Sleep for Preschoolers, BMI and Utilization, Reach Out and Read, Problematic Internet UseFactors Associated With Increased Reading Frequency in Children Exposed to Reach Out and Read
Section snippets
Study Design and Setting
This is a multisite cross-sectional study based on caregivers' report. After approval by the Medical College of Wisconsin's institutional review board, the study took place from September 2013 to May 2014 in Milwaukee, Wisconsin, at the 8 ROR-M sites serving a predominantly low-income population in the central city. During 2014, there were 13,648 annual well-child encounters for children 0 to 5 years old across the 8 sites. Insurance coverage for patients was predominantly Medicaid (91.97%),
Participants
A total of 353 caregivers were enrolled onto the study, representing 400 individual children. Of the 400 questionnaires completed, 256 met the eligibility criteria and were included in the study analysis (Figure 2). The majority of caregivers identified as black (68.0%) or Latino (27.7%), most spoke English (85.5%) and/or Spanish (32.0%), and the majority had completed high school (72.9%). The children's ages ranged from 6 to 59 months, with similar distribution across different age groups (
Discussion
In a multisite study of ROR, we demonstrated that receiving books from pediatricians is one of the most important variables that distinguish families with frequent shared reading (>3 days per week) from those with less frequent shared reading. Additionally, our analysis showed ROR has a dose-dependent effect, with caregivers receiving ≥4 books from ROR reading more frequently to children. This supports the findings of previous ROR studies, which demonstrated increased reading frequency in
Conclusions
This study supports previous data by demonstrating increased caregiver–child reading frequency in families with more exposure to ROR. It also identifies the relative importance of variables in predicting caregiver–child reading frequency, some of which are amenable to intervention in the primary care setting. By risk stratifying the pediatric population into groups such as rarely, often, and daily readers, pediatricians can target interventions to these unique groups. Primary care pediatric
Acknowledgments
All phases of this study were supported by the Herzfeld Foundation, WE Energies, and the Davis Family Foundation. The funding sources had no involvement in study design or in data collection, analysis, or interpretation. The principal investigator of this study was Dr Earnestine Willis.
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The authors declare that they have no conflict of interest.