core topic(s)Reach Out and Read (ROR)
Population CharacteristicsMedical Providers
Exposures, Outcomes, OtherImplementation and Evaluation , Provider Behaviors and Skills
metric(s)Reach Out and Read (ROR) Materials
objectivesThe objective of this study was to identify practice attributes associated with variability in ROR implementation.
exposureReach Out and Read (ROR).
outcomes evaluatedEffectiveness of ROR implementation and clinic culture.
settingClinic sites participating in ROR throughout Greater Baltimore, MD.
methodsTwenty primary care providers and 70 support staff from 7 clinics in Baltimore, Maryland, participated in semi structured interviews. Sites were purposefully selected on the basis of the perceived success of their ROR program implementation. All interviews were transcribed and inductively analyzed to identify themes. Themes were compared to predictors postulated by a conceptual model for team effectiveness across a variety of workplace settings.
sample sizen=20 (primary care providers); n=70 (support staff); n=90 (total); n=7 (clinics)
Measures of Effectiveness: we used a qualitative framework described by Cohen and Bailey, which conceptualizes team effectiveness as a function of group processes, group psychosocial traits, design factors, and environmental factors. In this model, group processes, group psychosocial traits, and design factors have both direct and indirect influences on team effectiveness, while environmental factors influence effectiveness only indirectly.
Measures of Adherence: 20-item Site Observation Scale created by the National ROR Program to assess adherence to the ROR model using items ranging from book distribution to parent provider interactions.