Objectives The Reach Out and Read program (ROaR) is associated with increased parent–child book reading and improved language development in children. Though children of adolescent parents may have an elevated risk of language delay, ROaR has never been specifically studied among adolescent-headed families. This pilot evaluated the feasibility and effectiveness of ROaR among adolescent mothers and their children. Methods This randomized controlled pilot followed thirty adolescent mothers with children aged 6–20 months in a teen-tot clinic in downtown Toronto. At each of three consecutive well child checkups, intervention families received a new children’s book, reading-related anticipatory guidance customized to the mother’s developmental stage, counselling from a librarian, and a public library card. Control families received routine care. At baseline and study completion, all mothers completed a survey on family reading patterns and the Beck Depression Inventory-Revised (BDI-IA). Results Though regression models were not statistically significant, bivariate analyses at study completion revealed that intervention mothers were significantly more likely than controls to report reading as one of the child’s favorite activities (29 vs 0 %) and had significantly lower maternal depression scores (7.0 vs 12.5; ≥10 = clinically significant depression). Trends for all other variables, including time spent reading together and maternal enjoyment of reading, were also in the direction of benefit. This program was implemented at minimal cost and adopted permanently following study completion. Conclusions This feasible and developmentally appropriate intervention shows promise in promoting shared book reading and reducing maternal depression within adolescent-headed families, warranting investigation with larger trials.
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Anderson, R. C., Hiebert, E. H., Scott, J. A., & Wilkinson, I. A. G. (1985). Becoming a nation of readers: The report of the commission on Reading. Champaign, IL: Center for the Study of Reading, University of Illinois.
Teale, W., & Sulzby, E. (1986). Emergent literacy as a perspective for examining how young children become writers and readers. In W. Teale & E. Sulzby (Eds.), Emergent literacy: Writing and reading (pp. VII–XXV). Norwood, NJ: Ablex.
Bus, A. G., Van Ijzendoorn, M. H., & Pellegrini, A. D. (1995). Joint book reading makes for success in learning to read: A meta-analysis on intergenerational transmission of literacy. Review of Educational Research, 65(1), 1–21.
Storch, S. A., & Whitehurst, G. J. (2001). The role of family and home in the developmental course of literacy in children from low-income backgrounds. In P. R. Britto & J. Brooks-Gunn (Eds.), New directions in child development: The role of family literacy environment in promoting young children’s emerging literacy skills (pp. 53–71). San Francisco, CA: Jossey-Bass/Pfeiffer.
Sénéchal, M., & LeFevre, J. (2002). Parental involvement in the development of children’s reading skill: A five-year longitudinal study. Child Development, 73(2), 445–460.
National Institute for Literacy. (2008). Developing early literacy: Report of the National Early Literacy Panel. Washington, DC: National Institute for Literacy.
Reese, E., Sparks, A., & Leyva, D. (2010). A review of parent interventions for preschool children’s language and emergent literacy. Journal of Early Childhood Literacy, 10(1), 97–117.
Bus, A. G., & Van Ijzendoorn, M. H. (1992). Patterns of attachment in frequently and infrequently reading mother–child dyads. Journal of Genetic Psychology, 153, 395–403.
Moon, C., & Wells, G. (1979). The influence of home on learning to read. Journal of Research in Reading, 2, 53–62.
Morrow, L. M., & Young, J. (1997). A collaborative family literacy program: The effects on children’s motivation and literacy achievement. Early Child Development and Care, 127–128, 13–25.
Reach Out and Read. Accessible at www.reachoutandread.org. Accessed July 31, 2012.
Needlman, R., Fried, L., Morley, D., Taylor, S., & Zuckerman, B. (1991). Clinic-based intervention to promote literacy: A pilot study. American Journal of Diseases of Children, 145, 881–884.
High, P., Hopman, M., LaGasse, L., & Linn, H. (1998). Evaluation of a clinic-based program to promote book sharing and bedtime routines among low-income urban families with young children. Archives of Pediatrics and Adolescent Medicine, 152, 459–465.
Golova, N., Alario, A., Vivier, P., Rodriguez, M., & High, P. (1999). Literacy promotion for Hispanic families in a primary care setting: A randomized, controlled trial. Pediatrics, 103, 993–997.
High, P., LaGasse, L., Becker, S., Ahlgren, L., & Gardner, A. (2000). Literacy promotion in primary care pediatrics: Can we make a difference? Pediatrics, 104, 927–934.
Sanders, L. M., Gershon, T. D., Huffman, L. C., & Mendoza, F. S. (2000). Prescribing books for immigrant children: A pilot study to promote emergent literacy among the children of Hispanic immigrants. Archives of Pediatrics and Adolescent Medicine, 154, 771–777.
