Early Literacy Research Library (ELRL) - Article

Reach Out and Read Implementation: A Scoping Review

Uthirasamy, N., et al. (2023) Reach Out and Read Implementation: A Scoping Review. Academic Pediatrics, 23(3), 520-549. ,

Access: FREE/Open Access

Publication year


study description

Scoping review.

core topic(s)

Reach Out and Read (ROR)

Population Characteristics

Medical Providers , Medical Trainees

Exposures, Outcomes, Other

Implementation and Evaluation


This scoping review examines the existing literature to better understand ROR implementation.


Reach Out and Read (ROR).

outcomes evaluated

ROR implementation.


Data Sources included PubMed, ERIC, Web of Science, Academic Search Premier, ProQuest Education Database, and CINAHL. We included peer-reviewed English-language papers focusing on ROR in an ambulatory setting in North America. Extracted variables were informed by the Template for Intervention Description and Replication checklist and included publication year, title, author(s), clinic location, study design, study aim, ROR implementation, modifications, implementation assessment, barriers, facilitators, and outcomes.

sample size

n=71 (included articles)




Seventy-one papers were included, of which 43 were research articles. We identified substantial variation in ROR implementation including differences in components delivered. A considerable number of research articles did not assess ROR implementation. The most common barriers to ROR implementation were at the system level (ie, financing and inadequate time). Modifications and enhancements to ROR are emerging; most address barriers at the clinician and family level.


ROR implementation varies across studies, and many did not assess implementation. Consistent reporting and assessment of ROR implementation could create opportunities to better understand the mechanisms underlying ROR's effects and inform other early childhood interventions that seek to promote optimal development at the population level.


This review was limited to published English language papers focusing on ROR.