Peyman Zamani, Somayeh Biparva Haghighi, Majid Ravanbakhsh
The use of crossword puzzles as an educational tool
Journal of advances in medical education & professionalism
reach read ror evidencebased early childhood intervention implemented scale yet description ror implementation inconsistent study engages implementation science examine ror delivery sitelevel variation part ongoing clinical trial conducted mixedmethods study 3 community health centers chcs serve lowincome latino families integrated quantitative parent survey data qualitative data monthly key informant interviews ror site leaders 1 year indepth interviews 18 additional clinicians enrollment parents reported whether received childrens book guidance reading modeling clinicians analyzed quantitative data using descriptive statistics qualitative data iteratively engaging emergent priori codes drawn template intervention description replication checklist three hundred latino parents mean age 31 75 hs education completed surveys mean child age 8 months overall parents reported receiving book 84 guidance 73 fewer experienced modeling 23 components parents received varied across chcs two themes emerged explain variation observed 1 differences perceived purpose shared reading book delivery aligned variation implementation 2 sitelevel barriers affected components implemented substantive variation ror implementation across sites systematic descriptions using established frameworks corresponding measurement characterize ror implementation may enhance understanding mechanisms underlying rors effects clinicians policymakers use maximize rors impact