Phonological awareness is a child’s ability to hear, identify, and manipulate the sounds inside spoken words, and it is one of the strongest early predictors of how easily that child will learn to read. It is a listening skill, not a letter skill, and it develops before a child recognizes a single letter of the alphabet.
That distinction surprises a lot of parents. School has just started in Indian River County, and the assumption is that reading begins with the alphabet. It begins earlier than that, in the ear. After 27 years of pediatric speech therapy, the connection I most often have to explain is this one: the child who cannot hear that “cat” and “hat” rhyme will have a harder time with print, and that difficulty is usually visible long before a reading report card is.
What is phonological awareness, exactly?
It is a set of skills that develop in a rough order, each sitting underneath the next.
- Rhyme awareness. Noticing that “cake” and “lake” sound alike at the end.
- Syllable awareness. Clapping out “but-ter-fly” as three beats.
- Onset and rime. Hearing that “sun” starts with /s/ and ends with “un.”
- Blending. Being told /m/ /o/ /p/ and answering “mop.”
- Segmenting. Being told “mop” and producing /m/ /o/ /p/.
- Manipulation. Saying “cat” without the /k/.
The last three are phonemic awareness, the individual-sound level, and they are most closely tied to decoding printed words. A child who can blend and segment sounds by ear has the machinery ready when a teacher shows them that letters represent those same sounds.
Why does this matter for a child in speech therapy?
Because speech sound difficulties and reading difficulties travel together more often than families expect.
In a study of school-age children receiving school-based speech therapy for a speech sound disorder, just over 25 percent showed concomitant deficits in word decoding, and children at risk at the start of the school year tended to still be at risk at the end of it (Tambyraja and colleagues, Journal of Speech, Language, and Hearing Research, 2020). A more recent systematic review and meta-analysis in the same journal concluded that speech sound difficulties at school entry are a significant risk factor for later reading difficulty (Journal of Speech, Language, and Hearing Research, 2024).
This is not a reason to panic. It is a reason to look. Most children with speech sound errors become good readers, and the ones who need extra support are far easier to help at five than at eight. The risk is missing the reading piece because everyone is focused on how the child sounds.
How do I know if my child’s sound awareness is developing normally?
Rough benchmarks that most children meet, keeping in mind that development varies:
- By age 4: notices rhyme, claps syllables in familiar words, recognizes when two words start with the same sound
- By age 5: produces a rhyming word on request, blends two or three sounds into a word, identifies the first sound in a spoken word
- By age 6: segments simple words into individual sounds, deletes or substitutes a sound to make a new word, matches sounds to letters with instruction
Signs worth a conversation include a child who cannot hear rhyme by kindergarten, cannot tell you what sound “sun” starts with, struggles to blend sounds you say slowly, or is memorizing whole words but cannot sound out an unfamiliar one.
What does speech therapy actually do about this?
A speech-language pathologist works on phonological awareness through play, repetition, and structured games rather than worksheets. In practice that means rhyming games, sound-matching activities, syllable clapping, blending and segmenting with manipulatives, and, as the child is ready, connecting those sounds to letters. For a child already in therapy for articulation or a phonological disorder, this work runs alongside the speech goals rather than replacing them, because the underlying sound system is the shared foundation.
Home practice matters here more than in almost any other area, because these are skills that live in ordinary conversation. Families who already have practical ways to support speech sounds at home usually find that the same five-minute habits carry directly into sound awareness work, since both depend on the same daily listening and repeating.
What can parents do this week?
None of this requires materials, and all of it fits in the car or at bedtime.
- Play rhyme games in the car. “What rhymes with truck?” Silly non-words count.
- Clap names. Family names, street names, dinosaur names. Syllables are easy to feel.
- Play the sound game. “I’m thinking of something in this room that starts with /b/.”
- Stretch words out. Say “mmmm-ooooo-p” and let your child guess the word.
- Read the same book repeatedly. Predictable, rhyming texts do more for sound awareness than a new book every night.
- Notice, do not correct. If a child mishears a sound, say the word correctly rather than asking them to repeat it.
Five minutes a day is genuinely enough at this age. Consistency does more than duration.
When should I ask for an evaluation?
If your child is in kindergarten and cannot hear rhyme, cannot identify beginning sounds, or is struggling to blend sounds that you say slowly, that is worth an evaluation now rather than in the spring. The same applies if your child has a history of speech sound errors, even resolved ones, and is now having trouble with early reading tasks. An evaluation is not a commitment to therapy. It is information, and in early literacy the value of information drops steeply as the school year goes on.
Frequently asked questions
What is the difference between phonological awareness and phonics? Phonological awareness is entirely about sound and can be done in the dark with no printed material at all. Phonics is the connection between those sounds and written letters, and it builds directly on the sound awareness that came first.
Does a speech sound disorder mean my child will have reading problems? No. Most children with speech sound errors learn to read successfully, but research shows the risk of reading difficulty is higher in this group, which is why sound awareness is worth checking rather than assuming.
Can a speech-language pathologist help with reading? Speech-language pathologists work on the spoken language foundations that reading is built on, including phonological awareness, vocabulary, and language comprehension. That work supports reading development and complements the instruction a child receives at school.
My child’s teacher says to just wait and see. Should I? Waiting is reasonable when a child is progressing steadily, and less reasonable when specific sound awareness skills are absent rather than emerging. An evaluation costs a visit and gives you an actual baseline instead of a guess.
Do these skills develop differently in bilingual children? Bilingual children develop phonological awareness in both languages, and skills often transfer between them. What matters is looking at the child’s total language ability rather than judging either language in isolation.
Ready to find out where your child stands?
If your child is in speech therapy, or has been, and early reading is starting to feel harder than it should, a sound awareness check is a straightforward next step. I provide pediatric speech and language evaluation and therapy in Vero Beach and Indian River County. Reach out to ask a question or schedule an evaluation.
About the author
Pamela Cerrato, MA, CCC-SLP, is a pediatric speech-language pathologist with more than 27 years of experience supporting children’s speech, language, and communication development. She holds the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from the American Speech-Language-Hearing Association and provides evaluation and therapy for families in Vero Beach and Indian River County, Florida.




