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Intended Outcomes and Core Components of Primary Care-Based Literacy Promotion as Defined by Experts.

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Summary

Primary care literacy promotion should focus on clinician guidance and shared reading to improve child language and relational health. Key components are essential, while others can be adapted for better implementation.

Keywords:
early childhoodimplementation scienceliteracy promotionpediatricsprimary careshared reading

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Area of Science:

  • Pediatrics
  • Public Health
  • Early Childhood Development

Background:

  • Primary care-based literacy promotion improves caregiver-child shared reading and child language outcomes.
  • Implementation variations can diminish the impact of literacy promotion strategies.
  • Understanding expert perspectives is crucial for optimizing program effectiveness.

Purpose of the Study:

  • To examine expert opinions on intended outcomes of primary care literacy promotion.
  • To identify core and adaptable components necessary for effective literacy promotion.
  • To understand the essential elements for successful implementation in diverse settings.

Main Methods:

  • Purposive sampling of healthcare and policy experts in primary care literacy promotion.
  • Online, in-depth interviews conducted with 24 participants from the U.S. and Canada.
  • Verbatim transcription and iterative analysis using established fidelity methods and prior research.

Main Results:

  • Intended outcomes evolved from preliteracy skills to include early relational health.
  • Core components involve a trusted clinician delivering strength-based, family-centered messages and modeling shared reading.
  • Adaptable components include literacy-rich environments and community referrals; book provision alone is insufficient.

Conclusions:

  • Strength-based, family-centered guidance and developmentally-focused modeling by clinicians are core to achieving desired outcomes.
  • Expert consensus highlights the importance of relational health and school readiness as key goals.
  • Findings can guide training and healthcare improvements to optimize primary care literacy promotion.