Maximizing the impact of reach out and read literacy promotion:anticipatory guidance and modeling

Access: Institutional Access

Publication year

2024

study description

Secondary analysis

core topic(s)

Early Literacy , Pediatric Primary Care , Reach Out and Read (ROR) , Shared Reading

Population Characteristics

Race, Ethnicity, and Culture , Toddler/Preschool

Exposures, Outcomes, Other

Anticipatory Guidance , Home Language/Literacy/Learning Environment , Parent-Child Relationships/Interactions , Reading Frequency

metric(s)

StimQ Cognitive Home Environment Questionnaire (StimQ)
Reach Out and Read (ROR) Materials

objectives

Reach Out and Read (ROR) is a multi-component pediatric literacy promotion intervention. However, few studies link ROR components to outcomes. We examine associations between receipt of (1) multiple ROR components and (2) clinician modeling, a potential best practice, with enhanced home literacy environments (EHLEs) among Latino families.

exposure

ROR

outcomes evaluated

We examine associations between receipt of (1) multiple ROR components and (2) clinician modeling, a potential best practice, with enhanced home literacy environments (EHLEs) among Latino families.

setting

Three urban community health centers between November 2020 and June 2023

methods

We conducted secondary analyses of cross-sectional enrollment data from a randomized clinical trial at three urban community health centers between November 2020 and June 2023. Latino parents with infants 6–<9 months old were surveyed about ROR component receipt (children’s book, anticipatory guidance, modeling) and EHLE (StimQ2- Infant Read Scale). We used mixed models with clinician as a random effect, adjusting for covariates.

sample size

N=440 Latino parent-infant dyads

measures

ROR component receipt (children’s book, anticipatory guidance, modeling) and

EHLE (StimQ2- Infant Read Scale)

results

440 Latino parent-infant dyads were included. With no components as the reference category, receipt of 1 component was not associated with EHLE. Receipt of 2 components (standardized beta = 0.27; 95%CI: 0.12–0.42) and 3 components (standardized beta = 0.33; 95% CI: 0.19–0.47) were associated with EHLE. In separate analyses, modeling was associated with EHLE (standardized beta = 0.16; 95%CI: 0.06–0.26).

conclusions

Findings support modeling as a core ROR component. Programs seeking to enhance equity by promoting EHLE should utilize such strategies as anticipatory guidance and clinician modeling in addition to book distribution. Reach Out and Read, a multi-component literacy promotion intervention, leverages primary care to promote equity in children’s early language experiences. However, few studies link Reach Out and Read components to outcomes. Among Latino parent-infant dyads, we found that implementation of two and three components, compared to none, was associated with enhanced home literacy environments, following a dose response pattern.