I have the children play at least once a week. I have noticed that child with the speech delay has improved in this game so well. She knows once i get the game how to set it up, and calls her sister to play the game with her. She has also improved her vocabulary, the words she learns from here she uses everyday, if she sees the same item in a book, t.v. and even in the supermarket, she will pronounce the word correctly. Her S’s have gotten better as well, certain things she couldn’t pronounce before she tries to say it better. The one thing I would change in the game is the items, or have different levels after the mastered the first game, that way they learn new words once they mastered the first game. I would set this game in maybe 5 levels, and see where it goes from there.