Evidence map›Paper›PMID 40906004›Full record

ArticleMaternal and child health journal2025

Promoting Kindergarten Readiness in Primary Care: Perspectives of Children's Primary Care Providers.

Reilly Dever, Christel Wekon-Kemeni, Alicia Reynolds, Michael J Steiner, Jessica Young, Rushina Cholera, Kori B Flower

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Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Reilly DeverDuke University School of Medicine, Durham, NC, 27707, USA.
Christel Wekon-KemeniDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, 231 MacNider Building, 301B S. Columbia St., Chapel Hill, NC, 27599-7225, USA.
Alicia ReynoldsDuke University School of Medicine, Durham, NC, 27707, USA.
Michael J SteinerDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, 231 MacNider Building, 301B S. Columbia St., Chapel Hill, NC, 27599-7225, USA.
Jessica YoungDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, 231 MacNider Building, 301B S. Columbia St., Chapel Hill, NC, 27599-7225, USA.
Rushina CholeraDuke University School of Medicine, Durham, NC, 27707, USA.
Kori B FlowerDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, 231 MacNider Building, 301B S. Columbia St., Chapel Hill, NC, 27599-7225, USA. kflower@unc.edu.

Funding

Centers for Medicare and Medicaid Services CMS 2B2-20-001
6 · The paper itself

Abstract

BACKGROUND AND

objectiveChildren's healthcare providers have important roles in kindergarten readiness. We sought to understand children's primary care providers' (PCP) current approaches to fostering kindergarten readiness for their patients, perceptions of barriers, and ideas for improvement.

methodsChildren's PCPs were recruited and interviewed between June and August 2021. Interviews were audio recorded, transcribed, and iteratively analyzed to identify and refine emerging themes.

resultsEleven PCPs were interviewed from eleven unique practices across rural and urban settings in North Carolina. Key themes included (1) Integrating kindergarten readiness in the primary care clinic, (2) Partnering with communities to improve kindergarten readiness, and (3) Promoting equity to improve kindergarten readiness. Within the clinic, PCPs valued extended care teams and dedicated assessment tools. PCPs reported wanting greater collaboration with schools and community organizations and more transparent assessment and referral processes. PCPs identified inequities within existing systems and called for more culturally inclusive, equitable kindergarten readiness promotion. Recommendations included removing cultural and language bias from assessments, improving racial/ethnic concordance, and advocating for supportive systems-level policies.

conclusionsChildren's PCPs identified many current and future opportunities to partner with families and communities to optimize children's school readiness throughout early childhood. Many school readiness promoting activities recommended by PCPs in this study could be supported through quality measures that track and provide financing for these specific actions.

Indexed as

Health PersonnelPrimary Health CareChildChild, PreschoolFemaleHumansInterviews as TopicMaleNorth CarolinaQualitative ResearchKindergarten readinessPrimary careSchool readinessWell-child visit

Identifiers

PMID40906004

What OpenQuestion holds

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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.