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    An Evaluation of Resident Physician Training and Implementation of a Pediatric Literacy Intervention

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    Estes_ku_0099D_10646_DATA_1.pdf (262.9Kb)
    Issue Date
    2009-12-07
    Author
    Estes, Judith Lynn
    Publisher
    University of Kansas
    Format
    98 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Applied Behavioral Science
    Rights
    This item is protected by copyright and unless otherwise specified the copyright of this thesis/dissertation is held by the author.
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    Abstract
    Reach Out and Read (ROR), a pediatric literacy intervention, is widely disseminated, yet there has been a paucity of research on training of intervention agents and no published research on the fidelity of intervention component delivery or identifying the amount of literacy counseling (LC) delivered during an intervention. In this evaluation study, data was collected for four resident physicians after three phases of training, by direct observation during 45 well-child exams. Data was examined to (a) evaluate the fidelity of implementation of the intervention components and (b) report the frequency of occurrence of literacy counseling delivery by 10-second intervals during well-child exams. Other measures included an evaluation of resident knowledge and attitudes pre-training and post-study, and parent report post-intervention. Results demonstrated that: (a) during 93% of well child-visits at least 1 ten-second interval of LC was delivered and books were distributed during 91% of visits, (b) the amount of literacy counseling delivered during a ROR intervention was small; a mean of 49 seconds per well-child visit, (c) resident knowledge and attitudes remained constant pre-training and post-intervention, (d) parents may not have been aware of receiving LC; 7% reported receiving LC, and (e) 85% of parents did recall receiving a book. Future ROR research needs to address fidelity of ROR implementation, amount of literacy counseling delivered, and identify a threshold amount of literacy counseling needed to influence parents to deliver home literacy activities.
    URI
    http://hdl.handle.net/1808/6003
    Collections
    • Dissertations [2980]
    • Applied Behavioral Science Dissertations and Theses [114]

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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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