neuroscience (2018), MIT McGovern Institute summary: Number of conversational turns at ages 4 to 6 predicted brain activation and verbal ability, independent of socioeconomic status.
  3. American Speech-Language-Hearing Association (ASHA), Late Language Emergence: ASHA describes a late talker as a child between 18 and 30 months with fewer words than typical peers but no other known delays.
  4. American Academy of Pediatrics, Developmental Surveillance and Screening Policy Statement: About 10 to 20 percent of toddlers are late talkers; the AAP recommends formal developmental screening at 18 and 24 months well-child visits.
  5. Camarata, S., Journal of Child Language, recasting and speech-language intervention: Recasting (repeating back a corrected form without explicit correction) is an evidence-supported technique for building speech without creating shame or avoidance.
  6. Carey, S., and Bartlett, E., Cognition (1978), referenced in vocabulary acquisition literature on word learning exposures: Estimates suggest children may need 10 to 40 exposures to a new word before it is retained in long-term memory.
  7. U.S. Department of Education, Individuals with Disabilities Education Act (IDEA) Part C: Early intervention services in the U.S. are available for children birth to age 3 under IDEA and are often provided at no cost to the family.
  8. Hoff, E. et al., Applied Psycholinguistics (2012), bilingual children's vocabulary development: Bilingual children distribute words across two languages; counting total vocabulary across both languages typically places them within the normal range.
  9. American Academy of Pediatrics, Screen Time and Young Children Policy Statement: AAP recommends avoiding screen time other than video chatting for children under 18 months, and limiting to one hour of high-quality programming daily for ages 2 to 5.
  10. Hanen Centre, It Takes Two to Talk program overview: The Hanen It Takes Two to Talk program is a research-based parent training program for late talkers that teaches the same strategies used in speech-language therapy.
  11. ASHA, Augmentative and Alternative Communication (AAC) overview: AAC does not inhibit spoken language development and often supports it; adults should model AAC use, more than prompt the child to use it.
  12. Centers for Disease Control and Prevention, Learn the Signs. Act Early. Developmental Milestones: Not babbling by 12 months, no words by 16 months, and no two-word phrases by 24 months are developmental flags warranting evaluation.
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