This intervention study assessed school readiness (SR)-related parent behaviors and perceived barriers for Latino parent-child pairs (N = 149, Mage = 4.5) after a clinic-based SR intervention (n = 74) or standard well-child care (n = 75). Intervention was a 1-hour visit with a community health worker (CHW) to assess child SR, model SR interactions, and provide SR tools and resources. Primary outcomes were parent behaviors and barriers collected by phone questionnaire. Regression analyses revealed that parents in the intervention were more likely to tell their child a story and visit the library in the last week and less likely to report barriers of limited SR knowledge. A brief, SR coaching intervention with a CHW increased SR-related parent behaviors and reduced barriers to SR. Evaluation with school entry data is underway.
HaganJFJrShawJSDuncanPM.Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 4th ed.American Academy of Pediatrics; 2017.
2.
ShonkoffJP.From neurons to neighborhoods: old and new challenges for developmental and behavioral pediatrics. J Dev Behav Pediatr. 2003;24:70-76.
3.
GarciaEWeissE.Education Inequalities at the School Starting Gate: Gaps, Trends, and Strategies to Address Them. Economic Policy Institute; 2017.
4.
HartBRisleyTR. Meaningful Differences in the Everyday Experience of Young American Children. Paul H. Brookes Publishing; 1995.
5.
YoshikawaHWeilandCBrooks-GunnJ, et al. Investing in Our future: The Evidence Base on Preschool Education. Society for Research in Child Development; 2013.
6.
US Department of Health and Human Services. Head Start Impact Study: Final Report. US Department of Health and Human Services; 2010.
7.
LopezEMGallimoreRGarnierHReeseL.Preschool antecedents of mathematics achievement of Latinos: the influence of family resources, early literacy experiences, and preschool attendance. Hisp J Behav Sci. 2007;29: 456-471.
8.
US Department of Education. A Matter of Equity: Preschool in America. US Department of Education; 2015.
9.
FullerBBridgesMBeinE, et al. The health and cognitive growth of Latino toddlers: at risk or immigrant paradox?Matern Child Health J. 2009;13:755-768.
10.
GuerreroADFullerBChuL, et al. Early growth of Mexican-American children: lagging in preliteracy skills but not social development. Matern Child Health J. 2013;17:1701-1711.
11.
LeeVEBurkhamD.Inequality at the Starting Gate: Social background Differences in Achievement as Children Begin Kindergarten. Economic Policy Institute; 2002.
12.
BassokDFinchJELeeRReardonSFWaldfogelJ.Socioeconomic gaps in early childhood experiences: 1998 to 2010. AERA Open. 2016;2(3). doi:10.1177/2332858416653924
13.
YoshikawaH.Long-term effects of early childhood programs on social outcomes and delinquency. Future Child. 1995;5:51-75.
14.
FiscellaKKitzmanH.Disparities in academic achievement and health: the intersection of child education and health policy. Pediatrics. 2009;123:1073-1080.
15.
GolinkoffRMHoffERoweMLTamis-LeMondaCSHirsh-PasekK.Language matters: denying the existence of the 30-million-word gap has serious consequences. Child Dev. 2019;90:985-992.
16.
PetersonJBruceJPatelNChamberlainLJ.Parental attitudes, behaviors, and barriers to school readiness among parents of low-income Latino children. Int J Environ Res Public Health. 2018;15:188.
17.
National Institute for Early Education Research. State of Preschools Year Books. National Institute for Early Education Research; 2017.
18.
PetersonJWLoebSChamberlainLJ.The intersection of health and education to address school readiness of all children. Pediatrics. 2018;142:e20181126.
19.
BrownALopezMH.Ranking Latino Populations in the States. Pew Research Center; 2013.
20.
SchneiderBMartinezSOwensA. Barriers to educational opportunities for Hispanics in the United States. In: TiendaM, ed. Hispanics and the Future of America. National Academies Press; 2006:179-227.
21.
FullerBCollCG.Learning from Latinos: contexts, families, and child development in motion. Dev Psychol. 2010;46:559-565.
22.
ReardonSFPortillaXA.Recent trends in income, racial, and ethnic school readiness gaps at kindergarten entry. AERA Open. 2016;2(3). doi:10.1177/2332858416657343
23.
ReardonSF. The Widening Academic Achievement Gap Between the Rich and the Poor: New Evidence and Possible Explanations. Russell Sage Foundation Press; 2011:91-116.
24.