Jones, V. F., Franco, S. M., Metcalf, S. C., Popp, R., Staggs, S., & Thomas, A. E. (2000). The value of book distribution in a clinic-based literacy intervention program. Clinical Pediatrics (Phila), 39, 535–541.
Mendelsohn, A. L., Mogilner, L. N., Dreyer, B. P., Forman, J. A., Weinstein, S. C., Broderick, M., et al. (2001). The impact of a clinic-based literacy intervention on language development in inner-city preschool children. Pediatrics, 107, 130–134.
Sharif, I., Reiber, S., & Ozuah, P. O. (2002). Exposure to Reach Out and Read and vocabulary outcomes in inner city preschoolers. Journal of the National Medical Association, 94, 171–177.
Silverstein, M., Iverson, L., & Lozano, P. (2002). An English-language clinic-based literacy program is effective for a multilingual population. Pediatrics, 109, E76-6.
Theriot, J. A., Franco, S. M., Sisson, B. A., Metcalf, S. C., Kennedy, M. A., & Bada, H. S. (2003). The impact of early literacy guidance on language skills of 3-year-olds. Clinical Pediatrics (Phila), 42, 165–172.
Needlman, R., & Silverstein, M. (2004). Pediatric interventions to support reading aloud: How good is the evidence? Journal of Developmental and Behavioral Pediatrics, 25, 352–363.
Weitzman, C. C., Roy, L., Walls, T., & Tomlin, R. (2004). More evidence for Reach Out and Read: A home-based study. Pediatrics, 113(5), 1248–1253.
Needlman, R., Toker, K. H., Dreyer, B. P., Klass, P., & Mendelsohn, A. L. (2005). Effectiveness of a primary care intervention to support reading aloud: A multicenter evaluation. Ambulatory Pediatrics, 5(4), 209–215.
Zuckerman, B. (2009). Promoting early literacy in pediatric practice: Twenty years of reach out and read. Pediatrics, 124(6), 1660–1665.
Zuckerman, B., & Khandekar, A. (2010). Reach Out and Read: Evidence based approach to promoting early child development. Current Opinion in Pediatrics, 22(4), 539–544.
Shaw, A. (2006). Read, speak, sing: Promoting literacy in the physician’s office. Paediatrics & Child Health, 11(9), 601–606.
Oxford, M., & Spieker, S. (2006). Preschool language development among children of adolescent mothers. Journal of Applied Developmental Psychology, 27(2), 165–182.
Hill, S. L. (2001). Language, behavior, and neurodevelopmental delay in children of adolescent mothers. Dissertation Abstracts International, Section B, The Sciences and Engineering, 61(8-B), 4448.
Rauch-Elnekave, H. (1991). Teenage motherhood: Its relationship to unidentified learning problems. Paper presented at Annual Convention of the American Psychological Association (99th, San Francisco, CA, August 16–20, 1991).
Van Houten, L. J. (1986). The role of maternal input in the acquisition process: The communicative strategies of adolescent and older mothers with the language learning children. Paper presented at Annual Boston University Conference on Language Development (11th, Boston, MA, October 17–19, 1986).
Neuman, S. B. (1997). Guiding young children’s participation in early literacy development: A family literacy program for adolescent mothers. Early Child Development and Care, 127–128, 119–129.
Williams, K. D. (2001). The effects of an interactive reading intervention on early literacy development and positive parenting interactions for young children of teenage mothers. Dissertation Abstracts International, Section A, Humanities and Social Sciences, 61(12-A), 4669.
Fischer, R. L. (2004). A naturalistic study of urban children’s curiosity, engagement and persistence during shared book reading with teenage mothers. Temple University Doctoral Dissertation, defended January 15, 2004.
Lanzi, R. G., Bert, S. C., & Jacobs, B. K. (2009). Depression among a sample of first time adolescent and adult mothers. Journal of Child and Adolescent Psychiatric Nursing, 22(4), 194–202.
Figueiredo, B., Pacheco, A., & Costa, R. (2007). Depression during pregnancy and the postpartum period in adolescent and adult Portuguese mothers. Archives of Womens Mental Health, 10(3), 103–109.
Cox, J. E., Buman, M., Valenzuela, J., Joseph, N. P., Mitchell, A., & Woods, E. R. (2008). Depression, parenting attributes, and social support among adolescent mothers attending a teen tot program. Journal of Pediatric and Adolescent Gynecology, 21(5), 275–281.
