Download the full text: High_2000_Literacy promotion in primary care pediatric – can we make a difference
study descriptionRandomized, prospective, intervention study.
core topic(s)Reach Out and Read (ROR)
Population CharacteristicsPoverty/Low-Income , Toddler/Preschool , Urban
Exposures, Outcomes, OtherLanguage and Literacy Development , Parent Behaviors and Skills , Parent Knowledge, Attitudes, and Beliefs
objectivesTo evaluate the effects of a literacy promoting intervention delivered by pediatric providers as part of well-child care on parent attitudes and behaviors and on child language.
exposureReach Out and Read (ROR)
outcomes evaluatedParent attitudes and behaviors, child language outcomes, and family child centered literacy orientation (CCLO).
settingUrban community-based health centers for pediatric care serving a low income multiethnic population.
methodsA multicultural group of 205 low-income families with 5- to 11-month-olds were prospectively enrolled, interviewed, and randomized to intervention (n 5 106) or control (n 5 99) groups. Families in the intervention group received developmentally appropriate children’s books and educational materials and advice about sharing books with children, while those in the control group received no books or materials relevant to literacy. After an average of 3.4 well-child visits in both groups, 153 (75%) were reinterviewed and the children’s receptive and expressive vocabulary was tested using a modified version of the MacArthur Communication and Development Inventory (Short Form). Parents were asked if their child understood (receptive vocabulary) or said (expressive vocabulary) each of 100 words, half of which were in the books given. Families were found to have a Child-Centered Literacy Orientation if they mentioned reading aloud as one of their child’s favorite activities or as one of their own favorite joint activities or if they usually read together at bedtime. At follow-up toddlers were 18.4 months old on average.
sample sizen=106 (intervention); n=99 (control); n=205 (total)
Measure of Parent Attitudes and Behaviors: interview.
Measure of Receptive and Expressive Vocabulary: modified version of the MacArthur Communication and Development Inventory (short form).
Measure of Child Centered Literacy Orientation (CCLO): whether or not families mentioned reading aloud as one of their child’s favorite activities or as one of their own favorite joint activities or if they usually read together at bedtime.