Department of Pediatrics, Duke University (E Erickson and A Caldwell), Durham, NC.
Department of Pediatrics, Duke University (E Erickson and A Caldwell), Durham, NC.
Acad Pediatr. 2021 Aug;21(6):961-967. doi: 10.1016/j.acap.2021.01.011. Epub 2021 Jan 29.
Enhanced literacy and increased vocabulary related to Reach Out and Read (ROR) are well described. Less is known about clinicians' experience with the program.
Understand clinician experiences of implementing ROR.
DESIGN/METHODS: This study was a collaboration between ROR and the Academic Pediatric Association's Continuity Research Network. Participants completed an anonymous online survey to evaluate Literacy Promotion activities and training, and were asked "What has been the most meaningful experience you have encountered with using ROR?" and "Is there anything else you would like to add?" Responses were evaluated by researchers and 4 themes were generated through discussion. All responses were divided and coded by researchers working in pairs and subsequently by all researchers until consensus was reached. Data were organized into themes.
Responses were provided by 592 (35%) participants. Qualitative analysis revealed benefits to participation in ROR within 4 themes: 1) Child/Family Impact (60%): "Seeing a child read for the first time" 2) Physician Impact (16%): "I... use the books... to connect with patients." 3) Impact on clinic practice (25%): "I... enjoy modeling for parents and use the books to assess... development" 4) Social Determinants of Health (2%): "The books... are an invaluable resource to our under-served population."
Clinicians who implement ROR report positive impact on patients, families, and their own satisfaction and methods in practice. Clinicians value that the program addresses social determinants of health and facilitates developmental surveillance. Further study is needed to understand how clinician's perspectives affect and are affected by their experiences.
提高读写能力和增加与“伸出援手并阅读”（ROR）相关的词汇量已经得到了很好的描述。但对于临床医生实施该计划的经验知之甚少。
了解临床医生实施 ROR 的经验。
方法/设计：本研究是 ROR 与学术儿科协会连续性研究网络之间的合作。参与者完成了一项匿名在线调查，以评估读写促进活动和培训，并被问到“你在使用 ROR 时遇到的最有意义的经历是什么？”和“你还有其他想补充的吗？”研究人员对这些回答进行了评估，并通过讨论生成了 4 个主题。所有回复均由研究人员分组进行分类和编码，然后由所有研究人员进行分类和编码，直到达成共识。数据被组织成主题。
共有 592 名（35%）参与者提供了回复。定性分析揭示了参与 ROR 的 4 个主题的好处：1）儿童/家庭影响（60%）：“看到孩子第一次阅读”2）医生影响（16%）：“我……使用这些书籍……与患者建立联系”3）对诊所实践的影响（25%）：“我……喜欢为家长树立榜样，并使用书籍来评估……发展”4）健康的社会决定因素（2%）：“这些书籍……是我们服务不足的人群的宝贵资源。”
实施 ROR 的临床医生报告称，该计划对患者、家庭和他们自己的满意度以及实践中的方法产生了积极影响。临床医生重视该计划解决健康的社会决定因素，并促进发育监测。需要进一步研究以了解临床医生的观点如何影响和受其经验的影响。