Hudson, D. B., Elek, S. M., & Campbell-Grossman, C. (2000). Depression, self-esteem, loneliness, and social support among adolescent mothers participating in the new parents project. Adolescence, 35, 445–453.
Logsdon, M. C., Birkimer, J. C., Simpson, T., & Looney, S. (2005). Postpartum depression and social support in adolescents. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 34, 46–54.
Quevedo, L. A., Silva, R. A., Godoy, R., Jansen, K., Matos, M. B., Tavares Pinheiro, K. A., & Pinheiro, R. T. (2012). The impact of maternal post-partum depression on the language development of children at 12 months. Child: Care, Health and Development, 38(3), 420–424.
Stein, A., Malmberg, L. E., Sylva, K., Barnes, J., Leach, P., & Team, F. C. C. C. (2008). The influence of maternal depression, caregiving, and socioeconomic status in the post-natal year on children’s language development. Child: Care, Health and Development, 34(5), 603–612.
Sohr-Preston, S. L., & Scaramella, L. V. (2006). Implications of timing of maternal depressive symptoms for early cognitive and language development. Clinical Child and Family Psychology Review, 9(1), 65–83.
Kaplan, P. S., Danko, C. M., Everhart, K. D., Diaz, A., Asherin, R. M., Vogeli, J. M., & Fekri, S. M. (2014). Maternal depression and expressive communication in one-year-old infants. Infant Behavior and Development, 37(3), 398–405.
La Paro, K. M., Justice, L., Skibbe, L. E., & Pianta, R. C. (2004). Relations among maternal, child, and demographic factors and the persistence of preschool language impairment. American Journal of Speech-Language Pathology, 13(4), 291–303.
Beck, A. T., & Steer, R. A. (1993). Manual for the Beck Depression Inventory. San Antonio, TX: Psychological Corporation.
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-IA and -II in psychiatric outpatients. Journal of Personality Assessment, 67, 588–597.
Radzik, M., Sherer, S., & Neinstein, L. S. (2008). Psychosocial development in normal adolescents. In L. S. Neinstein (Ed.), Adolescent health care: A practical guide (5th ed., pp. 27–31). Philadelphia, PA: Lippincott Williams & Wilkins.
Flaherty, S. C., & Sadler, L. S. (2011). A review of attachment theory in the context of adolescent parenting. Journal of Pediatric Health Care, 25(2), 114–121.
Hubbs-Tait, L., Osofsky, J. D., Hann, D. M., & Culp, A. M. (1994). Predicting behavior problems and social competence in children of adolescent mothers. Family Relations, 43, 439–446.
The authors wish to acknowledge the following contributors: Toronto Public Libraries (The Hospital for Sick Children branch) and the University of Toronto Library Sciences Program for their library services and literacy promotion support, particularly Jennifer Borkowski, Sarah McBain, and Dianna Sherlock; the Young Families Program for their assistance in implementing the program; Chapters Indigo for their generous donation of children’s books for participating families; library sciences student Vanessa Kitchen for her assistance with literature review and literacy promotion support; and research volunteers Jesse Beatson, Dan-Bi Cho, Nadina Mahadeo, and Alissa von Malachoski for their assistance with recruitment and data collection. This study was funded by a Trainee Start-Up Fund from The Hospital for Sick Children Research Institute, Toronto, Canada.
Conflict of interest
The authors have no real or potential conflicts of interest to disclose. All sources of funding are acknowledged in the preceding Acknowledgements section.
Research Involving Human Participants
The investigators subscribe to the basic ethical principles underlying the conduct of research involving human subjects as set forth in the Belmont Report. All research protocols, research questionnaires, and consent documents were approved by The Hospital for Sick Children Research Ethics Board.
The nature of the study was fully explained to all potential subjects, including that it involved research, that they would be randomized to one of two study arms, the purposes of the research, the expected duration of the subject’s participation and how much time it would require, a description of the study questionnaires, a description of any foreseeable risks and benefits that could reasonably be expected, a discussion of how confidentiality of records would be maintained, that participation was voluntary with no subsequent impact on the family’s clinical care if they chose not to participate, that any question on a questionnaire could be skipped, and that participants could withdraw at any time from the study. A written consent document containing all pertinent information was provided to potential participants and verbally reviewed by research staff with an opportunity for the participant to ask questions before consenting.
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Kumar, M.M., Cowan, H.R., Erdman, L. et al. Reach Out and Read is Feasible and Effective for Adolescent Mothers: A Pilot Study. Matern Child Health J 20, 630–638 (2016). https://doi.org/10.1007/s10995-015-1862-3
- Literacy programs
- Primary prevention
- Child development
- Pregnancy in adolescence
- Reach Out and Read