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Published on: September 19, 2019
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.
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.
Abstract:
Attendance at well-child visits (WCVs) is a sine qua non of preventive care. We hypothesized that Reach Out and Read (ROR) would be associated with better WCV attendance. Parents of children 76 to 72 months at 8 clinics who did not yet have ROR reported how many WCVs their child had attended in the previous year; separate samples at the same clinics were interviewed 16 months after the ROR program was instituted. Comparing 267 parents before ROR and 254 after, the percentage who had attended the minimum number of WCVs required by the American Academy of Pediatrics periodicity schedule rose from 67.4% (180/267) to 78.3% (199/254; P < .01). This difference remained significant after controlling for multiple potential confounding factors (estimated odds ratio = 2.1, 95% confidence interval = 1.3-3.5). The largest differences were among Latino children and children of less-educated parents. Programs to enhance early literacy may increase attendance at WCVs among at-risk families.
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