GoldenbergCGallimoreRReeseLGarnierH.Cause or effect? A longitudinal study of immigrant Latino parents’ aspirations and expectations, and their children’s school performance. Am Educ Res J. 2001;38:547-582.
25.
SteinbergJRBruceJSMarin-NevarezPPhanKMerrellSBChamberlainLJ.Early childhood learning and the pediatrician: a qualitative study among diverse, low-income caregivers. J Dev Behav Pediatr. 2018;39:376-386.
26.
BanduraA.Health promotion by social cognitive means. Health Educ Behav. 2004;31:143-164.
27.
BrownCMGirio-HerreraELShermanSNKahnRSCopelandKA.Low-income parents’ perceptions of pediatrician advice on early childhood education. J Community Health. 2013;38:195-204.
28.
ZuckermanBKhandekarA.Reach Out and Read: evidence based approach to promoting early child development. Curr Opin Pediatr. 2010;22:539-544.
29.
MendelsohnALHubermanHSBerkuleSBBrockmeyerCAMorrowLMDreyerBP.Primary care strategies for promoting parent-child interactions and school readiness in at-risk families: the Bellevue Project for Early Language, Literacy, and Education Success. Arch Pediatr Adolesc Med. 2011;165:33-41.
30.
ZuckermanBParkerSKaplan-SanoffMAugustynMBarthMC.Healthy Steps: a case study of innovation in pediatric practice. Pediatrics. 2004;114:820-826.
31.
WhaleySEJiangLGomezJJenksE.Literacy promotion for families participating in the Women, Infants and Children program. Pediatrics. 2011;127:454-461.
32.
CokerTRMorenoCShekellePGSchusterMAChungPJ.Well-child care clinical practice redesign for serving low-income children. Pediatrics. 2014;134:e229-e239.
33.
BermanSCunninghamMPratteKCampB.Promoting Language Development During Well-Child Visits. Pediatric Academic Societies; 2005.
BirckmayerJ.The role of public libraries in emergent and family literacy. Zero to Three. 2001;21:25-29.
36.
ChenPReaCShawRBottinoCJ.Associations between public library use and reading aloud among families with young children. J Pediatr. 2016;173:221-227.e1.
37.
KumarMMCowanHRErdmanLKaufmanMHickKM.Reach Out and Read is feasible and effective for adolescent mothers: a pilot study. Matern Child Health J. 2016;20:630-638.
38.
GomezCCannonJSWhitakerLKarolyLA.Big Lift Participation and School Entry Indicators: Findings for the 2016-2017 Kindergarten Class. RAND Corporation; 2017.
National Center for Education Statistics. National Household Education Surveys Program: school readiness. Published 2007. Accessed April 22, 2017. https://nces.ed.gov/nhes/questionnaires.asp
41.
FullerBBeinEBridgesM, et al. Maternal practices that influence Hispanic infants’ health and cognitive growth. Pediatrics. 2010;125:e324-e332.
42.
LopezAColeCL.Effects of a parent-implemented intervention on the academic readiness skills of five Puerto Rican kindergarten students in an urban school. Sch Psychol Rev. 1999;28:439-447.
43.
CatesCBWeislederADreyerBP, et al. Leveraging healthcare to promote responsive parenting: impacts of the video interaction project on parenting stress. J Child Fam Stud. 2016;25:827-835.
44.
GolovaNAlarioAJVivierPMRodriguezMHighPC.Literacy promotion for Hispanic families in a primary care setting: a randomized, controlled trial. Pediatrics. 1999;103(5pt 1):993-997.
45.
CorcoranLSteinleyK.Early Childhood Program Participation: Results From the National Household Education Survey Program of 2016. National Center for Education Statistics; 2017.
46.
Gazoli-LeeE.Family Involvement to Promote Student Achievement—A Best Practices Literature Review. Wilder Research Center; 1999.
47.
PeiferKPerezL.Effectiveness of a coordinated community effort to promote early literacy behaviors. Matern Child Health J. 2011;15:765-771.
48.
BruceJSDe La CruzMMMorenoGChamberlainLJ.Lunch at the library: examination of a community-based approach to addressing summer food insecurity. Public Health Nutr. 2017;20:1640-1649.
49.
RainieL.Parents, Children, Libraries, and Reading. Pew Research Center; American Life Project; 2012.
50.
HanlonCHeiderF.Bridging Health Care and Early Education System Transformations to Achieve Kindergarten Readiness in Oregon. Build Initiative; National Academy for State Health Policy; 2014.
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