study descriptionQuality improvement pilot initiative.
core topic(s)Reach Out and Read (ROR)
Population CharacteristicsInfant/Newborn , Neonatal/NICU
Exposures, Outcomes, OtherImplementation and Evaluation , Language and Literacy Development , Reading Frequency
objectivesWe report on our experience initiating ROR in the NICU, a pediatric population not previously targeted until our request, to increase language exposure for our preterm infants.
exposureReach Out and Read (ROR) from infancy.
outcomes evaluatedLanguage exposure and caregiver-infant reading frequency.
settingThe Boston Medical Center (BMC) NICU is a 21-bed unit in an urban, non-profit, safety-net hospital in Boston, MA, with ~2700 deliveries per year. BMC serves a diverse, low income population. At the time of this initiative, the NICU was a 2 room, “open bay” style unit.
methodsWe introduced Reach Out and Read (ROR) in the NICU as a quality improvement initiative to increase language exposure. Measures included availability of books, accessibility of parents, and enrollment of infants, percent infants read to by their parents, and data from parental surveys.
sample sizen=98 (total infants); n=40 (discharged on or before ROR launched); n=58 (discharged after)
Process Measures: percent of infants for whom we have books in mother’s native language, average daily visits by mother and/or father during hospitalization, and percent of eligible infants who were enrolled in ROR.
Balancing Measures: parental feedback from an anonymous survey and informal nursing feedback.
Measure of Days Spent in the NICU: EMR review.