study descriptionConvergent mixed-methods design.
core topic(s)Reach Out and Read (ROR)
Population CharacteristicsMedical Providers , Poverty/Low-Income , Race, Ethnicity, and Culture , Urban
Exposures, Outcomes, OtherAnticipatory Guidance , Community , Implementation and Evaluation , Parent-Provider Relationships/Interactions , Provider Behaviors and Skills , Provider Knowledge, Attitudes, and Beliefs
objectivesReach Out and Read (ROR) is an evidence-based early childhood intervention that has been implemented at scale, yet description of ROR implementation is inconsistent. This study engages implementation science to examine ROR delivery and site-level variation.
exposureReach Out and Read (ROR) implementation.
settingCommunity health centers (CHCs) that serve low-income Latino families.
methodsAs part of an ongoing clinical trial, we conducted a mixed-methods study in 3 community health centers (CHCs) that serve low-income Latino families. We integrated quantitative parent survey data, qualitative data from monthly key informant interviews with ROR site leaders over 1 year, and in-depth interviews with 18 additional clinicians. At enrollment, parents reported whether they received a children's book, guidance on reading, and modeling from clinicians. We analyzed quantitative data using descriptive statistics, and qualitative data iteratively engaging emergent and a priori codes drawn from the Template for Intervention Description and Replication Checklist.
sample sizen=300 (parents)
Measure of Quantitative Data: survey administered to parents including questions about the following:
- receipt of a book
- anticipatory guidance about reading
- modeling about reading
- exposure to a literacy-rich clinic environment
Measure of Qualitative Data: structured and semi-structured interviews analyzed using the Template for Intervention Description and Replication Checklist (TIDieR), adapted to suit ROR to focus on the following:
- why each CHC implements ROR (mission or goal for implementing ROR).
- what components each CHC implements as ROR; how much each CHC implements the different components (percent of parents receiving component).
- how the CHC deliver these components.