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Published on: June 22, 2019
Literacy Promotion Strategies Within Reach Out and Read: An Exploratory Study
Robert Needlman1,2, Zaeem Lone2,3, Ryan Chae2,4
11 Case Western Reserve University, Cleveland, OH, USA.
Insights
Literacy promotion (LP) in primary care can be enhanced. Observing parents and children reading together, with feedback, improved parent recall and motivation for reading aloud skills compared to advice alone.
Area of Science:
- Pediatrics
- Public Health
- Early Childhood Education
Background:
- Literacy promotion (LP) is a key part of primary care for young children.
- Effective strategies for implementing LP during routine visits are still being explored.
Purpose of the Study:
- To compare two different literacy promotion strategies in primary care settings.
- To assess the impact of observation and feedback versus advice on parent recall and motivation.
Main Methods:
- Two cohorts of children (6 months to 6 years) receiving routine care were studied.
- Cohort 1 received advice-based LP; Cohort 2 received LP involving observation of parent-child reading and feedback.
- Parents were interviewed 1-2 weeks post-intervention.
Main Results:
- LP in Cohort 2 took significantly longer but resulted in higher parent recall of learning about reading aloud (48% vs 8%).
- Parents in Cohort 2 reported greater uncertainty about their reading skills and a stronger desire to learn more (100% vs 17%).
Conclusions:
- Observing parent-child reading dyads and providing feedback may be a more effective literacy promotion strategy than advice alone.
- This approach enhances parent engagement and motivation to improve reading aloud skills.
Abstract:
Literacy promotion (LP) is an essential component of primary care. This study explored different LP strategies in 2 cohorts of children aged 6 months to 6 years coming for routine care. In cohort 1 (N = 24), LP consisted mainly of advice. In cohort 2 (C2, N = 21), LP prioritized observing parent-child dyads reading aloud and giving feedback. Parents were interviewed 1 to 2 weeks later. LP took longer in C2 (138 ± 66 seconds vs 73 ± 50, P < .001), and parents were more likely to recall having learned about reading aloud (48% vs 8%, P < .001), even after controlling for time spent. More parents in C2 reported uncertainty about their reading aloud skills (73% vs 22%, P < .002) and a desire to learn more about reading aloud (100% vs 17%, P < .001). Observation and feedback may make LP more memorable to parents and is more likely to motivate parents to improve their skills in this area.
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