Evidence map›Paper›PMID 40885472›Full record

ArticleAcademic pediatrics

Intended Outcomes and Core Components of Primary Care-Based Literacy Promotion as Defined by Experts.

Lilian Mekhail, Rylee Sant'Angelo, Jennifer C Dillon, Juline Hanna, Usha Ramachandran, Maria B Pellerano, Nikki Shearman, Alan L Mendelsohn, Thomas I Mackie, Manuel E Jimenez

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Lilian MekhailThe Boggs Center on Disability and Human Development (L Mekhail, R Sant'Angelo, and ME Jimenez), Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; Department of Pediatrics (L Mekhail, JC Dillon, J Hanna, U Ramachandran, and ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; Children's Specialized Hospital (L Mekhail and ME Jimenez), New Brunswick, NJ.
Rylee Sant'AngeloThe Boggs Center on Disability and Human Development (L Mekhail, R Sant'Angelo, and ME Jimenez), Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Jennifer C DillonDepartment of Pediatrics (L Mekhail, JC Dillon, J Hanna, U Ramachandran, and ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Juline HannaDepartment of Pediatrics (L Mekhail, JC Dillon, J Hanna, U Ramachandran, and ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Usha RamachandranDepartment of Pediatrics (L Mekhail, JC Dillon, J Hanna, U Ramachandran, and ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Maria B PelleranoDepartment of Family Medicine and Community Health (MB Pellerano and ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ.
Nikki ShearmanReach Out and Read National Center (N Shearman), Boston, Mass.
Alan L MendelsohnDivision of Developmental-Behavioral Pediatrics (AL Mendelsohn), NYU Grossman School of Medicine, New York, NY.
Thomas I MackieDepartment of Health Promotion and Policy (TI Mackie), School of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Mass.
Manuel E JimenezThe Boggs Center on Disability and Human Development (L Mekhail, R Sant'Angelo, and ME Jimenez), Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; Department of Pediatrics (L Mekhail, JC Dillon, J Hanna, U Ramachandran, and ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; Children's Specialized Hospital (L Mekhail and ME Jimenez), New Brunswick, NJ; Department of Family Medicine and Community Health (MB Pellerano and ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ; Child Health Institute of New Jersey (ME Jimenez), Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ. Electronic address: jimenema@rwjms.rutgers.edu.

Funding

Mentored patient-oriented research that applies a social determinants of health lens to promote optimal developmental and behavioral health in primary careK24NR021198 · NINR · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Manuel E Jimenez · 2024 to 2026
$513k
NINR NIH HHS K24 NR021198
6 · The paper itself

Abstract

objectivePrimary care-based literacy promotion enhances caregiver-child shared reading and child language outcomes, yet variation in implementation may dilute its impact. This study examines expert perspectives on intended outcomes of literacy promotion, as well as its core components, those necessary to achieve intended outcomes, and components that are recommended but adaptable to context.

methodsWe purposively sampled health care and policy experts in primary care-based literacy promotion from the United States and Canada for online, in-depth interviews. Interviews were recorded, transcribed verbatim, and analyzed iteratively, engaging emergent and a priori codes based on the Components and Rationales for Effectiveness fidelity method and the team's prior work to identify themes.

resultsWe achieved saturation after 22 interviews with 24 participants (16 US participants, 8 Canadian). We identified 4 themes: 1) Traditionally, literacy promotion focused on enhancing preliteracy skills and school readiness. Over time, this outcome has evolved to include fostering early relational health as a foundational goal; 2) core components include a trusted clinician delivering a strength-based, family-centered message, while modeling developmentally-informed shared reading; 3) components that are adaptable to setting and context include literacy-rich clinical environments and community resource referrals; 4) experts diverged on whether providing a children's book during literacy promotion is essential, but there was congruence that book provision alone is insufficient.

conclusionsExperts identified strength-based, family-centered guidance from a trusted clinician with developmentally-focused modeling as core to support intended outcomes of early relational health and school readiness. This understanding can inform training and health care improvement activities aimed at optimizing primary care-based literacy promotion.

Indexed as

Health LiteracyHealth PromotionLiteracyPrimary Health CareReadingCanadaChildFemaleHumansInterviews as TopicMaleQualitative ResearchUnited Statesearly childhoodimplementation scienceliteracy promotionpediatricsprimary careshared reading

Identifiers

PMID40885472
PMCPMC12440131

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.