Download the full text: Orr_2000_A Book a Day Keeps the Doctor Away A Look at the Implementation and Effects of Reach Out and Read, a Pediatric Clinic-Based Early Literacy Pr
study descriptionCross-sectional, quasi-experimental study.
core topic(s)Reach Out and Read (ROR)
Population CharacteristicsPoverty/Low-Income , Race, Ethnicity, and Culture
Exposures, Outcomes, OtherHome Language/Literacy/Learning Environment , Implementation and Evaluation , Parent Behaviors and Skills , Parent Knowledge, Attitudes, and Beliefs , Play , Provider Behaviors and Skills
objectivesTo examine the effects of Reach Out and Read (ROR) on the literacy beliefs and behaviors of caretakers of children ages 9 to 60 months. Doctors' beliefs about literacy and parent behavior were also examined.
exposureReach Out and Read (ROR).
outcomes evaluatedLiteracy beliefs and behaviors of parents and providers.
settingThree clinics were identified, one participating in the ROR program, and two that did not. All three clinics serve mostly a low-income multiracial population that was over 50% Latino.
methodsExtensive structured interviews consisting of open-ended as well as scaled questions were conducted with parents of children between 9 and 60 months attending a well child check and with several of the doctors who conducted these well child checks. Interviews were then audiotaped, transcribed, and coded for analysis. Children over the age of 2 years 10 months were administered a standardized emergent literacy measure in their native language.
sample sizeROR Clinic (n=1): n=22 (caretakers); n=5 (doctors) | Non-ROR Clinics (n=2): n=15 (caretakers); n=2 (doctors)
Measure of Beliefs and Behaviors: Interview including 60-items that assessed demographics, children’s play activities, parents’ knowledge and attitudes about literacy, literacy practices at home, and beliefs about the patient-doctor relationship.
Measure of Emergent Literacy: children over the age of 2 years 10 months were administered a standardized emergent literacy measure in their native language.