Pamela High|Marita R. Hopmann|Linda L. LaGasse|Holly E. Linn
Evaluation of a Clinic-Based Program to Promote Book Sharing and Bedtime Routines Among Low-Income Urban Families With Young Children
Women & Infants Hospital of Rhode Island|Providence College|Brown University
h3objectiveh3 evaluate program anticipatory guidance pediatric residents nurse practitioners continuity practice gave parents books young children along developmentally appropriate educational materials describing share books promoting reading part bedtime routine h3study designh3 comparison 2 crosssectional groups using consecutive structured facetoface telephone interviews parents one group historical control comparison group group 1 intervention group group 2 included families received 2 books educational materials children part program promote book sharing bedtime routines h3subjectsh3 institution program promote book sharing bedtime routines parents 51 families healthy children 12 38 months age regularly attended continuity clinics conducted house staff interviewed families constituted group 1 group 1 included lowincome population hispanic african american nonhispanic white families group 2 included 100 families similar sociodemographic characteristics healthy 12 38monthold children received 2 books educational materials 6 36month wellchild visits part program h3resultsh3 intervention found effective promoting childcentered literacy activities asked openended questions 4 8 parents group 1 21 21 parents group 2 said 1 childs 3 favorite activities included books ipi04 11 22 parents group 1 42 42 parents group 2 said 1 3 favorite activities child book sharing ipi01 10 20 parents group 1 35 35 parents group 2 said share books 6 7 times week bedtime ipi05 mentioning 1 3 important childcentered booksharing activities 17 33 parents group 1 69 69 parents group 2 ipilt001 demonstrated positive childcentered literacy orientation multiple logistic regression analysis controlling parental education ethnicity reading habits well sex age children found childcentered literacy orientation likely present group 2 group 1 families odds ratio 47 95 confidence interval ci 21105ipilt001 book sharing part bedtime routine frequent group 2 meansd 3926 nights per week group 1 meansd 2527 nights per weekipi002 however significant differences prolonged bedtime struggles parentchild cosleeping frequent night waking children fell asleep found groups instead multivariate analysis bedtime struggles occurred often younger parents ipi03 fewer children home ipi02 parentchild cosleeping ipilt001 frequent night waking ipi04 less likely occur children usually fell asleep alone beds h3conclusionsh3 simple inexpensive intervention pediatric house staff consisting provision childrens books educational materials wellchild visits resulted increased enjoyment participation childcentered bookrelated activities lowincome families primary care providers ie physicians nurse practitioners serving underserved pediatric populations may unique opportunity promote childcentered literacy atrisk groups