Download the full text: Obus_2017_Improving Adherence to Reach Out and Read – A Bookmark Intervention
study descriptionBookmark intervention study.
core topic(s)Reach Out and Read (ROR)
Population CharacteristicsInfant/Newborn , Kindergarten , Medical Providers , Poverty/Low-Income , Toddler/Preschool , Urban
Exposures, Outcomes, OtherClinic-Based Programs and Interventions , Implementation and Evaluation , Provider Behaviors and Skills
additional materialsObus_2017_Bookmark Text
6 month old sample bookmark
9 month old sample bookmark
12 month old sample bookmark
15 month old sample bookmark
18 month old sample bookmark
3 year old sample bookmark
4 year old sample bookmark
5 year old sample bookmark
objectivesThis study examines how the addition of a modest addendum to the well-established pediatric primary care program, Reach Out and Read (ROR), is associated with increased clinician adherence to ROR and caregiver home literacy behavior.
exposureReach Out and Read (ROR) and bookmark intervention.
outcomes evaluatedClinician adherence to ROR and caregiver literacy behaviors.
setting4 ambulatory care clinics located in the Harlem and Washington Heights neighborhoods of New York City that are part of the Columbia University Medical Center Ambulatory Care Network, and provide healthcare to predominantly low income families.
methods"All clinics received standard ROR training. Two of the four clinics received additional ROR training and bookmarks with age-specific advice about reading aloud with children...Primary caregivers of pediatric patients between the ages of six months to five years were recruited from waiting rooms to complete a questionnaire regarding their demographic information and literacy-promoting behaviors. In addition to caregivers, primary care providers – including residents, attendings, and nurse practitioners – were recruited to complete a questionnaire regarding their application of the ROR program. Caregivers and primary care providers were recruited before and after the intervention; thus different groups of caregivers and primary care providers completed the questionnaires across time points."
sample sizen=180 (caregiver questionnaires, before and after); n=59 (provider questionnaires, before); n=51 (provider questionnaires, after)
Measure of Literacy Behavior in Primary Caregivers: orally administered questionnaires about their demographic information, literacy-based beliefs, and literacy-based practices.
Measure of ROR Adherence in Providers: email administered questionnaires about how often they remembered to distribute books, gave counseling and modeled appropriate reading behavior, and how familiar they were with ROR and applying it.