Attendance at Well-Child Visits After Reach Out and Read

Robert D Needlman1, Benard P Dreyer2,3, Perri Klass2,3

  • 11 Case Western Reserve University, Cleveland, OH, USA.

Clinical Pediatrics
|January 8, 2019
PubMed

Insights

Implementing the Reach Out and Read program significantly improved well-child visit attendance, especially for at-risk families. Early literacy initiatives can boost preventive care adherence.

Area of Science:

  • Pediatrics
  • Preventive Care
  • Early Literacy

Background:

  • Well-child visits (WCVs) are crucial for child preventive care.
  • Attendance rates can be suboptimal, particularly in underserved populations.
  • The Reach Out and Read (ROR) program aims to improve early literacy and school readiness.

Purpose of the Study:

  • To investigate the association between the Reach Out and Read program and WCV attendance.
  • To determine if ROR implementation impacts adherence to recommended preventive care schedules.

Main Methods:

  • A quasi-experimental design comparing WCV attendance before and after ROR implementation across 8 clinics.
  • Data collected from parents of children aged 6 months to 5 years.
  • Statistical analysis controlled for potential confounding factors.

Main Results:

  • WCV attendance increased from 67.4% to 78.3% after ROR implementation (P < .01).
  • This improvement was statistically significant after controlling for confounders (OR = 2.1).
  • The most substantial gains in attendance were observed among Latino children and those with less-educated parents.

Conclusions:

  • The Reach Out and Read program is associated with improved well-child visit attendance.
  • Early literacy programs can be effective tools for enhancing preventive healthcare access for at-risk families.
  • Interventions promoting early literacy may help reduce disparities in healthcare utilization.

Related Concept Videos

Uncertainty in Measurement: Reading Instruments02:46

Uncertainty in Measurement: Reading Instruments

Counting is the type of measurement that is free from uncertainty, provided the number of objects being counted does not change during the process. Such measurements result in exact numbers. By counting the eggs in a carton, for instance, one can determine exactly how many eggs are there in the carton. Similarly, the numbers of defined quantities are also exact. For example, 1 foot is exactly 12 inches, 1 inch is exactly 2.54 centimeters, and 1 gram is exactly 0.001 kilograms. Quantities...
51.7K
Probability Laws01:49

Probability Laws

Overview
44.3K
Punnett Squares01:00

Punnett Squares

Overview
125.5K
Confirmation Biases01:31

Confirmation Biases

The confirmation bias is the tendency to focus on information that confirms our existing beliefs and ignore information that is inconsistent with our expectations. For example, if you think that your professor is not very nice, you notice all of the instances of rude behavior exhibited by the professor while ignoring the countless pleasant interactions he is involved in on a daily basis. Have you ever fallen prey to the confirmation bias, either as the source or target of such bias?
8.2K
Bystander Effect02:09

Bystander Effect

The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
10.3K
Pedigree Analysis01:35

Pedigree Analysis

Overview
89.3K