Fricke Jonathan, Navsaria Dipesh, Mahony Karin
WMJ. 2016 Dec;115(6):300-5.
Reach Out and Read (ROR) improves children's development and kindergarten readiness by encouraging parents to routinely share books with their children. Primary care providers give age-appropriate books and anticipatory guidance on reading at each well-child visit. This study evaluated parent attitudes and behaviors of early literacy related to ROR participation in Wisconsin clinics.
A survey of early literacy attitudes and behaviors was administered to parents of children ages 6 months to 5 years in 36 Wisconsin clinics. Ten clinics were established ROR sites (intervention group) and 26 clinics had applied to become ROR programs but had not yet initiated the program (control group).
Parents at clinics with ROR programs were more likely to read with a child under the age of 6 months (OR=1.58, 95% CI, 1.05-2.38). Other literacy metrics trended toward improvement but none reached statistical significance. Paradoxically, the odds of parents reporting reading as a bedtime habit were decreased among those who participated in ROR.
Our study finds mixed support of the effectiveness of ROR outside of academic settings. The apparent discrepancy between these results and those from national studies on ROR may be related to differences in respondent demographics and educational attainment or differences in program implementation and fidelity. We believe that the results will become clearer with future study as clinics are prospectively evaluated over time rather than being compared to non-ROR clinics in a cross-sectional snapshot.
“伸出援手阅读”（ROR）项目通过鼓励家长定期与孩子分享书籍，改善儿童的发育情况并提高其入学准备程度。基层医疗服务提供者在每次儿童健康检查时提供适合其年龄的书籍以及关于阅读的预期指导。本研究评估了威斯康星州诊所中与参与ROR项目相关的家长对早期读写能力的态度和行为。
对威斯康星州36家诊所中6个月至5岁儿童的家长进行了一项关于早期读写能力态度和行为的调查。其中10家诊所是已设立的ROR项目点（干预组），26家诊所已申请成为ROR项目但尚未启动该项目（对照组）。
设有ROR项目的诊所的家长更有可能与6个月以下的儿童一起阅读（比值比=1.58，95%置信区间，1.05 - 2.38）。其他读写指标有改善的趋势，但均未达到统计学显著性。矛盾的是，参与ROR项目的家长将阅读作为睡前习惯的几率降低了。
我们的研究发现，对于ROR项目在学术环境之外的有效性，支持的证据不一。这些结果与全国性ROR研究结果之间明显的差异可能与受访者的人口统计学特征和教育程度差异或项目实施及保真度差异有关。我们认为，随着未来对诊所进行前瞻性长期评估而非在横断面快照中与非ROR诊所进行比较，结果将变得更加清晰。
